ATI Capstone Leadership ACTUAL EXAM
2026/2027 | Official Blueprint Replica | 70
Qs & 8 Sections | NCLEX-RN Prep | Pass
Guaranteed - A+ Graded
SECTION 1: MANAGEMENT OF CARE (Legal, Ethical, Delegation,
Prioritization) — 22 Questions
Q1: A charge nurse on a medical-surgical unit is preparing to delegate tasks to a
licensed practical nurse (LPN). Which task should the charge nurse delegate to the
LPN?
A. Assessing a newly admitted patient with chest pain
B. Administering an oral antibiotic to a stable patient
C. Developing a plan of care for a patient with heart failure
D. Teaching a patient about insulin administration techniques
Correct Answer: B
,Rationale: Correct because administering oral medications to stable patients is within
the LPN scope of practice. The RN retains responsibility for initial assessments, care
planning, and patient education requiring complex teaching.
Q2: A nurse is caring for four patients. Which patient should the nurse assess first?
A. A patient requesting pain medication for a chronic back condition
B. A patient asking about his PCA pump that contains morphine
C. A patient scheduled for discharge teaching in 2 hours
D. A patient requesting assistance with ambulation to the bathroom
Correct Answer: B
Rationale: Correct because a patient inquiring about a PCA pump containing morphine
represents a potential safety concern regarding opioid administration and requires
immediate assessment to verify proper usage and pain control status.
Q3: A nurse is planning care for four clients and is assigning tasks to an LPN and an
assistive personnel (AP). Which task should be assigned to the LPN?
A. Assisting a patient with morning hygiene
B. Reinforcing teaching to a patient about taking enoxaparin at home following hip
arthroplasty
C. Documenting intake and output for all patients
D. Transporting a patient to physical therapy
Correct Answer: B
,Rationale: Correct because reinforcing previously taught medication education falls
within the LPN scope of practice, while the RN must perform initial teaching and
complex discharge planning.
Q4: A charge nurse is planning care for a group of patients on a medical-surgical unit.
Which task should the nurse delegate to an assistive personnel (AP)?
A. Evaluating the effectiveness of a patient's pain medication
B. Measuring hourly urinary output for a postoperative patient
C. Assessing a patient's surgical incision for signs of infection
D. Administering a subcutaneous heparin injection
Correct Answer: B
Rationale: Correct because measuring and recording intake and output is a standard,
non-invasive task appropriate for delegation to APs under RN supervision.
Q5: A nurse is supervising an LPN who is providing care to a patient who is
postoperative. Which statement by the patient requires the nurse to follow up with the
LPN?
A. "I am feeling nauseated after eating my lunch."
B. "I have not received any of my medications today."
C. "My incision is itching around the suture line."
D. "I would like to get up and walk to the bathroom."
Correct Answer: B
, Rationale: Correct because a postoperative patient who has not received any
medications represents a critical medication administration error that requires
immediate investigation and intervention by the supervising RN.
Q6: A nurse is caring for a patient who has been in a motor vehicle crash and has a
minor traumatic brain injury. Which findings should the nurse recognize as a
complication and report to the provider?
A. Headache rated 3/10 and mild dizziness
B. Bradycardia, vomiting, drainage from the ear, and unequal pupils
C. Patient states feeling anxious about the hospital stay
D. Request for pain medication for a laceration
Correct Answer: B
Rationale: Correct because bradycardia, vomiting, otorrhea, and anisocoria are classic
signs of increased intracranial pressure and possible brainstem herniation requiring
immediate provider notification.
Q7: A nurse is caring for a patient and realizes she administered the wrong medication.
What action should the nurse take first?
A. Complete an incident report
B. Notify the nursing supervisor
C. Check the condition of the patient
D. Document the error in the medical record
2026/2027 | Official Blueprint Replica | 70
Qs & 8 Sections | NCLEX-RN Prep | Pass
Guaranteed - A+ Graded
SECTION 1: MANAGEMENT OF CARE (Legal, Ethical, Delegation,
Prioritization) — 22 Questions
Q1: A charge nurse on a medical-surgical unit is preparing to delegate tasks to a
licensed practical nurse (LPN). Which task should the charge nurse delegate to the
LPN?
A. Assessing a newly admitted patient with chest pain
B. Administering an oral antibiotic to a stable patient
C. Developing a plan of care for a patient with heart failure
D. Teaching a patient about insulin administration techniques
Correct Answer: B
,Rationale: Correct because administering oral medications to stable patients is within
the LPN scope of practice. The RN retains responsibility for initial assessments, care
planning, and patient education requiring complex teaching.
Q2: A nurse is caring for four patients. Which patient should the nurse assess first?
A. A patient requesting pain medication for a chronic back condition
B. A patient asking about his PCA pump that contains morphine
C. A patient scheduled for discharge teaching in 2 hours
D. A patient requesting assistance with ambulation to the bathroom
Correct Answer: B
Rationale: Correct because a patient inquiring about a PCA pump containing morphine
represents a potential safety concern regarding opioid administration and requires
immediate assessment to verify proper usage and pain control status.
Q3: A nurse is planning care for four clients and is assigning tasks to an LPN and an
assistive personnel (AP). Which task should be assigned to the LPN?
A. Assisting a patient with morning hygiene
B. Reinforcing teaching to a patient about taking enoxaparin at home following hip
arthroplasty
C. Documenting intake and output for all patients
D. Transporting a patient to physical therapy
Correct Answer: B
,Rationale: Correct because reinforcing previously taught medication education falls
within the LPN scope of practice, while the RN must perform initial teaching and
complex discharge planning.
Q4: A charge nurse is planning care for a group of patients on a medical-surgical unit.
Which task should the nurse delegate to an assistive personnel (AP)?
A. Evaluating the effectiveness of a patient's pain medication
B. Measuring hourly urinary output for a postoperative patient
C. Assessing a patient's surgical incision for signs of infection
D. Administering a subcutaneous heparin injection
Correct Answer: B
Rationale: Correct because measuring and recording intake and output is a standard,
non-invasive task appropriate for delegation to APs under RN supervision.
Q5: A nurse is supervising an LPN who is providing care to a patient who is
postoperative. Which statement by the patient requires the nurse to follow up with the
LPN?
A. "I am feeling nauseated after eating my lunch."
B. "I have not received any of my medications today."
C. "My incision is itching around the suture line."
D. "I would like to get up and walk to the bathroom."
Correct Answer: B
, Rationale: Correct because a postoperative patient who has not received any
medications represents a critical medication administration error that requires
immediate investigation and intervention by the supervising RN.
Q6: A nurse is caring for a patient who has been in a motor vehicle crash and has a
minor traumatic brain injury. Which findings should the nurse recognize as a
complication and report to the provider?
A. Headache rated 3/10 and mild dizziness
B. Bradycardia, vomiting, drainage from the ear, and unequal pupils
C. Patient states feeling anxious about the hospital stay
D. Request for pain medication for a laceration
Correct Answer: B
Rationale: Correct because bradycardia, vomiting, otorrhea, and anisocoria are classic
signs of increased intracranial pressure and possible brainstem herniation requiring
immediate provider notification.
Q7: A nurse is caring for a patient and realizes she administered the wrong medication.
What action should the nurse take first?
A. Complete an incident report
B. Notify the nursing supervisor
C. Check the condition of the patient
D. Document the error in the medical record
