ATI RN Comprehensive Predictor Exam
180 Practice Questions with Correct Answers & Rationales
SECTION 1: MANAGEMENT OF CARE & PRIORITIZATION (Questions 1–35)
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 diabetic foot ulcer
• □
D) Client with chronic obstructive pulmonary disease (COPD)
Correct Answer: B
Rationale: MRSA requires contact isolation; a private room is essential to prevent transmission
to other clients. Pneumonia may require droplet precautions, but MRSA-contact is the priority
for single-room assignment.
Question 2
A charge nurse assigns a float RN who usually works in postpartum to a medical-surgical unit.
Which client is most appropriate for the charge nurse to assign to this RN?
• □
A) Client in diabetic ketoacidosis (DKA)
, • □
B) Client who is postoperative day 2 following an appendectomy, stable
• □
C) Client with a chest tube for a pneumothorax
• □
D) Client receiving IV heparin for deep vein thrombosis
Correct Answer: B
Rationale: A stable, low-acuity client is most appropriate for a float nurse who may be
unfamiliar with the unit's specific protocols. The stable postoperative client requires routine
monitoring and basic care within the float nurse's scope.
Question 3
A nurse is caring for four clients. Which client should the nurse assess first?
• □
A) Postoperative day 2 client with pain rating 6/10
• □
B) COPD client with oxygen saturation 88% on room air
• □
C) Client waiting for discharge teaching
• □
D) Stable diabetic client requesting a snack
Correct Answer: B
Rationale: Airway and oxygenation take priority. A SpO2 of 88% indicates hypoxemia requiring
immediate intervention. The ABCs (Airway, Breathing, Circulation) framework guides
prioritization.
Question 4
,A nurse is caring for a client who has a new diagnosis of terminal cancer. The client tells the
nurse, "I don't want any more treatment. I just want to go home." Which of the following
actions should the nurse take first?
• □
A) Notify the provider of the client's request
• □
B) Discuss the client's wishes with the family
• □
C) Assess the client's understanding of the diagnosis and prognosis
• □
D) Begin discharge planning immediately
Correct Answer: C
Rationale: The nurse must first assess the client's understanding of their diagnosis, prognosis,
and treatment options to ensure the client is making an informed decision. This assessment
guides appropriate下一步 interventions.
Question 5
A nurse is preparing to delegate tasks to an assistive personnel (AP). Which of the following
tasks should the nurse delegate to the AP?
• □
A) Administering a tube feeding
• □
B) Assessing a client's surgical incision
• □
C) Assisting a client with ambulation
• □
D) Evaluating a client's response to pain medication
, Correct Answer: C
Rationale: Assisting with ambulation is within the scope of practice for AP. Administration of
tube feedings, assessment, and evaluation require licensed nursing judgment and cannot be
delegated.
Question 6
A nurse is providing teaching to a client who has a new prescription for warfarin. Which of the
following statements by the client indicates a need for further teaching?
• □
A) "I will avoid eating large amounts of leafy green vegetables."
• □
B) "I will take my medication at the same time each day."
• □
C) "I will use a soft-bristled toothbrush."
• □
D) "I will take ibuprofen for my headaches."
Correct Answer: D
Rationale: Ibuprofen (an NSAID) increases the risk of bleeding when taken with warfarin. The
client should be advised to use acetaminophen for pain instead. All other statements
demonstrate correct understanding.
Question 7
A nurse is caring for a client who has a prescription for furosemide. Which of the following
findings should the nurse monitor as an adverse effect of this medication?
• □
A) Hyperkalemia
• □
B) Hypokalemia
180 Practice Questions with Correct Answers & Rationales
SECTION 1: MANAGEMENT OF CARE & PRIORITIZATION (Questions 1–35)
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 diabetic foot ulcer
• □
D) Client with chronic obstructive pulmonary disease (COPD)
Correct Answer: B
Rationale: MRSA requires contact isolation; a private room is essential to prevent transmission
to other clients. Pneumonia may require droplet precautions, but MRSA-contact is the priority
for single-room assignment.
Question 2
A charge nurse assigns a float RN who usually works in postpartum to a medical-surgical unit.
Which client is most appropriate for the charge nurse to assign to this RN?
• □
A) Client in diabetic ketoacidosis (DKA)
, • □
B) Client who is postoperative day 2 following an appendectomy, stable
• □
C) Client with a chest tube for a pneumothorax
• □
D) Client receiving IV heparin for deep vein thrombosis
Correct Answer: B
Rationale: A stable, low-acuity client is most appropriate for a float nurse who may be
unfamiliar with the unit's specific protocols. The stable postoperative client requires routine
monitoring and basic care within the float nurse's scope.
Question 3
A nurse is caring for four clients. Which client should the nurse assess first?
• □
A) Postoperative day 2 client with pain rating 6/10
• □
B) COPD client with oxygen saturation 88% on room air
• □
C) Client waiting for discharge teaching
• □
D) Stable diabetic client requesting a snack
Correct Answer: B
Rationale: Airway and oxygenation take priority. A SpO2 of 88% indicates hypoxemia requiring
immediate intervention. The ABCs (Airway, Breathing, Circulation) framework guides
prioritization.
Question 4
,A nurse is caring for a client who has a new diagnosis of terminal cancer. The client tells the
nurse, "I don't want any more treatment. I just want to go home." Which of the following
actions should the nurse take first?
• □
A) Notify the provider of the client's request
• □
B) Discuss the client's wishes with the family
• □
C) Assess the client's understanding of the diagnosis and prognosis
• □
D) Begin discharge planning immediately
Correct Answer: C
Rationale: The nurse must first assess the client's understanding of their diagnosis, prognosis,
and treatment options to ensure the client is making an informed decision. This assessment
guides appropriate下一步 interventions.
Question 5
A nurse is preparing to delegate tasks to an assistive personnel (AP). Which of the following
tasks should the nurse delegate to the AP?
• □
A) Administering a tube feeding
• □
B) Assessing a client's surgical incision
• □
C) Assisting a client with ambulation
• □
D) Evaluating a client's response to pain medication
, Correct Answer: C
Rationale: Assisting with ambulation is within the scope of practice for AP. Administration of
tube feedings, assessment, and evaluation require licensed nursing judgment and cannot be
delegated.
Question 6
A nurse is providing teaching to a client who has a new prescription for warfarin. Which of the
following statements by the client indicates a need for further teaching?
• □
A) "I will avoid eating large amounts of leafy green vegetables."
• □
B) "I will take my medication at the same time each day."
• □
C) "I will use a soft-bristled toothbrush."
• □
D) "I will take ibuprofen for my headaches."
Correct Answer: D
Rationale: Ibuprofen (an NSAID) increases the risk of bleeding when taken with warfarin. The
client should be advised to use acetaminophen for pain instead. All other statements
demonstrate correct understanding.
Question 7
A nurse is caring for a client who has a prescription for furosemide. Which of the following
findings should the nurse monitor as an adverse effect of this medication?
• □
A) Hyperkalemia
• □
B) Hypokalemia
