ATI RN COMPREHENSIVE PREDICTOR FORM E EXAM – PRACTICE QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT
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CORE DOMAINS
Management of Care
Safety and Infection Control
Health Promotion and Maintenance
Psychosocial Integrity
Basic Care and Comfort
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation
INTRODUCTION
The ATI RN Comprehensive Predictor Form E Exam is a critical evaluative tool designed to
determine a nursing student’s readiness for the NCLEX-RN licensure examination. This
assessment meticulously measures the student’s mastery of essential nursing concepts, clinical
judgment, and safe practice standards across the lifespan. Through a blend of foundational
theory and complex scenario-based inquiries, the exam challenges the candidate's ability to
prioritize care, delegate tasks appropriately, and apply evidence-based interventions. By
simulating the rigor of professional practice, this examination emphasizes real-world application,
,ethical decision-making, and the physiological and psychological integrity of diverse patient
populations.
SECTION ONE: QUESTIONS 1–100
1. A nurse is caring for a client who is 24 hours postoperative following a total hip
arthroplasty. Which of the following actions should the nurse take to prevent deep vein
thrombosis (DVT)?
A. Place a pillow under the client's knees
B. Encourage the use of an incentive spirometer every hour
C. Apply sequential compression devices (SCDs) to both legs
D. Maintain the client on strict bed rest for 48 hours
🟢 Correct answer C. Apply sequential compression devices (SCDs) to both legs
🔴 RATIONALE: SCDs promote venous return and prevent blood stasis, which is the primary
intervention for DVT prophylaxis in postoperative clients.
2. A nurse is assessing a client who has a history of heart failure and is taking furosemide.
Which of the following findings indicates the client is experiencing a side effect of the
medication?
A. Serum potassium 2.8 mEq/L
B. 2+ pitting edema in lower extremities
C. Blood pressure 148/92 mm Hg
D. Weight gain of 1 kg in 24 hours
🟢 Correct answer A. Serum potassium 2.8 mEq/L
🔴 RATIONALE: Furosemide is a loop diuretic that causes the excretion of potassium, potentially
leading to hypokalemia (normal range: 3.5 to 5.0 mEq/L).
3. A nurse is providing teaching to a client who has a new prescription for warfarin. Which of
the following statements by the client indicates an understanding of the teaching?
,A. I should increase my intake of leafy green vegetables
B. I will use an electric razor for shaving
C. I can take aspirin for occasional headaches
D. I do not need to have my blood drawn regularly
🟢 Correct answer B. I will use an electric razor for shaving
🔴 RATIONALE: Warfarin is an anticoagulant that increases the risk of bleeding; using an
electric razor reduces the risk of skin nicks and hemorrhage.
4. A nurse is caring for a client in the active stage of labor. The nurse notes fetal heart rate
decelerations that begin after the peak of a contraction and return to baseline after the
contraction ends. Which of the following actions should the nurse take?
A. Increase the rate of the oxytocin infusion
B. Place the client in a lateral position
C. Prepare the client for an immediate forceps delivery
D. Perform a vaginal exam to check for cord prolapse
🟢 Correct answer B. Place the client in a lateral position
🔴 RATIONALE: Late decelerations indicate uteroplacental insufficiency; turning the client to the
side improves uterine blood flow and fetal oxygenation.
5. A nurse is reviewing the laboratory results of a client who has acute kidney injury. Which
of the following findings should the nurse expect?
A. Serum creatinine 0.6 mg/dL
B. BUN 45 mg/dL
C. Serum potassium 3.2 mEq/L
D. Hemoglobin 16 g/dL
🟢 Correct answer B. BUN 45 mg/dL
🔴 RATIONALE: In acute kidney injury, the Blood Urea Nitrogen (BUN) level rises significantly
due to decreased glomerular filtration.
, 6. A nurse is preparing to administer digoxin to a client with heart failure. Which of the
following actions should the nurse take first?
A. Check the client's blood pressure
B. Assess the apical pulse for one full minute
C. Review the client's most recent serum digoxin level
D. Monitor the client’s intake and output
🟢 Correct answer B. Assess the apical pulse for one full minute
🔴 RATIONALE: The nurse must assess the apical pulse for 60 seconds to ensure the heart rate
is at least 60/min before administering digoxin to prevent bradycardia.
7. A nurse is caring for a client who is experiencing a manic episode. Which of the following
nursing interventions is the priority?
A. Encourage the client to participate in group therapy
B. Provide high-calorie finger foods
C. Ensure the client’s physical safety
D. Administer prescribed lithium carbonate
🟢 Correct answer C. Ensure the client’s physical safety
🔴 RATIONALE: Safety is the highest priority for a client in a manic state who may demonstrate
impulsive or risky behavior that could lead to self-injury.
8. A nurse is supervising an assistive personnel (AP) who is bathing a client with Clostridium
difficile (C. diff). Which of the following actions by the AP requires intervention by the
nurse?
A. Wearing a clean gown and gloves
B. Using alcohol-based hand sanitizer after leaving the room
C. Disposing of soiled linens in a biohazard bag
D. Using soap and water to wash hands
CORRECT ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF.
