ATI COMPREHENSIVE PREDICTOR "GREEN LIGHT"
EXAM
150 Practice Questions with Detailed Rationales
Forms A, B, C & Retake Exam Preparation
2026/2027 Updated Edition
SECTION 1: MANAGEMENT OF CARE & PRIORITIZATION
(Questions 1-25)
1. A nurse in an emergency department is assessing four clients. Which client
should the nurse assess first?
A. A client with COPD and oxygen saturation of 88% on room air
B. A client with chest pain reporting pain 4/10 awaiting ECG
C. A client with abdominal pain and temperature of 38.3°C
D. A client with a leg fracture requesting pain medication
Correct Answer: A
Rationale: A client with SpO₂ of 88% is hypoxemic and requires immediate intervention to
prevent respiratory failure. The ABC (Airway, Breathing, Circulation) framework guides
prioritization; oxygenation is a breathing priority before chest pain evaluation or other
stable clients .
2. A charge nurse is teaching newly licensed nurses about the correct use of
restraints. Which instruction should the nurse include?
,A. Place a belt restraint on a school-age child who has seizures
B. Secure wrist restraints to the bed rails for an adolescent
C. Apply elbow immobilizers for an infant receiving cleft lip repair
D. Keep the side rails of a toddler's crib elevated only
Correct Answer: C
Rationale: Elbow immobilizers prevent infants from touching surgical sites (cleft lip/palate
repair). Restraints should never be secured to bed rails (risk of entrapment); belt restraints
are contraindicated for seizure clients .
3. A nurse manager of a medical-surgical unit is assigning care responsibilities. A
client is waiting transfer back to the unit from the PACU following thoracic
surgery. To which staff member should the nurse assign the client?
A. Charge nurse
B. RN
C. LPN/LVN
D. AP
Correct Answer: B
Rationale: A client returning from PACU following thoracic surgery requires
comprehensive assessment and monitoring that is within the RN scope of practice. LPNs
and APs are not qualified to perform the initial postoperative assessment or manage
potential complications .
4. A nurse is preparing an in-service program about delegation. Which elements
should the nurse identify when presenting the five rights of delegation? (Select all
that apply)
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances
,Correct Answer: B, C, E
Rationale: The five rights of delegation are: right task, right circumstance, right person,
right direction/communication, and right supervision/evaluation. "Right client" and "right
time" are not among the five rights .
5. A nurse on a medical unit has just received change-of-shift report. Which client
should the nurse assess first?
A. A 68-year-old client who had a myocardial infarction 2 days ago and reports chest
pain 4/10
B. A 48-year-old client who has AIDS and pneumocystis pneumonia with temperature
38.3°C
C. A 60-year-old client who has COPD, is receiving 2 L/min O₂, and has oxygen
saturation of 89%
D. A 26-year-old female client who has pelvic inflammatory disease and is unable to
void
Correct Answer: A
Rationale: Chest pain in a client with recent MI may indicate reinfarction or extension—a
life-threatening emergency requiring immediate assessment. SpO₂ of 89% in a COPD
client is concerning but less emergent than potential cardiac event .
6. A nurse is admitting a client who has antisocial personality disorder. Which
client behavior should the nurse identify as consistent with this disorder?
A. Compulsive attention to details
B. Avoids interacting with others
C. Uses others for personal gain
D. Socially awkward in group situations
Correct Answer: C
Rationale: Antisocial personality disorder is characterized by a pattern of disregard for
others' rights, manipulation, and using others for personal gain. Compulsive attention to
, details suggests obsessive-compulsive traits; avoidance suggests avoidant personality
disorder .
7. A nurse is creating a plan of care for a client who has anorexia nervosa. Which
intervention should the nurse include in the plan?
A. Encourage the client to gain 2.3 kg per week
B. Weigh the client once per week throughout hospitalization
C. Monitor the client for 1 hour after meals
D. Allow the client to choose mealtimes
Correct Answer: C
Rationale: Clients with anorexia nervosa should be monitored for 1 hour after meals to
prevent purging behaviors. Weight gain should be gradual (1–2 lbs per week), not 2.3 kg.
Daily (not weekly) weights are typically ordered, and structured mealtimes with limited
choices are preferred .
8. A nurse is caring for a client who has just returned to the unit following a
bronchoscopy. Which action by the assistive personnel requires the nurse to
intervene?
A. Encourages the client to use the incentive spirometer
B. Elevates the head of the client's bed
C. Offers oral fluids to the client
D. Checks the client's pulse oximetry
Correct Answer: C
Rationale: Following bronchoscopy, the client's gag reflex is suppressed; offering oral fluids
before the gag reflex returns places the client at risk for aspiration. The nurse should
ensure the gag reflex has returned before allowing any oral intake .
