ATI RN PREDICTOR EXIT EXAM
PRACTICE TEST (Latest 2026)|||
questions and answers with
rationales/graded A+/2026
update/100% correct /instant
download
Total Questions: 85
Format: Multiple Choice
Instructions: Select the best answer. Correct answers are highlighted in bold with
rationales.
Section 1: Management of Care (Prioritization & Delegation)
1. A nurse is prioritizing care for four clients. Which client should the nurse
assess first?
A. Client with pneumonia requesting pain medication
B. Client with a new tracheostomy reporting increased work of breathing
C. Client with diabetes mellitus requesting a breakfast tray
D. Client with heart failure reporting 2+ edema in lower extremities
Correct Answer: B – Client with a new tracheostomy reporting increased
work of breathing
Rationale: Airway is always the priority. Increased work of breathing indicates
potential airway obstruction or mucus plug.
2. A charge nurse is delegating tasks to a licensed practical nurse (LPN).
Which task is appropriate for the LPN?
A. Perform the initial admission assessment on a client with chest pain
B. Administer IV push morphine to a postoperative client
,C. Insert a urinary catheter for a client with urinary retention
D. Create the nursing care plan for a client with pancreatitis
Correct Answer: C – Insert a urinary catheter for a client with urinary
retention
Rationale: Insertion of an indwelling urinary catheter is within LPN scope in most
states. Initial assessment, IV push meds, and care plans are RN responsibilities.
3. A nurse on a medical-surgical unit is assigned four clients. Which client
should the nurse see first after shift report?
A. Client with COPD and O2 saturation of 90% on 2L nasal cannula
B. Client with appendicitis scheduled for surgery in 2 hours
C. Client with chest tube and sudden absence of bubbling in water seal
chamber
D. Client with cellulitis requesting pain medication
Correct Answer: C – Client with chest tube and sudden absence of bubbling
Rationale: Sudden absence of bubbling in water seal chamber indicates possible
system malfunction or obstruction, leading to tension pneumothorax.
4. A nurse is caring for a client who refuses a blood transfusion due to
religious beliefs. What action should the nurse take?
A. Administer the transfusion because it is medically necessary
B. Respect the client’s decision and notify the provider
C. Ask the family to convince the client to accept blood
D. Document the refusal but prepare blood in case of emergency
Correct Answer: B – Respect the client’s decision and notify the provider
Rationale: Competent adults have the right to refuse treatment per autonomy and
informed consent laws.
5. A nurse is preparing to transfer a client from ICU to medical floor. Which
information must the nurse include in handoff?
A. Client’s room preference
B. Current vital signs, IV fluids, and pending lab results
C. Family member names
D. Dietary likes and dislikes
Correct Answer: B – Current vital signs, IV fluids, and pending lab results
Rationale: SBAR communication should include clinical status, ongoing
treatments, and unresolved issues.
, Section 2: Safety & Infection Control
6. A client is placed on airborne precautions for suspected tuberculosis. Which
PPE is required upon entering the room?
A. Surgical mask and gloves
B. N95 respirator, gloves, gown, and eye protection
C. Face shield only
D. Gown and sterile gloves
Correct Answer: B – N95 respirator, gloves, gown, and eye protection
*Rationale: Airborne precautions require N95 mask; contact precautions add
gown/gloves; eye protection for potential splashes.*
7. A nurse discovers a small fire in a client’s trash can. What is the priority
action?
A. Pull the fire alarm
B. Rescue the client from the room
C. Extinguish the fire with an extinguisher
D. Close the door to contain the fire
Correct Answer: B – Rescue the client from the room
Rationale: RACE – Rescue, Alarm, Confine, Extinguish.
8. Which finding indicates a client is at high risk for falls?
A. Use of reading glasses
B. History of dizziness and taking antihypertensive medications
C. Age greater than 65
D. Wear socks with grip treads
Correct Answer: B – History of dizziness and taking antihypertensive
medications
Rationale: Orthostatic hypotension from antihypertensives increases fall risk.
Section 3: Pharmacology
9. A client with heart failure is prescribed digoxin. Which finding requires
immediate intervention?
