ATI Comprehensive Predictor Exam
2026 Latest Updated Questions with
Correct Answers
TOPIC 1 – MANAGEMENT OF CARE (DELEGATION, PRIORITIZATION, ASSIGNMENT)
Q1. What tasks can be delegated to Assistive Personnel (AP)?
A) Evaluation of client outcomes
B) Assessment of lung sounds
C) ADLs: bathing, grooming, dressing, ambulating, feeding (without swallow precautions)
D) Medication administration
Correct Answer: C
Rationale: AP can perform ADLs, positioning, bed making, I&O, specimen collection, and vital
signs for stable clients. Evaluation and assessment are RN responsibilities .
Q2. A nurse on a med-surg unit has received change of shift report and will care for 4 clients.
Which client's need should the nurse assign to an AP?
A) Feeding a client admitted 24 hours ago with aspiration pneumonia
B) Reinforcing teaching with a client learning to walk with a quad cane
C) Reapplying a condom catheter for a client who has urinary incontinence
D) Applying a sterile dressing to a pressure ulcer
Correct Answer: C
Rationale: Condom catheter application is within AP scope after training. Feeding a client with
aspiration risk requires RN assessment (A). Teaching (B) and sterile dressing (D) require
licensed personnel .
Q3. An RN is making assignments to an LPN at the beginning of the shift. Which assignment
should the LPN question?
A) Assisting a client 24 hr post-op to use an incentive spirometer
B) Collecting a clean catch urine specimen from a newly admitted client
C) Providing nasopharyngeal suctioning for a client with pneumonia
D) Replacing the cartridge and tubing on a PCA pump
Correct Answer: D
,Rationale: PCA pump management (replacing cartridge/tubing) requires RN oversight as it
involves assessment of pain and pump settings. LPNs cannot initiate or adjust PCA pumps .
Q4. A nurse is preparing an in-service about delegation. Which elements belong to the "5 Rights
of Delegation"? (Select all that apply)
A) Right client
B) Right supervision/evaluation
C) Right direction/communication
D) Right time
E) Right circumstances
Correct Answer: B, C, E
Rationale: The 5 rights are: right task, right circumstances, right person, right
direction/communication, and right supervision/evaluation. "Right client" and "right time" are not
part of this framework .
Q5. A nurse manager is assigning care for a client returning from PACU following thoracic
surgery. To which staff member should the nurse assign this client?
A) Charge nurse
B) RN
C) LPN/LVN
D) AP
Correct Answer: B
Rationale: Post-operative thoracic surgery clients are unstable and require comprehensive
assessment by an RN. LPNs can assist with stable post-op clients; AP cannot take initial
assignment .
Q6. A client waiting for a kidney transplant must meet qualifications. This is an example of which
ethical principle?
A) Fidelity
B) Autonomy
C) Justice
D) Nonmaleficence
Correct Answer: C
Rationale: Justice refers to fairness and equal distribution of resources. All transplant
candidates must meet the same criteria regardless of other factors .
Q7. A nurse offers pain medication to a post-op client prior to ambulation. This is an example of
which ethical principle?
A) Fidelity
B) Autonomy
C) Justice
, D) Beneficence
Correct Answer: D
Rationale: Beneficence means acting in the client's best interest. Providing pain relief before
activity demonstrates doing good for the client .
Q8. A nurse questions a medication prescription as too extreme given the client's advanced
age. This action is an example of which ethical principle?
A) Fidelity
B) Autonomy
C) Justice
D) Nonmaleficence
Correct Answer: D
Rationale: Nonmaleficence means "do no harm." Questioning an unsafe prescription prevents
potential harm to the client .
Q9. A nurse is caring for a client who decides not to have surgery despite coronary artery
blockages. This choice is an example of which principle?
A) Fidelity
B) Autonomy
C) Justice
D) Nonmaleficence
Correct Answer: B
Rationale: Autonomy respects the client's right to make their own healthcare decisions, even if
against medical advice .
Q10. A client who has gastroenteritis is lethargic and confused. Which client should the nurse
report first?
A) Client with ileal conduit and mucus in the pouch
B) Client with chronic kidney disease and cloudy dialysate outflow
C) Client with pleasant arteriovenous vibration palpated
D) Client with transurethral resection of prostate with red-tinged urine
Correct Answer: B
Rationale: Cloudy dialysate outflow indicates peritonitis, a medical emergency in peritoneal
dialysis patients. Lethargy and confusion in gastroenteritis suggest severe dehydration or sepsis
(also high priority) .
TOPIC 2 – SAFETY & INFECTION CONTROL
Q11. Which precautions are required for airborne transmission?
