1
ATI RN Comprehensive Predictor 2026: 200
Practice Questions with ☑VERIFIED ANSWERs
and Detailed Rationales Covering Medical-
Surgical, Pharmacology, Pediatrics, Mental
Health, and Leadership for NCLEX Readiness
Section 1: Management of Care & Delegation
1. A charge nurse is assigning clients on a
medical-surgical unit. Which client should be
assigned to the most experienced RN?
A. A client requiring a blood transfusion for
symptomatic anemia.
B. A client post-cholecystectomy requesting
pain medication.
C. A client with diabetes mellitus needing a
fingerstick blood glucose check.
D. A client with a colostomy requiring appliance
care.
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Correct ☑VERIFIED ANSWER: A.
Rationale: Blood transfusions require the
educational preparation and assessment skills
of an RN due to the risk of transfusion
reactions . LPNs can administer medications (B),
perform glucose checks (C), and provide ostomy
care (D) in stable patients.
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 a
bounding pulse.
Correct ☑VERIFIED ANSWER: D.
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Rationale: New-onset confusion with a
bounding pulse suggests increased intracranial
pressure, hypercapnia, or fluid overload
affecting cerebral perfusion. A change in
neurological status is always the priority over
chronic or expected findings .
3. A nurse is delegating tasks to an Unlicensed
Assistive Personnel (UAP). Which task is
appropriate to delegate?
A. Assessing the nutritional intake of a client
with dysphagia.
B. Suctioning a tracheostomy for a stable client.
C. Ambulating a client who is post-operative day
two following an appendectomy.
D. Teaching a client how to use a Patient-
Controlled Analgesia (PCA) pump.
Correct ☑VERIFIED ANSWER: C.
Rationale: Delegation is based on the "right
, 4
task." Ambulating a stable post-op client is
within the scope of a UAP . Teaching (D),
assessment (A), and sterile suctioning (B)
require licensed nursing judgment.
4. A client presents to the emergency
department with a suspected myocardial
infarction. The client is alert but refuses to sign
a consent form for emergency angioplasty.
Which action should the nurse take?
A. Respect the client's refusal and notify the
provider.
B. Ask the client's spouse to sign the consent
form.
C. Prepare the client for the procedure as it is
an emergency.
D. Contact risk management to override the
consent.
Correct ☑VERIFIED ANSWER: A.
ATI RN Comprehensive Predictor 2026: 200
Practice Questions with ☑VERIFIED ANSWERs
and Detailed Rationales Covering Medical-
Surgical, Pharmacology, Pediatrics, Mental
Health, and Leadership for NCLEX Readiness
Section 1: Management of Care & Delegation
1. A charge nurse is assigning clients on a
medical-surgical unit. Which client should be
assigned to the most experienced RN?
A. A client requiring a blood transfusion for
symptomatic anemia.
B. A client post-cholecystectomy requesting
pain medication.
C. A client with diabetes mellitus needing a
fingerstick blood glucose check.
D. A client with a colostomy requiring appliance
care.
,2
Correct ☑VERIFIED ANSWER: A.
Rationale: Blood transfusions require the
educational preparation and assessment skills
of an RN due to the risk of transfusion
reactions . LPNs can administer medications (B),
perform glucose checks (C), and provide ostomy
care (D) in stable patients.
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 a
bounding pulse.
Correct ☑VERIFIED ANSWER: D.
,3
Rationale: New-onset confusion with a
bounding pulse suggests increased intracranial
pressure, hypercapnia, or fluid overload
affecting cerebral perfusion. A change in
neurological status is always the priority over
chronic or expected findings .
3. A nurse is delegating tasks to an Unlicensed
Assistive Personnel (UAP). Which task is
appropriate to delegate?
A. Assessing the nutritional intake of a client
with dysphagia.
B. Suctioning a tracheostomy for a stable client.
C. Ambulating a client who is post-operative day
two following an appendectomy.
D. Teaching a client how to use a Patient-
Controlled Analgesia (PCA) pump.
Correct ☑VERIFIED ANSWER: C.
Rationale: Delegation is based on the "right
, 4
task." Ambulating a stable post-op client is
within the scope of a UAP . Teaching (D),
assessment (A), and sterile suctioning (B)
require licensed nursing judgment.
4. A client presents to the emergency
department with a suspected myocardial
infarction. The client is alert but refuses to sign
a consent form for emergency angioplasty.
Which action should the nurse take?
A. Respect the client's refusal and notify the
provider.
B. Ask the client's spouse to sign the consent
form.
C. Prepare the client for the procedure as it is
an emergency.
D. Contact risk management to override the
consent.
Correct ☑VERIFIED ANSWER: A.
