ATI RN COMPREHENSIVE
PREDICTOR 2026: MASTERY
EXAM|||Questions And Answers With
Rationales/Graded A+/2026
Update/100% Correct /Instant
Download
Total Questions: 85
Time Limit: 180 Minutes (Approx. 2 min/question)
Content Areas: Management of Care, Safety, Pharmacology, Reduction of Risk,
Physiological Adaptation, Psychosocial Integrity.
Section 1: Management of Care & Delegation (Questions 1-15)
1. A charge nurse is assigning staff for a medical-surgical unit. Which client
should be assigned to the Registered Nurse (RN) rather than the Licensed
Practical Nurse (LPN)?
• A. A client requiring a blood transfusion for symptomatic anemia
• B. A client post-cholecystectomy requesting pain medication
• C. A client with diabetes mellitus needing a fingerstick blood glucose check
• D. A client with a colostomy requiring appliance care
Rationale: Blood transfusions require the educational preparation and assessment
skills of an RN due to the risk of transfusion reactions . LPNs can administer
medications (B) , perform glucose checks (C), and provide ostomy care (D) in
stable patients.
, 2. A nurse is preparing a client for discharge following a myocardial infarction
(MI). Which statement by the client indicates a need for further teaching
regarding nitroglycerin?
• A. "I will keep my nitroglycerin in the original brown bottle."
• B. "I can take up to three tablets, five minutes apart."
• C. "I will take a tablet every 15 minutes until the pain stops."
• D. "If I have chest pain, I will sit down before taking the medication."
Rationale: The standard protocol for nitroglycerin is one tablet every 5 minutes
for a maximum of three doses . Taking it every 15 minutes delays treatment. Beta-
blockers are usually held for HR < 60.
3. A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP).
Which task is appropriate for the nurse to delegate?
• A. Assessing the nutritional intake of a client with dysphagia
• B. Suctioning a tracheostomy for a stable client
• C. Ambulating a client who is post-operative day two following an
appendectomy
• D. Teaching a client how to use a Patient-Controlled Analgesia (PCA) pump
Rationale: Delegation is based on the "right task." Ambulating a stable post-op
client is within the scope of a UAP . Teaching (D), assessment (A), and sterile
suctioning (B) require licensed nursing judgment.
4. A client presents to the emergency department with a suspected myocardial
infarction. The client is alert but refuses to sign a consent form for emergency
angioplasty. Which action should the nurse take?
• A. Respect the client's refusal and notify the provider
• B. Ask the client's spouse to sign the consent form
• C. Prepare the client for the procedure as it is an emergency
• D. Contact risk management to override the consent
Rationale: A competent adult has the right to refuse treatment, even if that
decision leads to harm . Autonomy must be respected.
PREDICTOR 2026: MASTERY
EXAM|||Questions And Answers With
Rationales/Graded A+/2026
Update/100% Correct /Instant
Download
Total Questions: 85
Time Limit: 180 Minutes (Approx. 2 min/question)
Content Areas: Management of Care, Safety, Pharmacology, Reduction of Risk,
Physiological Adaptation, Psychosocial Integrity.
Section 1: Management of Care & Delegation (Questions 1-15)
1. A charge nurse is assigning staff for a medical-surgical unit. Which client
should be assigned to the Registered Nurse (RN) rather than the Licensed
Practical Nurse (LPN)?
• A. A client requiring a blood transfusion for symptomatic anemia
• B. A client post-cholecystectomy requesting pain medication
• C. A client with diabetes mellitus needing a fingerstick blood glucose check
• D. A client with a colostomy requiring appliance care
Rationale: Blood transfusions require the educational preparation and assessment
skills of an RN due to the risk of transfusion reactions . LPNs can administer
medications (B) , perform glucose checks (C), and provide ostomy care (D) in
stable patients.
, 2. A nurse is preparing a client for discharge following a myocardial infarction
(MI). Which statement by the client indicates a need for further teaching
regarding nitroglycerin?
• A. "I will keep my nitroglycerin in the original brown bottle."
• B. "I can take up to three tablets, five minutes apart."
• C. "I will take a tablet every 15 minutes until the pain stops."
• D. "If I have chest pain, I will sit down before taking the medication."
Rationale: The standard protocol for nitroglycerin is one tablet every 5 minutes
for a maximum of three doses . Taking it every 15 minutes delays treatment. Beta-
blockers are usually held for HR < 60.
3. A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP).
Which task is appropriate for the nurse to delegate?
• A. Assessing the nutritional intake of a client with dysphagia
• B. Suctioning a tracheostomy for a stable client
• C. Ambulating a client who is post-operative day two following an
appendectomy
• D. Teaching a client how to use a Patient-Controlled Analgesia (PCA) pump
Rationale: Delegation is based on the "right task." Ambulating a stable post-op
client is within the scope of a UAP . Teaching (D), assessment (A), and sterile
suctioning (B) require licensed nursing judgment.
4. A client presents to the emergency department with a suspected myocardial
infarction. The client is alert but refuses to sign a consent form for emergency
angioplasty. Which action should the nurse take?
• A. Respect the client's refusal and notify the provider
• B. Ask the client's spouse to sign the consent form
• C. Prepare the client for the procedure as it is an emergency
• D. Contact risk management to override the consent
Rationale: A competent adult has the right to refuse treatment, even if that
decision leads to harm . Autonomy must be respected.
