ATI PN Comprehensive Predictor Exam
(2026/2027) || Comprehensive Exam Prep
Questions and Detailed Correct Answers
Question 1
A charge nurse on a medical-surgical floor is reviewing tasks to delegate
to assistive personnel (AP). Which client task is most appropriate to
delegate to an AP? A. Feeding a client admitted 24 hours ago with
severe aspiration pneumonia
B. Reapplying a condom catheter for a client with urinary incontinence
C. Reinforcing teaching with a client learning to ambulate with a quad
cane
D. Applying a sterile dressing to a client’s stage 3 pressure injury
• Correct Answer: B
• Rationale: Reapplying a non-invasive condom catheter for an
incontinent client is within the scope of practice for AP. Feeding a
client with aspiration risk, reinforcing clinical teaching, and
applying sterile dressings require nursing assessment and clinical
judgment reserved for licensed nurses (RN/LPN).
Question 2
An RN is delegating tasks to a licensed practical nurse (LPN) at the start
of the shift. Which assigned task should the LPN question? A.
Collecting a clean-catch urine specimen from a newly admitted client
B. Assisting a client who is 24 hours post-op to use an incentive
spirometer
,C. Replacing the medication cartridge and administration tubing on a
PCA pump
D. Providing nasopharyngeal suctioning for a client diagnosed with
pneumonia
• Correct Answer: C
• Rationale: Managing patient-controlled analgesia (PCA) pumps,
including changing opioid cartridges and tubing, involves high-
alert IV medication administration that requires RN oversight or
facility-specific advanced certification beyond basic LPN scope.
Basic specimen collection, hygiene/respiratory assistance, and
routine suctioning fall within standard LPN care.
Question 3
A nurse manager is presenting an in-service session regarding delegation
principles. Which elements represent the official "Five Rights of
Delegation"? (Select the correct option containing valid rights). A. Right
client, Right room, Right physician, Right medication, Right dosage
B. Right task, Right circumstance, Right person, Right
direction/communication, Right supervision/evaluation
C. Right assessment, Right time, Right documentation, Right diagnosis,
Right evaluation
D. Right autonomy, Right beneficence, Right justice, Right non-
maleficence, Right fidelity
• Correct Answer: B
• Rationale: The Five Rights of Delegation established by nursing
regulatory boards are the right task, right circumstance, right
person, right direction/communication, and right
supervision/evaluation. The other choices list medication
administration rights or ethical principles.
,Question 4
A client with severe coronary artery disease declines a recommended
coronary artery bypass graft (CABG) surgery despite understanding the
life-threatening risks of refusing treatment. The nurse supports the
client’s decision. Which ethical principle is demonstrated? A.
Beneficence
B. Fidelity
C. Autonomy
D. Justice
• Correct Answer: C
• Rationale: Autonomy represents the client's right to self-
determination and to make personal decisions regarding their
healthcare, even if those choices run counter to medical advice or
staff recommendations.
Question 5
A nurse offers and administers prescribed post-operative pain
medication to a client 30 minutes prior to planned physical therapy and
ambulation. Which ethical principle guides this nursing action? A.
Beneficence
B. Justice
C. Non-maleficence
D. Fidelity
• Correct Answer: A
• Rationale: Beneficence involves taking positive actions to help
others and promote their well-being. Administering analgesia
, before uncomfortable mobility exercises reduces suffering and
promotes recovery.
Question 6
When discussing organ donation policies, a nurse emphasizes that every
candidate on the regional kidney transplant list is evaluated using
identical objective clinical criteria regardless of socioeconomic status.
This policy reflects which ethical concept? A. Fidelity
B. Justice
C. Autonomy
D. Non-maleficence
• Correct Answer: B
• Rationale: Justice refers to fairness in care delivery and the
equitable distribution of healthcare resources without bias or
discrimination.
Question 7
A unit manager makes all operational decisions independently, relies on
strict control and rules, and uses directive communication down the
chain of command. During a sudden cardiac arrest emergency on the
floor, this leadership style is highly effective. Which style is described?
