, ATI RN Comprehensive Predictor Exit
Actual Exam 2026/2027 Questions and
Answers with Rationales
2026/2027 Update —100 Questions, NGN-Style Items,
Answers & Rationales
Note: The answer key and detailed rationales are provided
separately after Question 100.
1. A nurse is receiving report on four clients. Which client
should the nurse assess first?
A. A client with heart failure who has gained 1 kg in a week
B. A client with COPD whose oxygen saturation is 91% on
prescribed oxygen
C. A client 2 hours after thyroidectomy who has new stridor
D. A client with diabetes requesting a bedtime snack
2. A client receiving IV morphine becomes difficult to arouse
and has a respiratory rate of 7/min. Which medication should the
nurse anticipate administering?
A. Flumazenil
B. Naloxone
C. Protamine
D. Vitamin K
,3. A client taking lisinopril reports swelling of the tongue.
Which action is the priority?
A. Hold the medication and assess the airway
B. Administer the medication with food
C. Encourage oral fluids
D. Reassure the client that this is expected
4. Which finding is most concerning in a client receiving
furosemide?
A. Potassium 2.8 mEq/L
B. Sodium 138 mEq/L
C. Glucose 102 mg/dL
D. Calcium 9.2 mg/dL
5. A nurse is caring for a client with C. difficile. Which hand-
hygiene method is most appropriate after client care?
A. Alcohol-based hand sanitizer only
B. Soap and water
C. Sterile water
D. Chlorhexidine only
6. Which client should the nurse place in airborne precautions?
A. Client with influenza
B. Client with pulmonary tuberculosis
C. Client with MRSA wound infection
D. Client with C. difficile
7. A client reports crushing chest pressure radiating to the jaw.
Which action is the priority?
, A. Obtain a 12-lead ECG promptly
B. Encourage ambulation
C. Offer a meal
D. Reassess in 1 hour
8. Which laboratory value is most specific for myocardial
injury?
A. Troponin
B. Amylase
C. Lipase
D. INR
9. A client with atrial fibrillation is at increased risk for:
A. Ischemic stroke
B. Pneumothorax
C. Appendicitis
D. Hypoglycemia
10. Which finding is characteristic of left-sided heart failure?
A. Pulmonary crackles
B. Ascites only
C. Peripheral neuropathy
D. Hematuria
11. A client with asthma suddenly develops severe fatigue and
minimal air movement. How should the nurse interpret this
finding?
A. The asthma has resolved
B. The client is improving
Actual Exam 2026/2027 Questions and
Answers with Rationales
2026/2027 Update —100 Questions, NGN-Style Items,
Answers & Rationales
Note: The answer key and detailed rationales are provided
separately after Question 100.
1. A nurse is receiving report on four clients. Which client
should the nurse assess first?
A. A client with heart failure who has gained 1 kg in a week
B. A client with COPD whose oxygen saturation is 91% on
prescribed oxygen
C. A client 2 hours after thyroidectomy who has new stridor
D. A client with diabetes requesting a bedtime snack
2. A client receiving IV morphine becomes difficult to arouse
and has a respiratory rate of 7/min. Which medication should the
nurse anticipate administering?
A. Flumazenil
B. Naloxone
C. Protamine
D. Vitamin K
,3. A client taking lisinopril reports swelling of the tongue.
Which action is the priority?
A. Hold the medication and assess the airway
B. Administer the medication with food
C. Encourage oral fluids
D. Reassure the client that this is expected
4. Which finding is most concerning in a client receiving
furosemide?
A. Potassium 2.8 mEq/L
B. Sodium 138 mEq/L
C. Glucose 102 mg/dL
D. Calcium 9.2 mg/dL
5. A nurse is caring for a client with C. difficile. Which hand-
hygiene method is most appropriate after client care?
A. Alcohol-based hand sanitizer only
B. Soap and water
C. Sterile water
D. Chlorhexidine only
6. Which client should the nurse place in airborne precautions?
A. Client with influenza
B. Client with pulmonary tuberculosis
C. Client with MRSA wound infection
D. Client with C. difficile
7. A client reports crushing chest pressure radiating to the jaw.
Which action is the priority?
, A. Obtain a 12-lead ECG promptly
B. Encourage ambulation
C. Offer a meal
D. Reassess in 1 hour
8. Which laboratory value is most specific for myocardial
injury?
A. Troponin
B. Amylase
C. Lipase
D. INR
9. A client with atrial fibrillation is at increased risk for:
A. Ischemic stroke
B. Pneumothorax
C. Appendicitis
D. Hypoglycemia
10. Which finding is characteristic of left-sided heart failure?
A. Pulmonary crackles
B. Ascites only
C. Peripheral neuropathy
D. Hematuria
11. A client with asthma suddenly develops severe fatigue and
minimal air movement. How should the nurse interpret this
finding?
A. The asthma has resolved
B. The client is improving
