ATI PN Comprehensive Predictor, Exit Exam, and Retake
2023/2026 with NGN | 180 Verified Questions & Answers |
Guaranteed First-Attempt Pass!
This study set mirrors the real exam's blueprint and prioritization strategies.
Section 1: Management of Care & Delegation (Questions 1-
36)
1. An assistive personnel (AP) tells the charge nurse that her assignment is too
demanding. Which action should the nurse take to resolve the conflict?
A) Assign the tasks to another AP immediately
B) Tell the AP to complete the assignment as given
C) Ask the AP to discuss the issue in a private area
D) Report the AP to the unit manager
☑ ☑ Answer: ☑ ☑C (Conflict resolution should begin with private, non-
confrontational discussion)
2. Which task is appropriate for the charge nurse to assign to an LPN?
A) Performing an initial admission assessment
B) Administering a blood transfusion
C) Administering a scheduled insulin injection to a stable client
D) Creating the plan of care for a complex client
☑ ☑ Answer: ☑ ☑C (LPNs can administer medications to stable clients; RNs
perform initial assessments, transfusions, and complex care plans)
3. A charge nurse is observing a newly licensed nurse perform suctioning for a
client with a tracheostomy. Which action requires intervention?
A) Suctioning for 30 seconds
B) Applying suction during catheter withdrawal
C) Hyperoxygenating before suctioning
D) Using sterile technique
☑ ☑ Answer: ☑ ☑A (Suctioning should be limited to 10-15 seconds to prevent
hypoxia)
,4. A nurse is preparing to transfer a client from ICU to a medical unit. What must
be included in the handoff report? (Select all that apply)
A) Current vital signs and oxygen requirements
B) Insurance information
C) Active orders and pending tests
D) Code status and advance directives
E) Family visiting preferences
☑ ☑ Answer: ☑ ☑A, C, D (Handoff includes clinical status, orders, and code
status—not insurance or visitation)
5. Which client should the charge nurse assign to an LPN?
A) Client with new tracheostomy requiring teaching
B) Client with stable diabetes needing morning insulin
C) Client with chest tubes and continuous bubbling
D) Client with head injury and GCS of 9
☑ ☑ Answer: ☑ ☑B (Stable, routine medication administration is within LPN
scope)
6. A nurse is preparing to witness informed consent for surgery. Which action is
correct?
A) Explain the procedure risks to the client
B) Verify the client signed voluntarily and appears competent
C) Ensure the family has agreed to the procedure
D) Sign as a witness only if the provider is unavailable
☑ ☑ Answer: ☑ ☑B (The nurse witnesses that the signature was voluntary and
client appears competent)
7. Which task can the nurse delegate to assistive personnel (AP)?
A) Assess a surgical incision
B) Measure intake and output for a client with heart failure
C) Evaluate pain medication effectiveness
D) Teach incentive spirometer use
☑ ☑ Answer: ☑ ☑B (Measuring I&O is within AP scope; assessment, evaluation,
and teaching require nursing judgment)
8. A client has a living will but the family wants aggressive treatment. What should
the nurse do?
A) Follow the family's wishes to avoid conflict
B) Initiate aggressive treatment as requested
C) Review the living will with the family and honor the client's wishes
,D) Contact risk management for guidance
☑ ☑ Answer: ☑ ☑C (Living will documents client's wishes and must be honored)
9. A nurse is caring for four clients. Which should be assessed first?
A) Client with fractured femur reporting pain 7/10
B) Client with pneumonia and O2 saturation of 89%
C) Client post-op cholecystectomy with HR 110 and BP 90/60
D) Client with diabetes and blood glucose of 250 mg/dL
☑ ☑ Answer: ☑ ☑C (Post-op with tachycardia and hypotension suggests possible
hemorrhage—most unstable)
10. A nurse is floating to an unfamiliar unit. Which action demonstrates
appropriate floating practice?
A) Refuse the assignment
B) Accept the assignment and ask for orientation to the unit
C) Only perform tasks you already know
D) Request to switch with another nurse
☑ ☑ Answer: ☑ ☑B (Floating is expected; nurse should accept and request
necessary orientation)
11. A nurse overhears two staff members discussing a client in the elevator. What
should the nurse do first?
A) Join the conversation to correct misinformation
B) Report the incident to the charge nurse
C) Remind the staff members that this is a confidentiality violation
D) Document the incident in the client's chart
☑ ☑ Answer: ☑ ☑C (Immediate correction of the behavior is the priority action)
12. Which situation requires the nurse to complete an incident report?
A) Client refuses morning medications
B) Client's IV site is red and swollen
C) Client falls when getting out of bed unassisted
D) Client requests a pain medication change
☑ ☑ Answer: ☑ ☑C (Any unexpected occurrence involving injury requires incident
report)
13. A nurse is preparing discharge instructions for a client. Which action
demonstrates effective teaching?
