ATI RN Comprehensive Predictor 2026 Exit
Exam with NGN 200 Questions and 100%
Correct Answers
Management of Care (Delegation, Prioritization,
Assignment, Ethics, Legal): 1–20
1. A nurse on a medical-surgical unit is delegating tasks to an LPN/LVN. Which of the
following tasks should the nurse delegate?
A. Initial admission assessment of a patient with pneumonia
B. Teaching a diabetic patient how to self-administer insulin
C. Administration of a tube feeding to a patient with a gastrostomy tube
D. Evaluation of a patient’s response to pain medication
Answer: C
Rationale: LPNs/LVNs can administer enteral feedings and perform stable, predictable tasks.
Initial assessments, teaching, and evaluation require RN-level critical thinking.
2. A charge nurse is making shift assignments on a cardiac unit. Which patient should be
assigned to the most experienced RN?
A. 2 days post-MI, stable on telemetry
B. Newly admitted with chest pain and frequent PVCs on monitor
C. Scheduled for an exercise stress test in the morning
D. Post-cardiac catheterization with groin pressure dressing intact
Answer: B
Rationale: Frequent PVCs indicate potential for lethal dysrhythmias; needs expert
assessment and rapid intervention.
3. A nurse is caring for a client who refuses a blood transfusion for religious reasons. The
client is becoming hemodynamically unstable. What should the nurse do first?
A. Administer IV fluids and notify the provider of the refusal
B. Call the chaplain to convince the client
C. Transfuse packed RBCs because of implied consent
D. Ask the family to override the decision
Answer: A
Rationale: Respect autonomy; provide supportive care (IVF, oxygen) and notify provider for
alternative treatments.
,4. A nurse notices another nurse taking a photo of a patient with a smartphone. What is the
nurse’s priority action?
A. Report the nurse to the nurse manager
B. Ask the patient if they gave permission
C. Ignore it to avoid conflict
D. Take a photo of the nurse for evidence
Answer: A
Rationale: Unauthorized photography violates HIPAA. Report immediately to manager; duty
to protect patient privacy.
5. A nurse is preparing to discharge a client who needs home wound care. Which action
demonstrates appropriate case management?
A. Arranging for home health nursing and teaching the family
B. Telling the family to buy supplies at the pharmacy
C. Discharging without follow-up because the wound is small
D. Asking the client to come back daily to the hospital
Answer: A
Rationale: Case management coordinates resources and education for continuity of care.
6. A nurse is triaging after a mass casualty event. Which color tag should be assigned to a
patient with severe head injury, agonal breathing, and no pulse?
A. Green (minimal)
B. Yellow (delayed)
C. Red (immediate)
D. Black (deceased/expectant)
Answer: D
Rationale: In mass casualty triage, no pulse + agonal breathing = expectant (black tag) when
resources are limited.
7. A nurse manager is implementing a new fall prevention protocol. Which step is first in the
change process?
A. Pilot the change on one unit
B. Identify a problem (high fall rate)
C. Reward staff for adherence
D. Mandate the change without input
Answer: B
Rationale: First step in change theory (Lewin): recognize need for change.
,8. An RN observes an LPN remove a patient’s IV without wearing gloves. What should the RN
do?
A. Report to the board of nursing immediately
B. Verbally correct the LPN at the moment
C. Ignore it because no harm occurred
D. Document in the LPN’s personnel file
Answer: B
Rationale: Immediate feedback corrects unsafe practice; follows chain of command if
repeated.
9. Which task can an unlicensed assistive personnel (UAP) perform?
A. Interpret a telemetry strip
B. Empty a urine catheter bag and measure output
C. Change a sterile dressing
D. Administer an enema
Answer: B
Rationale: UAP can measure I&O, empty drainage bags. Sterile procedures and
interpretation require licensed staff.
10. A nurse is caring for a client with do-not-resuscitate (DNR) orders who stops breathing.
What is the appropriate action?
A. Begin chest compressions until the provider arrives
B. Call a code blue
C. Provide comfort measures and notify the provider
D. Ventilate with a bag-valve-mask
Answer: C
Rationale: DNR means no resuscitation. Comfort care only.
