1
ATI RN Comprehensive Predictor
2024/2025 | Practice Questions &
Answers | Latest copy
Management of Care (30 Questions)
Question 1
A nurse is delegating tasks to an assistive personnel (AP). Which task is appropriate to delegate?
A) Administering IV push medication
B) Assisting a client with ambulation to the bathroom
C) Performing a sterile dressing change
D) Evaluating a client’s response to pain medication
Rationale: Delegating ambulation assistance is within the AP’s scope of practice. Administering
IV medications, performing sterile procedures, and evaluating responses require a nurse’s
judgment and licensure.
Question 2
A charge nurse is prioritizing client care on a medical-surgical unit. Which client should the
nurse assess first?
A) A client with a new diagnosis of diabetes mellitus requesting dietary teaching
B) A client reporting chest pain and shortness of breath
C) A client awaiting discharge instructions post-appendectomy
D) A client with a urinary tract infection receiving antibiotics
Rationale: Chest pain and shortness of breath indicate a potential cardiac or respiratory
emergency, requiring immediate assessment to prevent life-threatening complications.
Question 3 (NGN: Multiple-Select)
A nurse is planning care for a client with heart failure. Select all that apply for interventions to
include in the care plan:
A) Monitor daily weights
B) Administer antihypertensive medications as prescribed
C) Restrict fluid intake as ordered
D) Encourage a high-sodium diet
E) Teach the client about low-sodium diet options
Correct Answers: A, C, E
Rationale: Monitoring daily weights tracks fluid status, fluid restriction prevents overload, and
, 2
dietary teaching supports heart failure management. Antihypertensives may not be indicated, and
a high-sodium diet exacerbates fluid retention.
Question 4
A nurse is assigning rooms for new admissions. Which client should be placed in a private
room?
A) A client with a fractured femur awaiting surgery
B) A client with active tuberculosis
C) A client with hypertension receiving IV medication
D) A client post-cholecystectomy
Rationale: Active tuberculosis requires airborne precautions, necessitating a private room with
negative pressure to prevent transmission.
Question 5
A nurse is reviewing a client’s advance directives. The client states, “I don’t want to be
resuscitated.” Which action should the nurse take?
A) Inform the client that resuscitation is mandatory
B) Document the client’s wishes in the medical record
C) Notify the provider to cancel all treatments
D) Encourage the client to reconsider their decision
Rationale: The nurse must respect and document the client’s wishes as part of ethical and legal
practice. Other actions violate client autonomy.
Question 6
A nurse manager is addressing a conflict between two staff members. Which approach is most
effective?
A) Ignoring the conflict to avoid escalation
B) Facilitating a mediated discussion between the staff
C) Reassigning one staff member to another unit
D) Disciplining both staff members immediately
Rationale: Mediation promotes collaboration and resolution while maintaining a professional
work environment. Ignoring or disciplining without discussion may worsen conflict.
Question 7
A nurse is coordinating care for a client post-myocardial infarction. Which referral is most
appropriate?
A) Cardiac rehabilitation program
B) Physical therapy for mobility issues
C) Social work for financial assistance only
D) Dietary consult for weight gain strategies
Rationale: Cardiac rehabilitation is tailored to improve cardiovascular health and recovery post-
MI. Other referrals may be relevant but are not the priority.
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Question 8 (NGN: Ordered Response)
A nurse is preparing to discharge a client with a new colostomy. Place the following teaching
steps in the correct order:
A) Demonstrate how to empty the colostomy bag
B) Explain dietary modifications to prevent blockages
C) Teach the client how to change the colostomy appliance
D) Discuss signs of infection to report
Correct Order: B, A, C, D
Rationale: Start with dietary education to prevent complications, followed by practical skills
(emptying and changing the appliance), and conclude with warning signs to ensure safety.
Question 9
A nurse is delegating tasks to a licensed practical nurse (LPN). Which task is appropriate?
A) Developing a care plan for a new admission
B) Administering oral medications as prescribed
C) Performing a central line dressing change
D) Interpreting ECG results
Rationale: LPNs can administer oral medications within their scope. Other tasks require RN-
level judgment or training.
Question 10
A nurse is managing a client who refuses a blood transfusion due to religious beliefs. Which
action should the nurse take?
A) Administer the transfusion to stabilize the client
B) Document the refusal and notify the provider
C) Convince the client to accept the transfusion
D) Request a court order to proceed
Rationale: Respecting client autonomy requires documenting the refusal and notifying the
provider for alternative planning.
