100% ATI RN COMPREHENSIVE PREDICTOR
2026 FINAL ASSESSMENT QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF.
Core Domains
Management of Care
Safety and Infection Control
Health Promotion and Maintenance
Psychosocial Integrity
Basic Care and Comfort
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation
NGN Case Studies and Clinical Judgment
Introduction
The ATI RN Comprehensive Predictor is a standardized exit examination
designed to assess a nursing student's readiness for the NCLEX-RN and
professional practice. The assessment evaluates clinical judgment,
prioritization, delegation, safety, pharmacology, and comprehensive nursing
knowledge across the lifespan. Questions include traditional multiple-choice,
select-all-that-apply (SATA), and Next Generation NCLEX (NGN) case studies
featuring bow-tie, matrix, and unfolding scenario formats. The exam
emphasizes real-world clinical decision-making, evidence-based practice, and
safe, effective care delivery. Candidates must demonstrate competency in all
eight NCLEX client need categories to achieve Level 3 proficiency.
SECTION ONE: QUESTIONS 1–180
,Question 1
A charge nurse is assigning rooms for four clients. Which client should be
placed in a private room?
A. Client with pneumonia
B. Client with methicillin-resistant Staphylococcus aureus (MRSA)
C. Client with diabetic foot ulcer
D. Client with chronic obstructive pulmonary disease (COPD)
B. Client with methicillin-resistant Staphylococcus aureus (MRSA)
RATIONALE: MRSA requires contact isolation and a private room is
essential to prevent transmission to other clients. Pneumonia may require
droplet precautions, but MRSA contact is the priority for single-room
assignment.
Question 2
A charge nurse assigns a float RN who usually works in postpartum to a
medical-surgical unit. Which client is most appropriate for the charge nurse
to assign to this RN?
A. Client in diabetic ketoacidosis (DKA)
B. Client who is postoperative day 2 following an appendectomy, stable
C. Client with a chest tube for a pneumothorax
D. Client receiving IV heparin for deep vein thrombosis
B. Client who is postoperative day 2 following an appendectomy, stable
RATIONALE: A stable, low-acuity postoperative client is safest for a float
nurse from a different specialty. Complex or unstable clients require an RN
with current experience in those areas.
Question 3
A nurse is delegating tasks to an assistive personnel (AP). Which task is
appropriate to delegate?
,A. Assess a postoperative incision
B. Teach a client how to use a walker
C. Obtain a capillary blood glucose level
D. Evaluate a client's pain level
C. Obtain a capillary blood glucose level
RATIONALE: APs can perform capillary blood glucose testing.
Assessment, teaching, and evaluation all require nursing judgment and fall
outside the AP's scope of practice.
Question 4
A nurse is supervising a newly licensed nurse on a mental health unit. For
which action by the newly licensed nurse should the supervising nurse
intervene?
A. Sets boundaries with a manipulative client
B. Documents client refusals of medication
C. Tells a client he will lose phone privileges if he does not take his
medication
D. Uses therapeutic communication techniques
C. Tells a client he will lose phone privileges if he does not take his
medication
RATIONALE: Threatening to remove privileges as a consequence for
refusing medication is coercive and violates client autonomy. This action is
unethical and can damage the therapeutic relationship.
Question 5 (SATA)
A competent adult client refuses a blood transfusion for religious reasons.
Which actions should the nurse take? (Select all that apply.)
A. Verify the client understands risks
B. Document the refusal
C. Administer the transfusion if Hgb is critical
, D. Notify the provider
E. Ask the family to override the decision
A, B, D
RATIONALE: Competent adults have autonomy. The nurse ensures
informed refusal, documents the refusal, and notifies the provider.
Administering the transfusion against the client's wishes or asking family to
override is unethical.
Question 6
A nurse is receiving change-of-shift report on four clients. Which client
should the nurse assess first?
A. A client with a dressing that needs reinforcement
B. A client reporting pain rated 6/10
C. A client whose urinary output was 100 mL in 12 hours
D. A client scheduled for discharge
C. A client whose urinary output was 100 mL in 12 hours
RATIONALE: Low urine output indicates possible renal failure or
hypovolemia—an urgent finding requiring immediate assessment. Urine
output should be at least 30 mL/hour.
Question 7
A charge nurse is making assignments for a float nurse from the medical unit
to the pediatric unit. Which client is appropriate to assign to the float nurse?
