ATI RN COMPREHENSIVE PREDICTOR EXAM 300 ACTUAL
TESTBANK QUESTIONS AND CORRECT VERIED ANSWERS
WITH RATIONALE LATEST 2026 ALREADY GRADED A+
ASSURED PASS
The ATI RN Comprehensive Predictor is a standardized, high-stakes
proctored examination administered to nursing students near the end of their
program. The exam comprehensively assesses nursing knowledge across all
content areas, including medical-surgical, maternity, pediatric, psychiatric,
and leadership. Its primary purpose is to generate a predicted probability
score that estimates a student's likelihood of passing the NCLEX-RN on the
first attempt. Many nursing schools require a specific benchmark score for
course completion or graduation eligibility, and the results help identify areas
needing remediation before licensure.
1. A nurse is assessing a client who has a new diagnosis of hyperthyroidism.
Which of the following findings should the nurse expect?
A) Weight gain
B) Bradycardia
C) Cold intolerance
D) Weight loss
Answer: D
Rationale: Hyperthyroidism increases the metabolic rate, leading to unintended
weight loss despite a normal or increased appetite. Weight gain, bradycardia, and
cold intolerance are classic signs of hypothyroidism, not hyperthyroidism.
2. A nurse is caring for a client who is postoperative following a total hip
arthroplasty. Which of the following actions should the nurse take to prevent
dislocation?
A) Keep the affected leg internally rotated
B) Position the client on the operative side
C) Maintain the client in a supine position with a pillow between the legs
D) Encourage the client to cross the legs at the ankles
Answer: C
Rationale: Keeping the legs abducted with a pillow between them prevents
adduction and internal rotation, which are the primary movements that can cause
,dislocation of a new hip prosthesis. Internal rotation, side-lying on the operative
side, and crossing the legs all increase dislocation risk.
3. A nurse is providing dietary teaching to a client with chronic kidney disease.
Which of the following foods should the nurse instruct the client to avoid?
A) Apples
B) Bananas
C) Cabbage
D) White bread
Answer: B
Rationale: Bananas are high in potassium, which can accumulate to dangerous
levels in clients with chronic kidney disease due to decreased renal excretion,
leading to hyperkalemia and cardiac dysrhythmias. Apples, cabbage, and white
bread are lower in potassium and are safer options.
4. A nurse is administering digoxin to a client with heart failure. Which of the
following findings indicates toxicity?
A) Hypertension
B) Visual disturbances such as yellow halos
C) Increased urinary output
D) Heart rate of 72 beats per minute
Answer: B
Rationale: Digoxin toxicity classically presents with xanthopsia, or seeing yellow-
green halos around lights, along with gastrointestinal symptoms and cardiac
dysrhythmias. Hypertension, increased urine output, and a normal heart rate of 72
are not indicative of digoxin toxicity.
5. A nurse is assessing a client with a pneumothorax who has a chest tube in place.
Which of the following findings indicates that the chest tube system is functioning
correctly?
A) Continuous bubbling in the water seal chamber
B) Absence of bubbling in the suction control chamber
C) Continuous bubbling in the suction control chamber
D) Fluctuation (tidaling) in the tubing connector
Answer: C
Rationale: The suction control chamber should have continuous gentle bubbling to
indicate that the prescribed suction level is being maintained. Continuous bubbling
in the water seal chamber indicates an air leak, absence of suction bubbling means
suction is not working, and tidaling should occur in the water seal chamber, not the
connector.
,6. A nurse is preparing to administer a blood transfusion to a client. Which of the
following actions is most important prior to starting the infusion?
A) Prime the tubing with dextrose 5% in water
B) Verify the client's identification using two unique identifiers
C) Premedicate the client with an antihistamine
D) Warm the blood unit to room temperature rapidly
Answer: B
Rationale: The most critical step to prevent fatal hemolytic transfusion reactions is
correct patient identification using two unique identifiers. Blood must be primed
with normal saline only, rapid warming damages cells, and premedication is not
routine for all clients.
7. A nurse is caring for a client with a nasogastric tube attached to low intermittent
suction. Which of the following findings indicates that the tube is correctly placed?
A) The client reports a sore throat
B) The pH of aspirated fluid is 7.0
C) The nurse auscultates air over the epigastrium after injecting 20 mL of air
D) An abdominal X-ray shows the tube tip in the stomach
Answer: D
Rationale: Radiographic confirmation is the gold standard for verifying NG tube
placement. A pH of 7.0 is neutral and could indicate respiratory placement,
auscultation of air is unreliable, and a sore throat is common but does not confirm
correct positioning.
8. A nurse is teaching a client about self-administration of insulin. Which of the
following instructions is correct for mixing regular and NPH insulin?
