ATI RN COMPREHENSIVE PREDICTOR EXAM 2025/2026
180 Questions with Verified Answers & Detailed
Rationales NGN Case Studies, Select All That Apply,
Ordered Response | Graded A+
,SECTION 1: MANAGEMENT OF CARE – PRIORITY SETTING & DELEGATION
(Questions 1–20)
Question 1
A charge nurse is receiving change-of-shift report. Which of the following
situations should the charge nurse address first?
A. A client with a fractured tibia requesting pain medication
B. A client with diabetes who has a blood glucose of 180 mg/dL
C. The emergency department nurse is waiting to give report on a new
admission
D. A client with dementia who is wandering in the hallway
Answer: C
Rationale: The charge nurse must first address the situation that affects patient
flow and unit operations. Waiting to give report on a new admission delays care
for that patient and creates a bottleneck in the ED, which is a patient safety and
throughput priority.
,Question 2
A nurse is caring for four clients. Which client should the nurse assess first?
A. A client with pneumonia who has a fever of 38.3°C (101°F)
B. A client with a new tracheostomy who has thick, yellow secretions
C. A client who is 1-day post-operative and reports pain of 6 on a 0-10 scale
D. A client with type 1 diabetes mellitus who has a blood glucose of 180 mg/dL
Answer: B
*Rationale: Airway is always the priority. Thick secretions can obstruct a new
tracheostomy, leading to respiratory arrest. Fever (A) is expected. Pain (C) is
moderate but not life-threatening. A glucose of 180 (D) is hyperglycemic but not
critical. *
Question 3
A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days
ago to an AP. Which of the following information should the nurse share with the
AP? (Select all that apply)
A. The roommate is up independently
B. The client ambulates with his slippers on over his antiembolic stockings
C. The client uses a front wheeled walker when ambulating
D. The client had pain meds 30 minutes ago
E. The client is allergic to codeine
F. The client ate 50% of his breakfast this morning
Answer: B, C, D
Rationale: The AP needs to know specific equipment (walker), footwear (slippers
over stockings), and timing of pain medication to ensure safe ambulation. Allergies
(E) are not directly relevant to ambulation delegation.
, Question 4
A nurse is preparing to discharge a client who requires a wound vacuum-assisted
closure (VAC) device. Which of the following actions is the nurse’s priority?
A. Demonstrate how to change the dressing
B. Provide a list of home health agencies
C. Ensure the client can state signs of infection
D. Schedule a follow-up appointment
Answer: C
Rationale: According to Maslow’s hierarchy, safety is the priority. Recognizing
signs of infection prevents sepsis. Education (A) is important but secondary to
safety outcomes.
Question 5
A charge nurse is assigning rooms for new admissions. Which client should be
assigned to a private room?
A. A client with Clostridioides difficile infection
B. A client with diabetic ketoacidosis
C. A client with a fractured femur
D. A client with angina pectoris
Answer: A
Rationale: C. diff requires contact precautions and a private room to prevent
transmission. The other conditions do not require isolation.
Question 6
A nurse receives a telephone prescription from a provider for a client. Which of
the following actions should the nurse take first?
A. Ask the provider to spell the medication name
B. Read back the prescription to the provider
180 Questions with Verified Answers & Detailed
Rationales NGN Case Studies, Select All That Apply,
Ordered Response | Graded A+
,SECTION 1: MANAGEMENT OF CARE – PRIORITY SETTING & DELEGATION
(Questions 1–20)
Question 1
A charge nurse is receiving change-of-shift report. Which of the following
situations should the charge nurse address first?
A. A client with a fractured tibia requesting pain medication
B. A client with diabetes who has a blood glucose of 180 mg/dL
C. The emergency department nurse is waiting to give report on a new
admission
D. A client with dementia who is wandering in the hallway
Answer: C
Rationale: The charge nurse must first address the situation that affects patient
flow and unit operations. Waiting to give report on a new admission delays care
for that patient and creates a bottleneck in the ED, which is a patient safety and
throughput priority.
,Question 2
A nurse is caring for four clients. Which client should the nurse assess first?
A. A client with pneumonia who has a fever of 38.3°C (101°F)
B. A client with a new tracheostomy who has thick, yellow secretions
C. A client who is 1-day post-operative and reports pain of 6 on a 0-10 scale
D. A client with type 1 diabetes mellitus who has a blood glucose of 180 mg/dL
Answer: B
*Rationale: Airway is always the priority. Thick secretions can obstruct a new
tracheostomy, leading to respiratory arrest. Fever (A) is expected. Pain (C) is
moderate but not life-threatening. A glucose of 180 (D) is hyperglycemic but not
critical. *
Question 3
A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days
ago to an AP. Which of the following information should the nurse share with the
AP? (Select all that apply)
A. The roommate is up independently
B. The client ambulates with his slippers on over his antiembolic stockings
C. The client uses a front wheeled walker when ambulating
D. The client had pain meds 30 minutes ago
E. The client is allergic to codeine
F. The client ate 50% of his breakfast this morning
Answer: B, C, D
Rationale: The AP needs to know specific equipment (walker), footwear (slippers
over stockings), and timing of pain medication to ensure safe ambulation. Allergies
(E) are not directly relevant to ambulation delegation.
, Question 4
A nurse is preparing to discharge a client who requires a wound vacuum-assisted
closure (VAC) device. Which of the following actions is the nurse’s priority?
A. Demonstrate how to change the dressing
B. Provide a list of home health agencies
C. Ensure the client can state signs of infection
D. Schedule a follow-up appointment
Answer: C
Rationale: According to Maslow’s hierarchy, safety is the priority. Recognizing
signs of infection prevents sepsis. Education (A) is important but secondary to
safety outcomes.
Question 5
A charge nurse is assigning rooms for new admissions. Which client should be
assigned to a private room?
A. A client with Clostridioides difficile infection
B. A client with diabetic ketoacidosis
C. A client with a fractured femur
D. A client with angina pectoris
Answer: A
Rationale: C. diff requires contact precautions and a private room to prevent
transmission. The other conditions do not require isolation.
Question 6
A nurse receives a telephone prescription from a provider for a client. Which of
the following actions should the nurse take first?
A. Ask the provider to spell the medication name
B. Read back the prescription to the provider
