ATI RN COMPREHENSIVE PREDICTOR EXAM
100 % Pass With Questions & Answers Plus
Detailed Rationale Already Graded A+
### Section 1: Management of Care
**Question 1**
A charge nurse is assigning clients on a medical-surgical unit. Which client should be
assigned to the most experienced RN?
A) A client with stable diabetes mellitus requiring routine insulin administration
B) A client with pneumonia requiring q4h vital sign monitoring
C) A client with chest tubes and new-onset respiratory distress with SpO₂ of 88%
D) A client with a urinary tract infection requiring IV antibiotics
**Answer: C**
**Rationale:** The client with chest tubes and new-onset respiratory distress is unstable
and requires complex assessment and immediate intervention. The ABC framework
(Airway, Breathing, Circulation) prioritizes the client with respiratory compromise. Stable
clients can be safely assigned to LPNs or less experienced RNs under appropriate
supervision.
---
**Question 2**
A nurse is caring for a client who has a living will stating "no CPR." The client goes into
pulseless ventricular tachycardia. What should the nurse do?
A) Begin CPR immediately
,B) Call a code blue but withhold compressions
C) Verify the DNR order is current and honor it
D) Ask the family for permission to start CPR
**Answer: C**
**Rationale:** The DNR order must be respected. The nurse should verify the order is
current and honor the client's autonomous decision. The client's right to self-
determination supersedes family wishes when the client has made their wishes clear.
---
**Question 3**
A nurse discovers a small fire in a client's trash can. What is the first action according to
the RACE protocol?
A) Pull the fire alarm
B) Remove the client from the room
C) Close the client's door
D) Use the fire extinguisher
**Answer: B**
**Rationale:** RACE protocol: **R**escue (evacuate client from immediate danger),
**A**larm (pull the alarm), **C**ontain (close doors/windows), **E**xtinguish (use fire
extinguisher). Client safety is always the priority.
---
**Question 4**
,Which task can a nurse delegate to an unlicensed assistive personnel (UAP)?
A) Assessing a patient's post-operative pain level
B) Ambulating a patient with a walker who has been stable for 24 hours
C) Administering a tube feeding through a nasogastric tube
D) Evaluating the effectiveness of incentive spirometry use
**Answer: B**
**Rationale:** UAPs can perform routine, stable tasks such as ambulating a patient who
has been stable. Assessment, evaluation, and complex procedures such as tube
feeding administration cannot be delegated to UAPs.
---
**Question 5**
A charge nurse on a pediatric unit is making assignments for a float nurse from the
medical unit. Which client is appropriate to assign to the float nurse?
A) A 10-year-old client who has pneumonia and is receiving respiratory treatments
B) A 4-year-old client who has a Wilms tumor and is receiving chemotherapy
C) An 8-month-old client who is scheduled for a surgical repair of a ventricular septal
defect tomorrow
D) A 14-year-old client who is scheduled for discharge today following placement of a
Harrington rod
**Answer: A**
**Rationale:** The float nurse from the medical unit would be familiar with respiratory
treatments and pneumonia care. The other clients require specialized pediatric
oncology, cardiac, or orthopedic surgical knowledge.
, ---
**Question 6**
A nurse is preparing a client for surgery. The client asks about the surgical procedure.
Which response is appropriate?
A) "I will explain the procedure in detail for you."
B) "The provider will discuss the procedure and obtain your consent."
C) "You should have asked the provider during the office visit."
D) "I am not allowed to discuss surgical procedures."
**Answer: B**
**Rationale:** Informed consent for surgical procedures must be obtained by the
provider performing the procedure. The nurse can clarify but should direct the client to
the provider for detailed explanation.
---
**Question 7**
A nurse is caring for a client with a living will. Which of the following statements
accurately describes a living will?
