ATI RN Comprehensive Predictor 2026
Exit Exam: Practice Questions with
Answers & Rationales
SECTION 1: MANAGEMENT OF CARE, DELEGATION &
SAFETY (Questions 1-25)
Question 1
A charge nurse is assigning client care tasks for the upcoming shift. Which task should
the charge nurse assign to an assistive personnel (AP)?
A. Performing a thoracentesis
B. Inserting an endotracheal tube
C. Obtaining blood cultures from a central catheter
D. Inserting an epidural catheter
Answer: C
Rationale: Obtaining blood cultures from a central catheter is within the scope of a
trained AP under nurse supervision. Thoracentesis, ET tube insertion, and epidural
catheter insertion are invasive procedures requiring advanced clinical skills that cannot
be delegated to an AP.
Question 2
A nurse manager is planning to promote client advocacy among staff. Which action
should the manager take?
,A. Develop a system for staff to report safety concerns
B. Encourage staff to implement paternalism when a client refuses treatment
C. Instruct staff to share personal experiences to help clients make decisions
D. Tell staff to explain procedures to clients before obtaining informed consent
Answer: D
Rationale: Client advocacy includes ensuring clients receive complete information
before consenting to procedures. Explaining procedures prior to obtaining informed
consent empowers clients to make autonomous, informed decisions—a core element of
client advocacy.
Question 3
A nurse is caring for a client who requires restraints. Which action is appropriate?
A. Attach restraints to the movable part of the bed
B. Perform regular assessments of the restrained patient
C. Document restraints every 4 hours
D. Apply restraints for 4 hours without reassessment
Answer: B
Rationale: Regular assessment of restrained patients is mandated to ensure their safety
and well-being. Restraints should never be attached to movable parts of the bed, and
documentation should occur more frequently than every 4 hours.
,Question 4
A nurse is providing an in-service about client evacuation during a fire. Which client
requires special evacuation equipment?
A. Ambulatory client with a hearing aid
B. Client who can self-evacuate with direction
C. Client in balance suspension traction
D. Client who is fully mobile
Answer: C
Rationale: Using RACE principles, the client in balance suspension traction cannot self-
evacuate and requires special equipment. Ambulatory clients and those with hearing
aids can self-evacuate with direction.
Question 5
A nurse observes a coworker who has impaired coordination and is drowsy while
performing routine tasks. What action should the charge nurse take first?
A. Confront the coworker directly
B. Send the coworker home
C. Document the observation
D. Report to the nurse manager
Answer: D
Rationale: The charge nurse should report the observation to the nurse manager.
Confrontation is not appropriate in this situation; the nurse manager should handle the
issue through proper channels.
, Question 6
A nurse is reviewing annual educational requirements for fire safety. Identify the correct
sequence for operating a fire extinguisher.
A. Squeeze, Aim, Sweep, Pull
B. Pull, Squeeze, Aim, Sweep
C. Aim, Pull, Squeeze, Sweep
D. Pull, Aim, Squeeze, Sweep
Answer: D
Rationale: The correct sequence for using a fire extinguisher is PASS: Pull the pin, Aim
at the base of the fire, Squeeze the handle, and Sweep from side to side.
Question 7
A nurse is preparing a client to undergo a cardiac catheterization. Which task should the
nurse perform prior to the procedure?
A. Obtain CBC with differential
B. Administer the morning dose of warfarin
C. Apply a warm compress to the insertion site
D. Give the client a full meal
Answer: A
Rationale: Obtaining CBC with differential is necessary before cardiac catheterization to
assess for infection, anemia, or bleeding risk. Warfarin should typically be held before
the procedure.
Exit Exam: Practice Questions with
Answers & Rationales
SECTION 1: MANAGEMENT OF CARE, DELEGATION &
SAFETY (Questions 1-25)
Question 1
A charge nurse is assigning client care tasks for the upcoming shift. Which task should
the charge nurse assign to an assistive personnel (AP)?
A. Performing a thoracentesis
B. Inserting an endotracheal tube
C. Obtaining blood cultures from a central catheter
D. Inserting an epidural catheter
Answer: C
Rationale: Obtaining blood cultures from a central catheter is within the scope of a
trained AP under nurse supervision. Thoracentesis, ET tube insertion, and epidural
catheter insertion are invasive procedures requiring advanced clinical skills that cannot
be delegated to an AP.
Question 2
A nurse manager is planning to promote client advocacy among staff. Which action
should the manager take?
,A. Develop a system for staff to report safety concerns
B. Encourage staff to implement paternalism when a client refuses treatment
C. Instruct staff to share personal experiences to help clients make decisions
D. Tell staff to explain procedures to clients before obtaining informed consent
Answer: D
Rationale: Client advocacy includes ensuring clients receive complete information
before consenting to procedures. Explaining procedures prior to obtaining informed
consent empowers clients to make autonomous, informed decisions—a core element of
client advocacy.
Question 3
A nurse is caring for a client who requires restraints. Which action is appropriate?
A. Attach restraints to the movable part of the bed
B. Perform regular assessments of the restrained patient
C. Document restraints every 4 hours
D. Apply restraints for 4 hours without reassessment
Answer: B
Rationale: Regular assessment of restrained patients is mandated to ensure their safety
and well-being. Restraints should never be attached to movable parts of the bed, and
documentation should occur more frequently than every 4 hours.
,Question 4
A nurse is providing an in-service about client evacuation during a fire. Which client
requires special evacuation equipment?
A. Ambulatory client with a hearing aid
B. Client who can self-evacuate with direction
C. Client in balance suspension traction
D. Client who is fully mobile
Answer: C
Rationale: Using RACE principles, the client in balance suspension traction cannot self-
evacuate and requires special equipment. Ambulatory clients and those with hearing
aids can self-evacuate with direction.
Question 5
A nurse observes a coworker who has impaired coordination and is drowsy while
performing routine tasks. What action should the charge nurse take first?
A. Confront the coworker directly
B. Send the coworker home
C. Document the observation
D. Report to the nurse manager
Answer: D
Rationale: The charge nurse should report the observation to the nurse manager.
Confrontation is not appropriate in this situation; the nurse manager should handle the
issue through proper channels.
, Question 6
A nurse is reviewing annual educational requirements for fire safety. Identify the correct
sequence for operating a fire extinguisher.
A. Squeeze, Aim, Sweep, Pull
B. Pull, Squeeze, Aim, Sweep
C. Aim, Pull, Squeeze, Sweep
D. Pull, Aim, Squeeze, Sweep
Answer: D
Rationale: The correct sequence for using a fire extinguisher is PASS: Pull the pin, Aim
at the base of the fire, Squeeze the handle, and Sweep from side to side.
Question 7
A nurse is preparing a client to undergo a cardiac catheterization. Which task should the
nurse perform prior to the procedure?
A. Obtain CBC with differential
B. Administer the morning dose of warfarin
C. Apply a warm compress to the insertion site
D. Give the client a full meal
Answer: A
Rationale: Obtaining CBC with differential is necessary before cardiac catheterization to
assess for infection, anemia, or bleeding risk. Warfarin should typically be held before
the procedure.
