ATI RN COMPREHENSIVE
PREDICTOR 2026: EXIT EXAM
PRACTICE TEST||questions and
answers with rationales/graded
A+/2026 update/100% correct /instant
download
Total Questions: 85
Format: Multiple Choice, Select-All-That-Apply (SATA), Bowtie (NGN)
Instructions: Select the best answer(s) for each question. Correct answers and
rationales are highlighted in bold.
Section 1: Management of Care & Prioritization (Questions 1-15)
1. A nurse is caring for four clients. Which client should the nurse assess first?
• A. A client with pneumonia who has a fever of 38.3°C (101°F)
• B. A client with a new tracheostomy who has thick, yellow secretions
• C. A client who is 1-day post-operative and reports pain of 6 on a 0-10 scale
• D. A client with type 1 diabetes mellitus who has a blood glucose of 180
mg/dL
Correct Answer: B
Rationale: Airway is always the priority. Thick secretions can obstruct a new
tracheostomy, leading to respiratory arrest.
2. A charge nurse is assigning rooms for new admissions. Which client
requires a private room?
• A. Client with diabetic ketoacidosis
• B. Client with a fractured femur
, • C. Client with Clostridioides difficile infection
• D. Client with angina pectoris
Correct Answer: C
Rationale: C. diff requires Contact Precautions and a private room to prevent
transmission of spores to other clients.
3. A nurse receives a telephone prescription for a client. What action should
the nurse take first?
• A. Ask the provider to spell the medication name
• B. Read the prescription back to the provider
• C. Inform another nurse of the prescription
• D. Document the prescription in the chart
Correct Answer: B
Rationale: The "read back" is a critical safety step required by The Joint
Commission to prevent medication errors.
4. A nurse is delegating tasks to an assistive personnel (AP). Which task is
appropriate to delegate?
• A. Suctioning a tracheostomy
• B. Assessing a post-operative incision
• C. Measuring intake and output
• D. Teaching a client how to use an incentive spirometer
Correct Answer: C
Rationale: Measuring I&O is a standard, routine task that falls within the stable
scope of practice for UAP/AP.
5. A nurse is planning care for a client who is postictal following a tonic-clonic
seizure. Which intervention is priority?
• A. Administer oral fluids
• B. Turn the client to the side
• C. Restrain the client to prevent injury
, • D. Place a tongue blade in the mouth
Correct Answer: B
Rationale: Turning the client to the side (lateral position) helps drain secretions
and prevents aspiration. Restraints and oral airway insertion are contraindicated
during active seizure activity.
6. A client tells the nurse, "I don't want to be a burden anymore." What is the
nurse's priority assessment?
• A. Assess for suicide ideation
• B. Assess the client's financial status
• C. Assess the family's coping mechanisms
• D. Assess the client's pain level
Correct Answer: A
Rationale: Statements of hopelessness or worthlessness are "red flags" for suicide
risk. The nurse must directly ask the client if they have a plan to harm themselves.
7. A client refuses a blood transfusion due to religious beliefs. The client's
hemoglobin is 6 g/dL. What action should the nurse take?
• A. Call the provider for an emergency transfusion
• B. Respect the client's refusal and notify the provider
• C. Ask the client's family to persuade them
• D. Explain that without transfusion the client will die
Correct Answer: B
Rationale: Competent adults have the right to refuse treatment, even if it is life-
saving. The nurse must respect autonomy and document the refusal.
8. A nurse is providing discharge teaching to a client who speaks a different
language. An interpreter is present. What action is appropriate?
• A. Speak to the interpreter, not the client
• B. Use family members to interpret
• C. Speak directly to the client
• D. Add medical jargon to ensure accuracy
, Correct Answer: C
Rationale: The nurse should speak directly to the client to maintain respect, even
when using an interpreter.
9. A nurse manager is reviewing a sentinel event. Which event requires
immediate reporting?
• A. A client falls but is uninjured
• B. A client receives the wrong medication resulting in death
• C. A client develops a stage 2 pressure injury
• D. A client elopes but returns within 1 hour
Correct Answer: B
Rationale: A sentinel event is an unexpected occurrence involving death or serious
physical or psychological injury.
10. A nurse is preparing to discharge a client with a wound vacuum-assisted
closure (VAC) device. What is the priority teaching point?
• A. How to change the battery
• B. Signs of infection to report
• C. How to schedule follow-up appointments
• D. The cost of the device
Correct Answer: B
Rationale: Recognizing signs of infection (redness, purulent drainage, fever) is a
safety priority to prevent sepsis.
11. Which task is appropriate for the RN to assign to a Licensed Practical
Nurse (LPN)?
