ATI RN Comprehensive Predictor
Retake 2019/The Ultimate
Questions&Answers Review with
Rationales
Question: A nurse on a medical-surgical unit has received change-of-shift report and
will care for four clients. Which client need may the nurse assign to an assistive
personnel (AP)?
A. Feeding a client who was admitted 24 hours ago with aspiration pneumonia
B. Reinforcing teaching with a client who is learning to walk using a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
Answer: C. Reapplying a condom catheter for a client who has urinary incontinence.
Rationale: Reapplying a condom catheter is a noninvasive, routine procedure that may
be delegated to AP. Feeding a client with aspiration pneumonia requires assessment of
swallowing ability; reinforcing teaching requires nursing judgment; and sterile dressing
changes require licensed nursing skills.
Question: A nurse is delegating the ambulation of a client who had knee arthroplasty to
an AP. Which information should the nurse share? (Select all that apply)
A. The roommate is up independently
B. The client ambulates with slippers over antiembolic stockings
, C. The client uses a front-wheeled walker
D. The client had pain medication 30 minutes ago
E. The client is allergic to codeine
F. The client ate 50% of breakfast
Answer: B, C, D.
Rationale: When delegating ambulation, the nurse must communicate the client's
specific ambulation aids (C), footwear requirements (B), and timing of pain medication
(D). Roommate status, allergies, and dietary intake are not directly relevant to the
immediate task of ambulation.
Question: An RN is making assignments for client care to an LPN. Which assignment
should the LPN question?
A. Assisting a client who is 24 hours post-op to use an incentive spirometer
B. Collecting a clean-catch urine specimen
C. Providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump
Answer: D. Replacing the cartridge and tubing on a PCA pump.
Rationale: The RN is responsible for the PCA pump. Tasks involving complex
medication administration and pump programming should not be delegated to LPNs.
Question: A nurse is preparing an in-service program about delegation. Which elements
should she 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
Answer: B, C, E.
Rationale: The five rights of delegation include: right task, right circumstances, right
person, right direction/communication, and right supervision/evaluation.
Question: A nurse is preparing an educational session for nursing staff about how to
provide cost-effective care. Which method should the nurse include in the teaching?
A. Perform all tasks without delegating
B. Delegate non-nursing tasks to ancillary staff
C. Use only expensive equipment
D. Limit patient teaching
Answer: B. Delegate non-nursing tasks to ancillary staff.
Rationale: Delegating non-nursing tasks to ancillary staff is a cost-effective strategy that
allows RNs to focus on higher-level nursing care.
Safety and Infection Control
Question: A nurse is planning care for a client who has a prescription for a bowel-
training program following a spinal cord injury. Which action should the nurse include?
A. Encourage a maximum fluid intake of 1,500 ml per day
B. Increase the amount of refined grains in the client's diet
, C. Provide the client with a cold drink prior to defecation
D. Administer a rectal suppository 30 minutes prior to scheduled defecation times
Answer: D. Administer a rectal suppository 30 minutes prior to scheduled defecation
times.
Rationale: For a bowel-training program after spinal cord injury, a rectal suppository
administered 30 minutes before scheduled defecation times can stimulate defecation
and help establish a routine.
Question: A nurse in a pediatric unit is preparing to insert an IV catheter for a 7-year-
old. Which action should the nurse take?
A. (Unable to read)
B. Tell the child they will feel discomfort during the catheter insertion
C. Use a mummy restraint to hold the child during the catheter insertion
D. Require the parents to leave the room during the procedure
Answer: B. Tell the child they will feel discomfort during the catheter insertion.
Rationale: Honest preparation about discomfort is developmentally appropriate for a 7-
year-old and helps build trust. Restraints should be avoided if possible, and parental
presence is generally encouraged to reduce anxiety.
Question: A nurse is caring for a client who has an arteriovenous fistula. Which finding
should the nurse report?
