LEADERSHIP & MANAGEMENT NURSING EXAM
PREP
1. A charge nurse is assigning tasks for the shift. Which task is MOST appropriate to delegate to an
unlicensed assistive personnel (UAP)?
A. Developing a client's plan of care
B. Administering a scheduled oral medication
C. Repositioning a stable client every 2 hours
D. Assessing a client's response to a new treatment
Correct Answer: C. Repositioning a stable client every 2 hours
2. An RN is supervising an LPN/LVN providing care for a group of stable clients. Which task is
OUTSIDE the LPN/LVN scope of practice in most states?
A. Administering scheduled oral medications
B. Reinforcing client teaching previously provided by the RN
C. Developing the initial nursing care plan for a newly admitted client
D. Performing a sterile dressing change on a stable wound
Correct Answer: C. Developing the initial nursing care plan for a newly admitted client
3. A nurse delegates ambulation of a postoperative client to a UAP. The UAP returns and reports the
client became lightheaded. What is the nurse's PRIORITY action?
A. Document the report and continue with current tasks
B. Instruct the UAP to have the client lie down in the hallway
C. Go assess the client personally as soon as possible
D. Tell the UAP to try ambulating the client again in 30 minutes
Correct Answer: C. Go assess the client personally as soon as possible
4. Which of the five rights of delegation is being applied when a nurse verifies that a UAP has
demonstrated competency in blood glucose monitoring before assigning the task?
A. Right task
B. Right circumstance
C. Right person
D. Right supervision
Correct Answer: C. Right person
5. A nurse is assigning client care for the shift. Which client should be assigned to the LPN/LVN rather
than the UAP?
A. A client requiring assistance with a bed bath
B. A client requiring routine vital sign measurement
C. A client requiring administration of a scheduled subcutaneous insulin dose
D. A client requiring assistance to the bathroom
Correct Answer: C. A client requiring administration of a scheduled subcutaneous insulin dose
Leadership & Management Nursing Exam Prep — ATI-Aligned (2026) | Page 1
,6. A nurse manager is evaluating delegation practices on the unit. Which statement by a staff RN
indicates a NEED for further teaching?
A. 'I always verify the UAP has the skill before delegating a task.'
B. 'Once I delegate a task, the responsibility for the outcome transfers to the UAP.'
C. 'I provide clear instructions and a timeframe when delegating tasks.'
D. 'I follow up to evaluate whether the delegated task was completed safely.'
Correct Answer: B. 'Once I delegate a task, the responsibility for the outcome transfers to the
UAP.'
7. Which task can an RN safely delegate to a UAP for a client who is 2 days post-cholecystectomy and
stable?
A. Assessing the surgical incision for signs of infection
B. Teaching the client about incentive spirometer use
C. Assisting the client with morning hygiene and linen changes
D. Evaluating the client's pain relief following medication administration
Correct Answer: C. Assisting the client with morning hygiene and linen changes
8. A nurse is caring for four clients with an LPN/LVN and a UAP on the team. Which client assignment
is MOST appropriate for the LPN/LVN?
A. A newly admitted client with an unclear diagnosis requiring a comprehensive admission assessment
B. A client in acute respiratory distress requiring continuous reassessment
C. A stable client with a chronic condition requiring routine oral medication administration
D. A client requiring discharge teaching for a new diagnosis
Correct Answer: C. A stable client with a chronic condition requiring routine oral medication
administration
9. Which action by a UAP requires IMMEDIATE intervention by the supervising nurse?
A. The UAP reports a client's oral intake for the shift
B. The UAP independently adjusts a client's IV infusion rate because the bag is empty
C. The UAP assists a client to the bathroom using a gait belt
D. The UAP reminds a client to use the call light before standing
Correct Answer: B. The UAP independently adjusts a client's IV infusion rate because the bag is
empty
10. A nurse is teaching a newly hired UAP about appropriate communication during delegation. Which
statement reflects correct understanding?
A. 'I should only report abnormal findings to the nurse, not normal ones.'
B. 'I should report any change in a client's condition to the nurse immediately, even if it seems minor.'
C. 'I can make independent decisions about client care as long as I have experience.'
D. 'I do not need to report findings if the client appears stable.'
Correct Answer: B. 'I should report any change in a client's condition to the nurse immediately,
even if it seems minor.'