• A. Initial admission assessment
• B. Insertion of a nasogastric tube
• C. Creation of the plan of care
• D. Evaluation of client education
Correct Answer: B
Rationale: Insertion of an NG tube is within the scope of LPN practice in many
PREDICTOR 2026: EXIT EXAM
PRACTICE TEST||questions and
answers with rationales/graded
A+/2026 update/100% correct /instant
download
Total Questions: 85
Format: Multiple Choice, Select-All-That-Apply (SATA), Bowtie (NGN)
Instructions: Select the best answer(s) for each question. Correct answers and
rationales are highlighted in bold.
Section 1: Management of Care & Prioritization (Questions 1-15)
1. A nurse is caring for four clients. Which client should the nurse assess first?
• A. A client with pneumonia who has a fever of 38.3°C (101°F)
• B. A client with a new tracheostomy who has thick, yellow secretions
• C. A client who is 1-day post-operative and reports pain of 6 on a 0-10 scale
• D. A client with type 1 diabetes mellitus who has a blood glucose of 180
mg/dL
Correct Answer: B
Rationale: Airway is always the priority. Thick secretions can obstruct a new
tracheostomy, leading to respiratory arrest.
2. A charge nurse is assigning rooms for new admissions. Which client
requires a private room?
• A. Client with diabetic ketoacidosis
• B. Client with a fractured femur
, • C. Client with Clostridioides difficile infection
• D. Client with angina pectoris
Correct Answer: C
Rationale: C. diff requires Contact Precautions and a private room to prevent
transmission of spores to other clients.
3. A nurse receives a telephone prescription for a client. What action should
the nurse take first?
• A. Ask the provider to spell the medication name
• B. Read the prescription back to the provider
• C. Inform another nurse of the prescription
• D. Document the prescription in the chart
Correct Answer: B
Rationale: The "read back" is a critical safety step required by The Joint
Commission to prevent medication errors.
4. A nurse is delegating tasks to an assistive personnel (AP). Which task is
appropriate to delegate?
• A. Suctioning a tracheostomy
• B. Assessing a post-operative incision
• C. Measuring intake and output
• D. Teaching a client how to use an incentive spirometer
Correct Answer: C
Rationale: Measuring I&O is a standard, routine task that falls within the stable
scope of practice for UAP/AP.
5. A nurse is planning care for a client who is postictal following a tonic-clonic
seizure. Which intervention is priority?
• A. Administer oral fluids
• B. Turn the client to the side
• C. Restrain the client to prevent injury
, • D. Place a tongue blade in the mouth
Correct Answer: B
Rationale: Turning the client to the side (lateral position) helps drain secretions
and prevents aspiration. Restraints and oral airway insertion are contraindicated
during active seizure activity.
6. A client tells the nurse, "I don't want to be a burden anymore." What is the
nurse's priority assessment?
• A. Assess for suicide ideation
• B. Assess the client's financial status
• C. Assess the family's coping mechanisms
• D. Assess the client's pain level
Correct Answer: A
Rationale: Statements of hopelessness or worthlessness are "red flags" for suicide
risk. The nurse must directly ask the client if they have a plan to harm themselves.
7. A client refuses a blood transfusion due to religious beliefs. The client's
hemoglobin is 6 g/dL. What action should the nurse take?
• A. Call the provider for an emergency transfusion
• B. Respect the client's refusal and notify the provider
• C. Ask the client's family to persuade them
• D. Explain that without transfusion the client will die
Correct Answer: B
Rationale: Competent adults have the right to refuse treatment, even if it is life-
saving. The nurse must respect autonomy and document the refusal.
8. A nurse is providing discharge teaching to a client who speaks a different
language. An interpreter is present. What action is appropriate?
• A. Speak to the interpreter, not the client
• B. Use family members to interpret
• C. Speak directly to the client
• D. Add medical jargon to ensure accuracy
, Correct Answer: C
Rationale: The nurse should speak directly to the client to maintain respect, even
when using an interpreter.
9. A nurse manager is reviewing a sentinel event. Which event requires
immediate reporting?
• A. A client falls but is uninjured
• B. A client receives the wrong medication resulting in death
• C. A client develops a stage 2 pressure injury
• D. A client elopes but returns within 1 hour
Correct Answer: B
Rationale: A sentinel event is an unexpected occurrence involving death or serious
physical or psychological injury.
10. A nurse is preparing to discharge a client with a wound vacuum-assisted
closure (VAC) device. What is the priority teaching point?
• A. How to change the battery
• B. Signs of infection to report
• C. How to schedule follow-up appointments
• D. The cost of the device
Correct Answer: B
Rationale: Recognizing signs of infection (redness, purulent drainage, fever) is a
safety priority to prevent sepsis.
11. Which task is appropriate for the RN to assign to a Licensed Practical
Nurse (LPN)?
• A. Initial admission assessment
• B. Insertion of a nasogastric tube
• C. Creation of the plan of care
• D. Evaluation of client education
Correct Answer: B
Rationale: Insertion of an NG tube is within the scope of LPN practice in many
