ATI RN Comprehensive Predictor
Final Exam – Latest 2026
:Questions and answer with
rationals/graded A+
Update/100% correct
Section 1: Management of Care (Questions 1–12)
1. A nurse is preparing to discharge a patient with a new colostomy. Which
statement by the patient indicates a need for further teaching?
A. “I will avoid carbonated drinks to reduce gas.”
B. “I can take a bath with the colostomy bag on.”
C. “I will change the entire appliance system daily.”
D. “I should empty the pouch when it is one-third full.”
Rationale: Colostomy pouches should be changed every 3–7 days unless leaking.
Daily changes irritate skin and are unnecessary.
2. A charge nurse is assigning rooms for four clients. Which client should be
placed in a private room?
A. Client with pneumonia on IV antibiotics
B. Client with cellulitis of the leg
C. Client with active pulmonary tuberculosis
D. Client with a urinary tract infection
Rationale: Pulmonary TB requires airborne precautions (negative pressure private
room). Others need standard/contact precautions.
3. A nurse is delegating tasks to an LPN. Which task is appropriate?
A. Initial admission assessment
,B. Administering a routine oral medication
C. Creating the nursing care plan
D. Teaching insulin injection technique
Rationale: LPNs can give stable, routine meds. Initial assessment, teaching, and care
plans are RN responsibilities.
4. A client refuses a blood transfusion for religious reasons. The nurse should:
A. Administer it anyway to save the client’s life
B. Call security to hold the client down
C. Respect the refusal and notify the provider
D. Ask the family to sign consent
Rationale: Competent adults have the right to refuse treatment. Nurse must honor
advance directives/religious beliefs.
5. Which situation requires an incident report?
A. Patient requests pain medication 30 min early
B. Patient falls while getting out of bed unassisted
C. Patient’s IV site is red and warm
D. Patient’s blood pressure is 140/90
Rationale: Falls are unexpected events with potential harm; incident reports help
analyze risk.
6. A nurse notices a colleague taking a photo of a patient with a personal
phone. The nurse should:
A. Ignore it if no harm intended
B. Report to the nursing supervisor immediately
C. Tell the colleague to stop and report to the manager
D. Take a photo too for comparison
Rationale: Photographing patients without consent violates HIPAA and privacy laws.
Immediate intervention and reporting required.
7. Priority action for a client with a chest tube and continuous bubbling in the
water seal chamber:
A. Clamp the tube immediately
B. Assess for air leak and notify provider
C. Replace the drainage system
D. Increase suction pressure
Rationale: Continuous bubbling indicates air leak. Clamping can cause tension
pneumothorax. Assess source first.
, 8. A nurse is triaging after a disaster. Which client should be seen first?
A. Minor laceration, walking
B. Unresponsive with shallow respirations
C. Ankle sprain, crying
D. Abrasions on arms
Rationale: Unresponsive + shallow breathing = emergent (Red tag). Walking/minor
injuries can wait.
9. Which client can be safely assigned to a float RN from a medical-surgical
unit?
A. New postoperative craniotomy
B. Stable pneumonia with oral antibiotics
C. Patient on continuous IV heparin drip
D. Patient with chest tube for pneumothorax
Rationale: Float nurse can handle stable medical-surgical patients. Complex/ICU-
level care requires specialty training.
10. A client signs a Do Not Resuscitate (DNR) order. The nurse finds the client
pulseless and not breathing. Action?
A. Start CPR until the provider arrives
B. Call a code blue
C. Provide comfort care and notify the provider
D. Administer epinephrine
Rationale: DNR means no CPR or advanced life support. Nurse respects order,
provides comfort.
11. Nurse preparing informed consent for a procedure. Who may sign for a 17-
year-old mother?
A. The patient herself
B. Her parent or legal guardian (unless emancipated minor)
C. Her boyfriend
D. The hospital administrator
Rationale: Minor’s parent/guardian gives consent unless emancipated. Being a
mother does not automatically emancipate.
12. A nurse manager is implementing a new fall prevention protocol. First step?
A. Buy new alarms
B. Assess current fall rates and risk factors
C. Discipline staff for previous falls
D. Copy another hospital’s policy
Final Exam – Latest 2026
:Questions and answer with
rationals/graded A+
Update/100% correct
Section 1: Management of Care (Questions 1–12)
1. A nurse is preparing to discharge a patient with a new colostomy. Which
statement by the patient indicates a need for further teaching?
A. “I will avoid carbonated drinks to reduce gas.”
B. “I can take a bath with the colostomy bag on.”
C. “I will change the entire appliance system daily.”
D. “I should empty the pouch when it is one-third full.”
Rationale: Colostomy pouches should be changed every 3–7 days unless leaking.
Daily changes irritate skin and are unnecessary.
2. A charge nurse is assigning rooms for four clients. Which client should be
placed in a private room?
A. Client with pneumonia on IV antibiotics
B. Client with cellulitis of the leg
C. Client with active pulmonary tuberculosis
D. Client with a urinary tract infection
Rationale: Pulmonary TB requires airborne precautions (negative pressure private
room). Others need standard/contact precautions.
3. A nurse is delegating tasks to an LPN. Which task is appropriate?
A. Initial admission assessment
,B. Administering a routine oral medication
C. Creating the nursing care plan
D. Teaching insulin injection technique
Rationale: LPNs can give stable, routine meds. Initial assessment, teaching, and care
plans are RN responsibilities.
4. A client refuses a blood transfusion for religious reasons. The nurse should:
A. Administer it anyway to save the client’s life
B. Call security to hold the client down
C. Respect the refusal and notify the provider
D. Ask the family to sign consent
Rationale: Competent adults have the right to refuse treatment. Nurse must honor
advance directives/religious beliefs.
5. Which situation requires an incident report?
A. Patient requests pain medication 30 min early
B. Patient falls while getting out of bed unassisted
C. Patient’s IV site is red and warm
D. Patient’s blood pressure is 140/90
Rationale: Falls are unexpected events with potential harm; incident reports help
analyze risk.
6. A nurse notices a colleague taking a photo of a patient with a personal
phone. The nurse should:
A. Ignore it if no harm intended
B. Report to the nursing supervisor immediately
C. Tell the colleague to stop and report to the manager
D. Take a photo too for comparison
Rationale: Photographing patients without consent violates HIPAA and privacy laws.
Immediate intervention and reporting required.
7. Priority action for a client with a chest tube and continuous bubbling in the
water seal chamber:
A. Clamp the tube immediately
B. Assess for air leak and notify provider
C. Replace the drainage system
D. Increase suction pressure
Rationale: Continuous bubbling indicates air leak. Clamping can cause tension
pneumothorax. Assess source first.
, 8. A nurse is triaging after a disaster. Which client should be seen first?
A. Minor laceration, walking
B. Unresponsive with shallow respirations
C. Ankle sprain, crying
D. Abrasions on arms
Rationale: Unresponsive + shallow breathing = emergent (Red tag). Walking/minor
injuries can wait.
9. Which client can be safely assigned to a float RN from a medical-surgical
unit?
A. New postoperative craniotomy
B. Stable pneumonia with oral antibiotics
C. Patient on continuous IV heparin drip
D. Patient with chest tube for pneumothorax
Rationale: Float nurse can handle stable medical-surgical patients. Complex/ICU-
level care requires specialty training.
10. A client signs a Do Not Resuscitate (DNR) order. The nurse finds the client
pulseless and not breathing. Action?
A. Start CPR until the provider arrives
B. Call a code blue
C. Provide comfort care and notify the provider
D. Administer epinephrine
Rationale: DNR means no CPR or advanced life support. Nurse respects order,
provides comfort.
11. Nurse preparing informed consent for a procedure. Who may sign for a 17-
year-old mother?
A. The patient herself
B. Her parent or legal guardian (unless emancipated minor)
C. Her boyfriend
D. The hospital administrator
Rationale: Minor’s parent/guardian gives consent unless emancipated. Being a
mother does not automatically emancipate.
12. A nurse manager is implementing a new fall prevention protocol. First step?
A. Buy new alarms
B. Assess current fall rates and risk factors
C. Discipline staff for previous falls
D. Copy another hospital’s policy
