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ATI RN Comprehensive
Predictor 2023 A (2025/2026
Update) Questions and
Verified Answers
Management of Care (36 Questions)
1. A nurse is prioritizing care for four clients. Which client should the nurse assess
first?
A) Client with a blood pressure of 120/80 mmHg
B) Client with chest pain and diaphoresis
C) Client awaiting discharge instructions
D) Client with a scheduled dressing change
Correct Answer: B (Client with chest pain and diaphoresis)
Rationale: Chest pain and diaphoresis indicate a potential acute cardiac event, requiring
immediate assessment to prevent deterioration. ATI RN Comprehensive, 2025, p. 24.
2. A nurse is delegating tasks to an assistive personnel (AP). Which task is appropriate
to delegate?
A) Administering IV push medication
B) Obtaining vital signs
C) Interpreting ECG results
D) Developing a care plan
Correct Answer: B (Obtaining vital signs)
Rationale: Obtaining vital signs is within the AP’s scope of practice, unlike medication
administration, ECG interpretation, or care planning. ATI RN Comprehensive, 2025, p.
26.
3. A nurse is reviewing a client’s advance directives. Which action should the nurse
take?
A) Ignore the directives if outdated
B) Discuss the directives with the client
C) File the directives without review
D) Override the directives per physician order
Correct Answer: B (Discuss the directives with the client)
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Rationale: Nurses must clarify and respect advance directives by discussing them with
the client to ensure accuracy and understanding. ATI RN Comprehensive, 2025, p. 28.
4. A charge nurse is assigning rooms. Which client should be placed in a private room?
A) Client with influenza
B) Client with a fractured femur
C) Client with diabetes mellitus
D) Client post-appendectomy
Correct Answer: A (Client with influenza)
Rationale: Influenza requires droplet precautions, necessitating a private room to prevent
transmission. ATI RN Comprehensive, 2025, p. 30.
5. NGN: A nurse is managing care for a client with COPD. Which interventions should
be included in the plan? (Select all that apply)
A) Administer oxygen as prescribed
B) Encourage high-sodium diet
C) Monitor respiratory rate
D) Teach pursed-lip breathing
Correct Answers: A (Administer oxygen as prescribed), C (Monitor respiratory
rate), D (Teach pursed-lip breathing)
Rationale: Oxygen therapy, respiratory monitoring, and pursed-lip breathing improve
COPD management; high-sodium diets exacerbate fluid retention. ATI RN
Comprehensive, 2025, p. 32.
6. A nurse is coordinating discharge for a client with heart failure. Which referral is
most appropriate?
A) Physical therapy
B) Home health services
C) Occupational therapy
D) Speech therapy
Correct Answer: B (Home health services)
Rationale: Home health services support heart failure clients with medication
management and monitoring at home. ATI RN Comprehensive, 2025, p. 34.
7. Which action demonstrates effective advocacy for a client?
A) Agreeing with all physician orders
B) Questioning a medication dose discrepancy
C) Completing tasks without client input
D) Ignoring client complaints
Correct Answer: B (Questioning a medication dose discrepancy)
Rationale: Advocacy involves ensuring client safety by addressing potential errors, such
as medication discrepancies. ATI RN Comprehensive, 2025, p. 28.
8. A nurse is supervising a new graduate nurse. Which action requires intervention?
A) Checking a client’s chart before medication administration
B) Administering medication without verifying allergies
C) Documenting client assessments promptly
D) Obtaining informed consent for a procedure
Correct Answer: B (Administering medication without verifying allergies)
Rationale: Failing to verify allergies before medication administration risks client safety
and requires correction. ATI RN Comprehensive, 2025, p. 26.
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9. A nurse is managing a client’s pain post-surgery. Which action is priority?
A) Administering PRN analgesic as ordered
B) Teaching non-pharmacologic pain relief
C) Repositioning the client every 4 hours
D) Documenting pain level next shift
Correct Answer: A (Administering PRN analgesic as ordered)
Rationale: Pain management is a priority to promote comfort and recovery post-surgery.
