1
ATI LEADERSHIP CMS PROCTORED EXAM 2026/2027
| NEW Questions | 100% Correct Verified Answers |
Pass Guaranteed - A+ Graded
Section 1: Delegation, Supervision & Assignment (Questions 1-
15)
Q1. A charge nurse on a medical-surgical unit is delegating tasks for the shift. Which
task is most appropriate to delegate to a licensed practical nurse (LPN)?
A. Administering an initial admission assessment on a newly admitted patient with
chest pain
B. Performing tracheostomy suctioning on a patient with a stable, long-term
tracheostomy
C. Teaching a newly diagnosed diabetic patient how to administer insulin
D. Administering an IV push dose of metoprolol for a patient with rapid atrial
fibrillation
B. Performing tracheostomy suctioning on a patient with a stable, long-term
tracheostomy [CORRECT]
Rationale: The LPN can perform stable, predictable tasks such as tracheostomy care
and suctioning for stable patients. The RN must perform initial assessments (A),
patient education (C), and IV push medications (D).
Correct Answer: B
Q2. A registered nurse (RN) is planning care for four patients. Which task is
appropriate to delegate to an unlicensed assistive personnel (UAP)?
A. Evaluating the effectiveness of pain medication administered 30 minutes ago
B. Collecting a clean-catch urine specimen from a stable patient
,2
C. Assessing a postoperative patient for signs of bleeding
D. Teaching a patient how to use an incentive spirometer after surgery
B. Collecting a clean-catch urine specimen from a stable patient [CORRECT]
Rationale: UAPs may collect specimens from stable patients. Assessment (A, C) and
patient teaching (D) are outside the UAP scope of practice and must be performed
by the RN.
Correct Answer: B
Q3. A nurse manager is reviewing the five rights of delegation with staff. Which right
of delegation is violated when an RN delegates wound irrigation for a patient with a
new, complex wound to a UAP?
A. Right task
B. Right circumstances
C. Right person
D. Right direction/communication
A. Right task [CORRECT]
Rationale: Wound irrigation is an assessment-related skill requiring nursing judgment
and is not appropriate to delegate to a UAP. The right task requires that the
delegated activity falls within the delegatee's scope of practice and competence.
Correct Answer: A
Q4. An RN is supervising an LPN who is caring for a group of patients. The RN must
provide initial direction, periodic monitoring, and follow-up evaluation. This describes
which component of delegation?
A. Assignment
B. Supervision
C. Accountability
D. Authority
,3
B. Supervision [CORRECT]
Rationale: Supervision includes providing initial directions, periodic monitoring and
inspection of tasks, and follow-up evaluation to ensure correct completion.
Assignment transfers responsibility without the need for this ongoing oversight for
tasks within scope.
Correct Answer: B
Q5. Which patient care activity should the RN perform rather than delegate to an
LPN?
A. Administering oral medications to a stable patient with hypertension
B. Inserting a nasogastric (NG) tube and verifying placement by pH testing
C. Irrigating an established NG tube in a stable patient
D. Administering enteral feedings through an established gastrostomy tube
B. Inserting a nasogastric (NG) tube and verifying placement by pH testing
[CORRECT]
Rationale: NG tube insertion and initial verification of placement require nursing
assessment and judgment; therefore, the RN must perform this task. LPNs may
irrigate established tubes (C) and administer enteral feedings (D) for stable patients.
Correct Answer: B
Q6. A charge nurse is making assignments for the shift. Which statement best
describes the difference between assignment and delegation?
A. Assignment involves transferring responsibility for an activity to another nurse
while retaining accountability; delegation involves transferring both responsibility
and accountability.
B. Assignment is the distribution of work that each staff member is responsible for
based on job description; delegation is transferring responsibility for a specific
nursing task while retaining accountability.
, 4
C. Delegation is only used for UAPs, while assignment is only used for licensed
personnel.
D. Assignment requires direct supervision; delegation does not require any
supervision.
B. Assignment is the distribution of work that each staff member is responsible
for based on job description; delegation is transferring responsibility for a
specific nursing task while retaining accountability. [CORRECT]
Rationale: Assignment distributes work based on position descriptions, while
delegation transfers responsibility for a specific nursing task. The delegating nurse
retains accountability for the delegated task.
Correct Answer: B
Q7. An RN delegates morning vital signs to a UAP for a group of patients. The UAP
reports that one patient's blood pressure is 88/52 mmHg. What is the RN's priority
action?
A. Instruct the UAP to recheck the vital signs in 30 minutes
B. Perform a focused assessment and evaluate the patient's condition
C. Document the vital signs and notify the healthcare provider
D. Delegate the UAP to notify the charge nurse
B. Perform a focused assessment and evaluate the patient's condition [CORRECT]
Rationale: The RN must verify and evaluate unexpected findings through assessment.
Vital signs within the UAP scope require RN follow-up when abnormal; the RN
cannot delegate evaluation or assessment.
Correct Answer: B
Q8. Which task can an RN safely delegate to an LPN working on a medical-surgical
unit?
