Virtual ATI RN Leadership Proctored
Exam with NGN 70 Questions and
Answers RN ATI Leadership 2023/2026
Proctored Exam with NGN 70 Questions
and Rationales.
1.
The nurse is assigning care to four clients. Which task is appropriate for the nurse to delegate
to an assistive personnel (AP)?
A. Assessing a client with new-onset confusion
B. Teaching a client how to use an incentive spirometer
C. Obtaining vital signs for a stable client
D. Evaluating a client's response to pain medication
Correct Answer: C. Obtaining vital signs for a stable client
Rationale: APs can perform routine, predictable tasks such as obtaining vital signs on stable
clients. Assessment, teaching, and evaluation remain the RN's responsibility.
2.
Which client should the RN assess first?
A. A client reporting chronic back pain rated 6/10
B. A client with COPD whose oxygen saturation is 91% and is at baseline
C. A client who suddenly developed difficulty speaking
D. A client requesting assistance with bathing
Correct Answer: C. A client who suddenly developed difficulty speaking
Rationale: Sudden difficulty speaking can indicate an acute neurologic event such as stroke.
Airway, breathing, circulation, and acute neurologic changes take priority.
,3.
Which task should the RN delegate to an LPN/LVN?
A. Developing the nursing care plan for a newly admitted client
B. Administering oral medications to a stable client
C. Providing initial teaching to a newly diagnosed diabetic client
D. Performing the initial assessment of a postoperative client
Correct Answer: B. Administering oral medications to a stable client
Rationale: Depending on state law and facility policy, LPN/LVNs can administer medications and
provide care to stable clients. Initial assessment, care-plan development, and initial teaching
generally require the RN.
4.
Which client is most appropriate for assignment to an LPN/LVN?
A. A client admitted with septic shock
B. A client requiring initial discharge teaching
C. A stable client receiving routine wound care
D. A client with rapidly changing neurologic status
Correct Answer: C. A stable client receiving routine wound care
Rationale: LPN/LVNs are appropriate for stable clients with predictable outcomes. Unstable
clients and those requiring comprehensive assessment or initial teaching require RN-level care.
5.
The RN delegates ambulation of a stable postoperative client to an AP. Which action by the AP
requires intervention?
A. Applying nonskid footwear
B. Using a gait belt
C. Reporting that the client became dizzy
D. Assisting the client to the bathroom
Correct Answer: C. Reporting that the client became dizzy
,Rationale: The AP should immediately report the finding rather than attempting to
independently evaluate or manage the client's dizziness. The RN must assess the client.
6.
Which statement by an RN demonstrates appropriate delegation?
A. "Take care of room 402."
B. "Do whatever needs to be done for this client."
C. "Please obtain the vital signs and report any systolic blood pressure below 100 mm Hg."
D. "Watch this client while I'm gone."
Correct Answer: C.
Rationale: Effective delegation includes a specific task, client, expected outcome, and
parameters for reporting.
7.
Which principle is most important when delegating a nursing task?
A. The task should be convenient for the RN.
B. The person receiving the task must be competent to perform it.
C. The client should always be asked to perform the task.
D. Delegation eliminates the RN's accountability.
Correct Answer: B.
Rationale: The RN must ensure the delegatee has the education, skills, and competency
necessary to safely perform the task.
8.
Which activity should the RN perform rather than delegate?
A. Measuring urine output
B. Assisting with feeding a stable client
C. Initial assessment of a newly admitted client
D. Changing linens
Correct Answer: C. Initial assessment of a newly admitted client
, Rationale: Assessment requires nursing judgment and cannot be delegated to AP personnel.
9.
A nurse receives four prescriptions. Which should be questioned first?
A. Ambulate a stable client three times daily
B. Administer potassium chloride IV push
C. Monitor intake and output
D. Obtain a daily weight
Correct Answer: B. Administer potassium chloride IV push
Rationale: IV potassium chloride must never be administered by IV push because it can cause
fatal cardiac dysrhythmias.
10.
Which action is an example of nursing advocacy?
A. Following every prescription without question
B. Speaking up when a treatment may harm the client
C. Allowing family members to make all decisions
D. Avoiding communication with the provider
Correct Answer: B.
Rationale: Advocacy involves protecting the client's rights, safety, preferences, and well-being.
11.
A nurse discovers that a medication error occurred. What should the nurse do first?
