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ATI Comprehensive Predictor Exam 2026:
OFFICIAL STUDY RESOURCE: FULL TEST
BANK WITH RATIONALES 2026
COMPLETE EXAM SOLUTION - MULTIPLE
VERSIONS INCLUDED
Question 1
An RN is making assignments for client care to an LPN at the beginning of the shift. Which of
the following assignments should the LPN question?
A. Assisting a client who is 24 hr postop to use an incentive spirometer.
B. Collecting a clean-catch urine specimen from a client who was admitted on the previous
shift.
C. Providing nasopharyngeal suctioning for a client who has pneumonia.
D. Replacing the cartridge and tubing on a patient-controlled analgesia (PCA) pump.
Correct Answer: D
Rationale: LPNs can assist with routine, stable care and procedures such as incentive
spirometry, specimen collection, and suctioning. However, managing, programming, or
changing tubing and cartridges on a PCA pump involves high-alert narcotic medications
requiring advanced assessment, verification, and titration skills that fall strictly under the RN’s
scope of practice.
Question 2
A nurse is preparing an in-service program about delegation. Which of the following elements
should she identify when presenting the 5 rights of delegation? (Select all that apply) A. Right
client
B. Right supervision/evaluation
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C. Right direction/communication
D. Right time
E. Right circumstances
Correct Answers: B, C, and E
Rationale: The five rights of delegation are: Right Task, Right Circumstances, Right Person,
Right Direction/Communication, and Right Supervision/Evaluation. While "Right Client" and
"Right Time" are essential components of the Rights of Medication Administration, they are not
part of the standard nursing delegation framework.
Question 3
A nurse manager of a med-surg unit is assigning care responsibilities for the oncoming shift. A
client is waiting for transfer back to the unit from the PACU following thoracic surgery. To which
staff member should the nurse assign this client?
A. Charge nurse
B. Registered Nurse (RN)
C. Licensed Practical Nurse (LPN/LVN)
D. Assistive Personnel (AP)
Correct Answer: B
Rationale: A client returning immediately from the PACU after major thoracic surgery is
considered unstable and requires continuous, complex physical assessment, intensive vital sign
monitoring, and potential emergency interventions. These tasks require the specialized clinical
judgment and advanced scope of practice of an RN.
Question 4
What is defined as the study of conduct and character?
A. Morals
B. Ethics
C. Autonomy
D. Fidelity
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Correct Answer: B
Rationale: Ethics is the formal branch of philosophy that examines human conduct, character,
and the moral principles or values that govern individual and group behaviors and decisions.
Question 5
What are the values and beliefs that guide behavior and decision-making?
A. Morals
B. Ethics
C. Laws
D. Statutes
Correct Answer: A
Rationale: Morals refer to an individual’s internal or culturally ingrained principles of right and
wrong that guide personal conduct, often heavily shaped by religious, familial, and social
beliefs.
Question 6
What is the ethical principle that represents the right to make one’s own personal decisions,
even though those decisions might not be in the person's best interest?
A. Beneficence
B. Non-maleficence
C. Autonomy
D. Justice
Correct Answer: C
Rationale: Autonomy recognizes an individual’s right to self-determination. In healthcare, this
means a competent patient has the legal and ethical right to accept or refuse medical
treatments based on their own values, even if the medical team disagrees with their choice.
Question 7
Which ethical principle describes taking positive actions to actively help others?
A. Justice
B. Beneficence
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C. Fidelity
D. Autonomy
Correct Answer: B
Rationale: Beneficence is the duty to do good, act in the best interest of the patient, and
implement positive interventions that promote the health, well-being, and welfare of others.
Question 8
Which ethical principle refers to an agreement or professional obligation to keep promises?
A. Veracity
B. Justice
C. Fidelity
D. Autonomy
Correct Answer: C
Rationale: Fidelity requires nurses to fulfill their professional commitments, keep explicit and
implicit promises, maintain confidentiality, and uphold trust within professional relationships.
Question 9
Which ethical principle describes fairness in healthcare delivery and the equitable distribution
of resources?
A. Non-maleficence
B. Justice
C. Beneficence
D. Fidelity
Correct Answer: B
Rationale: Justice mandates providing fair, unbiased, and equitable care to all patients, ensuring
equal access to healthcare resources regardless of socioeconomic status, race, or background.
Question 10
Which ethical principle demands the avoidance of causing harm or injury to a patient?