A. A 10-year-old with pneumonia receiving respiratory treatments
B. A 4-year-old with a Wilms tumor receiving chemotherapy
C. An 8-month-old scheduled for surgical repair of a ventricular septal defect
D. A 14-year-old scheduled for discharge following placement of a Harrington
rod
A. A 10-year-old with pneumonia receiving respiratory treatments
2026 FINAL ASSESSMENT QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF.
Core Domains
Management of Care
Safety and Infection Control
Health Promotion and Maintenance
Psychosocial Integrity
Basic Care and Comfort
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation
NGN Case Studies and Clinical Judgment
Introduction
The ATI RN Comprehensive Predictor is a standardized exit examination
designed to assess a nursing student's readiness for the NCLEX-RN and
professional practice. The assessment evaluates clinical judgment,
prioritization, delegation, safety, pharmacology, and comprehensive nursing
knowledge across the lifespan. Questions include traditional multiple-choice,
select-all-that-apply (SATA), and Next Generation NCLEX (NGN) case studies
featuring bow-tie, matrix, and unfolding scenario formats. The exam
emphasizes real-world clinical decision-making, evidence-based practice, and
safe, effective care delivery. Candidates must demonstrate competency in all
eight NCLEX client need categories to achieve Level 3 proficiency.
SECTION ONE: QUESTIONS 1–180
,Question 1
A charge nurse is assigning rooms for four clients. Which client should be
placed in a private room?
A. Client with pneumonia
B. Client with methicillin-resistant Staphylococcus aureus (MRSA)
C. Client with diabetic foot ulcer
D. Client with chronic obstructive pulmonary disease (COPD)
B. Client with methicillin-resistant Staphylococcus aureus (MRSA)
RATIONALE: MRSA requires contact isolation and a private room is
essential to prevent transmission to other clients. Pneumonia may require
droplet precautions, but MRSA contact is the priority for single-room
assignment.
Question 2
A charge nurse assigns a float RN who usually works in postpartum to a
medical-surgical unit. Which client is most appropriate for the charge nurse
to assign to this RN?
A. Client in diabetic ketoacidosis (DKA)
B. Client who is postoperative day 2 following an appendectomy, stable
C. Client with a chest tube for a pneumothorax
D. Client receiving IV heparin for deep vein thrombosis
B. Client who is postoperative day 2 following an appendectomy, stable
RATIONALE: A stable, low-acuity postoperative client is safest for a float
nurse from a different specialty. Complex or unstable clients require an RN
with current experience in those areas.
Question 3
A nurse is delegating tasks to an assistive personnel (AP). Which task is
appropriate to delegate?
,A. Assess a postoperative incision
B. Teach a client how to use a walker
C. Obtain a capillary blood glucose level
D. Evaluate a client's pain level
C. Obtain a capillary blood glucose level
RATIONALE: APs can perform capillary blood glucose testing.
Assessment, teaching, and evaluation all require nursing judgment and fall
outside the AP's scope of practice.
Question 4
A nurse is supervising a newly licensed nurse on a mental health unit. For
which action by the newly licensed nurse should the supervising nurse
intervene?
A. Sets boundaries with a manipulative client
B. Documents client refusals of medication
C. Tells a client he will lose phone privileges if he does not take his
medication
D. Uses therapeutic communication techniques
C. Tells a client he will lose phone privileges if he does not take his
medication
RATIONALE: Threatening to remove privileges as a consequence for
refusing medication is coercive and violates client autonomy. This action is
unethical and can damage the therapeutic relationship.
Question 5 (SATA)
A competent adult client refuses a blood transfusion for religious reasons.
Which actions should the nurse take? (Select all that apply.)
A. Verify the client understands risks
B. Document the refusal
C. Administer the transfusion if Hgb is critical
, D. Notify the provider
E. Ask the family to override the decision
A, B, D
RATIONALE: Competent adults have autonomy. The nurse ensures
informed refusal, documents the refusal, and notifies the provider.
Administering the transfusion against the client's wishes or asking family to
override is unethical.
Question 6
A nurse is receiving change-of-shift report on four clients. Which client
should the nurse assess first?
A. A client with a dressing that needs reinforcement
B. A client reporting pain rated 6/10
C. A client whose urinary output was 100 mL in 12 hours
D. A client scheduled for discharge
C. A client whose urinary output was 100 mL in 12 hours
RATIONALE: Low urine output indicates possible renal failure or
hypovolemia—an urgent finding requiring immediate assessment. Urine
output should be at least 30 mL/hour.
Question 7
A charge nurse is making assignments for a float nurse from the medical unit
to the pediatric unit. Which client is appropriate to assign to the float nurse?
A. A 10-year-old with pneumonia receiving respiratory treatments
B. A 4-year-old with a Wilms tumor receiving chemotherapy
C. An 8-month-old scheduled for surgical repair of a ventricular septal defect
D. A 14-year-old scheduled for discharge following placement of a Harrington
rod
A. A 10-year-old with pneumonia receiving respiratory treatments
