2026
ATI Comprehensive Predictor 2026 Study
Guide: High-Yield Concepts, Test Bank
Questions, and Exam Strategies
What can be delegated to Assistive Personnel (AP)?
A. Client teaching and discharge planning
B. Medication administration
C. Activities of daily living such as bathing, grooming, dressing, ambulating, feeding (without
swallowing precautions), positioning, bed making, specimen collection, intake and output, and
vital signs for stable clients
D. Comprehensive nursing assessment
Correct Answer: C
Rationale: Assistive personnel may perform routine, non-invasive tasks such as ADLs and basic
data collection for stable clients. Teaching, assessment, and medication administration require
licensed nursing judgment.
A nurse on a medical-surgical unit has received change-of-shift report and will care for four
clients. Which client need should the nurse assign to an AP?
A. Feeding a client admitted 24 hours ago with aspiration pneumonia
B. Reinforcing teaching with a client learning to walk with a quad cane
C. Reapplying a condom catheter for a client with urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
Correct Answer: C
Rationale: Reapplying a condom catheter is a routine, non-sterile task appropriate for APs.
Feeding a client with aspiration risk, teaching, and sterile dressing changes require nursing
judgment.
A nurse is delegating ambulation of a client who had knee arthroplasty 5 days ago to an AP.
Which information should the nurse share? (Select all that apply)
,2026
A. The roommate ambulates independently
B. The client ambulates with slippers over antiembolic stockings
C. The client uses a front-wheeled walker
D. The client received pain medication 30 minutes ago
E. The client is allergic to codeine
F. The client ate 50% of breakfast
Correct Answers: B, C, D
Rationale: Information that affects safety during ambulation—footwear, assistive devices, and
recent pain medication—must be shared. Allergies, roommate status, and meal intake are not
relevant to ambulation.
An RN is assigning client care to an LPN. Which assignment should the LPN question?
A. Assisting a client 24 hours post-op to use an incentive spirometer
B. Collecting a clean-catch urine specimen
C. Performing nasopharyngeal suctioning for a client with pneumonia
D. Replacing the cartridge and tubing on a PCA pump
Correct Answer: D
Rationale: PCA pump management requires RN-level assessment and responsibility. The other
tasks are within the LPN scope of practice.
A nurse is preparing an in-service program on delegation. Which elements should be included in
the five rights of delegation? (Select all that apply)
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances
Correct Answers: B, C, E
Rationale: The five rights of delegation are right task, right circumstance, right person, right
direction/communication, and right supervision/evaluation. “Right client” and “right time” are
not part of the formal framework.
,2026
A nurse manager is assigning care for a client returning from PACU following thoracic surgery.
To whom should the client be assigned?
A. Charge nurse
B. RN
C. LPN
D. AP
Correct Answer: B
Rationale: A post-thoracic surgery client requires comprehensive assessment and monitoring,
which must be performed by an RN.
What is the study of conduct and character?
A. Ethics
B. Morals
C. Values
D. Law
Correct Answer: A
Rationale: Ethics refers to the systematic study of conduct, character, and moral decision-
making.
What are the values and beliefs that guide behavior and decision-making?
A. Ethics
B. Laws
C. Morals
D. Autonomy
Correct Answer: C
Rationale: Morals are personal beliefs and values that guide individual behavior.
What principle refers to the right to make one’s own personal decisions even if those decisions
are not in the person’s best interest?
, 2026
A. Beneficence
B. Fidelity
C. Justice
D. Autonomy
Correct Answer: D
Rationale: Autonomy supports a client’s right to self-determination.
What ethical principle refers to positive actions to help others?
A. Nonmaleficence
B. Beneficence
C. Justice
D. Fidelity
Correct Answer: B
Rationale: Beneficence involves actions that promote good and benefit others.
What ethical principle refers to keeping promises?
A. Fidelity
B. Justice
C. Autonomy
D. Beneficence
Correct Answer: A
Rationale: Fidelity is the obligation to remain faithful to commitments and promises.
What ethical principle refers to fairness in care delivery and use of resources?
