ATI COMPREHENSIVE
PREDICTOR SIMULATION TEST -
REAL EXAM FORMAT|||questions
and answers with rationales/graded
A+/2026 update/100% correct /instant
download
Total Questions: 85
Time Limit: 3 hours (simulated)
Instructions: Choose the best answer. For Select All That Apply (SATA), select all
options that are correct. For ordered response, arrange in priority order.
Section 1: Management of Care (15 questions)
1. A nurse is caring for a client who has a new diagnosis of terminal cancer
and states, "I don't want any heroic measures. I just want to die peacefully at
home." Which action should the nurse take first?
• A. Discuss do-not-resuscitate (DNR) orders with the client
• B. Notify the provider of the client's wishes
• C. Refer the client to palliative care
• D. Ask the family about their wishes
Rationale: The nurse’s first action is to advocate for the client by notifying the
provider of the client’s expressed wishes. This initiates the legal process for
advance directives and DNR orders.
2. A charge nurse is assigning rooms for four clients. Which client should be
placed in a negative-pressure isolation room?
• A. Client with active pulmonary tuberculosis
, • B. Client with MRSA in a surgical wound
• C. Client with Clostridioides difficile diarrhea
• D. Client with herpes zoster (shingles) on the trunk
Rationale: Active pulmonary TB requires airborne precautions and negative-
pressure airflow. MRSA and C. diff require contact precautions; localized shingles
requires standard + contact if disseminated.
3. A nurse is preparing to discharge a client who speaks a different language.
An interpreter is not available. Which action is appropriate? (SATA)
• A. Use a translated written discharge instruction sheet
• B. Speak loudly and slowly in English
• C. Use family members as interpreters if the client agrees
• D. Use gestures and pictures to explain key points
• E. Document that no interpreter was available
Rationale: A, C, D, E are correct. Speaking loudly does not improve
comprehension. Family members may be used cautiously but not for sensitive
information if possible.
4. A nurse notes that a colleague is frequently documenting vital signs before
taking them. Which action should the nurse take first?
• A. Report the colleague to the nursing supervisor
• B. Confront the colleague privately
• C. Ignore it if no harm occurred
• D. Discuss with the unit manager
Rationale: The first step is to address the colleague privately to clarify the
behavior. If it continues, then report to a supervisor.
PREDICTOR SIMULATION TEST -
REAL EXAM FORMAT|||questions
and answers with rationales/graded
A+/2026 update/100% correct /instant
download
Total Questions: 85
Time Limit: 3 hours (simulated)
Instructions: Choose the best answer. For Select All That Apply (SATA), select all
options that are correct. For ordered response, arrange in priority order.
Section 1: Management of Care (15 questions)
1. A nurse is caring for a client who has a new diagnosis of terminal cancer
and states, "I don't want any heroic measures. I just want to die peacefully at
home." Which action should the nurse take first?
• A. Discuss do-not-resuscitate (DNR) orders with the client
• B. Notify the provider of the client's wishes
• C. Refer the client to palliative care
• D. Ask the family about their wishes
Rationale: The nurse’s first action is to advocate for the client by notifying the
provider of the client’s expressed wishes. This initiates the legal process for
advance directives and DNR orders.
2. A charge nurse is assigning rooms for four clients. Which client should be
placed in a negative-pressure isolation room?
• A. Client with active pulmonary tuberculosis
, • B. Client with MRSA in a surgical wound
• C. Client with Clostridioides difficile diarrhea
• D. Client with herpes zoster (shingles) on the trunk
Rationale: Active pulmonary TB requires airborne precautions and negative-
pressure airflow. MRSA and C. diff require contact precautions; localized shingles
requires standard + contact if disseminated.
3. A nurse is preparing to discharge a client who speaks a different language.
An interpreter is not available. Which action is appropriate? (SATA)
• A. Use a translated written discharge instruction sheet
• B. Speak loudly and slowly in English
• C. Use family members as interpreters if the client agrees
• D. Use gestures and pictures to explain key points
• E. Document that no interpreter was available
Rationale: A, C, D, E are correct. Speaking loudly does not improve
comprehension. Family members may be used cautiously but not for sensitive
information if possible.
4. A nurse notes that a colleague is frequently documenting vital signs before
taking them. Which action should the nurse take first?
• A. Report the colleague to the nursing supervisor
• B. Confront the colleague privately
• C. Ignore it if no harm occurred
• D. Discuss with the unit manager
Rationale: The first step is to address the colleague privately to clarify the
behavior. If it continues, then report to a supervisor.