ATI LEADERSHIP CMS PROCTORED EXAM 2026/2027
| NEW Questions | 100% Correct Verified Answers |
Pass Guaranteed - A+ Graded
Section 1: Delegation, Supervision & Assignment (Questions 1-
15)
Q1. A charge nurse on a medical-surgical unit is delegating tasks for the shift. Which
task is most appropriate to delegate to a licensed practical nurse (LPN)?
A. Administering an initial admission assessment on a newly admitted patient with
chest pain
B. Performing tracheostomy suctioning on a patient with a stable, long-term
tracheostomy
C. Teaching a newly diagnosed diabetic patient how to administer insulin
D. Administering an IV push dose of metoprolol for a patient with rapid atrial
fibrillation
B. Performing tracheostomy suctioning on a patient with a stable, long-term
tracheostomy [CORRECT]
Rationale: The LPN can perform stable, predictable tasks such as tracheostomy care
and suctioning for stable patients. The RN must perform initial assessments (A),
patient education (C), and IV push medications (D).
Correct Answer: B
Q2. A registered nurse (RN) is planning care for four patients. Which task is
appropriate to delegate to an unlicensed assistive personnel (UAP)?
A. Evaluating the effectiveness of pain medication administered 30 minutes ago
B. Collecting a clean-catch urine specimen from a stable patient
,2
C. Assessing a postoperative patient for signs of bleeding
D. Teaching a patient how to use an incentive spirometer after surgery
B. Collecting a clean-catch urine specimen from a stable patient [CORRECT]
Rationale: UAPs may collect specimens from stable patients. Assessment (A, C) and
patient teaching (D) are outside the UAP scope of practice and must be performed
by the RN.
Correct Answer: B
Q3. A nurse manager is reviewing the five rights of delegation with staff. Which right
of delegation is violated when an RN delegates wound irrigation for a patient with a
new, complex wound to a UAP?
A. Right task
B. Right circumstances
C. Right person
D. Right direction/communication
A. Right task [CORRECT]
Rationale: Wound irrigation is an assessment-related skill requiring nursing judgment
and is not appropriate to delegate to a UAP. The right task requires that the
delegated activity falls within the delegatee's scope of practice and competence.
Correct Answer: A
Q4. An RN is supervising an LPN who is caring for a group of patients. The RN must
provide initial direction, periodic monitoring, and follow-up evaluation. This describes
which component of delegation?
A. Assignment
B. Supervision
C. Accountability
D. Authority
,3
B. Supervision [CORRECT]
Rationale: Supervision includes providing initial directions, periodic monitoring and
inspection of tasks, and follow-up evaluation to ensure correct completion.
Assignment transfers responsibility without the need for this ongoing oversight for
tasks within scope.
Correct Answer: B
Q5. Which patient care activity should the RN perform rather than delegate to an
LPN?
A. Administering oral medications to a stable patient with hypertension
B. Inserting a nasogastric (NG) tube and verifying placement by pH testing
C. Irrigating an established NG tube in a stable patient
D. Administering enteral feedings through an established gastrostomy tube
B. Inserting a nasogastric (NG) tube and verifying placement by pH testing
[CORRECT]
Rationale: NG tube insertion and initial verification of placement require nursing
assessment and judgment; therefore, the RN must perform this task. LPNs may
irrigate established tubes (C) and administer enteral feedings (D) for stable patients.
Correct Answer: B
Q6. A charge nurse is making assignments for the shift. Which statement best
describes the difference between assignment and delegation?
A. Assignment involves transferring responsibility for an activity to another nurse
while retaining accountability; delegation involves transferring both responsibility
and accountability.
B. Assignment is the distribution of work that each staff member is responsible for
based on job description; delegation is transferring responsibility for a specific
nursing task while retaining accountability.
, 4
C. Delegation is only used for UAPs, while assignment is only used for licensed
personnel.
D. Assignment requires direct supervision; delegation does not require any
supervision.
B. Assignment is the distribution of work that each staff member is responsible
for based on job description; delegation is transferring responsibility for a
specific nursing task while retaining accountability. [CORRECT]
Rationale: Assignment distributes work based on position descriptions, while
delegation transfers responsibility for a specific nursing task. The delegating nurse
retains accountability for the delegated task.
Correct Answer: B
Q7. An RN delegates morning vital signs to a UAP for a group of patients. The UAP
reports that one patient's blood pressure is 88/52 mmHg. What is the RN's priority
action?
A. Instruct the UAP to recheck the vital signs in 30 minutes
B. Perform a focused assessment and evaluate the patient's condition
C. Document the vital signs and notify the healthcare provider
D. Delegate the UAP to notify the charge nurse
B. Perform a focused assessment and evaluate the patient's condition [CORRECT]
Rationale: The RN must verify and evaluate unexpected findings through assessment.
Vital signs within the UAP scope require RN follow-up when abnormal; the RN
cannot delegate evaluation or assessment.
Correct Answer: B
Q8. Which task can an RN safely delegate to an LPN working on a medical-surgical
unit?
