ATI RN LEADERSHIP & DELEGATION EXAM
NEWEST EVALUATED PRACTICE EXAM 100
QUESTIONS 2026-2027|ORIGINAL QUESTIONS
& ANSWERS |DETAILED RATIONALES |HINTED
COMPLETE EXAM PREP GRADED A+*INSTANT
DOWNLOAD PDF*
1. A charge nurse is assigning care for four clients. Which client should
the nurse assess first?
A. A client 1 day postoperative reporting pain of 6/10
B. A client with COPD who has an oxygen saturation of 91%
C. A client 2 hr postoperative with a respiratory rate of 8/min
D. A client awaiting discharge instructions
Answer: C. A client 2 hr postoperative with a respiratory rate of 8/min
Rationale: A respiratory rate of 8/min indicates possible respiratory
depression and requires immediate assessment. Airway and breathing
take priority over pain, routine monitoring, and discharge planning.
2. Which task is appropriate for an RN to delegate to an assistive
personnel (AP)?
A. Assessing a client's new onset of 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 medication
Answer: C. Obtaining vital signs for a stable client
,Rationale: AP can obtain routine vital signs for stable clients.
Assessment, teaching, and evaluation require nursing judgment and
remain the RN's responsibility.
3. A nurse is delegating tasks to an AP. Which instruction is most
appropriate?
A. "Take care of the client in room 204."
B. "Check the client's vital signs sometime this morning."
C. "Obtain the blood pressure and pulse of the stable client in room 204
at 0900 and report abnormal findings."
D. "Let me know if anything seems wrong."
Answer: C. "Obtain the blood pressure and pulse of the stable client in
room 204 at 0900 and report abnormal findings."
Rationale: Effective delegation requires clear, specific instructions that
identify the task, client, timing, and expected reporting.
4. Which task should the RN perform rather than delegate to an AP?
A. Assisting a stable client with bathing
B. Feeding a client who has no swallowing impairment
C. Ambulating a stable postoperative client
D. Assessing a client who reports sudden chest pain
Answer: D. Assessing a client who reports sudden chest pain
Rationale: Sudden chest pain requires assessment and clinical
judgment. The RN cannot delegate the nursing assessment.
,5. A nurse is caring for a client who suddenly develops slurred speech
and unilateral weakness. Which action should the nurse take first?
A. Notify the family
B. Document the findings
C. Activate the facility's stroke response protocol
D. Ask the AP to recheck the vital signs in 30 min
Answer: C. Activate the facility's stroke response protocol
Rationale: Sudden neurologic deficits suggest an acute stroke. Rapid
recognition and activation of the stroke response process are essential
to reduce delays in treatment.
6. Which client is appropriate for assignment to an LPN/LVN?
A. A client requiring initial admission assessment
B. A client receiving routine oral medications with predictable
outcomes
C. A client experiencing an acute change in condition
D. A client requiring development of a complex care plan
Answer: B. A client receiving routine oral medications with
predictable outcomes
Rationale: LPN/LVN assignments generally include clients with stable
conditions and predictable outcomes. Initial assessment, complex care
planning, and unstable clients require RN judgment.
7. A nurse is using the chain of command after a provider does not
respond to a critical client change. What should the nurse do next?
, A. Ignore the situation
B. Document only
C. Notify the next appropriate person in the chain of command
D. Wait until the provider returns the next day
Answer: C. Notify the next appropriate person in the chain of
command
Rationale: The chain of command is used to address unresolved safety
concerns and ensure timely intervention when the initial person
contacted does not respond appropriately.
8. Which statement by a nurse demonstrates appropriate assertive
communication?
A. "You never listen to what I say."
B. "I am concerned about the client's blood pressure and need you to
evaluate the client now."
C. "Whatever you want to do is fine."
D. "I guess the client might have a problem."
Answer: B. "I am concerned about the client's blood pressure and
need you to evaluate the client now."
Rationale: Assertive communication clearly states the concern and
requested action without blaming or being passive-aggressive.
9. A nurse receives a medication order that appears unsafe. What
should the nurse do?
