NEWEST ATI RN COMPREHENSIVE
PREDICTOR
2026 EXIT EXAM WITH NGN
─────────────────────────────────────────
100% VERIFIED ANSWERS AND RATIONALES
180 Questions to Pass 2026 RN ATI Comprehensive Predictor
2026 RN ATI Comprehensive Predictor Exit Exam
Comprehensive Study Guide | Clinical Nursing Excellence
© 2026 ATI Nursing Study Series
, EXAM INSTRUCTIONS & OVERVIEW
★ EXAM FORMAT: This comprehensive predictor exam contains 180 questions designed to simulate
the ATI RN Comprehensive Predictor assessment format, including Next Generation NCLEX (NGN)
style items.
★ NGN ITEM TYPES INCLUDED: Extended Multiple Response (Select All That Apply), Matrix/Grid
Items, Bowtie Items, Trend Questions, Drop-Down Cloze, and Case Study formats.
★ HOW TO STUDY: Read each question carefully before looking at the answer. Attempt each question
independently, then review the detailed rationale to reinforce learning.
★ CONTENT COVERAGE: Medical-Surgical Nursing, Pediatrics, Maternity/OB, Psychiatric/Mental
Health, Pharmacology, Prioritization/Delegation, Legal/Ethical, and Emergency Care.
★ SCORING GUIDANCE: A score of ≥65% (117/180) is generally associated with high likelihood of
NCLEX-RN success. Target ≥75% for optimal confidence.
★ KEY STRATEGIES: Use ADPIE (Assess, Diagnose, Plan, Implement, Evaluate), ABCs (Airway,
Breathing, Circulation), Maslow's Hierarchy, and Safety first when prioritizing care.
, 180 EXAM QUESTIONS WITH ANSWERS & RATIONALES
Each question includes verified answers and comprehensive clinical rationales
Question 1 of 180
Q1. A nurse is caring for a client who has heart failure and is receiving furosemide
(Lasix) 40 mg IV daily. Which of the following assessment findings should the nurse
report to the provider?
Select the BEST answer:
A. Urine output of 200 mL/hr
B. Serum potassium 3.1 mEq/L
C. Blood pressure 138/86 mmHg
D. Weight loss of 1 kg over 24 hours
✓ CORRECT ANSWER: B
RATIONALE: A serum potassium of 3.1 mEq/L indicates hypokalemia (normal: 3.5–5.0
mEq/L). Furosemide is a loop diuretic that causes potassium loss. Hypokalemia can lead to
life-threatening cardiac dysrhythmias and must be reported to the provider immediately. The
other findings are expected outcomes of diuretic therapy.
Question 2 of 180
Q2. A nurse is assessing a client who has chronic obstructive pulmonary disease
(COPD). Which of the following findings should the nurse expect?
Select the BEST answer:
A. Decreased anteroposterior chest diameter
B. SpO2 of 98%
C. Respiratory rate of 24/min with prolonged expiration
D. Pink, moist mucous membranes
✓ CORRECT ANSWER: C
RATIONALE: Clients with COPD typically have air trapping and hyperinflation, leading to an
increased anteroposterior (barrel) chest, tachypnea with prolonged expiration (due to airway
collapse), and lower SpO2 (often 88–92%). Prolonged expiration is a hallmark sign of
obstructive lung disease.
Question 3 of 180
, Q3. A nurse is planning care for a client who has a new diagnosis of type 2 diabetes
mellitus. Which of the following interventions should the nurse include in the plan of
care? (Select all that apply.)
Select the BEST answer:
A. Teach the client to inspect their feet daily
B. Encourage a high-carbohydrate diet
C. Recommend aerobic exercise at least 150 minutes per week
D. Instruct the client to check blood glucose before meals
E. Advise the client to skip meals to reduce blood glucose levels
✓ CORRECT ANSWER: A, C, D
RATIONALE: Daily foot inspection prevents complications of peripheral neuropathy.
Regular aerobic exercise (150 min/week) improves insulin sensitivity and glycemic control.
Pre-meal blood glucose monitoring helps guide dietary and medication decisions. High-
carbohydrate diets worsen glycemic control. Skipping meals causes hypoglycemia and is
dangerous.
Question 4 of 180
Q4. A nurse is caring for a postoperative client who reports pain rated 8/10. The client
has morphine sulfate 2–4 mg IV PRN every 4 hours for pain. The last dose was given 5
hours ago. Which of the following actions should the nurse take first?
Select the BEST answer:
A. Administer morphine 2 mg IV
B. Perform a complete pain assessment
C. Notify the provider of the pain rating
D. Apply a warm compress to the surgical site
✓ CORRECT ANSWER: B
RATIONALE: Using the nursing process, assessment precedes intervention. The nurse
should perform a complete pain assessment (location, quality, onset, aggravating and
relieving factors) before administering medication. This ensures the pain is surgical in nature
and that the medication is appropriate. Assessment is always the first step.
Question 5 of 180
Q5. A nurse is teaching a client who has hypertension about lifestyle modifications.
Which of the following statements by the client indicates understanding?
