ATI RN COMPREHENSIVE PREDICTOR 2023
260 Multiple-Choice Questions with Rationales
Multiple Correct Answers & Detailed
Explanations Table of Contents | Quiz Format |
Rationales | High-Yield Focus
TABLE OF CONTENTS
1.Management of Care (Questions 1–40)
2.Safety & Infection Control (Questions 41–70)
3.Health Promotion & Maintenance (Questions 71–100)
4.Psychosocial Integrity (Questions 101–130)
5.Basic Care & Comfort (Questions 131–160)
6.Pharmacological & Parenteral Therapies (Questions 161–200)
7.Reduction of Risk Potential (Questions 201–230)
8.Physiological Adaptation (Questions 231–260)
MANAGEMENT OF CARE (Questions 1–40)
Question 1
A nurse is caring for a client who has a new diagnosis of terminal cancer.
The client tells the nurse, "I don't want any further treatment. Please just
keep me comfortable." Which of the following actions should the nurse
take first?
A. Notify the provider of the client's request
B. Discuss palliative care options with the client
,C. Ask the client if they would like to speak with a chaplain
D. Document the client's statement in the medical record
Correct Answer: A
Rationale: The nurse’s first action should be to notify the provider
because the client is requesting a change in treatment goals. The provider
must formally order a transition to comfort care. Documentation (D) is
important but not first. Palliative care discussion (B) and chaplain referral
(C) can follow after the provider is notified.
Question 2 (Select all that apply)
A charge nurse is delegating tasks to a licensed practical nurse (LPN) and
an assistive personnel (AP). Which of the following tasks should the
charge nurse assign to the LPN? (Select all that apply)
A. Administer a tap water enema
B. Insert an indwelling urinary catheter
C. Reinforce teaching about diet modifications
D. Assess a post-operative client’s lung sounds
E. Change a sterile wound dressing for a stable wound
Correct Answers: A, B, C, E
Rationale: LPNs can administer enemas (A), insert urinary catheters (B)
where allowed, reinforce teaching (C), and perform sterile wound
dressings for stable wounds (E). Assessment (D) is RN-only because it
involves interpreting lung sounds.
Question 3
A nurse is planning care for a client who is being discharged home after a
,stroke. The client has left-sided weakness and lives alone. Which of the
following referrals is most important for the nurse to initiate?
A. Physical therapy
B. Occupational therapy
C. Speech therapy
D. Home health aide
Correct Answer: B
Rationale: Occupational therapy focuses on activities of daily living
(ADLs) such as dressing, bathing, and cooking. Since the client lives
alone, adapting the home environment and teaching one-handed
techniques is critical for safety and independence. PT (A) is important but
mobility without ADL safety is insufficient alone.
Question 4
A nurse is preparing to transfer a client from the ICU to a medical-
surgical unit. Which of the following information must be included in the
handoff report?
A. The client’s full medical history since birth
B. The name of the client’s primary care provider
C. Current medications and recent vital signs
D. The client’s preferred meal choices
Correct Answer: C
Rationale: Handoff reports must include actionable, current clinical data:
medications, recent vital signs, pending labs, and safety concerns. Full
medical history (A) is too lengthy. Meal preferences (D) are not critical
for safe transfer.
, Question 5
A nurse manager is reviewing informed consent with a group of new
graduates. Which of the following statements by a new graduate indicates
understanding?
A. "The nurse is responsible for obtaining written informed consent."
B. "A client can withdraw consent at any time before the procedure."
C. "Consent is valid if the client is under the influence of pain
medication."
D. "Family members can sign consent if the client is nervous."
Correct Answer: B
Rationale: A client has the right to withdraw consent at any time. The
provider (not the nurse) obtains consent (A). Pain medication can impair
judgment, invalidating consent (C). Only a legal guardian or healthcare
proxy can sign if the client is incapacitated, not simply nervous (D).
Question 6
A nurse is caring for a client who refuses a blood transfusion due to
religious beliefs. The client’s family asks the nurse to give the blood
anyway. Which of the following actions should the nurse take?