ATI RN Comprehensive, 2025, p. 36.
10. A nurse is collaborating with an interdisciplinary team. Which action enhances
teamwork?
A) Making unilateral decisions
B) Communicating client updates clearly
C) Assigning tasks without discussion
D) Ignoring team recommendations
Correct Answer: B (Communicating client updates clearly)
Rationale: Clear communication fosters collaboration and ensures coordinated care. ATI
RN Comprehensive, 2025, p. 24.
11. Which client should the nurse assess first after receiving a shift report?
A) Client with stable vital signs
B) Client reporting sudden shortness of breath
C) Client awaiting routine labs
D) Client with a scheduled dressing change
Correct Answer: B (Client reporting sudden shortness of breath)
Rationale: Sudden shortness of breath indicates a potential respiratory emergency,
requiring immediate assessment. ATI RN Comprehensive, 2025, p. 24.
12. A nurse is reviewing a client’s chart for informed consent. Which finding requires
action?
A) Consent signed by the client
B) Consent signed by a minor
C) Consent witnessed by a nurse
D) Consent includes procedure risks
Correct Answer: B (Consent signed by a minor)
Rationale: Minors cannot legally provide informed consent; a guardian’s signature is
required. ATI RN Comprehensive, 2025, p. 28.
13. NGN: Place the steps of the nursing process in the correct order
A) Planning
B) Assessment
C) Evaluation
D) Implementation
Correct Answer: B, A, D, C
Rationale: The nursing process follows assessment, planning, implementation, and
evaluation. ATI RN Comprehensive, 2025, p. 22.
14. A nurse is assigning tasks to a licensed practical nurse (LPN). Which task is
appropriate?
A) Developing a client’s discharge plan
B) Administering oral medications
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C) Performing a sterile procedure
D) Interpreting lab results
Correct Answer: B (Administering oral medications)
Rationale: Administering oral medications is within the LPN’s scope, unlike discharge
planning, sterile procedures, or lab interpretation. ATI RN Comprehensive, 2025, p. 26.
15. A nurse is addressing a client’s refusal of treatment. Which action is appropriate?
A) Force the treatment
B) Document the refusal and inform the provider
C) Ignore the refusal
D) Discharge the client immediately
Correct Answer: B (Document the refusal and inform the provider)
Rationale: Respecting client autonomy requires documenting refusal and notifying the
provider for further discussion. ATI RN Comprehensive, 2025, p. 28.
16. Which action ensures continuity of care during a shift change?
A) Completing tasks early
B) Providing a detailed handoff report
C) Leaving notes for the next shift
D) Avoiding client interaction
Correct Answer: B (Providing a detailed handoff report)
Rationale: A detailed handoff ensures accurate transfer of critical client information. ATI
RN Comprehensive, 2025, p. 24.
17. A nurse is managing a client with a new colostomy. Which referral is most
appropriate?
A) Dietitian
B) Physical therapist
C) Speech therapist
D) Pharmacist
Correct Answer: A (Dietitian)
Rationale: A dietitian can guide dietary modifications to manage colostomy output and
promote healing. ATI RN Comprehensive, 2025, p. 34.
18. A nurse is addressing a conflict with a coworker. Which approach is best?
A) Ignoring the conflict
B) Discussing privately with the coworker
C) Reporting to the supervisor immediately
D) Discussing in front of staff
Correct Answer: B (Discussing privately with the coworker)
Rationale: Private discussion promotes professionalism and resolves conflict directly.
ATI RN Comprehensive, 2025, p. 24.
19. Which action demonstrates ethical practice?
A) Sharing client information publicly
B) Maintaining client confidentiality
C) Prioritizing personal tasks
D) Ignoring client preferences
Correct Answer: B (Maintaining client confidentiality)
Rationale: Confidentiality upholds client privacy and adheres to ethical standards. ATI
RN Comprehensive, 2025, p. 28.
