PN VATI MANAGEMENT PROCTORED EXAM | 2025/2026
Actual Exam with Complete Questions & Verified Answers | Latest Version
Overview
This 2025/2026 updated resource contains actual exam questions from the PN VATI
Management Proctored assessment, featuring complete coverage of all test domains.
Essential for practical-nursing students preparing for final management-competency
evaluation.
Key Features
✓ Actual exam format (multiple-choice, select-all-that-apply, ordered-response)
✓ Verified answers with NCLEX-PN® alignment
✓ Prioritization & delegation scenarios
✓ Leadership & management principles for the LPN/LVN
✓ Legal/ethical considerations in nursing management
Core Content Areas
• Safe Delegation & Supervision (15 Qs)
• Team Communication & Conflict Resolution (10 Qs)
• Resource Management & Assignment Planning (12 Qs)
• Quality Improvement & Risk Management (8 Qs)
• Legal/Ethical Leadership Responsibilities (10 Qs)
Answer Format
Correct answers are marked in bold green and include:
• Rationale based on Scope of Practice for PN/LVN
• Decision-making frameworks (e.g., Maslow’s, ABCs, Safety First)
• Common delegation pitfalls to avoid
Updates for 2025/2026
Reflects current NCLEX-PN® test plan
Incorporates latest safety & quality standards (e.g., Joint Commission updates)
Enhanced focus on interprofessional collaboration
Updated legal scope for practical/vocational nurses
SAFE DELEGATION & SUPERVISION (Questions 1–15)
1. The LPN receives report on four clients. Which client should the LPN not delegate to
the AP (assistive personnel)?
a) 24 h post-laparoscopic appendectomy, BP 128/78
b) Newly diagnosed type 2 DM learning foot care
c) COPD client on 2 L O₂ nasal cannula, RR 22
d) Stable CKD stage 3 awaiting discharge
b) Newly diagnosed type 2 DM learning foot care
Rationale: Teaching requires licensed nurse scope; cannot delegate education to AP.
, 2. The LPN delegates morning hygiene to AP. Which instruction is most appropriate?
a) “Help the client wash up.”
b) “Assist the client with bed-bath; report any skin redness.”
c) “Clean the client quickly so we can start meds.”
d) “Let me know when you’re done.”
b) “Assist the client with bed-bath; report any skin redness.”
Rationale: Clear, specific task + reporting expectation = correct delegation.
3. The LPN notes the AP obtaining a manual BP on a client with a PICC line in the same
arm. The LPN should:
a) Allow AP to finish
b) Immediately stop AP and relocate cuff
c) Document incident later
d) Ask client if it hurts
b) Immediately stop AP and relocate cuff
Rationale: Safety first—cuff inflation can damage PICC or cause clot dislodgement.
4. Which task can an LPN safely delegate to AP in long-term-care?
a) Check blood sugar
b) Transfer client with lift team assistance
c) Give PO digoxin
d) Change sterile dressing
b) Transfer client with lift-team assistance
Rationale: Transfer is within AP scope when proper equipment and two-person
policy exist.
5. A client returns from PACU after knee scope. The RN assigns LPN to:
a) Initial assessment
b) Reinforce discharge teaching
c) Administer PO pain med
d) Both b & c
d) Both b & c
Rationale: LPN cannot perform initial post-op assessment but can reinforce teaching
and give routine PO meds.
6. After report, the LPN has four tasks. Which should be completed first?
a) Change a peripheral IV dressing due today
b) Give 0900 PO antibiotic
c) Obtain orthostatic vitals on client who fell overnight
d) Chart immunizations given yesterday
c) Obtain orthostatic vitals on client who fell overnight
Rationale: Safety/hypovolemia risk trumps routine tasks.
7. The LPN delegates morning weights to AP. Which client requires direct LPN
supervision?
a) Bilateral casts, non-weight-bearing
b) Morbid obesity, uses walker
c) Dizziness on standing, history of falls
d) Unsteady gait but refuses assist
c) Dizziness on standing, history of falls
Rationale: High fall risk; LPN must assess orthostatic symptoms.
