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ATI RN COMPREHENSIVE PREDICTOR 2023 EXIT
EXAM WITH NGN 2025-26 LATEST REVISED
OVERVIEW: This file contains 150 ATI-style practice questions (multiple choice, SATA,
calculation, and NGN sequencing) covering Management of Care, Pharmacology, Med-Surg,
Psychosocial Integrity, Maternal-Newborn & Pediatrics, Health Promotion, Basic Care &
Comfort, and Leadership. Answers and concise rationales follow each question.
### Question 1
A nurse has four patients. Which patient should the nurse assess first?
A. A patient with new onset shortness of breath and oxygen saturation 88% on room air.
B. A patient 2 hours post-op with controlled pain on oral meds.
C. A patient scheduled for discharge with stable vitals.
D. A patient receiving wound care and reporting mild pruritus.
<<ANS>>A
**Rationale:** New onset shortness of breath and low O2 saturation indicates potential
respiratory compromise; prioritize airway and oxygenation (ABC).
---
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### Question 2
Which task is appropriate to delegate to a nursing assistant (UAP)?
A. Performing tracheostomy suctioning for a newly placed tracheostomy.
B. Assisting a stable post-op patient with ambulation to chair.
C. Administering oral medications to a patient on cardiac meds.
D. Teaching a patient about insulin administration.
<<ANS>>B
**Rationale:** UAPs may assist with ADLs and ambulation for stable patients. Tasks requiring
assessment, teaching, or sterile technique remain with licensed nurses.
---
### Question 3
A nurse receives a verbal order from an MD by phone in the ER. What is the nurse's priority
action?
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A. Implement the order and document the time and source.
B. Refuse the order because verbal orders are not allowed.
C. Repeat the order back to the prescriber and document it.
D. Wait for a written order in the chart before acting.
<<ANS>>C
**Rationale:** Verbal/telephone orders require read-back (repeat-back) to ensure accuracy
and the prescriber should sign per policy. Documentation of who gave the order is necessary.
---
### Question 4
Which situation requires mandatory reporting by the nurse?
A. A 40-year-old patient who smokes.
B. A child with suspected physical abuse.
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C. An adult patient requesting pain meds.
D. A patient with history of depression.
<<ANS>>B
**Rationale:** Healthcare providers are mandated reporters for suspected child abuse; it must
be reported to appropriate authorities.
---
### Question 5
A nurse must assign four patients. Which assignment is appropriate for a newly licensed RN?
A. A stable post-op patient 24 hours after surgery with no complications.
B. A newly admitted unstable patient with chest pain.
C. A patient requiring complex wound care and IV titration.
D. A patient in droplet isolation who is immunocompromised.
<<ANS>>A
ATI RN COMPREHENSIVE PREDICTOR 2023 EXIT
EXAM WITH NGN 2025-26 LATEST REVISED
OVERVIEW: This file contains 150 ATI-style practice questions (multiple choice, SATA,
calculation, and NGN sequencing) covering Management of Care, Pharmacology, Med-Surg,
Psychosocial Integrity, Maternal-Newborn & Pediatrics, Health Promotion, Basic Care &
Comfort, and Leadership. Answers and concise rationales follow each question.
### Question 1
A nurse has four patients. Which patient should the nurse assess first?
A. A patient with new onset shortness of breath and oxygen saturation 88% on room air.
B. A patient 2 hours post-op with controlled pain on oral meds.
C. A patient scheduled for discharge with stable vitals.
D. A patient receiving wound care and reporting mild pruritus.
<<ANS>>A
**Rationale:** New onset shortness of breath and low O2 saturation indicates potential
respiratory compromise; prioritize airway and oxygenation (ABC).
---
,2
### Question 2
Which task is appropriate to delegate to a nursing assistant (UAP)?
A. Performing tracheostomy suctioning for a newly placed tracheostomy.
B. Assisting a stable post-op patient with ambulation to chair.
C. Administering oral medications to a patient on cardiac meds.
D. Teaching a patient about insulin administration.
<<ANS>>B
**Rationale:** UAPs may assist with ADLs and ambulation for stable patients. Tasks requiring
assessment, teaching, or sterile technique remain with licensed nurses.
---
### Question 3
A nurse receives a verbal order from an MD by phone in the ER. What is the nurse's priority
action?
,3
A. Implement the order and document the time and source.
B. Refuse the order because verbal orders are not allowed.
C. Repeat the order back to the prescriber and document it.
D. Wait for a written order in the chart before acting.
<<ANS>>C
**Rationale:** Verbal/telephone orders require read-back (repeat-back) to ensure accuracy
and the prescriber should sign per policy. Documentation of who gave the order is necessary.
---
### Question 4
Which situation requires mandatory reporting by the nurse?
A. A 40-year-old patient who smokes.
B. A child with suspected physical abuse.
, 4
C. An adult patient requesting pain meds.
D. A patient with history of depression.
<<ANS>>B
**Rationale:** Healthcare providers are mandated reporters for suspected child abuse; it must
be reported to appropriate authorities.
---
### Question 5
A nurse must assign four patients. Which assignment is appropriate for a newly licensed RN?
A. A stable post-op patient 24 hours after surgery with no complications.
B. A newly admitted unstable patient with chest pain.
C. A patient requiring complex wound care and IV titration.
D. A patient in droplet isolation who is immunocompromised.
<<ANS>>A