A. Autonomy
ATI Comprehensive Predictor Exam 2026:
OFFICIAL STUDY RESOURCE: FULL TEST
BANK WITH RATIONALES 2026
COMPLETE EXAM SOLUTION - MULTIPLE
VERSIONS INCLUDED
Question 1
An RN is making assignments for client care to an LPN at the beginning of the shift. Which of
the following assignments should the LPN question?
A. Assisting a client who is 24 hr postop to use an incentive spirometer.
B. Collecting a clean-catch urine specimen from a client who was admitted on the previous
shift.
C. Providing nasopharyngeal suctioning for a client who has pneumonia.
D. Replacing the cartridge and tubing on a patient-controlled analgesia (PCA) pump.
Correct Answer: D
Rationale: LPNs can assist with routine, stable care and procedures such as incentive
spirometry, specimen collection, and suctioning. However, managing, programming, or
changing tubing and cartridges on a PCA pump involves high-alert narcotic medications
requiring advanced assessment, verification, and titration skills that fall strictly under the RN’s
scope of practice.
Question 2
A nurse is preparing an in-service program about delegation. Which of the following elements
should she identify when presenting the 5 rights of delegation? (Select all that apply) A. Right
client
B. Right supervision/evaluation
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C. Right direction/communication
D. Right time
E. Right circumstances
Correct Answers: B, C, and E
Rationale: The five rights of delegation are: Right Task, Right Circumstances, Right Person,
Right Direction/Communication, and Right Supervision/Evaluation. While "Right Client" and
"Right Time" are essential components of the Rights of Medication Administration, they are not
part of the standard nursing delegation framework.
Question 3
A nurse manager of a med-surg unit is assigning care responsibilities for the oncoming shift. A
client is waiting for transfer back to the unit from the PACU following thoracic surgery. To which
staff member should the nurse assign this client?
A. Charge nurse
B. Registered Nurse (RN)
C. Licensed Practical Nurse (LPN/LVN)
D. Assistive Personnel (AP)
Correct Answer: B
Rationale: A client returning immediately from the PACU after major thoracic surgery is
considered unstable and requires continuous, complex physical assessment, intensive vital sign
monitoring, and potential emergency interventions. These tasks require the specialized clinical
judgment and advanced scope of practice of an RN.
Question 4
What is defined as the study of conduct and character?
A. Morals
B. Ethics
C. Autonomy
D. Fidelity
, g
Correct Answer: B
Rationale: Ethics is the formal branch of philosophy that examines human conduct, character,
and the moral principles or values that govern individual and group behaviors and decisions.
Question 5
What are the values and beliefs that guide behavior and decision-making?
A. Morals
B. Ethics
C. Laws
D. Statutes
Correct Answer: A
Rationale: Morals refer to an individual’s internal or culturally ingrained principles of right and
wrong that guide personal conduct, often heavily shaped by religious, familial, and social
beliefs.
Question 6
What is the ethical principle that represents the right to make one’s own personal decisions,
even though those decisions might not be in the person's best interest?
A. Beneficence
B. Non-maleficence
C. Autonomy
D. Justice
Correct Answer: C
Rationale: Autonomy recognizes an individual’s right to self-determination. In healthcare, this
means a competent patient has the legal and ethical right to accept or refuse medical
treatments based on their own values, even if the medical team disagrees with their choice.
Question 7
Which ethical principle describes taking positive actions to actively help others?
A. Justice
B. Beneficence
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C. Fidelity
D. Autonomy
Correct Answer: B
Rationale: Beneficence is the duty to do good, act in the best interest of the patient, and
implement positive interventions that promote the health, well-being, and welfare of others.
Question 8
Which ethical principle refers to an agreement or professional obligation to keep promises?
A. Veracity
B. Justice
C. Fidelity
D. Autonomy
Correct Answer: C
Rationale: Fidelity requires nurses to fulfill their professional commitments, keep explicit and
implicit promises, maintain confidentiality, and uphold trust within professional relationships.
Question 9
Which ethical principle describes fairness in healthcare delivery and the equitable distribution
of resources?
A. Non-maleficence
B. Justice
C. Beneficence
D. Fidelity
Correct Answer: B
Rationale: Justice mandates providing fair, unbiased, and equitable care to all patients, ensuring
equal access to healthcare resources regardless of socioeconomic status, race, or background.
Question 10
Which ethical principle demands the avoidance of causing harm or injury to a patient?
A. Autonomy