Select the BEST answer:
PREDICTOR
2026 EXIT EXAM WITH NGN
─────────────────────────────────────────
100% VERIFIED ANSWERS AND RATIONALES
180 Questions to Pass 2026 RN ATI Comprehensive Predictor
2026 RN ATI Comprehensive Predictor Exit Exam
Comprehensive Study Guide | Clinical Nursing Excellence
© 2026 ATI Nursing Study Series
, EXAM INSTRUCTIONS & OVERVIEW
★ EXAM FORMAT: This comprehensive predictor exam contains 180 questions designed to simulate
the ATI RN Comprehensive Predictor assessment format, including Next Generation NCLEX (NGN)
style items.
★ NGN ITEM TYPES INCLUDED: Extended Multiple Response (Select All That Apply), Matrix/Grid
Items, Bowtie Items, Trend Questions, Drop-Down Cloze, and Case Study formats.
★ HOW TO STUDY: Read each question carefully before looking at the answer. Attempt each question
independently, then review the detailed rationale to reinforce learning.
★ CONTENT COVERAGE: Medical-Surgical Nursing, Pediatrics, Maternity/OB, Psychiatric/Mental
Health, Pharmacology, Prioritization/Delegation, Legal/Ethical, and Emergency Care.
★ SCORING GUIDANCE: A score of ≥65% (117/180) is generally associated with high likelihood of
NCLEX-RN success. Target ≥75% for optimal confidence.
★ KEY STRATEGIES: Use ADPIE (Assess, Diagnose, Plan, Implement, Evaluate), ABCs (Airway,
Breathing, Circulation), Maslow's Hierarchy, and Safety first when prioritizing care.
, 180 EXAM QUESTIONS WITH ANSWERS & RATIONALES
Each question includes verified answers and comprehensive clinical rationales
Question 1 of 180
Q1. A nurse is caring for a client who has heart failure and is receiving furosemide
(Lasix) 40 mg IV daily. Which of the following assessment findings should the nurse
report to the provider?
Select the BEST answer:
A. Urine output of 200 mL/hr
B. Serum potassium 3.1 mEq/L
C. Blood pressure 138/86 mmHg
D. Weight loss of 1 kg over 24 hours
✓ CORRECT ANSWER: B
RATIONALE: A serum potassium of 3.1 mEq/L indicates hypokalemia (normal: 3.5–5.0
mEq/L). Furosemide is a loop diuretic that causes potassium loss. Hypokalemia can lead to
life-threatening cardiac dysrhythmias and must be reported to the provider immediately. The
other findings are expected outcomes of diuretic therapy.
Question 2 of 180
Q2. A nurse is assessing a client who has chronic obstructive pulmonary disease
(COPD). Which of the following findings should the nurse expect?
Select the BEST answer:
A. Decreased anteroposterior chest diameter
B. SpO2 of 98%
C. Respiratory rate of 24/min with prolonged expiration
D. Pink, moist mucous membranes
✓ CORRECT ANSWER: C
RATIONALE: Clients with COPD typically have air trapping and hyperinflation, leading to an
increased anteroposterior (barrel) chest, tachypnea with prolonged expiration (due to airway
collapse), and lower SpO2 (often 88–92%). Prolonged expiration is a hallmark sign of
obstructive lung disease.
Question 3 of 180
, Q3. A nurse is planning care for a client who has a new diagnosis of type 2 diabetes
mellitus. Which of the following interventions should the nurse include in the plan of
care? (Select all that apply.)
Select the BEST answer:
A. Teach the client to inspect their feet daily
B. Encourage a high-carbohydrate diet
C. Recommend aerobic exercise at least 150 minutes per week
D. Instruct the client to check blood glucose before meals
E. Advise the client to skip meals to reduce blood glucose levels
✓ CORRECT ANSWER: A, C, D
RATIONALE: Daily foot inspection prevents complications of peripheral neuropathy.
Regular aerobic exercise (150 min/week) improves insulin sensitivity and glycemic control.
Pre-meal blood glucose monitoring helps guide dietary and medication decisions. High-
carbohydrate diets worsen glycemic control. Skipping meals causes hypoglycemia and is
dangerous.
Question 4 of 180
Q4. A nurse is caring for a postoperative client who reports pain rated 8/10. The client
has morphine sulfate 2–4 mg IV PRN every 4 hours for pain. The last dose was given 5
hours ago. Which of the following actions should the nurse take first?
Select the BEST answer:
A. Administer morphine 2 mg IV
B. Perform a complete pain assessment
C. Notify the provider of the pain rating
D. Apply a warm compress to the surgical site
✓ CORRECT ANSWER: B
RATIONALE: Using the nursing process, assessment precedes intervention. The nurse
should perform a complete pain assessment (location, quality, onset, aggravating and
relieving factors) before administering medication. This ensures the pain is surgical in nature
and that the medication is appropriate. Assessment is always the first step.
Question 5 of 180
Q5. A nurse is teaching a client who has hypertension about lifestyle modifications.
Which of the following statements by the client indicates understanding?
Select the BEST answer:
