ATI RN COMPREHENSIVE PREDICTOR
2026/2027 – VERSION 2 (V2)
150 New Questions | Multiple Choice +
Correct Answers + Explanations
MANAGEMENT OF CARE (Questions 1–20)
Question 1
A charge nurse is making client assignments. Which client should
be assigned to a float nurse from the medical-surgical unit?
A) Client with a chest tube for pneumothorax
B) Client requiring a blood transfusion
C) Client with a new tracheostomy
D) Client with a urinary tract infection on oral antibiotics
Correct Answer: D
Explanation: The stable client with a UTI on oral antibiotics requires
basic medical-surgical skills. Chest tube (A), blood transfusion (B),
and new trach (C) require specialized competency.
,Question 2
A nurse is planning care for a client who has a prescription for wrist
restraints. How long can the client remain in restraints before a
face-to-face provider assessment is required?
A) 30 minutes
B) 1 hour
C) 2 hours
D) 4 hours
Correct Answer: B
Explanation: CMS requires a provider to assess a client in restraints
within 1 hour of application. Renewal: 4 hours for adults (but initial
assessment within 1 hour).
Question 3
A nurse is preparing a client for discharge. Which statement by the
client indicates a need for further teaching about medication
reconciliation?
A) "I will bring all my pill bottles to my follow-up appointment"
B) "I will include my over-the-counter medications and herbs"
C) "I will only list the medications my provider prescribed"
D) "I will review my medication list with my pharmacist"
Correct Answer: C
Explanation: Medication reconciliation must include ALL
medications: prescribed, OTC, herbs, vitamins. Option C omits OTC
and herbs.
,Question 4
A nurse is caring for a client who is being transferred to the
intensive care unit. Which information is most important to include
in the handoff report?
A) The client's advance directive status
B) The client's last bowel movement
C) The client's preferred breakfast order
D) The client's favorite television show
Correct Answer: A
Explanation: Advance directive status (DNR/DNI) is critical for ICU
care decisions. Bowel movement (B) is lower priority. Preferences
(C,D) are non-urgent.
Question 5
A nurse on a medical-surgical unit is receiving a transfer from the
post-anesthesia care unit (PACU). Which finding requires the nurse
to stay with the client at the bedside?
A) Blood pressure 110/70 mmHg
B) Oxygen saturation 92% on room air
C) Pain level 3 on a 0–10 scale
D) Temperature 98.6°F (37°C)
Correct Answer: B
Explanation: SpO2 92% is below normal (95–100%). This requires
immediate intervention (oxygen). The nurse should not leave until
stable. Other findings are normal.
, Question 6
A nurse is witnessing a client sign an informed consent for surgery.
The client states, "I don't really understand what the surgeon said
about the risks." What should the nurse do?
A) Explain the risks to the client
B) Have the client sign anyway and document the statement
C) Notify the provider to clarify the information
D) Ask the family member to explain the risks
Correct Answer: C
Explanation: The nurse witnesses signature and confirms
understanding. If the client does not understand, the nurse must
notify the provider (who is responsible for explaining). The nurse
cannot explain risks (A).
Question 7
A nurse is caring for a client with a do-not-resuscitate (DNR) order.
The client's family member demands that the nurse perform CPR if
the client's heart stops. What should the nurse do?
A) Perform CPR as the family requests
B) Explain that the DNR order must be followed
C) Call the chaplain to speak with the family
D) Remove the DNR order from the chart
Correct Answer: B
Explanation: The DNR order is a legal medical order. The nurse
must follow it. The family cannot override it. Option D is illegal.
2026/2027 – VERSION 2 (V2)
150 New Questions | Multiple Choice +
Correct Answers + Explanations
MANAGEMENT OF CARE (Questions 1–20)
Question 1
A charge nurse is making client assignments. Which client should
be assigned to a float nurse from the medical-surgical unit?
A) Client with a chest tube for pneumothorax
B) Client requiring a blood transfusion
C) Client with a new tracheostomy
D) Client with a urinary tract infection on oral antibiotics
Correct Answer: D
Explanation: The stable client with a UTI on oral antibiotics requires
basic medical-surgical skills. Chest tube (A), blood transfusion (B),
and new trach (C) require specialized competency.
,Question 2
A nurse is planning care for a client who has a prescription for wrist
restraints. How long can the client remain in restraints before a
face-to-face provider assessment is required?
A) 30 minutes
B) 1 hour
C) 2 hours
D) 4 hours
Correct Answer: B
Explanation: CMS requires a provider to assess a client in restraints
within 1 hour of application. Renewal: 4 hours for adults (but initial
assessment within 1 hour).
Question 3
A nurse is preparing a client for discharge. Which statement by the
client indicates a need for further teaching about medication
reconciliation?
A) "I will bring all my pill bottles to my follow-up appointment"
B) "I will include my over-the-counter medications and herbs"
C) "I will only list the medications my provider prescribed"
D) "I will review my medication list with my pharmacist"
Correct Answer: C
Explanation: Medication reconciliation must include ALL
medications: prescribed, OTC, herbs, vitamins. Option C omits OTC
and herbs.
,Question 4
A nurse is caring for a client who is being transferred to the
intensive care unit. Which information is most important to include
in the handoff report?
A) The client's advance directive status
B) The client's last bowel movement
C) The client's preferred breakfast order
D) The client's favorite television show
Correct Answer: A
Explanation: Advance directive status (DNR/DNI) is critical for ICU
care decisions. Bowel movement (B) is lower priority. Preferences
(C,D) are non-urgent.
Question 5
A nurse on a medical-surgical unit is receiving a transfer from the
post-anesthesia care unit (PACU). Which finding requires the nurse
to stay with the client at the bedside?
A) Blood pressure 110/70 mmHg
B) Oxygen saturation 92% on room air
C) Pain level 3 on a 0–10 scale
D) Temperature 98.6°F (37°C)
Correct Answer: B
Explanation: SpO2 92% is below normal (95–100%). This requires
immediate intervention (oxygen). The nurse should not leave until
stable. Other findings are normal.
, Question 6
A nurse is witnessing a client sign an informed consent for surgery.
The client states, "I don't really understand what the surgeon said
about the risks." What should the nurse do?
A) Explain the risks to the client
B) Have the client sign anyway and document the statement
C) Notify the provider to clarify the information
D) Ask the family member to explain the risks
Correct Answer: C
Explanation: The nurse witnesses signature and confirms
understanding. If the client does not understand, the nurse must
notify the provider (who is responsible for explaining). The nurse
cannot explain risks (A).
Question 7
A nurse is caring for a client with a do-not-resuscitate (DNR) order.
The client's family member demands that the nurse perform CPR if
the client's heart stops. What should the nurse do?
A) Perform CPR as the family requests
B) Explain that the DNR order must be followed
C) Call the chaplain to speak with the family
D) Remove the DNR order from the chart
Correct Answer: B
Explanation: The DNR order is a legal medical order. The nurse
must follow it. The family cannot override it. Option D is illegal.
