ATI RN COMPREHENSIVE PREDICTOR 2026
Page |1
ATI RN COMPREHENSIVE PREDICTOR 2026
EXIT EXAM 3 WITH NGN PACKAGE Questions
with ANSWERs and Rationales 2026
Complete Questions and Answers Study Guide
A nurse in a substance use unit spends an equal amount of time with each of his assigned clients, even
though some of the clients have committed serious crimes. Which of the following ethical principles is
the nurse demonstrating?
A. Justice
B. Autonomy
C. Nonmaleficence
D. Veracity –
Correct Answer :A. Justice
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A nurse is assessing a client who has a magnesium level of 4.4 mEq/L. Which of the following findings
should the nurse expect? (Normal is 1.3-2.1)
A. Hypotension
B. Tachycardia
C. Muscle cramps
D. Hyperreflexia –
Correct Answer :A. Hypotension
hypermagnesemia (high levels of magnesium in the blood) can cause hypotension (low blood
pressure), particularly when levels are significantly elevated; this is because magnesium can relax
blood vessels, leading to decreased vascular resistance and lowered blood pressure
A nurse is reviewing the medical record of a client who has a new prescription for gentamicin. The
nurse should identify that concurrent use with which of the following current medications can increase
the client's risk for ototoxicity?
A. Captropril
B. Metoprolol
C. Furosemide
D. Hydrochlorothiazide –
Correct Answer :C. Furosemide
A nurse is preparing to administer 2.5mL of medication intramuscularly to an adult client. Which of the
following is the safest site for the nurse to use?
A. Ventrogluteal
B. Dorsogluteal
C. Vastus lateralis
D. Rectus femoris –
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Correct Answer :A. Ventrogluteal
A nurse is caring for a group of clients. Which of the following clients should the nurse assess first?
A. A client who has heart failure and reports shortness of breath while ambulating
B. A client who has abdominal pain and is vomiting coffee-ground emesis
C. A client who has benign prostatic hyperplasia and is unable to urinate
D. A client who had an open cholecystectomy and has green drainage from the T-tube –
Correct Answer :B. A client who has abdominal pain and is vomiting coffee-ground emesis
A charge nurse is providing teaching to a newly licensed nurse on how to clean surfaces contaminated
with blood. Which of the following agents should the nurse include in the teaching?
A. Hydrogen peroxide
B. Isopropyl alcohol
C. Chlorine bleach
D. Chlorhexidine –
Correct Answer :C. Chlorine bleach
A nurse is planning care for a client who is experiencing acute mania. Which of the following actions
should the nurse include in the plan of care?
A. Provide a flexible activity schedule
B. Provide high-calorie nutritional supplements
C. Allow the client to eat meals alone in her room
D. Allow the client to choose her clothes independently –
Correct Answer :B. Provide high-calorie nutritional supplements
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A nurse is reviewing the medical records of four clients. Which of the following prescriptions correct
documentation?
A. Atropine .4 mg IV stat
B. Lorazepam 1.0 mg IV PRN every 6 hr
C. Sucralfate 1 g PO hr ac
D. Enoxaparin 30 mg SC every 12 hr –
Correct Answer :C. Sucralfate 1 g PO hr ac
A nurse is performing a dressing change for a client who has a sacral wound using negative pressure
wound therapy. Which of the following actions should the nurse take first?
B. Irrigate the wound with 0.9% sodium chloride irrigation
C. Apply skin preparation to wound edges
D. Don sterile gloves –
Correct Answer :A. Determine the client's pain level
A nurse in a postpartum unit is caring for several clients. After receiving a change of shift report, which
of the following clients should the nurse assess first?
A. A client who is 2 days postpartum and whose fundus is 2 fingerbreadths below the umbilicus
B. A client who is 1 day postpartum and has not voided in 8 hr
C. A client who is 3 days postpartum and has not had a bowel movement since prior to admission
D. A client who is 4 days postpartum and has lochia serosa –
Correct Answer :C. A client who is 3 days postpartum and has not had a bowel movement since prior
to admission
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Page |1
ATI RN COMPREHENSIVE PREDICTOR 2026
EXIT EXAM 3 WITH NGN PACKAGE Questions
with ANSWERs and Rationales 2026
Complete Questions and Answers Study Guide
A nurse in a substance use unit spends an equal amount of time with each of his assigned clients, even
though some of the clients have committed serious crimes. Which of the following ethical principles is
the nurse demonstrating?
