1
ATI RN Comprehensive
Predictor 2023 A (2025/2026
Update): 180 Questions with
Verified Answers (A+ Grade)
Management of Care (36 Questions)
1. A nurse is assessing a client post-thoracic surgery. Which statement should be included in
the PACU handoff?
a. Client is a board member
b. Blood loss was 250 mL
c. Client ate breakfast
d. Roommate is independent
Rationale: Blood loss is critical clinical information for post-surgical care, ensuring
continuity of care, per 2025 ATI guidelines.
2. A charge nurse is assigning tasks. Which client should the RN assess first?
a. A client with stable hypertension
b. A client reporting chest pain
c. A client awaiting discharge
d. A client with a scheduled dressing change
Rationale: Chest pain may indicate a life-threatening condition (e.g., myocardial
infarction). Prioritization follows ABC principles, per 2025 NCLEX-RN guidelines.
3. A nurse is delegating tasks to a CNA. Which task is appropriate?
a. Administer IV medication
b. Measure vital signs
c. Perform a sterile dressing change
d. Assess pain levels
Rationale: Measuring vital signs is within the CNA’s scope of practice, per 2025
NCSBN delegation guidelines.
4. A client refuses a procedure due to religious beliefs. What is the nurse’s best action?
a. Proceed with the procedure
b. Respect the client’s decision
c. Convince the client to consent
d. Ignore the refusal
Rationale: Respecting client autonomy is a core ethical principle, per 2025 ANA Code of
Ethics.
, 2
5. A nurse manager is addressing staff burnout. Which strategy is most effective?
a. Increase mandatory overtime
b. Implement shared governance
c. Limit staff breaks
d. Assign extra tasks
Rationale: Shared governance empowers nurses, improving job satisfaction, per 2025
ATI leadership guidelines.
6. A nurse is leading a quality improvement project. What is the first step in the PDSA
cycle?
a. Implement the change
b. Identify the problem
c. Evaluate outcomes
d. Adjust the intervention
Rationale: The PDSA cycle begins with identifying the problem to plan solutions, per
2025 quality improvement standards.
7. A nurse overhears a colleague discussing a client’s diagnosis in the cafeteria. What is the
best response?
a. Ignore the conversation
b. Address the colleague privately
c. Report to the ethics committee
d. Post a HIPAA reminder
Rationale: Private discussion corrects behavior while maintaining professionalism, per
2025 HIPAA guidelines.
8. A charge nurse is managing a code blue. Which role should the RN assume?
a. Perform chest compressions
b. Lead the code team
c. Document the event
d. Retrieve supplies
Rationale: The RN leads the code team to ensure coordinated care, per 2025 ACLS
guidelines.
9. A nurse is precepting a new graduate RN. Which action best supports development?
a. Complete tasks for the new nurse
b. Provide constructive feedback
c. Assign only low-acuity clients
d. Limit autonomy
Rationale: Feedback fosters learning and confidence, per 2025 ATI preceptorship
guidelines.
10. A client with dementia cannot consent to treatment. Who makes decisions?
a. The nurse
b. The healthcare proxy
c. The client’s friend
d. The hospital administrator
Rationale: The healthcare proxy is legally authorized for incapacitated clients, per 2025
ethical guidelines.
11. A nurse is delegating to an LPN. Which task is appropriate?
a. Develop a care plan
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b. Administer oral medications
c. Perform a neurological assessment
d. Adjust IV fluid rates
Rationale: Administering oral medications is within the LPN’s scope, per 2025 NCSBN
guidelines.
12. A nurse manager is creating a staffing schedule. What is the priority consideration?
a. Staff preferences
b. Client acuity and safety
c. Equal overtime distribution
d. Staff seniority
Rationale: Client acuity ensures safe staffing, per 2025 ATI leadership standards.
13. A nurse witnesses a colleague falsifying documentation. What is the best action?
a. Correct the documentation
b. Report to the nurse manager
c. Confront publicly
d. Ignore the incident
Rationale: Reporting ensures accountability and safety, per 2025 ANA ethics guidelines.
14. A nurse is resolving a conflict between two staff members. What is the best approach?
a. Ignore the conflict
b. Facilitate open communication
c. Reassign one staff member
d. Discipline both staff members
Rationale: Open communication promotes collaboration, per 2025 ATI conflict
resolution principles.
15. A client asks to withhold a diagnosis from their family. What should the nurse do?
a. Share with the family
b. Honor the client’s request
c. Consult the ethics committee
d. Document publicly
Rationale: Confidentiality is a priority unless safety is at risk, per 2025 HIPAA
guidelines.
16. A nurse is advocating for a client with a language barrier. What is the best action?
a. Use family members to interpret
b. Use a certified medical interpreter
c. Communicate with gestures
d. Avoid discussing treatment
Rationale: Certified interpreters ensure accurate communication, per 2025 Joint
Commission standards.
17. A nurse is managing a staffing shortage. What is the best action?
a. Cancel breaks
b. Request float pool assistance
c. Assign UAPs to RN tasks
d. Ignore the shortage
Rationale: Float pool assistance ensures safe staffing, per 2025 ATI guidelines.
18. NGN Case Study: A charge nurse is managing a unit with a client reporting shortness of
breath (SpO2 88%) and another awaiting discharge.
