2026 VERSION ATI RN
COMPREHENSIVE PREDICTOR
EXIT EXAM WITH NGN
LATEST MOCK PRACTICE SET
180 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
2026 VERSION ATI RN COMPREHENSIVE PREDICTOR EXIT EXAM WITH NGN QUESTIONS AND
ANSWERS TO PASS RN ATI COMPREHENSIVE PREDICTOR 2023/2026 EXIT EXAM WITH NGN. It contains
180 carefully selected questions that reflect the most current exam content and testing strategies. Each question
is accompanied by a correct answer and a detailed rationale that explains the underlying pathophysiology,
pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 180 Questions
Foundations - Application - 2026 Version ATI RN Comprehensive Predictor EXIT WITH NGN AND TO
PASS RN ATI Comprehensive Predictor 2023/2026 EXIT WITH NGN Nursing RN Comprehensive Predictor
Undergraduate YEAR 4 / Pre-licensure
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
2026 Version ATI RN 1-30 Finding, Indicates, Receiving, Laboratory, Infusion
Comprehensive Predictor
EXIT WITH NGN AND TO
PASS RN ATI Comprehensive
Predictor 2023/2026 EXIT
WITH NGN Nursing RN
Comprehensive Predictor
Undergraduate YEAR 4 /
Pre-licensure
Indicates 31-60 Finding, Blood, Disease, Receiving, Prescribed
Receiving 61-90 Finding, Indicates, Immediate, Sepsis, Intervention
Laboratory 91-120 Indicates, Finding, Receiving, Teaching, Prescribed
Prescribed 121-150 Indicates, Finding, Intervention, Requires, Receiving
Blood 151-180 Finding, Indicates, Immediate, Intervention, Acute
TOTAL 180 All questions include answers and detailed rationales
,Section A - 2026 Version ATI RN Comprehensive Predictor
EXIT WITH NGN AND TO PASS RN ATI Comprehensive
Predictor 2023/2026 EXIT WITH NGN Nursing RN
Comprehensive Predictor Undergraduate YEAR 4 /
Pre-licensure
Q1.
A patient with septic shock is receiving norepinephrine at 12 mcg/min and remains
hypotensive. The provider orders an addition of vasopressin. Which assessment finding
requires immediate action before initiating vasopressin?
A. Serum sodium 134 mEq/L B. Central venous pressure 4 mm Hg
C. Urine output 0.3 mL/kg/hr D. Cardiac index 2.1 L/min/m²
Correct: B - Central venous pressure 4 mm Hg
Rationale:Vasopressin is a potent vasoconstrictor; in hypovolemic states (low CVP), it can
worsen tissue perfusion. Optimizing preload is essential before adding a second vasopressor.
Hyponatremia (A) is an effect of vasopressin, not a contraindication. Low urine output (C) and
low cardiac index (D) are indications for additional support but do not preclude vasopressin if
preload is adequate.
Q2.
A laboring patient at 39 weeks gestation has contractions every 2 minutes, each lasting 90
seconds, and the fetal heart rate shows late decelerations. The provider prescribes
terbutaline. Which maternal condition would contraindicate this prescription?
A. Gestational hypertension B. Pre-gestational type 1 diabetes
C. Maternal heart rate 110 bpm D. Temperature 37.8°C (100.0°F)
Correct: A - Gestational hypertension
Rationale:Terbutaline is a beta-2 agonist that can cause tachycardia and worsen
hypertension; it is contraindicated in patients with hypertensive disorders such as
preeclampsia. Diabetes (B) is not an absolute contraindication, though glucose monitoring is
needed. Mild tachycardia (C) and low-grade fever (D) are not contraindications.
Q3.
A school nurse is assessing a child with suspected lead poisoning. The child's blood lead
level is 12 mcg/dL. According to current CDC guidelines, which action is most
appropriate?
