ATI RN Comprehensive
Predictor 2026 Exit Exam with
NGN 180 Real Screenshot
Questions and 100% Verified
Correct Answers Pass
Guaranteed No Retakes
SECTION 1: MANAGEMENT OF CARE (Leadership & Delegation)
Question 1: A charge nurse is making assignments for a shift. Which client should
be assigned to the most experienced RN?
A) A client 2 days post-appendectomy ready for discharge teaching
B) A client with new-onset confusion and fluctuating level of consciousness
C) A client with stable COPD requesting pain medication
D) A client with a urinary tract infection needing IV antibiotics
Correct Answer: B
Rationale: Unstable, unpredictable, or complex patients (new-onset confusion
with fluctuation) require the most experienced RN. Discharge teaching, stable
COPD, and routine IV antibiotics can be delegated to LPNs or other staff under
supervision .
,Question 2: Which tasks can be delegated to a Licensed Practical Nurse (LPN)?
(Select All That Apply)
A) Perform an initial admission assessment
B) Administer a tube feeding to a stable patient
C) Teach a patient how to self-administer insulin
D) Monitor for complications in a stable patient
E) Evaluate the effectiveness of pain medication
Correct Answer: B, D
Rationale: LPNs can perform stable, predictable tasks and monitor for
complications. RNs are responsible for initial assessment, teaching, and evaluation.
Delegation must follow the five rights: right task, circumstance, person,
communication, and supervision .
Question 3: A nurse observes a UAP attempting to transfer a patient with a weak
right side. What is the priority action?
A) Have the UAP use a mechanical lift
B) Demonstrate the correct transfer technique to the UAP
C) Stop the UAP immediately to prevent injury
D) Take over the transfer to avoid a delay
Correct Answer: C
Rationale: The priority is patient and staff safety. You must stop the unsafe action
immediately, then re-educate the UAP on proper technique. Safety supersedes all
other considerations .
,Question 4: A fire occurs in a patient's room. What is the correct sequence of
actions using the RACE acronym? (Ordered Response)
A) Activate the fire alarm
B) Remove the patient from the room
C) Confine the fire by closing doors and windows
D) Extinguish the fire if possible
Correct Answer: B → A → C → D
Rationale: RACE stands for Rescue (remove the patient), Alarm (activate the
alarm), Confine (close doors/windows), Extinguish (use fire extinguisher if safe).
This sequence prioritizes life safety first .
Question 5: A nurse is supervising a newly licensed nurse on a mental health unit.
For which action should the supervising nurse intervene?
A) Sets boundaries with a manipulative client
B) Documents client refusals of medication
C) Tells a client he will lose phone privileges if he does not take his medication
D) Uses therapeutic communication techniques
Correct Answer: C
Rationale: Threatening to remove privileges as a consequence for refusing
medication is coercive and violates client autonomy. This action is unethical and
can damage the therapeutic relationship. Medication refusal should be documented
and the provider notified .
, Question 6: A charge nurse is assigning rooms for four clients. Which client
should be placed in a private room?
A) Client with pneumonia
B) Client with methicillin-resistant Staphylococcus aureus (MRSA)
C) Client with diabetic foot ulcer
D) Client with chronic obstructive pulmonary disease (COPD)
Correct Answer: B
Rationale: MRSA requires contact isolation. A private room is essential to prevent
transmission to other clients. Pneumonia requires droplet precautions if bacterial,
but MRSA-contact is the priority for single room assignment .
Question 7: A charge nurse assigns a float RN who usually works in postpartum to
a medical-surgical unit. Which client is most appropriate to assign to this RN?
A) Client in diabetic ketoacidosis (DKA)
B) Client who is postoperative day 2 following an appendectomy, stable
C) Client with a chest tube for a pneumothorax
D) Client receiving IV heparin for deep vein thrombosis
Correct Answer: B
Rationale: A stable, low-acuity postoperative client is safest for a float nurse from
a different specialty. Complex, unstable, or high-risk clients (chest tube, titratable
heparin, DKA) require an RN with current experience in those areas .
