ATI RN Comprehensive Predictor Exit
Exam Prep--Latest 2026 Edition | 85
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Rationales/Graded A+/2026
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Section 1: Management of Care (15 questions)
1. A nurse is caring for a client who has a new advance directive. Which of the
following actions should the nurse take first?
A. Place a copy of the advance directive in the client’s chart
B. Inform the client’s family of the client’s decisions
C. Ensure the advance directive reflects the client’s current wishes
D. Notify the provider of the advance directive
Rationale: The nurse’s priority is to verify that the document accurately represents
the client’s current preferences before implementation (Assessment first).
2. A charge nurse is delegating tasks to an LPN/LVN. Which of the following
tasks should the charge nurse delegate?
A. Administer a tube feeding to a stable client with a gastrostomy tube
B. Perform the initial admission assessment on a new client
C. Develop the nursing care plan for a client with diabetes
D. Teach a client how to self-administer insulin
Rationale: LPNs can perform stable, predictable tasks (e.g., tube feedings). Initial
assessment, care planning, and teaching are RN responsibilities.
,3. A nurse is preparing to discharge a client who needs a follow-up home
health referral. Which of the following actions is most important?
A. Provide a list of community resources
B. Confirm the client’s insurance coverage for home health services
C. Give the client a written discharge summary
D. Schedule the first home visit before discharge
Rationale: Ensuring financial/insurance coverage is critical to avoid denial of
services—without it, care may be delayed.
4. A nurse is caring for a client who is agitated and attempting to remove their
IV line. Which of the following restraints should the nurse apply?
A. Vest restraint
B. Wrist restraint
C. Mitt restraint
D. Elbow restraint
Rationale: Mitts allow mobility but prevent finger use to remove lines. Least
restrictive first.
5. A hospital is implementing a mass casualty triage system. Which color tag
should the nurse assign to a client who is breathing spontaneously but has no
palpable radial pulse and is unresponsive?
A. Green
B. Red
C. Yellow
D. Black
Rationale: Red (immediate) – client needs treatment quickly but has a chance of
survival. No radial pulse but spontaneous breathing = compensated shock.
6. A nurse receives a telephone prescription from a provider for a medication.
Which of the following is the appropriate nursing action?
A. Ask another nurse to listen to the phone order
, B. Read back the prescription to the provider
C. Have the provider fax the prescription instead
D. Document the prescription after administering the medication
Rationale: “Read back” is required per ISMP and Joint Commission to prevent
errors.
7. A nurse is caring for a client who is refusing a blood transfusion for
religious reasons. The client’s spouse asks the nurse to give it anyway. What
should the nurse do?
A. Administer the transfusion to prevent harm
B. Contact the ethics committee immediately
C. Respect the client’s refusal and document it
D. Ask the provider to override the client’s decision
Rationale: Competent adults have the right to refuse treatment, even if life-saving.
8. A nurse is planning care for a group of clients. Which of the following
should the nurse assign to an RN?
A. Measure I&O for a client with heart failure
B. Initiate blood transfusion
C. Ambulate a client with a fractured hip
D. Reapply a condom catheter
Rationale: Initiating blood transfusion requires RN assessment and monitoring for
reactions.
9. A nurse observes another nurse documenting narcotic waste in the
electronic medical record without a witness. Which action is most
appropriate?
A. Ignore it because it’s not the nurse’s responsibility
B. Report the nurse to the BON immediately
C. Discuss the observation with the nurse privately
D. Document the incident in the client’s chart
Rationale: First step – address the colleague directly. If unresolved, escalate.
Exam Prep--Latest 2026 Edition | 85
Questions | High-Yield
Topics||||Questions And Answers With
Rationales/Graded A+/2026
Update/100% Correct /Instant
Download
Section 1: Management of Care (15 questions)
1. A nurse is caring for a client who has a new advance directive. Which of the
following actions should the nurse take first?
A. Place a copy of the advance directive in the client’s chart
B. Inform the client’s family of the client’s decisions
C. Ensure the advance directive reflects the client’s current wishes
D. Notify the provider of the advance directive
Rationale: The nurse’s priority is to verify that the document accurately represents
the client’s current preferences before implementation (Assessment first).
2. A charge nurse is delegating tasks to an LPN/LVN. Which of the following
tasks should the charge nurse delegate?
A. Administer a tube feeding to a stable client with a gastrostomy tube
B. Perform the initial admission assessment on a new client
C. Develop the nursing care plan for a client with diabetes
D. Teach a client how to self-administer insulin
Rationale: LPNs can perform stable, predictable tasks (e.g., tube feedings). Initial
assessment, care planning, and teaching are RN responsibilities.
,3. A nurse is preparing to discharge a client who needs a follow-up home
health referral. Which of the following actions is most important?
A. Provide a list of community resources
B. Confirm the client’s insurance coverage for home health services
C. Give the client a written discharge summary
D. Schedule the first home visit before discharge
Rationale: Ensuring financial/insurance coverage is critical to avoid denial of
services—without it, care may be delayed.
4. A nurse is caring for a client who is agitated and attempting to remove their
IV line. Which of the following restraints should the nurse apply?
A. Vest restraint
B. Wrist restraint
C. Mitt restraint
D. Elbow restraint
Rationale: Mitts allow mobility but prevent finger use to remove lines. Least
restrictive first.
5. A hospital is implementing a mass casualty triage system. Which color tag
should the nurse assign to a client who is breathing spontaneously but has no
palpable radial pulse and is unresponsive?
A. Green
B. Red
C. Yellow
D. Black
Rationale: Red (immediate) – client needs treatment quickly but has a chance of
survival. No radial pulse but spontaneous breathing = compensated shock.
6. A nurse receives a telephone prescription from a provider for a medication.
Which of the following is the appropriate nursing action?
A. Ask another nurse to listen to the phone order
, B. Read back the prescription to the provider
C. Have the provider fax the prescription instead
D. Document the prescription after administering the medication
Rationale: “Read back” is required per ISMP and Joint Commission to prevent
errors.
7. A nurse is caring for a client who is refusing a blood transfusion for
religious reasons. The client’s spouse asks the nurse to give it anyway. What
should the nurse do?
A. Administer the transfusion to prevent harm
B. Contact the ethics committee immediately
C. Respect the client’s refusal and document it
D. Ask the provider to override the client’s decision
Rationale: Competent adults have the right to refuse treatment, even if life-saving.
8. A nurse is planning care for a group of clients. Which of the following
should the nurse assign to an RN?
A. Measure I&O for a client with heart failure
B. Initiate blood transfusion
C. Ambulate a client with a fractured hip
D. Reapply a condom catheter
Rationale: Initiating blood transfusion requires RN assessment and monitoring for
reactions.
9. A nurse observes another nurse documenting narcotic waste in the
electronic medical record without a witness. Which action is most
appropriate?
A. Ignore it because it’s not the nurse’s responsibility
B. Report the nurse to the BON immediately
C. Discuss the observation with the nurse privately
D. Document the incident in the client’s chart
Rationale: First step – address the colleague directly. If unresolved, escalate.
