ATI Comprehensive Predictor Exit
Exam 2026||Questions And Answers
With Rationales/Graded A+/2026
Update/100% Correct /Instant
Download
80+ Practice Questions with Rationales
Exam Domains Covered:
• Management of Care (Questions 1-12)
• Safety & Infection Control (Questions 13-22)
• Health Promotion & Maintenance (Questions 23-32)
• Psychosocial Integrity (Questions 33-42)
• Basic Care & Comfort (Questions 43-48)
• Pharmacological & Parenteral Therapies (Questions 49-62)
• Reduction of Risk Potential (Questions 63-72)
• Physiological Adaptation (Questions 73-82)
SECTION ONE: MANAGEMENT OF CARE
1. A nurse is caring for a client who is 24 hours postoperative following an
abdominal hysterectomy. Which of the following actions should the nurse take
FIRST?
A. Assist the client with incentive spirometry.
B. Encourage the client to increase fluid intake.
C. Administer prescribed analgesic medication.
D. Ask the client to rate their pain level.
Correct Answer: D
,Rationale: According to the nursing process, assessment is the first step. The
nurse must assess the client's pain level before implementing interventions such as
administering analgesia. This follows the ADPIE framework (Assessment,
Diagnosis, Planning, Implementation, Evaluation).
2. A nurse is delegating tasks to an assistive personnel (AP). Which of the
following tasks is appropriate for the nurse to assign?
A. Assess a client's surgical incision for signs of infection.
B. Obtain a blood glucose reading for a client with diabetes mellitus.
C. Evaluate the effectiveness of a client's pain medication.
D. Create the plan of care for a newly admitted client.
Correct Answer: B
Rationale: Obtaining a blood glucose reading is within the scope of practice for an
AP. Assessment, evaluation, and care planning are responsibilities of the
licensed nurse (RN) and cannot be delegated.
3. A charge nurse is reviewing critical pathways with a newly licensed nurse.
Which of the following statements should the charge nurse include?
A. "Critical pathways are used to decrease health care costs."
B. "Critical pathways replace the need for nursing care plans."
C. "Critical pathways must be completed within 24 hours of admission."
D. "Critical pathways are legally binding documents."
Correct Answer: A
Rationale: Critical pathways are interdisciplinary tools designed to standardize
care, improve outcomes, and reduce healthcare costs by minimizing variations in
treatment and length of stay. They complement, rather than replace, nursing care
plans.
4. A nurse is caring for a client who refuses a prescribed blood transfusion for
religious reasons. Which of the following actions should the nurse take?
,A. Inform the client of the risks of refusal and document only.
B. Notify the provider and the risk manager.
C. Ensure the refusal is informed, document it, and uphold the client's right.
D. Ask the family to persuade the client to accept the transfusion.
Correct Answer: C
Rationale: Clients have the right to refuse treatment based on informed consent
and autonomy. The nurse must respect the client's decision, ensure they understand
the consequences, document the refusal, and notify the provider—but cannot force
or coerce treatment.
5. A nurse is preparing to transfer a client who has tuberculosis to the
radiology department. Which of the following actions should the nurse take?
A. Escort the client via the shortest route while wearing a simple mask.
B. Ensure the client wears a surgical mask during transport.
C. Transport the client only after all other clients have cleared the hallway.
D. Keep the client in isolation and have the procedure performed at the bedside.
Correct Answer: B
Rationale: Clients on airborne precautions for tuberculosis must wear a surgical
mask during transport to prevent droplet nuclei from spreading. Staff should wear
N95 respirators. The procedure does not need to be performed at the bedside unless
clinically indicated.
6. A nurse is serving on a disaster triage team. Which of the following injuries
should the nurse assign the HIGHEST priority?
A. Open femur fracture with moderate bleeding.
B. Large scalp laceration with controlled bleeding.
C. Third-degree burn covering 95% of total body surface area.
D. Simple arm fracture with distal pulses present.
Correct Answer: C
Rationale: In disaster triage, the expectant category (lowest priority) includes
clients with injuries so severe they are unlikely to survive given available
, resources. A 95% full-thickness burn carries extremely high mortality and would
be triaged as expectant—meaning no immediate resources are allocated.
7. A nurse is reviewing a client's living will. Which of the following statements
by the client indicates an understanding of this document?
A. "This document specifies my wishes for end-of-life medical treatment."
B. "This document names a person to make financial decisions for me."
C. "This document is legally binding only if I am hospitalized."
D. "This document transfers my property to my beneficiaries."
Correct Answer: A
Rationale: A living will is an advance directive that specifies a client's wishes
regarding medical treatment (e.g., intubation, CPR, artificial nutrition) when they
are unable to communicate their decisions. It does not address finances (power of
attorney) or property distribution (will).
8. A nurse manager is updating protocols for the use of belt restraints. Which
of the following guidelines should the nurse include?
A. Apply restraints for 4 hours before re-evaluation.
B. Document the client's condition every 15 minutes while restrained.
C. Secure restraints to the side rail of the bed.
D. Obtain a PRN order for restraints from the provider.
Correct Answer: B
Rationale: Clients in restraints require frequent monitoring, including
assessment of circulation, skin integrity, nutrition, hydration, and elimination every
15 minutes. Documentation must reflect these assessments. Restraints should be
tied to the bed frame (not side rails) and require a provider order renewed every 24
hours.
9. A nurse is teaching a client about designating a health care proxy. Which of
the following statements should the nurse include?
