ATI RN COMPREHENSIVE PREDICTOR
2026/2027 – FULL 150 QUESTION BANK
Multiple Choice | Correct Answers + Detailed
Explanations
MANAGEMENT OF CARE (Questions 1–20)
Question 1
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 congestive heart failure
D) Client with diabetes mellitus
Correct Answer: B
Explanation: MRSA requires contact precautions and a private
room to prevent transmission. Pneumonia (A) may need droplet
precautions but not always private. CHF (C) and diabetes (D)
require standard precautions only.
,Question 2
A nurse is caring for a client who refuses a blood transfusion due to
religious beliefs. The client's family asks the nurse to give the
transfusion anyway. Which action should the nurse take?
A) Administer the transfusion as the family requests
B) Notify the provider of the client's refusal
C) Ask the family to leave the room and give the transfusion
D) Document the family's request and proceed
Correct Answer: B
Explanation: The client has the right to refuse treatment. The nurse
must respect autonomy and notify the provider. Administering
against the client's will is battery.
Question 3
A nurse is preparing to delegate tasks to an assistive personnel
(AP). Which task is appropriate for the AP to perform?
A) Assess a client's post-op incision
B) Teach a client how to use an incentive spirometer
C) Measure a client's urinary output
D) Administer a tube feeding
Correct Answer: C
Explanation: Measuring urinary output is a non-invasive, routine
task within AP scope. Assessment (A), teaching (B), and tube
feeding (D) require licensed nursing judgment.
,Question 4
A nurse is discharging a client who requires home oxygen therapy.
Which instruction is most important to include?
A) "Store oxygen tanks in a closet to keep them out of sight"
B) "Smoking is permitted if you are at least 5 feet away"
C) "Post 'No Smoking' signs at the entrance of the home"
D) "Use synthetic blankets on the bed"
Correct Answer: C
Explanation: "No Smoking" signs prevent fire hazards. Oxygen
supports combustion. Tanks should be stored upright and
ventilated (A), never near smoking (B). Cotton blankets prevent
static electricity (D).
Question 5
A nurse discovers a small fire in a client's trash can. What should
the nurse do first?
A) Pull the fire alarm
B) Evacuate the client
C) Use a fire extinguisher
D) Close the client's door
Correct Answer: B
Explanation: RACE: Rescue (evacuate client first), Alarm, Contain,
Extinguish. Client safety is the priority.
, Question 6
A nurse is caring for four clients. Which client should the nurse
assess first?
A) Client with COPD and O2 saturation of 89%
B) Client post-op day 2 with pain 4/10
C) Client with a new diagnosis of diabetes requesting diet teaching
D) Client who needs a routine dressing change
Correct Answer: A
Explanation: O2 saturation <90% indicates hypoxemia. This is an
airway/breathing priority. Pain (B), teaching (C), and dressing
change (D) are lower priority.
Question 7
A nurse is completing an incident report after a client falls. Which
statement should the nurse document in the client's medical
record?
A) "Incident report filed per protocol"
B) "Client found on floor after falling out of bed"
C) "Nurse forgot to raise the side rails"
D) "Fall caused by client's confusion"
Correct Answer: B
Explanation: Document only objective facts. Incident reports are
separate and should not be mentioned (A). Blaming statements (C,
D) are inappropriate and subjective.
2026/2027 – FULL 150 QUESTION BANK
Multiple Choice | Correct Answers + Detailed
Explanations
MANAGEMENT OF CARE (Questions 1–20)
Question 1
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 congestive heart failure
D) Client with diabetes mellitus
Correct Answer: B
Explanation: MRSA requires contact precautions and a private
room to prevent transmission. Pneumonia (A) may need droplet
precautions but not always private. CHF (C) and diabetes (D)
require standard precautions only.
,Question 2
A nurse is caring for a client who refuses a blood transfusion due to
religious beliefs. The client's family asks the nurse to give the
transfusion anyway. Which action should the nurse take?
A) Administer the transfusion as the family requests
B) Notify the provider of the client's refusal
C) Ask the family to leave the room and give the transfusion
D) Document the family's request and proceed
Correct Answer: B
Explanation: The client has the right to refuse treatment. The nurse
must respect autonomy and notify the provider. Administering
against the client's will is battery.
Question 3
A nurse is preparing to delegate tasks to an assistive personnel
(AP). Which task is appropriate for the AP to perform?
A) Assess a client's post-op incision
B) Teach a client how to use an incentive spirometer
C) Measure a client's urinary output
D) Administer a tube feeding
Correct Answer: C
Explanation: Measuring urinary output is a non-invasive, routine
task within AP scope. Assessment (A), teaching (B), and tube
feeding (D) require licensed nursing judgment.
,Question 4
A nurse is discharging a client who requires home oxygen therapy.
Which instruction is most important to include?
A) "Store oxygen tanks in a closet to keep them out of sight"
B) "Smoking is permitted if you are at least 5 feet away"
C) "Post 'No Smoking' signs at the entrance of the home"
D) "Use synthetic blankets on the bed"
Correct Answer: C
Explanation: "No Smoking" signs prevent fire hazards. Oxygen
supports combustion. Tanks should be stored upright and
ventilated (A), never near smoking (B). Cotton blankets prevent
static electricity (D).
Question 5
A nurse discovers a small fire in a client's trash can. What should
the nurse do first?
A) Pull the fire alarm
B) Evacuate the client
C) Use a fire extinguisher
D) Close the client's door
Correct Answer: B
Explanation: RACE: Rescue (evacuate client first), Alarm, Contain,
Extinguish. Client safety is the priority.
, Question 6
A nurse is caring for four clients. Which client should the nurse
assess first?
A) Client with COPD and O2 saturation of 89%
B) Client post-op day 2 with pain 4/10
C) Client with a new diagnosis of diabetes requesting diet teaching
D) Client who needs a routine dressing change
Correct Answer: A
Explanation: O2 saturation <90% indicates hypoxemia. This is an
airway/breathing priority. Pain (B), teaching (C), and dressing
change (D) are lower priority.
Question 7
A nurse is completing an incident report after a client falls. Which
statement should the nurse document in the client's medical
record?
A) "Incident report filed per protocol"
B) "Client found on floor after falling out of bed"
C) "Nurse forgot to raise the side rails"
D) "Fall caused by client's confusion"
Correct Answer: B
Explanation: Document only objective facts. Incident reports are
separate and should not be mentioned (A). Blaming statements (C,
D) are inappropriate and subjective.
