ATI RN Comprehensive Predictor Exam with NGN
| 2024/2025 Edition | 180 Questions & Answers |
Real Exam-Based Q&A
ATI RN Comprehensive Predictor (with Next Generation NCLEX-style items) | Predictive
Assessment for NCLEX-RN Readiness | Expert-Verified Questions & Answers
Introduction
This exam bank presents 180 multiple-choice and alternate-format items from the ATI
RN Comprehensive Predictor Exam with NGN (2024/2025). Of these, 150 questions
count toward the scored result, and the remaining 30 are unscored pilot items.
Content areas include management of care, physiologic integrity, pharmacologic therapies,
infection control, health promotion, psychosocial integrity, and clinical judgment in NGN item
formats. Each question in this collection comes with a verified correct answer and rationale for
targeted remediation and NCLEX readiness.
Answer Format
Correct answers are displayed in bold and green, with accompanying rationales where
applicable to enhance understanding and confidence before sitting for the NCLEX.
Section 1: Management of Care
Question 1
A nurse is prioritizing care for four clients. Which client should be assessed first?
A) A client with a new prescription for antihypertensives
B) A client with a blood glucose of 250 mg/dL
C) A client with chest pain and diaphoresis
D) A client scheduled for a routine dressing change
Rationale: Chest pain and diaphoresis may indicate a myocardial infarction, requiring
immediate assessment per ABC priorities.
Question 2
A nurse is preparing to administer a medication when the client questions the dosage. What is
the nurse’s best action?
A) Administer the medication as ordered
B) Verify the order with the provider
C) Educate the client on the dosage
D) Document the client’s concern
Rationale: Verifying the order ensures safety and addresses the client’s concern per ANA
standards.
,Question 3
A nurse is delegating tasks to a licensed practical nurse (LPN). Which task is appropriate to
delegate?
A) Developing a care plan
B) Administering a scheduled enema
C) Evaluating client outcomes
D) Initiating a blood transfusion
Rationale: Administering an enema is within an LPN’s scope per state nurse practice acts.
Question 4
A nurse is receiving a handoff report. What information is most important to obtain?
A) Client’s dietary preferences
B) Client’s current vital signs
C) Client’s room number
D) Client’s family contact
Rationale: Vital signs provide immediate health status per NGN handover guidelines.
Question 5
A client refuses a prescribed treatment. What is the nurse’s next step?
A) Proceed with the treatment
B) Explain the risks and benefits again
C) Document the refusal
D) Notify the provider
Rationale: Education respects autonomy per ANA ethics.
Question 6
A nurse is caring for a client with a DNR order. What is the priority during a cardiac arrest?
A) Initiate CPR
B) Honor the DNR and provide comfort measures
C) Administer epinephrine
D) Intubate the client
Rationale: DNR orders guide care per legal and ethical standards.
Question 7
A nurse is planning discharge teaching for a client with diabetes. What is the priority topic?
A) Meal planning
B) Recognizing hypoglycemia symptoms
C) Exercise routines
D) Foot care
Rationale: Hypoglycemia recognition prevents emergencies per ADA.
Question 8
A nurse observes a colleague violating HIPAA. What should the nurse do?
A) Ignore the incident
B) Report the violation to the supervisor
C) Confront the colleague publicly
,D) Document without action
Rationale: Reporting ensures compliance per HIPAA regulations.
Question 9
A nurse is assigned to four clients. Which assignment requires the most immediate follow-up?
A) A client with a stable post-op recovery
B) A client with a sudden change in mental status
C) A client receiving routine IV fluids
D) A client awaiting discharge
Rationale: Sudden mental status change may indicate a neurological event per NGN.
Question 10
A nurse is teaching a client about advance directives. What is the primary purpose?
A) To appoint a healthcare proxy
B) To outline end-of-life preferences
C) To request additional treatments
D) To assign a legal guardian
Rationale: Advance directives guide care per ANA.
Question 11
A nurse is coordinating care for a client with multiple providers. What is the best action?
A) Share updates with one provider only
B) Facilitate a multidisciplinary team meeting
C) Document independently
D) Avoid communication
Rationale: Team collaboration improves outcomes per NGN.
