ATI RN Comprehensive Predictor Retake | 200
NGN-Aligned Practice Questions with Verified
Answers & Detailed Rationales | Complete
Review for RN Exit Exam & NCLEX-RN Success |
Graded A+
SECTION 1: MANAGEMENT OF CARE – DELEGATION, PRIORITIZATION, AND
LEGAL/ETHICAL ISSUES (Questions 1–35)
1. A charge nurse is teaching a group of unit nurses about delegating client tasks
to assistive personnel (AP). Which of the following statements by a unit nurse
indicates an understanding of the teaching?
A. "The AP is responsible for evaluating client needs to determine which tasks to
delegate."
B. "The RN evaluates the client needs to determine tasks to delegate."
C. "The AP can determine which tasks are appropriate to perform."
D. "The RN should delegate all task to the AP to manage time efficiently."
Correct Answer: B
Rationale: The RN is responsible for evaluating client needs to determine which
tasks can be delegated to assistive personnel. The RN must assess the client's
condition and the complexity of the task before delegating. APs cannot determine
their own assignments or evaluate client needs .
2. A nurse manager is updating protocols for the use of belt restraints. Which of
the following guidelines should the nurse include?
1
,A. Remove the client's restraint every 4 hours
B. Document the client's condition every 15 minutes
C. Attach the restraint to the bed's side rails
D. Request a PRN restraint prescription for clients who are aggressive
Correct Answer: B
Rationale: When restraints are used, the nurse must document the client's
condition every 15 minutes. Restraints should be removed at least every 2 hours
for range-of-motion exercises, toileting, and reassessment. Restraints should
never be attached to bed rails due to entrapment risk .
3. A nurse in the PACU is caring for a client who reports nausea. Which of the
following actions should the nurse take first?
A. Administer an antiemetic medication
B. Turn the client on their side
C. Assess the client's vital signs
D. Notify the provider
Correct Answer: B
Rationale: The priority action when a postoperative client reports nausea is to
turn the client on their side to prevent aspiration. This is an ABC priority—
protecting the airway. After positioning, the nurse should assess vital signs and
administer antiemetics as prescribed .
4. A charge nurse is teaching a newly licensed nurse about clients designating a
health care proxy in situations that require a durable power of attorney for
health care (DPAHC). Which of the following information should the charge
nurse include?
A. "The proxy should make health care decisions for the client regardless of the
client's ability to do so."
B. "The proxy can make financial decisions if the need arises."
2
,C. "The proxy can make treatment decisions if the client is under anesthesia."
D. "The proxy should manage legal issues for the client."
Correct Answer: C
Rationale: A health care proxy (durable power of attorney for health care) can
make treatment decisions when the client is unable to make decisions, such as
when under anesthesia or incapacitated. The proxy does not make financial
decisions .
5. A nurse is caring for a client who is scheduled for a surgical procedure and
states, "I don't want to have this surgery anymore." Which of the following
responses should the nurse make?
A. "We can manage your care following the procedure without complications."
B. "You have the right to refuse the procedure."
C. "Your doctor thinks the surgery is necessary."
D. "Let me review the procedure so you can understand what is going to happen."
Correct Answer: B
Rationale: The nurse should acknowledge the client's right to refuse the
procedure. This respects client autonomy. The nurse should then discuss the
client's concerns and notify the provider .
6. A charge nurse is teaching a newly licensed nurse about the correct use of
restraints. Which of the following instructions should the charge nurse include?
A. Applying a belt restraint on a school-age child who has seizures
B. Securing wrist restraints to the bed rails for an adolescent
C. Applying elbow immobilizers for an infant receiving cleft lip repair
D. Keeping the side rails of a toddler's crib elevated
Correct Answer: C
3
, Rationale: Elbow immobilizers prevent infants from touching surgical sites (cleft
lip/palate repair). Restraints should never be secured to bed rails due to
entrapment risk. Belt restraints are contraindicated for seizure clients .
7. A charge nurse is recommending postpartum clients for discharge following a
local disaster. Which client should the nurse recommend for discharge first?
A. A 15-year-old client who delivered via emergency cesarean birth 1 day ago
B. A 42-year-old client who has preeclampsia and a BP of 166/110 mmHg
C. A client who delivered precipitously and has a second-degree perineal
laceration
D. A client who has received 2 units of RBCs 6 hours ago for a postpartum
hemorrhage
Correct Answer: C
Rationale: The client with the lowest acuity (stable laceration, no active bleeding)
is safest for early discharge during disaster triage. The other clients have higher
acuity and require continued monitoring.
8. A nurse is caring for a client who is leaving against medical advice (AMA).
Which action should the nurse take?
A. Restrain the client to prevent leaving
B. Notify the provider and have the client sign the AMA form
C. Discuss the risks of leaving with the client
D. Both B and C
Correct Answer: D
Rationale: The nurse should discuss risks and consequences of leaving AMA and
document the discussion. If the client still wishes to leave, notify the provider and
have the client sign the AMA form.
