ATI RN COMPREHENSIVE PREDICTOR
PRACTICE EXAM 2026
Leadership | MedSurg | Fundamentals |
Pharmacology | Comprehensive Review
200 Original Questions with Answers &
Detailed Rationales
EXAM OVERVIEW
This comprehensive practice exam covers all major content areas tested
on the ATI RN Comprehensive Predictor:
Content Area Approximate
Percentage
Management of Care / 15-20%
Leadership
Safety and Infection 10-15%
Control
Health Promotion and 8-12%
Maintenance
,Psychosocial Integrity 8-12%
Basic Care and 8-10%
Comfort
Pharmacological and 12-15%
Parenteral Therapies
Reduction of Risk 12-15%
Potential
Physiological 12-15%
Adaptation
SECTION 1: LEADERSHIP AND MANAGEMENT
(Questions 1-30)
Q1. A charge nurse is making client assignments on a medical-surgical
unit. Which client is most appropriate to assign to a licensed practical
nurse (LPN)?
A) A client 2 hours post-cardiac catheterization requiring groin checks
B) A newly admitted client with unstable angina
C) A client requiring discharge teaching about warfarin
D) A client with a new tracheostomy requiring initial suctioning education
Correct Answer: A
Rationale: LPNs can perform stable, routine monitoring (groin checks for
bleeding/hematoma). New admissions, initial teaching, and unstable
clients require RN assessment and cannot be delegated.
,Q2. A nurse on a medical-surgical unit receives a call about a new
admission. The nurse has five current clients. Which client should the nurse
assess first?
A) A client with pneumonia and an SpO2 of 88% on room air
B) A client with a hip fracture requesting pain medication
C) A client with diabetes with a blood glucose of 210 mg/dL
D) A client with a urinary tract infection with a temperature of 38°C
(100.4°F)
Correct Answer: A
Rationale: ABCs: Airway/Breathing. An SpO2 of 88% indicates hypoxemia
requiring immediate intervention (oxygen). Pain, hyperglycemia, and
low-grade fever are less urgent.
Q3. A nurse observes an assistive personnel (AP) applying a warm
compress to a client's lower leg for 30 minutes. Which action should the
nurse take?
A) Allow the AP to continue
B) Instruct the AP to remove the compress immediately
C) Remind the AP to check the skin every 5 minutes
D) Document the AP's performance in an incident report
Correct Answer: B
Rationale: Warm compresses should be applied for 15-20 minutes
maximum. Prolonged heat can cause burns. The nurse must intervene
immediately to stop the unsafe action.
Q4. A client tells the nurse, "I don't want that nursing student to care for me.
I only want real nurses." Which response by the nurse is appropriate?
, A) "The student is very capable and needs to learn."
B) "I will assign another nurse to care for you."
C) "You have the right to refuse care from a student."
D) "Let me talk to the student about your concerns."
Correct Answer: C
Rationale: Clients have the right to refuse care from any provider, including
students. The nurse should respect this right and provide alternative care if
possible. Forcing student care violates client autonomy.
Q5. A nurse is preparing to delegate vital signs to an AP. Which client
should the nurse NOT delegate?
A) A client 1 day post-operative hip replacement
B) A client with pneumonia who is stable
C) A client receiving IV furosemide every 4 hours
D) A client with chronic hypertension
Correct Answer: C
Rationale: This client requires assessment (monitoring for hypotension,
electrolyte changes) which requires RN judgment. Vital signs for stable
post-op, pneumonia, or chronic hypertension can be delegated.
Q6. A nurse is triaging clients after a mass casualty event. Which client
should receive priority (red tag)?
A) A client with a minor laceration on the arm
B) A client with a head injury and agonal breathing
C) A client with a fractured femur and palpable radial pulse
D) A client with burns to 25% of total body surface area
Correct Answer: D
PRACTICE EXAM 2026
Leadership | MedSurg | Fundamentals |
Pharmacology | Comprehensive Review
200 Original Questions with Answers &
Detailed Rationales
EXAM OVERVIEW
This comprehensive practice exam covers all major content areas tested
on the ATI RN Comprehensive Predictor:
Content Area Approximate
Percentage
Management of Care / 15-20%
Leadership
Safety and Infection 10-15%
Control
Health Promotion and 8-12%
Maintenance
,Psychosocial Integrity 8-12%
Basic Care and 8-10%
Comfort
Pharmacological and 12-15%
Parenteral Therapies
Reduction of Risk 12-15%
Potential
Physiological 12-15%
Adaptation
SECTION 1: LEADERSHIP AND MANAGEMENT
(Questions 1-30)
Q1. A charge nurse is making client assignments on a medical-surgical
unit. Which client is most appropriate to assign to a licensed practical
nurse (LPN)?
A) A client 2 hours post-cardiac catheterization requiring groin checks
B) A newly admitted client with unstable angina
C) A client requiring discharge teaching about warfarin
D) A client with a new tracheostomy requiring initial suctioning education
Correct Answer: A
Rationale: LPNs can perform stable, routine monitoring (groin checks for
bleeding/hematoma). New admissions, initial teaching, and unstable
clients require RN assessment and cannot be delegated.
,Q2. A nurse on a medical-surgical unit receives a call about a new
admission. The nurse has five current clients. Which client should the nurse
assess first?
A) A client with pneumonia and an SpO2 of 88% on room air
B) A client with a hip fracture requesting pain medication
C) A client with diabetes with a blood glucose of 210 mg/dL
D) A client with a urinary tract infection with a temperature of 38°C
(100.4°F)
Correct Answer: A
Rationale: ABCs: Airway/Breathing. An SpO2 of 88% indicates hypoxemia
requiring immediate intervention (oxygen). Pain, hyperglycemia, and
low-grade fever are less urgent.
Q3. A nurse observes an assistive personnel (AP) applying a warm
compress to a client's lower leg for 30 minutes. Which action should the
nurse take?
A) Allow the AP to continue
B) Instruct the AP to remove the compress immediately
C) Remind the AP to check the skin every 5 minutes
D) Document the AP's performance in an incident report
Correct Answer: B
Rationale: Warm compresses should be applied for 15-20 minutes
maximum. Prolonged heat can cause burns. The nurse must intervene
immediately to stop the unsafe action.
Q4. A client tells the nurse, "I don't want that nursing student to care for me.
I only want real nurses." Which response by the nurse is appropriate?
, A) "The student is very capable and needs to learn."
B) "I will assign another nurse to care for you."
C) "You have the right to refuse care from a student."
D) "Let me talk to the student about your concerns."
Correct Answer: C
Rationale: Clients have the right to refuse care from any provider, including
students. The nurse should respect this right and provide alternative care if
possible. Forcing student care violates client autonomy.
Q5. A nurse is preparing to delegate vital signs to an AP. Which client
should the nurse NOT delegate?
A) A client 1 day post-operative hip replacement
B) A client with pneumonia who is stable
C) A client receiving IV furosemide every 4 hours
D) A client with chronic hypertension
Correct Answer: C
Rationale: This client requires assessment (monitoring for hypotension,
electrolyte changes) which requires RN judgment. Vital signs for stable
post-op, pneumonia, or chronic hypertension can be delegated.
Q6. A nurse is triaging clients after a mass casualty event. Which client
should receive priority (red tag)?
A) A client with a minor laceration on the arm
B) A client with a head injury and agonal breathing
C) A client with a fractured femur and palpable radial pulse
D) A client with burns to 25% of total body surface area
Correct Answer: D