Question 11
A charge nurse is addressing a medication error. Which action is the priority?
A) Disciplining the nurse involved
B) Completing an incident report
C) Notifying the client’s family
D) Changing the medication protocol
Rationale: An incident report ensures documentation and analysis to prevent future errors,
prioritizing patient safety.
Question 12
, 4
A nurse is planning care for multiple clients. Which client requires immediate attention?
A) A client with a fever of 100.4°F (38°C)
B) A client with a blood pressure of 210/110 mm Hg
C) A client awaiting a routine dressing change
D) A client requesting pain medication
Rationale: Severe hypertension is a medical emergency requiring immediate intervention to
prevent stroke or organ damage.
Question 13
A nurse is reviewing a client’s chart and notes a Do Not Resuscitate (DNR) order. The client
goes into cardiac arrest. What should the nurse do?
A) Initiate CPR immediately
B) Withhold CPR and notify the provider
C) Administer epinephrine
D) Call a code blue
Rationale: A DNR order indicates the client’s wish to avoid resuscitation. The nurse must
respect this and notify the provider.
Question 14 (NGN: Case Study)
Case Study: A 68-year-old client is admitted with pneumonia. Vital signs: BP 140/90 mm Hg,
HR 92/min, RR 24/min, SpO2 92% on room air. The client reports shortness of breath.
Question: Which intervention should the nurse prioritize?
A) Administering antibiotics as prescribed
B) Administering supplemental oxygen
C) Teaching deep breathing exercises
D) Obtaining a sputum culture
Rationale: Low SpO2 indicates hypoxemia, requiring immediate oxygen administration to
stabilize the client. Other interventions follow after addressing hypoxia.
Question 15
A nurse is collaborating with an interdisciplinary team. Which action best promotes effective
teamwork?
A) Making decisions independently to save time
B) Sharing client updates during team meetings
C) Assigning tasks without team input
D) Limiting communication to written reports
Rationale: Sharing updates fosters collaboration and ensures all team members are informed,
improving client outcomes.
Question 16
A nurse is precepting a new graduate nurse. Which task should the preceptor prioritize teaching?
A) Advanced wound care techniques
ATI RN Comprehensive Predictor
2024/2025 | Practice Questions &
Answers | Latest copy
Management of Care (30 Questions)
Question 1
A nurse is delegating tasks to an assistive personnel (AP). Which task is appropriate to delegate?
A) Administering IV push medication
B) Assisting a client with ambulation to the bathroom
C) Performing a sterile dressing change
D) Evaluating a client’s response to pain medication
Rationale: Delegating ambulation assistance is within the AP’s scope of practice. Administering
IV medications, performing sterile procedures, and evaluating responses require a nurse’s
judgment and licensure.
Question 2
A charge nurse is prioritizing client care on a medical-surgical unit. Which client should the
nurse assess first?
A) A client with a new diagnosis of diabetes mellitus requesting dietary teaching
B) A client reporting chest pain and shortness of breath
C) A client awaiting discharge instructions post-appendectomy
D) A client with a urinary tract infection receiving antibiotics
Rationale: Chest pain and shortness of breath indicate a potential cardiac or respiratory
emergency, requiring immediate assessment to prevent life-threatening complications.
Question 3 (NGN: Multiple-Select)
A nurse is planning care for a client with heart failure. Select all that apply for interventions to
include in the care plan:
A) Monitor daily weights
B) Administer antihypertensive medications as prescribed
C) Restrict fluid intake as ordered
D) Encourage a high-sodium diet
E) Teach the client about low-sodium diet options
Correct Answers: A, C, E
Rationale: Monitoring daily weights tracks fluid status, fluid restriction prevents overload, and
, 2
dietary teaching supports heart failure management. Antihypertensives may not be indicated, and
a high-sodium diet exacerbates fluid retention.
Question 4
A nurse is assigning rooms for new admissions. Which client should be placed in a private
room?
A) A client with a fractured femur awaiting surgery
B) A client with active tuberculosis
C) A client with hypertension receiving IV medication
D) A client post-cholecystectomy
Rationale: Active tuberculosis requires airborne precautions, necessitating a private room with
negative pressure to prevent transmission.
Question 5
A nurse is reviewing a client’s advance directives. The client states, “I don’t want to be
resuscitated.” Which action should the nurse take?
