ATI Comprehensive
Practice
Assessment A -
Version 2.0 well
written one year
2025 /2026
updated graded A+
Advanced Clinical Judgment and Comprehensive
Nursing Practice Examination
,Exam Title: ATI RN Comprehensive Online Practice Assessment A – Advanced Clinical Judgment,
Prioritization, Delegation, Pharmacology, and Evidence-Based Nursing Practice for Pre-Licensure RN
Candidates (Version 2.0)
Difficulty Level: Advanced / Hard / Mixed
Target Audience: Senior nursing students, pre-licensure RN candidates preparing for the ATI
Comprehensive Predictor, ATI Capstone Proctored Assessment, and NCLEX-RN examination
Exam Format: 150 multiple-choice questions with one correct answer per question
Content Areas: Fundamentals of Nursing, Pharmacology, Medical-Surgical Nursing, MaternalNewborn
Nursing, Pediatrics, Mental Health Nursing, Leadership and Management, Community Health
Instructions: Select the single best answer for each question. Base your responses on current
evidence-based nursing practice, the NCLEX-RN Test Plan, and ATI Nursing Education standards.
Prioritize client safety, the nursing process, and clinical judgment in all responses.
SECTION 1: FUNDAMENTALS OF NURSING (Questions 1–25)
Question 1
A nurse is preparing to insert a peripheral IV catheter in a client who requires fluid replacement. Which
of the following actions should the nurse take first?
A) Apply a tourniquet 2-4 inches above the insertion site
B) Select a vein that is soft and bouncy
C) Cleanse the site with chlorhexidine
,D) Assess the client's allergies
- detailed answer 100 % correct :-D
Rationale: The nurse should first assess the client for allergies (e.g., to latex, iodine, chlorhexidine)
before any procedure to prevent adverse reactions. All other steps are part of the procedure but occur
after allergy assessment.
Question 2
A nurse is caring for a client who has a prescription for a 24-hour urine collection for creatinine
clearance. Which of the following actions should the nurse take?
A) Begin the collection with the first voiding of the day
B) Discard the first voiding of the collection period
C) Keep the collection container at room temperature
D) Collect a random specimen during the 24-hour period
- detailed answer 100 % correct :-B
Rationale: The first voiding at the start of the collection period should be discarded and the time
noted. All subsequent urine is collected for the next 24 hours. The final specimen is the first voiding of
the next day.
Question 3
A nurse is reinforcing teaching with a client who has a new diagnosis of hypertension about sodium
restriction. Which of the following statements by the client indicates an understanding of the
teaching?
A) "I can use garlic powder to season my food instead of salt."
B) "I should avoid canned vegetables and eat fresh ones instead."
C) "I can eat processed meats as long as I don't add salt."
D) "I can use salt substitutes freely without any risk."
- detailed answer 100 % correct :-A
Rationale: Garlic powder is a salt-free seasoning and is an appropriate substitute for salt. Canned
vegetables (B) are high in sodium; fresh or frozen are better. Processed meats (C) are high in sodium
, regardless of added salt. Salt substitutes (D) contain potassium and may be contraindicated in some
clients.
Question 4
A nurse is providing postmortem care for a client who has died. Which of the following actions should
the nurse take?
A) Remove all tubes and dressings
B) Place the client in a supine position with arms crossed
C) Elevate the head of the bed 30 degrees
D) Place dentures in a labeled cup
- detailed answer 100 % correct :-D
Rationale: Dentures should be placed in a labeled cup with the client's identification. Tubes and
dressings are typically left in place (A) unless removal is ordered. The client is placed supine with arms
at the sides (B), and the head of the bed is flat (C) to prevent pooling of blood in the face.
Question 5
A nurse is caring for a client who has a wound with a pressure injury. Which of the following findings
should indicate to the nurse that the wound is infected?
A) Serosanguineous drainage
B) Wound edges that are approximated
C) Foul odor and purulent drainage
D) Pink granulation tissue
- detailed answer 100 % correct :-C
Rationale: Foul odor and purulent drainage are signs of infection. Serosanguineous drainage (A) is
expected. Approximated wound edges (B) indicate healing. Pink granulation tissue (D) indicates
healthy healing tissue.
Question 6
A nurse is preparing to administer a cleansing enema to a client. Which of the following actions should
the nurse take?
