ATI RN Comprehensive Predictor
Exam 2026|||questions and answers
with rationales/graded A+/2026
update/100% correct /instant
download
80+ Question Topic Test
Instructions: This test is designed to assess your readiness for the ATI RN
Comprehensive Predictor Exam. Read each question carefully and select the best
answer. Correct answers are highlighted in bold along with the rationale.
Domain 1: Management of Care, Delegation, & Legal/Ethical Issues (10
Questions)
1. A charge nurse is assigning clients on a medical-surgical unit. Which client
should be assigned to a registered nurse (RN) rather than a licensed practical
nurse (LPN)?
• A. A client post-operative day 2 for a hip replacement requiring pain
medication.
• B. A client with a urinary tract infection receiving oral antibiotics.
• C. A client newly admitted with chest pain and unstable vital signs.
• D. A client with a chronic wound requiring a sterile dressing change.
Rationale: The RN is responsible for the initial assessment and stabilization of
newly admitted or unstable clients. The LPN can care for stable clients with
predictable outcomes (A, B, D).
2. A client refuses a blood transfusion due to religious beliefs (Jehovah's
Witness). The nurse’s best action is to:
• A. Ask the family to convince the client to accept the transfusion.
, • B. Inform the provider so they can obtain a court order.
• C. Respect the client’s refusal and document it in the medical record.
• D. Explain the risks of refusing the transfusion and then administer it.
Rationale: A competent adult has the legal and ethical right to refuse treatment,
even if that decision may lead to death (patient autonomy). The nurse must respect
this decision, ensure the client is informed, and document the refusal.
3. A nurse on a mental health unit is caring for a client in seclusion following
violent behavior. The client continues to display aggressive behavior. Which
action should the nurse take?
• A. Stand within 1 foot of the client to assert authority.
• B. Express sympathy for the client's situation.
• C. Confront the client about their behavior.
• D. Speak assertively to the client using a calm, firm tone.
Rationale: Speaking assertively (calm, clear, firm) sets necessary limits without
escalating the client's aggression. Standing too close (A) is threatening. Sympathy
(B) can be misinterpreted. Confrontation (C) escalates tension.
4. A nurse identifies that they made a medication error. What is the nurse's
priority action?
• A. Complete an incident report.
• B. Notify the provider.
• C. Assess the client for adverse effects.
• D. Document the error in the nurses' notes.
Rationale: Client safety is always the priority. The nurse must first assess the
client for any harm or adverse effects from the error before notifying the provider
or completing documentation.
5. A nurse is teaching a newly licensed nurse about informed consent. Which
statement by the newly licensed nurse indicates understanding?
• A. "The nurse is responsible for explaining the procedure risks."
, • B. "The provider performing the procedure is responsible for obtaining
consent."
• C. "A client over 18 cannot withdraw consent once signed."
• D. "A family member can sign consent for an emancipated minor."
Rationale: The physician or provider performing the procedure is legally
responsible for explaining the procedure, risks, benefits, and alternatives to obtain
informed consent. The nurse acts as a witness to the signature.
6. Which client should the charge nurse assign to an agency (travel) nurse who
is working on the psychiatric unit for the first time?
• A. A client lying in a fetal position refusing all meals.
• B. A client with active suicidal ideation and a plan.
• C. A client rating mood as 3/10 and attending group therapy.
• D. A client experiencing command hallucinations to hurt others.
Rationale: The stable client who is participating in therapy (even with low mood)
is the safest assignment for a nurse unfamiliar with the unit. The other options
(refusing meals, active suicide plan, command hallucinations) are unstable and
require experienced staff.
7. A nurse is delegating tasks to an assistive personnel (AP). Which task is
appropriate for the nurse to delegate?
• A. Assessing a client's post-operative incision.
• B. Teaching a client about insulin injections.
• C. Measuring a client's intake and output.
• D. Creating a plan of care for a client with pneumonia.
Rationale: APs can perform basic care tasks such as I&O, vital signs on stable
clients, and ambulation. Assessment (A), teaching (B), and care planning (D) are
the legal responsibility of the RN.
8. A client tells the nurse, "I don't want to have this surgery anymore." The
surgeon has already explained the risks. Which response by the nurse is
appropriate?
