1|Page
2026 ATI RN Comprehensive Predictor Exam Review (NEW UPDATED VERSION) LATEST ACTUAL
EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS)- GUARANTEED
PASS A+ UPDATED GRADED A+
1. A patient with acute myocardial infarction complains of chest pain radiating to the left arm.
First nursing action?
A: Assess ABCs and notify provider
Rationale: Ensures life-threatening conditions are addressed immediately.
2. A patient with pneumonia has SpO₂ 89%. Best nursing action?
A: Administer oxygen and monitor response
Rationale: Corrects hypoxemia and prevents organ compromise.
3. A patient with heart failure has 3+ pitting edema. Nursing priority?
A: Monitor fluid status and daily weight
Rationale: Detects fluid overload and evaluates treatment effectiveness.
4. A patient on heparin develops sudden leg pain and swelling. Nursing action?
A: Notify provider and assess for DVT
Rationale: Early detection prevents embolic complications.
5. A patient is post-op day 1 with hypotension and tachycardia. First action?
A: Assess for internal bleeding
Rationale: Signs suggest possible hemorrhagic shock.
6. A patient on furosemide reports muscle weakness. Likely cause?
A: Hypokalemia
Rationale: Loop diuretics cause potassium loss affecting neuromuscular function.
7. A patient with COPD becomes drowsy on O₂ therapy. Nursing action?
A: Assess ABG and titrate oxygen per order
Rationale: High O₂ may depress respiratory drive in CO₂ retainers.
8. A patient with DKA has fruity-smelling breath and Kussmaul respirations. Priority?
A: Administer IV fluids and insulin per protocol
Rationale: Corrects dehydration, hyperglycemia, and electrolyte imbalance.
9. A patient with pulmonary embolism reports sudden shortness of breath and chest pain.
Nursing action?
A: Administer oxygen and notify provider immediately
Rationale: PE is life-threatening; prompt intervention needed.
10. A patient has new-onset atrial fibrillation with rapid ventricular rate. Nursing priority?
A: Assess hemodynamic status and notify provider
Rationale: Rapid AF can cause instability; urgent evaluation is required.
practice exam 2026
,2|Page
11–20: Pharmacology & Medication Safety
11. A patient receiving digoxin reports nausea and blurred vision. Nursing implication?
A: Check digoxin level
Rationale: Early sign of toxicity requires monitoring and possible dose adjustment.
12. Before administering metoprolol, nurse checks:
A: Heart rate and blood pressure
Rationale: Prevents bradycardia and hypotension.
13. A patient is prescribed warfarin. Priority teaching point?
A: Avoid foods high in vitamin K
Rationale: Vitamin K affects anticoagulant efficacy.
14. A patient develops urticaria during a blood transfusion. Nursing action?
A: Stop transfusion and notify provider
Rationale: Prevents progression of transfusion reaction.
15. A patient on opioid PCA reports RR 8/min. First action?
A: Administer naloxone per protocol and monitor airway
Rationale: Opioid-induced respiratory depression is life-threatening.
16. A patient on corticosteroids develops hyperglycemia. Nursing action?
A: Monitor glucose and teach about dietary management
Rationale: Corticosteroids increase glucose; monitoring prevents complications.
17. A patient is prescribed lisinopril. What should nurse monitor?
A: Blood pressure and potassium
Rationale: ACE inhibitors may cause hypotension and hyperkalemia.
18. A patient is receiving vancomycin. Nursing priority?
A: Monitor renal function and trough levels
Rationale: Prevents nephrotoxicity and ensures therapeutic dosing.
19. A patient on insulin shows BG 250 mg/dL before lunch. Nursing action?
A: Administer scheduled insulin per protocol
Rationale: Correct timing prevents hyperglycemia while avoiding hypoglycemia.