11. A nurse on a busy unit has five patients. Which patient should the nurse see first?
A. Post-op day 2 requesting pain meds
B. 6 hours post-lobectomy with oxygen saturation 88% on 2L NC
C. Patient needing discharge teaching
D. Patient requesting a bedpan
Answer: B
Rationale: Low SpO2 post-lobectomy indicates possible complication (atelectasis,
pneumothorax); airway/breathing priority.
12. A client tells the nurse, “I am going to sue this hospital for malpractice.” What is the
nurse’s best response?
, A. “You’ll never win.”
B. “I’ll get the risk manager to speak with you.”
C. “Let’s discuss your concerns first.”
D. “That’s a bad idea.”
Answer: C
Rationale: Therapeutic communication: explore concerns; notify risk management if threat
persists.
13. A nurse is preparing to witness a client’s signature on an informed consent. Which is
essential?
A. The nurse explains the procedure risks
B. The client appears to understand and signs voluntarily
C. The surgeon already signed the consent
D. The family agrees to the procedure
Answer: B
Rationale: Nurse witnesses voluntary signature and capacity; provider explains risks.
14. A nurse is assigning a room for a client with C. diff. Which room assignment is
appropriate?
A. Semi-private with a client with pneumonia
B. Private room with contact precautions
C. Semi-private with a client with UTI
D. Any available room
Answer: B
Rationale: C. diff requires contact precautions + private room if possible.
15. A charge nurse is evaluating a new graduate’s understanding of SBAR. Which example of
“S” is correct?
A. “The patient has a history of diabetes.”
B. “I think the patient is having a stroke.”
C. “The patient’s BP is 88/50, down from 120/80.”
D. “Please order a CT scan.”
Answer: C
Rationale: S = Situation: current objective data (vital signs change).
16. A nurse manager is reviewing sentinel events. Which is a sentinel event?
A. Patient falls, no injury
B. Medication given 30 min late
C. Wrong-sided surgery
Exam with NGN 200 Questions and 100%
Correct Answers
Management of Care (Delegation, Prioritization,
Assignment, Ethics, Legal): 1–20
1. A nurse on a medical-surgical unit is delegating tasks to an LPN/LVN. Which of the
following tasks should the nurse delegate?
A. Initial admission assessment of a patient with pneumonia
B. Teaching a diabetic patient how to self-administer insulin
C. Administration of a tube feeding to a patient with a gastrostomy tube
D. Evaluation of a patient’s response to pain medication
Answer: C
Rationale: LPNs/LVNs can administer enteral feedings and perform stable, predictable tasks.
Initial assessments, teaching, and evaluation require RN-level critical thinking.
2. A charge nurse is making shift assignments on a cardiac unit. Which patient should be
assigned to the most experienced RN?
A. 2 days post-MI, stable on telemetry
B. Newly admitted with chest pain and frequent PVCs on monitor
C. Scheduled for an exercise stress test in the morning
D. Post-cardiac catheterization with groin pressure dressing intact
Answer: B
Rationale: Frequent PVCs indicate potential for lethal dysrhythmias; needs expert
assessment and rapid intervention.
3. A nurse is caring for a client who refuses a blood transfusion for religious reasons. The
client is becoming hemodynamically unstable. What should the nurse do first?
A. Administer IV fluids and notify the provider of the refusal
B. Call the chaplain to convince the client
C. Transfuse packed RBCs because of implied consent
D. Ask the family to override the decision
Answer: A
Rationale: Respect autonomy; provide supportive care (IVF, oxygen) and notify provider for
alternative treatments.
,4. A nurse notices another nurse taking a photo of a patient with a smartphone. What is the
nurse’s priority action?
A. Report the nurse to the nurse manager
B. Ask the patient if they gave permission
C. Ignore it to avoid conflict
D. Take a photo of the nurse for evidence
Answer: A
Rationale: Unauthorized photography violates HIPAA. Report immediately to manager; duty
to protect patient privacy.