2026 Latest Updated Questions with
Correct Answers
TOPIC 1 – MANAGEMENT OF CARE (DELEGATION, PRIORITIZATION, ASSIGNMENT)
Q1. What tasks can be delegated to Assistive Personnel (AP)?
A) Evaluation of client outcomes
B) Assessment of lung sounds
C) ADLs: bathing, grooming, dressing, ambulating, feeding (without swallow precautions)
D) Medication administration
Correct Answer: C
Rationale: AP can perform ADLs, positioning, bed making, I&O, specimen collection, and vital
signs for stable clients. Evaluation and assessment are RN responsibilities .
Q2. A nurse on a med-surg unit has received change of shift report and will care for 4 clients.
Which client's need should the nurse assign to an AP?
A) Feeding a client admitted 24 hours ago with aspiration pneumonia
B) Reinforcing teaching with a client learning to walk with a quad cane
C) Reapplying a condom catheter for a client who has urinary incontinence
D) Applying a sterile dressing to a pressure ulcer
Correct Answer: C
Rationale: Condom catheter application is within AP scope after training. Feeding a client with
aspiration risk requires RN assessment (A). Teaching (B) and sterile dressing (D) require
licensed personnel .
Q3. An RN is making assignments to an LPN at the beginning of the shift. Which assignment
should the LPN question?
A) Assisting a client 24 hr post-op to use an incentive spirometer
B) Collecting a clean catch urine specimen from a newly admitted client
C) Providing nasopharyngeal suctioning for a client with pneumonia
D) Replacing the cartridge and tubing on a PCA pump
Correct Answer: D
,Rationale: PCA pump management (replacing cartridge/tubing) requires RN oversight as it
involves assessment of pain and pump settings. LPNs cannot initiate or adjust PCA pumps .
Q4. A nurse is preparing an in-service about delegation. Which elements belong to the "5 Rights
of Delegation"? (Select all that apply)
A) Right client
B) Right supervision/evaluation
C) Right direction/communication
D) Right time
E) Right circumstances
Correct Answer: B, C, E
Rationale: The 5 rights are: right task, right circumstances, right person, right
direction/communication, and right supervision/evaluation. "Right client" and "right time" are not
part of this framework .
Q5. A nurse manager is assigning care for a client returning from PACU following thoracic
surgery. To which staff member should the nurse assign this client?
A) Charge nurse
B) RN
C) LPN/LVN
D) AP
Correct Answer: B
Rationale: Post-operative thoracic surgery clients are unstable and require comprehensive
assessment by an RN. LPNs can assist with stable post-op clients; AP cannot take initial
assignment .
Q6. A client waiting for a kidney transplant must meet qualifications. This is an example of which
ethical principle?
A) Fidelity
B) Autonomy
C) Justice
D) Nonmaleficence
Correct Answer: C
Rationale: Justice refers to fairness and equal distribution of resources. All transplant
candidates must meet the same criteria regardless of other factors .
Q7. A nurse offers pain medication to a post-op client prior to ambulation. This is an example of
which ethical principle?
A) Fidelity
B) Autonomy
C) Justice
, D) Beneficence
Correct Answer: D
Rationale: Beneficence means acting in the client's best interest. Providing pain relief before
activity demonstrates doing good for the client .
Q8. A nurse questions a medication prescription as too extreme given the client's advanced
age. This action is an example of which ethical principle?
A) Fidelity
B) Autonomy
C) Justice
D) Nonmaleficence
Correct Answer: D
Rationale: Nonmaleficence means "do no harm." Questioning an unsafe prescription prevents
potential harm to the client .
Q9. A nurse is caring for a client who decides not to have surgery despite coronary artery
blockages. This choice is an example of which principle?
A) Fidelity
B) Autonomy
C) Justice
D) Nonmaleficence
Correct Answer: B
Rationale: Autonomy respects the client's right to make their own healthcare decisions, even if
against medical advice .
Q10. A client who has gastroenteritis is lethargic and confused. Which client should the nurse
report first?
A) Client with ileal conduit and mucus in the pouch
B) Client with chronic kidney disease and cloudy dialysate outflow
C) Client with pleasant arteriovenous vibration palpated
D) Client with transurethral resection of prostate with red-tinged urine
Correct Answer: B
Rationale: Cloudy dialysate outflow indicates peritonitis, a medical emergency in peritoneal
dialysis patients. Lethargy and confusion in gastroenteritis suggest severe dehydration or sepsis
(also high priority) .
TOPIC 2 – SAFETY & INFECTION CONTROL
Q11. Which precautions are required for airborne transmission?
