,ATI RN Comprehensive Predictor Exit
Exam Questions and Answers with
Rationales 2026
2026 Updated Original Practice Exam — 180 Questions with
NGN, Answers & Rationales
Note: The answer key and detailed rationales are provided separately after
Question 180.
PART I — QUESTIONS
Fundamentals & Safety
1.
A nurse is caring for a client who is at high risk for aspiration. Which
intervention is the priority during meals?
A. Place the client in a high-Fowler's position
B. Encourage rapid intake of liquids
C. Place the client supine after eating
D. Offer large bites of food
2.
A client who is receiving oxygen by nasal cannula reports nasal dryness.
Which intervention should the nurse use?
A. Apply petroleum jelly inside the nares
B. Use a water-soluble lubricant
C. Increase oxygen flow without an order
D. Discontinue oxygen
,3.
Which finding requires immediate intervention after a client receives an
opioid analgesic?
A. Respiratory rate 8/min
B. Pain rating 4/10
C. Mild nausea
D. Drowsiness that resolves with stimulation
4.
A nurse is preparing to transfer a weak client from bed to chair. Which
action is appropriate?
A. Lock the wheels on the bed and chair
B. Keep the client's knees straight
C. Pull the client by the arms
D. Place the chair several feet from the bed
5.
A client develops a stage 1 pressure injury. Which finding should the
nurse expect?
A. Nonblanchable erythema of intact skin
B. Exposed adipose tissue
C. Visible muscle
D. Exposed bone
6.
Which intervention is most appropriate for preventing pressure injuries
in an immobile client?
A. Reposition at individualized regular intervals
B. Massage reddened bony prominences
, C. Keep the head of bed elevated continuously
D. Use donut-shaped devices beneath the sacrum
7.
A nurse discovers that a client has fallen. What should the nurse do first?
A. Assess the client for injury
B. Complete an incident report
C. Notify the family
D. Move the client into bed immediately
8.
Which action violates a client's confidentiality?
A. Discussing the client's condition with the treatment team
B. Reviewing the record before providing care
C. Discussing the client's diagnosis in a public elevator
D. Reporting a change in condition to the provider
9.
A nurse is caring for a client with Clostridioides difficile infection.
Which precaution is appropriate?
A. Contact precautions and soap-and-water hand hygiene
B. Airborne precautions only
C. Droplet precautions only
D. No additional precautions
10.
Which client should the nurse assess first?
A. Client with new-onset stridor
B. Client requesting a sleeping medication
Exam Questions and Answers with
Rationales 2026
2026 Updated Original Practice Exam — 180 Questions with
NGN, Answers & Rationales
Note: The answer key and detailed rationales are provided separately after
Question 180.
PART I — QUESTIONS
Fundamentals & Safety
1.
A nurse is caring for a client who is at high risk for aspiration. Which
intervention is the priority during meals?
A. Place the client in a high-Fowler's position
B. Encourage rapid intake of liquids
C. Place the client supine after eating
D. Offer large bites of food
2.
A client who is receiving oxygen by nasal cannula reports nasal dryness.
Which intervention should the nurse use?
A. Apply petroleum jelly inside the nares
B. Use a water-soluble lubricant
C. Increase oxygen flow without an order
D. Discontinue oxygen
,3.
Which finding requires immediate intervention after a client receives an
opioid analgesic?
A. Respiratory rate 8/min
B. Pain rating 4/10
C. Mild nausea
D. Drowsiness that resolves with stimulation
4.
A nurse is preparing to transfer a weak client from bed to chair. Which
action is appropriate?
A. Lock the wheels on the bed and chair
B. Keep the client's knees straight
C. Pull the client by the arms
D. Place the chair several feet from the bed
5.
A client develops a stage 1 pressure injury. Which finding should the
nurse expect?
A. Nonblanchable erythema of intact skin
B. Exposed adipose tissue
C. Visible muscle
D. Exposed bone
6.
Which intervention is most appropriate for preventing pressure injuries
in an immobile client?
A. Reposition at individualized regular intervals
B. Massage reddened bony prominences
, C. Keep the head of bed elevated continuously
D. Use donut-shaped devices beneath the sacrum
7.
A nurse discovers that a client has fallen. What should the nurse do first?
A. Assess the client for injury
B. Complete an incident report
C. Notify the family
D. Move the client into bed immediately
8.
Which action violates a client's confidentiality?
A. Discussing the client's condition with the treatment team
B. Reviewing the record before providing care
C. Discussing the client's diagnosis in a public elevator
D. Reporting a change in condition to the provider
9.
A nurse is caring for a client with Clostridioides difficile infection.
Which precaution is appropriate?
A. Contact precautions and soap-and-water hand hygiene
B. Airborne precautions only
C. Droplet precautions only
D. No additional precautions
10.
Which client should the nurse assess first?
A. Client with new-onset stridor
B. Client requesting a sleeping medication
