Prepare effectively for the ATI Comprehensive Predictor Exam 2025 with this expertly designed study guide, crafted for nursing students aiming for licensure success. This resource includes 180 high-yield questions that target core nursing areas such as medical-surgical, pediatric, maternity, psychiatric, and community health nursing, as well as pharmacology and leadership concepts. Each question is paired with expert answers and detailed rationales to deepen understanding and sharpen critical thinking skills, while proven study strategies offer practical techniques to enhance test-taking confidence and performance. Fully updated to align with the 2025 ATI Comprehensive Predictor content outline, this guide incorporates the latest NCLEX-style questions and evidence-based practices to ensure thorough preparation for both the predictor exam and the NCLEX-RN. This is an essential tool for nursing students seeking to excel in their exams and launch their professional careers.
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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 PCA pump (Correct Answer: D)
Rationale: LPNs can assist with routine care and procedures such as incentive spirometry,
specimen collection, and suctioning. However, managing a PCA pump requires advanced
assessment and medication management skills that fall under the RN’s scope of practice.
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 (Correct Answer)
• C. Right direction/communication (Correct Answer)
• D. Right time
• E. Right circumstances (Correct Answer)
Rationale: The five rights of delegation include: right task, right circumstances, right
person, right direction/communication, and right supervision/evaluation. ‘Right client’ and
‘right time’ are not part of this delegation framework.
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 the client?
• A. Charge nurse
• B. RN (Correct Answer)
• C. LVN
• D. AP
Rationale: A client returning from PACU after major surgery requires ongoing assessment,
monitoring of vital signs, and potential interventions that fall within the RN’s scope of
practice. LVNs and APs lack the necessary skills for such a complex case.
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 PCA pump (Correct Answer: D)
Rationale: LPNs can assist with routine care and procedures such as incentive spirometry,
specimen collection, and suctioning. However, managing a PCA pump requires advanced
assessment and medication management skills that fall under the RN’s scope of practice.
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 (Correct Answer)
• C. Right direction/communication (Correct Answer)
• D. Right time
• E. Right circumstances (Correct Answer)
Rationale: The five rights of delegation include: right task, right circumstances, right
person, right direction/communication, and right supervision/evaluation. ‘Right client’ and
‘right time’ are not part of this delegation framework.
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 the client?
• A. Charge nurse
• B. RN (Correct Answer)
• C. LVN
• D. AP
Rationale: A client returning from PACU after major surgery requires ongoing assessment,
monitoring of vital signs, and potential interventions that fall within the RN’s scope of
practice. LVNs and APs lack the necessary skills for such a complex case.
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