CORE DOMAINS
Management of Care
Safety and Infection Control
Health Promotion and Maintenance
Psychosocial Integrity
Basic Care and Comfort
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation
INTRODUCTION
The ATI RN Comprehensive Predictor Form E Exam is a critical evaluative tool designed to
determine a nursing student’s readiness for the NCLEX-RN licensure examination. This
assessment meticulously measures the student’s mastery of essential nursing concepts, clinical
judgment, and safe practice standards across the lifespan. Through a blend of foundational
theory and complex scenario-based inquiries, the exam challenges the candidate's ability to
prioritize care, delegate tasks appropriately, and apply evidence-based interventions. By
simulating the rigor of professional practice, this examination emphasizes real-world application,
,ethical decision-making, and the physiological and psychological integrity of diverse patient
populations.
SECTION ONE: QUESTIONS 1–100
1. A nurse is caring for a client who is 24 hours postoperative following a total hip
arthroplasty. Which of the following actions should the nurse take to prevent deep vein
thrombosis (DVT)?
A. Place a pillow under the client's knees
B. Encourage the use of an incentive spirometer every hour
C. Apply sequential compression devices (SCDs) to both legs
D. Maintain the client on strict bed rest for 48 hours
🟢 Correct answer C. Apply sequential compression devices (SCDs) to both legs
🔴 RATIONALE: SCDs promote venous return and prevent blood stasis, which is the primary
intervention for DVT prophylaxis in postoperative clients.
2. A nurse is assessing a client who has a history of heart failure and is taking furosemide.
Which of the following findings indicates the client is experiencing a side effect of the
medication?
A. Serum potassium 2.8 mEq/L
B. 2+ pitting edema in lower extremities
C. Blood pressure 148/92 mm Hg
D. Weight gain of 1 kg in 24 hours
🟢 Correct answer A. Serum potassium 2.8 mEq/L
🔴 RATIONALE: Furosemide is a loop diuretic that causes the excretion of potassium, potentially
leading to hypokalemia (normal range: 3.5 to 5.0 mEq/L).
3. A nurse is providing teaching to a client who has a new prescription for warfarin. Which of
the following statements by the client indicates an understanding of the teaching?
,A. I should increase my intake of leafy green vegetables
B. I will use an electric razor for shaving
C. I can take aspirin for occasional headaches
D. I do not need to have my blood drawn regularly
🟢 Correct answer B. I will use an electric razor for shaving
🔴 RATIONALE: Warfarin is an anticoagulant that increases the risk of bleeding; using an
electric razor reduces the risk of skin nicks and hemorrhage.
4. A nurse is caring for a client in the active stage of labor. The nurse notes fetal heart rate
decelerations that begin after the peak of a contraction and return to baseline after the
contraction ends. Which of the following actions should the nurse take?
A. Increase the rate of the oxytocin infusion
B. Place the client in a lateral position
C. Prepare the client for an immediate forceps delivery
D. Perform a vaginal exam to check for cord prolapse
🟢 Correct answer B. Place the client in a lateral position
🔴 RATIONALE: Late decelerations indicate uteroplacental insufficiency; turning the client to the
side improves uterine blood flow and fetal oxygenation.
5. A nurse is reviewing the laboratory results of a client who has acute kidney injury. Which
of the following findings should the nurse expect?
A. Serum creatinine 0.6 mg/dL
B. BUN 45 mg/dL
C. Serum potassium 3.2 mEq/L
D. Hemoglobin 16 g/dL
🟢 Correct answer B. BUN 45 mg/dL
🔴 RATIONALE: In acute kidney injury, the Blood Urea Nitrogen (BUN) level rises significantly
due to decreased glomerular filtration.
, 6. A nurse is preparing to administer digoxin to a client with heart failure. Which of the
following actions should the nurse take first?
A. Check the client's blood pressure
B. Assess the apical pulse for one full minute
C. Review the client's most recent serum digoxin level
D. Monitor the client’s intake and output
🟢 Correct answer B. Assess the apical pulse for one full minute
🔴 RATIONALE: The nurse must assess the apical pulse for 60 seconds to ensure the heart rate
is at least 60/min before administering digoxin to prevent bradycardia.
7. A nurse is caring for a client who is experiencing a manic episode. Which of the following
nursing interventions is the priority?
A. Encourage the client to participate in group therapy
B. Provide high-calorie finger foods
C. Ensure the client’s physical safety
D. Administer prescribed lithium carbonate
🟢 Correct answer C. Ensure the client’s physical safety
🔴 RATIONALE: Safety is the highest priority for a client in a manic state who may demonstrate
impulsive or risky behavior that could lead to self-injury.
8. A nurse is supervising an assistive personnel (AP) who is bathing a client with Clostridium
difficile (C. diff). Which of the following actions by the AP requires intervention by the
nurse?
A. Wearing a clean gown and gloves
B. Using alcohol-based hand sanitizer after leaving the room
C. Disposing of soiled linens in a biohazard bag
D. Using soap and water to wash hands
