1
ATI PN Management Exam 2026/2027 Actual
Exam | Questions with 100% Correct
Answers | Verified & A+ Graded Edition |
Pass Guaranteed - A+ Graded
Section 1: Management of Care – Delegation and Supervision (15 Questions)
Q1: An LPN is working on a medical-surgical unit. Which of the following tasks is appropriate
for the LPN to delegate to a CNA/UAP? A. Administering oral medications to a stable patient
B. Ambulating a patient with a walker [CORRECT]
C. Assessing a patient's wound for signs of infection
D. Teaching a patient how to use an incentive spirometer
Correct Answer: B
Rationale: Ambulating a stable patient with a walker is within the UAP's scope of practice as it
involves routine care activities learned in basic education. Option A requires licensed personnel
for medication administration. Option C requires nursing judgment and assessment skills that
cannot be delegated. Option D requires teaching and evaluation, which are within the LPN scope
under RN supervision but cannot be delegated to UAP. The Five Rights of Delegation require the
right task, right circumstances, right person, right direction/communication, and right
supervision/evaluation
.
Client Need: Safe and Effective Care Environment – Coordinated Care
Cognitive Level: Application
Q2: An LPN is assigned to care for a group of patients. Which of the following tasks should the
LPN perform rather than delegate to a CNA? A. Measuring intake and output
B. Administering a rectal suppository [CORRECT]
C. Obtaining vital signs on a stable patient
D. Assisting with ambulation
Correct Answer: B
Rationale: Administering a rectal suppository is a medication administration activity that
requires licensed personnel and nursing assessment. While LPNs can administer medications via
various routes including rectal, this cannot be delegated to unlicensed assistive personnel.
,2
Options A, C, and D are routine care activities that can be appropriately delegated to a CNA
when the patient is stable
.
Client Need: Safe and Effective Care Environment – Coordinated Care
Cognitive Level: Application
Q3: An LPN is supervising a CNA who is assisting with patient care. The LPN observes the
CNA about to ambulate a patient who has been on bed rest for 3 days following surgery. Which
action should the LPN take? A. Allow the CNA to proceed since ambulation is within the CNA
scope
B. Instruct the CNA to obtain orthostatic vital signs first [CORRECT]
C. Take over the task and ambulate the patient independently
D. Cancel the ambulation and keep the patient on bed rest
Correct Answer: B
Rationale: While ambulation is within the CNA scope, a patient who has been on prolonged bed
rest requires assessment for orthostatic hypotension before ambulation. The LPN must provide
appropriate direction and supervision (Right Direction/Communication and Right Supervision
per the Five Rights of Delegation). The LPN should instruct the CNA to obtain orthostatic vital
signs first, then proceed with ambulation if stable. This demonstrates clinical judgment in
applying delegation principles
.
Client Need: Safe and Effective Care Environment – Coordinated Care
Cognitive Level: Analysis
Q4: Which of the following activities can an LPN delegate to a properly trained UAP? (Select all
that apply.) A. Performing blood glucose monitoring [CORRECT]
B. Documenting intake and output [CORRECT]
C. Inserting a urinary catheter
D. Reinforcing teaching about diabetic foot care
E. Assisting with hygiene and bathing [CORRECT]
Correct Answer: A, B, E
Rationale: Blood glucose monitoring (when the UAP has documented competency),
documentation of I&O, and assistance with hygiene are appropriate delegation activities when
the patient is stable. Inserting a urinary catheter requires sterile technique and nursing judgment.
Reinforcing teaching requires nursing knowledge and evaluation of understanding, which cannot
be delegated to UAP
, 3
.
Client Need: Safe and Effective Care Environment – Coordinated Care
Cognitive Level: Application
Q5: An LPN is working with a new CNA who has just completed orientation. Which task is most
appropriate for the LPN to delegate to this CNA? A. Obtaining vital signs on a patient with
unstable blood pressure
B. Feeding a patient who is at high risk for aspiration
C. Assisting a stable patient with evening hygiene [CORRECT]
D. Performing a dressing change on a post-operative wound
Correct Answer: C
Rationale: Assisting with hygiene for a stable patient is a fundamental ADL task appropriate for
a newly oriented CNA. Options A and B require patients with instability or high-risk conditions
that need closer supervision and potentially licensed personnel. Option D requires sterile
technique and nursing judgment. Delegation decisions must consider the right person based on
training, experience, and patient stability
.
Client Need: Safe and Effective Care Environment – Coordinated Care
Cognitive Level: Application
Q6: An LPN is delegating tasks to a CNA for the shift. Which statement by the LPN
demonstrates appropriate delegation communication? A. "Please check on the patients sometime
this morning."
B. "Mr. Johnson in room 202 needs his vital signs taken now, report any BP over 160/90 to me
immediately, and I'll check back with you in 30 minutes." [CORRECT]
C. "Take care of all the patients on the hall while I do medication pass."
D. "If anything seems wrong, come find me."
Correct Answer: B
Rationale: Effective delegation requires specific direction/communication including: what task,
which patient, specific parameters for reporting, and timeline for follow-up. Option B
demonstrates all elements of right direction/communication. Vague instructions (Options A, C,
D) do not meet delegation standards and could compromise patient safety
.
