ATI RN COMPREHENSIVE
PREDICTOR FINAL EXAM-Latest
2026 Edition | Pass-Guaranteed Prep
Pack|||Questions And Answers With
Rationales/Graded A+/2026
Update/100% Correct /Instant
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85 Questions | Highlighted Answers with Rationales
Section 1: Safe & Effective Care Environment (Management of Care)
15 Questions
1. A nurse is preparing to discharge a client who requires home oxygen
therapy. Which instruction is most important to include?
• A. "Store oxygen cylinders horizontally to prevent tipping."
• B. "Post 'No Smoking' signs inside the home."
• C. "Use wool blankets to prevent static electricity."
• D. "Apply petroleum jelly to nares for dryness."
Rationale: Oxygen supports combustion; smoking is the greatest fire risk. Wool
and petroleum jelly are flammable; cylinders should be stored upright.
2. A charge nurse is assigning staff for a medical-surgical unit. Which client
should be assigned to an RN rather than an LPN?
, • A. A client 2 hours post-thyroidectomy with stridor
• B. A client with diabetes needing insulin injection
• C. A client with stable COPD receiving O₂ at 2L/min
• D. A client for routine daily wound dressing change
Rationale: Stridor post-thyroidectomy indicates laryngeal edema or tetany (airway
emergency); requires RN assessment and intervention.
3. A nurse is caring for four clients. Which should the nurse assess first?
• A. Client with pneumonia and O₂ sat 91%
• B. Client with heart failure and 1+ pitting edema
• C. Client post-colonoscopy with abdominal rigidity
• D. Client with gastrostomy tube and mild leakage
Rationale: Abdominal rigidity post-colonoscopy suggests bowel perforation
(peritonitis); life-threatening emergency.
4. A nurse is delegating vital signs to an assistive personnel (AP). Which client
requires the RN to measure the vital signs?
• A. Client with hypertension on lisinopril
• B. Client admitted with chest pain and diaphoresis
• C. Client with UTI and temperature of 100.4°F
• D. Client for routine preoperative vitals
Rationale: Chest pain with diaphoresis suggests possible MI; requires RN
assessment and interpretation.
5. A nurse is reviewing advance directives with a client. Which statement
indicates understanding?
• A. "My family can override my living will if they disagree."
• B. "I can change my durable power of attorney at any time."
• C. "Advance directives are only for clients over 65."
• D. "Once signed, advance directives cannot be changed."
, Rationale: Competent clients can revoke or modify advance directives at any time.
6. A nurse is preparing to transfer a client to a long-term care facility. Which
action demonstrates appropriate continuity of care?
• A. Provide a verbal report only.
• B. Send a complete medication reconciliation form.
• C. Withhold the client's medical record for privacy.
• D. Give the original care plan to the family.
Rationale: Medication reconciliation prevents errors during transitions.
7. A client is being discharged home after a stroke. The nurse should include
which member as the priority for teaching?
• A. The primary caregiver
• B. The client’s neighbor
• C. The home health aide
• D. The physical therapist
Rationale: The primary caregiver ensures daily care and safety post-discharge.
8. A nurse notices a colleague administering medication without checking the
client’s ID band. What is the nurse’s first action?
• A. Report to the nursing supervisor immediately.
• B. Remind the colleague to verify client identity.
• C. Ignore it to avoid conflict.
• D. Complete an incident report anonymously.
Rationale: Immediate non-confrontational reminder promotes safety and corrects
behavior directly.
9. A hospital is implementing a new electronic health record. The nurse’s role
during this change includes:
• A. Refusing to use it until fully trained.
• B. Participating in usability testing and training.
PREDICTOR FINAL EXAM-Latest
2026 Edition | Pass-Guaranteed Prep
Pack|||Questions And Answers With
Rationales/Graded A+/2026
Update/100% Correct /Instant
Download
85 Questions | Highlighted Answers with Rationales
Section 1: Safe & Effective Care Environment (Management of Care)
15 Questions
1. A nurse is preparing to discharge a client who requires home oxygen
therapy. Which instruction is most important to include?
• A. "Store oxygen cylinders horizontally to prevent tipping."
• B. "Post 'No Smoking' signs inside the home."
• C. "Use wool blankets to prevent static electricity."
• D. "Apply petroleum jelly to nares for dryness."
Rationale: Oxygen supports combustion; smoking is the greatest fire risk. Wool
and petroleum jelly are flammable; cylinders should be stored upright.
2. A charge nurse is assigning staff for a medical-surgical unit. Which client
should be assigned to an RN rather than an LPN?
, • A. A client 2 hours post-thyroidectomy with stridor
• B. A client with diabetes needing insulin injection
• C. A client with stable COPD receiving O₂ at 2L/min
• D. A client for routine daily wound dressing change
Rationale: Stridor post-thyroidectomy indicates laryngeal edema or tetany (airway
emergency); requires RN assessment and intervention.
3. A nurse is caring for four clients. Which should the nurse assess first?
• A. Client with pneumonia and O₂ sat 91%
• B. Client with heart failure and 1+ pitting edema
• C. Client post-colonoscopy with abdominal rigidity
• D. Client with gastrostomy tube and mild leakage
Rationale: Abdominal rigidity post-colonoscopy suggests bowel perforation
(peritonitis); life-threatening emergency.
4. A nurse is delegating vital signs to an assistive personnel (AP). Which client
requires the RN to measure the vital signs?
• A. Client with hypertension on lisinopril
• B. Client admitted with chest pain and diaphoresis
• C. Client with UTI and temperature of 100.4°F
• D. Client for routine preoperative vitals
Rationale: Chest pain with diaphoresis suggests possible MI; requires RN
assessment and interpretation.
5. A nurse is reviewing advance directives with a client. Which statement
indicates understanding?
• A. "My family can override my living will if they disagree."
• B. "I can change my durable power of attorney at any time."
• C. "Advance directives are only for clients over 65."
• D. "Once signed, advance directives cannot be changed."
, Rationale: Competent clients can revoke or modify advance directives at any time.
6. A nurse is preparing to transfer a client to a long-term care facility. Which
action demonstrates appropriate continuity of care?
• A. Provide a verbal report only.
• B. Send a complete medication reconciliation form.
• C. Withhold the client's medical record for privacy.
• D. Give the original care plan to the family.
Rationale: Medication reconciliation prevents errors during transitions.
7. A client is being discharged home after a stroke. The nurse should include
which member as the priority for teaching?
• A. The primary caregiver
• B. The client’s neighbor
• C. The home health aide
• D. The physical therapist
Rationale: The primary caregiver ensures daily care and safety post-discharge.
8. A nurse notices a colleague administering medication without checking the
client’s ID band. What is the nurse’s first action?
• A. Report to the nursing supervisor immediately.
• B. Remind the colleague to verify client identity.
• C. Ignore it to avoid conflict.
• D. Complete an incident report anonymously.
Rationale: Immediate non-confrontational reminder promotes safety and corrects
behavior directly.
9. A hospital is implementing a new electronic health record. The nurse’s role
during this change includes:
• A. Refusing to use it until fully trained.
• B. Participating in usability testing and training.
