ATI PN Management Practice Questions (1–140) Questions AND Answers |
2025/2026
These questions focus on delegation, leadership, prioritization, ethics, communication,
infection control, end-of-life care, supervision, and quality improvement — with the correct
answer in bold and rationales after each.
1. The charge nurse is assigning clients to a newly licensed practical nurse (LPN). Which
client is most appropriate for the LPN to care for?
A. Client receiving IV thrombolytic therapy
B. Client with stable COPD requiring oxygen therapy
C. Client with acute GI bleeding
D. Client newly diagnosed with type 1 diabetes
Rationale: LPNs can care for stable clients with predictable outcomes; COPD is chronic and
stable.
2. Which of the following tasks can the nurse delegate to the unlicensed assistive personnel
(UAP)?
A. Assessment of pain
B. Measuring and recording vital signs
C. Administering oral medications
D. Teaching deep breathing
Rationale: UAPs may perform routine, non-invasive, standard procedures such as taking vital
signs.
3. A nurse discovers a medication error but no harm occurred to the patient. What should
the nurse do first?
A. Document the event in the patient’s progress notes
B. Report it to the client’s family
C. Notify the charge nurse and complete an incident report
D. Ignore since no harm occurred
,Rationale: The nurse must follow facility policy by reporting the error and completing
documentation for safety review.
4. Which task should the nurse assign to a UAP during a code blue?
A. Bring the emergency cart and assist with chest compressions
B. Administer IV medications
C. Interpret cardiac rhythms
D. Document orders
Rationale: UAPs can assist in CPR under direction but cannot give medications or interpret
ECGs.
5. The LPN is assigned to care for four clients. Which should the nurse see first?
A. Client with a pressure injury requesting pain medication
B. Client with a postoperative wound showing bright red drainage
C. Client due for routine insulin injection
D. Client asking for a bedpan
Rationale: Active bleeding indicates potential hemorrhage and requires immediate assessment.
6. A nurse suspects a coworker is under the influence of alcohol at work. What is the
appropriate action?
A. Report the suspicion to the charge nurse or supervisor immediately
B. Ignore unless it happens again
C. Ask the coworker directly
D. Tell other staff to monitor
Rationale: Reporting ensures patient safety and allows administration to address the concern per
policy.
7. Which statement demonstrates effective delegation by the nurse?
A. “Please record Mr. Lee’s temperature every four hours and report if above 100°F.”
B. “Please check on all patients this shift.”
C. “Do whatever you can to help me.”
D. “You’re responsible for everything while I’m gone.”
Rationale: Clear, specific instructions with parameters ensure accountability and safe
delegation.
,8. A client expresses dissatisfaction about care. What is the best initial response?
A. Defend the nursing staff
B. Tell them to discuss with the physician
C. Listen actively and acknowledge their concerns
D. Document without addressing
Rationale: Listening and acknowledging validates the patient’s feelings and opens
communication.
9. A nurse hears another nurse sharing a client’s diagnosis in the cafeteria. What should
the nurse do?
A. Remind the coworker that discussing clients in public violates confidentiality
B. Join the conversation
C. Ignore the situation
D. Report to the media department
Rationale: Client information must be kept private under HIPAA; immediate correction is
required.
10. When prioritizing care, which client should the nurse see first?
A. Client awaiting discharge instructions
B. Client with shortness of breath and low oxygen saturation
C. Client needing routine wound care
D. Client asking for a snack
Rationale: Airway and breathing take priority (ABCs).
11. Which client situation requires the nurse to complete an incident report?
A. Client receives the wrong meal due to dietary error
B. Client refuses morning medications
C. Client requests a different nurse
D. Client complains of mild nausea
Rationale: Any unexpected event or error affecting safety must be documented.
, 12. A nurse delegates feeding a client with dysphagia to a UAP. What instruction should be
given?
A. “Sit the client upright and remain with them while they eat.”
B. “Feed the client quickly before medications.”
C. “Let the client lie back while feeding.”
D. “Offer water after each bite.”
Rationale: Upright positioning prevents aspiration.
13. Which action best prevents medication errors?
A. Ask another nurse to check all medications
B. Follow the six rights of medication administration
C. Administer from memory
D. Use abbreviations to speed up charting
Rationale: The six rights ensure safe and accurate medication delivery.
14. Which action by a nurse demonstrates advocacy?
A. Supporting a client’s decision to refuse treatment
B. Persuading the client to follow doctor’s orders
C. Reporting minor staff errors
D. Telling family the patient’s diagnosis
Rationale: Advocacy means protecting and supporting the patient’s rights and choices.
15. A nurse assigns a UAP to take vital signs on a client receiving blood transfusion. Which
supervision is appropriate?
A. Observe and validate any abnormal findings reported.
B. Allow the UAP to interpret results
C. Ask them to document without reporting
D. Let them adjust transfusion rate
Rationale: The nurse is responsible for interpreting findings and responding appropriately.