Client Need: Safe and Effective Care Environment – Coordinated Care
Cognitive Level: Application
ATI PN Management Exam 2026/2027 Actual
Exam | Questions with 100% Correct
Answers | Verified & A+ Graded Edition |
Pass Guaranteed - A+ Graded
Section 1: Management of Care – Delegation and Supervision (15 Questions)
Q1: An LPN is working on a medical-surgical unit. Which of the following tasks is appropriate
for the LPN to delegate to a CNA/UAP? A. Administering oral medications to a stable patient
B. Ambulating a patient with a walker [CORRECT]
C. Assessing a patient's wound for signs of infection
D. Teaching a patient how to use an incentive spirometer
Correct Answer: B
Rationale: Ambulating a stable patient with a walker is within the UAP's scope of practice as it
involves routine care activities learned in basic education. Option A requires licensed personnel
for medication administration. Option C requires nursing judgment and assessment skills that
cannot be delegated. Option D requires teaching and evaluation, which are within the LPN scope
under RN supervision but cannot be delegated to UAP. The Five Rights of Delegation require the
right task, right circumstances, right person, right direction/communication, and right
supervision/evaluation
.
Client Need: Safe and Effective Care Environment – Coordinated Care
Cognitive Level: Application
Q2: An LPN is assigned to care for a group of patients. Which of the following tasks should the
LPN perform rather than delegate to a CNA? A. Measuring intake and output
B. Administering a rectal suppository [CORRECT]
C. Obtaining vital signs on a stable patient
D. Assisting with ambulation
Correct Answer: B
Rationale: Administering a rectal suppository is a medication administration activity that
requires licensed personnel and nursing assessment. While LPNs can administer medications via
various routes including rectal, this cannot be delegated to unlicensed assistive personnel.
,2
Options A, C, and D are routine care activities that can be appropriately delegated to a CNA
when the patient is stable
.
Client Need: Safe and Effective Care Environment – Coordinated Care
Cognitive Level: Application
Q3: An LPN is supervising a CNA who is assisting with patient care. The LPN observes the
CNA about to ambulate a patient who has been on bed rest for 3 days following surgery. Which
action should the LPN take? A. Allow the CNA to proceed since ambulation is within the CNA
scope
B. Instruct the CNA to obtain orthostatic vital signs first [CORRECT]
C. Take over the task and ambulate the patient independently
D. Cancel the ambulation and keep the patient on bed rest
Correct Answer: B
Rationale: While ambulation is within the CNA scope, a patient who has been on prolonged bed
rest requires assessment for orthostatic hypotension before ambulation. The LPN must provide
appropriate direction and supervision (Right Direction/Communication and Right Supervision
per the Five Rights of Delegation). The LPN should instruct the CNA to obtain orthostatic vital
signs first, then proceed with ambulation if stable. This demonstrates clinical judgment in
applying delegation principles
.
Client Need: Safe and Effective Care Environment – Coordinated Care
Cognitive Level: Analysis
Q4: Which of the following activities can an LPN delegate to a properly trained UAP? (Select all
that apply.) A. Performing blood glucose monitoring [CORRECT]
B. Documenting intake and output [CORRECT]
C. Inserting a urinary catheter
D. Reinforcing teaching about diabetic foot care
E. Assisting with hygiene and bathing [CORRECT]
Correct Answer: A, B, E
Rationale: Blood glucose monitoring (when the UAP has documented competency),
documentation of I&O, and assistance with hygiene are appropriate delegation activities when
the patient is stable. Inserting a urinary catheter requires sterile technique and nursing judgment.
Reinforcing teaching requires nursing knowledge and evaluation of understanding, which cannot
be delegated to UAP
, 3
.
Client Need: Safe and Effective Care Environment – Coordinated Care
Cognitive Level: Application
Q5: An LPN is working with a new CNA who has just completed orientation. Which task is most
appropriate for the LPN to delegate to this CNA? A. Obtaining vital signs on a patient with
unstable blood pressure
B. Feeding a patient who is at high risk for aspiration
C. Assisting a stable patient with evening hygiene [CORRECT]
D. Performing a dressing change on a post-operative wound
Correct Answer: C
Rationale: Assisting with hygiene for a stable patient is a fundamental ADL task appropriate for
a newly oriented CNA. Options A and B require patients with instability or high-risk conditions
that need closer supervision and potentially licensed personnel. Option D requires sterile
technique and nursing judgment. Delegation decisions must consider the right person based on
training, experience, and patient stability
.
Client Need: Safe and Effective Care Environment – Coordinated Care
Cognitive Level: Application
Q6: An LPN is delegating tasks to a CNA for the shift. Which statement by the LPN
demonstrates appropriate delegation communication? A. "Please check on the patients sometime
this morning."
B. "Mr. Johnson in room 202 needs his vital signs taken now, report any BP over 160/90 to me
immediately, and I'll check back with you in 30 minutes." [CORRECT]
C. "Take care of all the patients on the hall while I do medication pass."
D. "If anything seems wrong, come find me."
Correct Answer: B
Rationale: Effective delegation requires specific direction/communication including: what task,
which patient, specific parameters for reporting, and timeline for follow-up. Option B
demonstrates all elements of right direction/communication. Vague instructions (Options A, C,
D) do not meet delegation standards and could compromise patient safety
.
Client Need: Safe and Effective Care Environment – Coordinated Care
Cognitive Level: Application
