ATI RN FUNDAMENTALS EXAM
PREP 2026: COMPREHENSIVE
TOPIC TEST : QUESTIONS AND
RATIONALES/GRADED A+
UPDATE 100% CORRECT
SECTION 1: MANAGEMENT OF CARE & DELEGATION
(Questions 1–12)
1. A nurse on a med-surg unit has received change-of-shift report and will care
for four clients. Which of the following client needs may the nurse assign to an
assistive personnel (AP)?
A. Feeding a client who was admitted 24 hours 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
Correct Answer: C
Rationale: The application of a condom catheter is a noninvasive, routine procedure
that may be delegated to an AP. Feeding a client with aspiration pneumonia requires
knowledge of swallowing precautions, teaching requires nursing judgment, and
sterile dressing application requires aseptic technique—all beyond the AP scope of
practice.
,2. Can an RN delegate to an LPN to provide tracheostomy care to a client with
pneumonia?
A. No, because tracheostomy care requires sterile technique
B. No, because only RNs can perform airway management
C. Yes, LPNs are licensed to perform tracheostomy care for stable clients
D. Yes, but only if the LPN has completed additional certification
Correct Answer: C
Rationale: LPNs are licensed to perform tracheostomy care for clients with stable
conditions under RN supervision. The RN remains responsible for assessment and
evaluation, but the technical skill can be delegated to an LPN.
3. 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 24 hours post-op to use an incentive spirometer
B. Collecting a clean-catch urine specimen from a client 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
Correct Answer: D
Rationale: Patient-controlled analgesia (PCA) pump management—including
replacing cartridges and tubing—is the responsibility of the RN due to the need for
dose calculation assessment and monitoring for adverse effects. The RN is
accountable for the PCA pump.
4. A nurse is preparing an in-service program about delegation. Which of the
following elements should she identify when presenting the five rights of
delegation? (Select all that apply.)
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances
,Correct Answers: B, C, E
Rationale: The five rights of delegation are: right task, right circumstances, right
person, right direction/communication, and right supervision/evaluation. Right client
and right time pertain to medication administration, not delegation.
5. 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 minutes ago
E. The client is allergic to codeine
F. The client ate 50% of his breakfast this morning
Correct Answers: B, C, D
Rationale: The nurse must provide the AP with specific information about the client's
mobility aids, footwear, and medication timing to ensure safe ambulation. Allergies
and dietary intake are important but not directly relevant to the immediate
ambulation task.
6. A nurse observes an AP reprimanding a client for not using the urinal
properly. The AP tells him she will put a diaper on him if he does not use the
urinal more carefully next time. Which of the following torts is the AP
committing?
A. Assault
B. Battery
C. False imprisonment
D. Invasion of privacy
Correct Answer: A
Rationale: Assault occurs when a person places another in reasonable fear of harmful
or offensive contact. The AP's threat to "put a diaper on him" creates fear of offensive
contact, constituting assault, even if the act is not carried out.
, 7. A client returning from surgery requires assessment and establishment of a
plan of care. To which staff member should the nurse manager assign this
client?
A. Charge nurse
B. RN
C. LPN
D. AP
Correct Answer: B
Rationale: Performing initial assessments and developing a plan of care are
responsibilities reserved for RNs, particularly for potentially unstable postoperative
clients. These tasks cannot be delegated to LPNs or APs.
8. A nurse manager is developing an orientation plan for newly licensed nurses.
Which of the following information should the manager include in the plan?
(Select all that apply.)
A. Skilled proficiency
B. Assignment to a preceptor
C. Budgetary principles
D. Computerized charting
E. Socialization into unit culture
F. Facility policies and procedures
Correct Answers: A, B, D, E
Rationale: Orientation for newly licensed nurses should include assessment of skilled
proficiency, preceptor assignment, computerized charting training, and socialization
into unit culture. Budgetary principles and facility policies are typically covered in
separate orientations.
9. A nurse enters the room of a client who is on contact precautions and finds
the client lying on the floor. Which of the following actions should the nurse
take first?
