ATI Comprehensive Predictor Exam 2026 – 180+ Practice
Questions & Answers
EXAM OVERVIEW
The ATI Comprehensive Predictor is a high-stakes exam used by
nursing programs to predict NCLEX-RN success and assess
entry-level nursing competence . Achieving a Level 2 or 3 score
is typically required by many nursing programs . Research
confirms the RN Comprehensive Predictor aligns closely with
the NCLEX-RN test plan, including its emphasis on clinical
judgment .
This guide contains 180+ exam-style questions with verified
answers and detailed rationales, updated for 2026, organized
by content area.
SECTION 1: MANAGEMENT OF CARE & PRIORITIZATION
Question 1. A nurse in an emergency department is assessing
four clients. Which client should the nurse assess first?
A. A client with COPD and oxygen saturation of 88% on room air
B. A client with chest pain who reports pain 4/10 and is waiting
for an ECG
C. A client with abdominal pain and a temperature of 38.3°C
, (100.9°F)
D. A client with a leg fracture who is asking for pain medication
Correct Answer: A
Rationale: SpO₂ of 88% indicates hypoxemia requiring
immediate intervention. The ABC (Airway, Breathing,
Circulation) framework guides prioritization; oxygenation is a
breathing priority before pain evaluation or other stable
clients .
Question 2. A charge nurse is teaching newly licensed nurses
about the correct use of restraints. Which instruction should
the nurse include?
A. Place a belt restraint on a school-age child who has seizures
B. Secure wrist restraints to the bed rails for an adolescent
C. Apply elbow immobilizers for an infant receiving cleft lip
repair
D. Keep the side rails of a toddler's crib elevated
Correct Answer: C
Rationale: Elbow immobilizers prevent infants from touching
surgical sites (cleft lip/palate repair). Restraints should never be
secured to bed rails (risk of entrapment); belt restraints are
contraindicated for seizure clients .
Questions & Answers
EXAM OVERVIEW
The ATI Comprehensive Predictor is a high-stakes exam used by
nursing programs to predict NCLEX-RN success and assess
entry-level nursing competence . Achieving a Level 2 or 3 score
is typically required by many nursing programs . Research
confirms the RN Comprehensive Predictor aligns closely with
the NCLEX-RN test plan, including its emphasis on clinical
judgment .
This guide contains 180+ exam-style questions with verified
answers and detailed rationales, updated for 2026, organized
by content area.
SECTION 1: MANAGEMENT OF CARE & PRIORITIZATION
Question 1. A nurse in an emergency department is assessing
four clients. Which client should the nurse assess first?
A. A client with COPD and oxygen saturation of 88% on room air
B. A client with chest pain who reports pain 4/10 and is waiting
for an ECG
C. A client with abdominal pain and a temperature of 38.3°C
, (100.9°F)
D. A client with a leg fracture who is asking for pain medication
Correct Answer: A
Rationale: SpO₂ of 88% indicates hypoxemia requiring
immediate intervention. The ABC (Airway, Breathing,
Circulation) framework guides prioritization; oxygenation is a
breathing priority before pain evaluation or other stable
clients .
Question 2. A charge nurse is teaching newly licensed nurses
about the correct use of restraints. Which instruction should
the nurse include?
A. Place a belt restraint on a school-age child who has seizures
B. Secure wrist restraints to the bed rails for an adolescent
C. Apply elbow immobilizers for an infant receiving cleft lip
repair
D. Keep the side rails of a toddler's crib elevated
Correct Answer: C
Rationale: Elbow immobilizers prevent infants from touching
surgical sites (cleft lip/palate repair). Restraints should never be
secured to bed rails (risk of entrapment); belt restraints are
contraindicated for seizure clients .
