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ATI RN COMPREHENSIVE PREDICTOR
EXAMINATION 2026 COMPLETE (110)
CURRENT TESTING QUESTIONS AND
CORRECT ANSWERS WITH DETAILED
RATIONALES.
RN
Prepare for the ATI RN Comprehensive Predictor Exam with practice
questions covering MANAGEMENT OF CARE, medical-surgical nursing,
pharmacology, maternal-newborn care, pediatric nursing, mental health,
leadership, safety, and infection control. Designed to build confidence in
prioritization, critical thinking, and safe patient care decision-making
under exam conditions. Suitable for RN students preparing for ATI
Comprehensive Predictor and NCLEX-RN readiness examinations.
MULTIPLE CHOICE.
PART 1: MANAGEMENT OF CARE (Questions 1-25)
1. A nurse is caring for a group of clients on a medical-surgical
unit. Which of the following clients should the nurse assess
first?
A. A client who has diabetes mellitus and a blood glucose level of
180 mg/dL
B. A client who is 2 days post-operative and reports pain rated 4 on a
scale of 0-10
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C. A client who has a new tracheostomy and is attempting to speak
D. A client who has heart failure and reports shortness of breath
while ambulating to the bathroom
Correct answer: D. A client who has heart failure and reports
shortness of breath while ambulating to the bathroom
Rationale: The nurse should use the ABCs (airway, breathing,
circulation) and Maslow's hierarchy of needs to prioritize care.
Shortness of breath in a client with heart failure indicates a
potential worsening of respiratory status and requires
immediate assessment. The client with a new tracheostomy
attempting to speak should be assessed next due to potential
airway concerns.
2. A nurse is delegating tasks to an unlicensed assistive
personnel (UAP). Which of the following tasks should the nurse
delegate to the UAP?
A. Perform a sterile dressing change on a post-operative wound
B. Administer an oral medication to a client who has difficulty
swallowing
C. Obtain a client's daily weight and vital signs
D. Assess a client's pain level and administer prescribed pain
medication
Correct answer: C. Obtain a client's daily weight and vital signs
Rationale: Delegation is the transfer of responsibility for the
performance of an activity to another individual while retaining
accountability for the outcome. Tasks that are routine, have
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predictable outcomes, and do not require nursing judgment—
such as obtaining weights and vital signs—can be delegated to
UAPs. Assessments, medication administration, and sterile
procedures require nursing judgment and cannot be delegated.
3. A nurse is preparing a client for transfer to another unit. Which
of the following actions should the nurse take first?
A. Call the receiving unit to provide report
B. Complete the transfer documentation
C. Gather the client's belongings and medical records
D. Assess the client's stability for transfer
Correct answer: D. Assess the client's stability for transfer
Rationale: The nurse should first assess the client's stability for
transfer to ensure safety during the move. This includes
evaluating vital signs, level of consciousness, and any special
needs. Communication with the receiving unit and gathering
belongings should occur after ensuring the client is stable for
transfer.
4. A nurse is caring for a client who has a do-not-resuscitate
(DNR) order. The client's family member requests that the nurse
perform CPR if the client's heart stops. Which of the following
actions should the nurse take?
A. Honor the family member's request and prepare to perform CPR
B. Explain that the DNR order must be respected and no CPR will be
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performed
C. Call the provider to request a change in the DNR order
D. Ask the family member to leave the room
Correct answer: B. Explain that the DNR order must be
respected and no CPR will be performed
Rationale: A DNR order is a legal medical order that must be
respected by the healthcare team. The nurse should explain to
the family member that the DNR order reflects the client's
wishes and cannot be overridden by family request. The nurse
should also provide emotional support and address the family
member's concerns.
5. A nurse is assigning client care to a licensed practical nurse
(LPN). Which of the following clients should the nurse assign to
the LPN?
A. A client who is 1 day post-operative and requires a wound
assessment
B. A client who has a new diagnosis of diabetes and requires initial
teaching
C. A client who is receiving IV antibiotics and has a peripheral IV
D. A client who is unstable and requires frequent assessment
Correct answer: C. A client who is receiving IV antibiotics and
has a peripheral IV
Rationale: LPNs can perform tasks that are stable and
predictable, such as administering IV medications to a stable
client and monitoring IV sites. Initial teaching, complex
ATI RN COMPREHENSIVE PREDICTOR
EXAMINATION 2026 COMPLETE (110)
CURRENT TESTING QUESTIONS AND
CORRECT ANSWERS WITH DETAILED
RATIONALES.
