ATI RN PREDICTOR EXAM
MASTERY: FULL-LENGTH TEST
(2026 UPDATE)||| Questions And
Answers With Rationales/Graded
A+/2026 Update/100% Correct
/Instant Download
Total Questions: 85
Time Limit: 120 minutes (suggested)
Passing Threshold: 70% (60 correct)
Topics: Leadership, Medical-Surgical, OB/Peds, Mental Health, Pharmacology,
Fundamentals
SECTION 1: MANAGEMENT OF CARE (Questions 1–15)
1. A charge nurse is assigning clients on a medical-surgical unit. Which client
should be assigned to a float nurse from the postpartum unit?
A. Client with pneumonia requiring IV antibiotics
B. Client 1-day post-appendectomy with stable vital signs
C. Client with active tuberculosis requiring airborne precautions
D. Client receiving a continuous heparin infusion
Correct Answer: B
Rationale: A float nurse from postpartum is best suited for stable, low-acuity
clients. Post-appendectomy day 1 with stable vitals requires routine post-op care.
Options A (IV antibiotics) and D (heparin infusion) require med-surg competence;
C requires airborne isolation training.
,2. A nurse manager is implementing a new electronic health record (EHR)
system. Which action best promotes staff adoption?
A. Mandate overtime training sessions
B. Provide hands-on simulation labs with incentives
C. Offer a written manual only
D. Assign one “super-user” for 100 staff members
Correct Answer: B
Rationale: Simulation with incentives increases engagement and retention.
Mandated overtime increases burnout; written manual alone is insufficient; one
super-user for 100 staff is inadequate support.
3. A nurse witnesses another nurse diverting hydromorphone. What is the
nurse’s priority action?
A. Confront the nurse privately
B. Report to the nursing supervisor immediately
C. Ignore if it is a one-time event
D. Document in the client’s chart
Correct Answer: B
Rationale: Substance diversion is a legal and safety issue. The nurse has a duty to
report immediately to the supervisor. Confrontation may escalate; ignoring
condones behavior; client chart is not appropriate.
4. A client with terminal cancer refuses further chemotherapy. The family
insists on continuing. What action by the nurse is appropriate?
A. Respect the client’s decision and notify the provider
B. Ask the family to sign a consent form
C. Continue chemotherapy per family wishes
D. Consult ethics committee before honoring client’s refusal
Correct Answer: A
Rationale: Competent adults have the right to refuse treatment. The nurse
advocates for the client. Family wishes do not override client autonomy. Ethics
consult is unnecessary for a clear refusal.
5. A charge nurse is delegating tasks to an LPN/LVN. Which task is within the
LPN’s scope?
A. Initial admission assessment of a new client
B. Administer IV push morphine to a post-op client
, C. Reinforce teaching on insulin self-administration
D. Create the nursing care plan for a complex client
Correct Answer: C
Rationale: LPNs can reinforce teaching, monitor stable clients, and administer
some meds (not IV push in many states). Initial assessment and care plan creation
are RN responsibilities.
6. A disaster triage following a mass casualty event. A client with a tension
pneumothorax should receive which tag color?
A. Black (deceased/expectant)
B. Red (immediate)
C. Yellow (delayed)
D. Green (minor)
Correct Answer: B
Rationale: Tension pneumothorax is life-threatening but survivable with immediate
intervention (needle decompression). Red tag – immediate.
7. A nurse is preparing for a Joint Commission survey. Which finding requires
immediate correction?
A. Hand hygiene gel mounted outside client rooms
B. A client’s call light not functioning for 15 minutes
C. Expired emergency tracheostomy kit in the crash cart
D. Staff wearing artificial nails in the ICU
Correct Answer: C
Rationale: Expired emergency equipment is a direct threat to patient safety and a
severe violation. Call light issue is serious but expired airway equipment is higher
risk.
8. A nurse manager notes increased fall rates on the unit. Which intervention
is most evidence-based?
