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ATI RN Comprehensive Predictor: Comprehensive 180-Question
Practice Examination for the 2026–2027 Certification Cycle Covering
Medical-Surgical Nursing, Fundamentals, Pharmacology, Maternal-
Newborn, Pediatrics, Mental Health, Leadership and Management,
Community Health, and Next Generation NCLEX (NGN) Clinical
Judgment Domains
Section 1: Fundamentals of Nursing & Safety — Questions 1–30
1. A nurse is preparing to administer a blood transfusion to a client. Which of the
following actions should the nurse take first?
A) Verify the client's identity using two identifiers
B) Check the blood product expiration date
C) Assess the client's vital signs
D) Obtain informed consent from the client
Correct Answer: A
Rationale: The first action is to verify the client's identity using two identifiers
(e.g., name and date of birth) to ensure the correct blood product is administered
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to the correct client. This is a critical safety step before any blood product
administration.
2. A nurse is caring for a client who has a nasogastric (NG) tube for continuous
enteral feedings. Which of the following actions should the nurse take to reduce
the risk of aspiration?
A) Position the client in a supine position
B) Flush the NG tube with 50 mL of water every 4 hours
C) Elevate the head of the bed to 30–45 degrees
D) Check gastric residual volume every 8 hours
Correct Answer: C
Rationale: Elevating the head of the bed to 30–45 degrees during continuous
enteral feedings is the most effective intervention to prevent aspiration. Supine
positioning (A) increases aspiration risk.
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3. A nurse is planning care for a client who has a new diagnosis of diabetes
mellitus. Which of the following actions should the nurse include to promote
client self-management?
A) Provide written information only
B) Use the teach-back method to confirm understanding
C) Schedule a follow-up appointment in 6 months
D) Delegate all teaching to the dietary department
Correct Answer: B
Rationale: The teach-back method allows the nurse to confirm the client's
understanding of the teaching provided. This is an evidence-based strategy to
promote client self-management and should be used for all client education.
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4. A nurse is assessing a client who is postoperative following abdominal surgery.
Which of the following findings should the nurse report to the provider
immediately?
A) Heart rate of 88/min
B) Respiratory rate of 20/min
C) Temperature of 38.5°C (101.3°F)
D) Blood pressure of 118/72 mmHg
Correct Answer: C
Rationale: A temperature of 38.5°C (101.3°F) on the first postoperative day may
indicate a wound infection or other complications and should be reported to the
provider immediately.
ATI RN Comprehensive Predictor: Comprehensive 180-Question
Practice Examination for the 2026–2027 Certification Cycle Covering
Medical-Surgical Nursing, Fundamentals, Pharmacology, Maternal-
Newborn, Pediatrics, Mental Health, Leadership and Management,
Community Health, and Next Generation NCLEX (NGN) Clinical
Judgment Domains
Section 1: Fundamentals of Nursing & Safety — Questions 1–30
1. A nurse is preparing to administer a blood transfusion to a client. Which of the
following actions should the nurse take first?
A) Verify the client's identity using two identifiers
B) Check the blood product expiration date
C) Assess the client's vital signs
D) Obtain informed consent from the client
Correct Answer: A
Rationale: The first action is to verify the client's identity using two identifiers
(e.g., name and date of birth) to ensure the correct blood product is administered
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to the correct client. This is a critical safety step before any blood product
administration.
2. A nurse is caring for a client who has a nasogastric (NG) tube for continuous
enteral feedings. Which of the following actions should the nurse take to reduce
the risk of aspiration?
A) Position the client in a supine position
B) Flush the NG tube with 50 mL of water every 4 hours
C) Elevate the head of the bed to 30–45 degrees
D) Check gastric residual volume every 8 hours
Correct Answer: C
Rationale: Elevating the head of the bed to 30–45 degrees during continuous
enteral feedings is the most effective intervention to prevent aspiration. Supine
positioning (A) increases aspiration risk.
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3. A nurse is planning care for a client who has a new diagnosis of diabetes
mellitus. Which of the following actions should the nurse include to promote
client self-management?
A) Provide written information only
B) Use the teach-back method to confirm understanding
C) Schedule a follow-up appointment in 6 months
D) Delegate all teaching to the dietary department
Correct Answer: B
Rationale: The teach-back method allows the nurse to confirm the client's
understanding of the teaching provided. This is an evidence-based strategy to
promote client self-management and should be used for all client education.
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4. A nurse is assessing a client who is postoperative following abdominal surgery.
Which of the following findings should the nurse report to the provider
immediately?
A) Heart rate of 88/min
B) Respiratory rate of 20/min
C) Temperature of 38.5°C (101.3°F)
D) Blood pressure of 118/72 mmHg
Correct Answer: C
Rationale: A temperature of 38.5°C (101.3°F) on the first postoperative day may
indicate a wound infection or other complications and should be reported to the
provider immediately.
