ATI RN Comprehensive Predictor
2026 Questions and Answers 100%
Correct. Exam – Practice Questions,
Answers & Rationales (2026/2027
Edition)
Q1. A competent adult client refuses a blood transfusion for
religious reasons. Which actions should the nurse take?
(Select all that apply.)
A. Verify the client understands risks
B. Document the refusal
C. Administer the transfusion if Hgb is critical
D. Notify the provider
E. Ask the family to override the decision
Correct Answer: A, B, D
Rationale: Competent adults have the autonomy to refuse
treatment. The nurse's role is to ensure the refusal is informed,
document the decision, and notify the provider to ensure
continuity of care.
Q2. Which client should the nurse assess first?
A. Post-op day 2 with pain of 6/10
B. COPD client with SpO₂ of 88% on room air
,C. Client waiting for discharge teaching
D. Stable diabetic requesting a snack
Correct Answer: B
Rationale: According to the ABCs (Airway, Breathing, Circulation),
oxygenation is always the top priority. An SpO₂ of 88% indicates
significant hypoxemia.
Q3. A nurse is preparing to delegate tasks to an LPN. Which
task is appropriate?
A. Administering a stable client's oral medications
B. Performing the initial admission assessment
C. Creating the nursing care plan
D. Teaching a client about a new diagnosis
Correct Answer: A
Rationale: LPNs can safely administer oral medications to stable
clients with predictable outcomes. The RN is responsible for
assessment, care plan creation, and initial client teaching.
Q4. Which task can the RN safely delegate to an AP/UAP?
A. Assess pain for a post-operative client
B. Reinforce teaching about wound care
C. Obtain vital signs on a stable client
D. Administer IV antibiotics
Correct Answer: C
Rationale: Assistive Personnel (AP/UAP) are trained to perform
routine, non-assessment tasks for stable clients, such as taking
,vital signs. Assessment, medication administration, and teaching
are not within their scope.
Q5. A client on haloperidol develops a temperature of 104°F,
muscle rigidity, and confusion. What is the priority action?
A) Administer acetaminophen
B) Give diphenhydramine
C) Discontinue haloperidol
D) Apply a cooling blanket
Correct Answer: C
Rationale: This is a classic presentation of Neuroleptic Malignant
Syndrome (NMS), a life-threatening reaction to antipsychotics.
The priority is to discontinue the offending agent immediately.
Q6. A nurse is providing discharge teaching to a client after a
myocardial infarction. Which statement indicates
understanding?
A. "I will stop taking my aspirin if I have ringing in my ears"
B. "I will take my nitroglycerin every 5 minutes for chest pain up to
3 doses"
C. "I will walk only if I do not have chest pain at that time"
D. "I can stop my statin if my cholesterol is normal"
Correct Answer: B
Rationale: For chest pain, the client should take 1 nitroglycerin
tablet every 5 minutes for up to 3 doses. If there is no relief after
the first dose, they should call 911 immediately.
, Q7. A nurse is caring for a client with a new diagnosis of
diabetes mellitus type 1. Which statement by the client
indicates a need for further teaching?
A. "I will rotate my insulin injection sites."
B. "I can store my unopened insulin vials in the freezer."
C. "I need to check my blood glucose before each meal."
D. "I should wear a medical alert bracelet."
Correct Answer: B
Rationale: Insulin should never be frozen. Unopened vials are
refrigerated, while opened vials can be stored at room
temperature. Freezing destroys the effectiveness of the
medication.
Q8. A nurse is preparing to administer digoxin to a client with
heart failure. Which finding should prompt the nurse to
withhold the medication?
A. Heart rate of 58 bpm
B. Blood pressure of 118/76 mmHg
C. Potassium of 4.0 mEq/L
D. Respiratory rate of 18/min
Correct Answer: A
Rationale: In adults, digoxin is typically held if the apical heart
rate is below 60 bpm due to a heightened risk of bradycardia and
other serious dysrhythmias.
2026 Questions and Answers 100%
Correct. Exam – Practice Questions,
Answers & Rationales (2026/2027
Edition)
Q1. A competent adult client refuses a blood transfusion for
religious reasons. Which actions should the nurse take?
(Select all that apply.)
A. Verify the client understands risks
B. Document the refusal
C. Administer the transfusion if Hgb is critical
D. Notify the provider
E. Ask the family to override the decision
Correct Answer: A, B, D
Rationale: Competent adults have the autonomy to refuse
treatment. The nurse's role is to ensure the refusal is informed,
document the decision, and notify the provider to ensure
continuity of care.
Q2. Which client should the nurse assess first?
A. Post-op day 2 with pain of 6/10
B. COPD client with SpO₂ of 88% on room air
,C. Client waiting for discharge teaching
D. Stable diabetic requesting a snack
Correct Answer: B
Rationale: According to the ABCs (Airway, Breathing, Circulation),
oxygenation is always the top priority. An SpO₂ of 88% indicates
significant hypoxemia.
Q3. A nurse is preparing to delegate tasks to an LPN. Which
task is appropriate?
A. Administering a stable client's oral medications
B. Performing the initial admission assessment
C. Creating the nursing care plan
D. Teaching a client about a new diagnosis
Correct Answer: A
Rationale: LPNs can safely administer oral medications to stable
clients with predictable outcomes. The RN is responsible for
assessment, care plan creation, and initial client teaching.
Q4. Which task can the RN safely delegate to an AP/UAP?
A. Assess pain for a post-operative client
B. Reinforce teaching about wound care
C. Obtain vital signs on a stable client
D. Administer IV antibiotics
Correct Answer: C
Rationale: Assistive Personnel (AP/UAP) are trained to perform
routine, non-assessment tasks for stable clients, such as taking
,vital signs. Assessment, medication administration, and teaching
are not within their scope.
Q5. A client on haloperidol develops a temperature of 104°F,
muscle rigidity, and confusion. What is the priority action?
A) Administer acetaminophen
B) Give diphenhydramine
C) Discontinue haloperidol
D) Apply a cooling blanket
Correct Answer: C
Rationale: This is a classic presentation of Neuroleptic Malignant
Syndrome (NMS), a life-threatening reaction to antipsychotics.
The priority is to discontinue the offending agent immediately.
Q6. A nurse is providing discharge teaching to a client after a
myocardial infarction. Which statement indicates
understanding?
A. "I will stop taking my aspirin if I have ringing in my ears"
B. "I will take my nitroglycerin every 5 minutes for chest pain up to
3 doses"
C. "I will walk only if I do not have chest pain at that time"
D. "I can stop my statin if my cholesterol is normal"
Correct Answer: B
Rationale: For chest pain, the client should take 1 nitroglycerin
tablet every 5 minutes for up to 3 doses. If there is no relief after
the first dose, they should call 911 immediately.
, Q7. A nurse is caring for a client with a new diagnosis of
diabetes mellitus type 1. Which statement by the client
indicates a need for further teaching?
A. "I will rotate my insulin injection sites."
B. "I can store my unopened insulin vials in the freezer."
C. "I need to check my blood glucose before each meal."
D. "I should wear a medical alert bracelet."
Correct Answer: B
Rationale: Insulin should never be frozen. Unopened vials are
refrigerated, while opened vials can be stored at room
temperature. Freezing destroys the effectiveness of the
medication.
Q8. A nurse is preparing to administer digoxin to a client with
heart failure. Which finding should prompt the nurse to
withhold the medication?
A. Heart rate of 58 bpm
B. Blood pressure of 118/76 mmHg
C. Potassium of 4.0 mEq/L
D. Respiratory rate of 18/min
Correct Answer: A
Rationale: In adults, digoxin is typically held if the apical heart
rate is below 60 bpm due to a heightened risk of bradycardia and
other serious dysrhythmias.
