ATI RN Comprehensive Predictor NGN 2026/2027 Full Exam Prep Bundle PDF – 200 Questions with Answers & Detailed Rationales | Instant Download

ATI RN Comprehensive Predictor NGN
Questions & Answers 2026/2027
Full Exam Prep Bundle - 200 Questions with
Rationales

SECTION 1: MANAGEMENT OF CARE (Questions 1-25)
Question 1
A charge nurse is assigning clients on a medical-surgical unit. Which client should
be assigned to the most experienced RN?
A) Client with diabetes requiring routine insulin administration
B) Client with pneumonia requiring q4h vital signs
C) Client with chest tubes and new-onset respiratory distress
D) Client with a urinary tract infection receiving IV antibiotics
Answer: C
Rationale: The client with chest tubes and respiratory distress is unstable and
requires complex assessment and intervention. This client should be assigned to the
most experienced RN. Stable clients with routine care can be assigned to LPNs or
less experienced RNs under supervision .


Question 2
A nurse is delegating tasks to an LPN. Which task is appropriate to delegate?
A) Performing the initial admission assessment
B) Inserting a nasogastric tube for decompression
C) Creating the client's plan of care
D) Discharging a client with new diabetes
Answer: B

,Rationale: Inserting a nasogastric tube is within the LPN scope of practice in
many states. Initial assessment, creating the plan of care, and discharge teaching
are RN responsibilities that cannot be delegated .


Question 3
A competent adult client refuses a blood transfusion for religious reasons. Which
actions should the nurse take? (Select all that apply.)
A) Verify the client understands the risks
B) Document the refusal
C) Administer the transfusion if Hgb is critical
D) Notify the provider
E) Ask the family to override the decision
Answer: A, B, D
Rationale: Competent adults have autonomy and the right to refuse treatment. The
nurse must verify informed refusal, document the decision, and notify the provider.
Administering against the client's wishes would be battery, and family cannot
override a competent adult's decision .


Question 4
A nurse is preparing to delegate tasks to a UAP. Which task is appropriate?
A) Measuring vital signs on a stable client
B) Assessing a client's pain level
C) Teaching a client about medication
D) Evaluating the client's response to treatment
Answer: A
Rationale: UAPs can perform routine tasks such as measuring vital signs on stable
clients. Assessment, teaching, and evaluation are nursing responsibilities that
cannot be delegated .

,Question 5
A nurse is caring for a client who has a living will that states "no CPR" and goes
into pulseless ventricular tachycardia. What should the nurse do?
A) Begin CPR immediately
B) Call the provider for clarification
C) Honor the living will and not initiate CPR
D) Ask the family what to do
Answer: C
Rationale: A living will is a legal document that must be honored. The nurse
should not initiate CPR as the client has clearly documented their wishes. The
provider should be notified, but the advance directive must be respected .


Question 6
A nurse is caring for a client who is being discharged with a new colostomy. Which
statement indicates the client understands the teaching?
A) "I will empty the pouch when it is one-third full."
B) "I will change the pouch daily."
C) "I will use alcohol to clean the stoma."
D) "I will avoid all fluids to reduce output."
Answer: A
Rationale: Emptying the pouch when it is one-third full prevents leakage and
weight-related seal failure. Ostomy pouches should be changed every 3-7 days, not
daily. Alcohol should not be used on the stoma, and fluid restriction is not
indicated .


Question 7
A nurse is teaching a newly licensed nurse about informed consent. Which
statement by the new nurse indicates understanding?
A) "The nurse is responsible for obtaining informed consent."
B) "Witnessing consent means the nurse ensures the client understands the

, procedure."
C) "The provider is responsible for explaining risks and benefits."
k k k k k k k k




D) "Afamily member can sign consent for any adult client."
k k k k k k k k k




Answer: C k




Rationale: The provider is legally responsible for explaining the procedure, risks,
k k k k k k k k k k




benefits, and alternatives. The nurse witnesses the signature but does not ensure
k k k k k k k k k k k k




understanding .
k k




Question 8 k




A nurse is caring for a client who is being discharged. What action is essential for
k k k k k k k k k k k k k k k




continuity of care?
k k k




A) Provide verbal and written discharge instructions with follow-up appointments
k k k k k k k k




B) Have the client sign a form acknowledging they received instructions
k k k k k k k k k




C) Give the client a list of medications
k k k k k k




D) Tell the client to call if they have questions
k k k k k k k k




Answer: A k




Rationale: Verbal and written instructions with scheduled follow-up appointments
k k k k k k k k




ensure continuity and reduce readmission risk. Verbal alone is insufficient, and a
k k k k k k k k k k k k




signature does not guarantee understanding .
k k k k k k




Question 9 k




A nurse is preparing to apply restraints to a confused client who is pulling at IV lines.
k k k k k k k k k k k k k k k k




Which action is correct?
k k k k




A) Apply the restraint tightly to prevent movement
k k k k k k




B) Tie the restraint to the side rail
k k k k k k




C) Remove the restraint every 2 hours for assessment k k k k k k k




D) Obtain a new order every 48 hours k k k k k k




Answer: C k