ATI RN VATI Comprehensive Predictor
2019 Form A B AN C
1. A nurse is caring for a client who has a new diagnosis of terminal cancer and speaks only
Spanish. Which of the following actions should the nurse take first?
A. Provide written materials in Spanish
B. Request a Spanish-speaking interpreter
C. Ask a family member to translate
D. Use gestures to explain the diagnosis
B The nurse must first ensure effective communication using a professional interpreter;
using family members or gestures compromises accuracy and confidentiality.
2. A nurse is reviewing informed consent with a client scheduled for a cardiac catheterization.
Which of the following is the nurse's responsibility?
A. Explaining the procedure in detail
B. Obtaining the client's signature
C. Verifying the client understands the procedure
D. Determining the client's competence to consent
C The nurse's role is to witness the signature and verify the client understands;
explaining and determining competence are the provider's responsibility.
3. A nurse is delegating tasks to assistive personnel (AP). Which of the following tasks is
appropriate to delegate?
A. Administering oral medications
B. Assessing a client's pain level
C. Measuring and recording intake and output
D. Teaching a client about a new diet
C Measuring I&O is a routine, non-invasive task within AP scope. Assessment, teaching,
and medication administration require the RN.
,4. A nurse is caring for a client who refuses a prescribed blood transfusion. Which of the
following actions should the nurse take?
A. Administer the transfusion against the client's will
B. Document the refusal and notify the provider
C. Ask the family to convince the client
D. Withhold all further care
B The client has the right to refuse treatment. The nurse documents the refusal, notifies
the provider, and continues to provide care.
5. A nurse is preparing to discharge a client who requires home oxygen. Which of the following
referrals is most appropriate?
A. Physical therapy
B. Social worker
C. Respiratory therapist
D. Occupational therapist
C A respiratory therapist provides education and setup for home oxygen therapy.
6. Which of the following situations requires the nurse to complete an incident report?
A. A client refuses medication
B. A client falls in the bathroom
C. A client requests a different meal
D. A client's family asks about discharge
B Incident reports document unexpected events such as falls; refusals and requests are
documented in the chart, not as incidents.
7. A nurse is acting as a client advocate. Which of the following actions best demonstrates
advocacy?
A. Making decisions for the client
B. Ensuring the client's wishes are respected
C. Avoiding discussion of treatment options
D. Delegating decision-making to the family
, B Advocacy means supporting and protecting the client's rights and wishes.
8. A nurse is caring for a client who is terminally ill and has an advance directive. The client
becomes unresponsive. Which of the following actions should the nurse take?
A. Initiate CPR immediately
B. Follow the directives in the advance directive
C. Ask the family what to do
D. Wait for the provider before acting
B Advance directives guide care when the client cannot communicate; the nurse follows
them.
9. A nurse is reviewing a client's chart and notes a medication error was made. Which of the
following actions should the nurse take first?
A. Notify the provider
B. Assess the client
C. Complete an incident report
D. Document the error
B The priority is client safety; assess the client first, then notify the provider and
document.
10. Which of the following is an example of a nurse violating client confidentiality?
A. Discussing the client's care in a private conference room
B. Sharing the client's diagnosis with a colleague caring for the client
C. Discussing the client's condition in an elevator
D. Documenting care in the electronic health record
C Discussing client information in public places violates confidentiality (HIPAA).
11. A nurse is prioritizing care for four clients. Which client should the nurse see first?
A. A client requesting pain medication
B. A client with new-onset shortness of breath
, C. A client needing discharge teaching
D. A client requesting a blanket
B New-onset dyspnea indicates a potential airway/breathing problem — highest priority
(ABCs).
12. A nurse is preparing to transfer a client to another unit. Which of the following is essential
for continuity of care?
A. Verbal report only
B. Written handoff using SBAR
C. Faxing the chart
D. Notifying the family
B SBAR provides structured, accurate communication during handoff.
13. A nurse is caring for a client who does not speak English and needs to sign a consent form.
Which action is appropriate?
A. Have a bilingual staff member translate
B. Use a certified medical interpreter
C. Have the client sign without understanding
D. Delay the procedure indefinitely
B Certified interpreters ensure accurate, confidential communication for consent.
14. Which of the following best describes the nurse's role in case management?
A. Providing direct care only
B. Coordinating care across disciplines
C. Prescribing medications
D. Performing surgery
B Case management coordinates care and resources across the healthcare team.
15. A nurse is reviewing the plan of care for a client. Which of the following indicates the plan is
client-centered?