5. A nurse is preparing to discharge a client who needs home wound care. Which action
demonstrates appropriate case management?
A. Arranging for home health nursing and teaching the family
B. Telling the family to buy supplies at the pharmacy
C. Discharging without follow-up because the wound is small
D. Asking the client to come back daily to the hospital
Answer: A
Rationale: Case management coordinates resources and education for continuity of care.
6. A nurse is triaging after a mass casualty event. Which color tag should be assigned to a
patient with severe head injury, agonal breathing, and no pulse?
A. Green (minimal)
B. Yellow (delayed)
C. Red (immediate)
D. Black (deceased/expectant)
Answer: D
Rationale: In mass casualty triage, no pulse + agonal breathing = expectant (black tag) when
resources are limited.
7. A nurse manager is implementing a new fall prevention protocol. Which step is first in the
change process?
A. Pilot the change on one unit
B. Identify a problem (high fall rate)
C. Reward staff for adherence
D. Mandate the change without input
Answer: B
Rationale: First step in change theory (Lewin): recognize need for change.
,8. An RN observes an LPN remove a patient’s IV without wearing gloves. What should the RN
do?
A. Report to the board of nursing immediately
B. Verbally correct the LPN at the moment
C. Ignore it because no harm occurred
D. Document in the LPN’s personnel file
Answer: B
Rationale: Immediate feedback corrects unsafe practice; follows chain of command if
repeated.
9. Which task can an unlicensed assistive personnel (UAP) perform?
A. Interpret a telemetry strip
B. Empty a urine catheter bag and measure output
C. Change a sterile dressing
D. Administer an enema
Answer: B
Rationale: UAP can measure I&O, empty drainage bags. Sterile procedures and
interpretation require licensed staff.
10. A nurse is caring for a client with do-not-resuscitate (DNR) orders who stops breathing.
What is the appropriate action?
A. Begin chest compressions until the provider arrives
B. Call a code blue
C. Provide comfort measures and notify the provider
D. Ventilate with a bag-valve-mask
Answer: C
Rationale: DNR means no resuscitation. Comfort care only.
11. A nurse on a busy unit has five patients. Which patient should the nurse see first?
A. Post-op day 2 requesting pain meds
B. 6 hours post-lobectomy with oxygen saturation 88% on 2L NC
C. Patient needing discharge teaching
D. Patient requesting a bedpan
Answer: B
Rationale: Low SpO2 post-lobectomy indicates possible complication (atelectasis,
pneumothorax); airway/breathing priority.
12. A client tells the nurse, “I am going to sue this hospital for malpractice.” What is the
nurse’s best response?
, A. “You’ll never win.”
B. “I’ll get the risk manager to speak with you.”
C. “Let’s discuss your concerns first.”
D. “That’s a bad idea.”
Answer: C
Rationale: Therapeutic communication: explore concerns; notify risk management if threat
persists.
13. A nurse is preparing to witness a client’s signature on an informed consent. Which is
essential?
A. The nurse explains the procedure risks
B. The client appears to understand and signs voluntarily
C. The surgeon already signed the consent
D. The family agrees to the procedure
Answer: B
Rationale: Nurse witnesses voluntary signature and capacity; provider explains risks.
14. A nurse is assigning a room for a client with C. diff. Which room assignment is
appropriate?
A. Semi-private with a client with pneumonia
B. Private room with contact precautions
C. Semi-private with a client with UTI
D. Any available room
Answer: B
Rationale: C. diff requires contact precautions + private room if possible.
15. A charge nurse is evaluating a new graduate’s understanding of SBAR. Which example of
“S” is correct?
A. “The patient has a history of diabetes.”
B. “I think the patient is having a stroke.”
C. “The patient’s BP is 88/50, down from 120/80.”
D. “Please order a CT scan.”
Answer: C
Rationale: S = Situation: current objective data (vital signs change).
16. A nurse manager is reviewing sentinel events. Which is a sentinel event?
A. Patient falls, no injury
B. Medication given 30 min late
C. Wrong-sided surgery