20. A patient develops a reaction to penicillin (rash and pruritus). Nurse should:
A: Discontinue drug and notify provider
Rationale: Allergic reactions can escalate to anaphylaxis; immediate response is required.
practice exam 2026
,3|Page
21–30: Maternity & Newborn
21. A postpartum patient reports heavy vaginal bleeding and a boggy uterus. First action?
A: Massage the fundus and monitor vitals
Rationale: Prevents postpartum hemorrhage and maintains hemodynamic stability.
22. A newborn is jittery with BG 38 mg/dL. Nursing action?
A: Feed orally or provide IV glucose per protocol
Rationale: Treats neonatal hypoglycemia and prevents neurological damage.
23. A patient in labor has contractions every 2 minutes and fetal HR 170 bpm. Nursing priority?
A: Assess fetal status and notify provider
Rationale: Tachycardia may indicate fetal distress; immediate evaluation needed.
24. A mother reports breast engorgement and pain. Nursing intervention?
A: Encourage frequent breastfeeding or pumping
Rationale: Relieves engorgement and promotes lactation.
25. A patient in the first stage of labor reports increased pain. Appropriate intervention?
A: Assist with breathing techniques and comfort measures
Rationale: Non-pharmacologic support improves coping during labor.
26. A newborn shows signs of respiratory distress (grunting, nasal flaring). Nursing action?
A: Provide oxygen and monitor closely
Rationale: Early intervention prevents hypoxia and complications.
27. A postpartum patient has BP 160/100 mmHg and headache. Nursing priority?
A: Assess for preeclampsia and notify provider
Rationale: High risk for seizures and end-organ damage; urgent evaluation is required.
28. A newborn with jaundice is under phototherapy. Nursing action?
A: Protect eyes and monitor bilirubin levels
Rationale: Prevents eye damage and ensures therapy effectiveness.
29. A patient is Rh-negative and delivered an Rh-positive baby. Next action?
A: Administer Rh immune globulin per protocol
Rationale: Prevents isoimmunization in future pregnancies.
30. A breastfeeding mother reports nipple cracking and pain. Nursing intervention?
A: Assess latch technique and provide education
Rationale: Correct latch prevents trauma and promotes successful breastfeeding.
practice exam 2026
, 4|Page
31–40: Pediatrics & Growth
31. A 4-year-old with dehydration is lethargic and has dry mucous membranes. Nursing action?
A: Initiate IV fluids per protocol
Rationale: Corrects fluid deficit and prevents shock.
32. A toddler presents with fever, irritability, and cough. Nursing priority?
A: Assess respiratory status and oxygenation
Rationale: Early detection of respiratory distress is critical in children.
33. A child with asthma is wheezing and tachypneic. Nursing action?
A: Administer bronchodilator and monitor O₂ saturation
Rationale: Rapid intervention prevents hypoxia.
34. A 6-year-old has suspected appendicitis. Priority assessment?
A: Abdominal pain localization and rebound tenderness
Rationale: Classic signs guide surgical intervention.
35. A child receiving oral antibiotics vomits the dose. Nursing action?
A: Consult provider about re-dosing or alternative route
Rationale: Ensures therapeutic efficacy and prevents underdosing.
36. A child with type 1 diabetes shows BG 60 mg/dL. Nursing action?
A: Provide fast-acting carbohydrate
Rationale: Corrects hypoglycemia and prevents neurological damage.
37. A child has sudden respiratory distress with stridor. Nursing priority?
A: Ensure airway patency and call for help
Rationale: Airway compromise is life-threatening.
38. A child is post-op tonsillectomy. Nursing intervention?
A: Monitor for bleeding and maintain hydration
Rationale: Early detection of hemorrhage prevents shock.
39. A child with dehydration is alert but refuses fluids. Nursing action?
A: Encourage oral rehydration in small frequent sips
Rationale: Promotes hydration safely and effectively.
