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ATI RN Comprehensive Predictor
2026 Exit Exam with NGN:
Comprehensive 220-Question Practice
Examination
Title: ATI RN Comprehensive Predictor 2026 Exit Examination Preparation: Next Generation
NCLEX (NGN) Style Practice Assessment with Clinical Judgment Case Scenarios, Prioritization,
Delegation, and Comprehensive Content Review for NCLEX-RN Readiness
SECTION A: MANAGEMENT OF CARE (Questions 1-35)
Subsection A1: Delegation and Assignment (1-15)
1. A charge nurse is making assignments for a float nurse from the medical-surgical unit to the
pediatric unit. Which client is MOST appropriate to assign to the float nurse?
A. A 10-year-old with pneumonia receiving respiratory treatments
B. A 4-year-old with a Wilms tumor receiving chemotherapy
C. An 8-month-old scheduled for surgical repair of a ventricular septal defect
D. A 14-year-old scheduled for discharge following placement of a Harrington rod
Correct Answer: A. A 10-year-old with pneumonia receiving respiratory treatments
Rationale: The float nurse from the medical-surgical unit would be most familiar with
respiratory treatments and pneumonia management. The other options involve specialized
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pediatric oncology care (Wilms tumor), complex cardiac surgery (VSD repair), or orthopedic
post-operative care (Harrington rod) that require pediatric-specific expertise.
2. A nurse is delegating the ambulation of a client who had a knee arthroplasty 5 days ago to
an assistive personnel (AP). Which of the following instructions should the nurse provide to
the AP?
A. "Ambulate the client 50 feet three times today."
B. "Ambulate the client until she reports fatigue."
C. "Ambulate the client with a gait belt and stand on her operative side."
D. "Ambulate the client as tolerated and report any complaints of pain."
Correct Answer: C. "Ambulate the client with a gait belt and stand on her operative
side."
Rationale: The nurse must provide clear, specific instructions for delegated tasks. Using a gait
belt is a standard safety measure, and standing on the operative side provides stability and
support. The AP should report findings, but specific parameters ensure safe ambulation.
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3. A nurse is delegating tasks to an assistive personnel (AP). Which of the following tasks is
appropriate for the nurse to delegate?
A. Administering oral medications
B. Performing a sterile dressing change
C. Measuring intake and output
D. Assessing a client's pain level
Correct Answer: C. Measuring intake and output
Rationale: Measuring intake and output is a non-invasive, routine task that can be delegated to
AP. Administration of medications, sterile procedures, and pain assessment require nursing
judgment and cannot be delegated.
4. A charge nurse is assigning clients to a licensed practical nurse (LPN). Which client should
the charge nurse assign to the LPN?
A. A client with a newly placed tracheostomy requiring suctioning
B. A client with stable diabetes mellitus requiring insulin administration
C. A client with an unstable cardiac rhythm on a telemetry monitor
D. A client with a chest tube requiring assessment of tidaling
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Correct Answer: B. A client with stable diabetes mellitus requiring insulin administration
Rationale: LPNs can administer medications, including insulin, to stable clients. Suctioning a
new tracheostomy, monitoring unstable cardiac rhythms, and assessing chest tube function
require RN-level assessment and judgment.
5. A nurse is caring for four clients. Which client should the nurse assess FIRST?
A. A client who had a hysterectomy 2 days ago and reports pain of 6 on a 0-10 scale
B. A client with diabetes mellitus who has a blood glucose of 185 mg/dL
C. A client who is 1 day post-operative with a temperature of 101.2°F (38.4°C)
D. A client who requests assistance with ambulation
Correct Answer: C. A client who is 1 day post-operative with a temperature of 101.2°F
(38.4°C)
Rationale: A post-operative fever of 101.2°F requires immediate assessment as it may indicate
infection, wound complication, or other serious condition. The ABCs and prioritization of
potential complications guide this decision.
