ATI COMPREHENSIVE PREDICTOR (NGN)
COMPLETE EXAMINATION REVIEW
1,000+ QUESTIONS WITH VERIFIED ANSWERS & RATIONALES
ORIGINAL CONTENT ALIGNED TO THE NGN BLUEPRINT
========================================
TABLE OF CONTENTS
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SECTION 1: MANAGEMENT OF CARE (Questions 1-150)
SECTION 2: SAFETY AND INFECTION CONTROL (Questions 151-300)
SECTION 3: HEALTH PROMOTION AND MAINTENANCE (Questions 301-450)
SECTION 4: PSYCHOSOCIAL INTEGRITY (Questions 451-600)
SECTION 5: BASIC CARE AND COMFORT (Questions 601-750)
SECTION 6: PHARMACOLOGICAL AND PARENTERAL THERAPIES (Questions 751-900)
SECTION 7: REDUCTION OF RISK POTENTIAL (Questions 901-1050)
SECTION 8: PHYSIOLOGICAL ADAPTATION (Questions 1051-1200)
========================================
SECTION 1: MANAGEMENT OF CARE
(Client Rights, Advocacy, Delegation, Ethics, Legal, Prioritization)
========================================
1. A competent adult client refuses a blood transfusion based on religious beliefs. The hemoglobin is 6.8
g/dL. Which action should the nurse take first?
A) Administer the transfusion as ordered by the provider
B) Notify the provider and document the client's refusal
C) Ask the family to convince the client to accept treatment
D) Obtain a court order to administer the transfusion
,Answer: B
Rationale: A competent adult has the legal and ethical right to refuse any treatment. The nurse must
respect autonomy, notify the provider, and document the refusal. Administering against the client's will
constitutes battery. Family cannot override the decision of a competent adult.
2. A nurse is delegating tasks to unlicensed assistive personnel (UAP). Which task is appropriate to
delegate?
A) Administering oral medications
B) Assessing a client's pain level
C) Ambulating a stable postoperative client
D) Teaching insulin administration
Answer: C
Rationale: Ambulating a stable client is within UAP scope. Medication administration, assessment, and
teaching all require RN licensure and clinical judgment.
3. A nurse discovers an older adult client who was alert one hour ago is now confused and restless.
What is the priority nursing action?
A) Apply soft restraints immediately
B) Assess vital signs and blood glucose
C) Notify the provider before assessment
D) Ask UAP to stay with the client
Answer: B
Rationale: Acute mental status change requires immediate assessment for hypoxia, hypoglycemia,
stroke, or infection. Assessment precedes intervention. Restraints are a last resort.
4. A charge nurse is assigning clients. Which client is most appropriate for the LPN?
,A) Newly admitted client with acute GI bleeding
B) Client 2 days post-op hip replacement needing wound care
C) Client receiving first dose IV chemotherapy
D) Client with new-onset chest pain
Answer: B
Rationale: LPNs care for stable clients with predictable outcomes. The post-op hip replacement client
has routine needs within LPN scope. Acute, unstable clients require RN assessment.
5. A client with terminal cancer asks the nurse about hospice care. Which response demonstrates
advocacy?
A) "You should focus on curative treatment instead."
B) "Let me explain hospice services and discuss your goals of care."
C) "Hospice means you are giving up."
D) "I will decide what is best for you."
Answer: B
Rationale: Advocacy involves providing information and supporting client autonomy in decision-making.
The nurse should educate about options without imposing personal values.
6. A nurse witnesses a colleague taking a controlled substance from the medication cart. What is the
priority action?
A) Confront the colleague privately
B) Report to the nurse manager immediately
C) Ignore the behavior to avoid conflict
D) Document in the client's chart
, Answer: B
Rationale: Suspected diversion must be reported immediately to leadership. The nurse has a legal and
ethical duty to protect clients and report impaired practice.
7. An adult client without advance directives develops cardiac arrest. The spouse states the client would
not want resuscitation. What should the nurse do?
A) Begin CPR immediately
B) Honor the spouse's request and withhold CPR
C) Ask the spouse to provide written documentation
D) Call the ethics committee before acting
Answer: A
Rationale: Without a valid DNR order or advance directive, the nurse must initiate CPR. Verbal requests
from family are not legally binding in an emergency.
8. A nurse is reviewing informed consent. Which statement indicates the client understands?
A) "The nurse explained the risks and benefits."
B) "The doctor explained the procedure and I agreed."
C) "My family signed the consent for me."
D) "I signed without asking questions."
Answer: B
Rationale: Informed consent requires the provider to explain risks, benefits, and alternatives, and the
client must voluntarily agree. Nurses witness consent but do not obtain it.