Page 3
, Section A - 2026 Version ATI RN Comprehensive Predictor EXIT WITH NGN AND TO PASS RN ATI Comprehensive Predictor 2023/2026 EXIT
WITH NGN Nursing RN Comprehensive Predictor Undergraduate YEAR 4 / Pre-licensure
A. Begin chelation therapy immediately B. Repeat blood lead test in 1-3 months and
provide family education
C. Refer to a neurologist for developmental D. Admit to the hospital for intensive
evaluation monitoring
Correct: B - Repeat blood lead test in 1-3 months and provide family education
Rationale:Current CDC guidelines recommend follow-up testing within 1-3 months for blood
lead levels of 5-14 mcg/dL, along with education to reduce exposure. Chelation (A) is
reserved for levels 45 mcg/dL. Referral (C) is not immediate at this level. Hospitalization (D) is
unnecessary.
Q4.
A patient with bipolar disorder has been taking lithium for 2 weeks. The patient reports
tremors, nausea, and blurred vision. Which laboratory value is most important to assess?
A. Serum creatinine B. Serum lithium level
C. Sodium level D. Thyroid stimulating hormone
Correct: B - Serum lithium level
Rationale:The symptoms described are classic signs of lithium toxicity. Serum lithium level is
essential to confirm toxicity and guide treatment. Creatinine (A) and sodium (C) may be
related but are not the primary diagnostic test. TSH (D) is for long-term thyroid monitoring, not
acute toxicity.
Q5.
A nurse is preparing to administer a continuous IV infusion of heparin for a patient with a
pulmonary embolism. Which laboratory test should be monitored to evaluate therapeutic
effectiveness?
A. Activated partial thromboplastin time B. International normalized ratio (INR)
(aPTT)
C. Prothrombin time (PT) D. Activated clotting time (ACT)
Correct: A - Activated partial thromboplastin time (aPTT)
Rationale:Heparin therapy is monitored using aPTT, with a target of 1.5-2 times the control
value. INR/PT (B, C) are used for warfarin. ACT (D) is used for high-dose heparin during
procedures like cardiac bypass.
Page 4
COMPREHENSIVE PREDICTOR
EXIT EXAM WITH NGN
LATEST MOCK PRACTICE SET
180 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
2026 VERSION ATI RN COMPREHENSIVE PREDICTOR EXIT EXAM WITH NGN QUESTIONS AND
ANSWERS TO PASS RN ATI COMPREHENSIVE PREDICTOR 2023/2026 EXIT EXAM WITH NGN. It contains
180 carefully selected questions that reflect the most current exam content and testing strategies. Each question
is accompanied by a correct answer and a detailed rationale that explains the underlying pathophysiology,
pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 180 Questions
Foundations - Application - 2026 Version ATI RN Comprehensive Predictor EXIT WITH NGN AND TO
PASS RN ATI Comprehensive Predictor 2023/2026 EXIT WITH NGN Nursing RN Comprehensive Predictor
Undergraduate YEAR 4 / Pre-licensure
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
2026 Version ATI RN 1-30 Finding, Indicates, Receiving, Laboratory, Infusion
Comprehensive Predictor
EXIT WITH NGN AND TO
PASS RN ATI Comprehensive
Predictor 2023/2026 EXIT
WITH NGN Nursing RN
Comprehensive Predictor
Undergraduate YEAR 4 /
Pre-licensure
Indicates 31-60 Finding, Blood, Disease, Receiving, Prescribed
Receiving 61-90 Finding, Indicates, Immediate, Sepsis, Intervention
Laboratory 91-120 Indicates, Finding, Receiving, Teaching, Prescribed
Prescribed 121-150 Indicates, Finding, Intervention, Requires, Receiving
Blood 151-180 Finding, Indicates, Immediate, Intervention, Acute
TOTAL 180 All questions include answers and detailed rationales
,Section A - 2026 Version ATI RN Comprehensive Predictor
EXIT WITH NGN AND TO PASS RN ATI Comprehensive
Predictor 2023/2026 EXIT WITH NGN Nursing RN
Comprehensive Predictor Undergraduate YEAR 4 /
Pre-licensure
Q1.
