ATI RN
Comprehensive 08/25/2026
Predictor Exam
ATI RN Comprehensive Predictor 2 2026–2027
| NCLEX-RN Review & Next Gen Practice
Questions with Answers, Detailed Rationales,
NGN Clinical Judgment, Priority, Delegation &
Final Review
1. A client who has recently traveled to China comes to the emergency department (ED) with
increasing shortness of breath and is strongly suspected of having severe acute respiratory syndrome
(SARS). Which of these prescribed actions will you take first?
1. Infuse normal saline at 75 mL/ hr.
2. Obtain blood, urine, and sputum for cultures.
3. Place the client on airborne and contact precautions.
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, ATI RN
Comprehensive 08/25/2026
Predictor Exam
4. Give methylprednisolone (Solu-Medrol) 1 g IV. –
Correct Answer :1. Ans: 3 Current Centers for Disease Control and Prevention (CDC) guidelines
indicate that rapid implementation of standard, contact, and airborne precautions are needed for any
client suspected of having SARS in order to protect other clients and health care workers. If an
airborne-agent isolation (negative-pressure) room is not available in the ED, droplet precautions
should be initiated until the client can be moved to a negative-pressure room. The other actions
should also be taken rapidly but are not as important as preventing transmission of the disease. Focus:
Prioritization
LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22). Prioritization, Delegation, and
Assignment: Practice Excercises for the NCLEX Exam (p. 173). Elsevier Health Sciences. Kindle Edition.
2. You are caring for a newly admitted client with increasing dyspnea, hypoxia, and dehydration who
has possible avian influenza (" bird flu"). Which of these prescribed actions will you implement first?
1. Start oxygen using a nonrebreather mask.
2. Infuse 5% dextrose in water at 100 mL/ hr.
3. Administer first dose of oseltamivir (Tamiflu).
4. Obtain blood and sputum specimens for testing.
- Correct Answer :2. Ans: 1 Because the respiratory manifestations associated with avian influenza are
potentially life-threatening, the nurse's initial action should be to start oxygen therapy. The other
interventions should be implemented after addressing the client's respiratory problems. Focus:
Prioritization
LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22). Prioritization, Delegation, and
Assignment: Practice Excercises for the NCLEX Exam (p. 173). Elsevier Health Sciences. Kindle Edition.
P a g e 2 | 104
, ATI RN
Comprehensive 08/25/2026
Predictor Exam
3. You are preparing to leave the room after performing oral suctioning on a client who is on contact
and airborne precautions. In which order will you perform the following actions?
1. Remove N95 respirator.
2. Take off goggles.
3. Remove gloves.
4. Take off gown.
5. Perform hand hygiene. _____, _____, _____, _____, -
Correct Answer :3. Ans: 3, 2, 4, 1, 5 This sequence will prevent contact of the contaminated gloves
and gown with areas (such as your hair) that cannot be easily cleaned after client contact and stop
transmission of microorganisms to you and your other clients. The correct method for donning and
removal of personal protective equipment (PPE) has been standardized by agencies such as the CDC
and the Occupational Safety and Health Administration. Focus: Prioritization
LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22). Prioritization, Delegation, and
Assignment: Practice Excercises for the NCLEX Exam (p. 173). Elsevier Health Sciences. Kindle Edition.
4. A client has been diagnosed with disseminated herpes zoster. Which personal protective equipment
(PPE) will you need to put on when preparing to assess the client? (Select all that apply.)
1. Surgical face mask
2. N95 respirator
3. Gown
4. Gloves
5. Goggles
P a g e 3 | 104
, ATI RN
Comprehensive 08/25/2026
Predictor Exam
6. Shoe covers –
Correct Answer :4. Ans: 2, 3, 4 Because herpes zoster (shingles) is spread through airborne means
and by direct contact with the lesions, you should wear an N95 respirator or high-efficiency particulate
air filter respirator, a gown, and gloves. Surgical face masks filter only large particles and will not
provide protection from herpes zoster. Goggles and shoe covers are not needed for airborne or
contact precautions. Focus: Prioritization
LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22). Prioritization, Delegation, and
Assignment: Practice Excercises for the NCLEX Exam (p. 173). Elsevier Health Sciences. Kindle Edition.
5. You are working as the triage nurse in the ED when the following four clients arrive. Which client
requires the most rapid action to protect other clients in the ED from infection?
1. 3-year-old who has paroxysmal coughing and whose sibling has pertussis
2. 5-year-old who has a new pruritic rash and a possible chickenpox infection
3. 62-year-old who has a history of a methicillin-resistant Staphylococcus aureus (MRSA) abdominal
wound infection
4. 74-year-old who needs tuberculosis (TB) testing after being exposed to TB during a recent
international airplane flight –
Correct Answer :5. Ans: 2 Varicella (chickenpox) is spread by airborne means and could be rapidly
transmitted to other clients in the ED. The child with the rash should be quickly isolated from the other
ED clients through placement in a negative-pressure room. Droplet and/ or contact precautions should
be instituted for the clients with possible pertussis and MRSA infection, but this can be done after
isolating the child with possible chickenpox. The client who has been exposed to TB does not place
other clients at risk for infection because there are no symptoms of active TB. Focus: Prioritization
P a g e 4 | 104
Comprehensive 08/25/2026
Predictor Exam
ATI RN Comprehensive Predictor 2 2026–2027
| NCLEX-RN Review & Next Gen Practice
Questions with Answers, Detailed Rationales,
NGN Clinical Judgment, Priority, Delegation &
Final Review
1. A client who has recently traveled to China comes to the emergency department (ED) with
increasing shortness of breath and is strongly suspected of having severe acute respiratory syndrome
(SARS). Which of these prescribed actions will you take first?
