1
ATI RN Comprehensive
Predictor 2024/2025: 180
Questions with Verified
Answers
Management of Care (36 Questions)
Question 1
A nurse is delegating tasks to an assistive personnel (AP). Which task is appropriate to delegate?
A. Administer IV medication
B. Reapply a condom catheter
C. Perform wound care
D. Adjust ventilator settings
Correct Answer: B. Reapply a condom catheter
Rationale: Reapplying a condom catheter is within the AP’s scope of practice, as it involves
basic care, not invasive or complex procedures, per 2025 ATI guidelines.
Question 2
A nurse is prioritizing care for four clients. Which client should the nurse assess first?
A. Client with a blood pressure of 130/80 mmHg
B. Client with chest pain and diaphoresis
C. Client with a temperature of 37.8°C (100°F)
D. Client awaiting discharge instructions
Correct Answer: B. Client with chest pain and diaphoresis
Rationale: Chest pain and diaphoresis suggest a potential myocardial infarction, requiring
immediate assessment, per 2025 NCLEX-RN prioritization principles.
, 2
Question 3
A nurse is managing a client with a new colostomy. Which action demonstrates client advocacy?
A. Allowing the client to choose their meal plan
B. Ensuring the client receives education on stoma care
C. Administering pain medication without client input
D. Scheduling follow-up without client consent
Correct Answer: B. Ensuring the client receives education on stoma care
Rationale: Advocacy involves empowering clients through education, ensuring informed self-
care, per 2025 ATI guidelines.
Question 4
A charge nurse is resolving a conflict between two staff members. Which approach is most
effective?
A. Ignore the conflict and reassign tasks
B. Facilitate a private discussion between parties
C. Reprimand both staff members publicly
D. Assign a new team leader
Correct Answer: B. Facilitate a private discussion between parties
Rationale: Facilitating a private discussion promotes collaboration and conflict resolution, per
2025 ATI management principles.
Question 5
A nurse is reviewing a client’s advance directives. The client wishes to refuse life-sustaining
treatment. What is the nurse’s role?
A. Persuade the client to accept treatment
B. Document and communicate the client’s wishes
C. Override the directive in an emergency
D. Administer treatment as prescribed
Correct Answer: B. Document and communicate the client’s wishes
Rationale: The nurse must respect and communicate advance directives to ensure client
autonomy, per 2025 NCLEX-RN standards.
Question 6
, 3
A nurse is assigning tasks for a client with heart failure. Which task is appropriate for a licensed
practical nurse (LPN)?
A. Administer IV furosemide
B. Monitor vital signs and report changes
C. Develop a care plan
D. Interpret ECG results
Correct Answer: B. Monitor vital signs and report changes
Rationale: Monitoring vital signs is within the LPN’s scope, while IV administration and ECG
interpretation are RN responsibilities, per 2025 ATI guidelines.
Question 7
A nurse is preparing to transfer a client to a long-term care facility. Which action is most
important?
A. Complete a transfer summary
B. Administer all PRN medications
C. Restrict family visitation
D. Delay discharge until evening
Correct Answer: A. Complete a transfer summary
Rationale: A transfer summary ensures continuity of care by communicating critical client
information, per 2025 ATI standards.
Question 8
A nurse is managing care for a client with a central venous catheter. Which action ensures
safety?
A. Flush with saline every 12 hours
B. Use sterile technique for dressing changes
C. Clamp the catheter during ambulation
D. Change the catheter weekly
Correct Answer: B. Use sterile technique for dressing changes
Rationale: Sterile technique prevents catheter-related infections, a key safety measure, per 2025
ATI guidelines.
Question 9
, 4
A nurse is addressing a client’s refusal of a procedure. What is the first action?
A. Notify the provider immediately
B. Explore the client’s reasons for refusal
C. Document refusal and proceed
D. Administer sedation
Correct Answer: B. Explore the client’s reasons for refusal
Rationale: Exploring reasons respects client autonomy and facilitates informed decision-making,
per 2025 NCLEX-RN standards.
Question 10
A nurse is supervising a new graduate RN. Which action by the new RN requires intervention?
A. Checking a client’s allergies before medication administration
B. Administering insulin without verifying blood glucose
C. Documenting vital signs accurately
D. Consulting the charge nurse for clarification
Correct Answer: B. Administering insulin without verifying blood glucose
Rationale: Administering insulin without checking blood glucose risks hypoglycemia, requiring
immediate intervention, per 2025 ATI guidelines.
Question 11 (NGN: Select All That Apply)
A nurse is planning care for a client with diabetes. Which interventions are appropriate? (Select
all that apply.)
A. Monitor blood glucose levels regularly
B. Administer insulin as prescribed
C. Restrict all carbohydrate intake
D. Educate on foot care
E. Encourage smoking cessation
Correct Answers: A. Monitor blood glucose levels regularly, B. Administer insulin as
prescribed, D. Educate on foot care, E. Encourage smoking cessation
Rationale: Monitoring glucose, administering insulin, educating on foot care, and promoting
smoking cessation are evidence-based interventions for diabetes management, per 2025 ATI
guidelines. Restricting all carbohydrates is not recommended.