40. A pediatric patient with asthma shows accessory muscle use. Intervention?
A: Administer prescribed bronchodilator
Rationale: Relieves airway obstruction and improves oxygenation.
practice exam 2026
2026 ATI RN Comprehensive Predictor Exam Review (NEW UPDATED VERSION) LATEST ACTUAL
EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS)- GUARANTEED
PASS A+ UPDATED GRADED A+
1. A patient with acute myocardial infarction complains of chest pain radiating to the left arm.
First nursing action?
A: Assess ABCs and notify provider
Rationale: Ensures life-threatening conditions are addressed immediately.
2. A patient with pneumonia has SpO₂ 89%. Best nursing action?
A: Administer oxygen and monitor response
Rationale: Corrects hypoxemia and prevents organ compromise.
3. A patient with heart failure has 3+ pitting edema. Nursing priority?
A: Monitor fluid status and daily weight
Rationale: Detects fluid overload and evaluates treatment effectiveness.
4. A patient on heparin develops sudden leg pain and swelling. Nursing action?
A: Notify provider and assess for DVT
Rationale: Early detection prevents embolic complications.
5. A patient is post-op day 1 with hypotension and tachycardia. First action?
A: Assess for internal bleeding
Rationale: Signs suggest possible hemorrhagic shock.
6. A patient on furosemide reports muscle weakness. Likely cause?
A: Hypokalemia
Rationale: Loop diuretics cause potassium loss affecting neuromuscular function.
7. A patient with COPD becomes drowsy on O₂ therapy. Nursing action?
A: Assess ABG and titrate oxygen per order
Rationale: High O₂ may depress respiratory drive in CO₂ retainers.
8. A patient with DKA has fruity-smelling breath and Kussmaul respirations. Priority?
A: Administer IV fluids and insulin per protocol
Rationale: Corrects dehydration, hyperglycemia, and electrolyte imbalance.
9. A patient with pulmonary embolism reports sudden shortness of breath and chest pain.
Nursing action?
A: Administer oxygen and notify provider immediately
Rationale: PE is life-threatening; prompt intervention needed.
10. A patient has new-onset atrial fibrillation with rapid ventricular rate. Nursing priority?
A: Assess hemodynamic status and notify provider
Rationale: Rapid AF can cause instability; urgent evaluation is required.
practice exam 2026
,2|Page
11–20: Pharmacology & Medication Safety
11. A patient receiving digoxin reports nausea and blurred vision. Nursing implication?
A: Check digoxin level
Rationale: Early sign of toxicity requires monitoring and possible dose adjustment.
12. Before administering metoprolol, nurse checks:
A: Heart rate and blood pressure
Rationale: Prevents bradycardia and hypotension.
13. A patient is prescribed warfarin. Priority teaching point?
A: Avoid foods high in vitamin K
Rationale: Vitamin K affects anticoagulant efficacy.
14. A patient develops urticaria during a blood transfusion. Nursing action?
A: Stop transfusion and notify provider
Rationale: Prevents progression of transfusion reaction.
15. A patient on opioid PCA reports RR 8/min. First action?
A: Administer naloxone per protocol and monitor airway
Rationale: Opioid-induced respiratory depression is life-threatening.
16. A patient on corticosteroids develops hyperglycemia. Nursing action?
A: Monitor glucose and teach about dietary management
Rationale: Corticosteroids increase glucose; monitoring prevents complications.
17. A patient is prescribed lisinopril. What should nurse monitor?
A: Blood pressure and potassium
Rationale: ACE inhibitors may cause hypotension and hyperkalemia.
18. A patient is receiving vancomycin. Nursing priority?
A: Monitor renal function and trough levels
Rationale: Prevents nephrotoxicity and ensures therapeutic dosing.
19. A patient on insulin shows BG 250 mg/dL before lunch. Nursing action?
A: Administer scheduled insulin per protocol
Rationale: Correct timing prevents hyperglycemia while avoiding hypoglycemia.
