ATI RN COMPREHENSIVE PREDICTOR EXAM
STUDY GUIDE 180 Practice Questions with
Correct Answers & Detailed Rationales
Updated for 2025-2026 NGN Format
SECTION 1: MANAGEMENT OF CARE & DELEGATION
Question 1 A nurse is delegating the ambulation of a client who had knee
arthroplasty 5 days ago to an AP. Which information should the nurse share with
the AP? (Select all that apply)
A. The roommate is up independently
B. The client ambulates with his slippers on over his antiembolic stockings
C. The client uses a front wheeled walker when ambulating
D. The client had pain medication 30 minutes ago
E. The client is allergic to codeine
F. The client ate 50% of his breakfast this morning
Answer: B, C, D
Rationale: The AP needs to know specific equipment (walker), footwear (slippers
over stockings), and timing of pain medication to ensure safe ambulation.
Roommate status, allergies, and breakfast intake are not directly relevant to the
ambulation task .
Question 2 An RN is making assignments for client care to an LPN at the beginning
of the shift. Which assignment should the LPN question?
A. Assisting a client who is 24 hours post-op to use an incentive spirometer
B. Collecting a clean catch urine specimen from a client admitted on the previous
,shift
C. Providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump
Answer: D
Rationale: LPNs can care for stable clients with predictable outcomes . Replacing
PCA pump components requires assessment of pain relief effectiveness and pump
function, which falls under RN scope. The other tasks are within LPN scope .
Question 3 A nurse is preparing an in-service program about delegation. Which
elements should be identified as the "five rights of delegation"? (Select all that
apply)
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances
Answer: B, C, E
Rationale: The five rights of delegation are: Right Task, Right Circumstances, Right
Person, Right Direction/Communication, and Right Supervision/Evaluation . Right
client and right time are not included.
Question 4 A nurse is caring for a client who decides not to have surgery despite
significant coronary blockages. This choice is an example of which ethical
principle?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence
,Answer: B
Rationale: Autonomy respects the client's right to make his or her own healthcare
decisions, even when those decisions contradict medical advice . Fidelity is keeping
promises, justice is fairness, and nonmaleficence is "do no harm."
Question 5 A nurse offers pain medication to a post-operative client prior to
ambulation. This is an example of which ethical principle?
A. Fidelity
B. Autonomy
C. Justice
D. Beneficence
Answer: D
Rationale: Beneficence is the ethical principle of "doing good" for the patient.
Providing pain relief before a painful procedure demonstrates beneficence .
Question 6 Most managers can be categorized into which three leadership styles?
A. Rigid, Flexible, Mixed
B. Authoritative, Democratic, Laissez-faire
C. Strict, Lenient, Balanced
D. Formal, Informal, Situational
Answer: B
Rationale: The three recognized leadership styles are authoritative (directive),
democratic (participative), and laissez-faire (hands-off) . Each may be appropriate
depending on the situation.
SECTION 2: CLINICAL JUDGMENT & PRIORITIZATION
Question 7 A nurse on a med-surg unit has received change-of-shift report and
will care for 4 clients. Which client need should the nurse assign to an AP?
, A. Feeding a client admitted 24 hours ago with aspiration pneumonia
B. Reinforcing teaching with a client learning to walk with a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
Answer: C
Rationale: Reapplying a condom catheter is a routine task within AP scope.
Feeding clients with aspiration precautions requires professional assessment.
Teaching and sterile dressing changes require RN/LPN level practice .
Question 8 A nurse in an emergency department is triaging clients after a disaster.
Which client should receive the highest priority?
A. Client with a partial-thickness burn to 20% BSA
B. Client with chest tubes and new-onset respiratory distress
C. Client with an open femur fracture and weak pulses
D. Client with a sucking chest wound and tachycardia
Answer: B
Rationale: Unstable clients with acute changes require the most experienced RN's
assessment skills. New-onset respiratory distress with chest tubes indicates a
potential emergency (tension pneumothorax) requiring immediate intervention .
Question 9 A charge nurse is reinforcing teaching about fall precautions. Which
statement indicates understanding?
A. "I will instruct the client to stand when putting on pants"
B. "I will instruct the client to sit when putting on a pair of pants"
C. "I will ambulate the client without assistance"
D. "I will keep the bed in high position at all times"
Answer: B
Rationale: Sitting reduces fall risk during dressing changes. Standing increases fall
risk, especially in older or debilitated clients .
STUDY GUIDE 180 Practice Questions with
Correct Answers & Detailed Rationales
Updated for 2025-2026 NGN Format
SECTION 1: MANAGEMENT OF CARE & DELEGATION
Question 1 A nurse is delegating the ambulation of a client who had knee
arthroplasty 5 days ago to an AP. Which information should the nurse share with
the AP? (Select all that apply)
A. The roommate is up independently
B. The client ambulates with his slippers on over his antiembolic stockings
C. The client uses a front wheeled walker when ambulating
D. The client had pain medication 30 minutes ago
E. The client is allergic to codeine
F. The client ate 50% of his breakfast this morning
Answer: B, C, D
Rationale: The AP needs to know specific equipment (walker), footwear (slippers
over stockings), and timing of pain medication to ensure safe ambulation.
Roommate status, allergies, and breakfast intake are not directly relevant to the
ambulation task .
Question 2 An RN is making assignments for client care to an LPN at the beginning
of the shift. Which assignment should the LPN question?
A. Assisting a client who is 24 hours post-op to use an incentive spirometer
B. Collecting a clean catch urine specimen from a client admitted on the previous
,shift
C. Providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump
Answer: D
Rationale: LPNs can care for stable clients with predictable outcomes . Replacing
PCA pump components requires assessment of pain relief effectiveness and pump
function, which falls under RN scope. The other tasks are within LPN scope .
Question 3 A nurse is preparing an in-service program about delegation. Which
elements should be identified as the "five rights of delegation"? (Select all that
apply)
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances
Answer: B, C, E
Rationale: The five rights of delegation are: Right Task, Right Circumstances, Right
Person, Right Direction/Communication, and Right Supervision/Evaluation . Right
client and right time are not included.
Question 4 A nurse is caring for a client who decides not to have surgery despite
significant coronary blockages. This choice is an example of which ethical
principle?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence
,Answer: B
Rationale: Autonomy respects the client's right to make his or her own healthcare
decisions, even when those decisions contradict medical advice . Fidelity is keeping
promises, justice is fairness, and nonmaleficence is "do no harm."
Question 5 A nurse offers pain medication to a post-operative client prior to
ambulation. This is an example of which ethical principle?
A. Fidelity
B. Autonomy
C. Justice
D. Beneficence
Answer: D
Rationale: Beneficence is the ethical principle of "doing good" for the patient.
Providing pain relief before a painful procedure demonstrates beneficence .
Question 6 Most managers can be categorized into which three leadership styles?
A. Rigid, Flexible, Mixed
B. Authoritative, Democratic, Laissez-faire
C. Strict, Lenient, Balanced
D. Formal, Informal, Situational
Answer: B
Rationale: The three recognized leadership styles are authoritative (directive),
democratic (participative), and laissez-faire (hands-off) . Each may be appropriate
depending on the situation.
SECTION 2: CLINICAL JUDGMENT & PRIORITIZATION
Question 7 A nurse on a med-surg unit has received change-of-shift report and
will care for 4 clients. Which client need should the nurse assign to an AP?
, A. Feeding a client admitted 24 hours ago with aspiration pneumonia
B. Reinforcing teaching with a client learning to walk with a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
Answer: C
Rationale: Reapplying a condom catheter is a routine task within AP scope.
Feeding clients with aspiration precautions requires professional assessment.
Teaching and sterile dressing changes require RN/LPN level practice .
Question 8 A nurse in an emergency department is triaging clients after a disaster.
Which client should receive the highest priority?
A. Client with a partial-thickness burn to 20% BSA
B. Client with chest tubes and new-onset respiratory distress
C. Client with an open femur fracture and weak pulses
D. Client with a sucking chest wound and tachycardia
Answer: B
Rationale: Unstable clients with acute changes require the most experienced RN's
assessment skills. New-onset respiratory distress with chest tubes indicates a
potential emergency (tension pneumothorax) requiring immediate intervention .
Question 9 A charge nurse is reinforcing teaching about fall precautions. Which
statement indicates understanding?
A. "I will instruct the client to stand when putting on pants"
B. "I will instruct the client to sit when putting on a pair of pants"
C. "I will ambulate the client without assistance"
D. "I will keep the bed in high position at all times"
Answer: B
Rationale: Sitting reduces fall risk during dressing changes. Standing increases fall
risk, especially in older or debilitated clients .
