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ATI RN COMPREHENSIVE ADN PREDICTOR RETAKE EXAM
PRACTICE 2026/2027 COMPLETE (100) CURRENT TESTING
QUESTIONS AND CORRECT ANSWERS WITH DETAILED
RATIONALES.
ATI RN
Prepare for the ATI RN Comprehensive ADN Predictor Retake Exam with a
comprehensive study resource designed to reinforce essential RN nursing concepts
and clinical judgment skills. It supports review across major areas including medical-
surgical nursing, pharmacology, maternal-newborn care, pediatrics, mental health,
leadership, prioritization, delegation, and patient safety. Use the material to
strengthen NCLEX-style reasoning, improve test-taking confidence, and identify
content areas that may require additional remediation before the retake. This resource
is best suited for ADN nursing students preparing for the ATI RN Comprehensive
Predictor Retake and final NCLEX-RN readiness assessment.
MULTIPLE CHOICE.
MANAGEMENT OF CARE — DELEGATION & PRIORITIZATION
1. The charge nurse is making assignments on a medical-surgical unit.
Which client should be assigned to the most experienced registered
nurse?
• A) A 45-year-old client with type 2 diabetes mellitus requiring insulin
administration
• B) A 68-year-old client with pneumonia who needs frequent respiratory
assessments
• C) A 72-year-old client 2 hours post-total hip arthroplasty with a
continuous epidural infusion
• D) A 55-year-old client with chronic kidney disease receiving peritoneal
dialysis
Answer: C) A 72-year-old client 2 hours post-total hip arthroplasty with a
continuous epidural infusion
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Rationale: The client who is 2 hours post-total hip arthroplasty with a
continuous epidural infusion requires the most experienced RN due to the
complexity of care, including monitoring for epidural-related
complications such as respiratory depression, hypotension, and
infection. The experienced RN has the clinical judgment to assess and
intervene appropriately.
2. A charge nurse is delegating tasks to unlicensed assistive personnel
(UAP). Which task is appropriate to delegate to the UAP?
• A) Assessing a client's surgical incision for signs of infection
• B) Administering oral medications to a stable client
• C) Assisting a client with ambulation using a gait belt
• D) Performing a sterile wound dressing change
Answer: C) Assisting a client with ambulation using a gait belt
Rationale: Assisting with ambulation is within the UAP's scope of practice
when the client is stable and the UAP has demonstrated competency.
Assessment, medication administration, and sterile procedures require
licensed nursing personnel.
3. A nurse is caring for four patients on a medical-surgical unit. Which
patient should the nurse assess first?
• A) A 42-year-old with chest pain and diaphoresis
• B) A 28-year-old with ankle pain and swelling
• C) A 65-year-old with a temperature of 37.5°C (99.5°F)
• D) A 50-year-old requesting a refill of antihypertensive medication
Answer: A) A 42-year-old with chest pain and diaphoresis
Rationale: Chest pain with diaphoresis indicates a potential acute
myocardial infarction, which is a life-threatening emergency. This patient
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requires immediate assessment and intervention. The other patients have
stable, non-urgent conditions.
4. A nurse receives handoff on four clients. Which client should the nurse
assess first?
• A) A client with chronic kidney disease who reports a new metallic taste
and generalized weakness
• B) A client 6 hours after thyroidectomy who reports tingling around the
mouth and intermittent muscle twitching
• C) A client with pneumonia whose temperature increased from 37.8°C
to 38.4°C over 4 hours
• D) A client with heart failure who has gained 1 kg over the previous 48
hours
Answer: B) A client 6 hours after thyroidectomy who reports tingling
around the mouth and intermittent muscle twitching
Rationale: Perioral tingling and muscle twitching shortly after
thyroidectomy suggest acute hypocalcemia from impaired parathyroid
function. Progressing hypocalcemia can cause laryngospasm, seizures,
and life-threatening airway compromise. This client has the highest
priority.
5. A nurse is delegating tasks to unlicensed assistive personnel (UAP).
Which tasks are appropriate to delegate? (Select all that apply.)
• A) Measuring intake and output
• B) Administering oral medications
• C) Assisting a client with ambulation
• D) Performing a sterile dressing change
• E) Obtaining vital signs on a stable client
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• F) Feeding a client with dysphagia
Answer: A, C, E
Rationale: UAPs can measure intake and output, assist with ambulation,
and obtain vital signs on stable clients. Medication administration, sterile
dressing changes, and feeding clients with dysphagia require nursing
judgment and should be performed by licensed personnel.
SAFETY & INFECTION CONTROL
6. A nurse is preparing to administer a blood transfusion to a client. Which
action should the nurse take FIRST?
• A) Obtain the client's vital signs
• B) Verify the client's identity and blood product with another RN
• C) Start an IV line with normal saline
• D) Document the transfusion in the client's chart
Answer: B) Verify the client's identity and blood product with another RN
Rationale: Verification of the client's identity and blood product with
another RN is the most critical step to prevent transfusion errors. This
must be done at the bedside using two client identifiers. Vital signs and IV
access should be obtained but verification is the priority.
7. A client on a medical-surgical unit is at risk for falls. Which
interventions should the nurse implement? (Select all that apply.)
