ATI RN Comprehensive Predictor Exit
Exam 2026: Practice Test|||Questions
And Answers With Rationales/Graded
A+/2026 Update/100% Correct
/Instant Download
Section 1: Management of Care & Priority Setting
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
Rationale: Airway is always the priority. Thick secretions can obstruct a new
tracheostomy, leading to respiratory arrest. Fever (A) is expected, pain (C) is
moderate but not life-threatening, and a glucose of 180 (D) is hyperglycemic but
not critical .
2. A charge nurse is assigning rooms for new admissions. Which client
requires a private room?
• A. A client with Clostridioides difficile infection
• B. A client with diabetic ketoacidosis
• C. A client with a fractured femur
• D. A client with angina pectoris
, Rationale: C. diff requires Contact Precautions and a private room to prevent
transmission to other patients. The other conditions do not require isolation
precautions .
3. A nurse receives a telephone prescription from a provider. What is the
priority action?
• A. Ask the provider to spell the medication name
• B. Read back the prescription to the provider
• C. Inform another nurse of the prescription
• D. Obtain a copy of the facility's do-not-use abbreviation list
Rationale: The "read back" is a critical safety step required by The Joint
Commission to prevent errors. The nurse must verify the prescription by reading it
back verbatim before documenting .
4. A nurse manager is reviewing informed consent. Which statement by a new
graduate indicates understanding?
• A. "The nurse is responsible for explaining the risks of the procedure."
• B. "The client can withdraw consent at any time before the procedure."
• C. "A signed consent form is valid indefinitely for that procedure."
• D. "The provider can waive consent if the client is in pain."
Rationale: Consent is voluntary, and a competent client can withdraw it at any
time. The provider (not the nurse) explains the risks (A). Consent is only valid for
the specific procedure on that specific date (C). Pain does not waive the need for
consent (D) .
5. A nurse is caring for a client who refuses a blood transfusion due to
religious beliefs (Hgb 6 g/dL). What action should the nurse take?
• A. Call the provider for an emergency transfusion order
• B. Respect the client's refusal and notify the provider
• C. Ask the client's family to persuade them
• D. Explain that without the transfusion the client will die
Exam 2026: Practice Test|||Questions
And Answers With Rationales/Graded
A+/2026 Update/100% Correct
/Instant Download
Section 1: Management of Care & Priority Setting
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
Rationale: Airway is always the priority. Thick secretions can obstruct a new
tracheostomy, leading to respiratory arrest. Fever (A) is expected, pain (C) is
moderate but not life-threatening, and a glucose of 180 (D) is hyperglycemic but
not critical .
2. A charge nurse is assigning rooms for new admissions. Which client
requires a private room?
• A. A client with Clostridioides difficile infection
• B. A client with diabetic ketoacidosis
• C. A client with a fractured femur
• D. A client with angina pectoris
, Rationale: C. diff requires Contact Precautions and a private room to prevent
transmission to other patients. The other conditions do not require isolation
precautions .
3. A nurse receives a telephone prescription from a provider. What is the
priority action?
• A. Ask the provider to spell the medication name
• B. Read back the prescription to the provider
• C. Inform another nurse of the prescription
• D. Obtain a copy of the facility's do-not-use abbreviation list
Rationale: The "read back" is a critical safety step required by The Joint
Commission to prevent errors. The nurse must verify the prescription by reading it
back verbatim before documenting .
4. A nurse manager is reviewing informed consent. Which statement by a new
graduate indicates understanding?
• A. "The nurse is responsible for explaining the risks of the procedure."
• B. "The client can withdraw consent at any time before the procedure."
• C. "A signed consent form is valid indefinitely for that procedure."
• D. "The provider can waive consent if the client is in pain."
Rationale: Consent is voluntary, and a competent client can withdraw it at any
time. The provider (not the nurse) explains the risks (A). Consent is only valid for
the specific procedure on that specific date (C). Pain does not waive the need for
consent (D) .
5. A nurse is caring for a client who refuses a blood transfusion due to
religious beliefs (Hgb 6 g/dL). What action should the nurse take?
• A. Call the provider for an emergency transfusion order
• B. Respect the client's refusal and notify the provider
• C. Ask the client's family to persuade them
• D. Explain that without the transfusion the client will die
