(Actual Exams & Retake Exams) For ATI RN
Comprehensive Predictor | ATI Exit (Latest Update)
1. A charge nurse is assigning rooms for four clients.
Which client requires a private room?
A. Client with pneumonia
B. Client with Clostridioides difficile
C. Client with cellulitis
D. Client with a urinary tract infection
Answer: B. Client with Clostridioides difficile
Rationale: C. diff requires Contact Precautions plus a
private room to prevent spore transmission to other
patients . Pneumonia may require Droplet precautions but
not always a private room; cellulitis and UTI are standard
precautions.
2. A nurse is receiving change-of-shift report on four
clients. Which client should the nurse assess first?
A. A client with a dressing that needs reinforcement
B. A client reporting pain rated 6/10
1
,C. A client whose urinary output was 100 mL in 12 hours
D. A client scheduled for discharge
Answer: C. A client whose urinary output was 100 mL in
12 hours
Rationale: This output equals roughly 8 mL/hr, well below
the minimum of 30 mL/hr. This indicates potential acute
kidney injury or hypovolemia, making it the priority
(urgent versus non-urgent) .
3. A nurse delegates vital signs to an assistive personnel
(AP). Which client should the AP NOT be assigned to?
A. Client with pneumonia on room air
B. Client post-op day 3 with stable vitals
C. Client with frequent loose stools and orthostatic
hypotension
D. Client with hypertension controlled on lisinopril
Answer: C. Client with orthostatic hypotension
Rationale: Orthostatic hypotension requires a skilled
assessment (lying, sitting, standing measurements). APs can
2
,take routine vitals but should not perform orthostatic
checks on unstable clients .
4. A client tells the nurse, "I don't want any heroic
measures. Just keep me comfortable." What is the nurse's
priority action?
A. Ask the client to complete a living will.
B. Notify the healthcare provider of the client's wishes.
C. Arrange a palliative care consult.
D. Discuss DNR orders with the family.
Answer: B. Notify the healthcare provider
Rationale: While advance directives are important, the
priority is to communicate the client's wishes to the
provider immediately so that appropriate medical orders
(DNR/DNI) can be written .
5. A nurse notices a colleague taking narcotics from the
medication dispenser for personal use. What is the first
action?
A. Ignore it to avoid conflict.
3
, B. Report to the nurse manager.
C. Confront the colleague directly.
D. Call the police.
Answer: B. Report to the nurse manager
Rationale: The nurse has a legal and ethical duty to
report suspected diversion or impairment. This follows the
chain of command (nurse manager) rather than
confronting the colleague or going to police prematurely .
6. A nurse is preparing to discharge a client who speaks
a different language. An in-person interpreter is not
available. What should the nurse do?
A. Ask the client's 10-year-old child to interpret.
B. Use a professional medical interpreter via
telephone/video.
C. Use hand gestures to explain medication instructions.
D. Wait until an interpreter can be scheduled.
Answer: B. Use a professional interpreter via
telephone/video
4
Comprehensive Predictor | ATI Exit (Latest Update)
1. A charge nurse is assigning rooms for four clients.
Which client requires a private room?
A. Client with pneumonia
B. Client with Clostridioides difficile
C. Client with cellulitis
D. Client with a urinary tract infection
Answer: B. Client with Clostridioides difficile
Rationale: C. diff requires Contact Precautions plus a
private room to prevent spore transmission to other
patients . Pneumonia may require Droplet precautions but
not always a private room; cellulitis and UTI are standard
precautions.
2. A nurse is receiving change-of-shift report on four
clients. Which client should the nurse assess first?
A. A client with a dressing that needs reinforcement
B. A client reporting pain rated 6/10
1
,C. A client whose urinary output was 100 mL in 12 hours
D. A client scheduled for discharge
Answer: C. A client whose urinary output was 100 mL in
12 hours
Rationale: This output equals roughly 8 mL/hr, well below
the minimum of 30 mL/hr. This indicates potential acute
kidney injury or hypovolemia, making it the priority
(urgent versus non-urgent) .
3. A nurse delegates vital signs to an assistive personnel
(AP). Which client should the AP NOT be assigned to?
A. Client with pneumonia on room air
B. Client post-op day 3 with stable vitals
C. Client with frequent loose stools and orthostatic
hypotension
D. Client with hypertension controlled on lisinopril
Answer: C. Client with orthostatic hypotension
Rationale: Orthostatic hypotension requires a skilled
assessment (lying, sitting, standing measurements). APs can
2
,take routine vitals but should not perform orthostatic
checks on unstable clients .
4. A client tells the nurse, "I don't want any heroic
measures. Just keep me comfortable." What is the nurse's
priority action?
A. Ask the client to complete a living will.
B. Notify the healthcare provider of the client's wishes.
C. Arrange a palliative care consult.
D. Discuss DNR orders with the family.
Answer: B. Notify the healthcare provider
Rationale: While advance directives are important, the
priority is to communicate the client's wishes to the
provider immediately so that appropriate medical orders
(DNR/DNI) can be written .
5. A nurse notices a colleague taking narcotics from the
medication dispenser for personal use. What is the first
action?
A. Ignore it to avoid conflict.
3
, B. Report to the nurse manager.
C. Confront the colleague directly.
D. Call the police.
Answer: B. Report to the nurse manager
Rationale: The nurse has a legal and ethical duty to
report suspected diversion or impairment. This follows the
chain of command (nurse manager) rather than
confronting the colleague or going to police prematurely .
6. A nurse is preparing to discharge a client who speaks
a different language. An in-person interpreter is not
available. What should the nurse do?
A. Ask the client's 10-year-old child to interpret.
B. Use a professional medical interpreter via
telephone/video.
C. Use hand gestures to explain medication instructions.
D. Wait until an interpreter can be scheduled.
Answer: B. Use a professional interpreter via
telephone/video
4