• A) Keep the bed in the lowest position
• B) Place the call bell within the client's reach
• C) Apply a vest restraint for safety
• D) Use a bed alarm
• E) Keep the room well-lit
ATI RN COMPREHENSIVE ADN PREDICTOR RETAKE EXAM
PRACTICE 2026/2027 COMPLETE (100) CURRENT TESTING
QUESTIONS AND CORRECT ANSWERS WITH DETAILED
RATIONALES.
ATI RN
Prepare for the ATI RN Comprehensive ADN Predictor Retake Exam with a
comprehensive study resource designed to reinforce essential RN nursing concepts
and clinical judgment skills. It supports review across major areas including medical-
surgical nursing, pharmacology, maternal-newborn care, pediatrics, mental health,
leadership, prioritization, delegation, and patient safety. Use the material to
strengthen NCLEX-style reasoning, improve test-taking confidence, and identify
content areas that may require additional remediation before the retake. This resource
is best suited for ADN nursing students preparing for the ATI RN Comprehensive
Predictor Retake and final NCLEX-RN readiness assessment.
MULTIPLE CHOICE.
MANAGEMENT OF CARE — DELEGATION & PRIORITIZATION
1. The charge nurse is making assignments on a medical-surgical unit.
Which client should be assigned to the most experienced registered
nurse?
• A) A 45-year-old client with type 2 diabetes mellitus requiring insulin
administration
• B) A 68-year-old client with pneumonia who needs frequent respiratory
assessments
• C) A 72-year-old client 2 hours post-total hip arthroplasty with a
continuous epidural infusion
• D) A 55-year-old client with chronic kidney disease receiving peritoneal
dialysis
Answer: C) A 72-year-old client 2 hours post-total hip arthroplasty with a
continuous epidural infusion
, Page 2 of 46
Rationale: The client who is 2 hours post-total hip arthroplasty with a
continuous epidural infusion requires the most experienced RN due to the
complexity of care, including monitoring for epidural-related
complications such as respiratory depression, hypotension, and
infection. The experienced RN has the clinical judgment to assess and
intervene appropriately.
2. A charge nurse is delegating tasks to unlicensed assistive personnel
(UAP). Which task is appropriate to delegate to the UAP?
• A) Assessing a client's surgical incision for signs of infection
• B) Administering oral medications to a stable client
• C) Assisting a client with ambulation using a gait belt
• D) Performing a sterile wound dressing change
Answer: C) Assisting a client with ambulation using a gait belt
Rationale: Assisting with ambulation is within the UAP's scope of practice
when the client is stable and the UAP has demonstrated competency.
Assessment, medication administration, and sterile procedures require
licensed nursing personnel.
3. A nurse is caring for four patients on a medical-surgical unit. Which
patient should the nurse assess first?
• A) A 42-year-old with chest pain and diaphoresis
• B) A 28-year-old with ankle pain and swelling
• C) A 65-year-old with a temperature of 37.5°C (99.5°F)
• D) A 50-year-old requesting a refill of antihypertensive medication
Answer: A) A 42-year-old with chest pain and diaphoresis
Rationale: Chest pain with diaphoresis indicates a potential acute
myocardial infarction, which is a life-threatening emergency. This patient
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requires immediate assessment and intervention. The other patients have
stable, non-urgent conditions.
4. A nurse receives handoff on four clients. Which client should the nurse
assess first?
• A) A client with chronic kidney disease who reports a new metallic taste
and generalized weakness
• B) A client 6 hours after thyroidectomy who reports tingling around the
mouth and intermittent muscle twitching
• C) A client with pneumonia whose temperature increased from 37.8°C
to 38.4°C over 4 hours
• D) A client with heart failure who has gained 1 kg over the previous 48
hours
Answer: B) A client 6 hours after thyroidectomy who reports tingling
around the mouth and intermittent muscle twitching
Rationale: Perioral tingling and muscle twitching shortly after
thyroidectomy suggest acute hypocalcemia from impaired parathyroid
function. Progressing hypocalcemia can cause laryngospasm, seizures,
and life-threatening airway compromise. This client has the highest
priority.
5. A nurse is delegating tasks to unlicensed assistive personnel (UAP).
Which tasks are appropriate to delegate? (Select all that apply.)
• A) Measuring intake and output
• B) Administering oral medications
• C) Assisting a client with ambulation
• D) Performing a sterile dressing change
• E) Obtaining vital signs on a stable client
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• F) Feeding a client with dysphagia
Answer: A, C, E
Rationale: UAPs can measure intake and output, assist with ambulation,
and obtain vital signs on stable clients. Medication administration, sterile
dressing changes, and feeding clients with dysphagia require nursing
judgment and should be performed by licensed personnel.
SAFETY & INFECTION CONTROL
6. A nurse is preparing to administer a blood transfusion to a client. Which
action should the nurse take FIRST?
• A) Obtain the client's vital signs
• B) Verify the client's identity and blood product with another RN
• C) Start an IV line with normal saline
• D) Document the transfusion in the client's chart
Answer: B) Verify the client's identity and blood product with another RN
Rationale: Verification of the client's identity and blood product with
another RN is the most critical step to prevent transfusion errors. This
must be done at the bedside using two client identifiers. Vital signs and IV
access should be obtained but verification is the priority.
7. A client on a medical-surgical unit is at risk for falls. Which
interventions should the nurse implement? (Select all that apply.)
• A) Keep the bed in the lowest position
• B) Place the call bell within the client's reach
• C) Apply a vest restraint for safety
• D) Use a bed alarm
• E) Keep the room well-lit
