ATI RN COMPREHENSIVE
PREDICTOR 2019
SECTION I: Management of Care (Questions 1–20)
1. A nurse manager is reviewing staffing assignments for the upcoming shift. Which of the
following assignments is appropriate for the charge nurse to make?
A. An LPN assigned to a client receiving blood products
B. An AP assigned to a client requiring a sterile dressing change
C. An RN assigned to a client with a new tracheostomy requiring frequent suctioning
D. An LPN assigned to a client in the first 24 hours after cardiac catheterization
2. A nurse is reviewing a client's medical record and notes that the client has an advance
directive. The client's condition suddenly deteriorates and the client is unresponsive. The family
requests that "everything be done." Which of the following actions should the nurse take?
A. Follow the family's request and initiate CPR
B. Contact the provider to discuss the conflict between the advance directive and family wishes
C. Inform the family that the advance directive takes precedence and withhold treatment
D. Ask the family to provide a court order to override the advance directive
3. A nurse is delegating tasks to an assistive personnel (AP). Which of the following tasks should
the nurse delegate?
A. Assessing a client's pain level
B. Administering a client's oral medications
C. Obtaining a client's vital signs on a stable client
D. Teaching a client about a new medication
4. A nurse is participating in an interprofessional team meeting for a client who had a stroke.
Which of the following team members should the nurse identify as responsible for evaluating
the client's swallowing function?
A. Physical therapist
B. Speech-language pathologist
C. Occupational therapist
D. Registered dietitian
,5. A nurse is preparing to discharge a client who speaks a language different from the nurse.
Which of the following actions should the nurse take when arranging for an interpreter?
A. Ask the client's family member to interpret
B. Use a facility-approved medical interpreter
C. Use an online translation application on a personal device
D. Communicate through written notes in English
6. A nurse is reviewing a client's medical record and discovers that the client has a do-not-
resuscitate (DNR) order. The client's condition improves significantly, and the client is now alert
and oriented. Which of the following actions should the nurse take?
A. Continue to honor the DNR order as written
B. Inform the client of the DNR status and verify the client's wishes
C. Request that the provider cancel the DNR order without consulting the client
D. Ask the family whether the DNR order should remain in place
7. A nurse is caring for a client who has been admitted to the hospital for the third time in 2
months with the same condition. Which of the following actions should the nurse take to
address continuity of care?
A. Review the previous discharge instructions with the client
B. Contact the case manager to arrange for a comprehensive discharge plan
C. Request a psychiatric consultation
D. Notify the provider that the client is noncompliant
8. A nurse is precepting a newly licensed nurse. Which of the following actions by the newly
licensed nurse indicates a need for further teaching regarding client confidentiality?
A. Discussing a client's condition in a private conference room with the healthcare team
B. Sharing a client's laboratory results with the client's spouse who has been designated as the
healthcare surrogate
C. Posting a photo of a client's wound on social media without identifying information
D. Reporting a communicable disease to the local health department
9. A nurse is informed that a client has requested to leave the hospital against medical advice
(AMA). Which of the following actions should the nurse take first?
A. Ask the client to sign the AMA form
B. Restrain the client to prevent leaving
C. Notify the provider of the client's request
D. Document the client's decision in the medical record
,10. A nurse is reviewing a prescription for a client who has a new prescription for a medication
that the nurse has never administered. Which of the following actions should the nurse take?
A. Refuse to administer the medication
B. Administer the medication as prescribed without question
C. Research the medication in a reliable drug reference before administration
D. Ask the AP to verify the medication dosage
11. A nurse is participating in a quality improvement committee. The committee is reviewing
data about medication administration errors. Which of the following actions should the nurse
recommend as the priority intervention?
A. Retrain all nursing staff on medication administration
B. Implement a barcode medication administration system
C. Increase the number of nurses on each shift
D. Create a policy that requires double-checking all medications
12. A nurse is caring for a client who is being discharged to home with home health services.
Which of the following actions should the nurse take to ensure a safe transition of care?
A. Provide the client with a list of all prescribed medications
B. Verify that the home health agency has received the referral and has the necessary orders
C. Instruct the client to call 911 if any problems occur
D. Schedule a follow-up appointment for 3 months
13. A nurse is teaching a newly licensed nurse about the purpose of the incident report. Which
of the following statements by the newly licensed nurse indicates understanding?
