2026 ATI RN
COMPREHENSIVE PREDICTOR
RETAKE EXAM
800+ QUESTIONS BANK
(NGN-style questions Plus Rationales & CASE Scenarios)
THIS 2026 ATI RN PREDICTOR CONTAINS
❖ ATI RN Predictor Exam 1
❖ ATI RN Predictor Exam 2
❖ ATI RN Predictor Exam 3
❖ ATI RN Predictor Final Exam
❖ NGN-Style Questions & Case Scenario
❖ 800 Complete Questions with Explanations
1|Page SUCCESS!!!
,SECTION 1: MANAGEMENT OF CARE, DELEGATION & PRIORITIZATION
Q1. A charge nurse is assigning clients on a medical-surgical unit. Which client should be assigned to the most
experienced RN?
A) Client with diabetes mellitus requiring routine insulin administration
B) Client with community-acquired pneumonia requiring q4h vital signs
C) Client with chest tubes and new-onset respiratory distress with SpO₂ of 88%
D) Client with a urinary tract infection requiring IV antibiotics
Answer: C
The client with chest tubes and new-onset respiratory distress is unstable and requires complex assessment, clinical
judgment, and immediate intervention. This client should be assigned to the most experienced RN. Stable clients with
predictable conditions can be assigned to LPNs or less experienced RNs under appropriate supervision.
Q2. A charge nurse is assigning clients on a medical-surgical unit. Which client should be assigned to an LPN?
A) Client with new-onset atrial fibrillation on continuous telemetry
B) Client with COPD requiring tracheostomy care every 2 hours
C) Client newly diagnosed with diabetes requiring initial insulin teaching
D) Client 1 hour post-cardiac catheterization with bleeding at insertion site
Answer: B
The LPN can care for stable clients with predictable, routine procedures. Tracheostomy care every 2 hours is within
LPN scope of practice. Unstable clients (A, D) and initial teaching (C) require an RN. LPNs care for stable clients with
predictable outcomes and cannot perform initial assessments or teaching.
2|Page SUCCESS!!!
,Q3. A client tells the nurse, "I want to leave the hospital now against medical advice." What is the nurse's priority
action?
A) Notify the provider immediately
B) Ask the client to sign an AMA form
C) Determine if the client understands the risks of leaving
D) Call security to prevent the client from leaving
Answer: C
The nurse must first assess the client's capacity to understand risks and consequences. Competent adults have the
right to leave AMA. Restraining a competent client is false imprisonment. The nurse should explain risks, document
the conversation, and have the client sign AMA forms if they still wish to leave.
Q4. A nurse is delegating a task to an assistive personnel (AP). Which task can the nurse safely delegate?
A) Assessing a postoperative incision for signs of infection
B) Teaching a client how to use a walker
C) Obtaining a client's daily weight
D) Evaluating the effectiveness of pain medication
Answer: C
Obtaining a client's daily weight is a routine, non-invasive task that falls within the AP scope of practice. Assessment
(A), teaching (B), and evaluation (D) require nursing judgment and cannot be delegated to AP.
Q5. A nurse is triaging after a mass casualty event. Which client should receive priority care?
3|Page SUCCESS!!!
, A) Client with minor laceration walking independently
B) Client with severe head trauma and agonal breathing
C) Client with compound femur fracture and strong pulses
D) Client with sucking chest wound and respiratory distress
Answer: D
In mass casualty triage, clients with life-threatening but survivable injuries (sucking chest wound, respiratory distress)
are priority (red tag). Agonal breathing with severe head trauma is likely black tag (expectant). Compound fracture
with strong pulses is yellow tag (urgent but stable).
Q6. A nurse is planning care for a client with dementia who wanders. Which intervention is most appropriate?
A) Place the client in a room near the nurses' station
B) Use soft wrist restraints at night
C) Close the client's door to prevent wandering out
D) Give a sedative medication every evening
Answer: A
Placing the client near the nurses' station allows for increased observation. Restraints should be a last resort and
require a provider order. Closing the door does not prevent wandering and may increase anxiety. Sedatives should
not be used for wandering without a clear indication.
Q7. A nurse is caring for a client who has a living will. The family disagrees with the client's documented wishes.
Which action should the nurse take?
4|Page SUCCESS!!!
COMPREHENSIVE PREDICTOR
RETAKE EXAM
800+ QUESTIONS BANK
(NGN-style questions Plus Rationales & CASE Scenarios)
THIS 2026 ATI RN PREDICTOR CONTAINS
❖ ATI RN Predictor Exam 1
❖ ATI RN Predictor Exam 2
❖ ATI RN Predictor Exam 3
❖ ATI RN Predictor Final Exam
❖ NGN-Style Questions & Case Scenario
❖ 800 Complete Questions with Explanations
1|Page SUCCESS!!!
,SECTION 1: MANAGEMENT OF CARE, DELEGATION & PRIORITIZATION
Q1. A charge nurse is assigning clients on a medical-surgical unit. Which client should be assigned to the most
experienced RN?
A) Client with diabetes mellitus requiring routine insulin administration
B) Client with community-acquired pneumonia requiring q4h vital signs
C) Client with chest tubes and new-onset respiratory distress with SpO₂ of 88%
D) Client with a urinary tract infection requiring IV antibiotics
Answer: C
The client with chest tubes and new-onset respiratory distress is unstable and requires complex assessment, clinical
judgment, and immediate intervention. This client should be assigned to the most experienced RN. Stable clients with
predictable conditions can be assigned to LPNs or less experienced RNs under appropriate supervision.
Q2. A charge nurse is assigning clients on a medical-surgical unit. Which client should be assigned to an LPN?
A) Client with new-onset atrial fibrillation on continuous telemetry
B) Client with COPD requiring tracheostomy care every 2 hours
C) Client newly diagnosed with diabetes requiring initial insulin teaching
D) Client 1 hour post-cardiac catheterization with bleeding at insertion site
Answer: B
The LPN can care for stable clients with predictable, routine procedures. Tracheostomy care every 2 hours is within
LPN scope of practice. Unstable clients (A, D) and initial teaching (C) require an RN. LPNs care for stable clients with
predictable outcomes and cannot perform initial assessments or teaching.
2|Page SUCCESS!!!
,Q3. A client tells the nurse, "I want to leave the hospital now against medical advice." What is the nurse's priority
action?
A) Notify the provider immediately
B) Ask the client to sign an AMA form
C) Determine if the client understands the risks of leaving
D) Call security to prevent the client from leaving
Answer: C
The nurse must first assess the client's capacity to understand risks and consequences. Competent adults have the
right to leave AMA. Restraining a competent client is false imprisonment. The nurse should explain risks, document
the conversation, and have the client sign AMA forms if they still wish to leave.
Q4. A nurse is delegating a task to an assistive personnel (AP). Which task can the nurse safely delegate?
A) Assessing a postoperative incision for signs of infection
B) Teaching a client how to use a walker
C) Obtaining a client's daily weight
D) Evaluating the effectiveness of pain medication
Answer: C
Obtaining a client's daily weight is a routine, non-invasive task that falls within the AP scope of practice. Assessment
(A), teaching (B), and evaluation (D) require nursing judgment and cannot be delegated to AP.
Q5. A nurse is triaging after a mass casualty event. Which client should receive priority care?
3|Page SUCCESS!!!
, A) Client with minor laceration walking independently
B) Client with severe head trauma and agonal breathing
C) Client with compound femur fracture and strong pulses
D) Client with sucking chest wound and respiratory distress
Answer: D
In mass casualty triage, clients with life-threatening but survivable injuries (sucking chest wound, respiratory distress)
are priority (red tag). Agonal breathing with severe head trauma is likely black tag (expectant). Compound fracture
with strong pulses is yellow tag (urgent but stable).
Q6. A nurse is planning care for a client with dementia who wanders. Which intervention is most appropriate?
A) Place the client in a room near the nurses' station
B) Use soft wrist restraints at night
C) Close the client's door to prevent wandering out
D) Give a sedative medication every evening
Answer: A
Placing the client near the nurses' station allows for increased observation. Restraints should be a last resort and
require a provider order. Closing the door does not prevent wandering and may increase anxiety. Sedatives should
not be used for wandering without a clear indication.
Q7. A nurse is caring for a client who has a living will. The family disagrees with the client's documented wishes.
Which action should the nurse take?
4|Page SUCCESS!!!
