1
ATI RN COMPREHENSIVE PREDICTOR RETAKE 2023
EXIT EXAM WITH NGN
NOTE: This retake exam specified: Management of Care, Pharmacology, Medical-
Surgical, Psychosocial Integrity, Maternal–Newborn & Pediatrics, Health
Promotion, Basic Care & Comfort, and Leadership.
1. A 67-year-old post-op patient develops sudden chest pain and dyspnea.
Which action should the nurse take first?
A. Call the rapid response team
B. Administer PRN morphine for pain
C. Obtain a 12-lead ECG
D. Place patient on supplemental oxygen
Answer: D. Place patient on supplemental oxygen
Rationale: Airway/oxygenation is highest priority for acute chest pain with
dyspnea; oxygen stabilizes while the team/diagnostics are arranged.
2. The nurse is assigning care for a med-surg unit. Which task is appropriate to
assign to an experienced LPN?
A. Develop the plan of care for a newly admitted client with chest pain
B. Administer a unit of packed RBCs to a stable client
C. Teach new discharge instructions to a patient with multiple medications
D. Perform initial admission assessment and health history
Answer: B. Administer a unit of packed RBCs to a stable client
Rationale: LPNs can administer blood and perform ongoing assessments for
stable clients under supervision; initial comprehensive assessments and
teaching are RN responsibilities.
3. A patient requests their medical record be scanned and sent to a personal
email. What should the nurse do first?
A. Provide the record after Chart Release form is signed
B. Explain that PHI cannot be sent by unsecured email without consent
,2
C. Contact the provider for permission
D. Print and hand the record to the patient at bedside
Answer: B. Explain that PHI cannot be sent by unsecured email without
consent
Rationale: Patient privacy (HIPAA) must be protected; secured methods and
informed consent are required before sending protected health
information.
4. Triage: Four patients arrive; which requires immediate triage (highest
priority)?
A. 45-year-old with ankle sprain, stable vitals
B. 72-year-old with confusion, temp 38.9°C, new left-sided weakness
C. 23-year-old with laceration to forearm, brisk bleeding controlled
D. 30-year-old with nausea and vomiting after food poisoning for 2 hours
Answer: B. 72-year-old with confusion…new left-sided weakness
Rationale: New neurologic deficits suggest stroke — time-sensitive and
highest priority.
5. During a code, the charge nurse notes a member of team not following
commands. What is the most appropriate action?
A. Remove the team member immediately
B. Continue code; address later
C. Reassign them to compressions only
D. Ask them to step back and follow directions from code leader
Answer: D. Ask them to step back and follow directions from code leader
Rationale: Maintaining cohesive team functioning during resuscitation is
critical; the leader must ensure roles are followed.
6. A nurse documents a medication error that harmed a patient. Which ethical
principle requires disclosure to the patient?
A. Justice
B. Nonmaleficence
C. Veracity
D. Autonomy
, 3
Answer: C. Veracity
Rationale: Veracity (truth-telling) requires honest disclosure of errors to
patients.
7. A nurse is developing a quality improvement plan to reduce catheter-
associated UTIs. Which measure is best to include?
A. Scheduled catheter changes every 48 hours
B. Insert catheters only for appropriate indications and remove ASAP
C. Cleaning the perineum once daily with soap and water
D. Use of prophylactic antibiotics for all catheterized patients
Answer: B. Insert catheters only for appropriate indications and remove
ASAP
Rationale: Avoidance and early removal are evidence-based strategies to
reduce CAUTI.
8. A patient refuses a blood transfusion for religious reasons. What should the
nurse do?
A. Attempt to persuade them to accept transfusion
B. Respect the decision and document refusal, notify provider
C. Obtain signed waiver releasing liability from hospital
D. Hold treatment until family agrees
Answer: B. Respect the decision and document refusal, notify provider
Rationale: Respect autonomous decisions after ensuring informed refusal is
documented and provider notified.
9. A nurse is preparing discharge teaching for a diabetic patient with limited
literacy. Best strategy:
A. Provide written instructions only
B. Use teach-back method with simple language and visuals
C. Ask family to read instructions to patient
D. Provide URL to online diabetes resources
Answer: B. Use teach-back with simple language and visuals
Rationale: Teach-back assesses understanding and using plain
language/visuals improves comprehension.
