ATI RN Comprehensive Predictor 2026 Exit Exam with NGN
180 Questions and 100% Correct Answers.
Section 1: Management of Care (1–20)
1. A nurse is delegating tasks to assistive personnel (AP). Which tasks are
appropriate? (Select all that apply)
A. Measuring a post-op patient’s vital signs
B. Teaching a patient how to use an incentive spirometer
C. Ambulating a patient with a walker
D. Assessing a patient’s skin turgor
E. Feeding a patient with dysphagia after swallowing screen completed
Answers: A, C, E
Rationale: AP can measure stable vital signs, ambulate stable patients, and
feed patients after an RN has screened for dysphagia. Teaching and assessment
require licensed nursing judgment.
2. A charge nurse is making assignments. Which patient should be assigned to
an RN rather than an LPN/LVN?
A. Patient requiring a wound culture
B. Patient with a newly inserted chest tube
C. Patient receiving tube feedings
D. Patient with a urinary catheter
Answer: B
Rationale: New chest tube requires initial assessment and management by an
,RN. LPNs can perform wound cultures, monitor stable tube feedings, and
provide catheter care.
3. A nurse is caring for a client who has a living will. The client stops breathing.
What should the nurse do first?
A. Call the family for decision
B. Begin chest compressions
C. Review the living will
D. Notify the provider
Answer: B
Rationale: A living will applies to terminal conditions, but unless there is a
DNR order, resuscitation is required. The nurse must initiate BLS first.
4. Which actions demonstrate appropriate use of restraints? (Select all that
apply)
A. Applying wrist restraints to prevent pulling IV line
B. Obtaining a provider order within 4 hours of application
C. Removing restraints every 2 hours for range of motion
D. Using restraints as a first-line intervention
E. Documenting the patient’s behavior leading to restraint use
Answers: B, C, E
Rationale: Orders are required within 4 hours (or per facility policy), restraints
must be removed q2h for ROM, and documentation must include behavior.
Restraints are never first-line.
5. A nurse is planning care for a patient with dementia who wanders. Which is
the best intervention?
,A. Lock the patient in their room
B. Place a bed alarm and increase supervision
C. Use chemical restraints nightly
D. Assign a sitter 24/7 without other measures
Answer: B
Rationale: Least restrictive interventions include alarms and supervision.
Locking or chemical restraints violate patient rights.
6. A nurse is preparing to transfer a patient to a long-term care facility. Which
information must be included in the handoff? (Select all that apply)
A. Code status
B. Patient’s insurance information
C. Current medications and allergies
D. Functional status and mobility
E. Last bowel movement
Answers: A, C, D, E
Rationale: Safe handoff includes clinical status, code status, meds, allergies,
functional status, and bowel/bladder function. Insurance is administrative, not
clinical handoff.
7. A nurse manager is implementing a quality improvement project. Which
action should the nurse take first?
A. Collect data on current practice
B. Identify a problem or gap in care
C. Implement an evidence-based change
D. Analyze outcome data
, Answer: B
Rationale: The first step in QI is identifying a problem or gap. Then collect
data, implement change, and analyze outcomes.
8. A nurse is caring for a patient who refuses a blood transfusion due to
religious beliefs (Jehovah’s Witness). What is the nurse’s priority action?
A. Administer the transfusion because it’s medically necessary
B. Notify the provider to obtain a court order
C. Respect the refusal and explore alternative treatments
D. Ask the family to convince the patient
Answer: C
Rationale: Competent adults have the right to refuse treatment, even if it leads
to death. The nurse respects the refusal and consults the provider for
alternatives.
9. Which tasks can an LPN/LVN perform under RN supervision? (Select all that
apply)
A. Administer IV push morphine to a stable patient
B. Reinforce teaching previously given by the RN
C. Perform a comprehensive admission assessment
D. Monitor a patient’s NG tube for output
E. Develop the initial plan of care
Answers: B, D
Rationale: LPNs can reinforce teaching and monitor stable tubes. IV push
meds, initial assessments, and care plan development are RN responsibilities.