A. Administer the blood transfusion as the family requests
B. Contact the facility’s ethics committee
C. Respect the client’s refusal and document it
D. Ask the provider to override the client’s decision
Correct Answer: C
Rationale: A competent adult client has the right to refuse treatment,
even if that refusal leads to death. The nurse must respect the refusal and
260 Multiple-Choice Questions with Rationales
Multiple Correct Answers & Detailed
Explanations Table of Contents | Quiz Format |
Rationales | High-Yield Focus
TABLE OF CONTENTS
1.Management of Care (Questions 1–40)
2.Safety & Infection Control (Questions 41–70)
3.Health Promotion & Maintenance (Questions 71–100)
4.Psychosocial Integrity (Questions 101–130)
5.Basic Care & Comfort (Questions 131–160)
6.Pharmacological & Parenteral Therapies (Questions 161–200)
7.Reduction of Risk Potential (Questions 201–230)
8.Physiological Adaptation (Questions 231–260)
MANAGEMENT OF CARE (Questions 1–40)
Question 1
A nurse is caring for a client who has a new diagnosis of terminal cancer.
The client tells the nurse, "I don't want any further treatment. Please just
keep me comfortable." Which of the following actions should the nurse
take first?
A. Notify the provider of the client's request
B. Discuss palliative care options with the client
,C. Ask the client if they would like to speak with a chaplain
D. Document the client's statement in the medical record
Correct Answer: A
Rationale: The nurse’s first action should be to notify the provider
because the client is requesting a change in treatment goals. The provider
must formally order a transition to comfort care. Documentation (D) is
important but not first. Palliative care discussion (B) and chaplain referral
(C) can follow after the provider is notified.
Question 2 (Select all that apply)
A charge nurse is delegating tasks to a licensed practical nurse (LPN) and
an assistive personnel (AP). Which of the following tasks should the
charge nurse assign to the LPN? (Select all that apply)
A. Administer a tap water enema
B. Insert an indwelling urinary catheter
C. Reinforce teaching about diet modifications
D. Assess a post-operative client’s lung sounds
E. Change a sterile wound dressing for a stable wound
Correct Answers: A, B, C, E
Rationale: LPNs can administer enemas (A), insert urinary catheters (B)
where allowed, reinforce teaching (C), and perform sterile wound
dressings for stable wounds (E). Assessment (D) is RN-only because it
involves interpreting lung sounds.
Question 3
A nurse is planning care for a client who is being discharged home after a
,stroke. The client has left-sided weakness and lives alone. Which of the
following referrals is most important for the nurse to initiate?
A. Physical therapy
B. Occupational therapy
C. Speech therapy
D. Home health aide
Correct Answer: B
Rationale: Occupational therapy focuses on activities of daily living
(ADLs) such as dressing, bathing, and cooking. Since the client lives
alone, adapting the home environment and teaching one-handed
techniques is critical for safety and independence. PT (A) is important but
mobility without ADL safety is insufficient alone.
Question 4
A nurse is preparing to transfer a client from the ICU to a medical-
surgical unit. Which of the following information must be included in the
handoff report?
A. The client’s full medical history since birth
B. The name of the client’s primary care provider
C. Current medications and recent vital signs
D. The client’s preferred meal choices
Correct Answer: C
Rationale: Handoff reports must include actionable, current clinical data:
medications, recent vital signs, pending labs, and safety concerns. Full
medical history (A) is too lengthy. Meal preferences (D) are not critical
for safe transfer.
, Question 5
A nurse manager is reviewing informed consent with a group of new
graduates. Which of the following statements by a new graduate indicates
understanding?
A. "The nurse is responsible for obtaining written informed consent."
B. "A client can withdraw consent at any time before the procedure."
C. "Consent is valid if the client is under the influence of pain
medication."
D. "Family members can sign consent if the client is nervous."
Correct Answer: B
Rationale: A client has the right to withdraw consent at any time. The
provider (not the nurse) obtains consent (A). Pain medication can impair
judgment, invalidating consent (C). Only a legal guardian or healthcare
proxy can sign if the client is incapacitated, not simply nervous (D).
Question 6
A nurse is caring for a client who refuses a blood transfusion due to
religious beliefs. The client’s family asks the nurse to give the blood
anyway. Which of the following actions should the nurse take?
A. Administer the blood transfusion as the family requests
B. Contact the facility’s ethics committee
C. Respect the client’s refusal and document it
D. Ask the provider to override the client’s decision
Correct Answer: C
Rationale: A competent adult client has the right to refuse treatment,
even if that refusal leads to death. The nurse must respect the refusal and
