Level 3 Attempt Verified ATI RN Comprehensive Predictor Exit
Assessment Package, Excellence Package - ATI RN
Comprehensive Predictor Exit Assessment 2026 NGN Actual
Exam
SECTION 1: MANAGEMENT OF CARE (Questions 1–15)
1. 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 MRSA
C) Client with diabetic foot ulcer
D) Client with COPD
Answer: B
Rationale: MRSA requires contact isolation. A private room is essential to prevent
transmission to other clients. Pneumonia may require droplet precautions, but
MRSA-contact is the priority for single-room assignment.
2. 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 DKA
B) Client postoperative day 2 following appendectomy, stable
C) Client with a chest tube for pneumothorax
D) Client receiving IV heparin for DVT
Answer: B
Rationale: A stable, low-acuity postoperative client is safest for a float nurse from
a different specialty. Complex or high-risk clients (chest tube, titratable heparin,
DKA) require an RN with current experience in those areas.
3. A nurse is delegating tasks to an AP. Which task is appropriate to delegate?
A) Assess a postoperative incision
,B) Teach a client how to use a walker
C) Obtain a capillary blood glucose level
D) Evaluate a client's pain level
Answer: C
Rationale: APs can perform capillary blood glucose testing. Assessment, teaching,
and evaluation require nursing judgment and fall outside the AP scope.
4. A client tells the nurse, "I want to leave the hospital now against medical
advice." What is the nurse's priority action?
A) Notify the provider immediately
B) Ask the client to sign an AMA form
C) Determine if the client understands the risks of leaving
D) Call security to prevent the client from leaving
Answer: C
Rationale: The nurse must first assess the client's capacity to understand risks and
consequences. Competent adults have the right to leave AMA after counseling.
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 medication
D) Uses therapeutic communication techniques
Answer: C
Rationale: Threatening to remove privileges as a consequence for refusing
medication is coercive and violates client autonomy. This action is unethical and
damages the therapeutic relationship.
6. A nurse answers a call light and finds a client anxious, short of breath,
reporting chest pain, and with BP 88/52 mm Hg. What action takes priority?
A) Assess the client's lung sounds
, B) Notify the Rapid Response Team
C) Provide reassurance to the client
D) Take a full set of vital signs
Answer: B
Rationale: These manifestations suggest a pulmonary embolism (acute
hypotension, chest pain, dyspnea). The priority is to notify the Rapid Response
Team for immediate diagnosis and intervention.
7. A nurse is receiving shift report on four clients. Which client should the nurse
assess first?
A) Client with pneumonia and new-onset confusion
B) Client with hip fracture requesting pain medication
C) Client with hypertension and BP 148/90
D) Client with gastrostomy tube due for feeding
Answer: A
Rationale: New-onset confusion in a client with pneumonia suggests possible
hypoxia or sepsis, which is a priority.
8. A nurse is preparing to obtain informed consent from a client who speaks a
different language. Which action should the nurse take?
A) Request a trained medical interpreter
B) Have the client's family member translate
C) Use a translation app on a personal device
D) Proceed without consent due to language barrier
Answer: A
Rationale: A trained medical interpreter ensures accurate communication of risks,
benefits, and alternatives. Family members often introduce errors and are not
appropriate for obtaining informed consent.
9. A nurse is caring for an older adult client who lives alone with left-sided
weakness following a stroke. Which information is the priority to discuss for
Assessment Package, Excellence Package - ATI RN
Comprehensive Predictor Exit Assessment 2026 NGN Actual
Exam
SECTION 1: MANAGEMENT OF CARE (Questions 1–15)
1. 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 MRSA
C) Client with diabetic foot ulcer
D) Client with COPD
Answer: B
Rationale: MRSA requires contact isolation. A private room is essential to prevent
transmission to other clients. Pneumonia may require droplet precautions, but
MRSA-contact is the priority for single-room assignment.
2. 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 DKA
B) Client postoperative day 2 following appendectomy, stable
C) Client with a chest tube for pneumothorax
D) Client receiving IV heparin for DVT
Answer: B
Rationale: A stable, low-acuity postoperative client is safest for a float nurse from
a different specialty. Complex or high-risk clients (chest tube, titratable heparin,
DKA) require an RN with current experience in those areas.
3. A nurse is delegating tasks to an AP. Which task is appropriate to delegate?
A) Assess a postoperative incision
,B) Teach a client how to use a walker
C) Obtain a capillary blood glucose level
D) Evaluate a client's pain level
Answer: C
Rationale: APs can perform capillary blood glucose testing. Assessment, teaching,
and evaluation require nursing judgment and fall outside the AP scope.
4. A client tells the nurse, "I want to leave the hospital now against medical
advice." What is the nurse's priority action?
A) Notify the provider immediately
B) Ask the client to sign an AMA form
C) Determine if the client understands the risks of leaving
D) Call security to prevent the client from leaving
Answer: C
Rationale: The nurse must first assess the client's capacity to understand risks and
consequences. Competent adults have the right to leave AMA after counseling.
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 medication
D) Uses therapeutic communication techniques
Answer: C
Rationale: Threatening to remove privileges as a consequence for refusing
medication is coercive and violates client autonomy. This action is unethical and
damages the therapeutic relationship.
6. A nurse answers a call light and finds a client anxious, short of breath,
reporting chest pain, and with BP 88/52 mm Hg. What action takes priority?
A) Assess the client's lung sounds
, B) Notify the Rapid Response Team
C) Provide reassurance to the client
D) Take a full set of vital signs
Answer: B
Rationale: These manifestations suggest a pulmonary embolism (acute
hypotension, chest pain, dyspnea). The priority is to notify the Rapid Response
Team for immediate diagnosis and intervention.
7. A nurse is receiving shift report on four clients. Which client should the nurse
assess first?
A) Client with pneumonia and new-onset confusion
B) Client with hip fracture requesting pain medication
C) Client with hypertension and BP 148/90
D) Client with gastrostomy tube due for feeding
Answer: A
Rationale: New-onset confusion in a client with pneumonia suggests possible
hypoxia or sepsis, which is a priority.
8. A nurse is preparing to obtain informed consent from a client who speaks a
different language. Which action should the nurse take?
A) Request a trained medical interpreter
B) Have the client's family member translate
C) Use a translation app on a personal device
D) Proceed without consent due to language barrier
Answer: A
Rationale: A trained medical interpreter ensures accurate communication of risks,
benefits, and alternatives. Family members often introduce errors and are not
appropriate for obtaining informed consent.
9. A nurse is caring for an older adult client who lives alone with left-sided
weakness following a stroke. Which information is the priority to discuss for
