ATI LEADERSHIP COMPREHENSIVE EXAM PAPER
2026 QUESTIONS WITH CORRECT ANSWERS
GRADED A+
◉ 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
◉ 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
-checking NG tube patency
-administering enteral feedings
-inserting urinary catheter
-administering medications
>>not IV meds
◉ responding to inappropriate delegation. Answer: *DO NOT
DELEGATE*:
-nursing process
-client education
-tasks that require clinical judgement to LPNs or APs
*CONSIDER*:
-predictability of outcome
2026 QUESTIONS WITH CORRECT ANSWERS
GRADED A+
◉ 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
◉ 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
-checking NG tube patency
-administering enteral feedings
-inserting urinary catheter
-administering medications
>>not IV meds
◉ responding to inappropriate delegation. Answer: *DO NOT
DELEGATE*:
-nursing process
-client education
-tasks that require clinical judgement to LPNs or APs
*CONSIDER*:
-predictability of outcome
