ATI RN PREDICTOR – EXAM REVIEW /
PRACTICE QUESTIONS | 2026/2027
Complete Comprehensive Predictor Study System with
Full Domain Coverage & A+ Prep
1. Safe and Effective Care Environment
Management of Care (e.g., delegation, supervision, client rights, continuity
of care)
Safety and Infection Control (e.g., accident prevention, emergency
response, standard/transmission-based precautions)
2. Health Promotion and Maintenance
(e.g., aging process, prenatal care, growth and development, disease
prevention)
3. Psychosocial Integrity
(e.g., therapeutic communication, crisis intervention, behavioral
interventions, support systems)
4. Physiological Integrity
Basic Care and Comfort (e.g., nutrition, elimination, non-pharmacological
comfort)
Pharmacological and Parenteral Therapies (e.g., adverse effects,
medication administration, IV therapy)
Reduction of Risk Potential (e.g., diagnostic tests, vital signs, therapeutic
procedures)
Physiological Adaptation (e.g., pathophysiology, body system alterations,
medical emergencies)
,SECTION I: SAFE AND EFFECTIVE CARE ENVIRONMENT
Management of Care (30 Questions)
1. A nurse is planning care for a group of clients. Which of the following tasks
is appropriate to assign to an unlicensed assistive personnel (UAP)?
A. Assess a client's post-operative incision for signs of infection.
B. Evaluate the effectiveness of pain medication for a client with chronic pain.
C. Feed a client who had a stroke and has difficulty swallowing.
D. Obtain a blood glucose reading for a client with diabetes.
• Correct Answer: D
• Rationale: Delegation is based on state practice acts and facility policies. Tasks
that are standard, have predictable outcomes, and do not require nursing
judgment can be delegated to UAP. Obtaining a blood glucose reading using a
glucometer is a routine, delegated task for stable clients. Assessment (A) and
evaluation (B) require the clinical judgment of a licensed nurse. Feeding a client
with dysphagia (C) requires specialized assessment and knowledge to prevent
aspiration and is not appropriate for a UAP.
2. A nurse on a medical-surgical unit is caring for four clients. Which of the following
clients should the nurse see first?
A. A client with heart failure who has 2+ pitting edema and a weight gain of 2 lb in
24 hours.
B. A client with pneumonia who has an oxygen saturation of 91% on 2 L/min
nasal cannula.
C. A client with diabetes mellitus who has a blood glucose level of 60 mg/dL and
is diaphoretic.
D. A client post-cholecystectomy who reports pain as 6 on a 0-10 scale.
• Correct Answer: C
• Rationale: The client with hypoglycemia (BS 60 mg/dL) is experiencing a life-
,threatening alteration in a physiological need (glucose). This client requires
immediate intervention to prevent neurological injury or death. The other clients
have non-urgent, chronic, or expected findings. Using the ABCs (Airway,
Breathing, Circulation) and Maslow's hierarchy of needs, a blood glucose of 60
mg/dL with diaphoresis takes priority.
, 3. A nurse is preparing to delegate a task to a licensed practical nurse (LPN). Which
of the following tasks is within the LPN's scope of practice?
A. Administer a blood transfusion.
B. Perform an initial admission assessment.
C. Reinforce teaching about a new medication to a client.
D. Create the plan of care for a newly admitted client.
• Correct Answer: C
• Rationale: The LPN's scope of practice includes reinforcing teaching that has
already been initiated by the RN. The RN is responsible for the initial
assessment (B), developing the plan of care (D), and for tasks requiring complex
nursing judgment, such as administering a blood transfusion (A) (though some
state Nurse Practice Acts may allow LPNs to monitor transfusions, initiating it is
typically an RN role).
4. A client is scheduled for surgery and has just signed the informed consent form.
The client then asks the nurse, "I'm still not sure why I need this surgery." Which of the
following actions should the nurse take?
A. Explain the procedure and risks again and have the client sign a new consent form.
B. Reassure the client that the procedure is necessary and safe.
C. Notify the surgeon that the client has questions about the procedure.
D. Document the client's statement in the medical record.
• Correct Answer: C
• Rationale: The nurse's role in informed consent is to witness the signature and
ensure the client is giving consent voluntarily. If a client expresses confusion or
lack of understanding, the nurse must notify the provider (the surgeon) so
they can clarify the procedure, risks, and benefits. It is the surgeon's legal
responsibility to obtain informed consent. The nurse should not attempt to
explain the procedure (A) as this is outside their scope.
