ATI RN COMPREHENSIVE
PREDICTOR 2026: EXIT EXAM
SIMULATION QUESTIONS AND
ANSWERS WITH
RATIONALES/GRADED A+/2026
UPDATE/100% CORRECT
/INSTANT DOWNLOAD
Section 1: Management of Care (Prioritization, Delegation, &
Ethics)
1. A charge nurse is assigning rooms for four new admissions. Which client
requires a private room with negative pressure airflow?
• A. A child with pertussis.
• B. An infant with RSV.
• C. An adult with active pulmonary tuberculosis.
• D. A client with disseminated herpes zoster.
Rationale: Both active pulmonary TB and disseminated herpes zoster
(chickenpox/shingles) require Airborne Precautions (private room, negative
pressure, N95 mask). However, in NCLEX/ATI logic, "disseminated zoster" is often the
correct answer for airborne, while localized zoster is contact. Pertussis/RSV are
Droplet .
2. A nurse is delegating tasks to a Licensed Practical Nurse (LPN). Which action
is most appropriate for the LPN to perform?
• A. Perform the initial admission assessment on a client with chest pain.
, • B. Teach a diabetic client how to self-administer insulin.
• C. Monitor a client’s nasogastric tube for placement and output.
• D. Administer IV push morphine to a post-operative client.
Rationale: LPNs are licensed to monitor stable clients, administer enteral feedings,
and measure output. Initial assessments, teaching (EAT: Evaluate, Assess, Teach),
and IV push meds fall under the RN scope of practice .
3. A client with terminal cancer tells the nurse, "I am ready to stop all
treatments and just go home." What is the nurse's best response?
• A. "You should discuss this with your family first."
• B. "Tell me more about your decision to stop treatment."
• C. "Let’s wait until your doctor comes in tomorrow."
• D. "You will need a psychiatric consult before stopping treatment."
Rationale: The nurse should use therapeutic communication to explore the client's
feelings. Respecting autonomy means supporting the competent client's right to
refuse treatment. Option B is open-ended and non-judgmental .
4. A nurse observes a colleague administering a high-alert medication without
checking the client's ID band. What action should the nurse take FIRST?
• A. Speak directly to the nurse about the safety violation.
• B. Report the nurse to the state board of nursing.
• C. Complete an incident report immediately.
• D. Ignore the behavior if no harm occurred.
Rationale: The chain of conflict resolution begins with addressing the colleague
directly. The first step is not punitive but corrective (ensuring the "right patient"
check is performed) .
5. A client is brought to the ED after a violent altercation. The nurse suspects
intimate partner violence. What is the priority nursing action?
• A. Document the physical findings in detail.
• B. Call the police to report the incident.
• C. Ask the client, "Do you feel safe in your home?"
• D. Offer the client a referral to a social worker.
Rationale: Prioritize safety assessment first. While documentation and referrals are
important, the nurse must immediately determine if the client is in imminent danger.
Many states have mandatory reporting laws, but safety is the priority .
, 6. A client who is Jehovah's Witness refuses a life-saving blood transfusion.
Which action should the nurse take?
• A. Administer the transfusion because it is medically necessary.
• B. Call a ethics committee meeting to overrule the client.
• C. Respect the refusal and notify the provider for alternatives.
• D. Ask the family to sign the consent form.
Rationale: A competent adult has the absolute right to refuse treatment based on
religious beliefs. The nurse must respect autonomy and explore alternatives (e.g.,
erythropoietin, iron) .
Section 2: Safety & Infection Control
7. A nurse is caring for a client with Clostridioides difficile (C. diff). Which hand
hygiene method is appropriate?
• A. Alcohol-based hand sanitizer.
• B. Soap and water with vigorous friction.
• C. Chlorhexidine wipes.
• D. Wearing gloves without hand hygiene.
Rationale: Alcohol-based hand rubs do not kill C. diff spores. The mechanical friction
of soap and water is required to physically remove the spores from the hands .
8. A client with active pulmonary tuberculosis is admitted. Which PPE must the
nurse wear when entering the room?
• A. Surgical mask and gloves.
• B. Gown and gloves only.
• C. N95 respirator.
• D. Eye goggles.
Rationale: TB requires Airborne Precautions. The N95 respirator filters 95% of
airborne particles. Droplet precautions (surgical masks) are for flu/meningitis .
9. The nurse is preparing to insert a urinary catheter. Which technique requires
correction?
• A. The nurse uses the non-dominant hand to separate the labia.
• B. The nurse opens the sterile kit on the over-bed table.
