RN ATI COMPREHENSIVE PREDICTOR EXIT
EXAM 2023 WITH NGN COMPILATION-3
VERSIONS (540 QUESTIONS)
Section 1: Management of Care (1–20)
1. A nurse is prioritizing care for four clients. Which client should the nurse assess first?
A. A client 2 days postoperative with a temperature of 38.1°C (100.6°F)
B. A client with COPD reporting increased shortness of breath and a respiratory rate of 32/min
C. A client requesting pain medication for a headache rated 6/10
D. A client awaiting discharge teaching for a new colostomy
B— This client shows signs of acute respiratory compromise (tachypnea, dyspnea)
requiring immediate assessment. Fever, pain, and discharge teaching are important but not
immediately life-threatening. Remember ABC (Airway, Breathing, Circulation) prioritization.
2. A nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which task is
appropriate to delegate?
A. Administering a tube feeding
B. Assessing a client's surgical incision
C. Obtaining a client's vital signs on a stable client
D. Teaching a client how to use an incentive spirometer
C— Vital signs on a stable client are within UAP scope. Assessment, teaching, and tube
feedings require a licensed nurse. Delegation must follow the five rights: right task,
circumstance, person, direction/communication, and supervision.
3. A nurse is reviewing an informed consent form signed by a client scheduled for surgery.
Which action should the nurse take?
A. Explain the risks and benefits of the procedure
B. Verify the client understands the procedure and signed voluntarily
C. Witness the signature after the client receives preoperative sedation
D. Obtain the surgeon's signature on the consent
, B— The nurse's role is to verify that the client gave informed consent voluntarily and
understands the procedure. The provider explains risks/benefits. Consent should be signed
before sedation.
4. A nurse is caring for a client who speaks limited English. Which action best ensures effective
communication?
A. Ask a family member to interpret
B. Use a certified medical interpreter
C. Speak slowly and loudly in English
D. Provide written instructions only
B— A certified medical interpreter ensures accurate, confidential communication.
Family members may misinterpret or omit information, and speaking loudly does not improve
comprehension.
5. A nurse is preparing to administer medications and discovers a discrepancy in a client's
medication reconciliation. Which action should the nurse take first?
A. Administer the medication as ordered
B. Hold the medication and contact the provider
C. Document the discrepancy and continue
D. Ask the UAP to clarify with the pharmacy
B— When a discrepancy is identified, the nurse must hold the medication and clarify
with the provider to prevent harm. Never administer a questionable order.
6. A nurse is acting as a client advocate. Which action demonstrates advocacy?
A. Making decisions for the client
B. Ensuring the client's wishes are respected
C. Avoiding discussion of treatment options
D. Documenting only provider preferences
B— Advocacy means supporting and protecting the client's rights, wishes, and values.
The nurse informs and supports—not decides for—the client.
,7. A nurse is caring for a client who is postoperative and has an advance directive stating "do
not resuscitate" (DNR). The client becomes unresponsive and pulseless. Which action should
the nurse take?
A. Begin CPR immediately
B. Respect the DNR and provide comfort measures
C. Call a code and begin rescue breathing only
D. Wait for family to arrive before acting
B— A valid DNR order must be honored. The nurse provides comfort and follows facility
policy. Initiating CPR would violate the client's directive.
8. A nurse is assigning clients to staff. Which client should be assigned to the most experienced
nurse?
A. A client with a urinary tract infection receiving oral antibiotics
B. A client with new-onset atrial fibrillation receiving IV diltiazem
C. A client requesting discharge instructions
D. A client with a healing pressure injury
B— New-onset atrial fibrillation with IV antidysrhythmic therapy requires close
monitoring and experienced assessment. The other clients are more stable.
9. A nurse is documenting in a client's medical record. Which entry is appropriate?
A. "Client is being difficult and demanding."
B. "Client refused medication; provider notified."
C. "Client probably has an infection."
D. "Client seems like a drug seeker."
B— Documentation must be objective, factual, and timely. Subjective judgments,
speculation, and labels are inappropriate.
10. A nurse is participating in a quality improvement (QI) project. Which action reflects the QI
process?
A. Blaming staff for errors
B. Collecting data on fall rates and implementing prevention strategies
, C. Ignoring incident reports
D. Reducing staffing to cut costs
B— QI uses data collection, analysis, and interventions to improve outcomes. It is
nonpunitive and systems-focused.
11. A nurse manager is reviewing an incident report. Which statement is true about incident
reports?
A. They are used to discipline staff
B. They should be documented in the client's medical record
C. They are used to identify and correct system issues
D. They should not be completed if no harm occurred
C— Incident reports identify system problems and prevent recurrence. They are not
part of the medical record and are not used for discipline.
12. A nurse is caring for a client who requires an interpreter. Which action is most appropriate?
A. Use the client's child as interpreter
B. Arrange for a professional interpreter
C. Use gestures only
D. Delay care until a bilingual staff member is available
B— Professional interpreters ensure accuracy and confidentiality. Using children or
untrained staff is inappropriate.
13. A nurse is preparing for discharge. Which action best ensures continuity of care?
A. Providing verbal instructions only
B. Coordinating with case management and providing written instructions
C. Discharging without follow-up
D. Assuming the client understands all instructions
B— Discharge planning includes coordination, written instructions, and follow-up to
ensure continuity and safety.