A patient with septic shock is receiving norepinephrine at 12 mcg/min and remains
hypotensive. The provider orders an addition of vasopressin. Which assessment finding
requires immediate action before initiating vasopressin?
A. Serum sodium 134 mEq/L B. Central venous pressure 4 mm Hg
C. Urine output 0.3 mL/kg/hr D. Cardiac index 2.1 L/min/m²
Correct: B - Central venous pressure 4 mm Hg
Rationale:Vasopressin is a potent vasoconstrictor; in hypovolemic states (low CVP), it can
worsen tissue perfusion. Optimizing preload is essential before adding a second vasopressor.
Hyponatremia (A) is an effect of vasopressin, not a contraindication. Low urine output (C) and
low cardiac index (D) are indications for additional support but do not preclude vasopressin if
preload is adequate.
Q2.
A laboring patient at 39 weeks gestation has contractions every 2 minutes, each lasting 90
seconds, and the fetal heart rate shows late decelerations. The provider prescribes
terbutaline. Which maternal condition would contraindicate this prescription?
A. Gestational hypertension B. Pre-gestational type 1 diabetes
C. Maternal heart rate 110 bpm D. Temperature 37.8°C (100.0°F)
Correct: A - Gestational hypertension
Rationale:Terbutaline is a beta-2 agonist that can cause tachycardia and worsen
hypertension; it is contraindicated in patients with hypertensive disorders such as
preeclampsia. Diabetes (B) is not an absolute contraindication, though glucose monitoring is
needed. Mild tachycardia (C) and low-grade fever (D) are not contraindications.
Q3.
A school nurse is assessing a child with suspected lead poisoning. The child's blood lead
level is 12 mcg/dL. According to current CDC guidelines, which action is most
appropriate?
Page 3
, Section A - 2026 Version ATI RN Comprehensive Predictor EXIT WITH NGN AND TO PASS RN ATI Comprehensive Predictor 2023/2026 EXIT
WITH NGN Nursing RN Comprehensive Predictor Undergraduate YEAR 4 / Pre-licensure
A. Begin chelation therapy immediately B. Repeat blood lead test in 1-3 months and
provide family education
C. Refer to a neurologist for developmental D. Admit to the hospital for intensive
evaluation monitoring
Correct: B - Repeat blood lead test in 1-3 months and provide family education
Rationale:Current CDC guidelines recommend follow-up testing within 1-3 months for blood
lead levels of 5-14 mcg/dL, along with education to reduce exposure. Chelation (A) is
reserved for levels 45 mcg/dL. Referral (C) is not immediate at this level. Hospitalization (D) is
unnecessary.
Q4.
A patient with bipolar disorder has been taking lithium for 2 weeks. The patient reports
tremors, nausea, and blurred vision. Which laboratory value is most important to assess?
A. Serum creatinine B. Serum lithium level
C. Sodium level D. Thyroid stimulating hormone
Correct: B - Serum lithium level
Rationale:The symptoms described are classic signs of lithium toxicity. Serum lithium level is
essential to confirm toxicity and guide treatment. Creatinine (A) and sodium (C) may be
related but are not the primary diagnostic test. TSH (D) is for long-term thyroid monitoring, not
acute toxicity.
Q5.
A nurse is preparing to administer a continuous IV infusion of heparin for a patient with a
pulmonary embolism. Which laboratory test should be monitored to evaluate therapeutic
effectiveness?
A. Activated partial thromboplastin time B. International normalized ratio (INR)
(aPTT)
C. Prothrombin time (PT) D. Activated clotting time (ACT)
Correct: A - Activated partial thromboplastin time (aPTT)
Rationale:Heparin therapy is monitored using aPTT, with a target of 1.5-2 times the control
value. INR/PT (B, C) are used for warfarin. ACT (D) is used for high-dose heparin during
procedures like cardiac bypass.
Page 4
