, ATI RN Predictor Exit Exam with NGN Questions
& Case Scenarios (Updated PDF)
Section 1: Management of Care
1. A nurse is caring for a client who is scheduled for surgery. The client asks the nurse, “What are
the risks of this procedure?” Which action should the nurse take?
A) Explain the risks and benefits to the client.
B) Notify the provider that the client has questions about the procedure.
C) Provide the client with a written handout about the surgery.
D) Tell the client not to worry because the surgeon is experienced.
Answer: B
Rationale: Informed consent requires the provider to explain risks and benefits. The nurse’s role is to
witness the signature and clarify information, not to obtain consent.
2. A charge nurse is assigning clients to staff. Which client should be assigned to the most
experienced RN?
A) Client with a urinary tract infection receiving oral antibiotics
B) Client with a new tracheostomy and unstable oxygen saturation
C) Client with a fractured hip awaiting surgery
D) Client requesting discharge teaching after a myocardial infarction
Answer: B
Rationale: Unstable airway and oxygenation require the most experienced RN. Stable clients can be
assigned to less experienced staff.
3. A nurse is delegating tasks to a UAP. Which task is appropriate to delegate?
A) Assess a client’s lung sounds
B) Measure and record a client’s intake and output
C) Administer a tube feeding
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,D) Change a sterile dressing
Answer: B
Rationale: I&O measurement is a non-invasive task within UAP scope. Assessment, tube feedings, and
sterile procedures require licensed staff.
4. A client with terminal illness tells the nurse, “I don’t want any heroic measures. I have a living
will.” Which action should the nurse take?
A) Ignore the statement because the family may disagree.
B) Ensure the living will is in the medical record and notify the provider.
C) Tell the client that living wills are not legally binding.
D) Ask the family to sign a consent form.
Answer: B
Rationale: Advance directives must be honored and documented. The provider should be informed to
ensure orders reflect the client’s wishes.
5. A nurse is caring for a client who speaks only Spanish. Which action should the nurse take to
ensure effective communication?
A) Ask a family member to interpret.
B) Use a professional medical interpreter.
C) Speak loudly and slowly in English.
D) Provide written materials in English.
Answer: B
Rationale: Family members may misinterpret medical information. Professional interpreters ensure
accuracy and confidentiality.
6. A nurse is reviewing a client’s chart and notices that the client has an advance directive. Which
statement by the nurse is correct?
A) “The advance directive automatically expires after 1 year.”
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, B) “The advance directive should be reviewed with the client and family.”
C) “Only the physician can change the advance directive.”
D) “The advance directive cannot be changed once signed.”
Answer: B
Rationale: Advance directives should be reviewed regularly and can be changed by the client at any time
while competent.
7. A client is being discharged and needs home oxygen. Which member of the healthcare team
should the nurse collaborate with to arrange this?
A) Physical therapist
B) Case manager or social worker
C) Pharmacist
D) Dietitian
Answer: B
Rationale: Case managers coordinate discharge planning and arrange home equipment and services.
8. A nurse is caring for a client who is confused and attempting to get out of bed. Which action
should the nurse take first?
A) Apply soft wrist restraints.
B) Assess the cause of confusion and reorient the client.
C) Administer a sedative.
D) Notify the provider for a restraint order.
Answer: B
Rationale: First assess for underlying causes (pain, hypoxia, medication effects) and use non-
pharmacologic measures before restraints.
9. Which of the following is an example of a sentinel event?
A) A client falls without injury.
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& Case Scenarios (Updated PDF)
Section 1: Management of Care
1. A nurse is caring for a client who is scheduled for surgery. The client asks the nurse, “What are
the risks of this procedure?” Which action should the nurse take?
A) Explain the risks and benefits to the client.
B) Notify the provider that the client has questions about the procedure.
C) Provide the client with a written handout about the surgery.
D) Tell the client not to worry because the surgeon is experienced.
Answer: B
Rationale: Informed consent requires the provider to explain risks and benefits. The nurse’s role is to
witness the signature and clarify information, not to obtain consent.
2. A charge nurse is assigning clients to staff. Which client should be assigned to the most
experienced RN?
A) Client with a urinary tract infection receiving oral antibiotics
B) Client with a new tracheostomy and unstable oxygen saturation
C) Client with a fractured hip awaiting surgery
D) Client requesting discharge teaching after a myocardial infarction
Answer: B
Rationale: Unstable airway and oxygenation require the most experienced RN. Stable clients can be
assigned to less experienced staff.
3. A nurse is delegating tasks to a UAP. Which task is appropriate to delegate?
A) Assess a client’s lung sounds
B) Measure and record a client’s intake and output
C) Administer a tube feeding
2
,D) Change a sterile dressing
Answer: B
Rationale: I&O measurement is a non-invasive task within UAP scope. Assessment, tube feedings, and
sterile procedures require licensed staff.
4. A client with terminal illness tells the nurse, “I don’t want any heroic measures. I have a living
will.” Which action should the nurse take?
A) Ignore the statement because the family may disagree.
B) Ensure the living will is in the medical record and notify the provider.
C) Tell the client that living wills are not legally binding.
D) Ask the family to sign a consent form.
Answer: B
Rationale: Advance directives must be honored and documented. The provider should be informed to
ensure orders reflect the client’s wishes.
5. A nurse is caring for a client who speaks only Spanish. Which action should the nurse take to
ensure effective communication?
A) Ask a family member to interpret.
B) Use a professional medical interpreter.
C) Speak loudly and slowly in English.
D) Provide written materials in English.
Answer: B
Rationale: Family members may misinterpret medical information. Professional interpreters ensure
accuracy and confidentiality.
6. A nurse is reviewing a client’s chart and notices that the client has an advance directive. Which
statement by the nurse is correct?
A) “The advance directive automatically expires after 1 year.”
3
, B) “The advance directive should be reviewed with the client and family.”
C) “Only the physician can change the advance directive.”
D) “The advance directive cannot be changed once signed.”
Answer: B
Rationale: Advance directives should be reviewed regularly and can be changed by the client at any time
while competent.
7. A client is being discharged and needs home oxygen. Which member of the healthcare team
should the nurse collaborate with to arrange this?
A) Physical therapist
B) Case manager or social worker
C) Pharmacist
D) Dietitian
Answer: B
Rationale: Case managers coordinate discharge planning and arrange home equipment and services.
8. A nurse is caring for a client who is confused and attempting to get out of bed. Which action
should the nurse take first?
A) Apply soft wrist restraints.
B) Assess the cause of confusion and reorient the client.
C) Administer a sedative.
D) Notify the provider for a restraint order.
Answer: B
Rationale: First assess for underlying causes (pain, hypoxia, medication effects) and use non-
pharmacologic measures before restraints.
9. Which of the following is an example of a sentinel event?
A) A client falls without injury.
4
