ATI RN COMPREHENSIVE PREDICTOR 2026 EXIT EXAM WITH
NGN PACKAGE
1. A nurse is preparing to administer a medication. Which action is most important before opening the package?
■ Compare the medication label with the MAR.
● Ask another nurse to prepare it.
● Document the dose before giving it.
● Place the medication at the bedside.
2. Which finding requires the nurse to intervene immediately for a client receiving oxygen by nasal cannula?
● Dry nasal mucosa.
● Oxygen saturation 97%.
■ Smoking a cigarette near the oxygen source.
● Respiratory rate 18/min.
3. A nurse is caring for a client at risk for falls. Which intervention is most appropriate?
■ Keep the bed in the lowest position.
● Raise all four side rails.
● Keep the room dark at night.
● Encourage the client to walk alone.
4. Which action demonstrates correct hand hygiene after caring for a client with C. difficile?
● Use alcohol hand rub only.
■ Wash with soap and water.
● Wear two pairs of gloves instead.
● Rinse hands without soap.
5. A nurse discovers that a prescribed medication dose is substantially higher than the usual dose. What should the
nurse do first?
● Administer it as written.
■ Hold the dose and clarify the prescription.
● Ask the client whether to take it.
● Document refusal.
ATI RN Comprehensive Predictor 2026 — Original Practice | Page 1
,6. Which client should the nurse assess first?
● Client with chronic arthritis reporting pain 6/10.
■ Client with new stridor after thyroid surgery.
● Client requesting a meal tray.
● Client with a healed surgical incision.
CLINICAL DIAGRAM: HEART BLOOD FLOW
body lungs body
RIGHT LEFT
ventricle ventricle
Deoxygenated → right heart → lungs → left heart → oxygenated to body
Original study diagram; use it to reason through circulation questions.
7. A nurse is transferring a weak client from bed to chair. Which action reduces injury risk?
● Twist while lifting.
■ Use a gait belt when appropriate.
● Pull the client by the arms.
● Keep the chair unlocked.
8. Which finding suggests a client may be developing orthostatic hypotension?
● Heart rate decreases when standing.
■ Blood pressure drops after standing.
● Temperature rises after standing.
● Oxygen saturation increases after standing.
9. A nurse is teaching incentive spirometer use. Which instruction is correct?
● Exhale forcefully into the device.
■ Inhale slowly and deeply through the mouthpiece.
● Use it only when short of breath.
● Lie flat while using it.
10. Which action is appropriate when a sterile package becomes wet?
● Use it immediately.
● Consider the outer surface sterile.
■ Discard it because sterility is compromised.
● Dry it with a sterile towel.
ATI RN Comprehensive Predictor 2026 — Original Practice | Page 2
,11. A client with suspected pulmonary tuberculosis should be placed in which type of isolation?
● Contact
● Droplet
■ Airborne
● Protective
12. Which PPE is required when entering the room of a client on airborne precautions?
■ N95 respirator or equivalent
● Surgical mask only
● Sterile gloves only
● Face shield only
13. A nurse is caring for a client with neutropenia. Which meal selection is safest?
● Raw sprouts
● Unwashed berries
■ Well-cooked vegetables
● Raw sushi
14. Which action is correct when removing contaminated PPE?
● Remove gloves last.
■ Remove the most contaminated items first.
● Touch the front of the gown freely.
● Reuse disposable gloves.
15. A client has a draining wound caused by MRSA. Which precaution is expected?
■ Contact
● Airborne
● Protective
● No precautions
16. Which intervention best reduces catheter-associated urinary tract infection risk?
■ Maintain a closed drainage system.
● Disconnect tubing every shift.
● Keep the drainage bag on the bed.
● Irrigate routinely without an order.
17. A nurse receives a needlestick injury. What is the priority action?
● Apply a tourniquet.
■ Wash the area promptly with soap and water.
● Finish the medication pass first.
● Cover it without cleaning.
ATI RN Comprehensive Predictor 2026 — Original Practice | Page 3
, 18. Which client is most appropriate for a negative-pressure room?
■ Client with measles
● Client with cellulitis
● Client with C. difficile
● Client with a stage 2 pressure injury
CLINICAL DIAGRAM: ECG RHYTHM STRIP
P QRS T
19. Which practice is appropriate for standard precautions?
■ Use gloves when contact with body fluids is anticipated.
● Wear an N95 for every client.
● Use sterile gloves for every vital sign.
● Avoid hand hygiene if gloves were worn.
20. A nurse is caring for a client with influenza. Which precaution is generally indicated?
■ Droplet
● Airborne only
● Protective isolation
● Contact only
21. A client taking warfarin has an INR of 5.8 and reports black stools. What should the nurse do?
● Administer the next dose.
■ Hold the medication and notify the provider.
● Encourage more vitamin K foods without notifying anyone.
● Give aspirin.
22. Which assessment is most important before administering digoxin?
■ Apical pulse
● Bowel sounds
● Pupil size
● Skin turgor
23. A client receiving furosemide is at greatest risk for which electrolyte imbalance?
● Hyperkalemia
■ Hypokalemia
● Hypermagnesemia
● Hypernatremia
ATI RN Comprehensive Predictor 2026 — Original Practice | Page 4
NGN PACKAGE
1. A nurse is preparing to administer a medication. Which action is most important before opening the package?
■ Compare the medication label with the MAR.
