ATI RN
Comprehensive 08/25/2026
Predictor Exam
ATI RN Comprehensive Predictor 1 2026–
2027 | NCLEX-RN Review & Next Gen Practice
Questions with Answers, Detailed Rationales,
NGN Clinical Judgment, Priority, Delegation &
Final Review
The nurse is providing care to a client admitted for coronary artery disease (CAD) and a history of
tobacco use. What is the most important element of the nurse's focused assessment of the client's
smoking history?
1.Number of pack-years
P a g e 1 | 145
, ATI RN
Comprehensive 08/25/2026
Predictor Exam
2.Desire to quit smoking
3.Brand of cigarettes used
4.Number of past attempts to quit smoking –
Correct Answer :Correct: 1
Rationale:
The number of cigarettes smoked daily and the duration of the habit are used to calculate the number
of pack-years, which is the standard method of documenting smoking history. The brand of cigarettes
may give a general indication of tar and nicotine levels, but the information is of no immediate clinical
use. Desire to quit and number of past attempts to quit smoking may be useful when the nurse
develops a smoking cessation plan with the client.
A 52-year-old male client is seen in the primary health care provider's (PHCP's) office for a physical
examination after experiencing unusual fatigue over the last several weeks. The client's height is 5 ft, 8
in (173 cm) and his weight is 220 lb (99.8 kg). Vital signs are as follows: temperature, 98.6º F (37º C)
orally; pulse, 86 beats/min; and respirations, 18 breaths/min. The blood pressure reading is 184/100
mm Hg. A random blood glucose level is 122 mg/dL (6.8 mmol/L). Which question should the nurse ask
the client first?
P a g e 2 | 145
, ATI RN
Comprehensive 08/25/2026
Predictor Exam
1."Do you exercise regularly?"
2."Are you considering trying to lose weight?"
3."Is there a history of diabetes mellitus in your family?"
4."When was the last time you had your blood pressure checked?" –
Correct Answer :Correct: 4
Rationale:
The client is hypertensive, which is a known major modifiable risk factor for coronary artery disease
(CAD). The other major modifiable risk factors not exhibited by this client include smoking and
hypercholesterolemia. The client is overweight, which is a contributing risk factor. The client's
nonmodifiable risk factors are age and gender. Because the client presents with several risk factors,
the nurse places priority of attention on the client's major modifiable risk factors
The nurse is preparing to interview a client to collect data about the client's health history. The nurse
should take which actions to make sure that the physical environment is ready? Select all that apply
1.Provide sufficient lighting.
2.Set the room temperature at a comfortable level.
3.Ensure that the distance between the nurse and client is no more than 2 ft (60 cm).
P a g e 3 | 145
, ATI RN
Comprehensive 08/25/2026
Predictor Exam
4.Arrange seating so that the nurse sits behind the desk across from the client.
5.Make sure that the client will be seated comfortably at eye level with the nurse.
6.Leave equipment needed for the physical exam on the desk so it is readily available. –
Correct Answer :Correct: 1,2,5
Rationale:
When preparing the physical environment for an interview, the nurse should provide sufficient lighting
for the client and nurse to see each other. The nurse should avoid having the client face a strong light
because the client would have to squint into the full light. The nurse should set the room temperature
at a comfortable level. The nurse should arrange seating so that both the nurse and the client are
seated comfortably at eye level. The distance between the nurse and the client should be set by the
nurse at 4 to 5 ft (1.2 to 1.5 meters). If the nurse places the client any closer, the nurse will be invading
the client's private space and may create anxiety in the client. If the nurse places the client farther
away, the nurse may be seen by the client as distant and aloof. The nurse avoids facing the client
across a desk or table because this creates a barrier. Distracting objects and equipment should be
removed from the interview area.
The nurse is planning to test the sensory function of the olfactory nerve (cranial nerve 1). The nurse
would gather which items to perform the test?