Exam 2026||Questions And Answers
With Rationales/Graded A+/2026
Update/100% Correct /Instant
Download
80+ Practice Questions with Rationales
Exam Domains Covered:
• Management of Care (Questions 1-12)
• Safety & Infection Control (Questions 13-22)
• Health Promotion & Maintenance (Questions 23-32)
• Psychosocial Integrity (Questions 33-42)
• Basic Care & Comfort (Questions 43-48)
• Pharmacological & Parenteral Therapies (Questions 49-62)
• Reduction of Risk Potential (Questions 63-72)
• Physiological Adaptation (Questions 73-82)
SECTION ONE: MANAGEMENT OF CARE
1. A nurse is caring for a client who is 24 hours postoperative following an
abdominal hysterectomy. Which of the following actions should the nurse take
FIRST?
A. Assist the client with incentive spirometry.
B. Encourage the client to increase fluid intake.
C. Administer prescribed analgesic medication.
D. Ask the client to rate their pain level.
Correct Answer: D
,Rationale: According to the nursing process, assessment is the first step. The
nurse must assess the client's pain level before implementing interventions such as
administering analgesia. This follows the ADPIE framework (Assessment,
Diagnosis, Planning, Implementation, Evaluation).
2. A nurse is delegating tasks to an assistive personnel (AP). Which of the
following tasks is appropriate for the nurse to assign?
A. Assess a client's surgical incision for signs of infection.
B. Obtain a blood glucose reading for a client with diabetes mellitus.
C. Evaluate the effectiveness of a client's pain medication.
D. Create the plan of care for a newly admitted client.
Correct Answer: B
Rationale: Obtaining a blood glucose reading is within the scope of practice for an
AP. Assessment, evaluation, and care planning are responsibilities of the
licensed nurse (RN) and cannot be delegated.
3. A charge nurse is reviewing critical pathways with a newly licensed nurse.
Which of the following statements should the charge nurse include?
A. "Critical pathways are used to decrease health care costs."
B. "Critical pathways replace the need for nursing care plans."
C. "Critical pathways must be completed within 24 hours of admission."
D. "Critical pathways are legally binding documents."
Correct Answer: A
Rationale: Critical pathways are interdisciplinary tools designed to standardize
care, improve outcomes, and reduce healthcare costs by minimizing variations in
treatment and length of stay. They complement, rather than replace, nursing care
plans.
4. A nurse is caring for a client who refuses a prescribed blood transfusion for
religious reasons. Which of the following actions should the nurse take?
,A. Inform the client of the risks of refusal and document only.
B. Notify the provider and the risk manager.
C. Ensure the refusal is informed, document it, and uphold the client's right.
D. Ask the family to persuade the client to accept the transfusion.
Correct Answer: C
Rationale: Clients have the right to refuse treatment based on informed consent
and autonomy. The nurse must respect the client's decision, ensure they understand
the consequences, document the refusal, and notify the provider—but cannot force
or coerce treatment.
5. A nurse is preparing to transfer a client who has tuberculosis to the
radiology department. Which of the following actions should the nurse take?
A. Escort the client via the shortest route while wearing a simple mask.
B. Ensure the client wears a surgical mask during transport.
C. Transport the client only after all other clients have cleared the hallway.
D. Keep the client in isolation and have the procedure performed at the bedside.
Correct Answer: B
Rationale: Clients on airborne precautions for tuberculosis must wear a surgical
mask during transport to prevent droplet nuclei from spreading. Staff should wear
N95 respirators. The procedure does not need to be performed at the bedside unless
clinically indicated.
6. A nurse is serving on a disaster triage team. Which of the following injuries
should the nurse assign the HIGHEST priority?
A. Open femur fracture with moderate bleeding.
B. Large scalp laceration with controlled bleeding.
C. Third-degree burn covering 95% of total body surface area.
D. Simple arm fracture with distal pulses present.
Correct Answer: C
Rationale: In disaster triage, the expectant category (lowest priority) includes
clients with injuries so severe they are unlikely to survive given available
, resources. A 95% full-thickness burn carries extremely high mortality and would
be triaged as expectant—meaning no immediate resources are allocated.
7. A nurse is reviewing a client's living will. Which of the following statements
by the client indicates an understanding of this document?
A. "This document specifies my wishes for end-of-life medical treatment."
B. "This document names a person to make financial decisions for me."
C. "This document is legally binding only if I am hospitalized."
D. "This document transfers my property to my beneficiaries."
Correct Answer: A
Rationale: A living will is an advance directive that specifies a client's wishes
regarding medical treatment (e.g., intubation, CPR, artificial nutrition) when they
are unable to communicate their decisions. It does not address finances (power of
attorney) or property distribution (will).
8. A nurse manager is updating protocols for the use of belt restraints. Which
of the following guidelines should the nurse include?
A. Apply restraints for 4 hours before re-evaluation.
B. Document the client's condition every 15 minutes while restrained.
C. Secure restraints to the side rail of the bed.
D. Obtain a PRN order for restraints from the provider.
Correct Answer: B
Rationale: Clients in restraints require frequent monitoring, including
assessment of circulation, skin integrity, nutrition, hydration, and elimination every
15 minutes. Documentation must reflect these assessments. Restraints should be
tied to the bed frame (not side rails) and require a provider order renewed every 24
hours.
9. A nurse is teaching a client about designating a health care proxy. Which of
the following statements should the nurse include?
