ATI RN Comprehensive Predictor Exam 2026 Actual
Exam with NGN Questions (GRADED A+)
Management of Care
A nurse is delegating tasks to an LPN. Which task is most
appropriate for the LPN?
A) Performing the initial admission assessment on a new client.
B) Administering a tube feeding to a client with a gastrostomy tube.
C) Creating the plan of care for a client with diabetes.
D) Evaluating the effectiveness of a client’s pain medication.
Verified Answer: B
Rationale: LPNs can perform stable, predictable procedures such as tube
feedings. Initial assessments, care plan creation, and evaluation are
responsibilities of the RN.
A nurse is caring for a client who refuses a blood transfusion due to
religious beliefs. The client’s spouse demands the transfusion. What
should the nurse do?
A) Administer the transfusion because the spouse is the legal guardian.
B) Respect the client’s wishes and contact the ethics committee.
C) Ask the client to sign an Against Medical Advice (AMA) form before
,leaving.
D) Convince the client that the transfusion is necessary for survival.
Verified Answer: B
Rationale: A competent adult has the right to refuse treatment. The nurse
must advocate for the client’s autonomy. The ethics committee can help
resolve family conflicts.
A charge nurse is assigning rooms for new admissions. Which client
should be placed in a negative pressure room?
A) A client with MRSA in a surgical wound.
B) A client with active pulmonary tuberculosis.
C) A client with Clostridium difficile diarrhea.
D) A client with Herpes Zoster (shingles).
Verified Answer: B
Rationale: Active pulmonary TB requires airborne precautions and
negative pressure airflow. MRSA requires contact precautions. C. diff
requires contact precautions. Shingles requires airborne and contact
precautions if disseminated.
NGN Case Study: A nurse is caring for a client who just had a total
hip arthroplasty.
Part 1: Which of the following actions should the nurse implement to
prevent dislocation? Select all that apply.
,A) Place a pillow between the legs when turning.
B) Encourage the client to cross legs at the ankles when sitting.
C) Maintain hip flexion no greater than 90 degrees.
D) Position the client on the operative side for the first 24 hours.
E) Use an elevated toilet seat.
Verified Answer: A, C, E
Rationale: Pillow between legs prevents adduction. Flexion greater than
90 degrees increases dislocation risk. Elevated toilet seats prevent
excessive flexion. Crossing legs is contraindicated. Positioning on the
operative side is not standard; posterior approach often requires
avoidance of operative side.
A nurse is preparing to transfer a client to a long-term care facility.
Which action demonstrates continuity of care?
A) Sending the client’s personal belongings with the family.
B) Providing a verbal report via telephone to the receiving facility nurse.
C) Documenting that the client was discharged in stable condition.
D) Giving the client a copy of the hospital bill.
Verified Answer: B
Rationale: Verbal handoff ensures seamless transfer of critical
information. Documentation is necessary but does not ensure the
receiving team understands the plan.
, A nurse manager is discussing disaster planning. During an external
disaster, which client should the nurse discharge first to make room
for new admissions?
A) A client 2 days post-operative appendectomy with no bowel sounds.
B) A client with a fractured femur in Buck’s traction.
C) A client scheduled for a colonoscopy in the morning.
D) A client with a history of schizophrenia who is stable on medications.
Verified Answer: D
Rationale: Stable psychiatric clients with no acute medical needs are
appropriate for early discharge. Post-op ileus and fractures require
ongoing monitoring or interventions.
A client asks the nurse what an "advance directive" means. Which
response is correct?
A) "It tells the medical team what your wishes are if you cannot speak for
yourself."
B) "It gives your spouse permission to make all medical decisions."
C) "It is a legal document that requires you to refuse all life-sustaining
treatment."
D) "It only applies if you are over 65 years old."
Verified Answer: A
Rationale: Advance directives (living will, durable power of attorney for
healthcare) communicate a patient’s wishes when they lack capacity. They
Exam with NGN Questions (GRADED A+)
Management of Care
A nurse is delegating tasks to an LPN. Which task is most
appropriate for the LPN?
A) Performing the initial admission assessment on a new client.
B) Administering a tube feeding to a client with a gastrostomy tube.
C) Creating the plan of care for a client with diabetes.
D) Evaluating the effectiveness of a client’s pain medication.
Verified Answer: B
Rationale: LPNs can perform stable, predictable procedures such as tube
feedings. Initial assessments, care plan creation, and evaluation are
responsibilities of the RN.
A nurse is caring for a client who refuses a blood transfusion due to
religious beliefs. The client’s spouse demands the transfusion. What
should the nurse do?
A) Administer the transfusion because the spouse is the legal guardian.
B) Respect the client’s wishes and contact the ethics committee.
C) Ask the client to sign an Against Medical Advice (AMA) form before
,leaving.
D) Convince the client that the transfusion is necessary for survival.
Verified Answer: B
Rationale: A competent adult has the right to refuse treatment. The nurse
must advocate for the client’s autonomy. The ethics committee can help
resolve family conflicts.
A charge nurse is assigning rooms for new admissions. Which client
should be placed in a negative pressure room?
A) A client with MRSA in a surgical wound.
B) A client with active pulmonary tuberculosis.
C) A client with Clostridium difficile diarrhea.
D) A client with Herpes Zoster (shingles).
Verified Answer: B
Rationale: Active pulmonary TB requires airborne precautions and
negative pressure airflow. MRSA requires contact precautions. C. diff
requires contact precautions. Shingles requires airborne and contact
precautions if disseminated.
NGN Case Study: A nurse is caring for a client who just had a total
hip arthroplasty.
Part 1: Which of the following actions should the nurse implement to
prevent dislocation? Select all that apply.
,A) Place a pillow between the legs when turning.
B) Encourage the client to cross legs at the ankles when sitting.
C) Maintain hip flexion no greater than 90 degrees.
D) Position the client on the operative side for the first 24 hours.
E) Use an elevated toilet seat.
Verified Answer: A, C, E
Rationale: Pillow between legs prevents adduction. Flexion greater than
90 degrees increases dislocation risk. Elevated toilet seats prevent
excessive flexion. Crossing legs is contraindicated. Positioning on the
operative side is not standard; posterior approach often requires
avoidance of operative side.
A nurse is preparing to transfer a client to a long-term care facility.
Which action demonstrates continuity of care?
A) Sending the client’s personal belongings with the family.
B) Providing a verbal report via telephone to the receiving facility nurse.
C) Documenting that the client was discharged in stable condition.
D) Giving the client a copy of the hospital bill.
Verified Answer: B
Rationale: Verbal handoff ensures seamless transfer of critical
information. Documentation is necessary but does not ensure the
receiving team understands the plan.
, A nurse manager is discussing disaster planning. During an external
disaster, which client should the nurse discharge first to make room
for new admissions?
A) A client 2 days post-operative appendectomy with no bowel sounds.
B) A client with a fractured femur in Buck’s traction.
C) A client scheduled for a colonoscopy in the morning.
D) A client with a history of schizophrenia who is stable on medications.
Verified Answer: D
Rationale: Stable psychiatric clients with no acute medical needs are
appropriate for early discharge. Post-op ileus and fractures require
ongoing monitoring or interventions.
A client asks the nurse what an "advance directive" means. Which
response is correct?
A) "It tells the medical team what your wishes are if you cannot speak for
yourself."
B) "It gives your spouse permission to make all medical decisions."
C) "It is a legal document that requires you to refuse all life-sustaining
treatment."
D) "It only applies if you are over 65 years old."
Verified Answer: A
Rationale: Advance directives (living will, durable power of attorney for
healthcare) communicate a patient’s wishes when they lack capacity. They
