ATI Comprehensive Predictor Practice Questions With Answers & Rationales
2026 latest update
1. Priority Nursing Action
A nurse is caring for a client with chest pain and suspected myocardial infarction. What is the
priority action?
A. Obtain a 12-lead ECG
B. Administer morphine
C. Start oxygen therapy
D. Draw cardiac enzymes
Answer: C
Rationale: Oxygen improves myocardial oxygenation and is the first immediate intervention
in suspected MI before diagnostics and medications.
2. Infection Control
Which patient requires airborne precautions?
A. Influenza
B. Tuberculosis
C. MRSA wound infection
D. Norovirus
Answer: B
Rationale: Tuberculosis is transmitted via airborne particles and requires a negative pressure
room and N95 mask.
3. Medication Safety
A patient is receiving warfarin. Which lab value indicates therapeutic effect?
A. INR 1.0
B. INR 1.5
C. INR 2.5
D. INR 5.0
Answer: C
,Rationale: Therapeutic INR range for most conditions is 2.0–3.0.
4. Postoperative Care
Which sign indicates internal bleeding after surgery?
A. Bradycardia
B. Increased urine output
C. Hypotension and tachycardia
D. Warm skin and flushing
Answer: C
Rationale: Hypotension and tachycardia are early signs of hypovolemic shock.
5. Pediatric Assessment
Which finding is normal in a 2-month-old infant?
A. Head lag
B. Strong neck control
C. Walking reflex
D. Speaking 2-word phrases
Answer: A
Rationale: Head lag is normal due to immature neck muscles.
6. Diabetes Management
Which symptom indicates hypoglycemia?
A. Fruity breath
B. Polyuria
C. Shakiness and sweating
D. Deep rapid breathing
Answer: C
Rationale: Hypoglycemia stimulates sympathetic response causing tremors and sweating.
7. Fluid & Electrolytes
Which lab value indicates hyperkalemia?
A. 3.2 mEq/L
, B. 4.0 mEq/L
C. 5.8 mEq/L
D. 2.9 mEq/L
Answer: C
Rationale: Normal potassium is 3.5–5.0 mEq/L; above indicates hyperkalemia.
8. Mental Health
Which behavior suggests schizophrenia?
A. Grandiosity
B. Auditory hallucinations
C. Excessive happiness
D. Flight of ideas
Answer: B
Rationale: Auditory hallucinations are a positive symptom of schizophrenia.
9. OB Nursing
Which is a sign of placenta previa?
A. Severe abdominal pain
B. Painless vaginal bleeding
C. Uterine rigidity
D. Decreased fetal movement
Answer: B
Rationale: Placenta previa presents with painless bright red bleeding.
10. Pharmacology
Which medication requires monitoring for ototoxicity?
A. Furosemide
B. Acetaminophen
C. Lisinopril
D. Metformin
Answer: A
2026 latest update
1. Priority Nursing Action
A nurse is caring for a client with chest pain and suspected myocardial infarction. What is the
priority action?
A. Obtain a 12-lead ECG
B. Administer morphine
C. Start oxygen therapy
D. Draw cardiac enzymes
Answer: C
Rationale: Oxygen improves myocardial oxygenation and is the first immediate intervention
in suspected MI before diagnostics and medications.
2. Infection Control
Which patient requires airborne precautions?
A. Influenza
B. Tuberculosis
C. MRSA wound infection
D. Norovirus
Answer: B
Rationale: Tuberculosis is transmitted via airborne particles and requires a negative pressure
room and N95 mask.
3. Medication Safety
A patient is receiving warfarin. Which lab value indicates therapeutic effect?
A. INR 1.0
B. INR 1.5
C. INR 2.5
D. INR 5.0
Answer: C
,Rationale: Therapeutic INR range for most conditions is 2.0–3.0.
4. Postoperative Care
Which sign indicates internal bleeding after surgery?
A. Bradycardia
B. Increased urine output
C. Hypotension and tachycardia
D. Warm skin and flushing
Answer: C
Rationale: Hypotension and tachycardia are early signs of hypovolemic shock.
5. Pediatric Assessment
Which finding is normal in a 2-month-old infant?
A. Head lag
B. Strong neck control
C. Walking reflex
D. Speaking 2-word phrases
Answer: A
Rationale: Head lag is normal due to immature neck muscles.
6. Diabetes Management
Which symptom indicates hypoglycemia?
A. Fruity breath
B. Polyuria
C. Shakiness and sweating
D. Deep rapid breathing
Answer: C
Rationale: Hypoglycemia stimulates sympathetic response causing tremors and sweating.
7. Fluid & Electrolytes
Which lab value indicates hyperkalemia?
A. 3.2 mEq/L
, B. 4.0 mEq/L
C. 5.8 mEq/L
D. 2.9 mEq/L
Answer: C
Rationale: Normal potassium is 3.5–5.0 mEq/L; above indicates hyperkalemia.
8. Mental Health
Which behavior suggests schizophrenia?
A. Grandiosity
B. Auditory hallucinations
C. Excessive happiness
D. Flight of ideas
Answer: B
Rationale: Auditory hallucinations are a positive symptom of schizophrenia.
9. OB Nursing
Which is a sign of placenta previa?
A. Severe abdominal pain
B. Painless vaginal bleeding
C. Uterine rigidity
D. Decreased fetal movement
Answer: B
Rationale: Placenta previa presents with painless bright red bleeding.
10. Pharmacology
Which medication requires monitoring for ototoxicity?
A. Furosemide
B. Acetaminophen
C. Lisinopril
D. Metformin
Answer: A