Practice
Assessment A -
Version 2.0 well
written one year
2025 /2026
updated graded A+
Advanced Clinical Judgment and Comprehensive
Nursing Practice Examination
,Exam Title: ATI RN Comprehensive Online Practice Assessment A – Advanced Clinical Judgment,
Prioritization, Delegation, Pharmacology, and Evidence-Based Nursing Practice for Pre-Licensure RN
Candidates (Version 2.0)
Difficulty Level: Advanced / Hard / Mixed
Target Audience: Senior nursing students, pre-licensure RN candidates preparing for the ATI
Comprehensive Predictor, ATI Capstone Proctored Assessment, and NCLEX-RN examination
Exam Format: 150 multiple-choice questions with one correct answer per question
Content Areas: Fundamentals of Nursing, Pharmacology, Medical-Surgical Nursing, MaternalNewborn
Nursing, Pediatrics, Mental Health Nursing, Leadership and Management, Community Health
Instructions: Select the single best answer for each question. Base your responses on current
evidence-based nursing practice, the NCLEX-RN Test Plan, and ATI Nursing Education standards.
Prioritize client safety, the nursing process, and clinical judgment in all responses.
SECTION 1: FUNDAMENTALS OF NURSING (Questions 1–25)
Question 1
A nurse is preparing to insert a peripheral IV catheter in a client who requires fluid replacement. Which
of the following actions should the nurse take first?
A) Apply a tourniquet 2-4 inches above the insertion site
B) Select a vein that is soft and bouncy
C) Cleanse the site with chlorhexidine
,D) Assess the client's allergies
- detailed answer 100 % correct :-D
Rationale: The nurse should first assess the client for allergies (e.g., to latex, iodine, chlorhexidine)
before any procedure to prevent adverse reactions. All other steps are part of the procedure but occur
after allergy assessment.
Question 2
A nurse is caring for a client who has a prescription for a 24-hour urine collection for creatinine
clearance. Which of the following actions should the nurse take?
A) Begin the collection with the first voiding of the day
B) Discard the first voiding of the collection period
C) Keep the collection container at room temperature
D) Collect a random specimen during the 24-hour period
- detailed answer 100 % correct :-B
Rationale: The first voiding at the start of the collection period should be discarded and the time
noted. All subsequent urine is collected for the next 24 hours. The final specimen is the first voiding of
the next day.
Question 3
A nurse is reinforcing teaching with a client who has a new diagnosis of hypertension about sodium
restriction. Which of the following statements by the client indicates an understanding of the
teaching?
A) "I can use garlic powder to season my food instead of salt."
B) "I should avoid canned vegetables and eat fresh ones instead."
C) "I can eat processed meats as long as I don't add salt."
D) "I can use salt substitutes freely without any risk."
- detailed answer 100 % correct :-A
Rationale: Garlic powder is a salt-free seasoning and is an appropriate substitute for salt. Canned
vegetables (B) are high in sodium; fresh or frozen are better. Processed meats (C) are high in sodium
, regardless of added salt. Salt substitutes (D) contain potassium and may be contraindicated in some
clients.
Question 4
A nurse is providing postmortem care for a client who has died. Which of the following actions should
the nurse take?
A) Remove all tubes and dressings
B) Place the client in a supine position with arms crossed
C) Elevate the head of the bed 30 degrees
D) Place dentures in a labeled cup
- detailed answer 100 % correct :-D
Rationale: Dentures should be placed in a labeled cup with the client's identification. Tubes and
dressings are typically left in place (A) unless removal is ordered. The client is placed supine with arms
at the sides (B), and the head of the bed is flat (C) to prevent pooling of blood in the face.
Question 5
A nurse is caring for a client who has a wound with a pressure injury. Which of the following findings
should indicate to the nurse that the wound is infected?
A) Serosanguineous drainage
B) Wound edges that are approximated
C) Foul odor and purulent drainage
D) Pink granulation tissue
- detailed answer 100 % correct :-C
Rationale: Foul odor and purulent drainage are signs of infection. Serosanguineous drainage (A) is
expected. Approximated wound edges (B) indicate healing. Pink granulation tissue (D) indicates
healthy healing tissue.
Question 6
A nurse is preparing to administer a cleansing enema to a client. Which of the following actions should
the nurse take?