A) Draw the NPH insulin into the syringe first
B) Draw the regular insulin into the syringe first
C) Shake the NPH vial vigorously before drawing
D) Inject air into the regular vial first
Answer: B
Rationale: Regular insulin (clear) must be drawn up before NPH (cloudy) to
prevent contamination of the regular vial with NPH. The correct sequence is to
inject air into the NPH vial first, then air into the regular vial, then draw regular,
then draw NPH. Shaking NPH denatures the insulin.
9. A nurse is assessing a client who is 24 hours postpartum and has a third-degree
perineal laceration. Which of the following findings should the nurse report to the
provider immediately?
, A) Moderate lochia rubra with small clots
B) Perineal edema and bruising
C) Temperature of 38.6°C (101.5°F)
D) Pain rated 5 on a 0-to-10 scale
Answer: C
Rationale: A temperature of 38.6°C (101.5°F) at 24 hours postpartum is above the
expected norm and may indicate a puerperal infection, such as endometritis or
wound infection, and requires immediate provider notification. Lochia rubra,
edema, and moderate pain are expected findings after a third-degree laceration.
10. A nurse is caring for a client with cirrhosis who develops ascites. Which of the
following interventions should the nurse include in the plan of care?
A) Restrict daily fluid intake to 500 mL
B) Position the client in a supine position
C) Administer a high-sodium diet
D) Measure abdominal girth daily
Answer: D
Rationale: Daily measurement of abdominal girth is essential to monitor the
progression or resolution of ascites. Fluid restriction is typically 1,000 to 1,500
mL, not 500 mL; supine positioning can worsen respiratory effort; and sodium
should be restricted, not increased.
11. A nurse is providing discharge teaching to a client who has a new prescription
for warfarin. Which of the following over-the-counter medications should the
nurse instruct the client to avoid?
A) Acetaminophen
B) Ibuprofen
C) Diphenhydramine
D) Loratadine
Answer: B
Rationale: Ibuprofen and other nonsteroidal anti-inflammatory drugs (NSAIDs)
increase the risk of gastrointestinal bleeding and interact with warfarin by further
impairing platelet function. Acetaminophen is safer in limited doses, and
antihistamines do not have significant interactions.
12. A nurse is assessing a client with acute pancreatitis. Which of the following
laboratory findings should the nurse expect?
A) Decreased serum amylase
B) Decreased serum lipase
C) Elevated serum amylase
TESTBANK QUESTIONS AND CORRECT VERIED ANSWERS
WITH RATIONALE LATEST 2026 ALREADY GRADED A+
ASSURED PASS
The ATI RN Comprehensive Predictor is a standardized, high-stakes
proctored examination administered to nursing students near the end of their
program. The exam comprehensively assesses nursing knowledge across all
content areas, including medical-surgical, maternity, pediatric, psychiatric,
and leadership. Its primary purpose is to generate a predicted probability
score that estimates a student's likelihood of passing the NCLEX-RN on the
first attempt. Many nursing schools require a specific benchmark score for
course completion or graduation eligibility, and the results help identify areas
needing remediation before licensure.
1. A nurse is assessing a client who has a new diagnosis of hyperthyroidism.
Which of the following findings should the nurse expect?
A) Weight gain
B) Bradycardia
C) Cold intolerance
D) Weight loss
Answer: D
Rationale: Hyperthyroidism increases the metabolic rate, leading to unintended
weight loss despite a normal or increased appetite. Weight gain, bradycardia, and
cold intolerance are classic signs of hypothyroidism, not hyperthyroidism.
2. A nurse is caring for a client who is postoperative following a total hip
arthroplasty. Which of the following actions should the nurse take to prevent
dislocation?
A) Keep the affected leg internally rotated
B) Position the client on the operative side
C) Maintain the client in a supine position with a pillow between the legs
D) Encourage the client to cross the legs at the ankles
Answer: C
Rationale: Keeping the legs abducted with a pillow between them prevents
adduction and internal rotation, which are the primary movements that can cause
,dislocation of a new hip prosthesis. Internal rotation, side-lying on the operative
side, and crossing the legs all increase dislocation risk.
3. A nurse is providing dietary teaching to a client with chronic kidney disease.
Which of the following foods should the nurse instruct the client to avoid?
A) Apples
B) Bananas
C) Cabbage
D) White bread
Answer: B
Rationale: Bananas are high in potassium, which can accumulate to dangerous
levels in clients with chronic kidney disease due to decreased renal excretion,
leading to hyperkalemia and cardiac dysrhythmias. Apples, cabbage, and white
bread are lower in potassium and are safer options.
4. A nurse is administering digoxin to a client with heart failure. Which of the
following findings indicates toxicity?