Question 12 (NGN: Ordered Response)
ATI RN Comprehensive
Predictor 2024/2025: 180
Questions with Verified
Answers
Management of Care (36 Questions)
Question 1
A nurse is delegating tasks to an assistive personnel (AP). Which task is appropriate to delegate?
A. Administer IV medication
B. Reapply a condom catheter
C. Perform wound care
D. Adjust ventilator settings
Correct Answer: B. Reapply a condom catheter
Rationale: Reapplying a condom catheter is within the AP’s scope of practice, as it involves
basic care, not invasive or complex procedures, per 2025 ATI guidelines.
Question 2
A nurse is prioritizing care for four clients. Which client should the nurse assess first?
A. Client with a blood pressure of 130/80 mmHg
B. Client with chest pain and diaphoresis
C. Client with a temperature of 37.8°C (100°F)
D. Client awaiting discharge instructions
Correct Answer: B. Client with chest pain and diaphoresis
Rationale: Chest pain and diaphoresis suggest a potential myocardial infarction, requiring
immediate assessment, per 2025 NCLEX-RN prioritization principles.
, 2
Question 3
A nurse is managing a client with a new colostomy. Which action demonstrates client advocacy?
A. Allowing the client to choose their meal plan
B. Ensuring the client receives education on stoma care
C. Administering pain medication without client input
D. Scheduling follow-up without client consent
Correct Answer: B. Ensuring the client receives education on stoma care
Rationale: Advocacy involves empowering clients through education, ensuring informed self-
care, per 2025 ATI guidelines.
Question 4
A charge nurse is resolving a conflict between two staff members. Which approach is most
effective?
A. Ignore the conflict and reassign tasks
B. Facilitate a private discussion between parties
C. Reprimand both staff members publicly
D. Assign a new team leader
Correct Answer: B. Facilitate a private discussion between parties
Rationale: Facilitating a private discussion promotes collaboration and conflict resolution, per
2025 ATI management principles.
Question 5
A nurse is reviewing a client’s advance directives. The client wishes to refuse life-sustaining
treatment. What is the nurse’s role?
A. Persuade the client to accept treatment
B. Document and communicate the client’s wishes
C. Override the directive in an emergency
D. Administer treatment as prescribed
Correct Answer: B. Document and communicate the client’s wishes
Rationale: The nurse must respect and communicate advance directives to ensure client
autonomy, per 2025 NCLEX-RN standards.
Question 6
, 3
A nurse is assigning tasks for a client with heart failure. Which task is appropriate for a licensed
practical nurse (LPN)?
A. Administer IV furosemide
B. Monitor vital signs and report changes
C. Develop a care plan
D. Interpret ECG results
Correct Answer: B. Monitor vital signs and report changes
Rationale: Monitoring vital signs is within the LPN’s scope, while IV administration and ECG
interpretation are RN responsibilities, per 2025 ATI guidelines.
Question 7
A nurse is preparing to transfer a client to a long-term care facility. Which action is most
important?
A. Complete a transfer summary
B. Administer all PRN medications
C. Restrict family visitation
D. Delay discharge until evening
Correct Answer: A. Complete a transfer summary
Rationale: A transfer summary ensures continuity of care by communicating critical client
information, per 2025 ATI standards.
Question 8
A nurse is managing care for a client with a central venous catheter. Which action ensures
safety?
A. Flush with saline every 12 hours
B. Use sterile technique for dressing changes
C. Clamp the catheter during ambulation
D. Change the catheter weekly
Correct Answer: B. Use sterile technique for dressing changes
Rationale: Sterile technique prevents catheter-related infections, a key safety measure, per 2025
ATI guidelines.
Question 9
, 4
A nurse is addressing a client’s refusal of a procedure. What is the first action?
A. Notify the provider immediately
B. Explore the client’s reasons for refusal
C. Document refusal and proceed
D. Administer sedation
Correct Answer: B. Explore the client’s reasons for refusal
Rationale: Exploring reasons respects client autonomy and facilitates informed decision-making,
per 2025 NCLEX-RN standards.
Question 10
A nurse is supervising a new graduate RN. Which action by the new RN requires intervention?
A. Checking a client’s allergies before medication administration
B. Administering insulin without verifying blood glucose
C. Documenting vital signs accurately
D. Consulting the charge nurse for clarification
Correct Answer: B. Administering insulin without verifying blood glucose
Rationale: Administering insulin without checking blood glucose risks hypoglycemia, requiring
immediate intervention, per 2025 ATI guidelines.
Question 11 (NGN: Select All That Apply)
A nurse is planning care for a client with diabetes. Which interventions are appropriate? (Select
all that apply.)
A. Monitor blood glucose levels regularly
B. Administer insulin as prescribed
C. Restrict all carbohydrate intake
D. Educate on foot care
E. Encourage smoking cessation
Correct Answers: A. Monitor blood glucose levels regularly, B. Administer insulin as
prescribed, D. Educate on foot care, E. Encourage smoking cessation
Rationale: Monitoring glucose, administering insulin, educating on foot care, and promoting
smoking cessation are evidence-based interventions for diabetes management, per 2025 ATI
guidelines. Restricting all carbohydrates is not recommended.
Question 12 (NGN: Ordered Response)