A. Complete an incident report
B. Notify the risk-management department
C. Assess the client
D. Contact the client's family
Correct Answer: C. Assess the client
Exam with NGN 70 Questions and
Answers RN ATI Leadership 2023/2026
Proctored Exam with NGN 70 Questions
and Rationales.
1.
The nurse is assigning care to four clients. Which task is appropriate for the nurse to delegate
to an assistive personnel (AP)?
A. Assessing a client with new-onset confusion
B. Teaching a client how to use an incentive spirometer
C. Obtaining vital signs for a stable client
D. Evaluating a client's response to pain medication
Correct Answer: C. Obtaining vital signs for a stable client
Rationale: APs can perform routine, predictable tasks such as obtaining vital signs on stable
clients. Assessment, teaching, and evaluation remain the RN's responsibility.
2.
Which client should the RN assess first?
A. A client reporting chronic back pain rated 6/10
B. A client with COPD whose oxygen saturation is 91% and is at baseline
C. A client who suddenly developed difficulty speaking
D. A client requesting assistance with bathing
Correct Answer: C. A client who suddenly developed difficulty speaking
Rationale: Sudden difficulty speaking can indicate an acute neurologic event such as stroke.
Airway, breathing, circulation, and acute neurologic changes take priority.
,3.
Which task should the RN delegate to an LPN/LVN?
A. Developing the nursing care plan for a newly admitted client
B. Administering oral medications to a stable client
C. Providing initial teaching to a newly diagnosed diabetic client
D. Performing the initial assessment of a postoperative client
Correct Answer: B. Administering oral medications to a stable client
Rationale: Depending on state law and facility policy, LPN/LVNs can administer medications and
provide care to stable clients. Initial assessment, care-plan development, and initial teaching
generally require the RN.
4.
Which client is most appropriate for assignment to an LPN/LVN?
A. A client admitted with septic shock
B. A client requiring initial discharge teaching
C. A stable client receiving routine wound care
D. A client with rapidly changing neurologic status
Correct Answer: C. A stable client receiving routine wound care
Rationale: LPN/LVNs are appropriate for stable clients with predictable outcomes. Unstable
clients and those requiring comprehensive assessment or initial teaching require RN-level care.
5.
The RN delegates ambulation of a stable postoperative client to an AP. Which action by the AP
requires intervention?
A. Applying nonskid footwear
B. Using a gait belt
C. Reporting that the client became dizzy
D. Assisting the client to the bathroom
Correct Answer: C. Reporting that the client became dizzy
,Rationale: The AP should immediately report the finding rather than attempting to
independently evaluate or manage the client's dizziness. The RN must assess the client.
6.
Which statement by an RN demonstrates appropriate delegation?
A. "Take care of room 402."
B. "Do whatever needs to be done for this client."
C. "Please obtain the vital signs and report any systolic blood pressure below 100 mm Hg."
D. "Watch this client while I'm gone."
Correct Answer: C.
Rationale: Effective delegation includes a specific task, client, expected outcome, and
parameters for reporting.
7.
Which principle is most important when delegating a nursing task?
A. The task should be convenient for the RN.
B. The person receiving the task must be competent to perform it.
C. The client should always be asked to perform the task.
D. Delegation eliminates the RN's accountability.
Correct Answer: B.
Rationale: The RN must ensure the delegatee has the education, skills, and competency
necessary to safely perform the task.
8.
Which activity should the RN perform rather than delegate?
A. Measuring urine output
B. Assisting with feeding a stable client
C. Initial assessment of a newly admitted client
D. Changing linens
Correct Answer: C. Initial assessment of a newly admitted client
, Rationale: Assessment requires nursing judgment and cannot be delegated to AP personnel.
9.
A nurse receives four prescriptions. Which should be questioned first?
A. Ambulate a stable client three times daily
B. Administer potassium chloride IV push
C. Monitor intake and output
D. Obtain a daily weight
Correct Answer: B. Administer potassium chloride IV push
Rationale: IV potassium chloride must never be administered by IV push because it can cause
fatal cardiac dysrhythmias.
10.
Which action is an example of nursing advocacy?
A. Following every prescription without question
B. Speaking up when a treatment may harm the client
C. Allowing family members to make all decisions
D. Avoiding communication with the provider
Correct Answer: B.
Rationale: Advocacy involves protecting the client's rights, safety, preferences, and well-being.
11.
A nurse discovers that a medication error occurred. What should the nurse do first?
A. Complete an incident report
B. Notify the risk-management department
C. Assess the client
D. Contact the client's family
Correct Answer: C. Assess the client
