ATI RN Comprehensive Predictor 2026 Exit Exam
Study Guide and Practice Test mixed
screenshoots .
1. A charge nurse is making shift assignments on a medical-surgical unit. The unit
has 2 RNs, 1 LPN, and 2 UAPs for the day shift. Which client assignment reflects
the most appropriate delegation and prioritization of nursing resources?
A. Assign the LPN to care for the client with a chest tube who requires frequent
assessment of drainage
B. Assign the UAP to perform the initial admission assessment for a newly admitted
client with pneumonia
C. Assign the RN to administer blood products to a client with gastrointestinal bleeding
D. Assign the LPN to provide teaching to a client with newly diagnosed diabetes mellitus
Correct Answer: C
Rationale: Administration of blood products requires RN-level assessment and monitoring
due to the risk of transfusion reactions. LPNs cannot perform initial admission assessments
(B) or provide comprehensive patient teaching (D). Chest tube assessment (A) requires RN-
level assessment skills.
,2. A nurse is receiving change-of-shift report on four clients. Which client should
the nurse assess first?
A. A client with heart failure who has 2+ pitting edema in the lower extremities
B. A client with chronic obstructive pulmonary disease (COPD) who has an SpO₂ of 88%
on 2 L/min oxygen
C. A client with diabetes mellitus who has a blood glucose of 180 mg/dL
D. A client with pneumonia who has a temperature of 38.5°C (101.3°F)
Correct Answer: B
,Rationale: An SpO₂ of 88% indicates hypoxemia and requires immediate intervention.
While the other clients have abnormal findings, they are not immediately life-threatening.
The COPD client requires priority assessment to prevent respiratory failure.
3. A charge nurse is assigning a float RN from the medical unit to the pediatric
unit. Which client assignment is most appropriate for the float nurse?
A. A 2-year-old child with RSV bronchiolitis requiring continuous pulse oximetry
monitoring
B. A 10-year-old child with asthma who is stable and receiving scheduled nebulizer
treatments
C. A 6-month-old infant with suspected child abuse requiring a forensic examination
D. A 4-year-old child with newly diagnosed leukemia requiring chemotherapy
administration
, Correct Answer: B
Rationale: The float nurse should be assigned to a stable client with predictable care
needs. The stable asthmatic child receiving scheduled treatments is appropriate. RSV (A),
suspected abuse (C), and chemotherapy administration (D) require specialized pediatric
expertise.
4. A nurse manager is implementing a quality improvement initiative to reduce
medication errors on the unit. Which action should the nurse manager take first?
A. Implement a barcode medication administration system
B. Conduct a root cause analysis of recent medication errors
Study Guide and Practice Test mixed
screenshoots .
1. A charge nurse is making shift assignments on a medical-surgical unit. The unit
has 2 RNs, 1 LPN, and 2 UAPs for the day shift. Which client assignment reflects
the most appropriate delegation and prioritization of nursing resources?
A. Assign the LPN to care for the client with a chest tube who requires frequent
assessment of drainage
B. Assign the UAP to perform the initial admission assessment for a newly admitted
client with pneumonia
C. Assign the RN to administer blood products to a client with gastrointestinal bleeding
D. Assign the LPN to provide teaching to a client with newly diagnosed diabetes mellitus
Correct Answer: C
Rationale: Administration of blood products requires RN-level assessment and monitoring
due to the risk of transfusion reactions. LPNs cannot perform initial admission assessments
(B) or provide comprehensive patient teaching (D). Chest tube assessment (A) requires RN-
level assessment skills.
,2. A nurse is receiving change-of-shift report on four clients. Which client should
the nurse assess first?
A. A client with heart failure who has 2+ pitting edema in the lower extremities
B. A client with chronic obstructive pulmonary disease (COPD) who has an SpO₂ of 88%
on 2 L/min oxygen
C. A client with diabetes mellitus who has a blood glucose of 180 mg/dL
D. A client with pneumonia who has a temperature of 38.5°C (101.3°F)
Correct Answer: B
,Rationale: An SpO₂ of 88% indicates hypoxemia and requires immediate intervention.
While the other clients have abnormal findings, they are not immediately life-threatening.
The COPD client requires priority assessment to prevent respiratory failure.
3. A charge nurse is assigning a float RN from the medical unit to the pediatric
unit. Which client assignment is most appropriate for the float nurse?
A. A 2-year-old child with RSV bronchiolitis requiring continuous pulse oximetry
monitoring
B. A 10-year-old child with asthma who is stable and receiving scheduled nebulizer
treatments
C. A 6-month-old infant with suspected child abuse requiring a forensic examination
D. A 4-year-old child with newly diagnosed leukemia requiring chemotherapy
administration
, Correct Answer: B
Rationale: The float nurse should be assigned to a stable client with predictable care
needs. The stable asthmatic child receiving scheduled treatments is appropriate. RSV (A),
suspected abuse (C), and chemotherapy administration (D) require specialized pediatric
expertise.
4. A nurse manager is implementing a quality improvement initiative to reduce
medication errors on the unit. Which action should the nurse manager take first?
A. Implement a barcode medication administration system
B. Conduct a root cause analysis of recent medication errors