ATI RN COMPREHENSIVE PREDICTOR RETAKE 2023
EXIT EXAM WITH NGN
NOTE: This retake exam specified: Management of Care, Pharmacology, Medical-
Surgical, Psychosocial Integrity, Maternal–Newborn & Pediatrics, Health
Promotion, Basic Care & Comfort, and Leadership.
1. A 67-year-old post-op patient develops sudden chest pain and dyspnea.
Which action should the nurse take first?
A. Call the rapid response team
B. Administer PRN morphine for pain
C. Obtain a 12-lead ECG
D. Place patient on supplemental oxygen
Answer: D. Place patient on supplemental oxygen
Rationale: Airway/oxygenation is highest priority for acute chest pain with
dyspnea; oxygen stabilizes while the team/diagnostics are arranged.
2. The nurse is assigning care for a med-surg unit. Which task is appropriate to
assign to an experienced LPN?
A. Develop the plan of care for a newly admitted client with chest pain
B. Administer a unit of packed RBCs to a stable client
C. Teach new discharge instructions to a patient with multiple medications
D. Perform initial admission assessment and health history
Answer: B. Administer a unit of packed RBCs to a stable client
Rationale: LPNs can administer blood and perform ongoing assessments for
stable clients under supervision; initial comprehensive assessments and
teaching are RN responsibilities.
3. A patient requests their medical record be scanned and sent to a personal
email. What should the nurse do first?
A. Provide the record after Chart Release form is signed
B. Explain that PHI cannot be sent by unsecured email without consent
,2
C. Contact the provider for permission
D. Print and hand the record to the patient at bedside
Answer: B. Explain that PHI cannot be sent by unsecured email without
consent
Rationale: Patient privacy (HIPAA) must be protected; secured methods and
informed consent are required before sending protected health
information.
4. Triage: Four patients arrive; which requires immediate triage (highest
priority)?
A. 45-year-old with ankle sprain, stable vitals
B. 72-year-old with confusion, temp 38.9°C, new left-sided weakness
C. 23-year-old with laceration to forearm, brisk bleeding controlled
D. 30-year-old with nausea and vomiting after food poisoning for 2 hours
Answer: B. 72-year-old with confusion…new left-sided weakness
Rationale: New neurologic deficits suggest stroke — time-sensitive and
highest priority.
5. During a code, the charge nurse notes a member of team not following
commands. What is the most appropriate action?
A. Remove the team member immediately
B. Continue code; address later
C. Reassign them to compressions only
D. Ask them to step back and follow directions from code leader
Answer: D. Ask them to step back and follow directions from code leader
Rationale: Maintaining cohesive team functioning during resuscitation is
critical; the leader must ensure roles are followed.
6. A nurse documents a medication error that harmed a patient. Which ethical
principle requires disclosure to the patient?
A. Justice
B. Nonmaleficence
C. Veracity
D. Autonomy
, 3
Answer: C. Veracity
Rationale: Veracity (truth-telling) requires honest disclosure of errors to
patients.
7. A nurse is developing a quality improvement plan to reduce catheter-
associated UTIs. Which measure is best to include?
A. Scheduled catheter changes every 48 hours
B. Insert catheters only for appropriate indications and remove ASAP
C. Cleaning the perineum once daily with soap and water
D. Use of prophylactic antibiotics for all catheterized patients
Answer: B. Insert catheters only for appropriate indications and remove
ASAP
Rationale: Avoidance and early removal are evidence-based strategies to
reduce CAUTI.
8. A patient refuses a blood transfusion for religious reasons. What should the
nurse do?
A. Attempt to persuade them to accept transfusion
B. Respect the decision and document refusal, notify provider
C. Obtain signed waiver releasing liability from hospital
D. Hold treatment until family agrees
Answer: B. Respect the decision and document refusal, notify provider
Rationale: Respect autonomous decisions after ensuring informed refusal is
documented and provider notified.
9. A nurse is preparing discharge teaching for a diabetic patient with limited
literacy. Best strategy:
A. Provide written instructions only
B. Use teach-back method with simple language and visuals
C. Ask family to read instructions to patient
D. Provide URL to online diabetes resources
Answer: B. Use teach-back with simple language and visuals
Rationale: Teach-back assesses understanding and using plain
language/visuals improves comprehension.