20. A patient develops a reaction to penicillin (rash and pruritus). Nurse should:
A: Discontinue drug and notify provider
Rationale: Allergic reactions can escalate to anaphylaxis; immediate response is required.
practice exam 2026
,3|Page
21–30: Maternity & Newborn
21. A postpartum patient reports heavy vaginal bleeding and a boggy uterus. First action?
A: Massage the fundus and monitor vitals
Rationale: Prevents postpartum hemorrhage and maintains hemodynamic stability.
22. A newborn is jittery with BG 38 mg/dL. Nursing action?
A: Feed orally or provide IV glucose per protocol
Rationale: Treats neonatal hypoglycemia and prevents neurological damage.
23. A patient in labor has contractions every 2 minutes and fetal HR 170 bpm. Nursing priority?
A: Assess fetal status and notify provider
Rationale: Tachycardia may indicate fetal distress; immediate evaluation needed.
24. A mother reports breast engorgement and pain. Nursing intervention?
A: Encourage frequent breastfeeding or pumping
Rationale: Relieves engorgement and promotes lactation.
25. A patient in the first stage of labor reports increased pain. Appropriate intervention?
A: Assist with breathing techniques and comfort measures
Rationale: Non-pharmacologic support improves coping during labor.
26. A newborn shows signs of respiratory distress (grunting, nasal flaring). Nursing action?
A: Provide oxygen and monitor closely
Rationale: Early intervention prevents hypoxia and complications.
27. A postpartum patient has BP 160/100 mmHg and headache. Nursing priority?
A: Assess for preeclampsia and notify provider
Rationale: High risk for seizures and end-organ damage; urgent evaluation is required.
28. A newborn with jaundice is under phototherapy. Nursing action?
A: Protect eyes and monitor bilirubin levels
Rationale: Prevents eye damage and ensures therapy effectiveness.
29. A patient is Rh-negative and delivered an Rh-positive baby. Next action?
A: Administer Rh immune globulin per protocol
Rationale: Prevents isoimmunization in future pregnancies.
30. A breastfeeding mother reports nipple cracking and pain. Nursing intervention?
A: Assess latch technique and provide education
Rationale: Correct latch prevents trauma and promotes successful breastfeeding.
practice exam 2026
, 4|Page
31–40: Pediatrics & Growth
31. A 4-year-old with dehydration is lethargic and has dry mucous membranes. Nursing action?
A: Initiate IV fluids per protocol
Rationale: Corrects fluid deficit and prevents shock.
32. A toddler presents with fever, irritability, and cough. Nursing priority?
A: Assess respiratory status and oxygenation
Rationale: Early detection of respiratory distress is critical in children.
33. A child with asthma is wheezing and tachypneic. Nursing action?
A: Administer bronchodilator and monitor O₂ saturation
Rationale: Rapid intervention prevents hypoxia.
34. A 6-year-old has suspected appendicitis. Priority assessment?
A: Abdominal pain localization and rebound tenderness
Rationale: Classic signs guide surgical intervention.
35. A child receiving oral antibiotics vomits the dose. Nursing action?
A: Consult provider about re-dosing or alternative route
Rationale: Ensures therapeutic efficacy and prevents underdosing.
36. A child with type 1 diabetes shows BG 60 mg/dL. Nursing action?
A: Provide fast-acting carbohydrate
Rationale: Corrects hypoglycemia and prevents neurological damage.
37. A child has sudden respiratory distress with stridor. Nursing priority?
A: Ensure airway patency and call for help
Rationale: Airway compromise is life-threatening.
38. A child is post-op tonsillectomy. Nursing intervention?
A: Monitor for bleeding and maintain hydration
Rationale: Early detection of hemorrhage prevents shock.
39. A child with dehydration is alert but refuses fluids. Nursing action?
A: Encourage oral rehydration in small frequent sips
Rationale: Promotes hydration safely and effectively.
40. A pediatric patient with asthma shows accessory muscle use. Intervention?
A: Administer prescribed bronchodilator
Rationale: Relieves airway obstruction and improves oxygenation.
practice exam 2026
