1
ATI RN Comprehensive Predictor Retake Exam |
200 Advanced Practice Questions with Verified
Answers & Detailed Rationales | NGN-Aligned |
Complete Review for RN Exit Exam & NCLEX-RN
Success | Graded A+
EXAM OVERVIEW
The ATI RN Comprehensive Predictor Retake is a 180-item end-of-program
assessment designed to evaluate a student's probability of passing the NCLEX-RN
on the first attempt. Research demonstrates strong alignment between the
Comprehensive Predictor and the NCLEX-RN test plan, including the integration of
clinical judgment Important Note: Content Mastery Series (CMS) assessment
performance strongly predicts Comprehensive Predictor outcomes. Students
achieving Level 2 or higher across all CMS assessments reach nearly a 98%
probability of passing the NCLEX-RN .
SECTION 1: MANAGEMENT OF CARE – DELEGATION, PRIORITIZATION, AND
LEGAL/ETHICAL ISSUES (Questions 1–35)
1. A charge nurse is making client assignments on a medical-surgical unit. Which
client should the charge nurse assign to the LPN?
,2
A. A client with a new tracheostomy requiring frequent suctioning
B. A client who is 1 hour post-hip replacement with a blood pressure of 88/52
mmHg
C. A client with diabetes who requires a sterile wound dressing change
D. A client with hypertension who needs oral medications administered
Valid answer: D
Rationale: LPNs can administer oral medications to stable clients. Clients with new
tracheostomies (unstable airway), post-surgical hypotension (unstable), and sterile
wound dressing changes (requires RN assessment) should be assigned to RNs.
Task delegation must match scope of practice .
2. A nurse is preparing to delegate tasks to an unlicensed assistive personnel
(UAP). Which task is appropriate for the nurse to delegate?
A. Administering a blood transfusion
B. Performing a sterile wound dressing change
C. Assisting a client with ambulation using a gait belt
D. Assessing a client's lung sounds
Valid answer: C
Rationale: UAPs can assist with activities of daily living, including ambulation with
a gait belt. RNs must perform sterile procedures, administer blood products, and
conduct assessments .
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3. A nurse receives handoff report on four clients. Which client should the nurse
see FIRST?
A. A client with pneumonia with an oxygen saturation of 88% on room air
B. A client with diabetes with a blood glucose of 180 mg/dL
C. A client with a fractured femur reporting pain of 6 on a 0–10 scale
D. A client with a urinary tract infection with a temperature of 100.4°F (38°C)
Valid answer: A
Rationale: The client with an oxygen saturation of 88% is experiencing significant
hypoxia and requires immediate assessment and intervention (ABCs—Airway,
Breathing, Circulation). The other clients are stable and can be seen after
addressing the hypoxic client .
4. A client with a valid Do Not Resuscitate (DNR) order becomes pulseless and
apneic. The client's family member demands that the nurse "do everything."
What should the nurse do FIRST?
A. Initiate CPR immediately per the family's request
B. Respect the DNR order and provide comfort measures while supporting the
family
C. Page the provider for clarification of the DNR order
D. Call the hospital ethics committee for consultation
Valid answer: B
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Rationale: A valid DNR order must be respected. The nurse should provide
comfort measures and support the family, explaining the DNR order
compassionately. CPR should not be initiated against a valid DNR .
5. A nurse suspects a colleague is impaired due to the smell of alcohol on their
breath. What is the priority action?
A. Confront the colleague privately
B. Notify the nursing supervisor immediately
C. Ignore the situation to avoid conflict
D. Ask the colleague to go home for the day
Valid answer: B
Rationale: Patient safety is paramount. The nurse must report suspected
impairment to the nursing supervisor immediately to ensure patient safety and
follow legal and ethical obligations.
6. A client refuses a blood transfusion due to religious beliefs. What is the
nurse's BEST response?
