(Actual Exams & Retake Exams) For ATI RN
Comprehensive Predictor | ATI Exit (Latest Update)
1. A charge nurse is assigning rooms for four clients.
Which client requires a private room?
A. Client with pneumonia
B. Client with Clostridioides difficile
C. Client with cellulitis
D. Client with a urinary tract infection
Answer: B. Client with Clostridioides difficile
Rationale: C. diff requires Contact Precautions plus a
private room to prevent spore transmission to other
patients . Pneumonia may require Droplet precautions but
not always a private room; cellulitis and UTI are standard
precautions.
2. A nurse is receiving change-of-shift report on four
clients. Which client should the nurse assess first?
A. A client with a dressing that needs reinforcement
B. A client reporting pain rated 6/10
1
,C. A client whose urinary output was 100 mL in 12 hours
D. A client scheduled for discharge
Answer: C. A client whose urinary output was 100 mL in
12 hours
Rationale: This output equals roughly 8 mL/hr, well below
the minimum of 30 mL/hr. This indicates potential acute
kidney injury or hypovolemia, making it the priority
(urgent versus non-urgent) .
3. A nurse delegates vital signs to an assistive personnel
(AP). Which client should the AP NOT be assigned to?
A. Client with pneumonia on room air
B. Client post-op day 3 with stable vitals
C. Client with frequent loose stools and orthostatic
hypotension
D. Client with hypertension controlled on lisinopril
Answer: C. Client with orthostatic hypotension
Rationale: Orthostatic hypotension requires a skilled
assessment (lying, sitting, standing measurements). APs can
2
,take routine vitals but should not perform orthostatic
checks on unstable clients .
4. A client tells the nurse, "I don't want any heroic
measures. Just keep me comfortable." What is the nurse's
priority action?
A. Ask the client to complete a living will.
B. Notify the healthcare provider of the client's wishes.
C. Arrange a palliative care consult.
D. Discuss DNR orders with the family.
Answer: B. Notify the healthcare provider
Rationale: While advance directives are important, the
priority is to communicate the client's wishes to the
provider immediately so that appropriate medical orders
(DNR/DNI) can be written .
5. A nurse notices a colleague taking narcotics from the
medication dispenser for personal use. What is the first
action?
A. Ignore it to avoid conflict.
3
, B. Report to the nurse manager. j6 j6 j6 j6
C. Confront the colleague directly. j6 j6 j6
D. Call the police.
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Answer: B. Report to the nurse manager
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Rationale: The nurse has a legal and ethical duty to report
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suspected diversion or impairment. This follows the chain of
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j6 colleague or going to police prematurely . j6 j6 j6 j6 j6 j6
6. A nurse is preparing to discharge a client who speaks a
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different language. An in-person interpreter is not
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available. What shouldthe nurse do?
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A. Ask the client's 10-year-old child to interpret.
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B. Use a professional medical interpreter via
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j6 telephone/video.
C. Use hand gestures to explain medication instructions.
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D. Wait until an interpreter can be scheduled.
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j6 Answer: B. Use a professional interpreter via
j6 j6 j6 j6 j6 j6
j6 telephone/video
4
Comprehensive Predictor | ATI Exit (Latest Update)
1. A charge nurse is assigning rooms for four clients.
Which client requires a private room?
A. Client with pneumonia
B. Client with Clostridioides difficile
C. Client with cellulitis
D. Client with a urinary tract infection
Answer: B. Client with Clostridioides difficile
Rationale: C. diff requires Contact Precautions plus a
private room to prevent spore transmission to other
patients . Pneumonia may require Droplet precautions but
not always a private room; cellulitis and UTI are standard
precautions.
2. A nurse is receiving change-of-shift report on four
clients. Which client should the nurse assess first?
A. A client with a dressing that needs reinforcement
B. A client reporting pain rated 6/10
1
,C. A client whose urinary output was 100 mL in 12 hours
D. A client scheduled for discharge
Answer: C. A client whose urinary output was 100 mL in
12 hours
Rationale: This output equals roughly 8 mL/hr, well below
the minimum of 30 mL/hr. This indicates potential acute
kidney injury or hypovolemia, making it the priority
(urgent versus non-urgent) .
3. A nurse delegates vital signs to an assistive personnel
(AP). Which client should the AP NOT be assigned to?
A. Client with pneumonia on room air
B. Client post-op day 3 with stable vitals
C. Client with frequent loose stools and orthostatic
hypotension
D. Client with hypertension controlled on lisinopril
Answer: C. Client with orthostatic hypotension
Rationale: Orthostatic hypotension requires a skilled
assessment (lying, sitting, standing measurements). APs can
2
,take routine vitals but should not perform orthostatic
checks on unstable clients .
4. A client tells the nurse, "I don't want any heroic
measures. Just keep me comfortable." What is the nurse's
priority action?
A. Ask the client to complete a living will.
B. Notify the healthcare provider of the client's wishes.
C. Arrange a palliative care consult.
D. Discuss DNR orders with the family.
Answer: B. Notify the healthcare provider
Rationale: While advance directives are important, the
priority is to communicate the client's wishes to the
provider immediately so that appropriate medical orders
(DNR/DNI) can be written .
5. A nurse notices a colleague taking narcotics from the
medication dispenser for personal use. What is the first
action?
A. Ignore it to avoid conflict.
3
, B. Report to the nurse manager. j6 j6 j6 j6
C. Confront the colleague directly. j6 j6 j6
D. Call the police.
j6 j6
Answer: B. Report to the nurse manager
j6 j6 j6 j6 j6 j6
Rationale: The nurse has a legal and ethical duty to report
j6 j6 j6 j6 j6 j6 j6 j6 j6 j 6
suspected diversion or impairment. This follows the chain of
j6 j6 j6 j6 j6 j6 j6 j6 j6
j6 command (nurse manager) rather than confronting the j6 j6 j6 j6 j6 j6
j6 colleague or going to police prematurely . j6 j6 j6 j6 j6 j6
6. A nurse is preparing to discharge a client who speaks a
j6 j6 j6 j6 j6 j6 j6 j6 j6 j6 j6
different language. An in-person interpreter is not
j6 j6 j6 j6 j6 j6 j6
available. What shouldthe nurse do?
j6 j6 j6 j6 j6 j6
A. Ask the client's 10-year-old child to interpret.
j6 j6 j6 j6 j6 j6
B. Use a professional medical interpreter via
j6 j6 j6 j6 j6
j6 telephone/video.
C. Use hand gestures to explain medication instructions.
j6 j6 j6 j6 j6 j6
D. Wait until an interpreter can be scheduled.
j6 j6 j6 j6 j6 j6
j6 Answer: B. Use a professional interpreter via
j6 j6 j6 j6 j6 j6
j6 telephone/video
4
