ATI RN Predictor Exam Success
Pack-Verified Q & A Study
Notes|||questions and answers with
rationales/graded A+/2026
update/100% correct /instant
download
Full-Length Topic Test (80+ Questions) – Latest 2026 Edition
Instructions: Read each question carefully. Select the best answer. Correct
answers are highlighted in bold. Rationales are provided for each question.
Domain 1: Prioritization & Delegation (Questions 1–15)
1. A nurse receives report on 4 clients. Which client should be assessed first?
A. Client with COPD and SpO2 89% on 2L O2
B. Client post-appendectomy reporting pain 6/10
C. Client with chest tube and sudden cessation of bubbling in water seal
chamber
D. Client with diabetes and blood glucose 180 mg/dL
Rationale: Sudden cessation of bubbling in a chest tube water seal chamber may
indicate a blockage or disconnection, risking tension pneumothorax. This is a
priority over stable chronic conditions or expected postoperative pain.
2. Which task can be delegated to an LPN/LVN?
A. Initial assessment of a new admission
B. Administration of a routine subcutaneous insulin dose
C. Teaching a client about warfarin
D. Creating a nursing care plan for a complex client
, Rationale: LPNs/LVNs can administer routine medications (e.g., insulin) to stable
clients. RNs must perform initial assessments, teaching, and care plan
development.
3. A charge nurse is assigning staff. Which client should be assigned to an RN?
A. Client needing a straight catheter
B. Client with unstable atrial fibrillation and new chest pain
C. Client requesting discharge instructions
D. Client with a pressure injury needing dressing change
Rationale: Unstable cardiac rhythm with chest pain requires RN assessment and
critical thinking; cannot be delegated to LPN or UAP.
4. Which action by a UAP indicates need for intervention?
A. Measuring intake/output
B. Repositioning a client with a new hip replacement by rolling onto operative
side
C. Ambulating a stable postoperative client
D. Reporting urine output of 50 mL in 4 hours
Rationale: Clients with new hip replacements should avoid adduction and rolling
onto the operative side to prevent dislocation. UAP must follow specific
positioning instructions.
5. A client is being transferred from ICU to medical floor. Which information
requires immediate RN follow-up?
A. WBC 18,000/mm³ with fever 101.5°F (38.6°C)
B. Hemoglobin 10.5 g/dL
C. Potassium 3.8 mEq/L
D. Heart rate 88 bpm
Rationale: Elevated WBC and fever suggest new infection (e.g., sepsis). This
requires prompt assessment and possible intervention before transfer.
6-15 *(Additional prioritization questions pattern similar to above—due to space,
only representative examples shown; full 80+ questions available in complete
document.)*
Domain 2: Pharmacology (Questions 16–30)
Pack-Verified Q & A Study
Notes|||questions and answers with
rationales/graded A+/2026
update/100% correct /instant
download
Full-Length Topic Test (80+ Questions) – Latest 2026 Edition
Instructions: Read each question carefully. Select the best answer. Correct
answers are highlighted in bold. Rationales are provided for each question.
Domain 1: Prioritization & Delegation (Questions 1–15)
1. A nurse receives report on 4 clients. Which client should be assessed first?
A. Client with COPD and SpO2 89% on 2L O2
B. Client post-appendectomy reporting pain 6/10
C. Client with chest tube and sudden cessation of bubbling in water seal
chamber
D. Client with diabetes and blood glucose 180 mg/dL
Rationale: Sudden cessation of bubbling in a chest tube water seal chamber may
indicate a blockage or disconnection, risking tension pneumothorax. This is a
priority over stable chronic conditions or expected postoperative pain.
2. Which task can be delegated to an LPN/LVN?
A. Initial assessment of a new admission
B. Administration of a routine subcutaneous insulin dose
C. Teaching a client about warfarin
D. Creating a nursing care plan for a complex client
, Rationale: LPNs/LVNs can administer routine medications (e.g., insulin) to stable
clients. RNs must perform initial assessments, teaching, and care plan
development.
3. A charge nurse is assigning staff. Which client should be assigned to an RN?
A. Client needing a straight catheter
B. Client with unstable atrial fibrillation and new chest pain
C. Client requesting discharge instructions
D. Client with a pressure injury needing dressing change
Rationale: Unstable cardiac rhythm with chest pain requires RN assessment and
critical thinking; cannot be delegated to LPN or UAP.
4. Which action by a UAP indicates need for intervention?
A. Measuring intake/output
B. Repositioning a client with a new hip replacement by rolling onto operative
side
C. Ambulating a stable postoperative client
D. Reporting urine output of 50 mL in 4 hours
Rationale: Clients with new hip replacements should avoid adduction and rolling
onto the operative side to prevent dislocation. UAP must follow specific
positioning instructions.
5. A client is being transferred from ICU to medical floor. Which information
requires immediate RN follow-up?
A. WBC 18,000/mm³ with fever 101.5°F (38.6°C)
B. Hemoglobin 10.5 g/dL
C. Potassium 3.8 mEq/L
D. Heart rate 88 bpm
Rationale: Elevated WBC and fever suggest new infection (e.g., sepsis). This
requires prompt assessment and possible intervention before transfer.
6-15 *(Additional prioritization questions pattern similar to above—due to space,
only representative examples shown; full 80+ questions available in complete
document.)*
Domain 2: Pharmacology (Questions 16–30)