Leadership & Management Nursing Exam Prep — ATI-Aligned (2026) | Page 2
, 11. Which of the following is the RN's responsibility that CANNOT be delegated, regardless of the
assistive personnel's competency level?
A. Bathing and grooming
B. Ambulation of a stable client
C. The nursing assessment, clinical judgment, and evaluation of care
D. Collection of a routine urine specimen
Correct Answer: C. The nursing assessment, clinical judgment, and evaluation of care
12. A charge nurse must assign a client who requires frequent neurological assessments following a
head injury. Which staff member is MOST appropriate for this assignment?
A. An experienced UAP
B. A newly licensed LPN/LVN
C. An RN with critical care experience
D. A nursing student under direct supervision
Correct Answer: C. An RN with critical care experience
13. Which principle BEST describes the concept of accountability in nursing delegation?
A. The UAP is solely accountable for the outcome of a delegated task
B. The RN remains accountable for the overall plan of care even after delegating a task
C. Accountability transfers entirely once a task is delegated
D. Only the nurse manager is accountable for delegation decisions on the unit
Correct Answer: B. The RN remains accountable for the overall plan of care even after
delegating a task
14. A nurse is reviewing the task list for the shift. Which task should the RN retain rather than delegate
to an LPN/LVN?
A. Performing the initial admission assessment of a newly arrived client
B. Administering a scheduled IM antibiotic injection
C. Providing routine wound care to a stable pressure injury
D. Reinforcing dietary teaching previously provided by the RN
Correct Answer: A. Performing the initial admission assessment of a newly arrived client
15. A float pool UAP is assigned to a unit where they have not previously worked. Which action by the
RN demonstrates safe delegation practice?
A. Assigning the same complex tasks given to regular unit UAP staff
B. Assessing the float UAP's documented competencies before delegating tasks
C. Allowing the float UAP to select their own assignments
D. Avoiding delegation entirely to the float UAP for the shift
Correct Answer: B. Assessing the float UAP's documented competencies before delegating
tasks
16. Which statement correctly reflects the 'right supervision' element of the five rights of delegation?
Leadership & Management Nursing Exam Prep — ATI-Aligned (2026) | Page 3
PREP
1. A charge nurse is assigning tasks for the shift. Which task is MOST appropriate to delegate to an
unlicensed assistive personnel (UAP)?
A. Developing a client's plan of care
B. Administering a scheduled oral medication
C. Repositioning a stable client every 2 hours
D. Assessing a client's response to a new treatment
Correct Answer: C. Repositioning a stable client every 2 hours
2. An RN is supervising an LPN/LVN providing care for a group of stable clients. Which task is
OUTSIDE the LPN/LVN scope of practice in most states?
A. Administering scheduled oral medications
B. Reinforcing client teaching previously provided by the RN
C. Developing the initial nursing care plan for a newly admitted client
D. Performing a sterile dressing change on a stable wound
Correct Answer: C. Developing the initial nursing care plan for a newly admitted client
3. A nurse delegates ambulation of a postoperative client to a UAP. The UAP returns and reports the
client became lightheaded. What is the nurse's PRIORITY action?
A. Document the report and continue with current tasks
B. Instruct the UAP to have the client lie down in the hallway
C. Go assess the client personally as soon as possible
D. Tell the UAP to try ambulating the client again in 30 minutes
Correct Answer: C. Go assess the client personally as soon as possible
4. Which of the five rights of delegation is being applied when a nurse verifies that a UAP has
demonstrated competency in blood glucose monitoring before assigning the task?
A. Right task
B. Right circumstance
C. Right person
D. Right supervision
Correct Answer: C. Right person
5. A nurse is assigning client care for the shift. Which client should be assigned to the LPN/LVN rather
than the UAP?
A. A client requiring assistance with a bed bath
B. A client requiring routine vital sign measurement
C. A client requiring administration of a scheduled subcutaneous insulin dose
D. A client requiring assistance to the bathroom
Correct Answer: C. A client requiring administration of a scheduled subcutaneous insulin dose
Leadership & Management Nursing Exam Prep — ATI-Aligned (2026) | Page 1
,6. A nurse manager is evaluating delegation practices on the unit. Which statement by a staff RN
indicates a NEED for further teaching?
