ATI RN COMPREHENSIVE
PREDICTOR 2026 FINAL
ASSESSMENT Complete Text
Bank with|NGN-Style Practice
Questions with Rationales
2026\2027
1. A nurse is caring for four clients. Which client should the nurse
assess first?
A. A client with diabetes who has a blood glucose of 142 mg/dL
B. A client with pneumonia who has an oxygen saturation of 91%
C. A client with heart failure who has new pink, frothy sputum
D. A client awaiting discharge instructions
Answer: BOLD C. A client with heart failure who has new pink,
frothy sputum
Pink, frothy sputum can indicate acute pulmonary edema, which
threatens airway and breathing and requires immediate intervention.
2. Which task is appropriate for the RN to delegate to an assistive
personnel (AP)?
A. Assess a client with newly developed confusion
B. Teach a client how to use an incentive spirometer
C. Obtain vital signs for a stable postoperative client
D. Evaluate a client's response to pain medication
,Answer: BOLD C. Obtain vital signs for a stable postoperative client
Obtaining routine vital signs on a stable client is within the AP's role.
Assessment, teaching, and evaluation require nursing judgment.
3. A nurse is assigning clients to an LPN/LVN. Which assignment is
appropriate?
A. A client requiring initial discharge teaching
B. A client with an unstable airway
C. A client requiring routine wound care
D. A client experiencing a new seizure
Answer: BOLD C. A client requiring routine wound care
An LPN/LVN can provide care to stable clients with predictable
outcomes, including routine wound care.
4. A nurse discovers that a client received another client's
medication. What should the nurse do first?
A. Complete an incident report
B. Notify the provider
C. Assess the client
D. Notify the nursing supervisor
Answer: BOLD C. Assess the client
The nurse's immediate responsibility is to assess the client for adverse
effects and ensure safety.
5. Which action demonstrates appropriate use of the nursing
process?
,A. Administering medication before assessing the client
B. Evaluating whether interventions achieved expected outcomes
C. Delegating assessment to an AP
D. Establishing diagnoses before collecting data
Answer: BOLD B. Evaluating whether interventions achieved
expected outcomes
Evaluation determines whether the client's goals were met and
whether the plan of care should be continued or modified.
6. A client refuses a prescribed blood transfusion for religious
reasons. Which action should the nurse take?
A. Ask the family to convince the client
B. Administer the transfusion because it is prescribed
C. Respect the client's informed decision
D. Request that the provider obtain a court order
Answer: BOLD C. Respect the client's informed decision
Competent adults have the right to accept or refuse treatment after
receiving appropriate information.
7. Which client should a nurse assign to an experienced RN rather
than a newly licensed RN?
A. Client with stable hypertension
B. Client needing routine oral medications
C. Client with a new tracheostomy and respiratory distress
D. Client awaiting discharge
Answer: BOLD C. Client with a new tracheostomy and respiratory
distress
, Respiratory distress in a client with a new airway is an unstable,
potentially life-threatening condition requiring advanced assessment
and intervention.
8. A nurse is preparing to administer a medication. Which action best
prevents medication errors?
A. Relying on memory for frequently administered medications
B. Comparing the medication label with the prescription during
preparation
C. Asking another nurse to administer unfamiliar medications
D. Documenting administration before giving the medication
Answer: BOLD B. Comparing the medication label with the
prescription during preparation
Medication verification at multiple points helps prevent wrong-
medication, wrong-dose, and wrong-route errors.
9. A nurse is caring for a client who speaks limited English. Which
resource should the nurse use?
A. The client's adolescent child
B. A bilingual family member
C. A qualified medical interpreter
D. A translation application without verification
Answer: BOLD C. A qualified medical interpreter
Qualified interpreters promote accurate communication and protect
confidentiality.
10. A nurse witnesses another nurse documenting a medication
administration that did not occur. What should the nurse do?
PREDICTOR 2026 FINAL
ASSESSMENT Complete Text
Bank with|NGN-Style Practice
Questions with Rationales
2026\2027
1. A nurse is caring for four clients. Which client should the nurse
assess first?
A. A client with diabetes who has a blood glucose of 142 mg/dL
B. A client with pneumonia who has an oxygen saturation of 91%
C. A client with heart failure who has new pink, frothy sputum
D. A client awaiting discharge instructions
Answer: BOLD C. A client with heart failure who has new pink,
frothy sputum
Pink, frothy sputum can indicate acute pulmonary edema, which
threatens airway and breathing and requires immediate intervention.
2. Which task is appropriate for the RN to delegate to an assistive
personnel (AP)?
A. Assess a client with newly developed confusion
B. Teach a client how to use an incentive spirometer
C. Obtain vital signs for a stable postoperative client
D. Evaluate a client's response to pain medication
,Answer: BOLD C. Obtain vital signs for a stable postoperative client
Obtaining routine vital signs on a stable client is within the AP's role.
Assessment, teaching, and evaluation require nursing judgment.
3. A nurse is assigning clients to an LPN/LVN. Which assignment is
appropriate?
A. A client requiring initial discharge teaching
B. A client with an unstable airway
C. A client requiring routine wound care
D. A client experiencing a new seizure
Answer: BOLD C. A client requiring routine wound care
An LPN/LVN can provide care to stable clients with predictable
outcomes, including routine wound care.
4. A nurse discovers that a client received another client's
medication. What should the nurse do first?
A. Complete an incident report
B. Notify the provider
C. Assess the client
D. Notify the nursing supervisor
Answer: BOLD C. Assess the client
The nurse's immediate responsibility is to assess the client for adverse
effects and ensure safety.
5. Which action demonstrates appropriate use of the nursing
process?
,A. Administering medication before assessing the client
B. Evaluating whether interventions achieved expected outcomes
C. Delegating assessment to an AP
D. Establishing diagnoses before collecting data
Answer: BOLD B. Evaluating whether interventions achieved
expected outcomes
Evaluation determines whether the client's goals were met and
whether the plan of care should be continued or modified.
6. A client refuses a prescribed blood transfusion for religious
reasons. Which action should the nurse take?
A. Ask the family to convince the client
B. Administer the transfusion because it is prescribed
C. Respect the client's informed decision
D. Request that the provider obtain a court order
Answer: BOLD C. Respect the client's informed decision
Competent adults have the right to accept or refuse treatment after
receiving appropriate information.
7. Which client should a nurse assign to an experienced RN rather
than a newly licensed RN?
A. Client with stable hypertension
B. Client needing routine oral medications
C. Client with a new tracheostomy and respiratory distress
D. Client awaiting discharge
Answer: BOLD C. Client with a new tracheostomy and respiratory
distress
, Respiratory distress in a client with a new airway is an unstable,
potentially life-threatening condition requiring advanced assessment
and intervention.
8. A nurse is preparing to administer a medication. Which action best
prevents medication errors?
A. Relying on memory for frequently administered medications
B. Comparing the medication label with the prescription during
preparation
C. Asking another nurse to administer unfamiliar medications
D. Documenting administration before giving the medication
Answer: BOLD B. Comparing the medication label with the
prescription during preparation
Medication verification at multiple points helps prevent wrong-
medication, wrong-dose, and wrong-route errors.
9. A nurse is caring for a client who speaks limited English. Which
resource should the nurse use?
A. The client's adolescent child
B. A bilingual family member
C. A qualified medical interpreter
D. A translation application without verification
Answer: BOLD C. A qualified medical interpreter
Qualified interpreters promote accurate communication and protect
confidentiality.
10. A nurse witnesses another nurse documenting a medication
administration that did not occur. What should the nurse do?