A. Document the refusal and notify the provider
B. Explain the consequences of refusing the transfusion
C. Ask the family to convince the client to accept the transfusion
D. Administer the transfusion and document the client's objection
Valid answer: A
ATI RN Comprehensive Predictor Retake Exam |
200 Advanced Practice Questions with Verified
Answers & Detailed Rationales | NGN-Aligned |
Complete Review for RN Exit Exam & NCLEX-RN
Success | Graded A+
EXAM OVERVIEW
The ATI RN Comprehensive Predictor Retake is a 180-item end-of-program
assessment designed to evaluate a student's probability of passing the NCLEX-RN
on the first attempt. Research demonstrates strong alignment between the
Comprehensive Predictor and the NCLEX-RN test plan, including the integration of
clinical judgment Important Note: Content Mastery Series (CMS) assessment
performance strongly predicts Comprehensive Predictor outcomes. Students
achieving Level 2 or higher across all CMS assessments reach nearly a 98%
probability of passing the NCLEX-RN .
SECTION 1: MANAGEMENT OF CARE – DELEGATION, PRIORITIZATION, AND
LEGAL/ETHICAL ISSUES (Questions 1–35)
1. A charge nurse is making client assignments on a medical-surgical unit. Which
client should the charge nurse assign to the LPN?
,2
A. A client with a new tracheostomy requiring frequent suctioning
B. A client who is 1 hour post-hip replacement with a blood pressure of 88/52
mmHg
C. A client with diabetes who requires a sterile wound dressing change
D. A client with hypertension who needs oral medications administered
Valid answer: D
Rationale: LPNs can administer oral medications to stable clients. Clients with new
tracheostomies (unstable airway), post-surgical hypotension (unstable), and sterile
wound dressing changes (requires RN assessment) should be assigned to RNs.
Task delegation must match scope of practice .
2. A nurse is preparing to delegate tasks to an unlicensed assistive personnel
(UAP). Which task is appropriate for the nurse to delegate?
A. Administering a blood transfusion
B. Performing a sterile wound dressing change
C. Assisting a client with ambulation using a gait belt
D. Assessing a client's lung sounds
Valid answer: C
Rationale: UAPs can assist with activities of daily living, including ambulation with
a gait belt. RNs must perform sterile procedures, administer blood products, and
conduct assessments .
,3
3. A nurse receives handoff report on four clients. Which client should the nurse
see FIRST?
A. A client with pneumonia with an oxygen saturation of 88% on room air
B. A client with diabetes with a blood glucose of 180 mg/dL
C. A client with a fractured femur reporting pain of 6 on a 0–10 scale
D. A client with a urinary tract infection with a temperature of 100.4°F (38°C)
Valid answer: A
Rationale: The client with an oxygen saturation of 88% is experiencing significant
hypoxia and requires immediate assessment and intervention (ABCs—Airway,
Breathing, Circulation). The other clients are stable and can be seen after
addressing the hypoxic client .
4. A client with a valid Do Not Resuscitate (DNR) order becomes pulseless and
apneic. The client's family member demands that the nurse "do everything."
What should the nurse do FIRST?
A. Initiate CPR immediately per the family's request
B. Respect the DNR order and provide comfort measures while supporting the
family
C. Page the provider for clarification of the DNR order
D. Call the hospital ethics committee for consultation
Valid answer: B
, 4
Rationale: A valid DNR order must be respected. The nurse should provide
comfort measures and support the family, explaining the DNR order
compassionately. CPR should not be initiated against a valid DNR .
5. A nurse suspects a colleague is impaired due to the smell of alcohol on their
breath. What is the priority action?
A. Confront the colleague privately
B. Notify the nursing supervisor immediately
C. Ignore the situation to avoid conflict
D. Ask the colleague to go home for the day
Valid answer: B
Rationale: Patient safety is paramount. The nurse must report suspected
impairment to the nursing supervisor immediately to ensure patient safety and
follow legal and ethical obligations.
6. A client refuses a blood transfusion due to religious beliefs. What is the
nurse's BEST response?
A. Document the refusal and notify the provider
B. Explain the consequences of refusing the transfusion
C. Ask the family to convince the client to accept the transfusion
D. Administer the transfusion and document the client's objection
Valid answer: A