Predictor 2026 Exit Exam with
NGN 180 Real Screenshot
Questions and 100% Verified
Correct Answers Pass
Guaranteed No Retakes
SECTION 1: MANAGEMENT OF CARE (Leadership & Delegation)
Question 1: A charge nurse is making assignments for a shift. Which client should
be assigned to the most experienced RN?
A) A client 2 days post-appendectomy ready for discharge teaching
B) A client with new-onset confusion and fluctuating level of consciousness
C) A client with stable COPD requesting pain medication
D) A client with a urinary tract infection needing IV antibiotics
Correct Answer: B
Rationale: Unstable, unpredictable, or complex patients (new-onset confusion
with fluctuation) require the most experienced RN. Discharge teaching, stable
COPD, and routine IV antibiotics can be delegated to LPNs or other staff under
supervision .
,Question 2: Which tasks can be delegated to a Licensed Practical Nurse (LPN)?
(Select All That Apply)
A) Perform an initial admission assessment
B) Administer a tube feeding to a stable patient
C) Teach a patient how to self-administer insulin
D) Monitor for complications in a stable patient
E) Evaluate the effectiveness of pain medication
Correct Answer: B, D
Rationale: LPNs can perform stable, predictable tasks and monitor for
complications. RNs are responsible for initial assessment, teaching, and evaluation.
Delegation must follow the five rights: right task, circumstance, person,
communication, and supervision .
Question 3: A nurse observes a UAP attempting to transfer a patient with a weak
right side. What is the priority action?
A) Have the UAP use a mechanical lift
B) Demonstrate the correct transfer technique to the UAP
C) Stop the UAP immediately to prevent injury
D) Take over the transfer to avoid a delay
Correct Answer: C
Rationale: The priority is patient and staff safety. You must stop the unsafe action
immediately, then re-educate the UAP on proper technique. Safety supersedes all
other considerations .
,Question 4: A fire occurs in a patient's room. What is the correct sequence of
actions using the RACE acronym? (Ordered Response)
A) Activate the fire alarm
B) Remove the patient from the room
C) Confine the fire by closing doors and windows
D) Extinguish the fire if possible
Correct Answer: B → A → C → D
Rationale: RACE stands for Rescue (remove the patient), Alarm (activate the
alarm), Confine (close doors/windows), Extinguish (use fire extinguisher if safe).
This sequence prioritizes life safety first .
Question 5: A nurse is supervising a newly licensed nurse on a mental health unit.
For which action should the supervising nurse intervene?
A) Sets boundaries with a manipulative client
B) Documents client refusals of medication
C) Tells a client he will lose phone privileges if he does not take his medication
D) Uses therapeutic communication techniques
Correct Answer: C
Rationale: Threatening to remove privileges as a consequence for refusing
medication is coercive and violates client autonomy. This action is unethical and
can damage the therapeutic relationship. Medication refusal should be documented
and the provider notified .
, Question 6: A charge nurse is assigning rooms for four clients. Which client
should be placed in a private room?
A) Client with pneumonia
B) Client with methicillin-resistant Staphylococcus aureus (MRSA)
C) Client with diabetic foot ulcer
D) Client with chronic obstructive pulmonary disease (COPD)
Correct Answer: B
Rationale: MRSA requires contact isolation. A private room is essential to prevent
transmission to other clients. Pneumonia requires droplet precautions if bacterial,
but MRSA-contact is the priority for single room assignment .
Question 7: A charge nurse assigns a float RN who usually works in postpartum to
a medical-surgical unit. Which client is most appropriate to assign to this RN?
A) Client in diabetic ketoacidosis (DKA)
B) Client who is postoperative day 2 following an appendectomy, stable
C) Client with a chest tube for a pneumothorax
D) Client receiving IV heparin for deep vein thrombosis
Correct Answer: B
Rationale: A stable, low-acuity postoperative client is safest for a float nurse from
a different specialty. Complex, unstable, or high-risk clients (chest tube, titratable
heparin, DKA) require an RN with current experience in those areas .
