ATI RN Comprehensive Predictor
Exam 2026- Question Practice Test
with Rationales||questions and
answers with rationales/graded
A+/2026 update/100% correct /instant
download
Instructions: Select the best answer for each question. Correct answers
are highlighted in bold. Rationales follow each question.
Domain 1: Management of Care (10 questions)
1. A nurse is planning care for a client who has a new tracheostomy. Which of
the following actions should the nurse include to maintain a patent airway?
A. Suction the tracheostomy every 2 hours routinely
B. Provide humidified oxygen
C. Deflate the cuff for 30 seconds every 4 hours
D. Clean the inner cannula with sterile water daily
Rationale: Humidified oxygen prevents mucus plugging and maintains moisture.
Routine suctioning is PRN, not scheduled. Cuff deflation is done per protocol (not
routinely every 4 hrs). Inner cannula cleaning is needed more often (e.g., Q8-12h).
2. A nurse is delegating tasks to an assistive personnel (AP). Which of the
following tasks is appropriate for the AP?
A. Assist a client with ambulation using a gait belt
B. Reinforce dietary teaching for a diabetic client
C. Evaluate the effectiveness of a pain medication
D. Suction a client’s oropharyngeal airway
Rationale: AP can assist with ambulation and use a gait belt. Teaching, evaluation,
and suctioning require licensed nursing judgment.
,3. A charge nurse is conducting a fire drill. Which of the following actions
demonstrates correct use of the RACE acronym?
A. Remove clients, Alarm, Contain, Extinguish
B. Rescue, Alarm, Confine, Extinguish
C. Run, Alert, Call, Evacuate
D. Relocate, Assess, Control, Exit
Rationale: RACE = Rescue clients in immediate danger, Activate alarm, Confine
fire (close doors), Extinguish/Evacuate.
4. A client refuses a blood transfusion due to religious beliefs. The nurse
should:
A. Ask the family to persuade the client
B. Respect the refusal and notify the provider
C. Give the transfusion because it is life-saving
D. Document the refusal but proceed with transfusion
Rationale: Clients have the right to refuse treatment. The nurse must respect
autonomy and notify the provider. Forcing treatment is battery.
5. A nurse is preparing to transfer a client from bed to stretcher. Which of the
following actions prevents injury to the nurse?
A. Keep feet together and knees straight
B. Position the stretcher slightly lower than the bed
C. Twist at the waist while pulling the client
D. Use only upper body strength
Rationale: Keeping the stretcher slightly lower allows the nurse to use leg muscles
and prevent back injury. Feet shoulder-width apart, bend knees, avoid twisting.
6. A nurse is reviewing advance directives with a client. Which statement by
the client indicates understanding?
A. “My living will names a person to make decisions for me.”
B. “A durable power of attorney for health care is for when I cannot speak for
myself.”
C. “Once I sign, I cannot change my advance directives.”
D. “My doctor must follow my living will even if it’s against medical advice.”
Rationale: Durable POA activates when client is incapacitated. Living will
outlines treatments, not names a person. Directives can be changed. Physicians
may need ethics consult if conflict.
, 7. A nurse is caring for a client post-op day 1 following a total hip
arthroplasty. Which of the following actions should the nurse implement first
after receiving change-of-shift report?
A. Review the client’s hemoglobin level
B. Assess the client’s pain level
C. Check the surgical incision for drainage
D. Administer prescribed enoxaparin
Rationale: Pain assessment is first per nursing process (assessment before
intervention). Enoxaparin can be given after assessment.
8. A client is being discharged with a new colostomy. The nurse should refer
the client to which member of the interdisciplinary team?
A. Physical therapist
B. Wound, ostomy, and continence nurse (WOCN)
C. Social worker
D. Respiratory therapist
Rationale: WOCN specializes in ostomy care, pouching systems, and patient
education.
9. A nurse on a medical-surgical unit is caring for four clients. Which client
should the nurse assess first?
A. Client with pneumonia and O2 sat 92% on 2L NC
B. Client with chest tube and new onset subcutaneous emphysema
C. Client with diabetes and blood glucose 140 mg/dL
D. Client with heart failure and 1+ pitting edema
Rationale: Subcutaneous emphysema with chest tube indicates possible tension
pneumothorax or tube malfunction—life-threatening.
10. A nurse is completing an incident report after a client falls. Which of the
following actions is correct?
A. Include statements from witnesses in the report
B. Document the fall in the medical record objectively
C. Place the incident report in the client’s chart
D. Copy the incident report for the client’s family
Rationale: Incident report is separate from medical record. Document facts in
chart (e.g., “client found on floor”). Do not mention incident report in chart.