1.Tuning fork and audiometer
P a g e 4 | 145
Comprehensive 08/25/2026
Predictor Exam
ATI RN Comprehensive Predictor 1 2026–
2027 | NCLEX-RN Review & Next Gen Practice
Questions with Answers, Detailed Rationales,
NGN Clinical Judgment, Priority, Delegation &
Final Review
The nurse is providing care to a client admitted for coronary artery disease (CAD) and a history of
tobacco use. What is the most important element of the nurse's focused assessment of the client's
smoking history?
1.Number of pack-years
P a g e 1 | 145
, ATI RN
Comprehensive 08/25/2026
Predictor Exam
2.Desire to quit smoking
3.Brand of cigarettes used
4.Number of past attempts to quit smoking –
Correct Answer :Correct: 1
Rationale:
The number of cigarettes smoked daily and the duration of the habit are used to calculate the number
of pack-years, which is the standard method of documenting smoking history. The brand of cigarettes
may give a general indication of tar and nicotine levels, but the information is of no immediate clinical
use. Desire to quit and number of past attempts to quit smoking may be useful when the nurse
develops a smoking cessation plan with the client.
A 52-year-old male client is seen in the primary health care provider's (PHCP's) office for a physical
examination after experiencing unusual fatigue over the last several weeks. The client's height is 5 ft, 8
in (173 cm) and his weight is 220 lb (99.8 kg). Vital signs are as follows: temperature, 98.6º F (37º C)
orally; pulse, 86 beats/min; and respirations, 18 breaths/min. The blood pressure reading is 184/100
mm Hg. A random blood glucose level is 122 mg/dL (6.8 mmol/L). Which question should the nurse ask
the client first?
P a g e 2 | 145
, ATI RN
Comprehensive 08/25/2026
Predictor Exam
1."Do you exercise regularly?"
2."Are you considering trying to lose weight?"
3."Is there a history of diabetes mellitus in your family?"
4."When was the last time you had your blood pressure checked?" –
Correct Answer :Correct: 4
Rationale:
The client is hypertensive, which is a known major modifiable risk factor for coronary artery disease
(CAD). The other major modifiable risk factors not exhibited by this client include smoking and
hypercholesterolemia. The client is overweight, which is a contributing risk factor. The client's
nonmodifiable risk factors are age and gender. Because the client presents with several risk factors,
the nurse places priority of attention on the client's major modifiable risk factors
The nurse is preparing to interview a client to collect data about the client's health history. The nurse
should take which actions to make sure that the physical environment is ready? Select all that apply
1.Provide sufficient lighting.
2.Set the room temperature at a comfortable level.
3.Ensure that the distance between the nurse and client is no more than 2 ft (60 cm).
P a g e 3 | 145
, ATI RN
Comprehensive 08/25/2026
Predictor Exam
4.Arrange seating so that the nurse sits behind the desk across from the client.
5.Make sure that the client will be seated comfortably at eye level with the nurse.
6.Leave equipment needed for the physical exam on the desk so it is readily available. –
Correct Answer :Correct: 1,2,5
Rationale:
When preparing the physical environment for an interview, the nurse should provide sufficient lighting
for the client and nurse to see each other. The nurse should avoid having the client face a strong light
because the client would have to squint into the full light. The nurse should set the room temperature
at a comfortable level. The nurse should arrange seating so that both the nurse and the client are
seated comfortably at eye level. The distance between the nurse and the client should be set by the
nurse at 4 to 5 ft (1.2 to 1.5 meters). If the nurse places the client any closer, the nurse will be invading
the client's private space and may create anxiety in the client. If the nurse places the client farther
away, the nurse may be seen by the client as distant and aloof. The nurse avoids facing the client
across a desk or table because this creates a barrier. Distracting objects and equipment should be
removed from the interview area.
The nurse is planning to test the sensory function of the olfactory nerve (cranial nerve 1). The nurse
would gather which items to perform the test?
1.Tuning fork and audiometer
P a g e 4 | 145
