ATI COMPREHENSIVE PREDICTOR STUDY ACTUAL
PRACTICE EXAM WITH WELL ELABORATED AND
MOST TESTED REAL PRACTICE QUESTIONS AND
100% CORRECT VERIFIED ANSWERS WITH
DETAILED RATIONALES PLUS EXPERT ANSWER KEY
2026-2027 Q&A 100% GUARANTEED PASS A+ INSTANT
DOWNLOAD PDF
Section I: Management of Care
1. A charge nurse is assigning clients on a medical-
surgical unit. Which client should be assigned to the
most experienced RN?
A. Client with diabetes mellitus requiring routine
insulin administration
B. Client with pneumonia requiring vital signs every
4 hours
C. Client with chest tubes and new-onset
respiratory distress
D. Client with a urinary tract infection requiring IV
antibiotics
,Rationale: The client with chest tubes and new-
onset respiratory distress is unstable and requires
complex assessment and intervention. This client
should be assigned to the most experienced RN.
Stable clients (A, B, D) can be assigned to LPNs or
less experienced RNs under supervision.
Prioritization follows the ABC framework—
Airway, Breathing, Circulation—and respiratory
distress indicates an immediate threat to breathing.
2. A nurse is delegating tasks to a licensed practical
nurse (LPN). Which task is appropriate to delegate?
A. Performing the initial admission assessment on a
newly admitted client
B. Inserting a nasogastric tube for gastric
decompression on a stable client
C. Teaching a client with diabetes about proper
insulin injection technique
D. Evaluating the effectiveness of a client's pain
medication
,Rationale: LPNs can perform stable, standard
procedures like inserting a nasogastric tube. Initial
assessment, teaching, and evaluation require RN-
level education and scope of practice. The RN is
responsible for the initial comprehensive
assessment, client education, and evaluation of
treatment effectiveness.
3. A nurse is caring for four clients. Which client
should the nurse assess first?
A. Client with COPD and SpO₂ of 89% on 2 L
oxygen via nasal cannula
B. Client post-appendectomy day 2 with a
temperature of 38.3°C (101°F)
C. Client with heart failure and 3+ pitting edema in
the lower extremities
D. Client with new-onset confusion and a
bounding pulse
Rationale: New-onset confusion with a bounding
pulse suggests hypercapnia or fluid overload
affecting cerebral perfusion. This represents a
, change in neurological status, which is always the
priority. Option A is an expected finding in COPD.
Option B is consistent with postoperative
inflammation. Option C is a chronic finding that
does not indicate acute deterioration.
4. A charge nurse is assigning a float RN who
usually works in the postpartum unit to a medical-
surgical unit. Which client is most appropriate to
assign to this RN?
A. Client in diabetic ketoacidosis (DKA)
B. Client who is postoperative day 2 following an
appendectomy, stable
C. Client with a chest tube for a pneumothorax
D. Client receiving IV heparin with a recent PTT of
98 seconds
Rationale: A stable postoperative client requires
routine, predictable care that a float nurse can
safely manage. The other clients (A, C, D) have
complex, unstable conditions requiring specialized
medical-surgical expertise.
PRACTICE EXAM WITH WELL ELABORATED AND
MOST TESTED REAL PRACTICE QUESTIONS AND
100% CORRECT VERIFIED ANSWERS WITH
DETAILED RATIONALES PLUS EXPERT ANSWER KEY
2026-2027 Q&A 100% GUARANTEED PASS A+ INSTANT
DOWNLOAD PDF
Section I: Management of Care
1. A charge nurse is assigning clients on a medical-
surgical unit. Which client should be assigned to the
most experienced RN?
A. Client with diabetes mellitus requiring routine
insulin administration
B. Client with pneumonia requiring vital signs every
4 hours
C. Client with chest tubes and new-onset
respiratory distress
D. Client with a urinary tract infection requiring IV
antibiotics
,Rationale: The client with chest tubes and new-
onset respiratory distress is unstable and requires
complex assessment and intervention. This client
should be assigned to the most experienced RN.
Stable clients (A, B, D) can be assigned to LPNs or
less experienced RNs under supervision.
Prioritization follows the ABC framework—
Airway, Breathing, Circulation—and respiratory
distress indicates an immediate threat to breathing.
2. A nurse is delegating tasks to a licensed practical
nurse (LPN). Which task is appropriate to delegate?
A. Performing the initial admission assessment on a
newly admitted client
B. Inserting a nasogastric tube for gastric
decompression on a stable client
C. Teaching a client with diabetes about proper
insulin injection technique
D. Evaluating the effectiveness of a client's pain
medication
,Rationale: LPNs can perform stable, standard
procedures like inserting a nasogastric tube. Initial
assessment, teaching, and evaluation require RN-
level education and scope of practice. The RN is
responsible for the initial comprehensive
assessment, client education, and evaluation of
treatment effectiveness.
3. A nurse is caring for four clients. Which client
should the nurse assess first?
A. Client with COPD and SpO₂ of 89% on 2 L
oxygen via nasal cannula
B. Client post-appendectomy day 2 with a
temperature of 38.3°C (101°F)
C. Client with heart failure and 3+ pitting edema in
the lower extremities
D. Client with new-onset confusion and a
bounding pulse
Rationale: New-onset confusion with a bounding
pulse suggests hypercapnia or fluid overload
affecting cerebral perfusion. This represents a
, change in neurological status, which is always the
priority. Option A is an expected finding in COPD.
Option B is consistent with postoperative
inflammation. Option C is a chronic finding that
does not indicate acute deterioration.
4. A charge nurse is assigning a float RN who
usually works in the postpartum unit to a medical-
surgical unit. Which client is most appropriate to
assign to this RN?
A. Client in diabetic ketoacidosis (DKA)
B. Client who is postoperative day 2 following an
appendectomy, stable
C. Client with a chest tube for a pneumothorax
D. Client receiving IV heparin with a recent PTT of
98 seconds
Rationale: A stable postoperative client requires
routine, predictable care that a float nurse can
safely manage. The other clients (A, C, D) have
complex, unstable conditions requiring specialized
medical-surgical expertise.