EXAM
150 Practice Questions with Detailed Rationales
Forms A, B, C & Retake Exam Preparation
2026/2027 Updated Edition
SECTION 1: MANAGEMENT OF CARE & PRIORITIZATION
(Questions 1-25)
1. A nurse in an emergency department is assessing four clients. Which client
should the nurse assess first?
A. A client with COPD and oxygen saturation of 88% on room air
B. A client with chest pain reporting pain 4/10 awaiting ECG
C. A client with abdominal pain and temperature of 38.3°C
D. A client with a leg fracture requesting pain medication
Correct Answer: A
Rationale: A client with SpO₂ of 88% is hypoxemic and requires immediate intervention to
prevent respiratory failure. The ABC (Airway, Breathing, Circulation) framework guides
prioritization; oxygenation is a breathing priority before chest pain evaluation or other
stable clients .
2. A charge nurse is teaching newly licensed nurses about the correct use of
restraints. Which instruction should the nurse include?
,A. Place a belt restraint on a school-age child who has seizures
B. Secure wrist restraints to the bed rails for an adolescent
C. Apply elbow immobilizers for an infant receiving cleft lip repair
D. Keep the side rails of a toddler's crib elevated only
Correct Answer: C
Rationale: Elbow immobilizers prevent infants from touching surgical sites (cleft lip/palate
repair). Restraints should never be secured to bed rails (risk of entrapment); belt restraints
are contraindicated for seizure clients .
3. A nurse manager of a medical-surgical unit is assigning care responsibilities. A
client is waiting transfer back to the unit from the PACU following thoracic
surgery. To which staff member should the nurse assign the client?
A. Charge nurse
B. RN
C. LPN/LVN
D. AP
Correct Answer: B
Rationale: A client returning from PACU following thoracic surgery requires
comprehensive assessment and monitoring that is within the RN scope of practice. LPNs
and APs are not qualified to perform the initial postoperative assessment or manage
potential complications .
4. A nurse is preparing an in-service program about delegation. Which elements
should the nurse identify when presenting the five rights of delegation? (Select all
that apply)
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances
,Correct Answer: B, C, E
Rationale: The five rights of delegation are: right task, right circumstance, right person,
right direction/communication, and right supervision/evaluation. "Right client" and "right
time" are not among the five rights .
5. A nurse on a medical unit has just received change-of-shift report. Which client
should the nurse assess first?
A. A 68-year-old client who had a myocardial infarction 2 days ago and reports chest
pain 4/10
B. A 48-year-old client who has AIDS and pneumocystis pneumonia with temperature
38.3°C
C. A 60-year-old client who has COPD, is receiving 2 L/min O₂, and has oxygen
saturation of 89%
D. A 26-year-old female client who has pelvic inflammatory disease and is unable to
void
Correct Answer: A
Rationale: Chest pain in a client with recent MI may indicate reinfarction or extension—a
life-threatening emergency requiring immediate assessment. SpO₂ of 89% in a COPD
client is concerning but less emergent than potential cardiac event .
6. A nurse is admitting a client who has antisocial personality disorder. Which
client behavior should the nurse identify as consistent with this disorder?
A. Compulsive attention to details
B. Avoids interacting with others
C. Uses others for personal gain
D. Socially awkward in group situations
Correct Answer: C
Rationale: Antisocial personality disorder is characterized by a pattern of disregard for
others' rights, manipulation, and using others for personal gain. Compulsive attention to
, details suggests obsessive-compulsive traits; avoidance suggests avoidant personality
disorder .
7. A nurse is creating a plan of care for a client who has anorexia nervosa. Which
intervention should the nurse include in the plan?
A. Encourage the client to gain 2.3 kg per week
B. Weigh the client once per week throughout hospitalization
C. Monitor the client for 1 hour after meals
D. Allow the client to choose mealtimes
Correct Answer: C
Rationale: Clients with anorexia nervosa should be monitored for 1 hour after meals to
prevent purging behaviors. Weight gain should be gradual (1–2 lbs per week), not 2.3 kg.
Daily (not weekly) weights are typically ordered, and structured mealtimes with limited
choices are preferred .
8. A nurse is caring for a client who has just returned to the unit following a
bronchoscopy. Which action by the assistive personnel requires the nurse to
intervene?
A. Encourages the client to use the incentive spirometer
B. Elevates the head of the client's bed
C. Offers oral fluids to the client
D. Checks the client's pulse oximetry
Correct Answer: C
Rationale: Following bronchoscopy, the client's gag reflex is suppressed; offering oral fluids
before the gag reflex returns places the client at risk for aspiration. The nurse should
ensure the gag reflex has returned before allowing any oral intake .