PRACTICE QUESTIONS | 2026/2027
Complete Comprehensive Predictor Study System with
Full Domain Coverage & A+ Prep
1. Safe and Effective Care Environment
Management of Care (e.g., delegation, supervision, client rights, continuity
of care)
Safety and Infection Control (e.g., accident prevention, emergency
response, standard/transmission-based precautions)
2. Health Promotion and Maintenance
(e.g., aging process, prenatal care, growth and development, disease
prevention)
3. Psychosocial Integrity
(e.g., therapeutic communication, crisis intervention, behavioral
interventions, support systems)
4. Physiological Integrity
Basic Care and Comfort (e.g., nutrition, elimination, non-pharmacological
comfort)
Pharmacological and Parenteral Therapies (e.g., adverse effects,
medication administration, IV therapy)
Reduction of Risk Potential (e.g., diagnostic tests, vital signs, therapeutic
procedures)
Physiological Adaptation (e.g., pathophysiology, body system alterations,
medical emergencies)
,SECTION I: SAFE AND EFFECTIVE CARE ENVIRONMENT
Management of Care (30 Questions)
1. A nurse is planning care for a group of clients. Which of the following tasks
is appropriate to assign to an unlicensed assistive personnel (UAP)?
A. Assess a client's post-operative incision for signs of infection.
B. Evaluate the effectiveness of pain medication for a client with chronic pain.
C. Feed a client who had a stroke and has difficulty swallowing.
D. Obtain a blood glucose reading for a client with diabetes.
• Correct Answer: D
• Rationale: Delegation is based on state practice acts and facility policies. Tasks
that are standard, have predictable outcomes, and do not require nursing
judgment can be delegated to UAP. Obtaining a blood glucose reading using a
glucometer is a routine, delegated task for stable clients. Assessment (A) and
evaluation (B) require the clinical judgment of a licensed nurse. Feeding a client
with dysphagia (C) requires specialized assessment and knowledge to prevent
aspiration and is not appropriate for a UAP.
2. A nurse on a medical-surgical unit is caring for four clients. Which of the following
clients should the nurse see first?
A. A client with heart failure who has 2+ pitting edema and a weight gain of 2 lb in
24 hours.
B. A client with pneumonia who has an oxygen saturation of 91% on 2 L/min
nasal cannula.
C. A client with diabetes mellitus who has a blood glucose level of 60 mg/dL and
is diaphoretic.
D. A client post-cholecystectomy who reports pain as 6 on a 0-10 scale.
• Correct Answer: C
• Rationale: The client with hypoglycemia (BS 60 mg/dL) is experiencing a life-
,threatening alteration in a physiological need (glucose). This client requires
immediate intervention to prevent neurological injury or death. The other clients
have non-urgent, chronic, or expected findings. Using the ABCs (Airway,
Breathing, Circulation) and Maslow's hierarchy of needs, a blood glucose of 60
mg/dL with diaphoresis takes priority.
, 3. A nurse is preparing to delegate a task to a licensed practical nurse (LPN). Which
of the following tasks is within the LPN's scope of practice?
A. Administer a blood transfusion.
B. Perform an initial admission assessment.
C. Reinforce teaching about a new medication to a client.
D. Create the plan of care for a newly admitted client.
• Correct Answer: C
• Rationale: The LPN's scope of practice includes reinforcing teaching that has
already been initiated by the RN. The RN is responsible for the initial
assessment (B), developing the plan of care (D), and for tasks requiring complex
nursing judgment, such as administering a blood transfusion (A) (though some
state Nurse Practice Acts may allow LPNs to monitor transfusions, initiating it is
typically an RN role).
4. A client is scheduled for surgery and has just signed the informed consent form.
The client then asks the nurse, "I'm still not sure why I need this surgery." Which of the
following actions should the nurse take?
A. Explain the procedure and risks again and have the client sign a new consent form.
B. Reassure the client that the procedure is necessary and safe.
C. Notify the surgeon that the client has questions about the procedure.
D. Document the client's statement in the medical record.
• Correct Answer: C
• Rationale: The nurse's role in informed consent is to witness the signature and
ensure the client is giving consent voluntarily. If a client expresses confusion or
lack of understanding, the nurse must notify the provider (the surgeon) so
they can clarify the procedure, risks, and benefits. It is the surgeon's legal
responsibility to obtain informed consent. The nurse should not attempt to
explain the procedure (A) as this is outside their scope.