A) Hypertension
B) Visual disturbances such as yellow halos
C) Increased urinary output
D) Heart rate of 72 beats per minute
Answer: B
Rationale: Digoxin toxicity classically presents with xanthopsia, or seeing yellow-
green halos around lights, along with gastrointestinal symptoms and cardiac
dysrhythmias. Hypertension, increased urine output, and a normal heart rate of 72
are not indicative of digoxin toxicity.
5. A nurse is assessing a client with a pneumothorax who has a chest tube in place.
Which of the following findings indicates that the chest tube system is functioning
correctly?
A) Continuous bubbling in the water seal chamber
B) Absence of bubbling in the suction control chamber
C) Continuous bubbling in the suction control chamber
D) Fluctuation (tidaling) in the tubing connector
Answer: C
Rationale: The suction control chamber should have continuous gentle bubbling to
indicate that the prescribed suction level is being maintained. Continuous bubbling
in the water seal chamber indicates an air leak, absence of suction bubbling means
suction is not working, and tidaling should occur in the water seal chamber, not the
connector.
,6. A nurse is preparing to administer a blood transfusion to a client. Which of the
following actions is most important prior to starting the infusion?
A) Prime the tubing with dextrose 5% in water
B) Verify the client's identification using two unique identifiers
C) Premedicate the client with an antihistamine
D) Warm the blood unit to room temperature rapidly
Answer: B
Rationale: The most critical step to prevent fatal hemolytic transfusion reactions is
correct patient identification using two unique identifiers. Blood must be primed
with normal saline only, rapid warming damages cells, and premedication is not
routine for all clients.
7. A nurse is caring for a client with a nasogastric tube attached to low intermittent
suction. Which of the following findings indicates that the tube is correctly placed?
A) The client reports a sore throat
B) The pH of aspirated fluid is 7.0
C) The nurse auscultates air over the epigastrium after injecting 20 mL of air
D) An abdominal X-ray shows the tube tip in the stomach
Answer: D
Rationale: Radiographic confirmation is the gold standard for verifying NG tube
placement. A pH of 7.0 is neutral and could indicate respiratory placement,
auscultation of air is unreliable, and a sore throat is common but does not confirm
correct positioning.
8. A nurse is teaching a client about self-administration of insulin. Which of the
following instructions is correct for mixing regular and NPH insulin?
A) Draw the NPH insulin into the syringe first
B) Draw the regular insulin into the syringe first
C) Shake the NPH vial vigorously before drawing
D) Inject air into the regular vial first
Answer: B
Rationale: Regular insulin (clear) must be drawn up before NPH (cloudy) to
prevent contamination of the regular vial with NPH. The correct sequence is to
inject air into the NPH vial first, then air into the regular vial, then draw regular,
then draw NPH. Shaking NPH denatures the insulin.
9. A nurse is assessing a client who is 24 hours postpartum and has a third-degree
perineal laceration. Which of the following findings should the nurse report to the
provider immediately?
, A) Moderate lochia rubra with small clots
B) Perineal edema and bruising
C) Temperature of 38.6°C (101.5°F)
D) Pain rated 5 on a 0-to-10 scale
Answer: C
Rationale: A temperature of 38.6°C (101.5°F) at 24 hours postpartum is above the
expected norm and may indicate a puerperal infection, such as endometritis or
wound infection, and requires immediate provider notification. Lochia rubra,
edema, and moderate pain are expected findings after a third-degree laceration.
10. A nurse is caring for a client with cirrhosis who develops ascites. Which of the
following interventions should the nurse include in the plan of care?
A) Restrict daily fluid intake to 500 mL
B) Position the client in a supine position
C) Administer a high-sodium diet
D) Measure abdominal girth daily
Answer: D
Rationale: Daily measurement of abdominal girth is essential to monitor the
progression or resolution of ascites. Fluid restriction is typically 1,000 to 1,500
mL, not 500 mL; supine positioning can worsen respiratory effort; and sodium
should be restricted, not increased.
11. A nurse is providing discharge teaching to a client who has a new prescription
for warfarin. Which of the following over-the-counter medications should the
nurse instruct the client to avoid?
A) Acetaminophen
B) Ibuprofen
C) Diphenhydramine
D) Loratadine
Answer: B
Rationale: Ibuprofen and other nonsteroidal anti-inflammatory drugs (NSAIDs)
increase the risk of gastrointestinal bleeding and interact with warfarin by further
impairing platelet function. Acetaminophen is safer in limited doses, and
antihistamines do not have significant interactions.
12. A nurse is assessing a client with acute pancreatitis. Which of the following
laboratory findings should the nurse expect?
A) Decreased serum amylase
B) Decreased serum lipase
C) Elevated serum amylase
