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ATI RN Comprehensive Predictor 2026 Practice Exam (100 Questions)
Section 1: Management of Care (Questions 1–25)
1. A nurse is receiving a change-of-shift report on four clients. Which client should the
nurse assess first?
A. A client who is 1 day postoperative with a pain rating of 6/10
B. A client with COPD who has an oxygen saturation of 88% on room air
C. A client who is waiting for discharge teaching
D. A client with stable diabetes who is requesting a snack
Answer: B
2. A nurse is delegating client care to assistive personnel (AP). Which task should the nurse
delegate to the AP?
A. Administering enteral feedings via gastrostomy tube
B. Obtaining a sterile urine specimen from an indwelling catheter
C. Measuring a client's intake and output
D. Assessing a client's wound for signs of infection
Answer: C
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 the Hgb is critically low
D. Notify the provider
E. Ask the family to override the decision
Answer: A, B, D
4. A nurse is caring for a client who has a living will. Which action should the nurse take?
A. Withhold food and water from the client
B. Follow the client's wishes regarding life-sustaining treatment
C. Ignore the document if the family disagrees
D. Administer all treatments regardless of the document
Answer: B
5. A nurse is assigned to care for a client who speaks a different language. Which action
should the nurse take?
A. Use a family member as an interpreter
B. Use a professional interpreter
C. Speak loudly and slowly
D. Use gestures only
Answer: B
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6. A nurse is preparing to administer medication to a client. Which action is most
important for preventing medication errors?
A. Verify the client's identity using two identifiers
B. Ask the client to state their name only
C. Check the medication once at the nursing station
D. Administer the medication if the client's name is on the label
Answer: A
7. A nurse witnesses a colleague diverting narcotics. What is the priority action?
A. Confront the colleague privately
B. Report to the nurse manager immediately
C. Ignore it to avoid conflict
D. Document in the client's chart
Answer: B
8. A charge nurse is assigning rooms for four clients. Which client should be placed in a
private room?
A. Client with pneumonia
B. Client with methicillin-resistant Staphylococcus aureus (MRSA)
C. Client with diabetic foot ulcer
D. Client with chronic obstructive pulmonary disease (COPD)
Answer: B
9. A charge nurse assigns a float RN who usually works in postpartum to a medical-surgical
unit. Which client is most appropriate for the charge nurse to assign to this RN?
A. Client in diabetic ketoacidosis (DKA)
B. Client who is postoperative day 2 following an appendectomy, stable
C. Client with a chest tube for a pneumothorax
D. Client receiving IV heparin for deep vein thrombosis
Answer: B
10. A nurse is delegating tasks to an assistive personnel (AP). Which task is appropriate to
delegate?
A. Assess a postoperative incision
B. Teach a client how to use a walker
C. Obtain a capillary blood glucose level
D. Evaluate a client's pain level
Answer: C
11. A nurse is supervising a newly licensed nurse on a mental health unit. For which action
by the newly licensed nurse should the supervising nurse intervene?
A. Sets boundaries with a manipulative client
B. Documents client refusals of medication
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C. Tells a client he will lose phone privileges if he does not take his medication
D. Uses therapeutic communication techniques
Answer: C
12. A nurse on a medical-surgical unit is delegating tasks to an LPN/LVN. Which of the
following tasks should the nurse delegate?
A. Initial admission assessment of a patient with pneumonia
B. Teaching a diabetic patient how to self-administer insulin
C. Administration of a tube feeding to a patient with a gastrostomy tube
D. Evaluation of a patient's response to pain medication
Answer: C
13. A home health nurse is caring for a child who has Lyme disease. Which of the following
is an appropriate action for the nurse to take?
A. Ensure the state health department has been notified
B. Administer antitoxin
C. Educate the family to avoid sharing personal belongings
D. Assess for skin necrosis
Answer: A
14. A nurse is caring for a client who has been admitted to the hospital. (NGN - Select 5
actions the nurse should take)
A. Provide frequent rest periods
B. Restrict client sodium intake
C. Advise client to avoid using soap and alcohol-based lotions
D. Instruct the client to avoid blowing their nose forcefully
E. Assess the client's level of orientation
Answer: All 5 options
15. A nurse is caring for a client who has a vented NG tube set to low intermittent suction
and has vomited. Which of the following actions should the nurse perform first?
A. Administer an antiemetic medication
B. Evaluate functioning of the suction device
C. Provide oral hygiene care
D. Replace the NG tube
Answer: B
16. While performing a routine assessment, a nurse notices fraying on the electrical cord
of a client's continuous passive motion (CPM) device. Which of the following actions
should the nurse take first?
