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2026 ATI RN Comprehensive Predictor Exam Overview & School Use

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The ATI RN Comprehensive Predictor Exam is a standardized proctored assessment used by nursing programs to evaluate a student’s cumulative knowledge and readiness for the NCLEX-RN licensure exam before graduation. It includes approximately 180 questions spanning core nursing content areas such as medical-surgical, pediatrics, maternity, pharmacology, leadership and community health, aligned with the NCLEX test plan. Performance on the predictor gives a probability score predicting success on the NCLEX and helps guide focused remediation prior to licensure testing. Many schools require passing the predictor (or completion of remediation) before allowing students to schedule their NCLEX-RN exam.

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Uploaded on
January 14, 2026
Number of pages
72
Written in
2025/2026
Type
Exam (elaborations)
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Questions & answers

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ATI RN Comprehensive Predictor Retake Questions (NEW UPDATED VERSION) LATEST ACTUAL
EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS)- GUARANTEED
PASS A+

ATI Comprehensive Predictor –


Question:
A patient with chronic kidney disease has hyperkalemia. Which ECG finding is expected?

Answer:
Peaked T waves

Rationale:
Elevated potassium affects myocardial repolarization and can cause life-threatening arrhythmias.



Question:
Which nursing action is priority for a patient with hypotension and tachycardia after surgery?

Answer:
Assess for bleeding and initiate IV fluids

Rationale:
Postoperative hypotension and tachycardia suggest hypovolemia; early intervention prevents
shock.



Question:
A patient with asthma uses a rescue inhaler more than twice per week. What does this indicate?

Answer:
Poor asthma control

Rationale:
Frequent use of rescue medication indicates inadequate management and increased risk of
exacerbation.



Question:
A patient is prescribed furosemide. Which electrolyte requires monitoring?



practice exam 2026

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Answer:
Potassium

Rationale:
Loop diuretics can cause hypokalemia, leading to cardiac arrhythmias and muscle weakness.



Question:
Which intervention is priority for a patient with suspected stroke?

Answer:
Call the stroke team immediately

Rationale:
Early intervention is critical for reperfusion therapy and minimizing neurologic damage.



Question:
A patient receiving heparin therapy develops sudden shortness of breath and chest pain. What is
the priority action?

Answer:
Assess vital signs and oxygenation, notify provider

Rationale:
Symptoms suggest pulmonary embolism; rapid assessment and intervention are essential.



Question:
A patient with heart failure reports weight gain of 4 lbs in 3 days. What should the nurse do?

Answer:
Notify the provider

Rationale:
Rapid weight gain indicates fluid retention and potential worsening heart failure.



Question:
A patient with chronic alcohol use presents with confusion, ataxia, and nystagmus. What is the
likely deficiency?



practice exam 2026

,3|Page


Answer:
Thiamine (Vitamin B1)

Rationale:
Wernicke encephalopathy results from thiamine deficiency and presents with classic triad.



Question:
Which intervention is priority for a patient with hypoglycemia?

Answer:
Administer fast-acting glucose

Rationale:
Immediate correction prevents neurologic damage and stabilizes blood sugar.



Question:
A patient is prescribed ACE inhibitors. Which lab must be monitored?

Answer:
Serum potassium and creatinine

Rationale:
ACE inhibitors can cause hyperkalemia and renal impairment; monitoring prevents
complications.



Question:
Which finding is consistent with hypernatremia?

Answer:
Thirst, dry mucous membranes, and confusion

Rationale:
High sodium levels cause cellular dehydration, especially in the brain.



Question:
A patient presents with fever, chills, and purulent drainage at a central line site. What is the first
action?



practice exam 2026

, 4|Page


Answer:
Notify the provider and obtain cultures

Rationale:
Prompt identification and treatment of central line-associated bloodstream infections prevents
sepsis.



Question:
Which patient should be assessed first according to ABCs: a) HR 110, b) BP 150/90, c) O2 sat
82%, d) Temp 100°F?

Answer:
O2 sat 82%

Rationale:
Airway and oxygenation take priority over other vital sign abnormalities.



Question:
A patient on warfarin therapy reports bruising and nosebleeds. Which lab should be checked?

Answer:
INR

Rationale:
Excess anticoagulation increases bleeding risk; INR guides dosage adjustment.



Question:
Which nursing action is priority for a patient with acute chest pain?

Answer:
Obtain ECG and vital signs

Rationale:
Early detection of cardiac ischemia allows prompt treatment and reduces complications.



Question:
A patient has a potassium level of 3.0 mEq/L. Which nursing intervention is priority?



practice exam 2026

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