This is the ATI RN Comprehensive
Predictor Exit Proctored Exam
2023/2026 with NGN, containing 180
screenshot questions with correct
answers.
Question 1
A charge nurse is making client assignments on a medical-surgical unit. Which
client should be assigned to the most experienced RN?
A) A client with diabetes mellitus requiring insulin administration
B) A client with pneumonia requiring q4h vital signs
C) A client with chest tubes and a new onset of respiratory distress
D) A client with a urinary tract infection requiring IV antibiotics
Answer: C
Rationale: The client with chest tubes and respiratory distress is unstable and
requires complex assessment. This client should be assigned to the most
experienced RN. Stable clients can be assigned to LPNs or less experienced RNs.
Question 2
A nurse is caring for a client who refuses a blood transfusion due to religious
beliefs. The client's family requests that the transfusion be given anyway. What is
the nurse's priority action?
A) Administer the transfusion as the family requests
B) Notify the healthcare provider of the client's refusal
C) Contact the ethics committee for a consultation
D) Ask the client to reconsider the family's wishes
,Answer: B
Rationale: The nurse must respect the client's autonomy. The provider should be
notified so alternative treatments can be considered. The client's decision must
be honored regardless of family wishes.
Question 3
A nurse manager is reviewing informed consent with staff. Which statement by a
staff member indicates understanding?
A) "The nurse is responsible for explaining the procedure to the client."
B) "A witness signature confirms the client gave voluntary consent."
C) "Informed consent is only required for surgical procedures."
D) "A family member can sign consent for any adult client."
Answer: B
Rationale: The witness signature confirms the client signed voluntarily and
appeared competent. The provider explains the procedure. Consent is required
for all invasive procedures.
Question 4
A nurse is delegating tasks to assistive personnel (AP). Which task is appropriate
for the AP to perform?
A) Assess a client's surgical incision for signs of infection
B) Measure intake and output for a client with heart failure
C) Evaluate the effectiveness of pain medication
D) Teach a client how to use an incentive spirometer
Answer: B
Rationale: Measuring intake and output is within the AP's scope. Assessment,
evaluation, and teaching require nursing judgment.
Question 5
A nurse is caring for a client who has a living will. The client's condition has
deteriorated, and the family wants aggressive treatment. What should the nurse
,do?
A) Follow the family's wishes to avoid conflict
B) Initiate aggressive treatment as requested
C) Review the living will with the family and honor the client's wishes
D) Contact risk management for legal guidance
Answer: C
Rationale: The living will documents the client's wishes and must be honored. The
nurse should review it with the family and advocate for client autonomy.
Question 6
A charge nurse is observing a new graduate nurse perform a sterile dressing
change. Which action requires intervention?
A) Opening the sterile kit away from the body
B) Adding sterile supplies by dropping them onto the sterile field
C) Reaching over the sterile field to obtain additional supplies
D) Holding the sterile drape at the corners to place it
Answer: C
Rationale: Reaching over the sterile field contaminates it. The nurse should walk
around to the side to add supplies.
Question 7
A nurse is preparing to transfer a client from the ICU to a medical-surgical unit.
Which information must be included in the handoff report? (Select all that apply)
A) The client's current vital signs and oxygen requirements
B) The client's insurance information and billing status
C) Active orders and pending diagnostic tests
D) The client's code status and advanced directives
E) The family's visiting schedule preferences
Answers: A, C, D
Rationale: Handoff reports must include current clinical status, active orders,
pending tests, and code status. Insurance and visiting preferences are not clinical
requirements.
, Question 8
A nurse is caring for four clients. Which client should the nurse assess first?
A) A client with a fractured femur reporting pain of 6/10
B) A client with pneumonia with a pulse oximetry of 89%
C) A client with diabetes mellitus requesting insulin
D) A client post-appendectomy with a temperature of 99.6°F (37.6°C)
Answer: B
Rationale: The client with hypoxia (SpO2 89%) is at risk for respiratory
compromise—an ABC priority. Pain, insulin, and low-grade fever can wait.
Question 9
A nurse is serving as a preceptor for a newly licensed nurse. Which action by the
new nurse indicates a need for further teaching about client confidentiality?
A) Discussing client care with the healthcare team during rounds
B) Logging off the computer after documenting client care
C) Reviewing the chart of a client on a different unit for "learning purposes"
D) Shredding printed client information after use
Answer: C
Rationale: Reviewing charts of clients not assigned violates HIPAA. Access is only
permitted for clients directly under the nurse's care.
Question 10
A nurse is caring for a client who is scheduled for surgery. The client asks, "What
are the risks of this procedure?" The consent form was signed earlier. What
should the nurse do?
