ATI RN Comprehensive
Predictor Exam Prep 2026
200 Practice Questions with
Answers and Detailed
Rationales
SECTION 1: LEADERSHIP & MANAGEMENT, PRIORITIZATION,
DELEGATION
Question 1
A nurse is caring for four clients. Which client should the nurse
assess first?
A) Client with COPD and SpO₂ 89% on 2L nasal cannula
B) Client post-appendectomy day 2 with temperature 38.3°C (101°F)
C) Client with heart failure and 3+ pitting edema
D) Client with new onset confusion and bounding pulse
Correct Answer: D
Rationale: New onset confusion with bounding pulse suggests
hypercapnia or fluid overload affecting cerebral perfusion. This
represents an acute change in neurological status, which is always
the priority. Option A is expected in COPD; Option B is post-operative
inflammation; Option C is a chronic finding .
,Question 2
A charge nurse is assigning clients to an LPN. Which client is
appropriate to assign?
A) Client 1 hour post-cardiac catheterization with oozing at the site
B) Client with stable diabetes requiring insulin and oral medications
C) Client newly admitted with stroke and altered mental status
D) Client receiving IV heparin with aPTT of 98 seconds
Correct Answer: B
Rationale: LPNs can care for stable clients with predictable outcomes
requiring oral medications, routine vital signs, and insulin
administration. Options A, C, and D require RN assessment due to
bleeding risk, neurological changes, and critical lab monitoring .
Question 3
A nurse is instructing an assistive personnel (AP) about care for a
client with a Do Not Resuscitate (DNR) order. Which statement by
the AP shows correct understanding?
A) "If I cannot detect the client's pulse, I will have another staff
member check."
B) "If the client does not have a pulse, I will call for the rapid
response team."
C) "I will initiate CPR until the nurse arrives if I cannot detect a
pulse."
D) "I will call the nurse to come to the room if I cannot detect the
client's pulse."
Correct Answer: D
Rationale: A DNR order means CPR should not be initiated. The AP
should notify the nurse immediately if the client is unresponsive or
,pulseless. Options A, B, and C are incorrect as they involve
inappropriate responses to a DNR status .
Question 4
A nurse manager is planning to promote client advocacy among
staff. Which action should the nurse plan to take?
A) Tell staff to explain procedures to clients before obtaining
informed consent
B) Instruct unit staff to share personal experiences to help clients
make decisions
C) Encourage staff to implement paternalism when a client refuses
treatment
D) Assign staff to make decisions for clients who are confused
Correct Answer: A
Rationale: Client advocacy includes ensuring clients have adequate
information to make informed decisions. Staff should support clients'
rights to make their own healthcare decisions, not impose personal
opinions or paternalistic approaches .
Question 5
A nurse observes a colleague taking a photo of a client with a
personal cell phone without consent. Which action should the
nurse take?
A) Confront the colleague privately
B) Report to the nursing supervisor immediately
C) Ignore the behavior if no identifiers are visible
D) Delete the photo from the phone
Correct Answer: B
, Rationale: Taking photos of a client without consent on a personal
device violates HIPAA. The nurse must report this immediately to the
nursing supervisor .
Question 6
A client has a living will stating "No CPR." The client goes into
pulseless ventricular tachycardia. What should the nurse do?
A) Begin CPR immediately
B) Call the provider for clarification
C) Respect the living will and not start CPR
D) Ask the family what they want to do
Correct Answer: C
Rationale: A living will is a legal document. If it specifies no
resuscitation, the nurse must honor it unless the client has a newer
directive revoking it. Competent adults have the right to refuse
treatment .
Question 7
A nurse is delegating vital signs to an AP. Which client should the
AP NOT be assigned to assess?
A) Client with pneumonia on room air
B) Client post-op day 3 with stable vitals
C) Client with frequent loose stools and orthostatic hypotension
D) Client with hypertension controlled on lisinopril
Correct Answer: C
Rationale: Orthostatic hypotension requires skilled assessment
(measuring lying, sitting, and standing). APs can take routine vital
signs but should not perform orthostatic checks on unstable clients .
