ATI RN COMPREHENSIVE PREDICTOR 2026
ACTUAL EXAM QUESTIONS AND ANSWERS
LATEST UPDATE THIS YEAR.PDF
This premium study resource features highly tested proctored
exam questions with instant answers and extensive clinical
rationales tailored to the latest blueprint updates. Each
question utilizes Next-Generation NCLEX (NGN) styling across
core client needs to master pharmacology, prioritization, and
management of care. Perfect for nursing students seeking
immediate clarity, this complete test bank helps maximize exit
exam scores.
1. Management of Care & Delegation
A registered nurse (RN) is planning care for a
medical-surgical unit. Which of the following tasks
should the nurse delegate to an assistive
personnel (AP)?
A) Evaluating a client's pain level 30 minutes
after administering pain medication.
B) Teaching a client how to use an incentive
spirometer.
C) Providing a toileting schedule and assisting
an unstable client to the bathroom.
D) Measuring and recording a client's daily
weights.
, Answer: D) Measuring and recording a client's
daily weights.
Rationale: Measuring daily weights is a
routine, non-invasive task with a predictable
outcome, making it safe for delegation to an
AP. Assessing pain (A) and client teaching
(B) require specialized nursing judgment and
must be performed by the RN. Assisting an
unstable client (C) carries a high risk of
injury and requires an RN or LPN.
2. Safety & Infection Control
A nurse is caring for a client who has active
pulmonary tuberculosis (TB). Which of the
following isolation precautions should the nurse
implement?
A) Droplet precautions
B) Airborne precautions
C) Contact precautions
D) Protective environment
Answer: B) Airborne precautions
Rationale: Mycobacterium tuberculosis is
transmitted via small-particle aerosols that
remain suspended in the air. Airborne
, precautions are mandatory, requiring a
negative-pressure airflow room and the use
of an N95 respirator mask by healthcare
personnel entering the room.
3. Pharmacology & Parenteral Therapies
A nurse is preparing to administer digoxin 0.25 mg
IV push to a client who has heart failure. Which of
the following actions should the nurse take before
administering the medication?
A) Assess the client's radial pulse for 30
seconds.
B) Count the apical pulse for 1 full minute.
C) Check the client's blood pressure in both
arms.
D) Review the client's recent blood urea nitrogen
(BUN) level.
Answer: B) Count the apical pulse for 1 full
minute.
Rationale: Digoxin decreases the heart rate.
The nurse must count the apical pulse for 1
full minute prior to administration. The
medication should be withheld, and the
provider notified, if the heart rate is less than
, 60/min in an adult, less than 70/min in a
child, or less than 90/min in an infant.
4. Reduction of Risk Potential
A nurse is caring for a client who is 12 hours
postoperative following a total hip arthroplasty.
Which of the following interventions should the
nurse include in the plan of care to prevent deep
vein thrombosis (DVT)?
A) Place a pillow under the client's knees.
B) Massage the client's calves daily.
C) Apply sequential compression devices
(SCDs) to both lower extremities.
D) Instruct the client to maintain complete bed
rest for 48 hours.
Answer: C) Apply sequential compression
devices (SCDs) to both lower extremities.
Rationale: SCDs promote venous return and
prevent venous stasis, significantly lowering
the risk of DVT. Placing a pillow under the
knees (A) compresses popliteal vessels and
worsens stasis. Massaging calves (B) is
strictly contraindicated because it can
ACTUAL EXAM QUESTIONS AND ANSWERS
LATEST UPDATE THIS YEAR.PDF
This premium study resource features highly tested proctored
exam questions with instant answers and extensive clinical
rationales tailored to the latest blueprint updates. Each
question utilizes Next-Generation NCLEX (NGN) styling across
core client needs to master pharmacology, prioritization, and
management of care. Perfect for nursing students seeking
immediate clarity, this complete test bank helps maximize exit
exam scores.
1. Management of Care & Delegation
A registered nurse (RN) is planning care for a
medical-surgical unit. Which of the following tasks
should the nurse delegate to an assistive
personnel (AP)?
A) Evaluating a client's pain level 30 minutes
after administering pain medication.
B) Teaching a client how to use an incentive
spirometer.
C) Providing a toileting schedule and assisting
an unstable client to the bathroom.
D) Measuring and recording a client's daily
weights.
, Answer: D) Measuring and recording a client's
daily weights.
Rationale: Measuring daily weights is a
routine, non-invasive task with a predictable
outcome, making it safe for delegation to an
AP. Assessing pain (A) and client teaching
(B) require specialized nursing judgment and
must be performed by the RN. Assisting an
unstable client (C) carries a high risk of
injury and requires an RN or LPN.
2. Safety & Infection Control
A nurse is caring for a client who has active
pulmonary tuberculosis (TB). Which of the
following isolation precautions should the nurse
implement?
A) Droplet precautions
B) Airborne precautions
C) Contact precautions
D) Protective environment
Answer: B) Airborne precautions
Rationale: Mycobacterium tuberculosis is
transmitted via small-particle aerosols that
remain suspended in the air. Airborne
, precautions are mandatory, requiring a
negative-pressure airflow room and the use
of an N95 respirator mask by healthcare
personnel entering the room.
3. Pharmacology & Parenteral Therapies
A nurse is preparing to administer digoxin 0.25 mg
IV push to a client who has heart failure. Which of
the following actions should the nurse take before
administering the medication?
A) Assess the client's radial pulse for 30
seconds.
B) Count the apical pulse for 1 full minute.
C) Check the client's blood pressure in both
arms.
D) Review the client's recent blood urea nitrogen
(BUN) level.
Answer: B) Count the apical pulse for 1 full
minute.
Rationale: Digoxin decreases the heart rate.
The nurse must count the apical pulse for 1
full minute prior to administration. The
medication should be withheld, and the
provider notified, if the heart rate is less than
, 60/min in an adult, less than 70/min in a
child, or less than 90/min in an infant.
4. Reduction of Risk Potential
A nurse is caring for a client who is 12 hours
postoperative following a total hip arthroplasty.
Which of the following interventions should the
nurse include in the plan of care to prevent deep
vein thrombosis (DVT)?
A) Place a pillow under the client's knees.
B) Massage the client's calves daily.
C) Apply sequential compression devices
(SCDs) to both lower extremities.
D) Instruct the client to maintain complete bed
rest for 48 hours.
Answer: C) Apply sequential compression
devices (SCDs) to both lower extremities.
Rationale: SCDs promote venous return and
prevent venous stasis, significantly lowering
the risk of DVT. Placing a pillow under the
knees (A) compresses popliteal vessels and
worsens stasis. Massaging calves (B) is
strictly contraindicated because it can
