The Ultimate RN ATI Comprehensive
Predictor Exit Exam PrepQuestions
with Rationales
## SECTION 1: MANAGEMENT OF CARE & LEADERSHIP
**Question 1**
A charge nurse is making client assignments on a medical-surgical unit.
Which client should the charge nurse assign to the most experienced
registered nurse?
- A. A client who needs preoperative teaching for a cholecystectomy
- B. A client with diabetes mellitus who needs insulin administration
- C. A client with unstable angina who is experiencing chest pain
- D. A client with a new colostomy who needs stoma care teaching
**Answer: C. A client with unstable angina who is experiencing chest
pain**
,**Rationale:** The client with unstable angina requires advanced
cardiac assessment skills and immediate intervention if rhythm changes
occur. This client is unstable and needs the most experienced nurse.
The other clients are more stable with predictable care needs .
---
**Question 2**
A nurse is delegating client care to an assistive personnel (AP). Which of
the following tasks should the nurse delegate to the AP?
- A. Administering enteral feedings via gastrostomy tube
- B. Obtaining a sterile urine specimen from an indwelling catheter
- C. Measuring a client's intake and output
- D. Assessing a client's wound for signs of infection
**Answer: C. Measuring a client's intake and output**
**Rationale:** I&O measurement is within the scope of practice for
APs and requires no clinical judgment. Enteral feedings, sterile
specimen collection, and wound assessment require nursing judgment
and licensure. APs can measure and record but cannot interpret
findings .
---
,**Question 3**
A nurse is caring for a client who refuses a blood transfusion due to
religious beliefs. Which of the following actions should the nurse take?
- A. Administer the blood transfusion without consent
- B. Contact the provider to discuss alternative treatments
- C. Notify the facility's ethics committee immediately
- D. Ask the family to convince the client to accept the transfusion
**Answer: B. Contact the provider to discuss alternative treatments**
**Rationale:** The client has the right to refuse treatment based on
religious beliefs. The nurse should respect this decision, document it,
and collaborate with the provider to explore alternatives (e.g., iron
therapy, erythropoietin). The ethics committee may be consulted later
if needed .
---
**Question 4**
A charge nurse is receiving change-of-shift report. Which of the
following situations should the charge nurse address first?
- A. The emergency department nurse is waiting to give report on a new
admission
, - B. A client who has a nasogastric tube and has crackles in the lungs
- C. A client who reports indigestion and pain in her jaw
- D. Two staff nurses are not taking meal breaks during their shifts
**Answer: B. A client who has a nasogastric tube and has crackles in
the lungs**
**Rationale:** Using the ABC framework (airway, breathing,
circulation), crackles in the lungs indicate potential fluid overload or
respiratory compromise. This client requires immediate assessment.
The ED admission (A) can wait, jaw pain (C) is concerning but not the
priority, and meal breaks (D) are an administrative issue .
---
**Question 5**
A nurse is explaining ethics and values to a newly licensed nurse. The
nurse should explain that preventing client injury by removing a fall
hazard demonstrates which of the following ethical principles?
- A. Autonomy
- B. Beneficence
- C. Nonmaleficence
- D. Justice
Predictor Exit Exam PrepQuestions
with Rationales
## SECTION 1: MANAGEMENT OF CARE & LEADERSHIP
**Question 1**
A charge nurse is making client assignments on a medical-surgical unit.
Which client should the charge nurse assign to the most experienced
registered nurse?
- A. A client who needs preoperative teaching for a cholecystectomy
- B. A client with diabetes mellitus who needs insulin administration
- C. A client with unstable angina who is experiencing chest pain
- D. A client with a new colostomy who needs stoma care teaching
**Answer: C. A client with unstable angina who is experiencing chest
pain**
,**Rationale:** The client with unstable angina requires advanced
cardiac assessment skills and immediate intervention if rhythm changes
occur. This client is unstable and needs the most experienced nurse.
The other clients are more stable with predictable care needs .
---
**Question 2**
A nurse is delegating client care to an assistive personnel (AP). Which of
the following tasks should the nurse delegate to the AP?
- A. Administering enteral feedings via gastrostomy tube
- B. Obtaining a sterile urine specimen from an indwelling catheter
- C. Measuring a client's intake and output
- D. Assessing a client's wound for signs of infection
**Answer: C. Measuring a client's intake and output**
**Rationale:** I&O measurement is within the scope of practice for
APs and requires no clinical judgment. Enteral feedings, sterile
specimen collection, and wound assessment require nursing judgment
and licensure. APs can measure and record but cannot interpret
findings .
---
,**Question 3**
A nurse is caring for a client who refuses a blood transfusion due to
religious beliefs. Which of the following actions should the nurse take?
- A. Administer the blood transfusion without consent
- B. Contact the provider to discuss alternative treatments
- C. Notify the facility's ethics committee immediately
- D. Ask the family to convince the client to accept the transfusion
**Answer: B. Contact the provider to discuss alternative treatments**
**Rationale:** The client has the right to refuse treatment based on
religious beliefs. The nurse should respect this decision, document it,
and collaborate with the provider to explore alternatives (e.g., iron
therapy, erythropoietin). The ethics committee may be consulted later
if needed .
---
**Question 4**
A charge nurse is receiving change-of-shift report. Which of the
following situations should the charge nurse address first?
- A. The emergency department nurse is waiting to give report on a new
admission
, - B. A client who has a nasogastric tube and has crackles in the lungs
- C. A client who reports indigestion and pain in her jaw
- D. Two staff nurses are not taking meal breaks during their shifts
**Answer: B. A client who has a nasogastric tube and has crackles in
the lungs**
**Rationale:** Using the ABC framework (airway, breathing,
circulation), crackles in the lungs indicate potential fluid overload or
respiratory compromise. This client requires immediate assessment.
The ED admission (A) can wait, jaw pain (C) is concerning but not the
priority, and meal breaks (D) are an administrative issue .
---
**Question 5**
A nurse is explaining ethics and values to a newly licensed nurse. The
nurse should explain that preventing client injury by removing a fall
hazard demonstrates which of the following ethical principles?
- A. Autonomy
- B. Beneficence
- C. Nonmaleficence
- D. Justice
