ATI RN COMPREHENSIVE
PREDICTOR 2026:
COMPREHENSIVE TEST
BANK||Questions And Answers With
Rationales/Graded A+/2026
Update/100% Correct /Instant
Download
STUDENT INSTRUCTIONS:
• Format: This examination contains 210 multiple-choice and select-all-that-
apply questions.
• Content Areas: Fundamentals, Medical-Surgical, Maternal-Newborn,
Pediatrics, Mental Health, Pharmacology, Leadership, and NGN Case
Studies.
• Grading: Correct answers are highlighted in bold with a star (★).
Rationales are provided to explain the correct answer and incorrect options.
SECTION I: MANAGEMENT OF CARE & ETHICOLEGAL ISSUES
(Questions 1-20)
1. A charge nurse is assigning rooms for four clients. Which client should be
assigned nearest the nurses' station?
A. A client with COPD who requires Q2h inhaler treatments
B. An older adult client with dementia who is confused and tries to get out of bed
C. A client post-appendectomy day 2 with PCA pump
D. A client with pneumonia on IV antibiotics
,★ Answer: B
Rationale: Client safety is the priority. The confused client with dementia is at
high risk for falls. Placing them near the nurses' station allows for closer
observation. While the client in A has respiratory needs, they are stable and
oriented. C and D are stable post-op/medical clients.
2. A nurse is preparing a client for discharge. The client asks, "What is an
advance directive?" Which response is correct?
A. "It is a document that gives your partner permission to make financial
decisions."
B. "It is a legal document that states your wishes for medical treatment if you
cannot speak for yourself."
C. "It is only needed if you are over 65 years old."
D. "It allows the doctor to override your family's wishes."
★ Answer: B
Rationale: Advance directives (Living Will or Durable Power of Attorney for
Healthcare) outline a client's wishes for care when they are incapacitated. A is
incorrect (that is financial power of attorney). C is incorrect (any adult can have
one). D is incorrect (the document ensures client autonomy).
3. A nurse is caring for a client who is post-operative and refuses to get out of
bed. Which action demonstrates the ethical principle of autonomy?
A. Telling the client they will get pneumonia if they stay in bed
B. Calling the provider to get a prescription for restraints
C. Explaining the risks of immobility but respecting the client's refusal
D. Asking the family to convince the client to walk
★ Answer: C
Rationale: Autonomy respects the client's right to make their own healthcare
decisions, even if those decisions are unwise. The nurse must provide education
(informed refusal) and then respect the choice.
4. A charge nurse is delegating tasks. Which task is appropriate to assign to an
LPN/LVN?
A. Performing the initial admission assessment on a new client
B. Teaching a client how to self-administer insulin
,C. Administering a tube feeding to a client with a stable gastrostomy tube
D. Creating the plan of care for a client with pneumonia
★ Answer: C
Rationale: The LPN/LVN can administer medications and monitor stable clients
(stable tube feeds). RNs are responsible for initial assessments (A), teaching (B),
and initial care planning (D).
5. A nurse smells smoke and sees a fire in a trash can in a client's room. What
is the priority action?
A. Pull the fire alarm
B. Extinguish the fire with the灭火器
C. Evacuate the client from the room
D. Close all doors on the unit
★ Answer: C
Rationale: RACE: Rescue (clients in immediate
danger), Alarm, Contain, Evacuate. The client's safety is first; remove them from
the immediate danger zone.
6. A nurse is discussing living wills with a client. Which statement indicates
understanding?
A. "A living will names the person who will make decisions for me."
B. "A living will outlines specific medical treatments I want or do not want."
C. "A living will needs to be renewed every year."
D. "A living will only applies if I am in a coma."
★ Answer: B
Rationale: A living will is a written document that details a person's wishes
regarding medical treatments (like intubation or feeding tubes) in end-of-life
scenarios. Naming a person is a Durable Power of Attorney (D). While often used
in terminal states, it can apply to persistent vegetative states or end-stage dementia,
not just coma.
7. A nurse is caring for a client who has a DNR (Do Not Resuscitate) order.
The client becomes unresponsive and apneic. What should the nurse do?
A. Begin chest compressions while calling a code
B. Call a code blue and wait for the team
, C. Provide comfort measures and allow natural death to occur
D. Administer oxygen via bag-valve-mask
★ Answer: C
Rationale: A valid DNR order means the healthcare team will not initiate
resuscitative measures (CPR, intubation, defibrillation). The nurse provides
comfort, pain management, and supports the family.
8. How should a nurse verify an " Informed Consent" has been properly
signed by a client?
A. Ensure the nurse explained the procedure risks to the client
B. Ensure the client is not sedated and the provider explained the risks/benefits
C. Ensure the family member co-signed the form
D. Ensure the form was signed immediately after admission
★ Answer: B
Rationale: Informed consent requires the provider to explain the procedure, risks,
benefits, and alternatives. The nurse's role is to witness the signature, confirm the
client is competent and not under heavy sedation, and that consent was voluntary.
9. A client is threatening to leave the hospital against medical advice (AMA).
What is the nurse's priority action?
A. Notify security to block the door
B. Ask the client to sign the AMA form
C. Notify the provider of the client's intention
D. Restrain the client to prevent leaving
★ Answer: C
Rationale: The nurse should first notify the provider so they can speak with the
client one last time. The client has the legal right to leave. If they insist, they sign
AMA (B), but the provider must be notified first to ensure it's not a delusional state
or psychosis.
10. A charge nurse is observing a new graduate nurse perform a sterile
dressing change. Which action requires intervention?
