All ATI RN Proctored Exam
Package | All RN ATI Proctored
Exam Package
Section 1: Management of Care
1. A nurse is delegating tasks to assistive personnel (AP). Which task is
appropriate for the nurse to delegate?
A. Administering a scheduled oral medication
B. Obtaining vital signs on a stable postoperative client
C. Assessing a client's new onset of chest pain
D. Teaching a client about a new insulin regimen
Correct Answer: B
Rationale: Obtaining vital signs on a stable client is within the AP's scope of
practice. Medication administration, assessment, and teaching require a licensed
nurse and cannot be delegated. The nurse retains accountability for all delegated
tasks.
2. A nurse is caring for four clients. Which client should the nurse assess first?
A. A client requesting pain medication for a headache
B. A client with a new onset of confusion and slurred speech
C. A client who needs assistance ambulating to the bathroom
D. A client asking questions about discharge instructions
Correct Answer: B
, Rationale: New onset of confusion and slurred speech may indicate a stroke, a
life-threatening emergency requiring immediate assessment. Using Maslow's
hierarchy and the ABCs, this client takes priority over comfort, mobility, and
teaching needs.
3. A nurse is preparing to receive a change-of-shift report. Which information is
most important to communicate?
A. The client's food preferences
B. A change in the client's level of consciousness
C. The client's insurance status
D. The client's room number
Correct Answer: B
Rationale: A change in level of consciousness is an acute, potentially life-
threatening finding that requires immediate attention. Handoff communication
should prioritize critical clinical changes, not demographic or non-urgent
information.
4. A nurse is reviewing an informed consent form signed by a client. Which
action should the nurse take?
A. Witness the signature and ensure the provider explained the procedure
B. Explain the risks and benefits of the procedure to the client
C. Sign the form on behalf of the client
D. Obtain the client's signature before the provider speaks with them
Correct Answer: A
Rationale: The nurse's role in informed consent is to witness the signature
and verify that the provider explained the procedure, risks, and benefits. The
nurse cannot obtain consent, explain the procedure in place of the provider, or
sign for the client.
,5. A nurse is prioritizing care using the ABCDE framework. Which client should
the nurse see first?
A. A client with a bowel movement
B. A client with an airway obstruction
C. A client with a mild rash
D. A client requesting a blanket
Correct Answer: B
Rationale: The ABCDE framework prioritizes Airway, Breathing, Circulation,
Disability, and Exposure. An airway obstruction is an immediate life threat and
takes highest priority over all other needs.
6. A nurse is teaching a newly licensed nurse about client advocacy. Which
statement indicates understanding?
A. "I should make decisions for the client."
B. "I should ensure the client's wishes are respected."
C. "I should avoid involving the client's family."
D. "I should document only positive outcomes."
Correct Answer: B
Rationale: Advocacy means supporting and protecting the client's rights,
wishes, and autonomy. The nurse should not make decisions for the client,
exclude family when appropriate, or alter documentation.
7. A nurse is preparing to delegate a task to a licensed practical nurse (LPN).
Which task is appropriate?
A. Performing an initial assessment
B. Administering a subcutaneous injection
, C. Developing the nursing care plan
D. Teaching a client about a new diagnosis
Correct Answer: B
Rationale: LPNs can administer medications, including subcutaneous
injections, within their scope. Initial assessments, care plan development, and
client teaching are responsibilities of the RN.
8. A nurse is caring for a client who is terminally ill. The client states, "I want to
stop treatment." Which action should the nurse take?
A. Encourage the client to continue treatment
B. Respect the client's right to refuse treatment and notify the provider
C. Ask the family to convince the client
D. Document the client's statement and take no further action
Correct Answer: B
Rationale: Clients have the right to refuse treatment, including life-sustaining
measures. The nurse should respect autonomy, notify the provider, and document
appropriately. Coercion or inaction is inappropriate.
9. A nurse is reviewing the plan of care for a client. Which action demonstrates
case management?