● Ask another nurse to prepare it.
● Document the dose before giving it.
● Place the medication at the bedside.
2. Which finding requires the nurse to intervene immediately for a client receiving oxygen by nasal cannula?
● Dry nasal mucosa.
● Oxygen saturation 97%.
■ Smoking a cigarette near the oxygen source.
● Respiratory rate 18/min.
3. A nurse is caring for a client at risk for falls. Which intervention is most appropriate?
■ Keep the bed in the lowest position.
● Raise all four side rails.
● Keep the room dark at night.
● Encourage the client to walk alone.
4. Which action demonstrates correct hand hygiene after caring for a client with C. difficile?
● Use alcohol hand rub only.
■ Wash with soap and water.
● Wear two pairs of gloves instead.
● Rinse hands without soap.
5. A nurse discovers that a prescribed medication dose is substantially higher than the usual dose. What should the
nurse do first?
● Administer it as written.
■ Hold the dose and clarify the prescription.
● Ask the client whether to take it.
● Document refusal.
ATI RN Comprehensive Predictor 2026 — Original Practice | Page 1
,6. Which client should the nurse assess first?
● Client with chronic arthritis reporting pain 6/10.
■ Client with new stridor after thyroid surgery.
● Client requesting a meal tray.
● Client with a healed surgical incision.
CLINICAL DIAGRAM: HEART BLOOD FLOW
body lungs body
RIGHT LEFT
ventricle ventricle
Deoxygenated → right heart → lungs → left heart → oxygenated to body
Original study diagram; use it to reason through circulation questions.
7. A nurse is transferring a weak client from bed to chair. Which action reduces injury risk?
● Twist while lifting.
■ Use a gait belt when appropriate.
● Pull the client by the arms.
● Keep the chair unlocked.
8. Which finding suggests a client may be developing orthostatic hypotension?
● Heart rate decreases when standing.
■ Blood pressure drops after standing.
● Temperature rises after standing.
● Oxygen saturation increases after standing.
9. A nurse is teaching incentive spirometer use. Which instruction is correct?
● Exhale forcefully into the device.
■ Inhale slowly and deeply through the mouthpiece.
● Use it only when short of breath.
● Lie flat while using it.
10. Which action is appropriate when a sterile package becomes wet?
● Use it immediately.
● Consider the outer surface sterile.
■ Discard it because sterility is compromised.
● Dry it with a sterile towel.
ATI RN Comprehensive Predictor 2026 — Original Practice | Page 2
,11. A client with suspected pulmonary tuberculosis should be placed in which type of isolation?
● Contact
● Droplet
■ Airborne
● Protective
12. Which PPE is required when entering the room of a client on airborne precautions?
■ N95 respirator or equivalent
● Surgical mask only
● Sterile gloves only
● Face shield only
13. A nurse is caring for a client with neutropenia. Which meal selection is safest?
● Raw sprouts
● Unwashed berries
■ Well-cooked vegetables
● Raw sushi
14. Which action is correct when removing contaminated PPE?
● Remove gloves last.
■ Remove the most contaminated items first.
● Touch the front of the gown freely.
● Reuse disposable gloves.
15. A client has a draining wound caused by MRSA. Which precaution is expected?
■ Contact
● Airborne
● Protective
● No precautions
16. Which intervention best reduces catheter-associated urinary tract infection risk?
■ Maintain a closed drainage system.
● Disconnect tubing every shift.
● Keep the drainage bag on the bed.
● Irrigate routinely without an order.
17. A nurse receives a needlestick injury. What is the priority action?
● Apply a tourniquet.
■ Wash the area promptly with soap and water.
● Finish the medication pass first.
● Cover it without cleaning.
ATI RN Comprehensive Predictor 2026 — Original Practice | Page 3
, 18. Which client is most appropriate for a negative-pressure room?
■ Client with measles
● Client with cellulitis
● Client with C. difficile
● Client with a stage 2 pressure injury
CLINICAL DIAGRAM: ECG RHYTHM STRIP
P QRS T
19. Which practice is appropriate for standard precautions?
■ Use gloves when contact with body fluids is anticipated.
● Wear an N95 for every client.
● Use sterile gloves for every vital sign.
● Avoid hand hygiene if gloves were worn.
20. A nurse is caring for a client with influenza. Which precaution is generally indicated?
■ Droplet
● Airborne only
● Protective isolation
● Contact only
21. A client taking warfarin has an INR of 5.8 and reports black stools. What should the nurse do?
● Administer the next dose.
■ Hold the medication and notify the provider.
● Encourage more vitamin K foods without notifying anyone.
● Give aspirin.
22. Which assessment is most important before administering digoxin?
■ Apical pulse
● Bowel sounds
● Pupil size
● Skin turgor
23. A client receiving furosemide is at greatest risk for which electrolyte imbalance?
● Hyperkalemia
■ Hypokalemia
● Hypermagnesemia
● Hypernatremia
ATI RN Comprehensive Predictor 2026 — Original Practice | Page 4
