ATI RN Comprehensive Predictor 2026
Exit Exam – 180 NGN Practice Questions
with Rationales
Based on the available search results, I
have compiled a representative selection
of practice questions to help you
prepare for the ATI RN Comprehensive
Predictor Exit Exam. Please note that
these are derived from unofficial
student-shared resources, not official
ATI materials, and are intended for study
purposes only.
SECTION 1: MANAGEMENT OF CARE (Questions 1-20) Question 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 requiring routine insulin administration
B) Client with pneumonia requiring q4h vital signs
C) Client with chest tubes and new-onset respiratory distress
D) Client with a urinary tract infection requiring IV antibiotics
, Correct Resolution Result: C
Rationale: The client with chest tubes and respiratory distress is unstable and requires complex
assessment and intervention. This client should be assigned to the most experienced RN. Stable clients
with routine care can be assigned to LPNs or less experienced RNs under supervision.
Question 2
A nurse is preparing to delegate tasks to an unlicensed assistive personnel (UAP). Which task is
appropriate to delegate?
A) Assess a patient's post-operative pain level
B) Ambulate a patient with a walker who has been stable for 24 hours
C) Administer a tube feeding through a nasogastric tube
D) Evaluate the effectiveness of a patient's incentive spirometry use
Correct Resolution Result: B
Rationale: UAPs are trained to ambulate stable patients. Assessment, evaluation, and tube feeding
require nursing judgment and are not delegable.
Question 3
A nurse is caring for a patient who is confused and trying to climb out of bed. Which intervention should
be attempted before applying physical restraints?
A) Administer a PRN sedative
B) Place the bed in the highest position
C) Use a bed alarm and assign a sitter
D) Raise all four side rails
Correct Resolution Result: C
Rationale: Least restrictive measures should be tried first: bed alarm, reducing environmental stimuli,
frequent rounding, and a sitter are appropriate before chemical or physical restraints.
Question 4
A nurse is providing discharge teaching to a client who is Rh-negative and has delivered an Rh-positive
infant. Which statement indicates understanding of Rho(D) immune globulin (RhoGAM)?
A) "I will need this vaccine during my next pregnancy"
B) "This injection prevents me from developing antibodies that could harm future babies"
C) "I will receive this injection only if I choose to breastfeed"
D) "This injection replaces the need for prenatal vitamins"
Correct Resolution Result: B
Rationale: RhoGAM contains anti-Rh antibodies that bind to Rh-positive fetal cells, preventing maternal
sensitization and antibody formation that could attack an Rh-positive fetus in a subsequent pregnancy.
Exit Exam – 180 NGN Practice Questions
with Rationales
Based on the available search results, I
have compiled a representative selection
of practice questions to help you
prepare for the ATI RN Comprehensive
Predictor Exit Exam. Please note that
these are derived from unofficial
student-shared resources, not official
ATI materials, and are intended for study
purposes only.
SECTION 1: MANAGEMENT OF CARE (Questions 1-20) Question 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 requiring routine insulin administration
B) Client with pneumonia requiring q4h vital signs
C) Client with chest tubes and new-onset respiratory distress
D) Client with a urinary tract infection requiring IV antibiotics
, Correct Resolution Result: C
Rationale: The client with chest tubes and respiratory distress is unstable and requires complex
assessment and intervention. This client should be assigned to the most experienced RN. Stable clients
with routine care can be assigned to LPNs or less experienced RNs under supervision.
Question 2
A nurse is preparing to delegate tasks to an unlicensed assistive personnel (UAP). Which task is
appropriate to delegate?
A) Assess a patient's post-operative pain level
B) Ambulate a patient with a walker who has been stable for 24 hours
C) Administer a tube feeding through a nasogastric tube
D) Evaluate the effectiveness of a patient's incentive spirometry use
Correct Resolution Result: B
Rationale: UAPs are trained to ambulate stable patients. Assessment, evaluation, and tube feeding
require nursing judgment and are not delegable.
Question 3
A nurse is caring for a patient who is confused and trying to climb out of bed. Which intervention should
be attempted before applying physical restraints?
A) Administer a PRN sedative
B) Place the bed in the highest position
C) Use a bed alarm and assign a sitter
D) Raise all four side rails
Correct Resolution Result: C
Rationale: Least restrictive measures should be tried first: bed alarm, reducing environmental stimuli,
frequent rounding, and a sitter are appropriate before chemical or physical restraints.
Question 4
A nurse is providing discharge teaching to a client who is Rh-negative and has delivered an Rh-positive
infant. Which statement indicates understanding of Rho(D) immune globulin (RhoGAM)?
A) "I will need this vaccine during my next pregnancy"
B) "This injection prevents me from developing antibodies that could harm future babies"
C) "I will receive this injection only if I choose to breastfeed"
D) "This injection replaces the need for prenatal vitamins"
Correct Resolution Result: B
Rationale: RhoGAM contains anti-Rh antibodies that bind to Rh-positive fetal cells, preventing maternal
sensitization and antibody formation that could attack an Rh-positive fetus in a subsequent pregnancy.
