ATI LEADERSHIP PROCTORED EXAM REVIEW | TRUSTED
BY STUDENTS ACROSS MULTIPLE DISCIPLINES!| QUALITY
CONTENT YOU CAN RELY ON!!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 100.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,delegation/supervision Answer: 5 rights
1. task
2. circumstance
3. person
4. direction and communication
5. supervision and evaluation
-based on individual client needs, facility policies and job descriptions, state NPA, professional
standards
-consider the individual's education, training, and experience
-RNs can delegate to:
>>other RNs
>>LPNs
>>APs
delegating to AP Answer: -ADLs
-bathing
-grooming
-dressing
-toileting
-ambulating
-feeding without swallowing precautions
-positioning
-bed making
-VS for stable clients
-specimen collection
-I&O
>>follow facility policies and stage practice guidelines
right task Answer: repetitive, requires little supervision, and relatively noninvasive
right task: AP to assist pt with bedpan and pneumonia
wrong task: delegate AP to administer a nebilizer to a pt with pneumonia
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
, right circumstance Answer: -assess health status and complexity of care required by the client
-match the complexity of care demands to the skill level of the health care team
-consider workload
right circustance: delegate to AP to measure VS on stable pt
wrong: delegate AP to measure VS on pt who is post-op and received naloxone to reverse
respiratory depression
right person Answer: -assess and verify competency of the health care team member
>>within scope of practice and necessary competence and training
-continual performance reviews
right: delegate a LPN to adminster enteral to a client who has a head injury
wrong: delegate an AP to adminster enteral feedings to a client who has a head injury
right direction/communication Answer: -data that needs to be collected
-method and time line for reporting (when to report concerns/findings
right: delegate an AP to assist in room X with (something very specific) before X amount of
time
wrong: delegate an AP to assist with (something nonspecific) in room x
right supervision/evaluation Answer: -directly or indirectly
-clear directions and expectations
-monitor performance
-provide feedback
-intervene if necessary
-evaluate and identify needs for quality improvement activities
right: delegate the ambulation of the client and provide positive feedback to the AP after
completion of task
wrong: delegate the ambulation of a client to an AP without supervision to determine the need
for intervntion and failing to provide feedback to the AP
delegating to LPN Answer: -monitoring client findings as input for the RNs ongoing
assessment of the client
-reinforcing client teaching from a standardized care plan
-performing tracheostomy care and suction
-perform uncomplicated wound care
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
BY STUDENTS ACROSS MULTIPLE DISCIPLINES!| QUALITY
CONTENT YOU CAN RELY ON!!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 100.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,delegation/supervision Answer: 5 rights
1. task
2. circumstance
3. person
4. direction and communication
5. supervision and evaluation
-based on individual client needs, facility policies and job descriptions, state NPA, professional
standards
-consider the individual's education, training, and experience
-RNs can delegate to:
>>other RNs
>>LPNs
>>APs
delegating to AP Answer: -ADLs
-bathing
-grooming
-dressing
-toileting
-ambulating
-feeding without swallowing precautions
-positioning
-bed making
-VS for stable clients
-specimen collection
-I&O
>>follow facility policies and stage practice guidelines
right task Answer: repetitive, requires little supervision, and relatively noninvasive
right task: AP to assist pt with bedpan and pneumonia
wrong task: delegate AP to administer a nebilizer to a pt with pneumonia
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
, right circumstance Answer: -assess health status and complexity of care required by the client
-match the complexity of care demands to the skill level of the health care team
-consider workload
right circustance: delegate to AP to measure VS on stable pt
wrong: delegate AP to measure VS on pt who is post-op and received naloxone to reverse
respiratory depression
right person Answer: -assess and verify competency of the health care team member
>>within scope of practice and necessary competence and training
-continual performance reviews
right: delegate a LPN to adminster enteral to a client who has a head injury
wrong: delegate an AP to adminster enteral feedings to a client who has a head injury
right direction/communication Answer: -data that needs to be collected
-method and time line for reporting (when to report concerns/findings
right: delegate an AP to assist in room X with (something very specific) before X amount of
time
wrong: delegate an AP to assist with (something nonspecific) in room x
right supervision/evaluation Answer: -directly or indirectly
-clear directions and expectations
-monitor performance
-provide feedback
-intervene if necessary
-evaluate and identify needs for quality improvement activities
right: delegate the ambulation of the client and provide positive feedback to the AP after
completion of task
wrong: delegate the ambulation of a client to an AP without supervision to determine the need
for intervntion and failing to provide feedback to the AP
delegating to LPN Answer: -monitoring client findings as input for the RNs ongoing
assessment of the client
-reinforcing client teaching from a standardized care plan
-performing tracheostomy care and suction
-perform uncomplicated wound care
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