A. Justice
B. Autonomy
C. Nonmaleficence
D. Veracity –
Correct Answer :A. Justice
P a g e 1 | 106
, ATI RN COMPREHENSIVE PREDICTOR 2026
Page |2
A nurse is assessing a client who has a magnesium level of 4.4 mEq/L. Which of the following findings
should the nurse expect? (Normal is 1.3-2.1)
A. Hypotension
B. Tachycardia
C. Muscle cramps
D. Hyperreflexia –
Correct Answer :A. Hypotension
hypermagnesemia (high levels of magnesium in the blood) can cause hypotension (low blood
pressure), particularly when levels are significantly elevated; this is because magnesium can relax
blood vessels, leading to decreased vascular resistance and lowered blood pressure
A nurse is reviewing the medical record of a client who has a new prescription for gentamicin. The
nurse should identify that concurrent use with which of the following current medications can increase
the client's risk for ototoxicity?
A. Captropril
B. Metoprolol
C. Furosemide
D. Hydrochlorothiazide –
Correct Answer :C. Furosemide
A nurse is preparing to administer 2.5mL of medication intramuscularly to an adult client. Which of the
following is the safest site for the nurse to use?
A. Ventrogluteal
B. Dorsogluteal
C. Vastus lateralis
D. Rectus femoris –
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, ATI RN COMPREHENSIVE PREDICTOR 2026
Page |3
Correct Answer :A. Ventrogluteal
A nurse is caring for a group of clients. Which of the following clients should the nurse assess first?
A. A client who has heart failure and reports shortness of breath while ambulating
B. A client who has abdominal pain and is vomiting coffee-ground emesis
C. A client who has benign prostatic hyperplasia and is unable to urinate
D. A client who had an open cholecystectomy and has green drainage from the T-tube –
Correct Answer :B. A client who has abdominal pain and is vomiting coffee-ground emesis
A charge nurse is providing teaching to a newly licensed nurse on how to clean surfaces contaminated
with blood. Which of the following agents should the nurse include in the teaching?
A. Hydrogen peroxide
B. Isopropyl alcohol
C. Chlorine bleach
D. Chlorhexidine –
Correct Answer :C. Chlorine bleach
A nurse is planning care for a client who is experiencing acute mania. Which of the following actions
should the nurse include in the plan of care?
A. Provide a flexible activity schedule
B. Provide high-calorie nutritional supplements
C. Allow the client to eat meals alone in her room
D. Allow the client to choose her clothes independently –
Correct Answer :B. Provide high-calorie nutritional supplements
P a g e 3 | 106
, ATI RN COMPREHENSIVE PREDICTOR 2026
Page |4
A nurse is reviewing the medical records of four clients. Which of the following prescriptions correct
documentation?
A. Atropine .4 mg IV stat
B. Lorazepam 1.0 mg IV PRN every 6 hr
C. Sucralfate 1 g PO hr ac
D. Enoxaparin 30 mg SC every 12 hr –
Correct Answer :C. Sucralfate 1 g PO hr ac
A nurse is performing a dressing change for a client who has a sacral wound using negative pressure
wound therapy. Which of the following actions should the nurse take first?
B. Irrigate the wound with 0.9% sodium chloride irrigation
C. Apply skin preparation to wound edges
D. Don sterile gloves –
Correct Answer :A. Determine the client's pain level
A nurse in a postpartum unit is caring for several clients. After receiving a change of shift report, which
of the following clients should the nurse assess first?
A. A client who is 2 days postpartum and whose fundus is 2 fingerbreadths below the umbilicus
B. A client who is 1 day postpartum and has not voided in 8 hr
C. A client who is 3 days postpartum and has not had a bowel movement since prior to admission
D. A client who is 4 days postpartum and has lochia serosa –
Correct Answer :C. A client who is 3 days postpartum and has not had a bowel movement since prior
to admission
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