A. Call the provider
B. Ask a staff member for assistance getting the client back in bed
C. Inspect the client for injuries
D. Instruct the client to ask for help if he needs to get out of bed
PREP 2026: COMPREHENSIVE
TOPIC TEST : QUESTIONS AND
RATIONALES/GRADED A+
UPDATE 100% CORRECT
SECTION 1: MANAGEMENT OF CARE & DELEGATION
(Questions 1–12)
1. A nurse on a med-surg unit has received change-of-shift report and will care
for four clients. Which of the following client needs may the nurse assign to an
assistive personnel (AP)?
A. Feeding a client who was admitted 24 hours 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
Correct Answer: C
Rationale: The application of a condom catheter is a noninvasive, routine procedure
that may be delegated to an AP. Feeding a client with aspiration pneumonia requires
knowledge of swallowing precautions, teaching requires nursing judgment, and
sterile dressing application requires aseptic technique—all beyond the AP scope of
practice.
,2. Can an RN delegate to an LPN to provide tracheostomy care to a client with
pneumonia?
A. No, because tracheostomy care requires sterile technique
B. No, because only RNs can perform airway management
C. Yes, LPNs are licensed to perform tracheostomy care for stable clients
D. Yes, but only if the LPN has completed additional certification
Correct Answer: C
Rationale: LPNs are licensed to perform tracheostomy care for clients with stable
conditions under RN supervision. The RN remains responsible for assessment and
evaluation, but the technical skill can be delegated to an LPN.
3. 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 24 hours post-op to use an incentive spirometer
B. Collecting a clean-catch urine specimen from a client 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
Correct Answer: D
Rationale: Patient-controlled analgesia (PCA) pump management—including
replacing cartridges and tubing—is the responsibility of the RN due to the need for
dose calculation assessment and monitoring for adverse effects. The RN is
accountable for the PCA pump.
4. A nurse is preparing an in-service program about delegation. Which of the
following elements should she identify when presenting the five rights of
delegation? (Select all that apply.)
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances
,Correct Answers: B, C, E
Rationale: The five rights of delegation are: right task, right circumstances, right
person, right direction/communication, and right supervision/evaluation. Right client
and right time pertain to medication administration, not delegation.
5. 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 minutes ago
E. The client is allergic to codeine
F. The client ate 50% of his breakfast this morning
Correct Answers: B, C, D
Rationale: The nurse must provide the AP with specific information about the client's
mobility aids, footwear, and medication timing to ensure safe ambulation. Allergies
and dietary intake are important but not directly relevant to the immediate
ambulation task.
6. A nurse observes an AP reprimanding a client for not using the urinal
properly. The AP tells him she will put a diaper on him if he does not use the
urinal more carefully next time. Which of the following torts is the AP
committing?
A. Assault
B. Battery
C. False imprisonment
D. Invasion of privacy
Correct Answer: A
Rationale: Assault occurs when a person places another in reasonable fear of harmful
or offensive contact. The AP's threat to "put a diaper on him" creates fear of offensive
contact, constituting assault, even if the act is not carried out.
, 7. A client returning from surgery requires assessment and establishment of a
plan of care. To which staff member should the nurse manager assign this
client?
A. Charge nurse
B. RN
C. LPN
D. AP
Correct Answer: B
Rationale: Performing initial assessments and developing a plan of care are
responsibilities reserved for RNs, particularly for potentially unstable postoperative
clients. These tasks cannot be delegated to LPNs or APs.
8. A nurse manager is developing an orientation plan for newly licensed nurses.
Which of the following information should the manager include in the plan?
(Select all that apply.)
A. Skilled proficiency
B. Assignment to a preceptor
C. Budgetary principles
D. Computerized charting
E. Socialization into unit culture
F. Facility policies and procedures
Correct Answers: A, B, D, E
Rationale: Orientation for newly licensed nurses should include assessment of skilled
proficiency, preceptor assignment, computerized charting training, and socialization
into unit culture. Budgetary principles and facility policies are typically covered in
separate orientations.
9. A nurse enters the room of a client who is on contact precautions and finds
the client lying on the floor. Which of the following actions should the nurse
take first?
A. Call the provider
B. Ask a staff member for assistance getting the client back in bed
C. Inspect the client for injuries
D. Instruct the client to ask for help if he needs to get out of bed