A. Apply bed alarms to all clients
B. Hourly rounding with toileting and repositioning
C. Use bilateral soft restraints for high-risk clients
D. Dim lights to promote sleep
Correct Answer: B
Rationale: Hourly rounding reduces falls by addressing unmet needs (toileting,
MASTERY: FULL-LENGTH TEST
(2026 UPDATE)||| Questions And
Answers With Rationales/Graded
A+/2026 Update/100% Correct
/Instant Download
Total Questions: 85
Time Limit: 120 minutes (suggested)
Passing Threshold: 70% (60 correct)
Topics: Leadership, Medical-Surgical, OB/Peds, Mental Health, Pharmacology,
Fundamentals
SECTION 1: MANAGEMENT OF CARE (Questions 1–15)
1. A charge nurse is assigning clients on a medical-surgical unit. Which client
should be assigned to a float nurse from the postpartum unit?
A. Client with pneumonia requiring IV antibiotics
B. Client 1-day post-appendectomy with stable vital signs
C. Client with active tuberculosis requiring airborne precautions
D. Client receiving a continuous heparin infusion
Correct Answer: B
Rationale: A float nurse from postpartum is best suited for stable, low-acuity
clients. Post-appendectomy day 1 with stable vitals requires routine post-op care.
Options A (IV antibiotics) and D (heparin infusion) require med-surg competence;
C requires airborne isolation training.
,2. A nurse manager is implementing a new electronic health record (EHR)
system. Which action best promotes staff adoption?
A. Mandate overtime training sessions
B. Provide hands-on simulation labs with incentives
C. Offer a written manual only
D. Assign one “super-user” for 100 staff members
Correct Answer: B
Rationale: Simulation with incentives increases engagement and retention.
Mandated overtime increases burnout; written manual alone is insufficient; one
super-user for 100 staff is inadequate support.
3. A nurse witnesses another nurse diverting hydromorphone. What is the
nurse’s priority action?
A. Confront the nurse privately
B. Report to the nursing supervisor immediately
C. Ignore if it is a one-time event
D. Document in the client’s chart
Correct Answer: B
Rationale: Substance diversion is a legal and safety issue. The nurse has a duty to
report immediately to the supervisor. Confrontation may escalate; ignoring
condones behavior; client chart is not appropriate.
4. A client with terminal cancer refuses further chemotherapy. The family
insists on continuing. What action by the nurse is appropriate?
A. Respect the client’s decision and notify the provider
B. Ask the family to sign a consent form
C. Continue chemotherapy per family wishes
D. Consult ethics committee before honoring client’s refusal
Correct Answer: A
Rationale: Competent adults have the right to refuse treatment. The nurse
advocates for the client. Family wishes do not override client autonomy. Ethics
consult is unnecessary for a clear refusal.
5. A charge nurse is delegating tasks to an LPN/LVN. Which task is within the
LPN’s scope?
A. Initial admission assessment of a new client
B. Administer IV push morphine to a post-op client
, C. Reinforce teaching on insulin self-administration
D. Create the nursing care plan for a complex client
Correct Answer: C
Rationale: LPNs can reinforce teaching, monitor stable clients, and administer
some meds (not IV push in many states). Initial assessment and care plan creation
are RN responsibilities.
6. A disaster triage following a mass casualty event. A client with a tension
pneumothorax should receive which tag color?
A. Black (deceased/expectant)
B. Red (immediate)
C. Yellow (delayed)
D. Green (minor)
Correct Answer: B
Rationale: Tension pneumothorax is life-threatening but survivable with immediate
intervention (needle decompression). Red tag – immediate.
7. A nurse is preparing for a Joint Commission survey. Which finding requires
immediate correction?
A. Hand hygiene gel mounted outside client rooms
B. A client’s call light not functioning for 15 minutes
C. Expired emergency tracheostomy kit in the crash cart
D. Staff wearing artificial nails in the ICU
Correct Answer: C
Rationale: Expired emergency equipment is a direct threat to patient safety and a
severe violation. Call light issue is serious but expired airway equipment is higher
risk.
8. A nurse manager notes increased fall rates on the unit. Which intervention
is most evidence-based?
A. Apply bed alarms to all clients
B. Hourly rounding with toileting and repositioning
C. Use bilateral soft restraints for high-risk clients
D. Dim lights to promote sleep
Correct Answer: B
Rationale: Hourly rounding reduces falls by addressing unmet needs (toileting,