A. 'I always verify the UAP has the skill before delegating a task.'
B. 'Once I delegate a task, the responsibility for the outcome transfers to the UAP.'
C. 'I provide clear instructions and a timeframe when delegating tasks.'
D. 'I follow up to evaluate whether the delegated task was completed safely.'
Correct Answer: B. 'Once I delegate a task, the responsibility for the outcome transfers to the
UAP.'
7. Which task can an RN safely delegate to a UAP for a client who is 2 days post-cholecystectomy and
stable?
A. Assessing the surgical incision for signs of infection
B. Teaching the client about incentive spirometer use
C. Assisting the client with morning hygiene and linen changes
D. Evaluating the client's pain relief following medication administration
Correct Answer: C. Assisting the client with morning hygiene and linen changes
8. A nurse is caring for four clients with an LPN/LVN and a UAP on the team. Which client assignment
is MOST appropriate for the LPN/LVN?
A. A newly admitted client with an unclear diagnosis requiring a comprehensive admission assessment
B. A client in acute respiratory distress requiring continuous reassessment
C. A stable client with a chronic condition requiring routine oral medication administration
D. A client requiring discharge teaching for a new diagnosis
Correct Answer: C. A stable client with a chronic condition requiring routine oral medication
administration
9. Which action by a UAP requires IMMEDIATE intervention by the supervising nurse?
A. The UAP reports a client's oral intake for the shift
B. The UAP independently adjusts a client's IV infusion rate because the bag is empty
C. The UAP assists a client to the bathroom using a gait belt
D. The UAP reminds a client to use the call light before standing
Correct Answer: B. The UAP independently adjusts a client's IV infusion rate because the bag is
empty
10. A nurse is teaching a newly hired UAP about appropriate communication during delegation. Which
statement reflects correct understanding?
A. 'I should only report abnormal findings to the nurse, not normal ones.'
B. 'I should report any change in a client's condition to the nurse immediately, even if it seems minor.'
C. 'I can make independent decisions about client care as long as I have experience.'
D. 'I do not need to report findings if the client appears stable.'
Correct Answer: B. 'I should report any change in a client's condition to the nurse immediately,
even if it seems minor.'
Leadership & Management Nursing Exam Prep — ATI-Aligned (2026) | Page 2
, 11. Which of the following is the RN's responsibility that CANNOT be delegated, regardless of the
assistive personnel's competency level?
A. Bathing and grooming
B. Ambulation of a stable client
C. The nursing assessment, clinical judgment, and evaluation of care
D. Collection of a routine urine specimen
Correct Answer: C. The nursing assessment, clinical judgment, and evaluation of care
12. A charge nurse must assign a client who requires frequent neurological assessments following a
head injury. Which staff member is MOST appropriate for this assignment?
A. An experienced UAP
B. A newly licensed LPN/LVN
C. An RN with critical care experience
D. A nursing student under direct supervision
Correct Answer: C. An RN with critical care experience
13. Which principle BEST describes the concept of accountability in nursing delegation?
A. The UAP is solely accountable for the outcome of a delegated task
B. The RN remains accountable for the overall plan of care even after delegating a task
C. Accountability transfers entirely once a task is delegated
D. Only the nurse manager is accountable for delegation decisions on the unit
Correct Answer: B. The RN remains accountable for the overall plan of care even after
delegating a task
14. A nurse is reviewing the task list for the shift. Which task should the RN retain rather than delegate
to an LPN/LVN?
A. Performing the initial admission assessment of a newly arrived client
B. Administering a scheduled IM antibiotic injection
C. Providing routine wound care to a stable pressure injury
D. Reinforcing dietary teaching previously provided by the RN
Correct Answer: A. Performing the initial admission assessment of a newly arrived client
15. A float pool UAP is assigned to a unit where they have not previously worked. Which action by the
RN demonstrates safe delegation practice?
A. Assigning the same complex tasks given to regular unit UAP staff
B. Assessing the float UAP's documented competencies before delegating tasks
C. Allowing the float UAP to select their own assignments
D. Avoiding delegation entirely to the float UAP for the shift
Correct Answer: B. Assessing the float UAP's documented competencies before delegating
tasks
16. Which statement correctly reflects the 'right supervision' element of the five rights of delegation?
Leadership & Management Nursing Exam Prep — ATI-Aligned (2026) | Page 3