Predictor Exam Prep 2026
200 Practice Questions with
Answers and Detailed
Rationales
SECTION 1: LEADERSHIP & MANAGEMENT, PRIORITIZATION,
DELEGATION
Question 1
A nurse is caring for four clients. Which client should the nurse
assess first?
A) Client with COPD and SpO₂ 89% on 2L nasal cannula
B) Client post-appendectomy day 2 with temperature 38.3°C (101°F)
C) Client with heart failure and 3+ pitting edema
D) Client with new onset confusion and bounding pulse
Correct Answer: D
Rationale: New onset confusion with bounding pulse suggests
hypercapnia or fluid overload affecting cerebral perfusion. This
represents an acute change in neurological status, which is always
the priority. Option A is expected in COPD; Option B is post-operative
inflammation; Option C is a chronic finding .
,Question 2
A charge nurse is assigning clients to an LPN. Which client is
appropriate to assign?
A) Client 1 hour post-cardiac catheterization with oozing at the site
B) Client with stable diabetes requiring insulin and oral medications
C) Client newly admitted with stroke and altered mental status
D) Client receiving IV heparin with aPTT of 98 seconds
Correct Answer: B
Rationale: LPNs can care for stable clients with predictable outcomes
requiring oral medications, routine vital signs, and insulin
administration. Options A, C, and D require RN assessment due to
bleeding risk, neurological changes, and critical lab monitoring .
Question 3
A nurse is instructing an assistive personnel (AP) about care for a
client with a Do Not Resuscitate (DNR) order. Which statement by
the AP shows correct understanding?
A) "If I cannot detect the client's pulse, I will have another staff
member check."
B) "If the client does not have a pulse, I will call for the rapid
response team."
C) "I will initiate CPR until the nurse arrives if I cannot detect a
pulse."
D) "I will call the nurse to come to the room if I cannot detect the
client's pulse."
Correct Answer: D
Rationale: A DNR order means CPR should not be initiated. The AP
should notify the nurse immediately if the client is unresponsive or
,pulseless. Options A, B, and C are incorrect as they involve
inappropriate responses to a DNR status .
Question 4
A nurse manager is planning to promote client advocacy among
staff. Which action should the nurse plan to take?
A) Tell staff to explain procedures to clients before obtaining
informed consent
B) Instruct unit staff to share personal experiences to help clients
make decisions
C) Encourage staff to implement paternalism when a client refuses
treatment
D) Assign staff to make decisions for clients who are confused
Correct Answer: A
Rationale: Client advocacy includes ensuring clients have adequate
information to make informed decisions. Staff should support clients'
rights to make their own healthcare decisions, not impose personal
opinions or paternalistic approaches .
Question 5
A nurse observes a colleague taking a photo of a client with a
personal cell phone without consent. Which action should the
nurse take?
A) Confront the colleague privately
B) Report to the nursing supervisor immediately
C) Ignore the behavior if no identifiers are visible
D) Delete the photo from the phone
Correct Answer: B
, Rationale: Taking photos of a client without consent on a personal
device violates HIPAA. The nurse must report this immediately to the
nursing supervisor .
Question 6
A client has a living will stating "No CPR." The client goes into
pulseless ventricular tachycardia. What should the nurse do?
A) Begin CPR immediately
B) Call the provider for clarification
C) Respect the living will and not start CPR
D) Ask the family what they want to do
Correct Answer: C
Rationale: A living will is a legal document. If it specifies no
resuscitation, the nurse must honor it unless the client has a newer
directive revoking it. Competent adults have the right to refuse
treatment .
Question 7
A nurse is delegating vital signs to an AP. Which client should the
AP NOT be assigned to assess?
A) Client with pneumonia on room air
B) Client post-op day 3 with stable vitals
C) Client with frequent loose stools and orthostatic hypotension
D) Client with hypertension controlled on lisinopril
Correct Answer: C
Rationale: Orthostatic hypotension requires skilled assessment
(measuring lying, sitting, and standing). APs can take routine vital
signs but should not perform orthostatic checks on unstable clients .