A. Autonomy
B. Justice
C. Fidelity
D. Beneficence
Correct Answer: B
ATI Comprehensive Predictor 2026 Study
Guide: High-Yield Concepts, Test Bank
Questions, and Exam Strategies
What can be delegated to Assistive Personnel (AP)?
A. Client teaching and discharge planning
B. Medication administration
C. Activities of daily living such as bathing, grooming, dressing, ambulating, feeding (without
swallowing precautions), positioning, bed making, specimen collection, intake and output, and
vital signs for stable clients
D. Comprehensive nursing assessment
Correct Answer: C
Rationale: Assistive personnel may perform routine, non-invasive tasks such as ADLs and basic
data collection for stable clients. Teaching, assessment, and medication administration require
licensed nursing judgment.
A nurse on a medical-surgical unit has received change-of-shift report and will care for four
clients. Which client need should the nurse assign to an AP?
A. Feeding a client admitted 24 hours ago with aspiration pneumonia
B. Reinforcing teaching with a client learning to walk with a quad cane
C. Reapplying a condom catheter for a client with urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
Correct Answer: C
Rationale: Reapplying a condom catheter is a routine, non-sterile task appropriate for APs.
Feeding a client with aspiration risk, teaching, and sterile dressing changes require nursing
judgment.
A nurse is delegating ambulation of a client who had knee arthroplasty 5 days ago to an AP.
Which information should the nurse share? (Select all that apply)
,2026
A. The roommate ambulates independently
B. The client ambulates with slippers over antiembolic stockings
C. The client uses a front-wheeled walker
D. The client received pain medication 30 minutes ago
E. The client is allergic to codeine
F. The client ate 50% of breakfast
Correct Answers: B, C, D
Rationale: Information that affects safety during ambulation—footwear, assistive devices, and
recent pain medication—must be shared. Allergies, roommate status, and meal intake are not
relevant to ambulation.
An RN is assigning client care to an LPN. Which assignment should the LPN question?
A. Assisting a client 24 hours post-op to use an incentive spirometer
B. Collecting a clean-catch urine specimen
C. Performing nasopharyngeal suctioning for a client with pneumonia
D. Replacing the cartridge and tubing on a PCA pump
Correct Answer: D
Rationale: PCA pump management requires RN-level assessment and responsibility. The other
tasks are within the LPN scope of practice.
A nurse is preparing an in-service program on delegation. Which elements should be included in
the five rights of delegation? (Select all that apply)
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances
Correct Answers: B, C, E
Rationale: The five rights of delegation are right task, right circumstance, right person, right
direction/communication, and right supervision/evaluation. “Right client” and “right time” are
not part of the formal framework.
,2026
A nurse manager is assigning care for a client returning from PACU following thoracic surgery.
To whom should the client be assigned?
A. Charge nurse
B. RN
C. LPN
D. AP
Correct Answer: B
Rationale: A post-thoracic surgery client requires comprehensive assessment and monitoring,
which must be performed by an RN.
What is the study of conduct and character?
A. Ethics
B. Morals
C. Values
D. Law
Correct Answer: A
Rationale: Ethics refers to the systematic study of conduct, character, and moral decision-
making.
What are the values and beliefs that guide behavior and decision-making?
A. Ethics
B. Laws
C. Morals
D. Autonomy
Correct Answer: C
Rationale: Morals are personal beliefs and values that guide individual behavior.
What principle refers to the right to make one’s own personal decisions even if those decisions
are not in the person’s best interest?
, 2026
A. Beneficence
B. Fidelity
C. Justice
D. Autonomy
Correct Answer: D
Rationale: Autonomy supports a client’s right to self-determination.
What ethical principle refers to positive actions to help others?
A. Nonmaleficence
B. Beneficence
C. Justice
D. Fidelity
Correct Answer: B
Rationale: Beneficence involves actions that promote good and benefit others.
What ethical principle refers to keeping promises?
A. Fidelity
B. Justice
C. Autonomy
D. Beneficence
Correct Answer: A
Rationale: Fidelity is the obligation to remain faithful to commitments and promises.
What ethical principle refers to fairness in care delivery and use of resources?
A. Autonomy
B. Justice
C. Fidelity
D. Beneficence
Correct Answer: B