A) It must be renewed annually
B) It specifies the client's wishes regarding end-of-life medical treatment
C) It can only be executed by a healthcare provider
D) It overrides the client's current verbal wishes
**Answer: B**
100 % Pass With Questions & Answers Plus
Detailed Rationale Already Graded A+
### Section 1: Management of Care
**Question 1**
A charge nurse is assigning clients on a medical-surgical unit. Which client should be
assigned to the most experienced RN?
A) A client with stable diabetes mellitus requiring routine insulin administration
B) A client with pneumonia requiring q4h vital sign monitoring
C) A client with chest tubes and new-onset respiratory distress with SpO₂ of 88%
D) A client with a urinary tract infection requiring IV antibiotics
**Answer: C**
**Rationale:** The client with chest tubes and new-onset respiratory distress is unstable
and requires complex assessment and immediate intervention. The ABC framework
(Airway, Breathing, Circulation) prioritizes the client with respiratory compromise. Stable
clients can be safely assigned to LPNs or less experienced RNs under appropriate
supervision.
---
**Question 2**
A nurse is caring for a client who has a living will stating "no CPR." The client goes into
pulseless ventricular tachycardia. What should the nurse do?
A) Begin CPR immediately
,B) Call a code blue but withhold compressions
C) Verify the DNR order is current and honor it
D) Ask the family for permission to start CPR
**Answer: C**
**Rationale:** The DNR order must be respected. The nurse should verify the order is
current and honor the client's autonomous decision. The client's right to self-
determination supersedes family wishes when the client has made their wishes clear.
---
**Question 3**
A nurse discovers a small fire in a client's trash can. What is the first action according to
the RACE protocol?
A) Pull the fire alarm
B) Remove the client from the room
C) Close the client's door
D) Use the fire extinguisher
**Answer: B**
**Rationale:** RACE protocol: **R**escue (evacuate client from immediate danger),
**A**larm (pull the alarm), **C**ontain (close doors/windows), **E**xtinguish (use fire
extinguisher). Client safety is always the priority.
---
**Question 4**
,Which task can a nurse delegate to an unlicensed assistive personnel (UAP)?
A) Assessing a patient's post-operative pain level
B) Ambulating a patient with a walker who has been stable for 24 hours
C) Administering a tube feeding through a nasogastric tube
D) Evaluating the effectiveness of incentive spirometry use
**Answer: B**
**Rationale:** UAPs can perform routine, stable tasks such as ambulating a patient who
has been stable. Assessment, evaluation, and complex procedures such as tube
feeding administration cannot be delegated to UAPs.
---
**Question 5**
A charge nurse on a pediatric unit is making assignments for a float nurse from the
medical unit. Which client is appropriate to assign to the float nurse?
A) A 10-year-old client who has pneumonia and is receiving respiratory treatments
B) A 4-year-old client who has a Wilms tumor and is receiving chemotherapy
C) An 8-month-old client who is scheduled for a surgical repair of a ventricular septal
defect tomorrow
D) A 14-year-old client who is scheduled for discharge today following placement of a
Harrington rod
**Answer: A**
**Rationale:** The float nurse from the medical unit would be familiar with respiratory
treatments and pneumonia care. The other clients require specialized pediatric
oncology, cardiac, or orthopedic surgical knowledge.
, ---
**Question 6**
A nurse is preparing a client for surgery. The client asks about the surgical procedure.
Which response is appropriate?
A) "I will explain the procedure in detail for you."
B) "The provider will discuss the procedure and obtain your consent."
C) "You should have asked the provider during the office visit."
D) "I am not allowed to discuss surgical procedures."
**Answer: B**
**Rationale:** Informed consent for surgical procedures must be obtained by the
provider performing the procedure. The nurse can clarify but should direct the client to
the provider for detailed explanation.
---
**Question 7**
A nurse is caring for a client with a living will. Which of the following statements
accurately describes a living will?
A) It must be renewed annually
B) It specifies the client's wishes regarding end-of-life medical treatment
C) It can only be executed by a healthcare provider
D) It overrides the client's current verbal wishes
**Answer: B**