ATI RN Comprehensive
Predictor 2023 A (2025/2026
Update) Questions and
Verified Answers
Management of Care (36 Questions)
1. A nurse is prioritizing care for four clients. Which client should the nurse assess
first?
A) Client with a blood pressure of 120/80 mmHg
B) Client with chest pain and diaphoresis
C) Client awaiting discharge instructions
D) Client with a scheduled dressing change
Correct Answer: B (Client with chest pain and diaphoresis)
Rationale: Chest pain and diaphoresis indicate a potential acute cardiac event, requiring
immediate assessment to prevent deterioration. ATI RN Comprehensive, 2025, p. 24.
2. A nurse is delegating tasks to an assistive personnel (AP). Which task is appropriate
to delegate?
A) Administering IV push medication
B) Obtaining vital signs
C) Interpreting ECG results
D) Developing a care plan
Correct Answer: B (Obtaining vital signs)
Rationale: Obtaining vital signs is within the AP’s scope of practice, unlike medication
administration, ECG interpretation, or care planning. ATI RN Comprehensive, 2025, p.
26.
3. A nurse is reviewing a client’s advance directives. Which action should the nurse
take?
A) Ignore the directives if outdated
B) Discuss the directives with the client
C) File the directives without review
D) Override the directives per physician order
Correct Answer: B (Discuss the directives with the client)
, 2
Rationale: Nurses must clarify and respect advance directives by discussing them with
the client to ensure accuracy and understanding. ATI RN Comprehensive, 2025, p. 28.
4. A charge nurse is assigning rooms. Which client should be placed in a private room?
A) Client with influenza
B) Client with a fractured femur
C) Client with diabetes mellitus
D) Client post-appendectomy
Correct Answer: A (Client with influenza)
Rationale: Influenza requires droplet precautions, necessitating a private room to prevent
transmission. ATI RN Comprehensive, 2025, p. 30.
5. NGN: A nurse is managing care for a client with COPD. Which interventions should
be included in the plan? (Select all that apply)
A) Administer oxygen as prescribed
B) Encourage high-sodium diet
C) Monitor respiratory rate
D) Teach pursed-lip breathing
Correct Answers: A (Administer oxygen as prescribed), C (Monitor respiratory
rate), D (Teach pursed-lip breathing)
Rationale: Oxygen therapy, respiratory monitoring, and pursed-lip breathing improve
COPD management; high-sodium diets exacerbate fluid retention. ATI RN
Comprehensive, 2025, p. 32.
6. A nurse is coordinating discharge for a client with heart failure. Which referral is
most appropriate?
A) Physical therapy
B) Home health services
C) Occupational therapy
D) Speech therapy
Correct Answer: B (Home health services)
Rationale: Home health services support heart failure clients with medication
management and monitoring at home. ATI RN Comprehensive, 2025, p. 34.
7. Which action demonstrates effective advocacy for a client?
A) Agreeing with all physician orders
B) Questioning a medication dose discrepancy
C) Completing tasks without client input
D) Ignoring client complaints
Correct Answer: B (Questioning a medication dose discrepancy)
Rationale: Advocacy involves ensuring client safety by addressing potential errors, such
as medication discrepancies. ATI RN Comprehensive, 2025, p. 28.
8. A nurse is supervising a new graduate nurse. Which action requires intervention?
A) Checking a client’s chart before medication administration
B) Administering medication without verifying allergies
C) Documenting client assessments promptly
D) Obtaining informed consent for a procedure
Correct Answer: B (Administering medication without verifying allergies)
Rationale: Failing to verify allergies before medication administration risks client safety
and requires correction. ATI RN Comprehensive, 2025, p. 26.
, 3
9. A nurse is managing a client’s pain post-surgery. Which action is priority?
A) Administering PRN analgesic as ordered
B) Teaching non-pharmacologic pain relief
C) Repositioning the client every 4 hours
D) Documenting pain level next shift
Correct Answer: A (Administering PRN analgesic as ordered)
Rationale: Pain management is a priority to promote comfort and recovery post-surgery.