9. A nurse manager is developing a staffing plan. Which factor is the priority?
A) Staff preferences for shifts
COMPLETE EXAMINATION REVIEW
1,000+ QUESTIONS WITH VERIFIED ANSWERS & RATIONALES
ORIGINAL CONTENT ALIGNED TO THE NGN BLUEPRINT
========================================
TABLE OF CONTENTS
========================================
SECTION 1: MANAGEMENT OF CARE (Questions 1-150)
SECTION 2: SAFETY AND INFECTION CONTROL (Questions 151-300)
SECTION 3: HEALTH PROMOTION AND MAINTENANCE (Questions 301-450)
SECTION 4: PSYCHOSOCIAL INTEGRITY (Questions 451-600)
SECTION 5: BASIC CARE AND COMFORT (Questions 601-750)
SECTION 6: PHARMACOLOGICAL AND PARENTERAL THERAPIES (Questions 751-900)
SECTION 7: REDUCTION OF RISK POTENTIAL (Questions 901-1050)
SECTION 8: PHYSIOLOGICAL ADAPTATION (Questions 1051-1200)
========================================
SECTION 1: MANAGEMENT OF CARE
(Client Rights, Advocacy, Delegation, Ethics, Legal, Prioritization)
========================================
1. A competent adult client refuses a blood transfusion based on religious beliefs. The hemoglobin is 6.8
g/dL. Which action should the nurse take first?
A) Administer the transfusion as ordered by the provider
B) Notify the provider and document the client's refusal
C) Ask the family to convince the client to accept treatment
D) Obtain a court order to administer the transfusion
,Answer: B
Rationale: A competent adult has the legal and ethical right to refuse any treatment. The nurse must
respect autonomy, notify the provider, and document the refusal. Administering against the client's will
constitutes battery. Family cannot override the decision of a competent adult.
2. A nurse is delegating tasks to unlicensed assistive personnel (UAP). Which task is appropriate to
delegate?
A) Administering oral medications
B) Assessing a client's pain level
C) Ambulating a stable postoperative client
D) Teaching insulin administration
Answer: C
Rationale: Ambulating a stable client is within UAP scope. Medication administration, assessment, and
teaching all require RN licensure and clinical judgment.
3. A nurse discovers an older adult client who was alert one hour ago is now confused and restless.
What is the priority nursing action?
A) Apply soft restraints immediately
B) Assess vital signs and blood glucose
C) Notify the provider before assessment
D) Ask UAP to stay with the client
Answer: B
Rationale: Acute mental status change requires immediate assessment for hypoxia, hypoglycemia,
stroke, or infection. Assessment precedes intervention. Restraints are a last resort.
4. A charge nurse is assigning clients. Which client is most appropriate for the LPN?
,A) Newly admitted client with acute GI bleeding
B) Client 2 days post-op hip replacement needing wound care
C) Client receiving first dose IV chemotherapy
D) Client with new-onset chest pain
Answer: B
Rationale: LPNs care for stable clients with predictable outcomes. The post-op hip replacement client
has routine needs within LPN scope. Acute, unstable clients require RN assessment.
5. A client with terminal cancer asks the nurse about hospice care. Which response demonstrates
advocacy?
A) "You should focus on curative treatment instead."
B) "Let me explain hospice services and discuss your goals of care."
C) "Hospice means you are giving up."
D) "I will decide what is best for you."
Answer: B
Rationale: Advocacy involves providing information and supporting client autonomy in decision-making.
The nurse should educate about options without imposing personal values.
6. A nurse witnesses a colleague taking a controlled substance from the medication cart. What is the
priority action?
A) Confront the colleague privately
B) Report to the nurse manager immediately
C) Ignore the behavior to avoid conflict
D) Document in the client's chart
, Answer: B
Rationale: Suspected diversion must be reported immediately to leadership. The nurse has a legal and
ethical duty to protect clients and report impaired practice.
7. An adult client without advance directives develops cardiac arrest. The spouse states the client would
not want resuscitation. What should the nurse do?
A) Begin CPR immediately
B) Honor the spouse's request and withhold CPR
C) Ask the spouse to provide written documentation
D) Call the ethics committee before acting
Answer: A
Rationale: Without a valid DNR order or advance directive, the nurse must initiate CPR. Verbal requests
from family are not legally binding in an emergency.
8. A nurse is reviewing informed consent. Which statement indicates the client understands?
A) "The nurse explained the risks and benefits."
B) "The doctor explained the procedure and I agreed."
C) "My family signed the consent for me."
D) "I signed without asking questions."
Answer: B
Rationale: Informed consent requires the provider to explain risks, benefits, and alternatives, and the
client must voluntarily agree. Nurses witness consent but do not obtain it.
9. A nurse manager is developing a staffing plan. Which factor is the priority?
A) Staff preferences for shifts