Exam 2026|||questions and answers
with rationales/graded A+/2026
update/100% correct /instant
download
80+ Question Topic Test
Instructions: This test is designed to assess your readiness for the ATI RN
Comprehensive Predictor Exam. Read each question carefully and select the best
answer. Correct answers are highlighted in bold along with the rationale.
Domain 1: Management of Care, Delegation, & Legal/Ethical Issues (10
Questions)
1. A charge nurse is assigning clients on a medical-surgical unit. Which client
should be assigned to a registered nurse (RN) rather than a licensed practical
nurse (LPN)?
• A. A client post-operative day 2 for a hip replacement requiring pain
medication.
• B. A client with a urinary tract infection receiving oral antibiotics.
• C. A client newly admitted with chest pain and unstable vital signs.
• D. A client with a chronic wound requiring a sterile dressing change.
Rationale: The RN is responsible for the initial assessment and stabilization of
newly admitted or unstable clients. The LPN can care for stable clients with
predictable outcomes (A, B, D).
2. A client refuses a blood transfusion due to religious beliefs (Jehovah's
Witness). The nurse’s best action is to:
• A. Ask the family to convince the client to accept the transfusion.
, • B. Inform the provider so they can obtain a court order.
• C. Respect the client’s refusal and document it in the medical record.
• D. Explain the risks of refusing the transfusion and then administer it.
Rationale: A competent adult has the legal and ethical right to refuse treatment,
even if that decision may lead to death (patient autonomy). The nurse must respect
this decision, ensure the client is informed, and document the refusal.
3. A nurse on a mental health unit is caring for a client in seclusion following
violent behavior. The client continues to display aggressive behavior. Which
action should the nurse take?
• A. Stand within 1 foot of the client to assert authority.
• B. Express sympathy for the client's situation.
• C. Confront the client about their behavior.
• D. Speak assertively to the client using a calm, firm tone.
Rationale: Speaking assertively (calm, clear, firm) sets necessary limits without
escalating the client's aggression. Standing too close (A) is threatening. Sympathy
(B) can be misinterpreted. Confrontation (C) escalates tension.
4. A nurse identifies that they made a medication error. What is the nurse's
priority action?
• A. Complete an incident report.
• B. Notify the provider.
• C. Assess the client for adverse effects.
• D. Document the error in the nurses' notes.
Rationale: Client safety is always the priority. The nurse must first assess the
client for any harm or adverse effects from the error before notifying the provider
or completing documentation.
5. A nurse is teaching a newly licensed nurse about informed consent. Which
statement by the newly licensed nurse indicates understanding?
• A. "The nurse is responsible for explaining the procedure risks."
, • B. "The provider performing the procedure is responsible for obtaining
consent."
• C. "A client over 18 cannot withdraw consent once signed."
• D. "A family member can sign consent for an emancipated minor."
Rationale: The physician or provider performing the procedure is legally
responsible for explaining the procedure, risks, benefits, and alternatives to obtain
informed consent. The nurse acts as a witness to the signature.
6. Which client should the charge nurse assign to an agency (travel) nurse who
is working on the psychiatric unit for the first time?
• A. A client lying in a fetal position refusing all meals.
• B. A client with active suicidal ideation and a plan.
• C. A client rating mood as 3/10 and attending group therapy.
• D. A client experiencing command hallucinations to hurt others.
Rationale: The stable client who is participating in therapy (even with low mood)
is the safest assignment for a nurse unfamiliar with the unit. The other options
(refusing meals, active suicide plan, command hallucinations) are unstable and
require experienced staff.
7. A nurse is delegating tasks to an assistive personnel (AP). Which task is
appropriate for the nurse to delegate?
• A. Assessing a client's post-operative incision.
• B. Teaching a client about insulin injections.
• C. Measuring a client's intake and output.
• D. Creating a plan of care for a client with pneumonia.
Rationale: APs can perform basic care tasks such as I&O, vital signs on stable
clients, and ambulation. Assessment (A), teaching (B), and care planning (D) are
the legal responsibility of the RN.
8. A client tells the nurse, "I don't want to have this surgery anymore." The
surgeon has already explained the risks. Which response by the nurse is
appropriate?