PREDICTOR 2026: EXIT EXAM
SIMULATION QUESTIONS AND
ANSWERS WITH
RATIONALES/GRADED A+/2026
UPDATE/100% CORRECT
/INSTANT DOWNLOAD
Section 1: Management of Care (Prioritization, Delegation, &
Ethics)
1. A charge nurse is assigning rooms for four new admissions. Which client
requires a private room with negative pressure airflow?
• A. A child with pertussis.
• B. An infant with RSV.
• C. An adult with active pulmonary tuberculosis.
• D. A client with disseminated herpes zoster.
Rationale: Both active pulmonary TB and disseminated herpes zoster
(chickenpox/shingles) require Airborne Precautions (private room, negative
pressure, N95 mask). However, in NCLEX/ATI logic, "disseminated zoster" is often the
correct answer for airborne, while localized zoster is contact. Pertussis/RSV are
Droplet .
2. A nurse is delegating tasks to a Licensed Practical Nurse (LPN). Which action
is most appropriate for the LPN to perform?
• A. Perform the initial admission assessment on a client with chest pain.
, • B. Teach a diabetic client how to self-administer insulin.
• C. Monitor a client’s nasogastric tube for placement and output.
• D. Administer IV push morphine to a post-operative client.
Rationale: LPNs are licensed to monitor stable clients, administer enteral feedings,
and measure output. Initial assessments, teaching (EAT: Evaluate, Assess, Teach),
and IV push meds fall under the RN scope of practice .
3. A client with terminal cancer tells the nurse, "I am ready to stop all
treatments and just go home." What is the nurse's best response?
• A. "You should discuss this with your family first."
• B. "Tell me more about your decision to stop treatment."
• C. "Let’s wait until your doctor comes in tomorrow."
• D. "You will need a psychiatric consult before stopping treatment."
Rationale: The nurse should use therapeutic communication to explore the client's
feelings. Respecting autonomy means supporting the competent client's right to
refuse treatment. Option B is open-ended and non-judgmental .
4. A nurse observes a colleague administering a high-alert medication without
checking the client's ID band. What action should the nurse take FIRST?
• A. Speak directly to the nurse about the safety violation.
• B. Report the nurse to the state board of nursing.
• C. Complete an incident report immediately.
• D. Ignore the behavior if no harm occurred.
Rationale: The chain of conflict resolution begins with addressing the colleague
directly. The first step is not punitive but corrective (ensuring the "right patient"
check is performed) .
5. A client is brought to the ED after a violent altercation. The nurse suspects
intimate partner violence. What is the priority nursing action?
• A. Document the physical findings in detail.
• B. Call the police to report the incident.
• C. Ask the client, "Do you feel safe in your home?"
• D. Offer the client a referral to a social worker.
Rationale: Prioritize safety assessment first. While documentation and referrals are
important, the nurse must immediately determine if the client is in imminent danger.
Many states have mandatory reporting laws, but safety is the priority .
, 6. A client who is Jehovah's Witness refuses a life-saving blood transfusion.
Which action should the nurse take?
• A. Administer the transfusion because it is medically necessary.
• B. Call a ethics committee meeting to overrule the client.
• C. Respect the refusal and notify the provider for alternatives.
• D. Ask the family to sign the consent form.
Rationale: A competent adult has the absolute right to refuse treatment based on
religious beliefs. The nurse must respect autonomy and explore alternatives (e.g.,
erythropoietin, iron) .
Section 2: Safety & Infection Control
7. A nurse is caring for a client with Clostridioides difficile (C. diff). Which hand
hygiene method is appropriate?
• A. Alcohol-based hand sanitizer.
• B. Soap and water with vigorous friction.
• C. Chlorhexidine wipes.
• D. Wearing gloves without hand hygiene.
Rationale: Alcohol-based hand rubs do not kill C. diff spores. The mechanical friction
of soap and water is required to physically remove the spores from the hands .
8. A client with active pulmonary tuberculosis is admitted. Which PPE must the
nurse wear when entering the room?
• A. Surgical mask and gloves.
• B. Gown and gloves only.
• C. N95 respirator.
• D. Eye goggles.
Rationale: TB requires Airborne Precautions. The N95 respirator filters 95% of
airborne particles. Droplet precautions (surgical masks) are for flu/meningitis .
9. The nurse is preparing to insert a urinary catheter. Which technique requires
correction?
• A. The nurse uses the non-dominant hand to separate the labia.
• B. The nurse opens the sterile kit on the over-bed table.