ATI RN Comprehensive Predictor
2026 Exit Exam with NGN:
Comprehensive 220-Question Practice
Examination
Title: ATI RN Comprehensive Predictor 2026 Exit Examination Preparation: Next Generation
NCLEX (NGN) Style Practice Assessment with Clinical Judgment Case Scenarios, Prioritization,
Delegation, and Comprehensive Content Review for NCLEX-RN Readiness
SECTION A: MANAGEMENT OF CARE (Questions 1-35)
Subsection A1: Delegation and Assignment (1-15)
1. A charge nurse is making assignments for a float nurse from the medical-surgical unit to the
pediatric unit. Which client is MOST appropriate to assign to the float nurse?
A. A 10-year-old with pneumonia receiving respiratory treatments
B. A 4-year-old with a Wilms tumor receiving chemotherapy
C. An 8-month-old scheduled for surgical repair of a ventricular septal defect
D. A 14-year-old scheduled for discharge following placement of a Harrington rod
Correct Answer: A. A 10-year-old with pneumonia receiving respiratory treatments
Rationale: The float nurse from the medical-surgical unit would be most familiar with
respiratory treatments and pneumonia management. The other options involve specialized
,2
pediatric oncology care (Wilms tumor), complex cardiac surgery (VSD repair), or orthopedic
post-operative care (Harrington rod) that require pediatric-specific expertise.
2. A nurse is delegating the ambulation of a client who had a knee arthroplasty 5 days ago to
an assistive personnel (AP). Which of the following instructions should the nurse provide to
the AP?
A. "Ambulate the client 50 feet three times today."
B. "Ambulate the client until she reports fatigue."
C. "Ambulate the client with a gait belt and stand on her operative side."
D. "Ambulate the client as tolerated and report any complaints of pain."
Correct Answer: C. "Ambulate the client with a gait belt and stand on her operative
side."
Rationale: The nurse must provide clear, specific instructions for delegated tasks. Using a gait
belt is a standard safety measure, and standing on the operative side provides stability and
support. The AP should report findings, but specific parameters ensure safe ambulation.
,3
3. A nurse is delegating tasks to an assistive personnel (AP). Which of the following tasks is
appropriate for the nurse to delegate?
A. Administering oral medications
B. Performing a sterile dressing change
C. Measuring intake and output
D. Assessing a client's pain level
Correct Answer: C. Measuring intake and output
Rationale: Measuring intake and output is a non-invasive, routine task that can be delegated to
AP. Administration of medications, sterile procedures, and pain assessment require nursing
judgment and cannot be delegated.
4. A charge nurse is assigning clients to a licensed practical nurse (LPN). Which client should
the charge nurse assign to the LPN?
A. A client with a newly placed tracheostomy requiring suctioning
B. A client with stable diabetes mellitus requiring insulin administration
C. A client with an unstable cardiac rhythm on a telemetry monitor
D. A client with a chest tube requiring assessment of tidaling
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Correct Answer: B. A client with stable diabetes mellitus requiring insulin administration
Rationale: LPNs can administer medications, including insulin, to stable clients. Suctioning a
new tracheostomy, monitoring unstable cardiac rhythms, and assessing chest tube function
require RN-level assessment and judgment.
5. A nurse is caring for four clients. Which client should the nurse assess FIRST?
A. A client who had a hysterectomy 2 days ago and reports pain of 6 on a 0-10 scale
B. A client with diabetes mellitus who has a blood glucose of 185 mg/dL
C. A client who is 1 day post-operative with a temperature of 101.2°F (38.4°C)
D. A client who requests assistance with ambulation
Correct Answer: C. A client who is 1 day post-operative with a temperature of 101.2°F
(38.4°C)
Rationale: A post-operative fever of 101.2°F requires immediate assessment as it may indicate
infection, wound complication, or other serious condition. The ABCs and prioritization of
potential complications guide this decision.
