TI RN Comprehensive Predictor 2026
Exit Exam: Practice Questions with
NGN-Style Answers and Evidence-
Based Rationales
Management of Care & Legal/Ethical Issues
Question 1
A competent adult client refuses a blood transfusion for religious reasons. Which actions
should the nurse take? (Select all that apply.)
A. Verify the client understands the risks
B. Document the refusal
C. Administer the transfusion if Hgb is critical
D. Notify the provider
E. Ask the family to override the decision
: A, B, D
Rationale: Competent adults have the right to refuse treatment (autonomy). The
nurse must ensure informed refusal, document it clearly, and notify the provider.
Administering against the client's wishes constitutes battery, and asking family to
override violates client autonomy.
Question 2
Which client should the nurse assess first?
, A. Post-op day 2 with pain 6/10
B. COPD client with O₂ sat 88% on room air
C. Client waiting for discharge teaching
D. Stable diabetic requesting a snack
Answer: B
Rationale: Airway and oxygenation take priority. An O₂ saturation of 88% indicates
hypoxemia and requires immediate intervention.
Question 3
A charge nurse is assigning rooms for four clients. Which client should be placed in a
private room?
A. Client with pneumonia
B. Client with methicillin-resistant Staphylococcus aureus (MRSA)
C. Client with a diabetic foot ulcer
D. Client with chronic obstructive pulmonary disease (COPD)
Answer: B
Rationale: MRSA requires contact isolation. A private room is essential to prevent
transmission to other clients.
Question 4
A nurse is delegating tasks to an assistive personnel (AP). Which task is appropriate to
delegate?
A. Assess a postoperative incision
B. Teach a client how to use a walker
C. Obtain a capillary blood glucose level
D. Evaluate a client's pain level
,Answer: C
Rationale: APs can perform capillary blood glucose testing. Assessment, teaching, and
evaluation require nursing judgment.
Question 5
A charge nurse is making assignments. Which client should be assigned to the most
experienced RN?
A. A client with diabetes requiring routine insulin
B. A client with pneumonia on oral antibiotics
C. A client with chest tubes and new-onset respiratory distress
D. A client with a urinary tract infection
Answer: C
Rationale: The client with chest tubes and respiratory distress is unstable and requires
complex assessment, making them a priority for the most experienced nurse.
Question 6
A client has a living will. Which statement by the nurse indicates an understanding of the
document?
A. "A living will allows the family to make financial decisions"
B. "A living will expresses the client's wishes regarding end-of-life care"
C. "A living will is only valid if the client is 65 or older"
D. "A living will can only be written by a lawyer"
Answer: B
Rationale: A living will is a legal document that expresses a client's wishes regarding
medical treatment at the end of life.
Question 7
A nurse is teaching a newly licensed nurse about clients designating a health care proxy.
Which information should the nurse include?
, A. "The proxy should make health care decisions regardless of the client's ability
to do so"
B. "The proxy can make financial decisions if the need arises"
C. "The proxy can make treatment decisions if the client is under anesthesia"
D. "The proxy should manage legal issues for the client"
Answer: C
Rationale: A health care proxy makes treatment decisions when the client is unable to
do so, such as while under anesthesia.
Question 8
A nurse is planning care for a client who is scheduled to receive a peripherally inserted
central catheter (PICC) in the arm. Which intervention is appropriate?
A. Administer sedation for the procedure
B. Use gauze to secure an arm board to the involved extremity
C. Schedule an MRI postprocedure to verify placement
D. Measure the arm circumference above the insertion site daily
Answer: D
Rationale: Measuring the arm circumference can help monitor for complications such
as swelling or thrombosis.
Safety & Infection Control
Question 9
A nurse is caring for a client with Clostridium difficile. Which infection control precaution
is required?
A. Airborne precautions
B. Droplet precautions
C. Contact precautions
D. Standard precautions only
Exit Exam: Practice Questions with
NGN-Style Answers and Evidence-
Based Rationales
Management of Care & Legal/Ethical Issues
Question 1
A competent adult client refuses a blood transfusion for religious reasons. Which actions
should the nurse take? (Select all that apply.)
A. Verify the client understands the risks
B. Document the refusal
C. Administer the transfusion if Hgb is critical
D. Notify the provider
E. Ask the family to override the decision
: A, B, D
Rationale: Competent adults have the right to refuse treatment (autonomy). The
nurse must ensure informed refusal, document it clearly, and notify the provider.
Administering against the client's wishes constitutes battery, and asking family to
override violates client autonomy.
Question 2
Which client should the nurse assess first?
, A. Post-op day 2 with pain 6/10
B. COPD client with O₂ sat 88% on room air
C. Client waiting for discharge teaching
D. Stable diabetic requesting a snack
Answer: B
Rationale: Airway and oxygenation take priority. An O₂ saturation of 88% indicates
hypoxemia and requires immediate intervention.
Question 3
A charge nurse is assigning rooms for four clients. Which client should be placed in a
private room?
A. Client with pneumonia
B. Client with methicillin-resistant Staphylococcus aureus (MRSA)
C. Client with a diabetic foot ulcer
D. Client with chronic obstructive pulmonary disease (COPD)
Answer: B
Rationale: MRSA requires contact isolation. A private room is essential to prevent
transmission to other clients.
Question 4
A nurse is delegating tasks to an assistive personnel (AP). Which task is appropriate to
delegate?
A. Assess a postoperative incision
B. Teach a client how to use a walker
C. Obtain a capillary blood glucose level
D. Evaluate a client's pain level
,Answer: C
Rationale: APs can perform capillary blood glucose testing. Assessment, teaching, and
evaluation require nursing judgment.
Question 5
A charge nurse is making assignments. Which client should be assigned to the most
experienced RN?
A. A client with diabetes requiring routine insulin
B. A client with pneumonia on oral antibiotics
C. A client with chest tubes and new-onset respiratory distress
D. A client with a urinary tract infection
Answer: C
Rationale: The client with chest tubes and respiratory distress is unstable and requires
complex assessment, making them a priority for the most experienced nurse.
Question 6
A client has a living will. Which statement by the nurse indicates an understanding of the
document?
A. "A living will allows the family to make financial decisions"
B. "A living will expresses the client's wishes regarding end-of-life care"
C. "A living will is only valid if the client is 65 or older"
D. "A living will can only be written by a lawyer"
Answer: B
Rationale: A living will is a legal document that expresses a client's wishes regarding
medical treatment at the end of life.
Question 7
A nurse is teaching a newly licensed nurse about clients designating a health care proxy.
Which information should the nurse include?
, A. "The proxy should make health care decisions regardless of the client's ability
to do so"
B. "The proxy can make financial decisions if the need arises"
C. "The proxy can make treatment decisions if the client is under anesthesia"
D. "The proxy should manage legal issues for the client"
Answer: C
Rationale: A health care proxy makes treatment decisions when the client is unable to
do so, such as while under anesthesia.
Question 8
A nurse is planning care for a client who is scheduled to receive a peripherally inserted
central catheter (PICC) in the arm. Which intervention is appropriate?
A. Administer sedation for the procedure
B. Use gauze to secure an arm board to the involved extremity
C. Schedule an MRI postprocedure to verify placement
D. Measure the arm circumference above the insertion site daily
Answer: D
Rationale: Measuring the arm circumference can help monitor for complications such
as swelling or thrombosis.
Safety & Infection Control
Question 9
A nurse is caring for a client with Clostridium difficile. Which infection control precaution
is required?
A. Airborne precautions
B. Droplet precautions
C. Contact precautions
D. Standard precautions only