4
NGN-Aligned Practice Questions with Verified
Answers & Detailed Rationales | Complete
Review for RN Exit Exam & NCLEX-RN Success |
Graded A+
SECTION 1: MANAGEMENT OF CARE – DELEGATION, PRIORITIZATION, AND
LEGAL/ETHICAL ISSUES (Questions 1–35)
1. A charge nurse is teaching a group of unit nurses about delegating client tasks
to assistive personnel (AP). Which of the following statements by a unit nurse
indicates an understanding of the teaching?
A. "The AP is responsible for evaluating client needs to determine which tasks to
delegate."
B. "The RN evaluates the client needs to determine tasks to delegate."
C. "The AP can determine which tasks are appropriate to perform."
D. "The RN should delegate all task to the AP to manage time efficiently."
Correct Answer: B
Rationale: The RN is responsible for evaluating client needs to determine which
tasks can be delegated to assistive personnel. The RN must assess the client's
condition and the complexity of the task before delegating. APs cannot determine
their own assignments or evaluate client needs .
2. A nurse manager is updating protocols for the use of belt restraints. Which of
the following guidelines should the nurse include?
1
,A. Remove the client's restraint every 4 hours
B. Document the client's condition every 15 minutes
C. Attach the restraint to the bed's side rails
D. Request a PRN restraint prescription for clients who are aggressive
Correct Answer: B
Rationale: When restraints are used, the nurse must document the client's
condition every 15 minutes. Restraints should be removed at least every 2 hours
for range-of-motion exercises, toileting, and reassessment. Restraints should
never be attached to bed rails due to entrapment risk .
3. A nurse in the PACU is caring for a client who reports nausea. Which of the
following actions should the nurse take first?
A. Administer an antiemetic medication
B. Turn the client on their side
C. Assess the client's vital signs
D. Notify the provider
Correct Answer: B
Rationale: The priority action when a postoperative client reports nausea is to
turn the client on their side to prevent aspiration. This is an ABC priority—
protecting the airway. After positioning, the nurse should assess vital signs and
administer antiemetics as prescribed .
4. A charge nurse is teaching a newly licensed nurse about clients designating a
health care proxy in situations that require a durable power of attorney for
health care (DPAHC). Which of the following information should the charge
nurse include?
A. "The proxy should make health care decisions for the client regardless of the
client's ability to do so."
B. "The proxy can make financial decisions if the need arises."
2
,C. "The proxy can make treatment decisions if the client is under anesthesia."
D. "The proxy should manage legal issues for the client."
Correct Answer: C
Rationale: A health care proxy (durable power of attorney for health care) can
make treatment decisions when the client is unable to make decisions, such as
when under anesthesia or incapacitated. The proxy does not make financial
decisions .
5. A nurse is caring for a client who is scheduled for a surgical procedure and
states, "I don't want to have this surgery anymore." Which of the following
responses should the nurse make?
A. "We can manage your care following the procedure without complications."
B. "You have the right to refuse the procedure."
C. "Your doctor thinks the surgery is necessary."
D. "Let me review the procedure so you can understand what is going to happen."
Correct Answer: B
Rationale: The nurse should acknowledge the client's right to refuse the
procedure. This respects client autonomy. The nurse should then discuss the
client's concerns and notify the provider .
6. A charge nurse is teaching a newly licensed nurse about the correct use of
restraints. Which of the following instructions should the charge nurse include?
A. Applying a belt restraint on a school-age child who has seizures
B. Securing wrist restraints to the bed rails for an adolescent
C. Applying elbow immobilizers for an infant receiving cleft lip repair
D. Keeping the side rails of a toddler's crib elevated
Correct Answer: C
3
, Rationale: Elbow immobilizers prevent infants from touching surgical sites (cleft
lip/palate repair). Restraints should never be secured to bed rails due to
entrapment risk. Belt restraints are contraindicated for seizure clients .
7. A charge nurse is recommending postpartum clients for discharge following a
local disaster. Which client should the nurse recommend for discharge first?
A. A 15-year-old client who delivered via emergency cesarean birth 1 day ago
B. A 42-year-old client who has preeclampsia and a BP of 166/110 mmHg
C. A client who delivered precipitously and has a second-degree perineal
laceration
D. A client who has received 2 units of RBCs 6 hours ago for a postpartum
hemorrhage
Correct Answer: C
Rationale: The client with the lowest acuity (stable laceration, no active bleeding)
is safest for early discharge during disaster triage. The other clients have higher
acuity and require continued monitoring.
8. A nurse is caring for a client who is leaving against medical advice (AMA).
Which action should the nurse take?
A. Restrain the client to prevent leaving
B. Notify the provider and have the client sign the AMA form
C. Discuss the risks of leaving with the client
D. Both B and C
Correct Answer: D
Rationale: The nurse should discuss risks and consequences of leaving AMA and
document the discussion. If the client still wishes to leave, notify the provider and
have the client sign the AMA form.
4