1. Infuse normal saline at 75 mL/ hr.
2. Obtain blood, urine, and sputum for cultures.
3. Place the client on airborne and contact precautions.
P a g e 1 | 104
, ATI RN
Comprehensive 08/25/2026
Predictor Exam
4. Give methylprednisolone (Solu-Medrol) 1 g IV. –
Correct Answer :1. Ans: 3 Current Centers for Disease Control and Prevention (CDC) guidelines
indicate that rapid implementation of standard, contact, and airborne precautions are needed for any
client suspected of having SARS in order to protect other clients and health care workers. If an
airborne-agent isolation (negative-pressure) room is not available in the ED, droplet precautions
should be initiated until the client can be moved to a negative-pressure room. The other actions
should also be taken rapidly but are not as important as preventing transmission of the disease. Focus:
Prioritization
LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22). Prioritization, Delegation, and
Assignment: Practice Excercises for the NCLEX Exam (p. 173). Elsevier Health Sciences. Kindle Edition.
2. You are caring for a newly admitted client with increasing dyspnea, hypoxia, and dehydration who
has possible avian influenza (" bird flu"). Which of these prescribed actions will you implement first?
1. Start oxygen using a nonrebreather mask.
2. Infuse 5% dextrose in water at 100 mL/ hr.
3. Administer first dose of oseltamivir (Tamiflu).
4. Obtain blood and sputum specimens for testing.
- Correct Answer :2. Ans: 1 Because the respiratory manifestations associated with avian influenza are
potentially life-threatening, the nurse's initial action should be to start oxygen therapy. The other
interventions should be implemented after addressing the client's respiratory problems. Focus:
Prioritization
LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22). Prioritization, Delegation, and
Assignment: Practice Excercises for the NCLEX Exam (p. 173). Elsevier Health Sciences. Kindle Edition.
P a g e 2 | 104
, ATI RN
Comprehensive 08/25/2026
Predictor Exam
3. You are preparing to leave the room after performing oral suctioning on a client who is on contact
and airborne precautions. In which order will you perform the following actions?
1. Remove N95 respirator.
2. Take off goggles.
3. Remove gloves.
4. Take off gown.
5. Perform hand hygiene. _____, _____, _____, _____, -
Correct Answer :3. Ans: 3, 2, 4, 1, 5 This sequence will prevent contact of the contaminated gloves
and gown with areas (such as your hair) that cannot be easily cleaned after client contact and stop
transmission of microorganisms to you and your other clients. The correct method for donning and
removal of personal protective equipment (PPE) has been standardized by agencies such as the CDC
and the Occupational Safety and Health Administration. Focus: Prioritization
LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22). Prioritization, Delegation, and
Assignment: Practice Excercises for the NCLEX Exam (p. 173). Elsevier Health Sciences. Kindle Edition.
4. A client has been diagnosed with disseminated herpes zoster. Which personal protective equipment
(PPE) will you need to put on when preparing to assess the client? (Select all that apply.)
1. Surgical face mask
2. N95 respirator
3. Gown
4. Gloves
5. Goggles
P a g e 3 | 104
, ATI RN
Comprehensive 08/25/2026
Predictor Exam
6. Shoe covers –
Correct Answer :4. Ans: 2, 3, 4 Because herpes zoster (shingles) is spread through airborne means
and by direct contact with the lesions, you should wear an N95 respirator or high-efficiency particulate
air filter respirator, a gown, and gloves. Surgical face masks filter only large particles and will not
provide protection from herpes zoster. Goggles and shoe covers are not needed for airborne or
contact precautions. Focus: Prioritization
LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22). Prioritization, Delegation, and
Assignment: Practice Excercises for the NCLEX Exam (p. 173). Elsevier Health Sciences. Kindle Edition.
5. You are working as the triage nurse in the ED when the following four clients arrive. Which client
requires the most rapid action to protect other clients in the ED from infection?
1. 3-year-old who has paroxysmal coughing and whose sibling has pertussis
2. 5-year-old who has a new pruritic rash and a possible chickenpox infection
3. 62-year-old who has a history of a methicillin-resistant Staphylococcus aureus (MRSA) abdominal
wound infection
4. 74-year-old who needs tuberculosis (TB) testing after being exposed to TB during a recent
international airplane flight –
Correct Answer :5. Ans: 2 Varicella (chickenpox) is spread by airborne means and could be rapidly
transmitted to other clients in the ED. The child with the rash should be quickly isolated from the other
ED clients through placement in a negative-pressure room. Droplet and/ or contact precautions should
be instituted for the clients with possible pertussis and MRSA infection, but this can be done after
isolating the child with possible chickenpox. The client who has been exposed to TB does not place
other clients at risk for infection because there are no symptoms of active TB. Focus: Prioritization
P a g e 4 | 104