8. The LPN overhears AP telling a client, “You’re not trying hard enough.” The LPN
should:
Actual Exam with Complete Questions & Verified Answers | Latest Version
Overview
This 2025/2026 updated resource contains actual exam questions from the PN VATI
Management Proctored assessment, featuring complete coverage of all test domains.
Essential for practical-nursing students preparing for final management-competency
evaluation.
Key Features
✓ Actual exam format (multiple-choice, select-all-that-apply, ordered-response)
✓ Verified answers with NCLEX-PN® alignment
✓ Prioritization & delegation scenarios
✓ Leadership & management principles for the LPN/LVN
✓ Legal/ethical considerations in nursing management
Core Content Areas
• Safe Delegation & Supervision (15 Qs)
• Team Communication & Conflict Resolution (10 Qs)
• Resource Management & Assignment Planning (12 Qs)
• Quality Improvement & Risk Management (8 Qs)
• Legal/Ethical Leadership Responsibilities (10 Qs)
Answer Format
Correct answers are marked in bold green and include:
• Rationale based on Scope of Practice for PN/LVN
• Decision-making frameworks (e.g., Maslow’s, ABCs, Safety First)
• Common delegation pitfalls to avoid
Updates for 2025/2026
Reflects current NCLEX-PN® test plan
Incorporates latest safety & quality standards (e.g., Joint Commission updates)
Enhanced focus on interprofessional collaboration
Updated legal scope for practical/vocational nurses
SAFE DELEGATION & SUPERVISION (Questions 1–15)
1. The LPN receives report on four clients. Which client should the LPN not delegate to
the AP (assistive personnel)?
a) 24 h post-laparoscopic appendectomy, BP 128/78
b) Newly diagnosed type 2 DM learning foot care
c) COPD client on 2 L O₂ nasal cannula, RR 22
d) Stable CKD stage 3 awaiting discharge
b) Newly diagnosed type 2 DM learning foot care
Rationale: Teaching requires licensed nurse scope; cannot delegate education to AP.
, 2. The LPN delegates morning hygiene to AP. Which instruction is most appropriate?
a) “Help the client wash up.”
b) “Assist the client with bed-bath; report any skin redness.”
c) “Clean the client quickly so we can start meds.”
d) “Let me know when you’re done.”
b) “Assist the client with bed-bath; report any skin redness.”
Rationale: Clear, specific task + reporting expectation = correct delegation.
3. The LPN notes the AP obtaining a manual BP on a client with a PICC line in the same
arm. The LPN should:
a) Allow AP to finish
b) Immediately stop AP and relocate cuff
c) Document incident later
d) Ask client if it hurts
b) Immediately stop AP and relocate cuff
Rationale: Safety first—cuff inflation can damage PICC or cause clot dislodgement.
4. Which task can an LPN safely delegate to AP in long-term-care?
a) Check blood sugar
b) Transfer client with lift team assistance
c) Give PO digoxin
d) Change sterile dressing
b) Transfer client with lift-team assistance
Rationale: Transfer is within AP scope when proper equipment and two-person
policy exist.
5. A client returns from PACU after knee scope. The RN assigns LPN to:
a) Initial assessment
b) Reinforce discharge teaching
c) Administer PO pain med
d) Both b & c
d) Both b & c
Rationale: LPN cannot perform initial post-op assessment but can reinforce teaching
and give routine PO meds.
6. After report, the LPN has four tasks. Which should be completed first?
a) Change a peripheral IV dressing due today
b) Give 0900 PO antibiotic
c) Obtain orthostatic vitals on client who fell overnight
d) Chart immunizations given yesterday
c) Obtain orthostatic vitals on client who fell overnight
Rationale: Safety/hypovolemia risk trumps routine tasks.
7. The LPN delegates morning weights to AP. Which client requires direct LPN
supervision?
a) Bilateral casts, non-weight-bearing
b) Morbid obesity, uses walker
c) Dizziness on standing, history of falls
d) Unsteady gait but refuses assist
c) Dizziness on standing, history of falls
Rationale: High fall risk; LPN must assess orthostatic symptoms.
8. The LPN overhears AP telling a client, “You’re not trying hard enough.” The LPN
should:
