ATI RN COMPREHENSIVE PREDICTOR 2023
PRACTICE EXAM – 95+ QUESTIONS WITH
CORRECT ANSWERS & DETAILED
RATIONALES | NCLEX-STYLE REVIEW GUIDE
FOR GUARANTEED EXAM READINESS
• This question ATI RN Comprehensive Predictor 2023 practice exam mirrors
the actual exam's format, content weighting, and clinical difficulty — use it by
attempting each question independently before revealing the answer, then
studying the EXPERT RATIONALE to understand the "why" behind every
correct choice.
• Features include: NCLEX-style clinical scenarios, five options per question
(A–E), a bolded correct answer clearly marked, and a detailed evidence-based
EXPERT RATIONALE placed directly below — covering all tested domains
including Med-Surg, Pharmacology, Maternal-Newborn, Pediatrics, Mental
Health, Management of Care, Safety, and Community Health.
═══════════════════════════════════════════
ATI RN COMPREHENSIVE PREDICTOR 2023
-QUESTION PRACTICE EXAM
Question 1: A nurse is preparing to delegate tasks to assistive personnel (AP).
Which of the following tasks is appropriate for the nurse to delegate?
A. Assessing a client's wound after a dressing change
B. Teaching a client how to use an incentive spirometer
C. Measuring and recording urinary output for a client with a Foley catheter
D. Administering oral medications to a stable client
E. Developing a care plan for a newly admitted client
,✓ Correct Answer: C. Measuring and recording urinary output for a client with
a Foley catheter
EXPERT RATIONALE: Measuring and recording urinary output is a non-invasive,
routine task within the AP's scope of practice that requires no nursing judgment.
Assessment, teaching, medication administration, and care planning all require RN-
level clinical judgment and cannot be delegated.
Question 2: A charge nurse is planning assignments for the upcoming shift.
Which client should be assigned to the most experienced nurse?
A. A client with stable chronic heart failure awaiting discharge
B. A client who is 1 day postoperative following a hip replacement
C. A client with a new diagnosis of type 2 diabetes mellitus
D. A client with severe sepsis and hemodynamic instability
E. A client receiving routine IV antibiotics for cellulitis
✓ Correct Answer: D. A client with severe sepsis and hemodynamic instability
EXPERT RATIONALE: Clients with severe sepsis and hemodynamic instability
require complex, rapid assessment and intervention skills that match the most
experienced nurse's competence. The remaining clients are comparatively stable
and require routine monitoring rather than high-acuity decision-making.
Question 3: A nurse is caring for a client who refuses a blood transfusion
based on religious beliefs. The client is alert and oriented. What is the nurse's
priority action?
A. Notify the physician to obtain a court order
B. Inform the client's family members about the refusal
C. Document the refusal and ensure the client signs an informed refusal form
D. Administer the transfusion to save the client's life
,E. Call the hospital chaplain to speak with the client immediately
✓ Correct Answer: C. Document the refusal and ensure the client signs an
informed refusal form
EXPERT RATIONALE: A competent adult has the legal and ethical right to refuse
any treatment, including blood transfusions, regardless of reason. The nurse must
document the refusal, ensure an informed refusal form is signed, and notify the
physician. Overriding the client's decision violates the ethical principle of autonomy.
Question 4: A nurse is reviewing the five rights of delegation. Which action
best demonstrates the "right supervision" principle?
A. Assigning the task to an AP who has the necessary skills
B. Communicating the task clearly and in simple terms
C. Following up with the AP after the task is completed to evaluate outcomes
D. Selecting a task that is appropriate for the AP's scope of practice
E. Providing clear step-by-step directions before the task begins
✓ Correct Answer: C. Following up with the AP after the task is completed to
evaluate outcomes
EXPERT RATIONALE: The "right supervision" principle requires the RN to monitor
delegated tasks and evaluate the outcomes. Options A, B, D, and E reflect "right
person," "right communication," "right task," and "right direction" respectively —
each being a separate right of delegation.
Question 5: A nurse receives a verbal order from a physician during an
emergency. What is the nurse's appropriate action?
A. Refuse the verbal order and insist on a written order before proceeding
B. Write down the order, read it back to the physician, and document it as a verbal
order
, C. Ask another nurse to witness the verbal order before implementing it
D. Implement the order immediately without any documentation
E. Call the pharmacy to verify the order before administering any medication
✓ Correct Answer: B. Write down the order, read it back to the physician, and
document it as a verbal order
EXPERT RATIONALE: During emergencies, verbal orders are acceptable. The nurse
writes the order, reads it back for verification (read-back technique), and
documents it as a verbal order per facility policy. The prescribing physician must co-
sign within the required timeframe per institutional policy.
Question 6: A nurse is caring for a client scheduled for surgery. The client
states they did not understand what the surgeon explained. What is the
nurse's best action?
A. Explain the surgical procedure to the client in full detail
B. Reassure the client and tell them the surgeon is very experienced
C. Notify the surgeon that the client requires further explanation before signing the
consent
D. Ask the client to sign the consent and address their questions after surgery
E. Have a family member sign the consent on the client's behalf
✓ Correct Answer: C. Notify the surgeon that the client requires further
explanation before signing the consent
EXPERT RATIONALE: Informed consent is the physician's legal and ethical
responsibility. The nurse's role is to verify that the client understands the
information provided and, if not, to notify the surgeon. The nurse must not explain
the procedure independently or witness consent when the client does not
understand.
PRACTICE EXAM – 95+ QUESTIONS WITH
CORRECT ANSWERS & DETAILED
RATIONALES | NCLEX-STYLE REVIEW GUIDE
FOR GUARANTEED EXAM READINESS
• This question ATI RN Comprehensive Predictor 2023 practice exam mirrors
the actual exam's format, content weighting, and clinical difficulty — use it by
attempting each question independently before revealing the answer, then
studying the EXPERT RATIONALE to understand the "why" behind every
correct choice.
• Features include: NCLEX-style clinical scenarios, five options per question
(A–E), a bolded correct answer clearly marked, and a detailed evidence-based
EXPERT RATIONALE placed directly below — covering all tested domains
including Med-Surg, Pharmacology, Maternal-Newborn, Pediatrics, Mental
Health, Management of Care, Safety, and Community Health.
═══════════════════════════════════════════
ATI RN COMPREHENSIVE PREDICTOR 2023
-QUESTION PRACTICE EXAM
Question 1: A nurse is preparing to delegate tasks to assistive personnel (AP).
Which of the following tasks is appropriate for the nurse to delegate?
A. Assessing a client's wound after a dressing change
B. Teaching a client how to use an incentive spirometer
C. Measuring and recording urinary output for a client with a Foley catheter
D. Administering oral medications to a stable client
E. Developing a care plan for a newly admitted client
,✓ Correct Answer: C. Measuring and recording urinary output for a client with
a Foley catheter
EXPERT RATIONALE: Measuring and recording urinary output is a non-invasive,
routine task within the AP's scope of practice that requires no nursing judgment.
Assessment, teaching, medication administration, and care planning all require RN-
level clinical judgment and cannot be delegated.
Question 2: A charge nurse is planning assignments for the upcoming shift.
Which client should be assigned to the most experienced nurse?
A. A client with stable chronic heart failure awaiting discharge
B. A client who is 1 day postoperative following a hip replacement
C. A client with a new diagnosis of type 2 diabetes mellitus
D. A client with severe sepsis and hemodynamic instability
E. A client receiving routine IV antibiotics for cellulitis
✓ Correct Answer: D. A client with severe sepsis and hemodynamic instability
EXPERT RATIONALE: Clients with severe sepsis and hemodynamic instability
require complex, rapid assessment and intervention skills that match the most
experienced nurse's competence. The remaining clients are comparatively stable
and require routine monitoring rather than high-acuity decision-making.
Question 3: A nurse is caring for a client who refuses a blood transfusion
based on religious beliefs. The client is alert and oriented. What is the nurse's
priority action?
A. Notify the physician to obtain a court order
B. Inform the client's family members about the refusal
C. Document the refusal and ensure the client signs an informed refusal form
D. Administer the transfusion to save the client's life
,E. Call the hospital chaplain to speak with the client immediately
✓ Correct Answer: C. Document the refusal and ensure the client signs an
informed refusal form
EXPERT RATIONALE: A competent adult has the legal and ethical right to refuse
any treatment, including blood transfusions, regardless of reason. The nurse must
document the refusal, ensure an informed refusal form is signed, and notify the
physician. Overriding the client's decision violates the ethical principle of autonomy.
Question 4: A nurse is reviewing the five rights of delegation. Which action
best demonstrates the "right supervision" principle?
A. Assigning the task to an AP who has the necessary skills
B. Communicating the task clearly and in simple terms
C. Following up with the AP after the task is completed to evaluate outcomes
D. Selecting a task that is appropriate for the AP's scope of practice
E. Providing clear step-by-step directions before the task begins
✓ Correct Answer: C. Following up with the AP after the task is completed to
evaluate outcomes
EXPERT RATIONALE: The "right supervision" principle requires the RN to monitor
delegated tasks and evaluate the outcomes. Options A, B, D, and E reflect "right
person," "right communication," "right task," and "right direction" respectively —
each being a separate right of delegation.
Question 5: A nurse receives a verbal order from a physician during an
emergency. What is the nurse's appropriate action?
A. Refuse the verbal order and insist on a written order before proceeding
B. Write down the order, read it back to the physician, and document it as a verbal
order
, C. Ask another nurse to witness the verbal order before implementing it
D. Implement the order immediately without any documentation
E. Call the pharmacy to verify the order before administering any medication
✓ Correct Answer: B. Write down the order, read it back to the physician, and
document it as a verbal order
EXPERT RATIONALE: During emergencies, verbal orders are acceptable. The nurse
writes the order, reads it back for verification (read-back technique), and
documents it as a verbal order per facility policy. The prescribing physician must co-
sign within the required timeframe per institutional policy.
Question 6: A nurse is caring for a client scheduled for surgery. The client
states they did not understand what the surgeon explained. What is the
nurse's best action?
A. Explain the surgical procedure to the client in full detail
B. Reassure the client and tell them the surgeon is very experienced
C. Notify the surgeon that the client requires further explanation before signing the
consent
D. Ask the client to sign the consent and address their questions after surgery
E. Have a family member sign the consent on the client's behalf
✓ Correct Answer: C. Notify the surgeon that the client requires further
explanation before signing the consent
EXPERT RATIONALE: Informed consent is the physician's legal and ethical
responsibility. The nurse's role is to verify that the client understands the
information provided and, if not, to notify the surgeon. The nurse must not explain
the procedure independently or witness consent when the client does not
understand.
