RN Comprehensive Predictor 2019 Form A,
B, C, 2016 Test C, ATI Compr.Exit Final, and
RN Exit New Exam
Management of Care
1. A nurse is caring for four clients. Which client should the nurse assess first?
A. A client 2 days postoperative who reports sudden shortness of breath and chest pain
B. A client with a new colostomy who needs a pouch change
C. A client requesting pain medication for a headache
D. A client awaiting discharge teaching for insulin administration
Rationale: Sudden dyspnea and chest pain after surgery suggest pulmonary embolism, a
life-threatening emergency. The other clients have stable, non-urgent needs.
2. A nurse is delegating tasks to assistive personnel (AP). Which task is appropriate to delegate?
A. Ambulating a stable client who is 3 days postoperative
B. Administering a scheduled oral medication
C. Teaching a client about a new prescription
D. Assessing a client's incision for signs of infection
Rationale: Ambulating a stable client is within AP scope. Medication administration,
teaching, and assessment require a licensed nurse.
3. A nurse is preparing to obtain informed consent. Which action should the nurse take?
A. Verify the provider explained the procedure and the client understands
B. Sign as a witness without the provider present
C. Obtain consent from the client's adult child without documentation
D. Explain the risks and benefits to the client
Rationale: The nurse's role is to verify understanding and voluntariness; the provider
obtains consent and explains risks/benefits.
,4. A nurse receives a telephone order. Which action is priority?
A. Repeat the order back to the provider and document it
B. Ask another nurse to listen
C. Transcribe the order after the shift
D. Refuse to accept telephone orders
Rationale: Read-back verification prevents medication errors. Telephone orders are
permitted when policies are followed.
5. A client refuses a blood transfusion. Which action should the nurse take first?
A. Explore the client's reasons and document the refusal
B. Notify the provider immediately
C. Restrain the client
D. Obtain a court order
Rationale: A competent adult has the right to refuse. The nurse should assess
understanding and document.
6. A nurse is triaging clients after a mass casualty. Which client should receive care first?
A. A client with an open femur fracture and weak pedal pulse
B. A client with a superficial laceration
C. A client who is deceased
D. A client with a sprained ankle
Rationale: Open fracture with neurovascular compromise is urgent (red/yellow). Superficial
injuries and sprains are delayed; deceased clients are black-tagged.
7. A nurse is teaching a newly licensed nurse about client advocacy. Which statement indicates
understanding?
A. "I will ensure the client's wishes are respected even if they differ from the team's."
B. "I will make decisions for the client when they are unable."
C. "I will follow provider orders without question."
D. "I will share client information with family without consent."
, Rationale: Advocacy means supporting the client's autonomy and rights.
8. A nurse is caring for a client who speaks a different language. Which action is best?
A. Use a certified medical interpreter
B. Ask the client's child to interpret
C. Use gestures
D. Speak louder
Rationale: Certified interpreters ensure accuracy and confidentiality. Family members,
especially children, should not interpret.
9. A nurse is preparing to discharge a client. Which action demonstrates continuity of care?
A. Provide written instructions and confirm follow-up appointments
B. Give verbal instructions only
C. Discharge without teaching
D. Refer to social work only
Rationale: Written instructions and follow-up ensure safe transition.
10. A nurse manager is addressing staffing. Which action is priority?
A. Ensure safe nurse-to-client ratios
B. Increase overtime
C. Float nurses without orientation
D. Cancel breaks
Rationale: Safe staffing protects client safety and is a management priority.
11. A nurse is reviewing an incident report. Which statement is correct?
A. Incident reports are not part of the medical record
B. Incident reports go in the chart
C. Incident reports are for disciplinary action only
D. Incident reports are optional
, Rationale: Incident reports are risk-management documents, not part of the permanent
record.
12. A nurse is caring for a client with an advance directive. Which action should the nurse take?
A. Follow the document and inform the provider
B. Ignore it if family disagrees
C. Wait for a court order
D. Ask the client to repeat it daily
Rationale: Advance directives are legally binding; the team must honor them.
13. A nurse is prioritizing care. Which client should the nurse see first?
A. A client with new-onset confusion
B. A client requesting a snack
C. A client needing discharge paperwork
D. A client with a scheduled dressing change
Rationale: New confusion may indicate hypoxia, infection, or stroke — urgent.
14. A nurse is delegating to an LPN. Which task is appropriate?
A. Administering oral medications to a stable client
B. Performing an initial assessment
C. Teaching a new diagnosis
D. Developing a care plan
Rationale: LPNs can administer medications to stable clients; assessment, teaching, and
planning are RN responsibilities.
