VIRTUE ATI RN COMPREHENSIVE PREDICTOR 2026 EXIT LEVEL 3
PROCTORED EXAM: 250 QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES | COMPLETE A+ GUIDE
SECTION 1: MANAGEMENT OF CARE (Questions 1–30)
1. A nurse is caring for four clients. Which client should the nurse
assess first?
A) A client who is scheduled for discharge in 1 hour
B) A client who is 2 days postoperative and reports shortness of breath
and chest pain
C) A client who needs a routine dressing change
D) A client who is requesting pain medication for chronic back pain
Answer B: A client who is 2 days postoperative and reports shortness
of breath and chest pain
,Rationale: Shortness of breath and chest pain postoperatively suggest
pulmonary embolism or myocardial infarction, which are life-threatening
emergencies requiring immediate assessment. ---
2. A nurse is delegating tasks to a UAP. Which task is appropriate to
delegate?
A) Assess a client's lung sounds
B) Measure a client's intake and output
C) Administer a PRN pain medication
D) Teach a client about a new medication
Answer B: Measure a client's intake and output
Rationale: UAPs can measure I&O. Assessment, medication
administration, and teaching require licensed nursing staff. ---
3. A nurse is caring for a client who refuses a prescribed blood
transfusion. Which ethical principle is the nurse upholding by
respecting this decision?
A) Beneficence
B) Autonomy
C) Non-maleficence
D) Justice
Answer B: Autonomy
,Rationale: Autonomy respects the client's right to make their own
healthcare decisions. ---
4. A nurse receives a telephone order from a provider. Which action
should the nurse take first?
A) Implement the order immediately
B) Repeat the order back to the provider
C) Ask the pharmacist to verify the order
D) Document the order as a verbal order
Answer B: Repeat the order back to the provider
Rationale: Read-back verification prevents medication errors. The order
must be signed by the provider within 24 hours. ---
5. A nurse is serving on an ethics committee. Which situation
requires ethical consultation?
A) A client requests a different meal
B) A family disagrees with a client's advance directive
C) A client requests pain medication
D) A client wants to ambulate
Answer B: A family disagrees with a client's advance directive
Rationale: Ethical consultation is appropriate when there is conflict
between the client's wishes and family preferences. ---
, 6. A nurse is prioritizing care using Maslow's hierarchy. Which client
need should be addressed first?
A) Safety
B) Oxygenation
C) Self-esteem
D) Belonging
Answer B: Oxygenation
Rationale: Physiological needs (oxygenation, nutrition, elimination) are
the highest priority according to Maslow. ---
7. A nurse is preparing to delegate to an 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 wound care
Answer B: Administer a subcutaneous insulin injection to a stable
client
Rationale: LPNs can administer medications to stable clients. Assessment,
care plans, and teaching are RN responsibilities. ---
PROCTORED EXAM: 250 QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES | COMPLETE A+ GUIDE
SECTION 1: MANAGEMENT OF CARE (Questions 1–30)
1. A nurse is caring for four clients. Which client should the nurse
assess first?
A) A client who is scheduled for discharge in 1 hour
B) A client who is 2 days postoperative and reports shortness of breath
and chest pain
C) A client who needs a routine dressing change
D) A client who is requesting pain medication for chronic back pain
Answer B: A client who is 2 days postoperative and reports shortness
of breath and chest pain
,Rationale: Shortness of breath and chest pain postoperatively suggest
pulmonary embolism or myocardial infarction, which are life-threatening
emergencies requiring immediate assessment. ---
2. A nurse is delegating tasks to a UAP. Which task is appropriate to
delegate?
A) Assess a client's lung sounds
B) Measure a client's intake and output
C) Administer a PRN pain medication
D) Teach a client about a new medication
Answer B: Measure a client's intake and output
Rationale: UAPs can measure I&O. Assessment, medication
administration, and teaching require licensed nursing staff. ---
3. A nurse is caring for a client who refuses a prescribed blood
transfusion. Which ethical principle is the nurse upholding by
respecting this decision?
A) Beneficence
B) Autonomy
C) Non-maleficence
D) Justice
Answer B: Autonomy
,Rationale: Autonomy respects the client's right to make their own
healthcare decisions. ---
4. A nurse receives a telephone order from a provider. Which action
should the nurse take first?
A) Implement the order immediately
B) Repeat the order back to the provider
C) Ask the pharmacist to verify the order
D) Document the order as a verbal order
Answer B: Repeat the order back to the provider
Rationale: Read-back verification prevents medication errors. The order
must be signed by the provider within 24 hours. ---
5. A nurse is serving on an ethics committee. Which situation
requires ethical consultation?
A) A client requests a different meal
B) A family disagrees with a client's advance directive
C) A client requests pain medication
D) A client wants to ambulate
Answer B: A family disagrees with a client's advance directive
Rationale: Ethical consultation is appropriate when there is conflict
between the client's wishes and family preferences. ---
, 6. A nurse is prioritizing care using Maslow's hierarchy. Which client
need should be addressed first?
A) Safety
B) Oxygenation
C) Self-esteem
D) Belonging
Answer B: Oxygenation
Rationale: Physiological needs (oxygenation, nutrition, elimination) are
the highest priority according to Maslow. ---
7. A nurse is preparing to delegate to an 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 wound care
Answer B: Administer a subcutaneous insulin injection to a stable
client
Rationale: LPNs can administer medications to stable clients. Assessment,
care plans, and teaching are RN responsibilities. ---