RN
Prepare for the ATI RN Comprehensive Predictor Exam with practice
questions covering MANAGEMENT OF CARE, medical-surgical nursing,
pharmacology, maternal-newborn care, pediatric nursing, mental health,
leadership, safety, and infection control. Designed to build confidence in
prioritization, critical thinking, and safe patient care decision-making
under exam conditions. Suitable for RN students preparing for ATI
Comprehensive Predictor and NCLEX-RN readiness examinations.
MULTIPLE CHOICE.
PART 1: MANAGEMENT OF CARE (Questions 1-25)
1. A nurse is caring for a group of clients on a medical-surgical
unit. Which of the following clients should the nurse assess
first?
A. A client who has diabetes mellitus and a blood glucose level of
180 mg/dL
B. A client who is 2 days post-operative and reports pain rated 4 on a
scale of 0-10
, Page 2 of 81
C. A client who has a new tracheostomy and is attempting to speak
D. A client who has heart failure and reports shortness of breath
while ambulating to the bathroom
Correct answer: D. A client who has heart failure and reports
shortness of breath while ambulating to the bathroom
Rationale: The nurse should use the ABCs (airway, breathing,
circulation) and Maslow's hierarchy of needs to prioritize care.
Shortness of breath in a client with heart failure indicates a
potential worsening of respiratory status and requires
immediate assessment. The client with a new tracheostomy
attempting to speak should be assessed next due to potential
airway concerns.
2. A nurse is delegating tasks to an unlicensed assistive
personnel (UAP). Which of the following tasks should the nurse
delegate to the UAP?
A. Perform a sterile dressing change on a post-operative wound
B. Administer an oral medication to a client who has difficulty
swallowing
C. Obtain a client's daily weight and vital signs
D. Assess a client's pain level and administer prescribed pain
medication
Correct answer: C. Obtain a client's daily weight and vital signs
Rationale: Delegation is the transfer of responsibility for the
performance of an activity to another individual while retaining
accountability for the outcome. Tasks that are routine, have
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predictable outcomes, and do not require nursing judgment—
such as obtaining weights and vital signs—can be delegated to
UAPs. Assessments, medication administration, and sterile
procedures require nursing judgment and cannot be delegated.
3. A nurse is preparing a client for transfer to another unit. Which
of the following actions should the nurse take first?
A. Call the receiving unit to provide report
B. Complete the transfer documentation
C. Gather the client's belongings and medical records
D. Assess the client's stability for transfer
Correct answer: D. Assess the client's stability for transfer
Rationale: The nurse should first assess the client's stability for
transfer to ensure safety during the move. This includes
evaluating vital signs, level of consciousness, and any special
needs. Communication with the receiving unit and gathering
belongings should occur after ensuring the client is stable for
transfer.
4. A nurse is caring for a client who has a do-not-resuscitate
(DNR) order. The client's family member requests that the nurse
perform CPR if the client's heart stops. Which of the following
actions should the nurse take?
A. Honor the family member's request and prepare to perform CPR
B. Explain that the DNR order must be respected and no CPR will be
, Page 4 of 81
performed
C. Call the provider to request a change in the DNR order
D. Ask the family member to leave the room
Correct answer: B. Explain that the DNR order must be
respected and no CPR will be performed
Rationale: A DNR order is a legal medical order that must be
respected by the healthcare team. The nurse should explain to
the family member that the DNR order reflects the client's
wishes and cannot be overridden by family request. The nurse
should also provide emotional support and address the family
member's concerns.
5. A nurse is assigning client care to a licensed practical nurse
(LPN). Which of the following clients should the nurse assign to
the LPN?
A. A client who is 1 day post-operative and requires a wound
assessment
B. A client who has a new diagnosis of diabetes and requires initial
teaching
C. A client who is receiving IV antibiotics and has a peripheral IV
D. A client who is unstable and requires frequent assessment
Correct answer: C. A client who is receiving IV antibiotics and
has a peripheral IV
Rationale: LPNs can perform tasks that are stable and
predictable, such as administering IV medications to a stable
client and monitoring IV sites. Initial teaching, complex