16. Which of the following should be included in a nurse’s end-of-shift report?
A. Significant changes in client condition
B. Details of every conversation
2025/2026
These questions focus on delegation, leadership, prioritization, ethics, communication,
infection control, end-of-life care, supervision, and quality improvement — with the correct
answer in bold and rationales after each.
1. The charge nurse is assigning clients to a newly licensed practical nurse (LPN). Which
client is most appropriate for the LPN to care for?
A. Client receiving IV thrombolytic therapy
B. Client with stable COPD requiring oxygen therapy
C. Client with acute GI bleeding
D. Client newly diagnosed with type 1 diabetes
Rationale: LPNs can care for stable clients with predictable outcomes; COPD is chronic and
stable.
2. Which of the following tasks can the nurse delegate to the unlicensed assistive personnel
(UAP)?
A. Assessment of pain
B. Measuring and recording vital signs
C. Administering oral medications
D. Teaching deep breathing
Rationale: UAPs may perform routine, non-invasive, standard procedures such as taking vital
signs.
3. A nurse discovers a medication error but no harm occurred to the patient. What should
the nurse do first?
A. Document the event in the patient’s progress notes
B. Report it to the client’s family
C. Notify the charge nurse and complete an incident report
D. Ignore since no harm occurred
,Rationale: The nurse must follow facility policy by reporting the error and completing
documentation for safety review.
4. Which task should the nurse assign to a UAP during a code blue?
A. Bring the emergency cart and assist with chest compressions
B. Administer IV medications
C. Interpret cardiac rhythms
D. Document orders
Rationale: UAPs can assist in CPR under direction but cannot give medications or interpret
ECGs.
5. The LPN is assigned to care for four clients. Which should the nurse see first?
A. Client with a pressure injury requesting pain medication
B. Client with a postoperative wound showing bright red drainage
C. Client due for routine insulin injection
D. Client asking for a bedpan
Rationale: Active bleeding indicates potential hemorrhage and requires immediate assessment.
6. A nurse suspects a coworker is under the influence of alcohol at work. What is the
appropriate action?
A. Report the suspicion to the charge nurse or supervisor immediately
B. Ignore unless it happens again
C. Ask the coworker directly
D. Tell other staff to monitor
Rationale: Reporting ensures patient safety and allows administration to address the concern per
policy.
7. Which statement demonstrates effective delegation by the nurse?
A. “Please record Mr. Lee’s temperature every four hours and report if above 100°F.”
B. “Please check on all patients this shift.”
C. “Do whatever you can to help me.”
D. “You’re responsible for everything while I’m gone.”
Rationale: Clear, specific instructions with parameters ensure accountability and safe
delegation.
,8. A client expresses dissatisfaction about care. What is the best initial response?
A. Defend the nursing staff
B. Tell them to discuss with the physician
C. Listen actively and acknowledge their concerns
D. Document without addressing
Rationale: Listening and acknowledging validates the patient’s feelings and opens
communication.
9. A nurse hears another nurse sharing a client’s diagnosis in the cafeteria. What should
the nurse do?
A. Remind the coworker that discussing clients in public violates confidentiality
B. Join the conversation
C. Ignore the situation
D. Report to the media department
Rationale: Client information must be kept private under HIPAA; immediate correction is
required.
10. When prioritizing care, which client should the nurse see first?
A. Client awaiting discharge instructions
B. Client with shortness of breath and low oxygen saturation
C. Client needing routine wound care
D. Client asking for a snack
Rationale: Airway and breathing take priority (ABCs).
11. Which client situation requires the nurse to complete an incident report?
A. Client receives the wrong meal due to dietary error
B. Client refuses morning medications
C. Client requests a different nurse
D. Client complains of mild nausea
Rationale: Any unexpected event or error affecting safety must be documented.
, 12. A nurse delegates feeding a client with dysphagia to a UAP. What instruction should be
given?
A. “Sit the client upright and remain with them while they eat.”
B. “Feed the client quickly before medications.”
C. “Let the client lie back while feeding.”
D. “Offer water after each bite.”
Rationale: Upright positioning prevents aspiration.
13. Which action best prevents medication errors?
A. Ask another nurse to check all medications
B. Follow the six rights of medication administration
C. Administer from memory
D. Use abbreviations to speed up charting
Rationale: The six rights ensure safe and accurate medication delivery.
14. Which action by a nurse demonstrates advocacy?
A. Supporting a client’s decision to refuse treatment
B. Persuading the client to follow doctor’s orders
C. Reporting minor staff errors
D. Telling family the patient’s diagnosis
Rationale: Advocacy means protecting and supporting the patient’s rights and choices.
15. A nurse assigns a UAP to take vital signs on a client receiving blood transfusion. Which
supervision is appropriate?
A. Observe and validate any abnormal findings reported.
B. Allow the UAP to interpret results
C. Ask them to document without reporting
D. Let them adjust transfusion rate
Rationale: The nurse is responsible for interpreting findings and responding appropriately.
16. Which of the following should be included in a nurse’s end-of-shift report?
A. Significant changes in client condition
B. Details of every conversation