Question 12
A client with a terminal illness requests to stop treatment. What is the nurse’s role?
A) Persuade the client to continue
B) Support the client’s autonomy
C) Administer treatment anyway
D) Notify the family
Rationale: Autonomy is respected per ethical principles.
Question 13
A nurse is reviewing a client’s chart and notes a missing consent form. What should the nurse
do?
A) Proceed with the procedure
B) Notify the provider to obtain consent
C) Assume verbal consent was given
D) Document the oversight
Rationale: Consent is required per legal standards.
Question 14
A nurse is caring for a client in restraints. What is the most important check?
A) Restraint type
, B) Circulation and skin integrity
C) Room temperature
D) Client’s meal tray
Rationale: Circulation checks prevent injury per CMS guidelines.
Question 15
A nurse is assigned to triage in an emergency department. Which client is most urgent?
A) A client with a sprained ankle
B) A client with uncontrolled bleeding
C) A client with a headache
D) A client with a rash
Rationale: Uncontrolled bleeding is life-threatening per triage protocols.
Question 16
A nurse is preparing a client for surgery. What is the priority preoperative teaching?
A) Postoperative diet
B) NPO status and risks
C) Discharge planning
D) Pain medication options
Rationale: NPO status prevents aspiration per ASA.
Question 17
A nurse is caring for a client with a living will. What does it indicate?
A) Preference for aggressive treatment
B) Desire to limit life-sustaining measures
C) Appointment of a power of attorney
D) Request for organ donation
Rationale: Living wills guide end-of-life care per law.
Question 18
A nurse is managing a unit during a code blue. What is the nurse’s role?
A) Perform chest compressions
B) Coordinate the code team
C) Administer medications
D) Document the event
Rationale: Coordination ensures effective response per ACLS.
Question 19
A nurse is advocating for a client’s pain management. What is the best approach?
A) Accept the current plan
B) Collaborate with the provider for adjustment
C) Increase medication independently
D) Ignore the client’s complaints
Rationale: Collaboration improves care per ANA.
Question 20
A nurse is assigning tasks to a nursing assistant. Which task is appropriate?
| 2024/2025 Edition | 180 Questions & Answers |
Real Exam-Based Q&A
ATI RN Comprehensive Predictor (with Next Generation NCLEX-style items) | Predictive
Assessment for NCLEX-RN Readiness | Expert-Verified Questions & Answers
Introduction
This exam bank presents 180 multiple-choice and alternate-format items from the ATI
RN Comprehensive Predictor Exam with NGN (2024/2025). Of these, 150 questions
count toward the scored result, and the remaining 30 are unscored pilot items.
Content areas include management of care, physiologic integrity, pharmacologic therapies,
infection control, health promotion, psychosocial integrity, and clinical judgment in NGN item
formats. Each question in this collection comes with a verified correct answer and rationale for
targeted remediation and NCLEX readiness.
Answer Format
Correct answers are displayed in bold and green, with accompanying rationales where
applicable to enhance understanding and confidence before sitting for the NCLEX.
Section 1: Management of Care
Question 1
A nurse is prioritizing care for four clients. Which client should be assessed first?
A) A client with a new prescription for antihypertensives
B) A client with a blood glucose of 250 mg/dL
C) A client with chest pain and diaphoresis
D) A client scheduled for a routine dressing change
Rationale: Chest pain and diaphoresis may indicate a myocardial infarction, requiring
immediate assessment per ABC priorities.
Question 2
A nurse is preparing to administer a medication when the client questions the dosage. What is
the nurse’s best action?
A) Administer the medication as ordered
B) Verify the order with the provider
C) Educate the client on the dosage
D) Document the client’s concern
Rationale: Verifying the order ensures safety and addresses the client’s concern per ANA
standards.
,Question 3
A nurse is delegating tasks to a licensed practical nurse (LPN). Which task is appropriate to
delegate?
A) Developing a care plan
B) Administering a scheduled enema
C) Evaluating client outcomes
D) Initiating a blood transfusion
Rationale: Administering an enema is within an LPN’s scope per state nurse practice acts.
Question 4
A nurse is receiving a handoff report. What information is most important to obtain?
