2027 ATI RN Comprehensive Predictor Exam 100 Practice Multiple Choice Questions
with Answers and Rationales.
2027 ATI RN Comprehensive Predictor Exam 100
Practice Multiple Choice Questions with Answers
and Rationales.
RN / NCLEX-RN preparation
This practice examination is designed to help you prepare for the 2027 ATI RN
Comprehensive Predictor. It covers nursing fundamentals, medical-surgical nursing,
pharmacology, maternal-newborn care, pediatrics, mental health, community health,
leadership, and clinical judgment.
Section 1: Management of Care and Leadership (1–10)
1. A nurse receives reports on four clients. Which client should the nurse assess first?
A. A client with diabetes requesting a snack
B. A client with pneumonia whose oxygen saturation is 88%
C. A client scheduled for discharge
D. A client reporting mild incisional pain
Answer: B
Rationale: An oxygen saturation of 88% indicates hypoxemia. Airway and breathing
problems take priority over routine needs, discharge planning, and mild pain.
2. Which task is appropriate for the nurse to delegate to unlicensed assistive personnel
(UAP)?
A. Assessing a newly admitted client
B. Administering prescribed medication
C. Assisting a stable client with bathing
D. Evaluating a client's response to treatment
,2027 ATI RN Comprehensive Predictor Exam 100 Practice Multiple Choice Questions
with Answers and Rationales.
Answer: C
Rationale: UAPs may perform routine activities of daily living for stable clients.
Assessment, medication administration, and evaluation require a licensed nurse.
3. A nurse is caring for a client who refuses a prescribed blood transfusion because of
personal beliefs. What should the nurse do?
A. Administer the transfusion slowly
B. Respect the client's decision and notify the provider
C. Ask the family to authorize the transfusion
D. Document the refusal and leave without further action
Answer: B
Rationale: A competent adult has the right to refuse treatment. The nurse should respect
the decision, notify the healthcare provider, explore the client's concerns, and document
appropriately.
4. Which client should the nurse assign to an experienced RN?
A. A stable client requiring assistance with meals
B. A client requiring routine vital signs
C. A client experiencing new-onset chest pain
D. A client awaiting discharge instructions
Answer: C
Rationale: New-onset chest pain may indicate acute coronary syndrome and requires
immediate assessment, clinical judgment, and rapid intervention.
5. A nurse discovers that a medication error has occurred. What is the priority action?
A. Complete an incident report
B. Assess the client for adverse effects
C. Notify the nurse manager
D. Document the error in the incident report only
,2027 ATI RN Comprehensive Predictor Exam 100 Practice Multiple Choice Questions
with Answers and Rationales.
Answer: B
Rationale: The client's safety comes first. Assess the client, provide necessary
interventions, notify the provider, and follow facility reporting procedures.
6. Which action demonstrates client advocacy?
A. Making decisions for a competent client
B. Supporting the client's informed healthcare choices
C. Withholding information to prevent anxiety
D. Encouraging the client to accept every treatment
Answer: B
Rationale: Advocacy involves protecting the client's rights, supporting informed decisions,
and ensuring the client's preferences are respected.
7. Which action by a nurse violates client confidentiality?
A. Discussing care with the assigned healthcare team
B. Giving information to an authorized healthcare provider
C. Discussing a client's diagnosis in a public elevator
D. Documenting care in the medical record
Answer: C
Rationale: Discussing identifiable client information in a public area breaches
confidentiality and privacy.
8. A nurse is preparing to discharge a client who requires home oxygen. Which action is
most important?
A. Ensure the client understands oxygen safety
B. Tell the client to increase oxygen whenever breathless
C. Recommend smoking near an open window
D. Instruct the client to store oxygen beside a heat source
Answer: A
, 2027 ATI RN Comprehensive Predictor Exam 100 Practice Multiple Choice Questions
with Answers and Rationales.
Rationale: Oxygen supports combustion. The client must understand fire prevention,
smoking restrictions, safe storage, and equipment use.
9. A nurse is caring for a client who has signed an informed consent form but says they do
not understand the procedure. What should the nurse do?
A. Explain all surgical risks independently
B. Ask the provider to clarify the procedure
C. Proceed because the form is signed
D. Ask a family member to explain
Answer: B
Rationale: The provider performing the procedure is responsible for explaining it and
answering questions. The nurse should pause the process and facilitate clarification.
10. Which situation requires the nurse to complete an incident report?
A. A client refuses breakfast
B. A client falls while walking to the bathroom
C. A client requests a different pillow
D. A client receives a scheduled medication correctly
Answer: B
Rationale: A fall is an unexpected event that must be reported according to facility policy.
The nurse should first assess the client and provide appropriate care.
Section 2: Safety and Infection Control (11–20)
11. Which precaution is appropriate for a client with pulmonary tuberculosis?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Standard precautions only
Answer: C
with Answers and Rationales.