A. The nurse opens the sterile kit away from the body
B. The nurse sets up the sterile field and then puts on sterile gloves
C. The nurse holds sterile objects below waist level
D. The nurse leaves a 1-inch border around the edge of the field
PREDICTOR 2026:
COMPREHENSIVE TEST
BANK||Questions And Answers With
Rationales/Graded A+/2026
Update/100% Correct /Instant
Download
STUDENT INSTRUCTIONS:
• Format: This examination contains 210 multiple-choice and select-all-that-
apply questions.
• Content Areas: Fundamentals, Medical-Surgical, Maternal-Newborn,
Pediatrics, Mental Health, Pharmacology, Leadership, and NGN Case
Studies.
• Grading: Correct answers are highlighted in bold with a star (★).
Rationales are provided to explain the correct answer and incorrect options.
SECTION I: MANAGEMENT OF CARE & ETHICOLEGAL ISSUES
(Questions 1-20)
1. A charge nurse is assigning rooms for four clients. Which client should be
assigned nearest the nurses' station?
A. A client with COPD who requires Q2h inhaler treatments
B. An older adult client with dementia who is confused and tries to get out of bed
C. A client post-appendectomy day 2 with PCA pump
D. A client with pneumonia on IV antibiotics
,★ Answer: B
Rationale: Client safety is the priority. The confused client with dementia is at
high risk for falls. Placing them near the nurses' station allows for closer
observation. While the client in A has respiratory needs, they are stable and
oriented. C and D are stable post-op/medical clients.
2. A nurse is preparing a client for discharge. The client asks, "What is an
advance directive?" Which response is correct?
A. "It is a document that gives your partner permission to make financial
decisions."
B. "It is a legal document that states your wishes for medical treatment if you
cannot speak for yourself."
C. "It is only needed if you are over 65 years old."
D. "It allows the doctor to override your family's wishes."
★ Answer: B
Rationale: Advance directives (Living Will or Durable Power of Attorney for
Healthcare) outline a client's wishes for care when they are incapacitated. A is
incorrect (that is financial power of attorney). C is incorrect (any adult can have
one). D is incorrect (the document ensures client autonomy).
3. A nurse is caring for a client who is post-operative and refuses to get out of
bed. Which action demonstrates the ethical principle of autonomy?
A. Telling the client they will get pneumonia if they stay in bed
B. Calling the provider to get a prescription for restraints
C. Explaining the risks of immobility but respecting the client's refusal
D. Asking the family to convince the client to walk
★ Answer: C
Rationale: Autonomy respects the client's right to make their own healthcare
decisions, even if those decisions are unwise. The nurse must provide education
(informed refusal) and then respect the choice.
4. A charge nurse is delegating tasks. Which task is appropriate to assign to an
LPN/LVN?
A. Performing the initial admission assessment on a new client
B. Teaching a client how to self-administer insulin
,C. Administering a tube feeding to a client with a stable gastrostomy tube
D. Creating the plan of care for a client with pneumonia
★ Answer: C
Rationale: The LPN/LVN can administer medications and monitor stable clients
(stable tube feeds). RNs are responsible for initial assessments (A), teaching (B),
and initial care planning (D).
5. A nurse smells smoke and sees a fire in a trash can in a client's room. What
is the priority action?
A. Pull the fire alarm
B. Extinguish the fire with the灭火器
C. Evacuate the client from the room
D. Close all doors on the unit
★ Answer: C
Rationale: RACE: Rescue (clients in immediate
danger), Alarm, Contain, Evacuate. The client's safety is first; remove them from
the immediate danger zone.
6. A nurse is discussing living wills with a client. Which statement indicates
understanding?
A. "A living will names the person who will make decisions for me."
B. "A living will outlines specific medical treatments I want or do not want."
C. "A living will needs to be renewed every year."
D. "A living will only applies if I am in a coma."
★ Answer: B
Rationale: A living will is a written document that details a person's wishes
regarding medical treatments (like intubation or feeding tubes) in end-of-life
scenarios. Naming a person is a Durable Power of Attorney (D). While often used
in terminal states, it can apply to persistent vegetative states or end-stage dementia,
not just coma.
7. A nurse is caring for a client who has a DNR (Do Not Resuscitate) order.
The client becomes unresponsive and apneic. What should the nurse do?
A. Begin chest compressions while calling a code
B. Call a code blue and wait for the team
, C. Provide comfort measures and allow natural death to occur
D. Administer oxygen via bag-valve-mask
★ Answer: C
Rationale: A valid DNR order means the healthcare team will not initiate
resuscitative measures (CPR, intubation, defibrillation). The nurse provides
comfort, pain management, and supports the family.
8. How should a nurse verify an " Informed Consent" has been properly
signed by a client?
A. Ensure the nurse explained the procedure risks to the client
B. Ensure the client is not sedated and the provider explained the risks/benefits
C. Ensure the family member co-signed the form
D. Ensure the form was signed immediately after admission
★ Answer: B
Rationale: Informed consent requires the provider to explain the procedure, risks,
benefits, and alternatives. The nurse's role is to witness the signature, confirm the
client is competent and not under heavy sedation, and that consent was voluntary.
9. A client is threatening to leave the hospital against medical advice (AMA).
What is the nurse's priority action?
A. Notify security to block the door
B. Ask the client to sign the AMA form
C. Notify the provider of the client's intention
D. Restrain the client to prevent leaving
★ Answer: C
Rationale: The nurse should first notify the provider so they can speak with the
client one last time. The client has the legal right to leave. If they insist, they sign
AMA (B), but the provider must be notified first to ensure it's not a delusional state
or psychosis.
10. A charge nurse is observing a new graduate nurse perform a sterile
dressing change. Which action requires intervention?
A. The nurse opens the sterile kit away from the body
B. The nurse sets up the sterile field and then puts on sterile gloves
C. The nurse holds sterile objects below waist level
D. The nurse leaves a 1-inch border around the edge of the field