A. Democratic
B. Laissez-faire
C. Authoritative (Autocratic)
D. Transformational
• Correct Answer: C
• Rationale: Authoritative (autocratic) leadership features top-down
decision-making and strict control. While it limits staff input, it
(2026/2027) || Comprehensive Exam Prep
Questions and Detailed Correct Answers
Question 1
A charge nurse on a medical-surgical floor is reviewing tasks to delegate
to assistive personnel (AP). Which client task is most appropriate to
delegate to an AP? A. Feeding a client admitted 24 hours ago with
severe aspiration pneumonia
B. Reapplying a condom catheter for a client with urinary incontinence
C. Reinforcing teaching with a client learning to ambulate with a quad
cane
D. Applying a sterile dressing to a client’s stage 3 pressure injury
• Correct Answer: B
• Rationale: Reapplying a non-invasive condom catheter for an
incontinent client is within the scope of practice for AP. Feeding a
client with aspiration risk, reinforcing clinical teaching, and
applying sterile dressings require nursing assessment and clinical
judgment reserved for licensed nurses (RN/LPN).
Question 2
An RN is delegating tasks to a licensed practical nurse (LPN) at the start
of the shift. Which assigned task should the LPN question? A.
Collecting a clean-catch urine specimen from a newly admitted client
B. Assisting a client who is 24 hours post-op to use an incentive
spirometer
,C. Replacing the medication cartridge and administration tubing on a
PCA pump
D. Providing nasopharyngeal suctioning for a client diagnosed with
pneumonia
• Correct Answer: C
• Rationale: Managing patient-controlled analgesia (PCA) pumps,
including changing opioid cartridges and tubing, involves high-
alert IV medication administration that requires RN oversight or
facility-specific advanced certification beyond basic LPN scope.
Basic specimen collection, hygiene/respiratory assistance, and
routine suctioning fall within standard LPN care.
Question 3
A nurse manager is presenting an in-service session regarding delegation
principles. Which elements represent the official "Five Rights of
Delegation"? (Select the correct option containing valid rights). A. Right
client, Right room, Right physician, Right medication, Right dosage
B. Right task, Right circumstance, Right person, Right
direction/communication, Right supervision/evaluation
C. Right assessment, Right time, Right documentation, Right diagnosis,
Right evaluation
D. Right autonomy, Right beneficence, Right justice, Right non-
maleficence, Right fidelity
• Correct Answer: B
• Rationale: The Five Rights of Delegation established by nursing
regulatory boards are the right task, right circumstance, right
person, right direction/communication, and right
supervision/evaluation. The other choices list medication
administration rights or ethical principles.
,Question 4
A client with severe coronary artery disease declines a recommended
coronary artery bypass graft (CABG) surgery despite understanding the
life-threatening risks of refusing treatment. The nurse supports the
client’s decision. Which ethical principle is demonstrated? A.
Beneficence
B. Fidelity
C. Autonomy
D. Justice
• Correct Answer: C
• Rationale: Autonomy represents the client's right to self-
determination and to make personal decisions regarding their
healthcare, even if those choices run counter to medical advice or
staff recommendations.
Question 5
A nurse offers and administers prescribed post-operative pain
medication to a client 30 minutes prior to planned physical therapy and
ambulation. Which ethical principle guides this nursing action? A.
Beneficence
B. Justice
C. Non-maleficence
D. Fidelity
• Correct Answer: A
• Rationale: Beneficence involves taking positive actions to help
others and promote their well-being. Administering analgesia
, before uncomfortable mobility exercises reduces suffering and
promotes recovery.
Question 6
When discussing organ donation policies, a nurse emphasizes that every
candidate on the regional kidney transplant list is evaluated using
identical objective clinical criteria regardless of socioeconomic status.
This policy reflects which ethical concept? A. Fidelity
B. Justice
C. Autonomy
D. Non-maleficence
• Correct Answer: B
• Rationale: Justice refers to fairness in care delivery and the
equitable distribution of healthcare resources without bias or
discrimination.
Question 7
A unit manager makes all operational decisions independently, relies on
strict control and rules, and uses directive communication down the
chain of command. During a sudden cardiac arrest emergency on the
floor, this leadership style is highly effective. Which style is described?
A. Democratic
B. Laissez-faire
C. Authoritative (Autocratic)
D. Transformational
• Correct Answer: C
• Rationale: Authoritative (autocratic) leadership features top-down
decision-making and strict control. While it limits staff input, it