2027 ATI RN Comprehensive Predictor Exam 100
Practice Multiple Choice Questions with Answers
and Rationales.
RN / NCLEX-RN preparation
This practice examination is designed to help you prepare for the 2027 ATI RN
Comprehensive Predictor. It covers nursing fundamentals, medical-surgical nursing,
pharmacology, maternal-newborn care, pediatrics, mental health, community health,
leadership, and clinical judgment.
Section 1: Management of Care and Leadership (1–10)
1. A nurse receives reports on four clients. Which client should the nurse assess first?
A. A client with diabetes requesting a snack
B. A client with pneumonia whose oxygen saturation is 88%
C. A client scheduled for discharge
D. A client reporting mild incisional pain
Answer: B
Rationale: An oxygen saturation of 88% indicates hypoxemia. Airway and breathing
problems take priority over routine needs, discharge planning, and mild pain.
2. Which task is appropriate for the nurse to delegate to unlicensed assistive personnel
(UAP)?
A. Assessing a newly admitted client
B. Administering prescribed medication
C. Assisting a stable client with bathing
D. Evaluating a client's response to treatment
,2027 ATI RN Comprehensive Predictor Exam 100 Practice Multiple Choice Questions
with Answers and Rationales.
Answer: C
Rationale: UAPs may perform routine activities of daily living for stable clients.
Assessment, medication administration, and evaluation require a licensed nurse.
3. A nurse is caring for a client who refuses a prescribed blood transfusion because of
personal beliefs. What should the nurse do?
A. Administer the transfusion slowly
B. Respect the client's decision and notify the provider
C. Ask the family to authorize the transfusion
D. Document the refusal and leave without further action
Answer: B
Rationale: A competent adult has the right to refuse treatment. The nurse should respect
the decision, notify the healthcare provider, explore the client's concerns, and document
appropriately.
4. Which client should the nurse assign to an experienced RN?
A. A stable client requiring assistance with meals
B. A client requiring routine vital signs
C. A client experiencing new-onset chest pain
D. A client awaiting discharge instructions
Answer: C
Rationale: New-onset chest pain may indicate acute coronary syndrome and requires
immediate assessment, clinical judgment, and rapid intervention.
5. A nurse discovers that a medication error has occurred. What is the priority action?
A. Complete an incident report
B. Assess the client for adverse effects
C. Notify the nurse manager
D. Document the error in the incident report only
,2027 ATI RN Comprehensive Predictor Exam 100 Practice Multiple Choice Questions
with Answers and Rationales.
Answer: B
Rationale: The client's safety comes first. Assess the client, provide necessary
interventions, notify the provider, and follow facility reporting procedures.
6. Which action demonstrates client advocacy?
A. Making decisions for a competent client
B. Supporting the client's informed healthcare choices
C. Withholding information to prevent anxiety
D. Encouraging the client to accept every treatment
Answer: B
Rationale: Advocacy involves protecting the client's rights, supporting informed decisions,
and ensuring the client's preferences are respected.
7. Which action by a nurse violates client confidentiality?
A. Discussing care with the assigned healthcare team
B. Giving information to an authorized healthcare provider
C. Discussing a client's diagnosis in a public elevator
D. Documenting care in the medical record
Answer: C
Rationale: Discussing identifiable client information in a public area breaches
confidentiality and privacy.
8. A nurse is preparing to discharge a client who requires home oxygen. Which action is
most important?
A. Ensure the client understands oxygen safety
B. Tell the client to increase oxygen whenever breathless
C. Recommend smoking near an open window
D. Instruct the client to store oxygen beside a heat source
Answer: A
, 2027 ATI RN Comprehensive Predictor Exam 100 Practice Multiple Choice Questions
with Answers and Rationales.
Rationale: Oxygen supports combustion. The client must understand fire prevention,
smoking restrictions, safe storage, and equipment use.
9. A nurse is caring for a client who has signed an informed consent form but says they do
not understand the procedure. What should the nurse do?
A. Explain all surgical risks independently
B. Ask the provider to clarify the procedure
C. Proceed because the form is signed
D. Ask a family member to explain
Answer: B
Rationale: The provider performing the procedure is responsible for explaining it and
answering questions. The nurse should pause the process and facilitate clarification.
10. Which situation requires the nurse to complete an incident report?
A. A client refuses breakfast
B. A client falls while walking to the bathroom
C. A client requests a different pillow
D. A client receives a scheduled medication correctly
Answer: B
Rationale: A fall is an unexpected event that must be reported according to facility policy.
The nurse should first assess the client and provide appropriate care.
Section 2: Safety and Infection Control (11–20)
11. Which precaution is appropriate for a client with pulmonary tuberculosis?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Standard precautions only
Answer: C
