ATI RN Comprehensive Predictor Exam
ATI RN Comprehensive Predictor Exam
2026 Edition 100 Advanced Questions with
Answers and Detailed Rationales
Part 1 (Questions 1–25)
Question 1 (Prioritization)
A nurse receives report on four clients. Which client should the nurse assess first?
A. A client with heart failure who has 2+ bilateral ankle edema
B. A postoperative client reporting pain of 7/10 after receiving analgesics 2 hours ago
C. A client with COPD whose oxygen saturation decreased from 94% to 86% on prescribed
oxygen
D. A client with diabetes whose fasting blood glucose is 188 mg/dL
Answer: C
Rationale:
An acute decrease in oxygen saturation despite oxygen therapy indicates impaired gas exchange
and requires immediate assessment using the ABC priority framework.
A: Expected finding in chronic heart failure.
B: Important but not immediately life-threatening.
D: Elevated but not emergent.
NCLEX Client Need: Physiological Integrity
Question 2 (SATA)
A nurse is caring for a client receiving IV heparin. Which findings indicate possible bleeding?
Select all that apply.
A. Hematuria
B. Black, tarry stools
C. Platelet count 250,000/mm³
D. New bruising on the arms
, ATI RN Comprehensive Predictor Exam
E. Severe headache
F. BP 88/50 mm Hg
Answers:
✅A
✅B
✅D
✅E
✅F
Rationale:
Signs of bleeding include:
Hematuria
Melena
Bruising
Intracranial bleeding (headache)
Hypotension
Platelets of 250,000/mm³ are normal.
Question 3
A client develops sudden shortness of breath one day after total hip replacement. Which
complication should the nurse suspect first?
A. Pneumonia
B. Atelectasis
C. Pulmonary embolism
D. Congestive heart failure
Answer: C
Rationale:
Sudden dyspnea after orthopedic surgery strongly suggests pulmonary embolism.
Question 4 (NGN Case Study)
, ATI RN Comprehensive Predictor Exam
A client admitted with sepsis has:
BP 82/46
HR 132
RR 30
Temp 39.6°C (103.3°F)
Lactate 5.4 mmol/L
Which provider prescription should the nurse implement first?
A. Obtain blood cultures
B. Administer broad-spectrum antibiotics
C. Begin rapid infusion of isotonic IV fluids
D. Insert urinary catheter
Answer: C
Rationale:
Fluid resuscitation is the first priority for septic shock to restore perfusion.
Question 5
Which assessment finding is most concerning after thyroidectomy?
A. Hoarse voice
B. Tingling around the mouth
C. Mild incisional pain
D. Small amount of drainage
Answer: B
Rationale:
Perioral tingling suggests hypocalcemia from accidental parathyroid injury.
Question 6 (Delegation)
, ATI RN Comprehensive Predictor Exam
Which task is appropriate to delegate to an experienced UAP?
A. Reinforce diabetic teaching
B. Assess pain after morphine
C. Measure intake and output
D. Evaluate oxygen therapy
Answer: C
Question 7
A client with bacterial meningitis should be placed under which precautions?
A. Airborne
B. Contact
C. Droplet
D. Protective isolation
Answer: C
Question 8 (SATA)
Which foods should a client taking warfarin consume consistently?
A. Spinach
B. Kale
C. Broccoli
D. White rice
E. Green tea
Answers:
✅A
ATI RN Comprehensive Predictor Exam
2026 Edition 100 Advanced Questions with
Answers and Detailed Rationales
Part 1 (Questions 1–25)
Question 1 (Prioritization)
A nurse receives report on four clients. Which client should the nurse assess first?
A. A client with heart failure who has 2+ bilateral ankle edema
B. A postoperative client reporting pain of 7/10 after receiving analgesics 2 hours ago
C. A client with COPD whose oxygen saturation decreased from 94% to 86% on prescribed
oxygen
D. A client with diabetes whose fasting blood glucose is 188 mg/dL
Answer: C
Rationale:
An acute decrease in oxygen saturation despite oxygen therapy indicates impaired gas exchange
and requires immediate assessment using the ABC priority framework.
A: Expected finding in chronic heart failure.
B: Important but not immediately life-threatening.
D: Elevated but not emergent.
NCLEX Client Need: Physiological Integrity
Question 2 (SATA)
A nurse is caring for a client receiving IV heparin. Which findings indicate possible bleeding?
Select all that apply.
A. Hematuria
B. Black, tarry stools
C. Platelet count 250,000/mm³
D. New bruising on the arms
, ATI RN Comprehensive Predictor Exam
E. Severe headache
F. BP 88/50 mm Hg
Answers:
✅A
✅B
✅D
✅E
✅F
Rationale:
Signs of bleeding include:
Hematuria
Melena
Bruising
Intracranial bleeding (headache)
Hypotension
Platelets of 250,000/mm³ are normal.
Question 3
A client develops sudden shortness of breath one day after total hip replacement. Which
complication should the nurse suspect first?
A. Pneumonia
B. Atelectasis
C. Pulmonary embolism
D. Congestive heart failure
Answer: C
Rationale:
Sudden dyspnea after orthopedic surgery strongly suggests pulmonary embolism.
Question 4 (NGN Case Study)
, ATI RN Comprehensive Predictor Exam
A client admitted with sepsis has:
BP 82/46
HR 132
RR 30
Temp 39.6°C (103.3°F)
Lactate 5.4 mmol/L
Which provider prescription should the nurse implement first?
A. Obtain blood cultures
B. Administer broad-spectrum antibiotics
C. Begin rapid infusion of isotonic IV fluids
D. Insert urinary catheter
Answer: C
Rationale:
Fluid resuscitation is the first priority for septic shock to restore perfusion.
Question 5
Which assessment finding is most concerning after thyroidectomy?
A. Hoarse voice
B. Tingling around the mouth
C. Mild incisional pain
D. Small amount of drainage
Answer: B
Rationale:
Perioral tingling suggests hypocalcemia from accidental parathyroid injury.
Question 6 (Delegation)
, ATI RN Comprehensive Predictor Exam
Which task is appropriate to delegate to an experienced UAP?
A. Reinforce diabetic teaching
B. Assess pain after morphine
C. Measure intake and output
D. Evaluate oxygen therapy
Answer: C
Question 7
A client with bacterial meningitis should be placed under which precautions?
A. Airborne
B. Contact
C. Droplet
D. Protective isolation
Answer: C
Question 8 (SATA)
Which foods should a client taking warfarin consume consistently?
A. Spinach
B. Kale
C. Broccoli
D. White rice
E. Green tea
Answers:
✅A