180 Questions and 100% Correct Answers.
Section 1: Management of Care (1–20)
1. A nurse is delegating tasks to assistive personnel (AP). Which tasks are
appropriate? (Select all that apply)
A. Measuring a post-op patient’s vital signs
B. Teaching a patient how to use an incentive spirometer
C. Ambulating a patient with a walker
D. Assessing a patient’s skin turgor
E. Feeding a patient with dysphagia after swallowing screen completed
Answers: A, C, E
Rationale: AP can measure stable vital signs, ambulate stable patients, and
feed patients after an RN has screened for dysphagia. Teaching and assessment
require licensed nursing judgment.
2. A charge nurse is making assignments. Which patient should be assigned to
an RN rather than an LPN/LVN?
A. Patient requiring a wound culture
B. Patient with a newly inserted chest tube
C. Patient receiving tube feedings
D. Patient with a urinary catheter
Answer: B
Rationale: New chest tube requires initial assessment and management by an
,RN. LPNs can perform wound cultures, monitor stable tube feedings, and
provide catheter care.
3. A nurse is caring for a client who has a living will. The client stops breathing.
What should the nurse do first?
A. Call the family for decision
B. Begin chest compressions
C. Review the living will
D. Notify the provider
Answer: B
Rationale: A living will applies to terminal conditions, but unless there is a
DNR order, resuscitation is required. The nurse must initiate BLS first.
4. Which actions demonstrate appropriate use of restraints? (Select all that
apply)
A. Applying wrist restraints to prevent pulling IV line
B. Obtaining a provider order within 4 hours of application
C. Removing restraints every 2 hours for range of motion
D. Using restraints as a first-line intervention
E. Documenting the patient’s behavior leading to restraint use
Answers: B, C, E
Rationale: Orders are required within 4 hours (or per facility policy), restraints
must be removed q2h for ROM, and documentation must include behavior.
Restraints are never first-line.
5. A nurse is planning care for a patient with dementia who wanders. Which is
the best intervention?
,A. Lock the patient in their room
B. Place a bed alarm and increase supervision
C. Use chemical restraints nightly
D. Assign a sitter 24/7 without other measures
Answer: B
Rationale: Least restrictive interventions include alarms and supervision.
Locking or chemical restraints violate patient rights.
6. A nurse is preparing to transfer a patient to a long-term care facility. Which
information must be included in the handoff? (Select all that apply)
A. Code status
B. Patient’s insurance information
C. Current medications and allergies
D. Functional status and mobility
E. Last bowel movement
Answers: A, C, D, E
Rationale: Safe handoff includes clinical status, code status, meds, allergies,
functional status, and bowel/bladder function. Insurance is administrative, not
clinical handoff.
7. A nurse manager is implementing a quality improvement project. Which
action should the nurse take first?
A. Collect data on current practice
B. Identify a problem or gap in care
C. Implement an evidence-based change
D. Analyze outcome data
, Answer: B
Rationale: The first step in QI is identifying a problem or gap. Then collect
data, implement change, and analyze outcomes.
8. A nurse is caring for a patient who refuses a blood transfusion due to
religious beliefs (Jehovah’s Witness). What is the nurse’s priority action?
A. Administer the transfusion because it’s medically necessary
B. Notify the provider to obtain a court order
C. Respect the refusal and explore alternative treatments
D. Ask the family to convince the patient
Answer: C
Rationale: Competent adults have the right to refuse treatment, even if it leads
to death. The nurse respects the refusal and consults the provider for
alternatives.
9. Which tasks can an LPN/LVN perform under RN supervision? (Select all that
apply)
A. Administer IV push morphine to a stable patient
B. Reinforce teaching previously given by the RN
C. Perform a comprehensive admission assessment
D. Monitor a patient’s NG tube for output
E. Develop the initial plan of care
Answers: B, D
Rationale: LPNs can reinforce teaching and monitor stable tubes. IV push
meds, initial assessments, and care plan development are RN responsibilities.
