ATI RN Fundamentals Proctored Exam
Study Guide: 100 Real Q&As
Question 1
Topic: Delegation - Tracheostomy Care
Question: Can an RN delegate to the LPN to provide tracheostomy care to a client
with pneumonia?
Answer: Yes.
Rationale: Tracheostomy care for a stable client is a skill within the scope of practice
for an LPN/LVN. An RN can delegate this task, provided the LPN has the necessary
competency and the client's condition is stable .
Question 2
Topic: Delegation - Assignment to AP
Question: A nurse on a med-surg unit has received change-of-shift report and will
care for 4 clients. Which of the following client's needs may the nurse assign to an
assistive personnel (AP)?
A. Feeding a client who was admitted 24 hrs ago with aspiration pneumonia
B. Reinforcing teaching with a client who is learning to walk using a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
Answer: C. Reapplying a condom catheter for a client who has urinary
incontinence
Rationale: The application of a condom catheter is a noninvasive, routine procedure
that does not require nursing judgment, making it an appropriate task for an AP to
perform .
,Question 3
Topic: Delegation - Communication to AP
Question: A nurse is delegating the ambulation of a client who had knee
arthroplasty 5 days ago to an AP. Which of the following information should the
nurse share with the AP? (Select All That Apply)
A. The roommate is up independently.
B. The client ambulates with his slippers on over his antiembolic stockings
C. The client uses a front-wheeled walker when ambulating
D. The client had pain medication 30 min ago
E. The client is allergic to codeine
F. The client ate 50% of his breakfast this morning
Answer: B, C, D
Rationale: Effective and safe delegation requires clear communication. The nurse
must give the AP specific, task-relevant information, including safety concerns (B),
mobility equipment used (C), and pain management status (D) .
Question 4
Topic: Delegation - LPN Assignment
Question: An RN is making assignments for client care to an LPN at the beginning of
the shift. Which of the following assignments should the LPN question?
A. Assisting a client who is 24hr postop to use an incentive spirometer
B. Collecting a clean-catch urine specimen from a client who was admitted on the
previous shift
C. Providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump
Answer: D. Replacing the cartridge and tubing on a PCA pump
Rationale: Patient-Controlled Analgesia (PCA) pumps are used for complex pain
management. The RN is responsible for assessing pain, evaluating the therapy, and
managing the pump itself. This is outside the LPN's scope of practice .
, Question 5
Topic: Delegation - Five Rights
Question: A nurse is preparing an in-service program about delegation. Which of the
following elements should she identify when presenting the 5 rights of delegation?
(Select All That Apply)
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances
Answer: B, C, E
Rationale: The five rights of delegation are: Right Task, Right Circumstance, Right
Person, Right Direction/Communication, and Right Supervision/Evaluation .
Question 6
Topic: Assignment - Postoperative Client
Question: A nurse manager of a med-surg unit is assigning care responsibilities for
the oncoming shift. A client is awaiting transfer back to the unit from the PACU
following thoracic surgery. To which staff member should the nurse assign this
client?
A. Charge nurse
B. RN
C. LPN
D. AP
Answer: B. RN
Rationale: A client returning from major surgery is potentially unstable and requires
an initial assessment, critical thinking, and the development of a plan of care. This
responsibility falls within the RN's scope of practice .
Question 7
Study Guide: 100 Real Q&As
Question 1
Topic: Delegation - Tracheostomy Care
Question: Can an RN delegate to the LPN to provide tracheostomy care to a client
with pneumonia?
Answer: Yes.
Rationale: Tracheostomy care for a stable client is a skill within the scope of practice
for an LPN/LVN. An RN can delegate this task, provided the LPN has the necessary
competency and the client's condition is stable .
Question 2
Topic: Delegation - Assignment to AP
Question: A nurse on a med-surg unit has received change-of-shift report and will
care for 4 clients. Which of the following client's needs may the nurse assign to an
assistive personnel (AP)?
A. Feeding a client who was admitted 24 hrs ago with aspiration pneumonia
B. Reinforcing teaching with a client who is learning to walk using a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
Answer: C. Reapplying a condom catheter for a client who has urinary
incontinence
Rationale: The application of a condom catheter is a noninvasive, routine procedure
that does not require nursing judgment, making it an appropriate task for an AP to
perform .
,Question 3
Topic: Delegation - Communication to AP
Question: A nurse is delegating the ambulation of a client who had knee
arthroplasty 5 days ago to an AP. Which of the following information should the
nurse share with the AP? (Select All That Apply)
A. The roommate is up independently.
B. The client ambulates with his slippers on over his antiembolic stockings
C. The client uses a front-wheeled walker when ambulating
D. The client had pain medication 30 min ago
E. The client is allergic to codeine
F. The client ate 50% of his breakfast this morning
Answer: B, C, D
Rationale: Effective and safe delegation requires clear communication. The nurse
must give the AP specific, task-relevant information, including safety concerns (B),
mobility equipment used (C), and pain management status (D) .
Question 4
Topic: Delegation - LPN Assignment
Question: An RN is making assignments for client care to an LPN at the beginning of
the shift. Which of the following assignments should the LPN question?
A. Assisting a client who is 24hr postop to use an incentive spirometer
B. Collecting a clean-catch urine specimen from a client who was admitted on the
previous shift
C. Providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump
Answer: D. Replacing the cartridge and tubing on a PCA pump
Rationale: Patient-Controlled Analgesia (PCA) pumps are used for complex pain
management. The RN is responsible for assessing pain, evaluating the therapy, and
managing the pump itself. This is outside the LPN's scope of practice .
, Question 5
Topic: Delegation - Five Rights
Question: A nurse is preparing an in-service program about delegation. Which of the
following elements should she identify when presenting the 5 rights of delegation?
(Select All That Apply)
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances
Answer: B, C, E
Rationale: The five rights of delegation are: Right Task, Right Circumstance, Right
Person, Right Direction/Communication, and Right Supervision/Evaluation .
Question 6
Topic: Assignment - Postoperative Client
Question: A nurse manager of a med-surg unit is assigning care responsibilities for
the oncoming shift. A client is awaiting transfer back to the unit from the PACU
following thoracic surgery. To which staff member should the nurse assign this
client?
A. Charge nurse
B. RN
C. LPN
D. AP
Answer: B. RN
Rationale: A client returning from major surgery is potentially unstable and requires
an initial assessment, critical thinking, and the development of a plan of care. This
responsibility falls within the RN's scope of practice .
Question 7