A) Explain the risks to the client
B) Tell the client the provider will discuss risks
C) Document that the client has questions
D) Proceed with preoperative preparation
Predictor Exit Proctored Exam
2023/2026 with NGN, containing 180
screenshot questions with correct
answers.
Question 1
A charge nurse is making client assignments on a medical-surgical unit. Which
client should be assigned to the most experienced RN?
A) A client with diabetes mellitus requiring insulin administration
B) A client with pneumonia requiring q4h vital signs
C) A client with chest tubes and a new onset of respiratory distress
D) A client with a urinary tract infection requiring IV antibiotics
Answer: C
Rationale: The client with chest tubes and respiratory distress is unstable and
requires complex assessment. This client should be assigned to the most
experienced RN. Stable clients can be assigned to LPNs or less experienced RNs.
Question 2
A nurse is caring for a client who refuses a blood transfusion due to religious
beliefs. The client's family requests that the transfusion be given anyway. What is
the nurse's priority action?
A) Administer the transfusion as the family requests
B) Notify the healthcare provider of the client's refusal
C) Contact the ethics committee for a consultation
D) Ask the client to reconsider the family's wishes
,Answer: B
Rationale: The nurse must respect the client's autonomy. The provider should be
notified so alternative treatments can be considered. The client's decision must
be honored regardless of family wishes.
Question 3
A nurse manager is reviewing informed consent with staff. Which statement by a
staff member indicates understanding?
A) "The nurse is responsible for explaining the procedure to the client."
B) "A witness signature confirms the client gave voluntary consent."
C) "Informed consent is only required for surgical procedures."
D) "A family member can sign consent for any adult client."
Answer: B
Rationale: The witness signature confirms the client signed voluntarily and
appeared competent. The provider explains the procedure. Consent is required
for all invasive procedures.
Question 4
A nurse is delegating tasks to assistive personnel (AP). Which task is appropriate
for the AP to perform?
A) Assess a client's surgical incision for signs of infection
B) Measure intake and output for a client with heart failure
C) Evaluate the effectiveness of pain medication
D) Teach a client how to use an incentive spirometer
Answer: B
Rationale: Measuring intake and output is within the AP's scope. Assessment,
evaluation, and teaching require nursing judgment.
Question 5
A nurse is caring for a client who has a living will. The client's condition has
deteriorated, and the family wants aggressive treatment. What should the nurse
,do?
A) Follow the family's wishes to avoid conflict
B) Initiate aggressive treatment as requested
C) Review the living will with the family and honor the client's wishes
D) Contact risk management for legal guidance
Answer: C
Rationale: The living will documents the client's wishes and must be honored. The
nurse should review it with the family and advocate for client autonomy.
Question 6
A charge nurse is observing a new graduate nurse perform a sterile dressing
change. Which action requires intervention?
A) Opening the sterile kit away from the body
B) Adding sterile supplies by dropping them onto the sterile field
C) Reaching over the sterile field to obtain additional supplies
D) Holding the sterile drape at the corners to place it
Answer: C
Rationale: Reaching over the sterile field contaminates it. The nurse should walk
around to the side to add supplies.
Question 7
A nurse is preparing to transfer a client from the ICU to a medical-surgical unit.
Which information must be included in the handoff report? (Select all that apply)
A) The client's current vital signs and oxygen requirements
B) The client's insurance information and billing status
C) Active orders and pending diagnostic tests
D) The client's code status and advanced directives
E) The family's visiting schedule preferences
Answers: A, C, D
Rationale: Handoff reports must include current clinical status, active orders,
pending tests, and code status. Insurance and visiting preferences are not clinical
requirements.
, Question 8
A nurse is caring for four clients. Which client should the nurse assess first?
A) A client with a fractured femur reporting pain of 6/10
B) A client with pneumonia with a pulse oximetry of 89%
C) A client with diabetes mellitus requesting insulin
D) A client post-appendectomy with a temperature of 99.6°F (37.6°C)
Answer: B
Rationale: The client with hypoxia (SpO2 89%) is at risk for respiratory
compromise—an ABC priority. Pain, insulin, and low-grade fever can wait.
Question 9
A nurse is serving as a preceptor for a newly licensed nurse. Which action by the
new nurse indicates a need for further teaching about client confidentiality?
A) Discussing client care with the healthcare team during rounds
B) Logging off the computer after documenting client care
C) Reviewing the chart of a client on a different unit for "learning purposes"
D) Shredding printed client information after use
Answer: C
Rationale: Reviewing charts of clients not assigned violates HIPAA. Access is only
permitted for clients directly under the nurse's care.
Question 10
A nurse is caring for a client who is scheduled for surgery. The client asks, "What
are the risks of this procedure?" The consent form was signed earlier. What
should the nurse do?
A) Explain the risks to the client
B) Tell the client the provider will discuss risks
C) Document that the client has questions
D) Proceed with preoperative preparation