A. "The incident report becomes part of the client's medical record."
B. "The incident report is used to discipline staff members who make errors."
C. "The incident report documents the facts of an unusual event for quality improvement."
D. "The incident report should be completed only if the client is injured."
14. A nurse is planning care for a client who has limited English proficiency and is scheduled for
surgery. Which of the following actions should the nurse take to ensure informed consent?
A. Have the client's adult child interpret the consent form
B. Obtain a medical interpreter to translate the informed consent discussion
C. Ask the client to sign the consent form without explanation
D. Have the client watch a video about the procedure in English
15. A nurse is reviewing the discharge plan for a client who has diabetes mellitus and is newly
prescribed insulin. Which of the following referrals should the nurse identify as the priority?
, A. Registered dietitian
B. Diabetes educator
C. Physical therapist
D. Social worker
16. A nurse is caring for a client who has been placed in restraints. Which of the following
actions should the nurse take?
A. Remove the restraints every 4 hours
B. Document the client's condition every 15 minutes
C. Attach the restraints to the bed's side rails
D. Request a PRN restraint prescription for future use
17. A nurse is reviewing a client's medical record and notices that the provider has prescribed a
medication that is contraindicated for the client's condition. Which of the following actions
should the nurse take?
A. Administer the medication as prescribed
B. Document the concern and administer the medication
C. Contact the provider to discuss the prescription
D. Ask the pharmacist to change the prescription
18. A nurse is participating in a disaster drill. Which of the following clients should the nurse
identify as the priority for treatment using triage principles?
A. A client with a fractured arm
B. A client with a tension pneumothorax
C. A client with a minor laceration
D. A client with a sprained ankle
19. A nurse is teaching a client about the purpose of a living will. Which of the following
statements by the client indicates understanding?
A. "A living will allows me to appoint someone to make decisions for me."
B. "A living will specifies the medical treatments I want or do not want if I become terminally
ill."
C. "A living will is only used after I die."
D. "A living will allows my family to override my medical decisions."
20. A nurse is working on a unit that uses a shared governance model. Which of the following
characteristics should the nurse expect?
PREDICTOR 2019
SECTION I: Management of Care (Questions 1–20)
1. A nurse manager is reviewing staffing assignments for the upcoming shift. Which of the
following assignments is appropriate for the charge nurse to make?
A. An LPN assigned to a client receiving blood products
B. An AP assigned to a client requiring a sterile dressing change
C. An RN assigned to a client with a new tracheostomy requiring frequent suctioning
D. An LPN assigned to a client in the first 24 hours after cardiac catheterization
2. A nurse is reviewing a client's medical record and notes that the client has an advance
directive. The client's condition suddenly deteriorates and the client is unresponsive. The family
requests that "everything be done." Which of the following actions should the nurse take?
A. Follow the family's request and initiate CPR
B. Contact the provider to discuss the conflict between the advance directive and family wishes
C. Inform the family that the advance directive takes precedence and withhold treatment
D. Ask the family to provide a court order to override the advance directive
3. A nurse is delegating tasks to an assistive personnel (AP). Which of the following tasks should
the nurse delegate?
A. Assessing a client's pain level
B. Administering a client's oral medications
C. Obtaining a client's vital signs on a stable client
D. Teaching a client about a new medication
4. A nurse is participating in an interprofessional team meeting for a client who had a stroke.
Which of the following team members should the nurse identify as responsible for evaluating
the client's swallowing function?
A. Physical therapist
B. Speech-language pathologist
C. Occupational therapist
D. Registered dietitian
,5. A nurse is preparing to discharge a client who speaks a language different from the nurse.
Which of the following actions should the nurse take when arranging for an interpreter?
A. Ask the client's family member to interpret
B. Use a facility-approved medical interpreter
C. Use an online translation application on a personal device
D. Communicate through written notes in English
6. A nurse is reviewing a client's medical record and discovers that the client has a do-not-
resuscitate (DNR) order. The client's condition improves significantly, and the client is now alert
and oriented. Which of the following actions should the nurse take?