A. Administer the medication as prescribed
B. Ask the AP to administer it
NEWEST EVALUATED PRACTICE EXAM 100
QUESTIONS 2026-2027|ORIGINAL QUESTIONS
& ANSWERS |DETAILED RATIONALES |HINTED
COMPLETE EXAM PREP GRADED A+*INSTANT
DOWNLOAD PDF*
1. A charge nurse is assigning care for four clients. Which client should
the nurse assess first?
A. A client 1 day postoperative reporting pain of 6/10
B. A client with COPD who has an oxygen saturation of 91%
C. A client 2 hr postoperative with a respiratory rate of 8/min
D. A client awaiting discharge instructions
Answer: C. A client 2 hr postoperative with a respiratory rate of 8/min
Rationale: A respiratory rate of 8/min indicates possible respiratory
depression and requires immediate assessment. Airway and breathing
take priority over pain, routine monitoring, and discharge planning.
2. Which task is appropriate for an RN to delegate to an assistive
personnel (AP)?
A. Assessing a client's new onset of 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 medication
Answer: C. Obtaining vital signs for a stable client
,Rationale: AP can obtain routine vital signs for stable clients.
Assessment, teaching, and evaluation require nursing judgment and
remain the RN's responsibility.
3. A nurse is delegating tasks to an AP. Which instruction is most
appropriate?
A. "Take care of the client in room 204."
B. "Check the client's vital signs sometime this morning."
C. "Obtain the blood pressure and pulse of the stable client in room 204
at 0900 and report abnormal findings."
D. "Let me know if anything seems wrong."
Answer: C. "Obtain the blood pressure and pulse of the stable client in
room 204 at 0900 and report abnormal findings."
Rationale: Effective delegation requires clear, specific instructions that
identify the task, client, timing, and expected reporting.
4. Which task should the RN perform rather than delegate to an AP?
A. Assisting a stable client with bathing
B. Feeding a client who has no swallowing impairment
C. Ambulating a stable postoperative client
D. Assessing a client who reports sudden chest pain
Answer: D. Assessing a client who reports sudden chest pain
Rationale: Sudden chest pain requires assessment and clinical
judgment. The RN cannot delegate the nursing assessment.
,5. A nurse is caring for a client who suddenly develops slurred speech
and unilateral weakness. Which action should the nurse take first?
A. Notify the family
B. Document the findings
C. Activate the facility's stroke response protocol
D. Ask the AP to recheck the vital signs in 30 min
Answer: C. Activate the facility's stroke response protocol
Rationale: Sudden neurologic deficits suggest an acute stroke. Rapid
recognition and activation of the stroke response process are essential
to reduce delays in treatment.
6. Which client is appropriate for assignment to an LPN/LVN?
A. A client requiring initial admission assessment
B. A client receiving routine oral medications with predictable
outcomes
C. A client experiencing an acute change in condition
D. A client requiring development of a complex care plan
Answer: B. A client receiving routine oral medications with
predictable outcomes
Rationale: LPN/LVN assignments generally include clients with stable
conditions and predictable outcomes. Initial assessment, complex care
planning, and unstable clients require RN judgment.
7. A nurse is using the chain of command after a provider does not
respond to a critical client change. What should the nurse do next?
, A. Ignore the situation
B. Document only
C. Notify the next appropriate person in the chain of command
D. Wait until the provider returns the next day
Answer: C. Notify the next appropriate person in the chain of
command
Rationale: The chain of command is used to address unresolved safety
concerns and ensure timely intervention when the initial person
contacted does not respond appropriately.
8. Which statement by a nurse demonstrates appropriate assertive
communication?
A. "You never listen to what I say."
B. "I am concerned about the client's blood pressure and need you to
evaluate the client now."
C. "Whatever you want to do is fine."
D. "I guess the client might have a problem."
Answer: B. "I am concerned about the client's blood pressure and
need you to evaluate the client now."
Rationale: Assertive communication clearly states the concern and
requested action without blaming or being passive-aggressive.
9. A nurse receives a medication order that appears unsafe. What
should the nurse do?
A. Administer the medication as prescribed
B. Ask the AP to administer it