A. Coordinating care among multiple disciplines
B. Performing a skin assessment
C. Administering pain medication
D. Changing a wound dressing
Correct Answer: A
Package | All RN ATI Proctored
Exam Package
Section 1: Management of Care
1. A nurse is delegating tasks to assistive personnel (AP). Which task is
appropriate for the nurse to delegate?
A. Administering a scheduled oral medication
B. Obtaining vital signs on a stable postoperative client
C. Assessing a client's new onset of chest pain
D. Teaching a client about a new insulin regimen
Correct Answer: B
Rationale: Obtaining vital signs on a stable client is within the AP's scope of
practice. Medication administration, assessment, and teaching require a licensed
nurse and cannot be delegated. The nurse retains accountability for all delegated
tasks.
2. A nurse is caring for four clients. Which client should the nurse assess first?
A. A client requesting pain medication for a headache
B. A client with a new onset of confusion and slurred speech
C. A client who needs assistance ambulating to the bathroom
D. A client asking questions about discharge instructions
Correct Answer: B
, Rationale: New onset of confusion and slurred speech may indicate a stroke, a
life-threatening emergency requiring immediate assessment. Using Maslow's
hierarchy and the ABCs, this client takes priority over comfort, mobility, and
teaching needs.
3. A nurse is preparing to receive a change-of-shift report. Which information is
most important to communicate?
A. The client's food preferences
B. A change in the client's level of consciousness
C. The client's insurance status
D. The client's room number
Correct Answer: B
Rationale: A change in level of consciousness is an acute, potentially life-
threatening finding that requires immediate attention. Handoff communication
should prioritize critical clinical changes, not demographic or non-urgent
information.
4. A nurse is reviewing an informed consent form signed by a client. Which
action should the nurse take?
A. Witness the signature and ensure the provider explained the procedure
B. Explain the risks and benefits of the procedure to the client
C. Sign the form on behalf of the client
D. Obtain the client's signature before the provider speaks with them
Correct Answer: A
Rationale: The nurse's role in informed consent is to witness the signature
and verify that the provider explained the procedure, risks, and benefits. The
nurse cannot obtain consent, explain the procedure in place of the provider, or
sign for the client.
,5. A nurse is prioritizing care using the ABCDE framework. Which client should
the nurse see first?
A. A client with a bowel movement
B. A client with an airway obstruction
C. A client with a mild rash
D. A client requesting a blanket
Correct Answer: B
Rationale: The ABCDE framework prioritizes Airway, Breathing, Circulation,
Disability, and Exposure. An airway obstruction is an immediate life threat and
takes highest priority over all other needs.
6. A nurse is teaching a newly licensed nurse about client advocacy. Which
statement indicates understanding?
A. "I should make decisions for the client."
B. "I should ensure the client's wishes are respected."
C. "I should avoid involving the client's family."
D. "I should document only positive outcomes."
Correct Answer: B
Rationale: Advocacy means supporting and protecting the client's rights,
wishes, and autonomy. The nurse should not make decisions for the client,
exclude family when appropriate, or alter documentation.
7. A nurse is preparing to delegate a task to a licensed practical nurse (LPN).
Which task is appropriate?
A. Performing an initial assessment
B. Administering a subcutaneous injection
, C. Developing the nursing care plan
D. Teaching a client about a new diagnosis
Correct Answer: B
Rationale: LPNs can administer medications, including subcutaneous
injections, within their scope. Initial assessments, care plan development, and
client teaching are responsibilities of the RN.
8. A nurse is caring for a client who is terminally ill. The client states, "I want to
stop treatment." Which action should the nurse take?
A. Encourage the client to continue treatment
B. Respect the client's right to refuse treatment and notify the provider
C. Ask the family to convince the client
D. Document the client's statement and take no further action
Correct Answer: B
Rationale: Clients have the right to refuse treatment, including life-sustaining
measures. The nurse should respect autonomy, notify the provider, and document
appropriately. Coercion or inaction is inappropriate.
9. A nurse is reviewing the plan of care for a client. Which action demonstrates
case management?
A. Coordinating care among multiple disciplines
B. Performing a skin assessment
C. Administering pain medication
D. Changing a wound dressing
Correct Answer: A