15. A nurse is preparing for an interdisciplinary conference. Which client is priority?
A. A client with complex discharge needs and no caregiver
B. A client with a stable fracture
C. A client requesting a magazine
D. A client with a mild rash
B, C, 2016 Test C, ATI Compr.Exit Final, and
RN Exit New Exam
Management of Care
1. A nurse is caring for four clients. Which client should the nurse assess first?
A. A client 2 days postoperative who reports sudden shortness of breath and chest pain
B. A client with a new colostomy who needs a pouch change
C. A client requesting pain medication for a headache
D. A client awaiting discharge teaching for insulin administration
Rationale: Sudden dyspnea and chest pain after surgery suggest pulmonary embolism, a
life-threatening emergency. The other clients have stable, non-urgent needs.
2. A nurse is delegating tasks to assistive personnel (AP). Which task is appropriate to delegate?
A. Ambulating a stable client who is 3 days postoperative
B. Administering a scheduled oral medication
C. Teaching a client about a new prescription
D. Assessing a client's incision for signs of infection
Rationale: Ambulating a stable client is within AP scope. Medication administration,
teaching, and assessment require a licensed nurse.
3. A nurse is preparing to obtain informed consent. Which action should the nurse take?
A. Verify the provider explained the procedure and the client understands
B. Sign as a witness without the provider present
C. Obtain consent from the client's adult child without documentation
D. Explain the risks and benefits to the client
Rationale: The nurse's role is to verify understanding and voluntariness; the provider
obtains consent and explains risks/benefits.
,4. A nurse receives a telephone order. Which action is priority?
A. Repeat the order back to the provider and document it
B. Ask another nurse to listen
C. Transcribe the order after the shift
D. Refuse to accept telephone orders
Rationale: Read-back verification prevents medication errors. Telephone orders are
permitted when policies are followed.
5. A client refuses a blood transfusion. Which action should the nurse take first?
A. Explore the client's reasons and document the refusal
B. Notify the provider immediately
C. Restrain the client
D. Obtain a court order
Rationale: A competent adult has the right to refuse. The nurse should assess
understanding and document.
6. A nurse is triaging clients after a mass casualty. Which client should receive care first?
A. A client with an open femur fracture and weak pedal pulse
B. A client with a superficial laceration
C. A client who is deceased
D. A client with a sprained ankle
Rationale: Open fracture with neurovascular compromise is urgent (red/yellow). Superficial
injuries and sprains are delayed; deceased clients are black-tagged.
7. A nurse is teaching a newly licensed nurse about client advocacy. Which statement indicates
understanding?
A. "I will ensure the client's wishes are respected even if they differ from the team's."
B. "I will make decisions for the client when they are unable."
C. "I will follow provider orders without question."
D. "I will share client information with family without consent."
, Rationale: Advocacy means supporting the client's autonomy and rights.
8. A nurse is caring for a client who speaks a different language. Which action is best?
A. Use a certified medical interpreter
B. Ask the client's child to interpret
C. Use gestures
D. Speak louder
Rationale: Certified interpreters ensure accuracy and confidentiality. Family members,
especially children, should not interpret.
9. A nurse is preparing to discharge a client. Which action demonstrates continuity of care?
A. Provide written instructions and confirm follow-up appointments
B. Give verbal instructions only
C. Discharge without teaching
D. Refer to social work only
Rationale: Written instructions and follow-up ensure safe transition.
10. A nurse manager is addressing staffing. Which action is priority?
A. Ensure safe nurse-to-client ratios
B. Increase overtime
C. Float nurses without orientation
D. Cancel breaks
Rationale: Safe staffing protects client safety and is a management priority.
11. A nurse is reviewing an incident report. Which statement is correct?
A. Incident reports are not part of the medical record
B. Incident reports go in the chart
C. Incident reports are for disciplinary action only
D. Incident reports are optional
, Rationale: Incident reports are risk-management documents, not part of the permanent
record.
12. A nurse is caring for a client with an advance directive. Which action should the nurse take?
A. Follow the document and inform the provider
B. Ignore it if family disagrees
C. Wait for a court order
D. Ask the client to repeat it daily
Rationale: Advance directives are legally binding; the team must honor them.
13. A nurse is prioritizing care. Which client should the nurse see first?
A. A client with new-onset confusion
B. A client requesting a snack
C. A client needing discharge paperwork
D. A client with a scheduled dressing change
Rationale: New confusion may indicate hypoxia, infection, or stroke — urgent.
14. A nurse is delegating to an LPN. Which task is appropriate?
A. Administering oral medications to a stable client
B. Performing an initial assessment
C. Teaching a new diagnosis
D. Developing a care plan
Rationale: LPNs can administer medications to stable clients; assessment, teaching, and
planning are RN responsibilities.
15. A nurse is preparing for an interdisciplinary conference. Which client is priority?
A. A client with complex discharge needs and no caregiver
B. A client with a stable fracture
C. A client requesting a magazine
D. A client with a mild rash