2019 Form A B AN C
1. A nurse is caring for a client who has a new diagnosis of terminal cancer and speaks only
Spanish. Which of the following actions should the nurse take first?
A. Provide written materials in Spanish
B. Request a Spanish-speaking interpreter
C. Ask a family member to translate
D. Use gestures to explain the diagnosis
B The nurse must first ensure effective communication using a professional interpreter;
using family members or gestures compromises accuracy and confidentiality.
2. A nurse is reviewing informed consent with a client scheduled for a cardiac catheterization.
Which of the following is the nurse's responsibility?
A. Explaining the procedure in detail
B. Obtaining the client's signature
C. Verifying the client understands the procedure
D. Determining the client's competence to consent
C The nurse's role is to witness the signature and verify the client understands;
explaining and determining competence are the provider's responsibility.
3. A nurse is delegating tasks to assistive personnel (AP). Which of the following tasks is
appropriate to delegate?
A. Administering oral medications
B. Assessing a client's pain level
C. Measuring and recording intake and output
D. Teaching a client about a new diet
C Measuring I&O is a routine, non-invasive task within AP scope. Assessment, teaching,
and medication administration require the RN.
,4. A nurse is caring for a client who refuses a prescribed blood transfusion. Which of the
following actions should the nurse take?
A. Administer the transfusion against the client's will
B. Document the refusal and notify the provider
C. Ask the family to convince the client
D. Withhold all further care
B The client has the right to refuse treatment. The nurse documents the refusal, notifies
the provider, and continues to provide care.
5. A nurse is preparing to discharge a client who requires home oxygen. Which of the following
referrals is most appropriate?
A. Physical therapy
B. Social worker
C. Respiratory therapist
D. Occupational therapist
C A respiratory therapist provides education and setup for home oxygen therapy.
6. Which of the following situations requires the nurse to complete an incident report?
A. A client refuses medication
B. A client falls in the bathroom
C. A client requests a different meal
D. A client's family asks about discharge
B Incident reports document unexpected events such as falls; refusals and requests are
documented in the chart, not as incidents.
7. A nurse is acting as a client advocate. Which of the following actions best demonstrates
advocacy?
A. Making decisions for the client
B. Ensuring the client's wishes are respected
C. Avoiding discussion of treatment options
D. Delegating decision-making to the family
, B Advocacy means supporting and protecting the client's rights and wishes.
8. A nurse is caring for a client who is terminally ill and has an advance directive. The client
becomes unresponsive. Which of the following actions should the nurse take?
A. Initiate CPR immediately
B. Follow the directives in the advance directive
C. Ask the family what to do
D. Wait for the provider before acting
B Advance directives guide care when the client cannot communicate; the nurse follows
them.
9. A nurse is reviewing a client's chart and notes a medication error was made. Which of the
following actions should the nurse take first?
A. Notify the provider
B. Assess the client
C. Complete an incident report
D. Document the error
B The priority is client safety; assess the client first, then notify the provider and
document.
10. Which of the following is an example of a nurse violating client confidentiality?
A. Discussing the client's care in a private conference room
B. Sharing the client's diagnosis with a colleague caring for the client
C. Discussing the client's condition in an elevator
D. Documenting care in the electronic health record
C Discussing client information in public places violates confidentiality (HIPAA).
11. A nurse is prioritizing care for four clients. Which client should the nurse see first?
A. A client requesting pain medication
B. A client with new-onset shortness of breath
, C. A client needing discharge teaching
D. A client requesting a blanket
B New-onset dyspnea indicates a potential airway/breathing problem — highest priority
(ABCs).
12. A nurse is preparing to transfer a client to another unit. Which of the following is essential
for continuity of care?
A. Verbal report only
B. Written handoff using SBAR
C. Faxing the chart
D. Notifying the family
B SBAR provides structured, accurate communication during handoff.
13. A nurse is caring for a client who does not speak English and needs to sign a consent form.
Which action is appropriate?
A. Have a bilingual staff member translate
B. Use a certified medical interpreter
C. Have the client sign without understanding
D. Delay the procedure indefinitely
B Certified interpreters ensure accurate, confidential communication for consent.
14. Which of the following best describes the nurse's role in case management?
A. Providing direct care only
B. Coordinating care across disciplines
C. Prescribing medications
D. Performing surgery
B Case management coordinates care and resources across the healthcare team.
15. A nurse is reviewing the plan of care for a client. Which of the following indicates the plan is
client-centered?
