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ATI RN COMPREHENSIVE PREDICTOR 2026
STUDY GUIDE | 200+ ORIGINAL NCLEX-STYLE
PRACTICE QUESTIONS & RATIONALES | NGN
CASES | HIGH-YIELD CONTENT
# Section 1: Management of Care (Q1–Q30)
**Q1.** A nurse is preparing to delegate tasks to an LPN. Which task is
appropriate to delegate?
A. Administering a stable client’s oral medications
B. Performing the initial admission assessment
C. Creating the nursing care plan
D. Teaching a client about a new diagnosis
**Correct Answer: A – Administering a stable client’s oral
medications**
*Rationale: LPNs can administer medications to stable clients.
Assessment, planning, and teaching are RN responsibilities.*
**Q2.** A nurse is caring for a client who refuses a blood transfusion
due to religious beliefs. The nurse should:
A. Respect the client’s decision and notify the provider
B. Administer the transfusion anyway
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C. Obtain a court order
D. Ask the family to override the decision
**Correct Answer: A – Respect the client’s decision and notify the
provider**
*Rationale: Competent adults have the right to refuse treatment, even if
life-threatening.*
**Q3.** A nurse is preparing to give a change-of-shift report. Which
method is most effective?
A. SBAR (Situation, Background, Assessment, Recommendation)
B. Read the chart aloud
C. Give report in the hallway
D. Only give written report
**Correct Answer: A – SBAR**
*Rationale: SBAR improves communication and reduces errors during
handoff.*
**Q4.** A nurse is caring for a client who is being discharged against
medical advice (AMA). The nurse should:
A. Discuss the risks, document the conversation, and have the client sign
an AMA form
B. Restrain the client
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C. Call security
D. Ignore the client’s request
**Correct Answer: A – Discuss the risks, document the conversation,
and have the client sign an AMA form**
*Rationale: The client has the right to leave; documentation protects the
provider.*
**Q5.** A nurse is preparing to report a sentinel event. The purpose of
the root cause analysis is to:
A. Identify system factors contributing to the error
B. Assign blame to an individual
C. Punish the staff
D. Avoid reporting
**Correct Answer: A – Identify system factors contributing to the
error**
*Rationale: RCA focuses on systems, not individuals.*
**Q6.** A nurse is caring for a client who is confused and attempting to
pull out their IV. Which intervention should the nurse try first?
A. Use a mitt restraint after attempting less restrictive measures
B. Apply wrist restraints
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C. Sedate the client
D. Ignore the behavior
**Correct Answer: A – Use a mitt restraint after attempting less
restrictive measures**
*Rationale: Least restrictive measures first; restraints are a last resort.*
**Q7.** A nurse is teaching a client about informed consent for surgery.
Which statement indicates understanding?
A. “I can change my mind at any time.”
B. “I must sign the consent form before the procedure.”
C. “The nurse is responsible for explaining the procedure.”
D. “Once I sign, I cannot refuse.”
**Correct Answer: A – “I can change my mind at any time.”**
*Rationale: Informed consent is voluntary and can be withdrawn at any
time.*
**Q8.** A nurse is caring for a client who speaks a different language.
The nurse should:
A. Use a certified medical interpreter
B. Use the client’s family member
C. Use gestures
ATI RN COMPREHENSIVE PREDICTOR 2026
STUDY GUIDE | 200+ ORIGINAL NCLEX-STYLE
PRACTICE QUESTIONS & RATIONALES | NGN
CASES | HIGH-YIELD CONTENT
# Section 1: Management of Care (Q1–Q30)
**Q1.** A nurse is preparing to delegate tasks to an LPN. Which task is
appropriate to delegate?
A. Administering a stable client’s oral medications
B. Performing the initial admission assessment
C. Creating the nursing care plan
D. Teaching a client about a new diagnosis
**Correct Answer: A – Administering a stable client’s oral
medications**
*Rationale: LPNs can administer medications to stable clients.
Assessment, planning, and teaching are RN responsibilities.*
**Q2.** A nurse is caring for a client who refuses a blood transfusion
due to religious beliefs. The nurse should:
A. Respect the client’s decision and notify the provider
B. Administer the transfusion anyway
,2|Page
C. Obtain a court order
D. Ask the family to override the decision
**Correct Answer: A – Respect the client’s decision and notify the
provider**
*Rationale: Competent adults have the right to refuse treatment, even if
life-threatening.*
**Q3.** A nurse is preparing to give a change-of-shift report. Which
method is most effective?
A. SBAR (Situation, Background, Assessment, Recommendation)
B. Read the chart aloud
C. Give report in the hallway
D. Only give written report
**Correct Answer: A – SBAR**
*Rationale: SBAR improves communication and reduces errors during
handoff.*
**Q4.** A nurse is caring for a client who is being discharged against
medical advice (AMA). The nurse should:
A. Discuss the risks, document the conversation, and have the client sign
an AMA form
B. Restrain the client
,3|Page
C. Call security
D. Ignore the client’s request
**Correct Answer: A – Discuss the risks, document the conversation,
and have the client sign an AMA form**
*Rationale: The client has the right to leave; documentation protects the
provider.*
**Q5.** A nurse is preparing to report a sentinel event. The purpose of
the root cause analysis is to:
A. Identify system factors contributing to the error
B. Assign blame to an individual
C. Punish the staff
D. Avoid reporting
**Correct Answer: A – Identify system factors contributing to the
error**
*Rationale: RCA focuses on systems, not individuals.*
**Q6.** A nurse is caring for a client who is confused and attempting to
pull out their IV. Which intervention should the nurse try first?
A. Use a mitt restraint after attempting less restrictive measures
B. Apply wrist restraints
, 4|Page
C. Sedate the client
D. Ignore the behavior
**Correct Answer: A – Use a mitt restraint after attempting less
restrictive measures**
*Rationale: Least restrictive measures first; restraints are a last resort.*
**Q7.** A nurse is teaching a client about informed consent for surgery.
Which statement indicates understanding?
A. “I can change my mind at any time.”
B. “I must sign the consent form before the procedure.”
C. “The nurse is responsible for explaining the procedure.”
D. “Once I sign, I cannot refuse.”
**Correct Answer: A – “I can change my mind at any time.”**
*Rationale: Informed consent is voluntary and can be withdrawn at any
time.*
**Q8.** A nurse is caring for a client who speaks a different language.
The nurse should:
A. Use a certified medical interpreter
B. Use the client’s family member
C. Use gestures
