WEST COAST UNIVERSITY ATI COMPREHENSIVE
PREDICTOR PRACTICE EXAM 1 (NCLEX STYLE)
QUESTIONS AND CORRECT ANSWER WITH
EXPLANATION LATEST 2025-2026
1. Which client should the nurse assess first?
A. Stable COPD client
B. Client with airway obstruction
C. Client requesting pain meds
D. Client awaiting discharge
Answer: B
Airway obstruction is an immediate life-threatening priority.
2. The first step in the nursing process is:
A. Diagnosis
B. Planning
C. Assessment
D. Implementation
Answer: C
Assessment is always the foundation of nursing care.
3. Which task is appropriate for UAP?
A. Teaching insulin administration
B. Assessing pain
C. Hygiene care for stable client
D. Developing care plan
Answer: C
Basic non-invasive care may be delegated.
4. RN observes unsafe practice. First action:
,A. Document later
B. Stop the activity immediately
C. Report to supervisor
D. Ignore
Answer: B
Patient safety requires immediate intervention.
5. Who retains responsibility after delegation?
A. UAP
B. RN
C. Physician
D. Charge nurse
Answer: B
RN remains accountable for all delegated tasks.
6. Priority patient:
A. Stable post-op day 2
B. Chest pain
C. Mild headache
D. Anxiety
Answer: B
Chest pain may indicate myocardial infarction.
7. SBAR is used for:
A. Documentation
B. Communication
C. Medication administration
D. Diagnosis
Answer: B
Structured communication improves safety.
8. “A” in SBAR stands for:
, A. Action
B. Assessment
C. Analysis
D. Alert
Answer: B
Clinical assessment summary.
9. Therapeutic communication includes:
A. Giving advice
B. Active listening
C. Judgment
D. Interrupting
Answer: B
Encourages patient expression.
10. HIPAA violation occurs when:
A. Team report
B. Discussing patient in hallway
C. Charting in EMR
D. SBAR handoff
Answer: B
Public disclosure of patient information is illegal.
11. Priority nursing principle:
A. Cost
B. Safety
C. Time
D. Convenience
Answer: B
Safety overrides all other concerns.
12. Democratic leadership style:
PREDICTOR PRACTICE EXAM 1 (NCLEX STYLE)
QUESTIONS AND CORRECT ANSWER WITH
EXPLANATION LATEST 2025-2026
1. Which client should the nurse assess first?
A. Stable COPD client
B. Client with airway obstruction
C. Client requesting pain meds
D. Client awaiting discharge
Answer: B
Airway obstruction is an immediate life-threatening priority.
2. The first step in the nursing process is:
A. Diagnosis
B. Planning
C. Assessment
D. Implementation
Answer: C
Assessment is always the foundation of nursing care.
3. Which task is appropriate for UAP?
A. Teaching insulin administration
B. Assessing pain
C. Hygiene care for stable client
D. Developing care plan
Answer: C
Basic non-invasive care may be delegated.
4. RN observes unsafe practice. First action:
,A. Document later
B. Stop the activity immediately
C. Report to supervisor
D. Ignore
Answer: B
Patient safety requires immediate intervention.
5. Who retains responsibility after delegation?
A. UAP
B. RN
C. Physician
D. Charge nurse
Answer: B
RN remains accountable for all delegated tasks.
6. Priority patient:
A. Stable post-op day 2
B. Chest pain
C. Mild headache
D. Anxiety
Answer: B
Chest pain may indicate myocardial infarction.
7. SBAR is used for:
A. Documentation
B. Communication
C. Medication administration
D. Diagnosis
Answer: B
Structured communication improves safety.
8. “A” in SBAR stands for:
, A. Action
B. Assessment
C. Analysis
D. Alert
Answer: B
Clinical assessment summary.
9. Therapeutic communication includes:
A. Giving advice
B. Active listening
C. Judgment
D. Interrupting
Answer: B
Encourages patient expression.
10. HIPAA violation occurs when:
A. Team report
B. Discussing patient in hallway
C. Charting in EMR
D. SBAR handoff
Answer: B
Public disclosure of patient information is illegal.
11. Priority nursing principle:
A. Cost
B. Safety
C. Time
D. Convenience
Answer: B
Safety overrides all other concerns.
12. Democratic leadership style:
