ATI RN Comprehensive Predictor 2026
Exit Exam – Complete Practice Question
Bank
Exam Title: ATI RN Comprehensive Predictor 2026 Exit Exam:
Comprehensive 100-Question Practice Bank Covering
Fundamentals, Med-Surg, Pharmacology, Maternity, Pediatrics,
Mental Health, Leadership, Prioritization, and NGN-Style Clinical
Judgment for NCLEX-RN Success
Target Audience: Senior nursing students, graduating RN
candidates, and professionals preparing for the ATI Comprehensive
Predictor Exit Exam and NCLEX-RN licensure
Difficulty Level: Mixed (Moderate to Advanced/Hard)
SECTION 1: MANAGEMENT OF CARE,
PRIORITIZATION & DELEGATION (Questions
1-20)
Question 1
A charge nurse is making shift assignments on a medical-surgical
unit. Which client should be assigned to the LPN/LVN?
A. A client 1-hour post-cardiac catheterization with bleeding at the
insertion site
,B. A client with stable type 2 diabetes mellitus requiring insulin
administration and routine foot care
C. A client newly admitted with stroke and altered mental status
D. A client receiving IV heparin with a PTT of 98 seconds
Correct Answer: B
Rationale: LPNs/LVNs can administer insulin, perform stable wound
care, and monitor stable clients with predictable outcomes. Options
A, C, and D require RN assessment and critical decision-making
(active bleeding, neurological changes, critical lab monitoring).
Question 2
A nurse is caring for four clients. Which client should the nurse
assess FIRST?
A. Client with COPD and SpO₂ of 89% on 2L nasal cannula
B. Client post-appendectomy day 2 with temperature of 38.3°C
(101°F)
C. Client with heart failure and 3+ pitting edema
D. Client with new onset confusion and bounding pulse
Correct Answer: D
Rationale: New onset confusion with bounding pulse suggests
hypercapnia or fluid overload affecting cerebral perfusion. This
represents a change in neurological status, which is always the
priority. Option A is expected in COPD; Option B is post-operative
inflammation; Option C is a chronic finding.
,Question 3
A nurse witnesses a school-aged child fall from a second-story
window during a home health assessment. Which is the priority
action?
A. Tell the child not to move
B. Provide support to the parents
C. Apply pressure to bleeding
D. Place the child on a rigid board
Correct Answer: A
Rationale: The nurse should recognize that a spinal cord injury may
exist. The child should be calmed, reassured, and instructed not to
move. No one should move the child until the entire spine is
stabilized. Spinal immobilization takes priority over other
interventions.
Question 4
A charge nurse observes several nurses working throughout the
day. Which action represents a breach in client confidentiality?
A. Shredding a client's printed lab results
B. Giving report to the oncoming nurse at the bedside
C. Logging off the computer prior to leaving the workstation
D. Posting positive information about a client on a social media
website
, Correct Answer: D
Rationale: Posting client information on a social media website is a
breach of confidentiality. Nurses must not disclose client
information to unauthorized individuals, regardless of whether the
information is positive.
Question 5
A client who is newly admitted requests information about advance
directives. Which statement should the nurse include in the
discussion?
A. "An advance directive may not be changed."
B. "Advance directives are only discussed with terminally ill clients."
C. "You will need to designate a relative to act as your health care
proxy."
D. "I will give you a pamphlet with written information about
advance directives."
Correct Answer: D
Rationale: The Patient Self-Determination Act requires that all
patients admitted to a healthcare facility be asked if they have an
advance directive. Clients who do not have an advance directive
must be given written information.
Exit Exam – Complete Practice Question
Bank
Exam Title: ATI RN Comprehensive Predictor 2026 Exit Exam:
Comprehensive 100-Question Practice Bank Covering
Fundamentals, Med-Surg, Pharmacology, Maternity, Pediatrics,
Mental Health, Leadership, Prioritization, and NGN-Style Clinical
Judgment for NCLEX-RN Success
Target Audience: Senior nursing students, graduating RN
candidates, and professionals preparing for the ATI Comprehensive
Predictor Exit Exam and NCLEX-RN licensure
Difficulty Level: Mixed (Moderate to Advanced/Hard)
SECTION 1: MANAGEMENT OF CARE,
PRIORITIZATION & DELEGATION (Questions
1-20)
Question 1
A charge nurse is making shift assignments on a medical-surgical
unit. Which client should be assigned to the LPN/LVN?
A. A client 1-hour post-cardiac catheterization with bleeding at the
insertion site
,B. A client with stable type 2 diabetes mellitus requiring insulin
administration and routine foot care
C. A client newly admitted with stroke and altered mental status
D. A client receiving IV heparin with a PTT of 98 seconds
Correct Answer: B
Rationale: LPNs/LVNs can administer insulin, perform stable wound
care, and monitor stable clients with predictable outcomes. Options
A, C, and D require RN assessment and critical decision-making
(active bleeding, neurological changes, critical lab monitoring).
Question 2
A nurse is caring for four clients. Which client should the nurse
assess FIRST?
A. Client with COPD and SpO₂ of 89% on 2L nasal cannula
B. Client post-appendectomy day 2 with temperature of 38.3°C
(101°F)
C. Client with heart failure and 3+ pitting edema
D. Client with new onset confusion and bounding pulse
Correct Answer: D
Rationale: New onset confusion with bounding pulse suggests
hypercapnia or fluid overload affecting cerebral perfusion. This
represents a change in neurological status, which is always the
priority. Option A is expected in COPD; Option B is post-operative
inflammation; Option C is a chronic finding.
,Question 3
A nurse witnesses a school-aged child fall from a second-story
window during a home health assessment. Which is the priority
action?
A. Tell the child not to move
B. Provide support to the parents
C. Apply pressure to bleeding
D. Place the child on a rigid board
Correct Answer: A
Rationale: The nurse should recognize that a spinal cord injury may
exist. The child should be calmed, reassured, and instructed not to
move. No one should move the child until the entire spine is
stabilized. Spinal immobilization takes priority over other
interventions.
Question 4
A charge nurse observes several nurses working throughout the
day. Which action represents a breach in client confidentiality?
A. Shredding a client's printed lab results
B. Giving report to the oncoming nurse at the bedside
C. Logging off the computer prior to leaving the workstation
D. Posting positive information about a client on a social media
website
, Correct Answer: D
Rationale: Posting client information on a social media website is a
breach of confidentiality. Nurses must not disclose client
information to unauthorized individuals, regardless of whether the
information is positive.
Question 5
A client who is newly admitted requests information about advance
directives. Which statement should the nurse include in the
discussion?
A. "An advance directive may not be changed."
B. "Advance directives are only discussed with terminally ill clients."
C. "You will need to designate a relative to act as your health care
proxy."
D. "I will give you a pamphlet with written information about
advance directives."
Correct Answer: D
Rationale: The Patient Self-Determination Act requires that all
patients admitted to a healthcare facility be asked if they have an
advance directive. Clients who do not have an advance directive
must be given written information.
