ATI RN
Comprehensive 08/25/2026
Predictor Exam
ATI RN Comprehensive Predictor 3 2026–2027
| NCLEX-RN Review & Next Gen Practice
Questions with Answers, Detailed Rationales,
NGN Clinical Judgment, Priority, Delegation &
Final Review
The nurse encounters a client with bipolar disorder in an aggressive state. What is the priority nursing
action for this client?
A. State to the client, "You need to settle down now!"
B. Say, "If you throw that lamp you will need to stay in your room for 1 hour."
C. Call an alert to summon security and prepare a sedative.
D. Place the client in a restraint vest and in a quiet room. –
P a g e 1 | 136
, ATI RN
Comprehensive 08/25/2026
Predictor Exam
Correct Answer :B. Say, "If you throw that lamp you will need to stay in your room for 1 hour."
The nurse needs to indicate to the client the consequences of aggressive behavior. Stating you need
to settle down is nontherapeutic for the aggressive client. Calling security can precipitate more
agitation. A restraint vest and a quiet room is a last resort for the aggressive client and should be used
only when the client is at risk for harm to self or others. There is no indication in the stem that there is
a risk for harm, only aggression.
A client is admitted with a medical diagnosis of dissociative identity disorder. The nurse will build the
client's care plan based on which understanding of the personalities?
A. The host personality makes fun with the alternates.
B. The alternate personalities are fully aware of each other.
C. The host personality ignores the alternate personalities.
D. The alternate personalities are aware of the host. –
Correct Answer :D. The alternate personalities are aware of the host.
The alternate personalities are aware of the host personality, but the host personality is not aware of
the alternate personalities. The nurse needs to build the client's plan of care around this
understanding.
The clinic nurse notes bruises in various stages of healing on the client's back and legs. What questions
must the nurse include in the client's assessment? (Select all that apply.)
A. "Those bruises are shocking! What happened to you?"
P a g e 2 | 136
, ATI RN
Comprehensive 08/25/2026
Predictor Exam
B. "Is anyone hurting your back and legs?"
C. "I see you have lots of bruises. Are you very clumsy?"
D. "When you and your spouse disagree, what happens to you?"
E. "Has your spouse ever threatened you verbally or with violence?" –
Correct Answer :B. "Is anyone hurting your back and legs?"
D. "When you and your spouse disagree, what happens to you?"
E. "Has your spouse ever threatened you verbally or with violence?"
Developing trust in providing a calm, nonjudgmental approach is essential when working with
suspected abuse victims. By stating, "Those bruises are shocking" is alarmist, and does not place the
client at ease. Asking if the client is clumsy give the client a way to not identify if abuse is occurring.
The remaining questions are appropriate to assess for physical abuse.
An adult client who lives in a residential facility is mentally delayed and has a history of bipolar disorder.
During the past week, the client has refused to wear clothes and frequently engages in exposure to
other residents. Which action should the nurse take first?
A. Establish a one-to-one relationship to discuss the behavior.
B. Redirect the client to physically demanding activities.
C. Encourage the client to verbalize thoughts when acting out.
D. Restrict social interactions with other residents in the facility. –
Correct Answer :B. Redirect the client to physically demanding activities.
P a g e 3 | 136
, ATI RN
Comprehensive 08/25/2026
Predictor Exam
The client is exhibiting manic behavior related to bipolar disorder, and the nurse should redirect the
client to activities that are physically demanding so that energy can be expended in a socially
acceptable manner. Psychotic clients are not capable of option A. When exhibiting acting-out
behavior, the client is distracted and option C is difficult. Option D is likely to increase manic behaviors,
such as mood swings and acting-out behaviors.
A middle-aged client tells the clinic nurse, "I'm again starting to feel overwhelmed and anxious with all
my responsibilities. I don't know what to do." What is the nurse's best response?
A. "Describe in more detail your feelings about being overwhelmed."
B. "Why don't you give up some of your commitments?"
C. "What has worked for you in the past?"
D. "I know, but it is important to take time for yourself." –
Correct Answer :C. "What has worked for you in the past?"
A nurse can help the client solve problems by identifying past coping mechanisms that could be
transferred into current situations that the client finds to be overwhelming. The client has already
expressed some degree of hopelessness (overwhelmed and anxious), so option A is redundant.
Option B is advice giving and may not be possible for the person, and this response does not
encourage the client to employ known methods of coping. Option D is also considered advice giving,
with an implied value judgment.
The client with Stage 3 Alzheimer's disease suddenly becomes agitated. What actions will the nurse
take to settle the client? (Select all that apply.)
A. Reassure the client.
B. Approach the client slowly.
P a g e 4 | 136
Comprehensive 08/25/2026
Predictor Exam
ATI RN Comprehensive Predictor 3 2026–2027
| NCLEX-RN Review & Next Gen Practice
Questions with Answers, Detailed Rationales,
NGN Clinical Judgment, Priority, Delegation &
Final Review
The nurse encounters a client with bipolar disorder in an aggressive state. What is the priority nursing
action for this client?
A. State to the client, "You need to settle down now!"
B. Say, "If you throw that lamp you will need to stay in your room for 1 hour."
C. Call an alert to summon security and prepare a sedative.
D. Place the client in a restraint vest and in a quiet room. –
P a g e 1 | 136
, ATI RN
Comprehensive 08/25/2026
Predictor Exam
Correct Answer :B. Say, "If you throw that lamp you will need to stay in your room for 1 hour."
The nurse needs to indicate to the client the consequences of aggressive behavior. Stating you need
to settle down is nontherapeutic for the aggressive client. Calling security can precipitate more
agitation. A restraint vest and a quiet room is a last resort for the aggressive client and should be used
only when the client is at risk for harm to self or others. There is no indication in the stem that there is
a risk for harm, only aggression.
A client is admitted with a medical diagnosis of dissociative identity disorder. The nurse will build the
client's care plan based on which understanding of the personalities?
A. The host personality makes fun with the alternates.
B. The alternate personalities are fully aware of each other.
C. The host personality ignores the alternate personalities.
D. The alternate personalities are aware of the host. –
Correct Answer :D. The alternate personalities are aware of the host.
The alternate personalities are aware of the host personality, but the host personality is not aware of
the alternate personalities. The nurse needs to build the client's plan of care around this
understanding.
The clinic nurse notes bruises in various stages of healing on the client's back and legs. What questions
must the nurse include in the client's assessment? (Select all that apply.)
A. "Those bruises are shocking! What happened to you?"
P a g e 2 | 136
, ATI RN
Comprehensive 08/25/2026
Predictor Exam
B. "Is anyone hurting your back and legs?"
C. "I see you have lots of bruises. Are you very clumsy?"
D. "When you and your spouse disagree, what happens to you?"
E. "Has your spouse ever threatened you verbally or with violence?" –
Correct Answer :B. "Is anyone hurting your back and legs?"
D. "When you and your spouse disagree, what happens to you?"
E. "Has your spouse ever threatened you verbally or with violence?"
Developing trust in providing a calm, nonjudgmental approach is essential when working with
suspected abuse victims. By stating, "Those bruises are shocking" is alarmist, and does not place the
client at ease. Asking if the client is clumsy give the client a way to not identify if abuse is occurring.
The remaining questions are appropriate to assess for physical abuse.
An adult client who lives in a residential facility is mentally delayed and has a history of bipolar disorder.
During the past week, the client has refused to wear clothes and frequently engages in exposure to
other residents. Which action should the nurse take first?
A. Establish a one-to-one relationship to discuss the behavior.
B. Redirect the client to physically demanding activities.
C. Encourage the client to verbalize thoughts when acting out.
D. Restrict social interactions with other residents in the facility. –
Correct Answer :B. Redirect the client to physically demanding activities.
P a g e 3 | 136
, ATI RN
Comprehensive 08/25/2026
Predictor Exam
The client is exhibiting manic behavior related to bipolar disorder, and the nurse should redirect the
client to activities that are physically demanding so that energy can be expended in a socially
acceptable manner. Psychotic clients are not capable of option A. When exhibiting acting-out
behavior, the client is distracted and option C is difficult. Option D is likely to increase manic behaviors,
such as mood swings and acting-out behaviors.
A middle-aged client tells the clinic nurse, "I'm again starting to feel overwhelmed and anxious with all
my responsibilities. I don't know what to do." What is the nurse's best response?
A. "Describe in more detail your feelings about being overwhelmed."
B. "Why don't you give up some of your commitments?"
C. "What has worked for you in the past?"
D. "I know, but it is important to take time for yourself." –
Correct Answer :C. "What has worked for you in the past?"
A nurse can help the client solve problems by identifying past coping mechanisms that could be
transferred into current situations that the client finds to be overwhelming. The client has already
expressed some degree of hopelessness (overwhelmed and anxious), so option A is redundant.
Option B is advice giving and may not be possible for the person, and this response does not
encourage the client to employ known methods of coping. Option D is also considered advice giving,
with an implied value judgment.
The client with Stage 3 Alzheimer's disease suddenly becomes agitated. What actions will the nurse
take to settle the client? (Select all that apply.)
A. Reassure the client.
B. Approach the client slowly.
P a g e 4 | 136