A. Thrill upon palpation
B. Absence of a bruit
Retake 2019/The Ultimate
Questions&Answers Review with
Rationales
Question: A nurse on a medical-surgical unit has received change-of-shift report and
will care for four clients. Which client need may the nurse assign to an assistive
personnel (AP)?
A. Feeding a client who was admitted 24 hours ago with aspiration pneumonia
B. Reinforcing teaching with a client who is learning to walk using a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
Answer: C. Reapplying a condom catheter for a client who has urinary incontinence.
Rationale: Reapplying a condom catheter is a noninvasive, routine procedure that may
be delegated to AP. Feeding a client with aspiration pneumonia requires assessment of
swallowing ability; reinforcing teaching requires nursing judgment; and sterile dressing
changes require licensed nursing skills.
Question: A nurse is delegating the ambulation of a client who had knee arthroplasty to
an AP. Which information should the nurse share? (Select all that apply)
A. The roommate is up independently
B. The client ambulates with slippers over antiembolic stockings
, C. The client uses a front-wheeled walker
D. The client had pain medication 30 minutes ago
E. The client is allergic to codeine
F. The client ate 50% of breakfast
Answer: B, C, D.
Rationale: When delegating ambulation, the nurse must communicate the client's
specific ambulation aids (C), footwear requirements (B), and timing of pain medication
(D). Roommate status, allergies, and dietary intake are not directly relevant to the
immediate task of ambulation.
Question: An RN is making assignments for client care to an LPN. Which assignment
should the LPN question?
A. Assisting a client who is 24 hours post-op to use an incentive spirometer
B. Collecting a clean-catch urine specimen
C. Providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump
Answer: D. Replacing the cartridge and tubing on a PCA pump.
Rationale: The RN is responsible for the PCA pump. Tasks involving complex
medication administration and pump programming should not be delegated to LPNs.
Question: A nurse is preparing an in-service program about delegation. Which elements
should she 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
Answer: B, C, E.
Rationale: The five rights of delegation include: right task, right circumstances, right
person, right direction/communication, and right supervision/evaluation.
Question: A nurse is preparing an educational session for nursing staff about how to
provide cost-effective care. Which method should the nurse include in the teaching?
A. Perform all tasks without delegating
B. Delegate non-nursing tasks to ancillary staff
C. Use only expensive equipment
D. Limit patient teaching
Answer: B. Delegate non-nursing tasks to ancillary staff.
Rationale: Delegating non-nursing tasks to ancillary staff is a cost-effective strategy that
allows RNs to focus on higher-level nursing care.
Safety and Infection Control
Question: A nurse is planning care for a client who has a prescription for a bowel-
training program following a spinal cord injury. Which action should the nurse include?
A. Encourage a maximum fluid intake of 1,500 ml per day
B. Increase the amount of refined grains in the client's diet
, C. Provide the client with a cold drink prior to defecation
D. Administer a rectal suppository 30 minutes prior to scheduled defecation times
Answer: D. Administer a rectal suppository 30 minutes prior to scheduled defecation
times.
Rationale: For a bowel-training program after spinal cord injury, a rectal suppository
administered 30 minutes before scheduled defecation times can stimulate defecation
and help establish a routine.
Question: A nurse in a pediatric unit is preparing to insert an IV catheter for a 7-year-
old. Which action should the nurse take?
A. (Unable to read)
B. Tell the child they will feel discomfort during the catheter insertion
C. Use a mummy restraint to hold the child during the catheter insertion
D. Require the parents to leave the room during the procedure
Answer: B. Tell the child they will feel discomfort during the catheter insertion.
Rationale: Honest preparation about discomfort is developmentally appropriate for a 7-
year-old and helps build trust. Restraints should be avoided if possible, and parental
presence is generally encouraged to reduce anxiety.
Question: A nurse is caring for a client who has an arteriovenous fistula. Which finding
should the nurse report?
A. Thrill upon palpation
B. Absence of a bruit
