ATI PN Management Exam 2026/2027 Actual
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Section 1: Management of Care – Delegation and Supervision
Q1: Delegation to CNA
An LPN is working on a medical-surgical unit. Which of the following tasks is appropriate for
the LPN to delegate to a CNA?
A. Administering oral medications to a stable patient
B. Ambulating a patient with a walker [CORRECT]
C. Assessing a patient's wound for signs of infection
D. Teaching a patient how to use an incentive spirometer
Correct Answer: B
Rationale: Ambulating a stable patient is within the CNA's scope of practice. Administering
medications (A) and teaching (D) require licensed personnel. Assessing wounds (C) requires
nursing judgment and assessment skills.
Client Need: Safe and Effective Care Environment – Management of Care
Cognitive Level: Application
Q2: LPN Scope vs. Delegation
An LPN is assigned to care for a group of patients. Which of the following tasks should the LPN
perform rather than delegate to a CNA?
A. Measuring intake and output
B. Administering a rectal suppository [CORRECT]
C. Obtaining vital signs
D. Assisting with ambulation
Correct Answer: B
Rationale: Administering a rectal suppository is a medication administration task that requires
nursing assessment and is within the LPN's scope but cannot be delegated to a CNA. Options A,
C, and D are tasks that can be delegated to a CNA.
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Client Need: Safe and Effective Care Environment – Management of Care
Cognitive Level: Application
Q3: Supervision of UAP
An LPN is supervising a UAP who is assisting a patient with a bed bath. The LPN should:
A. Stay in the room to directly observe the entire procedure
B. Check on the UAP periodically and ensure the patient is comfortable and safe [CORRECT]
C. Delegate the task and leave the unit
D. Ask the UAP to document the procedure in the medical record
Correct Answer: B
Rationale: The LPN should supervise by checking periodically to ensure patient safety and
comfort, while allowing the UAP to perform the task. Option A is unnecessary for a routine task.
Option C is unsafe. Option D is outside the UAP's scope.
Client Need: Safe and Effective Care Environment – Management of Care
Cognitive Level: Application
Q4: Delegation of Vital Signs
An LPN delegates vital sign measurement to a CNA. Which of the following actions should the
LPN take?
A. Assume the CNA will report abnormal findings
B. Instruct the CNA to report any abnormal findings immediately [CORRECT]
C. Recheck all vital signs personally
D. Document the vital signs without verifying
Correct Answer: B
Rationale: The LPN should ensure the CNA knows to report abnormal findings immediately.
Option A is unsafe. Option C is inefficient. Option D is unprofessional.
Client Need: Safe and Effective Care Environment – Management of Care
Cognitive Level: Application
Q5: Delegation of Patient Education
An LPN is caring for a patient with newly diagnosed diabetes. Which of the following tasks can
the LPN delegate to a CNA?
A. Teaching the patient how to administer insulin
B. Reinforcing the importance of foot care [CORRECT]
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C. Assessing the patient's understanding of dietary restrictions
D. Developing a discharge teaching plan
Correct Answer: B
Rationale: Reinforcing previously taught information is within the CNA's scope. Options A, C,
and D require nursing judgment and teaching skills.
Client Need: Safe and Effective Care Environment – Management of Care
Cognitive Level: Application
Section 1: Management of Care – Assignment Making
Q6: Patient Assignment Prioritization
An LPN is making assignments for the shift. Which of the following patients should the LPN
assign to the CNA?
A. A patient who requires a sterile dressing change
B. A patient who is post-operative day 1 requiring assistance with ambulation [CORRECT]
C. A patient with a new colostomy requiring teaching
D. A patient with unstable vital signs
Correct Answer: B
Rationale: Assisting with ambulation is within the CNA's scope. Options A and C require
licensed personnel. Option D requires nursing assessment and intervention.
Client Need: Safe and Effective Care Environment – Management of Care
Cognitive Level: Analysis
Q7: Assignment Based on Patient Acuity
An LPN is assigning tasks to a CNA. Which of the following patients is MOST appropriate for
the CNA to assist with personal care?
A. A patient with a new tracheostomy
B. A patient with stable vital signs and no acute issues [CORRECT]
C. A patient receiving chemotherapy
D. A patient with a fever of unknown origin
Correct Answer: B
Rationale: The CNA can safely assist with personal care for stable patients. Options A, C, and D
require nursing assessment and intervention.
Client Need: Safe and Effective Care Environment – Management of Care
Cognitive Level: Analysis