A. Initiate a requisition for a replacement CPM device
B. Report the defect to the equipment maintenance staff
C. Remove the device from the room
ATI RN Comprehensive Predictor 2026 Practice Exam (100 Questions)
Section 1: Management of Care (Questions 1–25)
1. A nurse is receiving a change-of-shift report on four clients. Which client should the
nurse assess first?
A. A client who is 1 day postoperative with a pain rating of 6/10
B. A client with COPD who has an oxygen saturation of 88% on room air
C. A client who is waiting for discharge teaching
D. A client with stable diabetes who is requesting a snack
Answer: B
2. A nurse is delegating client care to assistive personnel (AP). Which task should the nurse
delegate to the AP?
A. Administering enteral feedings via gastrostomy tube
B. Obtaining a sterile urine specimen from an indwelling catheter
C. Measuring a client's intake and output
D. Assessing a client's wound for signs of infection
Answer: C
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 the Hgb is critically low
D. Notify the provider
E. Ask the family to override the decision
Answer: A, B, D
4. A nurse is caring for a client who has a living will. Which action should the nurse take?
A. Withhold food and water from the client
B. Follow the client's wishes regarding life-sustaining treatment
C. Ignore the document if the family disagrees
D. Administer all treatments regardless of the document
Answer: B
5. A nurse is assigned to care for a client who speaks a different language. Which action
should the nurse take?
A. Use a family member as an interpreter
B. Use a professional interpreter
C. Speak loudly and slowly
D. Use gestures only
Answer: B
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6. A nurse is preparing to administer medication to a client. Which action is most
important for preventing medication errors?
A. Verify the client's identity using two identifiers
B. Ask the client to state their name only
C. Check the medication once at the nursing station
D. Administer the medication if the client's name is on the label
Answer: A
7. A nurse witnesses a colleague diverting narcotics. What is the priority action?
A. Confront the colleague privately
B. Report to the nurse manager immediately
C. Ignore it to avoid conflict
D. Document in the client's chart
Answer: B
8. A charge nurse is assigning rooms for four clients. Which client should be placed in a
private room?
A. Client with pneumonia
B. Client with methicillin-resistant Staphylococcus aureus (MRSA)
C. Client with diabetic foot ulcer
D. Client with chronic obstructive pulmonary disease (COPD)
Answer: B
9. A charge nurse assigns a float RN who usually works in postpartum to a medical-surgical
unit. Which client is most appropriate for the charge nurse to assign to this RN?
A. Client in diabetic ketoacidosis (DKA)
B. Client who is postoperative day 2 following an appendectomy, stable
C. Client with a chest tube for a pneumothorax
D. Client receiving IV heparin for deep vein thrombosis
Answer: B
10. A nurse is delegating tasks to an assistive personnel (AP). Which task is appropriate to
delegate?
A. Assess a postoperative incision
B. Teach a client how to use a walker
C. Obtain a capillary blood glucose level
D. Evaluate a client's pain level
Answer: C
11. A nurse is supervising a newly licensed nurse on a mental health unit. For which action
by the newly licensed nurse should the supervising nurse intervene?
A. Sets boundaries with a manipulative client
B. Documents client refusals of medication
, 3
C. Tells a client he will lose phone privileges if he does not take his medication
D. Uses therapeutic communication techniques
Answer: C
12. A nurse on a medical-surgical unit is delegating tasks to an LPN/LVN. Which of the
following tasks should the nurse delegate?
A. Initial admission assessment of a patient with pneumonia
B. Teaching a diabetic patient how to self-administer insulin
C. Administration of a tube feeding to a patient with a gastrostomy tube
D. Evaluation of a patient's response to pain medication
Answer: C
13. A home health nurse is caring for a child who has Lyme disease. Which of the following
is an appropriate action for the nurse to take?
A. Ensure the state health department has been notified
B. Administer antitoxin
C. Educate the family to avoid sharing personal belongings
D. Assess for skin necrosis
Answer: A
14. A nurse is caring for a client who has been admitted to the hospital. (NGN - Select 5
actions the nurse should take)
A. Provide frequent rest periods
B. Restrict client sodium intake
C. Advise client to avoid using soap and alcohol-based lotions
D. Instruct the client to avoid blowing their nose forcefully
E. Assess the client's level of orientation
Answer: All 5 options
15. A nurse is caring for a client who has a vented NG tube set to low intermittent suction
and has vomited. Which of the following actions should the nurse perform first?
A. Administer an antiemetic medication
B. Evaluate functioning of the suction device
C. Provide oral hygiene care
D. Replace the NG tube
Answer: B
16. While performing a routine assessment, a nurse notices fraying on the electrical cord
of a client's continuous passive motion (CPM) device. Which of the following actions
should the nurse take first?
A. Initiate a requisition for a replacement CPM device
B. Report the defect to the equipment maintenance staff
C. Remove the device from the room
