ATI LEADERSHIP AND MANAGEMENT
NURSING COMPREHENSIVE
EXAMINATION TEST PAPER 2026
QUESTIONS AND SOLUTIONS STUDY GUIDE
GRADED A+
⩥ Managers role in promoting Civility.
Answer: create mutual respectful environment
model behaviors
increase awareness of disruptive behaviors
support zero tolerance
establish open communication
⩥ Basis of delegation decisions.
Answer: Individual client needs.
Facility policies and job descriptions.
State nurse practice acts.
Professional standards (ANA codes of standards).
Other legal/ethical concerns.
⩥ factors to consider in Assigning.
,Answer: -Client factors.
-Healthcare team factors.
⩥ Client factors in making assignments.
Answer: Condition and level of care needed.
Specific care needs (cardiac monitoring, mechanical ventilation).
Need for special precautions (isolation precautions, fall precautions,
seizure precautions).
Procedures requiring a significant time commitment (extensive dressing
changes or wound care).
⩥ Healthcare team factors in making assignments.
Answer: Knowledge/skill level of team members.
Amount of supervision necessary.
Staffing mix (RNs, PNs, AP).
Nurse‑to‑client ratio.
Experience with similar clients.
Familiarity of staff member with unit.
⩥ Actions to take when a nurse receives an unsafe assignment.
Answer: Bring to attention of the scheduling/charge nurse and negotiate
new assignment.
,If no resolution is arrived at, take the concern up the chain of command.
If a satisfactory resolution is still not arrived at, the nurse should file a
written protest to the assignment, such as an assignment despite
objection (ADO) or document of practice situation (DOPS) with the
appropriate administrator.
⩥ Role of licensed nurse for delegating and supervising:.
Answer: responsible for providing clear directions when a task is
initially delegated and for periodic reassessment and evaluation of the
outcome of the task. RNs must be knowledgeable about the applicable
state nurse practice act and regulations regarding the use
of PNs and APs. RNs must delegate tasks so that they can complete
higher level tasks that only RNs can perform. This allows more efficient
use of all members of the health care team.
⩥ Who RNs may delegate to.
Answer: Other RNs, PNs, and APs.
⩥ Who PNs may delegate to
Other PNs and APs..
Answer:
⩥ Things an RN cannot delegate to PN or AP.
Answer: Nursing process.
, Client education.
Tasks that require clinical judgment.
Any tasks not appropriate for the skill and education level of that
particular health care team member.
⩥ Task factors to consider in delegating client care.
Answer: Predictability of outcome: Will the completion of the task have
a predictable outcome? Is it a routine treatment? Is it a new treatment?
Potential for harm: Is there a chance that something negative can happen
to the client (risk for bleeding, risk for aspiration)? Is the client unstable?
Complexity of care: Are complex tasks required as a part of the client's
care? Is the delegatee legally able to perform the task and does he have
the skills necessary?
Need for problem solving and innovation: Is nursing judgment required
while performing the task? Does it require nursing assessment skills?
Level of interaction with the client: Is there a need to provide
psychosocial support or education during the performance of the task.
⩥ Examples of tasks nurses may delegate to PN.
Answer: Monitoring findings (as input to the RN's ongoing assessment).
Reinforcing client teaching from a standard care plan.
Performing tracheostomy care.
Suctioning.
Checking NG tube patency.
NURSING COMPREHENSIVE
EXAMINATION TEST PAPER 2026
QUESTIONS AND SOLUTIONS STUDY GUIDE
GRADED A+
⩥ Managers role in promoting Civility.
Answer: create mutual respectful environment
model behaviors
increase awareness of disruptive behaviors
support zero tolerance
establish open communication
⩥ Basis of delegation decisions.
Answer: Individual client needs.
Facility policies and job descriptions.
State nurse practice acts.
Professional standards (ANA codes of standards).
Other legal/ethical concerns.
⩥ factors to consider in Assigning.
,Answer: -Client factors.
-Healthcare team factors.
⩥ Client factors in making assignments.
Answer: Condition and level of care needed.
Specific care needs (cardiac monitoring, mechanical ventilation).
Need for special precautions (isolation precautions, fall precautions,
seizure precautions).
Procedures requiring a significant time commitment (extensive dressing
changes or wound care).
⩥ Healthcare team factors in making assignments.
Answer: Knowledge/skill level of team members.
Amount of supervision necessary.
Staffing mix (RNs, PNs, AP).
Nurse‑to‑client ratio.
Experience with similar clients.
Familiarity of staff member with unit.
⩥ Actions to take when a nurse receives an unsafe assignment.
Answer: Bring to attention of the scheduling/charge nurse and negotiate
new assignment.
,If no resolution is arrived at, take the concern up the chain of command.
If a satisfactory resolution is still not arrived at, the nurse should file a
written protest to the assignment, such as an assignment despite
objection (ADO) or document of practice situation (DOPS) with the
appropriate administrator.
⩥ Role of licensed nurse for delegating and supervising:.
Answer: responsible for providing clear directions when a task is
initially delegated and for periodic reassessment and evaluation of the
outcome of the task. RNs must be knowledgeable about the applicable
state nurse practice act and regulations regarding the use
of PNs and APs. RNs must delegate tasks so that they can complete
higher level tasks that only RNs can perform. This allows more efficient
use of all members of the health care team.
⩥ Who RNs may delegate to.
Answer: Other RNs, PNs, and APs.
⩥ Who PNs may delegate to
Other PNs and APs..
Answer:
⩥ Things an RN cannot delegate to PN or AP.
Answer: Nursing process.
, Client education.
Tasks that require clinical judgment.
Any tasks not appropriate for the skill and education level of that
particular health care team member.
⩥ Task factors to consider in delegating client care.
Answer: Predictability of outcome: Will the completion of the task have
a predictable outcome? Is it a routine treatment? Is it a new treatment?
Potential for harm: Is there a chance that something negative can happen
to the client (risk for bleeding, risk for aspiration)? Is the client unstable?
Complexity of care: Are complex tasks required as a part of the client's
care? Is the delegatee legally able to perform the task and does he have
the skills necessary?
Need for problem solving and innovation: Is nursing judgment required
while performing the task? Does it require nursing assessment skills?
Level of interaction with the client: Is there a need to provide
psychosocial support or education during the performance of the task.
⩥ Examples of tasks nurses may delegate to PN.
Answer: Monitoring findings (as input to the RN's ongoing assessment).
Reinforcing client teaching from a standard care plan.
Performing tracheostomy care.
Suctioning.
Checking NG tube patency.
