ATI Comprehensive Predictor Exam
Questions & Verified Rationalized
Answers Updated 2026/2027 Edition
Comprehensive Examination Question Bank • Concept Mapping
TOTAL QUESTIONS EXAM TOPICS ANSWERS
198 Questions 12 Modules 100% Verified
DOCUMENT OVERVIEW
This document contains 198 verified questions with detailed rationales covering nursing concepts and
practices. Each item pairs a board-style question with the correct answer and a concise explanation of the
underlying principles, making it suitable for NCLEX preparation, course review, and rapid remediation.
EXAM BLUEPRINT & TOPIC DISTRIBUTION
Systematic breakdown of subject domains and exam coverage.
Topic Module Scope & Core Focus Questions Share (%)
Delegation and Scope of This topic tests the principles and practices of delegation
Practice within nursing and the responsibilities of nursing staff. 17 Qs 8.6%
Questions in this section focus on ethical principles and
Ethics and Decision Making dilemmas that nurses face in practice. 17 Qs 8.6%
Patient Education and Discharge This topic encompasses strategies for effective patient
Planning education and planning for discharge from care facilities. 17 Qs 8.6%
Questions cover the administration, effects, and monitoring of
Medication Management various medications in patient care. 17 Qs 8.6%
Nutrition and Dietary This section focuses on nutritional guidelines and dietary
Considerations modifications for various health conditions. 17 Qs 8.6%
Questions focus on the unique needs and considerations for
Caring for Special Populations specific patient populations, including children and the elderly. 17 Qs 8.6%
Signs and Symptoms This topic tests knowledge on identifying and interpreting
Assessment clinical signs and symptoms in patients. 16 Qs 8.1%
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Psychiatric Nursing and Mental Questions in this section explore mental health disorders and
Health therapeutic interventions in psychiatric settings. 16 Qs 8.1%
This topic addresses infection control practices and safety
Infection Control and Safety measures in healthcare environments. 16 Qs 8.1%
Assessment of Vital Signs and Questions focus on the assessment and interpretation of vital
Body Functions signs and other crucial body functions. 16 Qs 8.1%
Chronic Conditions and This section covers nursing interventions and management
Management strategies for patients with chronic health conditions. 16 Qs 8.1%
Clinical Procedures and Questions focus on the knowledge and skills required for
Interventions performing specific clinical procedures. 16 Qs 8.1%
Total Exam Coverage 12 Integrated Topic Modules 198 Qs 100.0%
TOPIC 1: DELEGATION AND SCOPE OF PRACTICE
17 Questions • 8.6% of Exam • This topic tests the principles and practices of delegation within nursing and the responsibilities of
nursing staff.
QUESTION 1
What can be delegated to Assistive personnel (AP)?
Answer: ADLs - bathing - grooming - dressing - ambulating - feeding (w/o swallow precautions) - positioning
- bed making - specimen collection - I&O - VS (stable clients.
Rationale: This list of activities can be delegated to Assistive Personnel (AP) because they are non-complex, routine, and
do not require specialized nursing knowledge or skills to perform safely and effectively. Additionally, AP are trained to assist
with these tasks, making it a logical and safe delegation decision that frees up licensed nurses to focus on higher-level,
complex care.
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QUESTION 2
A nurse on a med surge unit has recieved change of shift report and will care for 4
clients. Which of the following clients needs will the nurse assign to an AP?
A. Feeding a client who was admitted 24 hours ago with aspiration pneumonia
B. Reinforcing teaching with a client who is learning to walk with a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
Answer: C.
Rationale: The nurse will assign the task to an AP (assistant personnel) because it requires a non-nursing intervention,
specifically reapplying a condom catheter, which is a change management task that can be performed by a non-licensed
staff member.
This task does not require the nurse's expertise or direct patient care, making it an appropriate delegation to an AP.
QUESTION 3
A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago
to an AP. Which of the following info should the nurse share with the AP?
Select all:
A. the roommate is up independently
B. The client ambulates with his slippers on over his antiembolic stockings
C. The client uses a front wheeled walker when ambulating
D. The client had pain meds 30 minutes ago
E. The client is allergic to codeine
F. the client ate 50% of his breakfast this morning
Answer: B
C
D.
Rationale: The nurse should share with the AP the information that the client uses a front wheeled walker when ambulating
(option C) because this is a critical aspect of the client's ambulation plan that the AP needs to know to provide safe and
effective care.
Sharing this information with the AP ensures that the AP can assist the client with ambulation in a way that promotes optimal
recovery and minimizes the risk of complications.
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QUESTION 4
An RN is making assignments for client care to an LPN at the beginning of the shift.
Which of the following assignments should the LPN question?
A. Assisting a client who is 24 hr postop to use an incentive spirometer
B. Collecting a clean catch urine specimen from a client who was admitted on the previous shift
C. providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump
Answer: D.
Rationale: The LPN should question assignment D, replacing the cartridge and tubing on a PCA pump, because this task
requires technical expertise and understanding of medication administration, which is outside the scope of practice for an
LPN. As an LPN, they are not authorized to perform tasks that involve medication administration or require specialized
knowledge, which is why the RN should reassigned this task or provide guidance on how to properly perform it.
QUESTION 5
A nurse is preparing an inservice program about delegation. Which of the following
elements should she identify when presenting the 5 rights of delegation. Select all:
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances
Answer: B
C
E.
Rationale: When identifying the 5 rights of delegation, the nurse should focus on ensuring that the correct client receives
care, which is the foundation of the delegation process. Options A, C, andE meet this criteria, as they address the right
client, right direction/communication, and right circumstances, respectively, which collectively ensure that the delegation is
effective and patient-centered.
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