2026
ATI RN
Comprehensive
Predictor
5 Full Set Exam
Prep NGN STYLE
Answer Keys with
Detailed Rationales
NGN-style questions, case studies and answer keys
to help you prepare with confidence.
Reworded & Reshuffled Edition • Not affiliated with ATI, VATI or NCLEX. For study purposes only.
, Table of Contents
SET 1 EXAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Questions 1–25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Questions 26–50 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Questions 51–75 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Questions 76–100 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Questions 101–125 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Questions 126–150 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Questions 151–175 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Questions 176–180 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
SET 2 EXAM . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Questions 1–25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Questions 26–50 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Questions 51–75 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Questions 76–100 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
Questions 101–125 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
Questions 126–150 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
Questions 151–175 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96
Questions 176–180 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
SET 3 EXAM . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
Questions 1–25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
Questions 26–50 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112
Questions 51–75 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118
Questions 76–100 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125
Questions 101–125 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132
Questions 126–150 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139
Questions 151–175 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 146
ATI RN Comprehensive Predictor — 5 Full Set Exams Page 2
, Questions 176–177 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 152
SET 4 EXAM . . . . . . . . . . . . . . . . . . . . . . . . . . . 154
Questions 1–25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154
Questions 26–50 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 168
Questions 51–75 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 181
Questions 76–100 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 195
Questions 101–125 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 210
Questions 126–150 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 227
Questions 151–175 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 241
Questions 176–178 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 255
SET 5 EXAM . . . . . . . . . . . . . . . . . . . . . . . . . . . 258
Questions 1–25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 258
Questions 26–50 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 268
Questions 51–75 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 279
Questions 76–100 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 289
Questions 101–125 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 300
Questions 126–150 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 310
Questions 151–151 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 320
ATI RN Comprehensive Predictor — 5 Full Set Exams Page 3
, SET 1withEXAM
180 questions answers and rationales
Question 1
A nurse is developing a plan of care for a client with a prescription for continuous enteral feedings
through an NG tube. Which action should the nurse plan?
A. Advance the rate of feeding q2h
B. Flush the NG tube with 30 mL 0.9% sodium chloride before and after medication
C. Measure gastric residual volumes q4h
D. Maintain the head of the bed at 20° angle
Correct Answer: C
Rationale: Gastric residual monitoring assesses tolerance and helps prevent aspiration. Flush
with 15-30 mL before and after feeding, not just medication; head of bed at 30-
45°; rate advancement per protocol, not fixed schedule.
Question 2
A nurse is providing care for a client who is receiving TPN. The bag has 20 mL remaining to infuse,
but a new bag is not readily available. Which action should the nurse take?
A. Slow TPN infusion rate
B. Give 500 mL lactated Ringer's
C. Temporarily discontinue the infusion
D. Administer dextrose 10% in water
Correct Answer: D
Rationale: Dextrose 10% helps prevent hypoglycemia when TPN is interrupted. LR does not
provide glucose; slowing the rate does not address the impending empty bag; discontinuing
without alternative causes dangerous hypoglycemia.
Question 3
A nurse is performing an assessment on a client who is post-op following abdominal surgery and
has an indwelling urinary catheter that is draining dark yellow urine at 25 mL/hr. Which of these
should the nurse anticipate?
A. Obtain a urine specimen for culture and sensitivity
B. Administer fluid bolus
C. Initiate continuous bladder irrigation
D. Clamp the catheter tubing for 30 min
Correct Answer: A
Rationale: Dark yellow, concentrated urine at a low output (25 mL/hr is below normal 30 mL/hr
minimum) suggests possible infection or dehydration. A culture and sensitivity will identify
pathogens. The priority is determining if infection is present before implementing other
interventions.
ATI RN Comprehensive Predictor — 5 Full Set Exams Page 4
ATI RN
Comprehensive
Predictor
5 Full Set Exam
Prep NGN STYLE
Answer Keys with
Detailed Rationales
NGN-style questions, case studies and answer keys
to help you prepare with confidence.
Reworded & Reshuffled Edition • Not affiliated with ATI, VATI or NCLEX. For study purposes only.
, Table of Contents
SET 1 EXAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Questions 1–25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Questions 26–50 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Questions 51–75 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Questions 76–100 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Questions 101–125 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Questions 126–150 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Questions 151–175 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Questions 176–180 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
SET 2 EXAM . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Questions 1–25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Questions 26–50 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Questions 51–75 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Questions 76–100 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
Questions 101–125 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
Questions 126–150 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
Questions 151–175 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96
Questions 176–180 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
SET 3 EXAM . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
Questions 1–25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
Questions 26–50 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112
Questions 51–75 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118
Questions 76–100 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125
Questions 101–125 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132
Questions 126–150 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139
Questions 151–175 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 146
ATI RN Comprehensive Predictor — 5 Full Set Exams Page 2
, Questions 176–177 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 152
SET 4 EXAM . . . . . . . . . . . . . . . . . . . . . . . . . . . 154
Questions 1–25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154
Questions 26–50 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 168
Questions 51–75 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 181
Questions 76–100 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 195
Questions 101–125 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 210
Questions 126–150 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 227
Questions 151–175 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 241
Questions 176–178 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 255
SET 5 EXAM . . . . . . . . . . . . . . . . . . . . . . . . . . . 258
Questions 1–25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 258
Questions 26–50 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 268
Questions 51–75 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 279
Questions 76–100 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 289
Questions 101–125 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 300
Questions 126–150 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 310
Questions 151–151 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 320
ATI RN Comprehensive Predictor — 5 Full Set Exams Page 3
, SET 1withEXAM
180 questions answers and rationales
Question 1
A nurse is developing a plan of care for a client with a prescription for continuous enteral feedings
through an NG tube. Which action should the nurse plan?
A. Advance the rate of feeding q2h
B. Flush the NG tube with 30 mL 0.9% sodium chloride before and after medication
C. Measure gastric residual volumes q4h
D. Maintain the head of the bed at 20° angle
Correct Answer: C
Rationale: Gastric residual monitoring assesses tolerance and helps prevent aspiration. Flush
with 15-30 mL before and after feeding, not just medication; head of bed at 30-
45°; rate advancement per protocol, not fixed schedule.
Question 2
A nurse is providing care for a client who is receiving TPN. The bag has 20 mL remaining to infuse,
but a new bag is not readily available. Which action should the nurse take?
A. Slow TPN infusion rate
B. Give 500 mL lactated Ringer's
C. Temporarily discontinue the infusion
D. Administer dextrose 10% in water
Correct Answer: D
Rationale: Dextrose 10% helps prevent hypoglycemia when TPN is interrupted. LR does not
provide glucose; slowing the rate does not address the impending empty bag; discontinuing
without alternative causes dangerous hypoglycemia.
Question 3
A nurse is performing an assessment on a client who is post-op following abdominal surgery and
has an indwelling urinary catheter that is draining dark yellow urine at 25 mL/hr. Which of these
should the nurse anticipate?
A. Obtain a urine specimen for culture and sensitivity
B. Administer fluid bolus
C. Initiate continuous bladder irrigation
D. Clamp the catheter tubing for 30 min
Correct Answer: A
Rationale: Dark yellow, concentrated urine at a low output (25 mL/hr is below normal 30 mL/hr
minimum) suggests possible infection or dehydration. A culture and sensitivity will identify
pathogens. The priority is determining if infection is present before implementing other
interventions.
ATI RN Comprehensive Predictor — 5 Full Set Exams Page 4