A. Continue to honor the DNR order as written
B. Inform the client of the DNR status and verify the client's wishes
C. Request that the provider cancel the DNR order without consulting the client
D. Ask the family whether the DNR order should remain in place
7. A nurse is caring for a client who has been admitted to the hospital for the third time in 2
months with the same condition. Which of the following actions should the nurse take to
address continuity of care?
A. Review the previous discharge instructions with the client
B. Contact the case manager to arrange for a comprehensive discharge plan
C. Request a psychiatric consultation
D. Notify the provider that the client is noncompliant
8. A nurse is precepting a newly licensed nurse. Which of the following actions by the newly
licensed nurse indicates a need for further teaching regarding client confidentiality?
A. Discussing a client's condition in a private conference room with the healthcare team
B. Sharing a client's laboratory results with the client's spouse who has been designated as the
healthcare surrogate
C. Posting a photo of a client's wound on social media without identifying information
D. Reporting a communicable disease to the local health department
9. A nurse is informed that a client has requested to leave the hospital against medical advice
(AMA). Which of the following actions should the nurse take first?
A. Ask the client to sign the AMA form
B. Restrain the client to prevent leaving
C. Notify the provider of the client's request
D. Document the client's decision in the medical record
,10. A nurse is reviewing a prescription for a client who has a new prescription for a medication
that the nurse has never administered. Which of the following actions should the nurse take?
A. Refuse to administer the medication
B. Administer the medication as prescribed without question
C. Research the medication in a reliable drug reference before administration
D. Ask the AP to verify the medication dosage
11. A nurse is participating in a quality improvement committee. The committee is reviewing
data about medication administration errors. Which of the following actions should the nurse
recommend as the priority intervention?
A. Retrain all nursing staff on medication administration
B. Implement a barcode medication administration system
C. Increase the number of nurses on each shift
D. Create a policy that requires double-checking all medications
12. A nurse is caring for a client who is being discharged to home with home health services.
Which of the following actions should the nurse take to ensure a safe transition of care?
A. Provide the client with a list of all prescribed medications
B. Verify that the home health agency has received the referral and has the necessary orders
C. Instruct the client to call 911 if any problems occur
D. Schedule a follow-up appointment for 3 months
13. A nurse is teaching a newly licensed nurse about the purpose of the incident report. Which
of the following statements by the newly licensed nurse indicates understanding?
A. "The incident report becomes part of the client's medical record."
B. "The incident report is used to discipline staff members who make errors."
C. "The incident report documents the facts of an unusual event for quality improvement."
D. "The incident report should be completed only if the client is injured."
14. A nurse is planning care for a client who has limited English proficiency and is scheduled for
surgery. Which of the following actions should the nurse take to ensure informed consent?
A. Have the client's adult child interpret the consent form
B. Obtain a medical interpreter to translate the informed consent discussion
C. Ask the client to sign the consent form without explanation
D. Have the client watch a video about the procedure in English
15. A nurse is reviewing the discharge plan for a client who has diabetes mellitus and is newly
prescribed insulin. Which of the following referrals should the nurse identify as the priority?
, A. Registered dietitian
B. Diabetes educator
C. Physical therapist
D. Social worker
16. A nurse is caring for a client who has been placed in restraints. Which of the following
actions should the nurse take?
A. Remove the restraints every 4 hours
B. Document the client's condition every 15 minutes
C. Attach the restraints to the bed's side rails
D. Request a PRN restraint prescription for future use
17. A nurse is reviewing a client's medical record and notices that the provider has prescribed a
medication that is contraindicated for the client's condition. Which of the following actions
should the nurse take?
A. Administer the medication as prescribed
B. Document the concern and administer the medication
C. Contact the provider to discuss the prescription
D. Ask the pharmacist to change the prescription
18. A nurse is participating in a disaster drill. Which of the following clients should the nurse
identify as the priority for treatment using triage principles?
A. A client with a fractured arm
B. A client with a tension pneumothorax
C. A client with a minor laceration
D. A client with a sprained ankle
19. A nurse is teaching a client about the purpose of a living will. Which of the following
statements by the client indicates understanding?
A. "A living will allows me to appoint someone to make decisions for me."
B. "A living will specifies the medical treatments I want or do not want if I become terminally
ill."
C. "A living will is only used after I die."
D. "A living will allows my family to override my medical decisions."
20. A nurse is working on a unit that uses a shared governance model. Which of the following
characteristics should the nurse expect?