A) Providing written instructions only
B) Beginning discharge planning on the day of discharge
C) Involving the client and family in the teaching process
, D) Delegating discharge teaching to the AP
☑ ☑ Answer: ☑ ☑C (Effective discharge planning begins at admission and involves
client/family)
14. A charge nurse is making assignments. Which client is most appropriate for an
LPN?
A) Client with unstable angina on a cardiac monitor
B) Client with newly diagnosed diabetes requiring initial teaching
C) Client with a stable ileostomy requiring routine ostomy care
D) Client with a head injury requiring q1h neuro checks
☑ ☑ Answer: ☑ ☑C (Routine ostomy care for a stable client is within LPN scope)
15. A nurse is preparing for a regulatory survey. Which action demonstrates
compliance with National Patient Safety Goals?
A) Using two client identifiers before medication administration
B) Performing hand hygiene only after contact with body fluids
C) Documenting medication administration at end of shift
D) Keeping side rails up for all clients at all times
☑ ☑ Answer: ☑ ☑A (Two identifiers is a National Patient Safety Goal to prevent
medication errors)
16. A client requests a second opinion about a proposed surgery. The provider says
the surgery is necessary. What is the nurse's best action?
A) Support the client's right to seek a second opinion
B) Explain that insurance may not cover a second opinion
C) Encourage the client to follow the provider's recommendation
D) Document the conversation without further action
☑ ☑ Answer: ☑ ☑A (Clients have the right to seek a second opinion; nurse should
support client autonomy)
17. A nurse is caring for a client who is scheduled for ECT. Which statement by the
client indicates understanding of informed consent?
A) "I can change my mind after signing the consent form"
B) "Once I sign, I cannot withdraw consent"
C) "The nurse is responsible for explaining the procedure"
D) "My family can sign for me if I agree"
☑ ☑ Answer: ☑ ☑A (Clients can withdraw consent at any time; provider explains
procedure)
18. Which task can be delegated to an AP?
A) Feeding a client with dysphagia
2023/2026 with NGN | 180 Verified Questions & Answers |
Guaranteed First-Attempt Pass!
This study set mirrors the real exam's blueprint and prioritization strategies.
Section 1: Management of Care & Delegation (Questions 1-
36)
1. An assistive personnel (AP) tells the charge nurse that her assignment is too
demanding. Which action should the nurse take to resolve the conflict?
A) Assign the tasks to another AP immediately
B) Tell the AP to complete the assignment as given
C) Ask the AP to discuss the issue in a private area
D) Report the AP to the unit manager
☑ ☑ Answer: ☑ ☑C (Conflict resolution should begin with private, non-
confrontational discussion)
2. Which task is appropriate for the charge nurse to assign to an LPN?
A) Performing an initial admission assessment
B) Administering a blood transfusion
C) Administering a scheduled insulin injection to a stable client
D) Creating the plan of care for a complex client
☑ ☑ Answer: ☑ ☑C (LPNs can administer medications to stable clients; RNs
perform initial assessments, transfusions, and complex care plans)
3. A charge nurse is observing a newly licensed nurse perform suctioning for a
client with a tracheostomy. Which action requires intervention?
A) Suctioning for 30 seconds
B) Applying suction during catheter withdrawal
C) Hyperoxygenating before suctioning
D) Using sterile technique
☑ ☑ Answer: ☑ ☑A (Suctioning should be limited to 10-15 seconds to prevent
hypoxia)
,4. A nurse is preparing to transfer a client from ICU to a medical unit. What must
be included in the handoff report? (Select all that apply)
A) Current vital signs and oxygen requirements
B) Insurance information
C) Active orders and pending tests
D) Code status and advance directives
E) Family visiting preferences
☑ ☑ Answer: ☑ ☑A, C, D (Handoff includes clinical status, orders, and code
status—not insurance or visitation)
5. Which client should the charge nurse assign to an LPN?
A) Client with new tracheostomy requiring teaching
B) Client with stable diabetes needing morning insulin
C) Client with chest tubes and continuous bubbling
D) Client with head injury and GCS of 9
☑ ☑ Answer: ☑ ☑B (Stable, routine medication administration is within LPN
scope)
6. A nurse is preparing to witness informed consent for surgery. Which action is
correct?
