RN ATI COMPREHENSIVE PREDICTOR EXIT EXAM 2026 | 180 EXAM-
LEVEL QUESTIONS WITH ANSWERS & RATIONALES | COMPLETE RN
SOLUTIONS | LEVEL 3 | ATI PROCTORED EXAM PREP | LATEST
SIMULATION
Questions 1–180
SECTION 1: Management of Care, Delegation & Prioritization
(Questions 1–30)
1. The nurse is assigning tasks to assistive personnel (AP). Which
client should the nurse assign to the AP?
A) Client requiring sterile wound irrigation
B) Client with stable vital signs who needs assistance with ambulation
C) Client needing a medication administered via PEG tube
D) Client with a new tracheostomy requiring suctioning
,Answer B: APs can assist with ambulation and activities of daily
living
Rationale: Sterile procedures, medication administration, and
suctioning require licensed nurses.
2. Which client should the nurse assess FIRST?
A) Client with a blood glucose of 65 mg/dL who is awake and alert
B) Client with an oxygen saturation of 88% on room air and new
confusion
C) Client with a fractured femur requesting pain medication
D) Client requesting a bedpan
Answer B: Hypoxemia with confusion is a life-threatening
emergency requiring immediate intervention
Rationale: ABCs – airway, breathing, circulation; oxygen saturation
<90% is critical.
3. The nurse is preparing to delegate tasks to a licensed practical
nurse (LPN). Which task is within the LPN's scope of practice?
A) Perform an initial admission assessment
,B) Administer a subcutaneous insulin injection to a stable client
C) Develop a nursing care plan
D) Teach a client about insulin self-administration
Answer B: LPNs can administer medications to stable clients;
assessment, care plans, and discharge teaching are RN
responsibilities
Rationale: LPNs function under the RN's supervision, performing
tasks for stable clients.
4. A client with terminal cancer tells the nurse, "I'm ready to stop
treatment and focus on comfort." Which action should the nurse
take FIRST?
A) Contact the hospital ethics committee
B) Discuss the client's wishes with the healthcare provider and initiate
a palliative care consult
C) Tell the client to discuss it with family members
D) Document the client's statement and take no further action
Answer B: The nurse should advocate for the client's wishes and
initiate appropriate referrals
, Rationale: The client has the right to self-determination; the nurse
should facilitate a palliative care discussion.
5. The nurse is caring for a client who refuses a blood transfusion
due to religious beliefs. Which action is appropriate?
A) Administer the transfusion and document the refusal
B) Respect the client's decision and notify the healthcare provider
C) Ask the family to convince the client to accept the transfusion
D) Have the client sign an against-medical-advice form
Answer B: Client autonomy must be respected; Jehovah's Witnesses
often refuse blood products
Rationale: Informed refusal is a legal right; the nurse should support
the client's decision.
6. Which nursing action demonstrates proper use of the SBAR
communication tool?
A) "Mr. Jones in 204 is complaining of pain. Please order something."
LEVEL QUESTIONS WITH ANSWERS & RATIONALES | COMPLETE RN
SOLUTIONS | LEVEL 3 | ATI PROCTORED EXAM PREP | LATEST
SIMULATION
Questions 1–180
SECTION 1: Management of Care, Delegation & Prioritization
(Questions 1–30)
1. The nurse is assigning tasks to assistive personnel (AP). Which
client should the nurse assign to the AP?
A) Client requiring sterile wound irrigation
B) Client with stable vital signs who needs assistance with ambulation
C) Client needing a medication administered via PEG tube
D) Client with a new tracheostomy requiring suctioning
,Answer B: APs can assist with ambulation and activities of daily
living
Rationale: Sterile procedures, medication administration, and
suctioning require licensed nurses.
2. Which client should the nurse assess FIRST?
A) Client with a blood glucose of 65 mg/dL who is awake and alert
B) Client with an oxygen saturation of 88% on room air and new
confusion
C) Client with a fractured femur requesting pain medication
D) Client requesting a bedpan
Answer B: Hypoxemia with confusion is a life-threatening
emergency requiring immediate intervention
Rationale: ABCs – airway, breathing, circulation; oxygen saturation
<90% is critical.
3. The nurse is preparing to delegate tasks to a licensed practical
nurse (LPN). Which task is within the LPN's scope of practice?
A) Perform an initial admission assessment
,B) Administer a subcutaneous insulin injection to a stable client
C) Develop a nursing care plan
D) Teach a client about insulin self-administration
Answer B: LPNs can administer medications to stable clients;
assessment, care plans, and discharge teaching are RN
responsibilities
Rationale: LPNs function under the RN's supervision, performing
tasks for stable clients.
4. A client with terminal cancer tells the nurse, "I'm ready to stop
treatment and focus on comfort." Which action should the nurse
take FIRST?
A) Contact the hospital ethics committee
B) Discuss the client's wishes with the healthcare provider and initiate
a palliative care consult
C) Tell the client to discuss it with family members
D) Document the client's statement and take no further action
Answer B: The nurse should advocate for the client's wishes and
initiate appropriate referrals
, Rationale: The client has the right to self-determination; the nurse
should facilitate a palliative care discussion.
5. The nurse is caring for a client who refuses a blood transfusion
due to religious beliefs. Which action is appropriate?
A) Administer the transfusion and document the refusal
B) Respect the client's decision and notify the healthcare provider
C) Ask the family to convince the client to accept the transfusion
D) Have the client sign an against-medical-advice form
Answer B: Client autonomy must be respected; Jehovah's Witnesses
often refuse blood products
Rationale: Informed refusal is a legal right; the nurse should support
the client's decision.
6. Which nursing action demonstrates proper use of the SBAR
communication tool?
A) "Mr. Jones in 204 is complaining of pain. Please order something."