ATI RN Comprehensive
Predictor 2023 A (2025/2026
Update): 180 Questions with
Verified Answers (A+ Grade)
Management of Care (36 Questions)
1. A nurse is assessing a client post-thoracic surgery. Which statement should be included in
the PACU handoff?
a. Client is a board member
b. Blood loss was 250 mL
c. Client ate breakfast
d. Roommate is independent
Rationale: Blood loss is critical clinical information for post-surgical care, ensuring
continuity of care, per 2025 ATI guidelines.
2. A charge nurse is assigning tasks. Which client should the RN assess first?
a. A client with stable hypertension
b. A client reporting chest pain
c. A client awaiting discharge
d. A client with a scheduled dressing change
Rationale: Chest pain may indicate a life-threatening condition (e.g., myocardial
infarction). Prioritization follows ABC principles, per 2025 NCLEX-RN guidelines.
3. A nurse is delegating tasks to a CNA. Which task is appropriate?
a. Administer IV medication
b. Measure vital signs
c. Perform a sterile dressing change
d. Assess pain levels
Rationale: Measuring vital signs is within the CNA’s scope of practice, per 2025
NCSBN delegation guidelines.
4. A client refuses a procedure due to religious beliefs. What is the nurse’s best action?
a. Proceed with the procedure
b. Respect the client’s decision
c. Convince the client to consent
d. Ignore the refusal
Rationale: Respecting client autonomy is a core ethical principle, per 2025 ANA Code of
Ethics.
, 2
5. A nurse manager is addressing staff burnout. Which strategy is most effective?
a. Increase mandatory overtime
b. Implement shared governance
c. Limit staff breaks
d. Assign extra tasks
Rationale: Shared governance empowers nurses, improving job satisfaction, per 2025
ATI leadership guidelines.
6. A nurse is leading a quality improvement project. What is the first step in the PDSA
cycle?
a. Implement the change
b. Identify the problem
c. Evaluate outcomes
d. Adjust the intervention
Rationale: The PDSA cycle begins with identifying the problem to plan solutions, per
2025 quality improvement standards.
7. A nurse overhears a colleague discussing a client’s diagnosis in the cafeteria. What is the
best response?
a. Ignore the conversation
b. Address the colleague privately
c. Report to the ethics committee
d. Post a HIPAA reminder
Rationale: Private discussion corrects behavior while maintaining professionalism, per
2025 HIPAA guidelines.
8. A charge nurse is managing a code blue. Which role should the RN assume?
a. Perform chest compressions
b. Lead the code team
c. Document the event
d. Retrieve supplies
Rationale: The RN leads the code team to ensure coordinated care, per 2025 ACLS
guidelines.
9. A nurse is precepting a new graduate RN. Which action best supports development?
a. Complete tasks for the new nurse
b. Provide constructive feedback
c. Assign only low-acuity clients
d. Limit autonomy
Rationale: Feedback fosters learning and confidence, per 2025 ATI preceptorship
guidelines.
10. A client with dementia cannot consent to treatment. Who makes decisions?
a. The nurse
b. The healthcare proxy
c. The client’s friend
d. The hospital administrator
Rationale: The healthcare proxy is legally authorized for incapacitated clients, per 2025
ethical guidelines.
11. A nurse is delegating to an LPN. Which task is appropriate?
a. Develop a care plan
, 3
b. Administer oral medications
c. Perform a neurological assessment
d. Adjust IV fluid rates
Rationale: Administering oral medications is within the LPN’s scope, per 2025 NCSBN
guidelines.
12. A nurse manager is creating a staffing schedule. What is the priority consideration?
a. Staff preferences
b. Client acuity and safety
c. Equal overtime distribution
d. Staff seniority
Rationale: Client acuity ensures safe staffing, per 2025 ATI leadership standards.
13. A nurse witnesses a colleague falsifying documentation. What is the best action?
a. Correct the documentation
b. Report to the nurse manager
c. Confront publicly
d. Ignore the incident
Rationale: Reporting ensures accountability and safety, per 2025 ANA ethics guidelines.
14. A nurse is resolving a conflict between two staff members. What is the best approach?
a. Ignore the conflict
b. Facilitate open communication
c. Reassign one staff member
d. Discipline both staff members
Rationale: Open communication promotes collaboration, per 2025 ATI conflict
resolution principles.
15. A client asks to withhold a diagnosis from their family. What should the nurse do?
a. Share with the family
b. Honor the client’s request
c. Consult the ethics committee
d. Document publicly
Rationale: Confidentiality is a priority unless safety is at risk, per 2025 HIPAA
guidelines.
16. A nurse is advocating for a client with a language barrier. What is the best action?
a. Use family members to interpret
b. Use a certified medical interpreter
c. Communicate with gestures
d. Avoid discussing treatment
Rationale: Certified interpreters ensure accurate communication, per 2025 Joint
Commission standards.
17. A nurse is managing a staffing shortage. What is the best action?
a. Cancel breaks
b. Request float pool assistance
c. Assign UAPs to RN tasks
d. Ignore the shortage
Rationale: Float pool assistance ensures safe staffing, per 2025 ATI guidelines.
18. NGN Case Study: A charge nurse is managing a unit with a client reporting shortness of
breath (SpO2 88%) and another awaiting discharge.
