ATI RN COMPREHENSIVE
PREDICTOR 2026 EXIT EXAM
Practice Exam with NGN-Style
Questions
100 Questions with Answers and Detailed
Rationales
SECTION 1: MANAGEMENT OF CARE,
DELEGATION & SAFETY (Questions 1-15)
Question 1
A nurse is planning assignments for an LPN and an AP. Which of the
following tasks should the nurse delegate to the LPN?
A. Administering an oral antibiotic to a stable client
B. Ambulating a client who had a stroke
C. Assessing a client's new onset of shortness of breath
D. Performing a sterile wound dressing change
Correct Answer: A. Administering an oral antibiotic to a stable client
Rationale: The LPN's scope of practice includes administering oral
medications to stable clients. Ambulation of a post-stroke client can be
,delegated to an AP. Assessment of new symptoms (shortness of
breath) requires RN assessment and is beyond LPN scope. Sterile
wound dressing changes may be performed by an LPN if the wound is
stable, but the RN should assess first. Delegation must follow the Five
Rights of Delegation and adhere to state nurse practice acts.
Question 2
A nurse is caring for a client with Clostridium difficile infection. Which
of the following infection control precautions should the nurse
implement?
A. Standard precautions only
B. Airborne precautions
C. Droplet precautions
D. Contact precautions
Correct Answer: D. Contact precautions
Rationale: C. difficile is transmitted via the fecal-oral route through
spores. Contact precautions require a private room or cohorting,
gloves and gown for all entries, and dedicated equipment. Hand
hygiene must be performed with soap and water because
alcohol-based hand sanitizers are ineffective against C. difficile
spores. Airborne precautions are for TB, varicella, and measles.
Droplet precautions are for influenza and meningococcal meningitis.
Question 3
A nurse is preparing to administer a blood transfusion to a client.
Which of the following actions is the priority before initiating the
transfusion?
,A. Obtain a signed informed consent
B. Verify the client's identity with two identifiers
C. Prime the IV tubing with 0.9% normal saline
D. Assess the client's vital signs
Correct Answer: B. Verify the client's identity with two identifiers
Rationale: Verification of client identity with two identifiers (name, date
of birth, medical record number) against the blood product and the
order is the priority to prevent ABO incompatibility reactions, the most
serious transfusion complication. While informed consent, priming
tubing with normal saline, and vital sign assessment are all important,
they do not prevent the potentially fatal hemolytic reaction that can
result from misidentification. The two-client verification process is a
critical safety measure.
Question 4
A nurse is caring for a client who is in Buck's traction following a right
femur fracture. Which of the following actions should the nurse include
in the plan of care?
A. Apply the traction boot directly to the skin
B. Assess the client's pedal pulse on the right leg
C. Position the weights on the floor to ensure proper tension
D. Check the client's pain level after administering pain medication
Correct Answer: B. Assess the client's pedal pulse on the right leg
Rationale: Assessing neurovascular status, including pedal pulses, is
essential for a client in traction to monitor for complications such as
compartment syndrome or neurovascular compromise. The traction
boot should be applied over a protective layer, not directly to the skin.
Weights must hang freely and not rest on the floor. Pain assessment
, should be done before and after medication administration to evaluate
effectiveness.
Question 5
A nurse is preparing to administer an IM injection to an overweight
client. Which of the following sites should the nurse select?
A. The lower, medial quadrant of the buttock near the coccyx
B. The ventrogluteal site
C. The tissue of the posterior upper arm
D. The lower, inner thigh, 2 finger widths above the patella
Correct Answer: B. The ventrogluteal site
Rationale: The ventrogluteal site is the preferred IM injection site for
adults because it is the safest site, free of major nerves and blood
vessels. It is located between the iliac crest and the anterior iliac
spine. The dorsogluteal site (lower, medial quadrant of the buttock) is
no longer recommended due to risk of sciatic nerve injury. The deltoid
(posterior upper arm) may be used for smaller volumes, and the
vastus lateralis (lower, inner thigh) is preferred for infants.
Question 6
A nurse discovers a frayed electrical cord on a client's CPM device.
What action should the nurse take first?