A) Explain the procedure risks to the client
B) Verify the client signed voluntarily and appears competent
C) Ensure the family has agreed to the procedure
D) Sign as a witness only if the provider is unavailable
☑ ☑ Answer: ☑ ☑B (The nurse witnesses that the signature was voluntary and
client appears competent)
7. Which task can the nurse delegate to assistive personnel (AP)?
A) Assess a surgical incision
B) Measure intake and output for a client with heart failure
C) Evaluate pain medication effectiveness
D) Teach incentive spirometer use
☑ ☑ Answer: ☑ ☑B (Measuring I&O is within AP scope; assessment, evaluation,
and teaching require nursing judgment)
8. A client has a living will but the family wants aggressive treatment. What should
the nurse do?
A) Follow the family's wishes to avoid conflict
B) Initiate aggressive treatment as requested
C) Review the living will with the family and honor the client's wishes
,D) Contact risk management for guidance
☑ ☑ Answer: ☑ ☑C (Living will documents client's wishes and must be honored)
9. A nurse is caring for four clients. Which should be assessed first?
A) Client with fractured femur reporting pain 7/10
B) Client with pneumonia and O2 saturation of 89%
C) Client post-op cholecystectomy with HR 110 and BP 90/60
D) Client with diabetes and blood glucose of 250 mg/dL
☑ ☑ Answer: ☑ ☑C (Post-op with tachycardia and hypotension suggests possible
hemorrhage—most unstable)
10. A nurse is floating to an unfamiliar unit. Which action demonstrates
appropriate floating practice?
A) Refuse the assignment
B) Accept the assignment and ask for orientation to the unit
C) Only perform tasks you already know
D) Request to switch with another nurse
☑ ☑ Answer: ☑ ☑B (Floating is expected; nurse should accept and request
necessary orientation)
11. A nurse overhears two staff members discussing a client in the elevator. What
should the nurse do first?
A) Join the conversation to correct misinformation
B) Report the incident to the charge nurse
C) Remind the staff members that this is a confidentiality violation
D) Document the incident in the client's chart
☑ ☑ Answer: ☑ ☑C (Immediate correction of the behavior is the priority action)
12. Which situation requires the nurse to complete an incident report?
A) Client refuses morning medications
B) Client's IV site is red and swollen
C) Client falls when getting out of bed unassisted
D) Client requests a pain medication change
☑ ☑ Answer: ☑ ☑C (Any unexpected occurrence involving injury requires incident
report)
13. A nurse is preparing discharge instructions for a client. Which action
demonstrates effective teaching?
A) Providing written instructions only
B) Beginning discharge planning on the day of discharge
C) Involving the client and family in the teaching process
, D) Delegating discharge teaching to the AP
☑ ☑ Answer: ☑ ☑C (Effective discharge planning begins at admission and involves
client/family)
14. A charge nurse is making assignments. Which client is most appropriate for an
LPN?
A) Client with unstable angina on a cardiac monitor
B) Client with newly diagnosed diabetes requiring initial teaching
C) Client with a stable ileostomy requiring routine ostomy care
D) Client with a head injury requiring q1h neuro checks
☑ ☑ Answer: ☑ ☑C (Routine ostomy care for a stable client is within LPN scope)
15. A nurse is preparing for a regulatory survey. Which action demonstrates
compliance with National Patient Safety Goals?
A) Using two client identifiers before medication administration
B) Performing hand hygiene only after contact with body fluids
C) Documenting medication administration at end of shift
D) Keeping side rails up for all clients at all times
☑ ☑ Answer: ☑ ☑A (Two identifiers is a National Patient Safety Goal to prevent
medication errors)
16. A client requests a second opinion about a proposed surgery. The provider says
the surgery is necessary. What is the nurse's best action?
A) Support the client's right to seek a second opinion
B) Explain that insurance may not cover a second opinion
C) Encourage the client to follow the provider's recommendation
D) Document the conversation without further action
☑ ☑ Answer: ☑ ☑A (Clients have the right to seek a second opinion; nurse should
support client autonomy)
17. A nurse is caring for a client who is scheduled for ECT. Which statement by the
client indicates understanding of informed consent?
A) "I can change my mind after signing the consent form"
B) "Once I sign, I cannot withdraw consent"
C) "The nurse is responsible for explaining the procedure"
D) "My family can sign for me if I agree"
☑ ☑ Answer: ☑ ☑A (Clients can withdraw consent at any time; provider explains
procedure)
18. Which task can be delegated to an AP?
A) Feeding a client with dysphagia