EXAM 2023 WITH NGN COMPILATION-3
VERSIONS (540 QUESTIONS)
Section 1: Management of Care (1–20)
1. A nurse is prioritizing care for four clients. Which client should the nurse assess first?
A. A client 2 days postoperative with a temperature of 38.1°C (100.6°F)
B. A client with COPD reporting increased shortness of breath and a respiratory rate of 32/min
C. A client requesting pain medication for a headache rated 6/10
D. A client awaiting discharge teaching for a new colostomy
B— This client shows signs of acute respiratory compromise (tachypnea, dyspnea)
requiring immediate assessment. Fever, pain, and discharge teaching are important but not
immediately life-threatening. Remember ABC (Airway, Breathing, Circulation) prioritization.
2. A nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which task is
appropriate to delegate?
A. Administering a tube feeding
B. Assessing a client's surgical incision
C. Obtaining a client's vital signs on a stable client
D. Teaching a client how to use an incentive spirometer
C— Vital signs on a stable client are within UAP scope. Assessment, teaching, and tube
feedings require a licensed nurse. Delegation must follow the five rights: right task,
circumstance, person, direction/communication, and supervision.
3. A nurse is reviewing an informed consent form signed by a client scheduled for surgery.
Which action should the nurse take?
A. Explain the risks and benefits of the procedure
B. Verify the client understands the procedure and signed voluntarily
C. Witness the signature after the client receives preoperative sedation
D. Obtain the surgeon's signature on the consent
, B— The nurse's role is to verify that the client gave informed consent voluntarily and
understands the procedure. The provider explains risks/benefits. Consent should be signed
before sedation.
4. A nurse is caring for a client who speaks limited English. Which action best ensures effective
communication?
A. Ask a family member to interpret
B. Use a certified medical interpreter
C. Speak slowly and loudly in English
D. Provide written instructions only
B— A certified medical interpreter ensures accurate, confidential communication.
Family members may misinterpret or omit information, and speaking loudly does not improve
comprehension.
5. A nurse is preparing to administer medications and discovers a discrepancy in a client's
medication reconciliation. Which action should the nurse take first?
A. Administer the medication as ordered
B. Hold the medication and contact the provider
C. Document the discrepancy and continue
D. Ask the UAP to clarify with the pharmacy
B— When a discrepancy is identified, the nurse must hold the medication and clarify
with the provider to prevent harm. Never administer a questionable order.
6. A nurse is acting as a client advocate. Which action demonstrates advocacy?
A. Making decisions for the client
B. Ensuring the client's wishes are respected
C. Avoiding discussion of treatment options
D. Documenting only provider preferences
B— Advocacy means supporting and protecting the client's rights, wishes, and values.
The nurse informs and supports—not decides for—the client.
,7. A nurse is caring for a client who is postoperative and has an advance directive stating "do
not resuscitate" (DNR). The client becomes unresponsive and pulseless. Which action should
the nurse take?
A. Begin CPR immediately
B. Respect the DNR and provide comfort measures
C. Call a code and begin rescue breathing only
D. Wait for family to arrive before acting
B— A valid DNR order must be honored. The nurse provides comfort and follows facility
policy. Initiating CPR would violate the client's directive.
8. A nurse is assigning clients to staff. Which client should be assigned to the most experienced
nurse?
A. A client with a urinary tract infection receiving oral antibiotics
B. A client with new-onset atrial fibrillation receiving IV diltiazem
C. A client requesting discharge instructions
D. A client with a healing pressure injury
B— New-onset atrial fibrillation with IV antidysrhythmic therapy requires close
monitoring and experienced assessment. The other clients are more stable.
9. A nurse is documenting in a client's medical record. Which entry is appropriate?
A. "Client is being difficult and demanding."
B. "Client refused medication; provider notified."
C. "Client probably has an infection."
D. "Client seems like a drug seeker."
B— Documentation must be objective, factual, and timely. Subjective judgments,
speculation, and labels are inappropriate.
10. A nurse is participating in a quality improvement (QI) project. Which action reflects the QI
process?
A. Blaming staff for errors
B. Collecting data on fall rates and implementing prevention strategies
, C. Ignoring incident reports
D. Reducing staffing to cut costs
B— QI uses data collection, analysis, and interventions to improve outcomes. It is
nonpunitive and systems-focused.
11. A nurse manager is reviewing an incident report. Which statement is true about incident
reports?
A. They are used to discipline staff
B. They should be documented in the client's medical record
C. They are used to identify and correct system issues
D. They should not be completed if no harm occurred
C— Incident reports identify system problems and prevent recurrence. They are not
part of the medical record and are not used for discipline.
12. A nurse is caring for a client who requires an interpreter. Which action is most appropriate?
A. Use the client's child as interpreter
B. Arrange for a professional interpreter
C. Use gestures only
D. Delay care until a bilingual staff member is available
B— Professional interpreters ensure accuracy and confidentiality. Using children or
untrained staff is inappropriate.
13. A nurse is preparing for discharge. Which action best ensures continuity of care?
A. Providing verbal instructions only
B. Coordinating with case management and providing written instructions
C. Discharging without follow-up
D. Assuming the client understands all instructions
B— Discharge planning includes coordination, written instructions, and follow-up to
ensure continuity and safety.
