ATI RN Comprehensive Predictor 2026: 100
NGN Practice Questions with Answers and
Detailed Rationales for Level 3 Pass
Management of Care
1. A nurse is caring for four clients. Which
client should the nurse assess first?
A. A client 2 days post-op reporting
incisional pain rated 6/10
B. A client with COPD whose SpO₂ dropped
from 92% to 86%
C. A client requesting assistance to
ambulate for the first time
D. A client with diabetes requesting a snack
before lunch
☑VERIFIED ANSWERS: B
Rationale: Airway/Breathing/Circulation
,takes priority. A falling SpO₂ in a COPD client
indicates worsening oxygenation. A is stable
chronic pain; C and D are non-urgent.
2. Which task is appropriate for the RN to
delegate to a UAP?
A. Teaching a new diabetic client to draw up
insulin
B. Ambulating a stable client on post-op day
2
C. Assessing a client's surgical incision
D. Administering a PRN antiemetic
☑VERIFIED ANSWERS: B
Rationale: UAPs may perform stable,
routine, predictable tasks. Assessment,
teaching, and medication administration are
RN responsibilities (or LPN for meds,
depending on state scope).
,3. A client refuses a prescribed blood
transfusion and states, "I don't want it."
Which action should the nurse take first?
A. Administer the transfusion because it is
life-saving
B. Explore the client's reason for refusing
C. Notify the provider and document the
refusal
D. Ask the family to convince the client
☑VERIFIED ANSWERS: B
Rationale: A competent adult has the right
to refuse. The nurse first assesses why —
the concern may be correctable. Then notify
the provider and document.
4. A nurse is assigning clients. Which client
should be assigned to the LPN?
A. A client 4 hours post-cardiac
, catheterization with groin pain
B. A client with a new colostomy requesting
teaching
C. A stable client receiving oral antibiotics
for pneumonia
D. A client with new-onset confusion and
agitation
☑VERIFIED ANSWERS: C
Rationale: LPNs care for stable, predictable
clients. New procedures, new teaching, and
acute changes require RN assessment.
5. A nurse manager is reviewing an incident
report. Which situation requires mandatory
reporting?
A. A client falls with no injury
B. A nurse diverts a controlled substance
NGN Practice Questions with Answers and
Detailed Rationales for Level 3 Pass
Management of Care
1. A nurse is caring for four clients. Which
client should the nurse assess first?
A. A client 2 days post-op reporting
incisional pain rated 6/10
B. A client with COPD whose SpO₂ dropped
from 92% to 86%
C. A client requesting assistance to
ambulate for the first time
D. A client with diabetes requesting a snack
before lunch
☑VERIFIED ANSWERS: B
Rationale: Airway/Breathing/Circulation
,takes priority. A falling SpO₂ in a COPD client
indicates worsening oxygenation. A is stable
chronic pain; C and D are non-urgent.
2. Which task is appropriate for the RN to
delegate to a UAP?
A. Teaching a new diabetic client to draw up
insulin
B. Ambulating a stable client on post-op day
2
C. Assessing a client's surgical incision
D. Administering a PRN antiemetic
☑VERIFIED ANSWERS: B
Rationale: UAPs may perform stable,
routine, predictable tasks. Assessment,
teaching, and medication administration are
RN responsibilities (or LPN for meds,
depending on state scope).
,3. A client refuses a prescribed blood
transfusion and states, "I don't want it."
Which action should the nurse take first?
A. Administer the transfusion because it is
life-saving
B. Explore the client's reason for refusing
C. Notify the provider and document the
refusal
D. Ask the family to convince the client
☑VERIFIED ANSWERS: B
Rationale: A competent adult has the right
to refuse. The nurse first assesses why —
the concern may be correctable. Then notify
the provider and document.
4. A nurse is assigning clients. Which client
should be assigned to the LPN?
A. A client 4 hours post-cardiac
, catheterization with groin pain
B. A client with a new colostomy requesting
teaching
C. A stable client receiving oral antibiotics
for pneumonia
D. A client with new-onset confusion and
agitation
☑VERIFIED ANSWERS: C
Rationale: LPNs care for stable, predictable
clients. New procedures, new teaching, and
acute changes require RN assessment.
5. A nurse manager is reviewing an incident
report. Which situation requires mandatory
reporting?
A. A client falls with no injury
B. A nurse diverts a controlled substance