ATI RN Comprehensive, 2025, p. 36.
10. A nurse is collaborating with an interdisciplinary team. Which action enhances
teamwork?
A) Making unilateral decisions
B) Communicating client updates clearly
C) Assigning tasks without discussion
D) Ignoring team recommendations
Correct Answer: B (Communicating client updates clearly)
Rationale: Clear communication fosters collaboration and ensures coordinated care. ATI
RN Comprehensive, 2025, p. 24.
11. Which client should the nurse assess first after receiving a shift report?
A) Client with stable vital signs
B) Client reporting sudden shortness of breath
C) Client awaiting routine labs
D) Client with a scheduled dressing change
Correct Answer: B (Client reporting sudden shortness of breath)
Rationale: Sudden shortness of breath indicates a potential respiratory emergency,
requiring immediate assessment. ATI RN Comprehensive, 2025, p. 24.
12. A nurse is reviewing a client’s chart for informed consent. Which finding requires
action?
A) Consent signed by the client
B) Consent signed by a minor
C) Consent witnessed by a nurse
D) Consent includes procedure risks
Correct Answer: B (Consent signed by a minor)
Rationale: Minors cannot legally provide informed consent; a guardian’s signature is
required. ATI RN Comprehensive, 2025, p. 28.
13. NGN: Place the steps of the nursing process in the correct order
A) Planning
B) Assessment
C) Evaluation
D) Implementation
Correct Answer: B, A, D, C
Rationale: The nursing process follows assessment, planning, implementation, and
evaluation. ATI RN Comprehensive, 2025, p. 22.
14. A nurse is assigning tasks to a licensed practical nurse (LPN). Which task is
appropriate?
A) Developing a client’s discharge plan
B) Administering oral medications
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C) Performing a sterile procedure
D) Interpreting lab results
Correct Answer: B (Administering oral medications)
Rationale: Administering oral medications is within the LPN’s scope, unlike discharge
planning, sterile procedures, or lab interpretation. ATI RN Comprehensive, 2025, p. 26.
15. A nurse is addressing a client’s refusal of treatment. Which action is appropriate?
A) Force the treatment
B) Document the refusal and inform the provider
C) Ignore the refusal
D) Discharge the client immediately
Correct Answer: B (Document the refusal and inform the provider)
Rationale: Respecting client autonomy requires documenting refusal and notifying the
provider for further discussion. ATI RN Comprehensive, 2025, p. 28.
16. Which action ensures continuity of care during a shift change?
A) Completing tasks early
B) Providing a detailed handoff report
C) Leaving notes for the next shift
D) Avoiding client interaction
Correct Answer: B (Providing a detailed handoff report)
Rationale: A detailed handoff ensures accurate transfer of critical client information. ATI
RN Comprehensive, 2025, p. 24.
17. A nurse is managing a client with a new colostomy. Which referral is most
appropriate?
A) Dietitian
B) Physical therapist
C) Speech therapist
D) Pharmacist
Correct Answer: A (Dietitian)
Rationale: A dietitian can guide dietary modifications to manage colostomy output and
promote healing. ATI RN Comprehensive, 2025, p. 34.
18. A nurse is addressing a conflict with a coworker. Which approach is best?
A) Ignoring the conflict
B) Discussing privately with the coworker
C) Reporting to the supervisor immediately
D) Discussing in front of staff
Correct Answer: B (Discussing privately with the coworker)
Rationale: Private discussion promotes professionalism and resolves conflict directly.
ATI RN Comprehensive, 2025, p. 24.
19. Which action demonstrates ethical practice?
A) Sharing client information publicly
B) Maintaining client confidentiality
C) Prioritizing personal tasks
D) Ignoring client preferences
Correct Answer: B (Maintaining client confidentiality)
Rationale: Confidentiality upholds client privacy and adheres to ethical standards. ATI
RN Comprehensive, 2025, p. 28.