A. Initiate a requisition for a replacement CPM device
B. Report the defect to the equipment maintenance staff
C. Remove the device from the client's room
D. Ensure the device inspection sticker is current
Correct Answer: C. Remove the device from the client's room
PREDICTOR 2026 EXIT EXAM
Practice Exam with NGN-Style
Questions
100 Questions with Answers and Detailed
Rationales
SECTION 1: MANAGEMENT OF CARE,
DELEGATION & SAFETY (Questions 1-15)
Question 1
A nurse is planning assignments for an LPN and an AP. Which of the
following tasks should the nurse delegate to the LPN?
A. Administering an oral antibiotic to a stable client
B. Ambulating a client who had a stroke
C. Assessing a client's new onset of shortness of breath
D. Performing a sterile wound dressing change
Correct Answer: A. Administering an oral antibiotic to a stable client
Rationale: The LPN's scope of practice includes administering oral
medications to stable clients. Ambulation of a post-stroke client can be
,delegated to an AP. Assessment of new symptoms (shortness of
breath) requires RN assessment and is beyond LPN scope. Sterile
wound dressing changes may be performed by an LPN if the wound is
stable, but the RN should assess first. Delegation must follow the Five
Rights of Delegation and adhere to state nurse practice acts.
Question 2
A nurse is caring for a client with Clostridium difficile infection. Which
of the following infection control precautions should the nurse
implement?
A. Standard precautions only
B. Airborne precautions
C. Droplet precautions
D. Contact precautions
Correct Answer: D. Contact precautions
Rationale: C. difficile is transmitted via the fecal-oral route through
spores. Contact precautions require a private room or cohorting,
gloves and gown for all entries, and dedicated equipment. Hand
hygiene must be performed with soap and water because
alcohol-based hand sanitizers are ineffective against C. difficile
spores. Airborne precautions are for TB, varicella, and measles.
Droplet precautions are for influenza and meningococcal meningitis.
Question 3
A nurse is preparing to administer a blood transfusion to a client.
Which of the following actions is the priority before initiating the
transfusion?
,A. Obtain a signed informed consent
B. Verify the client's identity with two identifiers
C. Prime the IV tubing with 0.9% normal saline
D. Assess the client's vital signs
Correct Answer: B. Verify the client's identity with two identifiers
Rationale: Verification of client identity with two identifiers (name, date
of birth, medical record number) against the blood product and the
order is the priority to prevent ABO incompatibility reactions, the most
serious transfusion complication. While informed consent, priming
tubing with normal saline, and vital sign assessment are all important,
they do not prevent the potentially fatal hemolytic reaction that can
result from misidentification. The two-client verification process is a
critical safety measure.
Question 4
A nurse is caring for a client who is in Buck's traction following a right
femur fracture. Which of the following actions should the nurse include
in the plan of care?
A. Apply the traction boot directly to the skin
B. Assess the client's pedal pulse on the right leg
C. Position the weights on the floor to ensure proper tension
D. Check the client's pain level after administering pain medication
Correct Answer: B. Assess the client's pedal pulse on the right leg
Rationale: Assessing neurovascular status, including pedal pulses, is
essential for a client in traction to monitor for complications such as
compartment syndrome or neurovascular compromise. The traction
boot should be applied over a protective layer, not directly to the skin.
Weights must hang freely and not rest on the floor. Pain assessment
, should be done before and after medication administration to evaluate
effectiveness.
Question 5
A nurse is preparing to administer an IM injection to an overweight
client. Which of the following sites should the nurse select?
A. The lower, medial quadrant of the buttock near the coccyx
B. The ventrogluteal site
C. The tissue of the posterior upper arm
D. The lower, inner thigh, 2 finger widths above the patella
Correct Answer: B. The ventrogluteal site
Rationale: The ventrogluteal site is the preferred IM injection site for
adults because it is the safest site, free of major nerves and blood
vessels. It is located between the iliac crest and the anterior iliac
spine. The dorsogluteal site (lower, medial quadrant of the buttock) is
no longer recommended due to risk of sciatic nerve injury. The deltoid
(posterior upper arm) may be used for smaller volumes, and the
vastus lateralis (lower, inner thigh) is preferred for infants.
Question 6
A nurse discovers a frayed electrical cord on a client's CPM device.
What action should the nurse take first?
A. Initiate a requisition for a replacement CPM device
B. Report the defect to the equipment maintenance staff
C. Remove the device from the client's room
D. Ensure the device inspection sticker is current
Correct Answer: C. Remove the device from the client's room