A) Inform the client that resuscitation is mandatory
B) Document the client’s wishes in the medical record
C) Notify the provider to cancel all treatments
D) Encourage the client to reconsider their decision
Rationale: The nurse must respect and document the client’s wishes as part of ethical and legal
practice. Other actions violate client autonomy.
Question 6
A nurse manager is addressing a conflict between two staff members. Which approach is most
effective?
A) Ignoring the conflict to avoid escalation
B) Facilitating a mediated discussion between the staff
C) Reassigning one staff member to another unit
D) Disciplining both staff members immediately
Rationale: Mediation promotes collaboration and resolution while maintaining a professional
work environment. Ignoring or disciplining without discussion may worsen conflict.
Question 7
A nurse is coordinating care for a client post-myocardial infarction. Which referral is most
appropriate?
A) Cardiac rehabilitation program
B) Physical therapy for mobility issues
C) Social work for financial assistance only
D) Dietary consult for weight gain strategies
Rationale: Cardiac rehabilitation is tailored to improve cardiovascular health and recovery post-
MI. Other referrals may be relevant but are not the priority.
, 3
Question 8 (NGN: Ordered Response)
A nurse is preparing to discharge a client with a new colostomy. Place the following teaching
steps in the correct order:
A) Demonstrate how to empty the colostomy bag
B) Explain dietary modifications to prevent blockages
C) Teach the client how to change the colostomy appliance
D) Discuss signs of infection to report
Correct Order: B, A, C, D
Rationale: Start with dietary education to prevent complications, followed by practical skills
(emptying and changing the appliance), and conclude with warning signs to ensure safety.
Question 9
A nurse is delegating tasks to a licensed practical nurse (LPN). Which task is appropriate?
A) Developing a care plan for a new admission
B) Administering oral medications as prescribed
C) Performing a central line dressing change
D) Interpreting ECG results
Rationale: LPNs can administer oral medications within their scope. Other tasks require RN-
level judgment or training.
Question 10
A nurse is managing a client who refuses a blood transfusion due to religious beliefs. Which
action should the nurse take?
A) Administer the transfusion to stabilize the client
B) Document the refusal and notify the provider
C) Convince the client to accept the transfusion
D) Request a court order to proceed
Rationale: Respecting client autonomy requires documenting the refusal and notifying the
provider for alternative planning.
Question 11
A charge nurse is addressing a medication error. Which action is the priority?
A) Disciplining the nurse involved
B) Completing an incident report
C) Notifying the client’s family
D) Changing the medication protocol
Rationale: An incident report ensures documentation and analysis to prevent future errors,
prioritizing patient safety.
Question 12
, 4
A nurse is planning care for multiple clients. Which client requires immediate attention?
A) A client with a fever of 100.4°F (38°C)
B) A client with a blood pressure of 210/110 mm Hg
C) A client awaiting a routine dressing change
D) A client requesting pain medication
Rationale: Severe hypertension is a medical emergency requiring immediate intervention to
prevent stroke or organ damage.
Question 13
A nurse is reviewing a client’s chart and notes a Do Not Resuscitate (DNR) order. The client
goes into cardiac arrest. What should the nurse do?
A) Initiate CPR immediately
B) Withhold CPR and notify the provider
C) Administer epinephrine
D) Call a code blue
Rationale: A DNR order indicates the client’s wish to avoid resuscitation. The nurse must
respect this and notify the provider.
Question 14 (NGN: Case Study)
Case Study: A 68-year-old client is admitted with pneumonia. Vital signs: BP 140/90 mm Hg,
HR 92/min, RR 24/min, SpO2 92% on room air. The client reports shortness of breath.
Question: Which intervention should the nurse prioritize?
A) Administering antibiotics as prescribed
B) Administering supplemental oxygen
C) Teaching deep breathing exercises
D) Obtaining a sputum culture
Rationale: Low SpO2 indicates hypoxemia, requiring immediate oxygen administration to
stabilize the client. Other interventions follow after addressing hypoxia.
Question 15
A nurse is collaborating with an interdisciplinary team. Which action best promotes effective
teamwork?
A) Making decisions independently to save time
B) Sharing client updates during team meetings
C) Assigning tasks without team input
D) Limiting communication to written reports
Rationale: Sharing updates fosters collaboration and ensures all team members are informed,
improving client outcomes.
Question 16
A nurse is precepting a new graduate nurse. Which task should the preceptor prioritize teaching?
A) Advanced wound care techniques