A) Client’s dietary preferences
B) Client’s current vital signs
C) Client’s room number
D) Client’s family contact
Rationale: Vital signs provide immediate health status per NGN handover guidelines.
Question 5
A client refuses a prescribed treatment. What is the nurse’s next step?
A) Proceed with the treatment
B) Explain the risks and benefits again
C) Document the refusal
D) Notify the provider
Rationale: Education respects autonomy per ANA ethics.
Question 6
A nurse is caring for a client with a DNR order. What is the priority during a cardiac arrest?
A) Initiate CPR
B) Honor the DNR and provide comfort measures
C) Administer epinephrine
D) Intubate the client
Rationale: DNR orders guide care per legal and ethical standards.
Question 7
A nurse is planning discharge teaching for a client with diabetes. What is the priority topic?
A) Meal planning
B) Recognizing hypoglycemia symptoms
C) Exercise routines
D) Foot care
Rationale: Hypoglycemia recognition prevents emergencies per ADA.
Question 8
A nurse observes a colleague violating HIPAA. What should the nurse do?
A) Ignore the incident
B) Report the violation to the supervisor
C) Confront the colleague publicly
,D) Document without action
Rationale: Reporting ensures compliance per HIPAA regulations.
Question 9
A nurse is assigned to four clients. Which assignment requires the most immediate follow-up?
A) A client with a stable post-op recovery
B) A client with a sudden change in mental status
C) A client receiving routine IV fluids
D) A client awaiting discharge
Rationale: Sudden mental status change may indicate a neurological event per NGN.
Question 10
A nurse is teaching a client about advance directives. What is the primary purpose?
A) To appoint a healthcare proxy
B) To outline end-of-life preferences
C) To request additional treatments
D) To assign a legal guardian
Rationale: Advance directives guide care per ANA.
Question 11
A nurse is coordinating care for a client with multiple providers. What is the best action?
A) Share updates with one provider only
B) Facilitate a multidisciplinary team meeting
C) Document independently
D) Avoid communication
Rationale: Team collaboration improves outcomes per NGN.
Question 12
A client with a terminal illness requests to stop treatment. What is the nurse’s role?
A) Persuade the client to continue
B) Support the client’s autonomy
C) Administer treatment anyway
D) Notify the family
Rationale: Autonomy is respected per ethical principles.
Question 13
A nurse is reviewing a client’s chart and notes a missing consent form. What should the nurse
do?
A) Proceed with the procedure
B) Notify the provider to obtain consent
C) Assume verbal consent was given
D) Document the oversight
Rationale: Consent is required per legal standards.
Question 14
A nurse is caring for a client in restraints. What is the most important check?
A) Restraint type
, B) Circulation and skin integrity
C) Room temperature
D) Client’s meal tray
Rationale: Circulation checks prevent injury per CMS guidelines.
Question 15
A nurse is assigned to triage in an emergency department. Which client is most urgent?
A) A client with a sprained ankle
B) A client with uncontrolled bleeding
C) A client with a headache
D) A client with a rash
Rationale: Uncontrolled bleeding is life-threatening per triage protocols.
Question 16
A nurse is preparing a client for surgery. What is the priority preoperative teaching?
A) Postoperative diet
B) NPO status and risks
C) Discharge planning
D) Pain medication options
Rationale: NPO status prevents aspiration per ASA.
Question 17
A nurse is caring for a client with a living will. What does it indicate?
A) Preference for aggressive treatment
B) Desire to limit life-sustaining measures
C) Appointment of a power of attorney
D) Request for organ donation
Rationale: Living wills guide end-of-life care per law.
Question 18
A nurse is managing a unit during a code blue. What is the nurse’s role?
A) Perform chest compressions
B) Coordinate the code team
C) Administer medications
D) Document the event
Rationale: Coordination ensures effective response per ACLS.
Question 19
A nurse is advocating for a client’s pain management. What is the best approach?
A) Accept the current plan
B) Collaborate with the provider for adjustment
C) Increase medication independently
D) Ignore the client’s complaints
Rationale: Collaboration improves care per ANA.
Question 20
A nurse is assigning tasks to a nursing assistant. Which task is appropriate?
