Complete 200-Question NGN ATI RN VATI
Comprehensive Predictor Practice Exam with
Verified Rationales | Full Test Bank Covering
Med-Surg, OB, Peds, Psych, Pharmacology,
Leadership, Fundamentals & Next-Gen Case
Studies for 2026/2027 Success )
NGN ATI RN VATI COMPREHENSIVE PREDICTOR
PRACTICE SET
SECTION A: Prioritization & Delegation
(Questions 1-15)
Question 1
A nurse is caring for four clients at the start of
the shift. Which client should the nurse assess
first?
A. A client with diabetes mellitus who reports
neuropathic pain rated 6 on a 0-10 scale
,B. A client who is 2 days post-operative
following a total hip arthroplasty and requests
pain medication
C. A client with chronic obstructive pulmonary
disease (COPD) who has an oxygen saturation
of 88% on room air
D. A client who is scheduled for discharge and
needs teaching about a new medication
☑VERIFIED ANSWER: C
Rationale: The client with COPD and an oxygen
saturation of 88% on room air is the priority.
This is below the normal range (95-100%) and
indicates potential respiratory compromise.
Using the ABCs (Airway, Breathing, Circulation),
oxygenation is a priority over pain
management, discharge teaching, or
neuropathic pain. The nurse should assess this
,client first to determine if supplemental oxygen
or other interventions are needed.
Question 2
A charge nurse is assigning tasks to the
healthcare team on a medical-surgical unit.
Which task should the charge nurse delegate to
an assistive personnel (AP)?
A. Administering an enteral feeding through a
nasogastric tube
B. Measuring intake and output for a client with
heart failure
C. Assessing the patency of a peripheral
intravenous line
D. Teaching a client how to use an incentive
spirometer
☑VERIFIED ANSWER: B
, Rationale: Measuring intake and output is
within the scope of practice for assistive
personnel and does not require nursing
judgment. Administering enteral feedings (A)
requires assessment and verification of tube
placement. Assessing IV patency (C) requires
nursing assessment skills. Teaching (D) is a
nursing responsibility that cannot be delegated.
Question 3
A nurse is caring for a client who has a new
tracheostomy. Which of the following actions
should the nurse take first when the client's
oxygen saturation drops to 85%?
A. Suction the tracheostomy tube
B. Call the rapid response team
C. Assess the client's respiratory effort
D. Increase the oxygen flow rate
Comprehensive Predictor Practice Exam with
Verified Rationales | Full Test Bank Covering
Med-Surg, OB, Peds, Psych, Pharmacology,
Leadership, Fundamentals & Next-Gen Case
Studies for 2026/2027 Success )
NGN ATI RN VATI COMPREHENSIVE PREDICTOR
PRACTICE SET
SECTION A: Prioritization & Delegation
(Questions 1-15)
Question 1
A nurse is caring for four clients at the start of
the shift. Which client should the nurse assess
first?
A. A client with diabetes mellitus who reports
neuropathic pain rated 6 on a 0-10 scale
,B. A client who is 2 days post-operative
following a total hip arthroplasty and requests
pain medication
C. A client with chronic obstructive pulmonary
disease (COPD) who has an oxygen saturation
of 88% on room air
D. A client who is scheduled for discharge and
needs teaching about a new medication
☑VERIFIED ANSWER: C
Rationale: The client with COPD and an oxygen
saturation of 88% on room air is the priority.
This is below the normal range (95-100%) and
indicates potential respiratory compromise.
Using the ABCs (Airway, Breathing, Circulation),
oxygenation is a priority over pain
management, discharge teaching, or
neuropathic pain. The nurse should assess this
,client first to determine if supplemental oxygen
or other interventions are needed.
Question 2
A charge nurse is assigning tasks to the
healthcare team on a medical-surgical unit.
Which task should the charge nurse delegate to
an assistive personnel (AP)?
A. Administering an enteral feeding through a
nasogastric tube
B. Measuring intake and output for a client with
heart failure
C. Assessing the patency of a peripheral
intravenous line
D. Teaching a client how to use an incentive
spirometer
☑VERIFIED ANSWER: B
, Rationale: Measuring intake and output is
within the scope of practice for assistive
personnel and does not require nursing
judgment. Administering enteral feedings (A)
requires assessment and verification of tube
placement. Assessing IV patency (C) requires
nursing assessment skills. Teaching (D) is a
nursing responsibility that cannot be delegated.
Question 3
A nurse is caring for a client who has a new
tracheostomy. Which of the following actions
should the nurse take first when the client's
oxygen saturation drops to 85%?
A. Suction the tracheostomy tube
B. Call the rapid response team
C. Assess the client's respiratory effort
D. Increase the oxygen flow rate
