RN Comprehensive Predictor 2026 Exit Exam with NGN
– Sample Questions & Study Guide
Overview of the Exam
The ATI RN Comprehensive Predictor is a four-hour, 180-item proctored
test designed to help nursing students assess their likelihood of passing the NCLEX-RN.
The exam mirrors the NCLEX-RN test plan and is used to guide student remediation
efforts. Research has confirmed strong alignment between the Comprehensive Predictor
and the NCLEX-RN blueprint, including robust integration of clinical judgment.
The 2026 version includes Next Generation NCLEX (NGN) item types, such as:
• Unfolding clinical case studies
• Bow-tie and matrix grid items
• Select All That Apply (SATA)
• Drag-and-drop prioritization
• Cloze (fill-in-the-blank) and highlighting items
Sample Questions with Rationales
Below are representative questions covering the major content areas tested on the
exam. The complete 200-question quiz and full test banks are available through the
platforms listed at the end of this guide.
, Section 1: Management of Care, Delegation & Safety
Question 1
A nurse is caring for a client who has a new prescription for enoxaparin. Which of the
following actions should the nurse take?
A. Administer the medication via the IM route
B. Expel the air bubble from the prefilled syringe
C. Inject the medication into the abdomen
D. Aspirate for blood return before injection
Correct Answer: C
Rationale: Enoxaparin is a low-molecular-weight heparin administered subcutaneously
into the abdomen to ensure proper absorption and reduce hematoma risk. The IM route
is incorrect and can cause hematoma formation. Air bubbles should not be expelled
from the prefilled syringe as they prevent medication loss. Aspiration is unnecessary and
can cause tissue damage.
Question 2
A charge nurse is teaching a newly licensed nurse about clients designating a health
care proxy. Which information should the charge nurse include?
A. "The proxy should make health care decisions for the client regardless of the client's
ability to do so"
B. "The proxy can make financial decisions if the need arises"
C. "The proxy can make treatment decisions if the client is under anesthesia"
D. "The proxy should manage legal issues for the client"
Correct Answer: C
– Sample Questions & Study Guide
Overview of the Exam
The ATI RN Comprehensive Predictor is a four-hour, 180-item proctored
test designed to help nursing students assess their likelihood of passing the NCLEX-RN.
The exam mirrors the NCLEX-RN test plan and is used to guide student remediation
efforts. Research has confirmed strong alignment between the Comprehensive Predictor
and the NCLEX-RN blueprint, including robust integration of clinical judgment.
The 2026 version includes Next Generation NCLEX (NGN) item types, such as:
• Unfolding clinical case studies
• Bow-tie and matrix grid items
• Select All That Apply (SATA)
• Drag-and-drop prioritization
• Cloze (fill-in-the-blank) and highlighting items
Sample Questions with Rationales
Below are representative questions covering the major content areas tested on the
exam. The complete 200-question quiz and full test banks are available through the
platforms listed at the end of this guide.
, Section 1: Management of Care, Delegation & Safety
Question 1
A nurse is caring for a client who has a new prescription for enoxaparin. Which of the
following actions should the nurse take?
A. Administer the medication via the IM route
B. Expel the air bubble from the prefilled syringe
C. Inject the medication into the abdomen
D. Aspirate for blood return before injection
Correct Answer: C
Rationale: Enoxaparin is a low-molecular-weight heparin administered subcutaneously
into the abdomen to ensure proper absorption and reduce hematoma risk. The IM route
is incorrect and can cause hematoma formation. Air bubbles should not be expelled
from the prefilled syringe as they prevent medication loss. Aspiration is unnecessary and
can cause tissue damage.
Question 2
A charge nurse is teaching a newly licensed nurse about clients designating a health
care proxy. Which information should the charge nurse include?
A. "The proxy should make health care decisions for the client regardless of the client's
ability to do so"
B. "The proxy can make financial decisions if the need arises"
C. "The proxy can make treatment decisions if the client is under anesthesia"
D. "The proxy should manage legal issues for the client"
Correct Answer: C
