ATI RN PREDICTOR
COMPREHENSIVE EXAM (Latest
2026 Update)|| Questions And Answers
With Rationales/Graded A+/2026
Update/100% Correct /Instant
Download
Total Questions: 210
Format: Multiple Choice, Select All That Apply, Ordered Response
Time Limit: 4 Hours (simulated)
Purpose: Assess readiness for NCLEX-RN and comprehensive nursing judgment.
Section 1: Management of Care (Q1–30)
1. A nurse is caring for a client who refuses a blood transfusion due to
religious beliefs. The client’s spouse requests the transfusion. Which action
should the nurse take first?
A. Administer the transfusion to prevent harm
B. Notify the hospital ethics committee
C. Respect the client’s refusal and document it
D. Ask the spouse to sign a consent form
Rationale: Competent adults have the right to refuse treatment, even if it leads to
death. The nurse must respect autonomy and document the refusal.
2. A charge nurse is delegating tasks to an LPN. Which task is appropriate to
delegate?
A. Initial admission assessment
B. Administering a tube feeding to a stable client
C. Creating the nursing care plan
D. Teaching a client about insulin administration
, Rationale: LPNs can administer tube feedings to stable clients. Initial assessments,
teaching, and care planning are RN responsibilities.
3. A nurse is preparing a client for discharge after a stroke. Which
interprofessional referral is most appropriate?
A. Respiratory therapy
B. Speech-language pathologist
C. Podiatry
D. Pastoral care
Rationale: Stroke clients often have dysphagia and aphasia, requiring speech
therapy for swallowing and communication.
(Continue similarly for Q4–30 – due to space, below are representative questions
and answers)
30. A nurse manager is implementing a new electronic health record system.
Which change theory step corresponds to “unfreezing”?
A. Reinforcing new behaviors
B. Identifying the need for change due to medication errors
C. Implementing the new system
D. Evaluating outcomes
Rationale: Unfreezing involves recognizing that current methods are ineffective,
creating readiness for change.
Section 2: Safety and Infection Control (Q31–55)
31. A nurse is caring for a client with Clostridioides difficile. Which precaution
is most important?
A. N95 respirator
B. Hand hygiene with soap and water
C. Negative pressure room
D. Droplet precautions
Rationale: Alcohol-based hand rubs do not kill C. diff spores; soap and water are
required.
32. A client falls in the bathroom. After assisting the client, what is the nurse’s
priority documentation?
COMPREHENSIVE EXAM (Latest
2026 Update)|| Questions And Answers
With Rationales/Graded A+/2026
Update/100% Correct /Instant
Download
Total Questions: 210
Format: Multiple Choice, Select All That Apply, Ordered Response
Time Limit: 4 Hours (simulated)
Purpose: Assess readiness for NCLEX-RN and comprehensive nursing judgment.
Section 1: Management of Care (Q1–30)
1. A nurse is caring for a client who refuses a blood transfusion due to
religious beliefs. The client’s spouse requests the transfusion. Which action
should the nurse take first?
A. Administer the transfusion to prevent harm
B. Notify the hospital ethics committee
C. Respect the client’s refusal and document it
D. Ask the spouse to sign a consent form
Rationale: Competent adults have the right to refuse treatment, even if it leads to
death. The nurse must respect autonomy and document the refusal.
2. A charge nurse is delegating tasks to an LPN. Which task is appropriate to
delegate?
A. Initial admission assessment
B. Administering a tube feeding to a stable client
C. Creating the nursing care plan
D. Teaching a client about insulin administration
, Rationale: LPNs can administer tube feedings to stable clients. Initial assessments,
teaching, and care planning are RN responsibilities.
3. A nurse is preparing a client for discharge after a stroke. Which
interprofessional referral is most appropriate?
A. Respiratory therapy
B. Speech-language pathologist
C. Podiatry
D. Pastoral care
Rationale: Stroke clients often have dysphagia and aphasia, requiring speech
therapy for swallowing and communication.
(Continue similarly for Q4–30 – due to space, below are representative questions
and answers)
30. A nurse manager is implementing a new electronic health record system.
Which change theory step corresponds to “unfreezing”?
A. Reinforcing new behaviors
B. Identifying the need for change due to medication errors
C. Implementing the new system
D. Evaluating outcomes
Rationale: Unfreezing involves recognizing that current methods are ineffective,
creating readiness for change.
Section 2: Safety and Infection Control (Q31–55)
31. A nurse is caring for a client with Clostridioides difficile. Which precaution
is most important?
A. N95 respirator
B. Hand hygiene with soap and water
C. Negative pressure room
D. Droplet precautions
Rationale: Alcohol-based hand rubs do not kill C. diff spores; soap and water are
required.
32. A client falls in the bathroom. After assisting the client, what is the nurse’s
priority documentation?
