ATI RN Comprehensive Predictor 2026 Exit
Exam Practice: 200 NGN-Style Questions &
Rationales Covering Delegation, Prioritization,
Pharmacology, and Critical Care to Help You
Achieve Level 3.
📚 Section 1: Management of Care &
Delegation (Questions 1–10)
1. A charge nurse is making assignments on a
medical-surgical unit. Which client should be
assigned to the most experienced RN?
A) A client with diabetes mellitus requiring a
morning insulin sliding scale.
B) A client with pneumonia who needs
assistance with ambulation.
C) A client 2 hours post-thyroidectomy who is
reporting tingling around their mouth.
D) A client with a urinary tract infection who
,needs a Foley catheter inserted.
☑VERIFIED ANSWER: C
Rationale: Tingling around the mouth
(paresthesia) post-thyroidectomy is a sign of
hypocalcemia due to accidental parathyroid
gland removal, which can lead to life-
threatening laryngospasm. This unstable client
requires the most experienced RN for complex
assessment and immediate intervention.
2. The RN is delegating tasks to the LPN. Which
task is appropriate?
A) Perform the initial admission assessment on
a new client.
B) Administer a scheduled oral antihypertensive
to a stable client.
C) Develop the discharge teaching plan for a
client with heart failure.
D) Evaluate the effectiveness of a PRN pain
,medication.
☑VERIFIED ANSWER: B
Rationale: LPNs can administer oral
medications to stable clients with predictable
outcomes. Initial assessments, care planning,
and evaluation of treatment efficacy are legally
the responsibility of the RN and cannot be
delegated.
3. The nurse delegates ambulation of a stable
post-op client to the UAP. What must the RN
ensure prior to delegation? (Select all that
apply)
A) The UAP knows how to use the gait belt.
B) The UAP understands to report sudden chest
pain immediately.
C) The UAP assesses the client's pain level
before walking.
D) The UAP checks the heart rate before
, ambulation.
☑VERIFIED ANSWER: A, B
Rationale: The RN must provide clear direction
(how to use gait belt) and specific parameters
to report (chest pain). Assessment of pain and
heart rate are nursing assessments that cannot
be delegated to a UAP; the RN must do those
prior to delegating the task.
4. A client is threatening to leave the hospital
against medical advice (AMA). Which action
should the nurse take first?
A) Call security to block the doorway.
B) Notify the healthcare provider immediately.
C) Discuss the risks of leaving AMA with the
client.
D) Have the client sign the AMA release forms.
☑VERIFIED ANSWER: C
Rationale: The nurse's priority is to advocate
Exam Practice: 200 NGN-Style Questions &
Rationales Covering Delegation, Prioritization,
Pharmacology, and Critical Care to Help You
Achieve Level 3.
📚 Section 1: Management of Care &
Delegation (Questions 1–10)
1. A charge nurse is making assignments on a
medical-surgical unit. Which client should be
assigned to the most experienced RN?
A) A client with diabetes mellitus requiring a
morning insulin sliding scale.
B) A client with pneumonia who needs
assistance with ambulation.
C) A client 2 hours post-thyroidectomy who is
reporting tingling around their mouth.
D) A client with a urinary tract infection who
,needs a Foley catheter inserted.
☑VERIFIED ANSWER: C
Rationale: Tingling around the mouth
(paresthesia) post-thyroidectomy is a sign of
hypocalcemia due to accidental parathyroid
gland removal, which can lead to life-
threatening laryngospasm. This unstable client
requires the most experienced RN for complex
assessment and immediate intervention.
2. The RN is delegating tasks to the LPN. Which
task is appropriate?
A) Perform the initial admission assessment on
a new client.
B) Administer a scheduled oral antihypertensive
to a stable client.
C) Develop the discharge teaching plan for a
client with heart failure.
D) Evaluate the effectiveness of a PRN pain
,medication.
☑VERIFIED ANSWER: B
Rationale: LPNs can administer oral
medications to stable clients with predictable
outcomes. Initial assessments, care planning,
and evaluation of treatment efficacy are legally
the responsibility of the RN and cannot be
delegated.
3. The nurse delegates ambulation of a stable
post-op client to the UAP. What must the RN
ensure prior to delegation? (Select all that
apply)
A) The UAP knows how to use the gait belt.
B) The UAP understands to report sudden chest
pain immediately.
C) The UAP assesses the client's pain level
before walking.
D) The UAP checks the heart rate before
, ambulation.
☑VERIFIED ANSWER: A, B
Rationale: The RN must provide clear direction
(how to use gait belt) and specific parameters
to report (chest pain). Assessment of pain and
heart rate are nursing assessments that cannot
be delegated to a UAP; the RN must do those
prior to delegating the task.
4. A client is threatening to leave the hospital
against medical advice (AMA). Which action
should the nurse take first?
A) Call security to block the doorway.
B) Notify the healthcare provider immediately.
C) Discuss the risks of leaving AMA with the
client.
D) Have the client sign the AMA release forms.
☑VERIFIED ANSWER: C
Rationale: The nurse's priority is to advocate