A. Heart rate 78 bpm
PRACTICE TEST (Latest 2026)|||
questions and answers with
rationales/graded A+/2026
update/100% correct /instant
download
Total Questions: 85
Format: Multiple Choice
Instructions: Select the best answer. Correct answers are highlighted in bold with
rationales.
Section 1: Management of Care (Prioritization & Delegation)
1. A nurse is prioritizing care for four clients. Which client should the nurse
assess first?
A. Client with pneumonia requesting pain medication
B. Client with a new tracheostomy reporting increased work of breathing
C. Client with diabetes mellitus requesting a breakfast tray
D. Client with heart failure reporting 2+ edema in lower extremities
Correct Answer: B – Client with a new tracheostomy reporting increased
work of breathing
Rationale: Airway is always the priority. Increased work of breathing indicates
potential airway obstruction or mucus plug.
2. A charge nurse is delegating tasks to a licensed practical nurse (LPN).
Which task is appropriate for the LPN?
A. Perform the initial admission assessment on a client with chest pain
B. Administer IV push morphine to a postoperative client
,C. Insert a urinary catheter for a client with urinary retention
D. Create the nursing care plan for a client with pancreatitis
Correct Answer: C – Insert a urinary catheter for a client with urinary
retention
Rationale: Insertion of an indwelling urinary catheter is within LPN scope in most
states. Initial assessment, IV push meds, and care plans are RN responsibilities.
3. A nurse on a medical-surgical unit is assigned four clients. Which client
should the nurse see first after shift report?
A. Client with COPD and O2 saturation of 90% on 2L nasal cannula
B. Client with appendicitis scheduled for surgery in 2 hours
C. Client with chest tube and sudden absence of bubbling in water seal
chamber
D. Client with cellulitis requesting pain medication
Correct Answer: C – Client with chest tube and sudden absence of bubbling
Rationale: Sudden absence of bubbling in water seal chamber indicates possible
system malfunction or obstruction, leading to tension pneumothorax.
4. A nurse is caring for a client who refuses a blood transfusion due to
religious beliefs. What action should the nurse take?
A. Administer the transfusion because it is medically necessary
B. Respect the client’s decision and notify the provider
C. Ask the family to convince the client to accept blood
D. Document the refusal but prepare blood in case of emergency
Correct Answer: B – Respect the client’s decision and notify the provider
Rationale: Competent adults have the right to refuse treatment per autonomy and
informed consent laws.
5. A nurse is preparing to transfer a client from ICU to medical floor. Which
information must the nurse include in handoff?
A. Client’s room preference
B. Current vital signs, IV fluids, and pending lab results
C. Family member names
D. Dietary likes and dislikes
Correct Answer: B – Current vital signs, IV fluids, and pending lab results
Rationale: SBAR communication should include clinical status, ongoing
treatments, and unresolved issues.
, Section 2: Safety & Infection Control
6. A client is placed on airborne precautions for suspected tuberculosis. Which
PPE is required upon entering the room?
A. Surgical mask and gloves
B. N95 respirator, gloves, gown, and eye protection
C. Face shield only
D. Gown and sterile gloves
Correct Answer: B – N95 respirator, gloves, gown, and eye protection
*Rationale: Airborne precautions require N95 mask; contact precautions add
gown/gloves; eye protection for potential splashes.*
7. A nurse discovers a small fire in a client’s trash can. What is the priority
action?
A. Pull the fire alarm
B. Rescue the client from the room
C. Extinguish the fire with an extinguisher
D. Close the door to contain the fire
Correct Answer: B – Rescue the client from the room
Rationale: RACE – Rescue, Alarm, Confine, Extinguish.
8. Which finding indicates a client is at high risk for falls?
A. Use of reading glasses
B. History of dizziness and taking antihypertensive medications
C. Age greater than 65
D. Wear socks with grip treads
Correct Answer: B – History of dizziness and taking antihypertensive
medications
Rationale: Orthostatic hypotension from antihypertensives increases fall risk.
Section 3: Pharmacology
9. A client with heart failure is prescribed digoxin. Which finding requires
immediate intervention?
A. Heart rate 78 bpm