Exam 2026- Question Practice Test
with Rationales||questions and
answers with rationales/graded
A+/2026 update/100% correct /instant
download
Instructions: Select the best answer for each question. Correct answers
are highlighted in bold. Rationales follow each question.
Domain 1: Management of Care (10 questions)
1. A nurse is planning care for a client who has a new tracheostomy. Which of
the following actions should the nurse include to maintain a patent airway?
A. Suction the tracheostomy every 2 hours routinely
B. Provide humidified oxygen
C. Deflate the cuff for 30 seconds every 4 hours
D. Clean the inner cannula with sterile water daily
Rationale: Humidified oxygen prevents mucus plugging and maintains moisture.
Routine suctioning is PRN, not scheduled. Cuff deflation is done per protocol (not
routinely every 4 hrs). Inner cannula cleaning is needed more often (e.g., Q8-12h).
2. A nurse is delegating tasks to an assistive personnel (AP). Which of the
following tasks is appropriate for the AP?
A. Assist a client with ambulation using a gait belt
B. Reinforce dietary teaching for a diabetic client
C. Evaluate the effectiveness of a pain medication
D. Suction a client’s oropharyngeal airway
Rationale: AP can assist with ambulation and use a gait belt. Teaching, evaluation,
and suctioning require licensed nursing judgment.
,3. A charge nurse is conducting a fire drill. Which of the following actions
demonstrates correct use of the RACE acronym?
A. Remove clients, Alarm, Contain, Extinguish
B. Rescue, Alarm, Confine, Extinguish
C. Run, Alert, Call, Evacuate
D. Relocate, Assess, Control, Exit
Rationale: RACE = Rescue clients in immediate danger, Activate alarm, Confine
fire (close doors), Extinguish/Evacuate.
4. A client refuses a blood transfusion due to religious beliefs. The nurse
should:
A. Ask the family to persuade the client
B. Respect the refusal and notify the provider
C. Give the transfusion because it is life-saving
D. Document the refusal but proceed with transfusion
Rationale: Clients have the right to refuse treatment. The nurse must respect
autonomy and notify the provider. Forcing treatment is battery.
5. A nurse is preparing to transfer a client from bed to stretcher. Which of the
following actions prevents injury to the nurse?
A. Keep feet together and knees straight
B. Position the stretcher slightly lower than the bed
C. Twist at the waist while pulling the client
D. Use only upper body strength
Rationale: Keeping the stretcher slightly lower allows the nurse to use leg muscles
and prevent back injury. Feet shoulder-width apart, bend knees, avoid twisting.
6. A nurse is reviewing advance directives with a client. Which statement by
the client indicates understanding?
A. “My living will names a person to make decisions for me.”
B. “A durable power of attorney for health care is for when I cannot speak for
myself.”
C. “Once I sign, I cannot change my advance directives.”
D. “My doctor must follow my living will even if it’s against medical advice.”
Rationale: Durable POA activates when client is incapacitated. Living will
outlines treatments, not names a person. Directives can be changed. Physicians
may need ethics consult if conflict.
, 7. A nurse is caring for a client post-op day 1 following a total hip
arthroplasty. Which of the following actions should the nurse implement first
after receiving change-of-shift report?
A. Review the client’s hemoglobin level
B. Assess the client’s pain level
C. Check the surgical incision for drainage
D. Administer prescribed enoxaparin
Rationale: Pain assessment is first per nursing process (assessment before
intervention). Enoxaparin can be given after assessment.
8. A client is being discharged with a new colostomy. The nurse should refer
the client to which member of the interdisciplinary team?
A. Physical therapist
B. Wound, ostomy, and continence nurse (WOCN)
C. Social worker
D. Respiratory therapist
Rationale: WOCN specializes in ostomy care, pouching systems, and patient
education.
9. A nurse on a medical-surgical unit is caring for four clients. Which client
should the nurse assess first?
A. Client with pneumonia and O2 sat 92% on 2L NC
B. Client with chest tube and new onset subcutaneous emphysema
C. Client with diabetes and blood glucose 140 mg/dL
D. Client with heart failure and 1+ pitting edema
Rationale: Subcutaneous emphysema with chest tube indicates possible tension
pneumothorax or tube malfunction—life-threatening.
10. A nurse is completing an incident report after a client falls. Which of the
following actions is correct?
A. Include statements from witnesses in the report
B. Document the fall in the medical record objectively
C. Place the incident report in the client’s chart
D. Copy the incident report for the client’s family
Rationale: Incident report is separate from medical record. Document facts in
chart (e.g., “client found on floor”). Do not mention incident report in chart.
