ATI COMPREHENSIVE PREDICTOR EXAM STUDY GUIDE 2026/2027

ATI COMPREHENSIVE PREDICTOR EXAM STUDY GUIDE 2026/2027 Description: This revision set covers all major nursing content areas tested on the ATI Comprehensive Predictor, including Fundamentals, Medical-Surgical, Maternal Newborn, Pediatrics, Mental Health, Pharmacology, Leadership, and Community Health. Each question includes four options with the correct answer indicated by . Keywords: ATI Predictor, NCLEX review, nursing exam, comprehensive predictor, pharmacology, med-surg, maternal newborn, pediatrics, mental health, leadership, community health, fundamentals, safety, infection control, prioritization, delegation. FUNDAMENTALS OF NURSING (1–25) 1. A nurse is caring for a client who is postoperative and has a prescription for incentive spirometry. Which action should the nurse take? A. Encourage the client to use the spirometer every 1 to 2 hours while awake B. Have the client use the spirometer only when experiencing shortness of breath C. Instruct the client to exhale forcefully into the spirometer D. Set the spirometer to the lowest volume setting 2. A nurse is teaching a client about proper hand hygiene. Which statement by the client indicates understanding? A. "I should wash my hands for at least 10 seconds." B. "I can use alcohol-based hand rub when my hands are visibly soiled." C. "I should wash my hands for at least 20 seconds with soap and water." D. "I only need to wash my hands after using the restroom." 3. A nurse is assessing a client's risk for falls. Which factor places the client at highest risk? A. Age 45 B. Use of a cane C. History of a fall in the past year D. Female gender 4. A nurse is preparing to administer a cleansing enema. In which position should the nurse place the client? A. Supine B. Left Sims' position C. Prone D. Right lateral 5. A nurse is caring for a client who has a new prescription for a low-sodium diet. Which food should the nurse instruct the client to avoid? A. Fresh apples B. Canned soup C. Brown rice D. Broiled chicken 6. A nurse is performing a sterile dressing change. Which action indicates a break in sterile technique? A. Opening the sterile package away from the body B. Placing sterile supplies on the sterile field C. Reaching over the sterile field with ungloved hands D. Using sterile gloves to handle sterile supplies 7. A nurse is teaching a client about the use of a walker. Which instruction should the nurse include? A. "Move the walker forward, then step with your weaker leg first." B. "Move the walker forward, then step with your stronger leg first." C. "Lift the walker completely off the floor with each step." D. "Lean forward on the walker to support your weight." 8. A nurse is assessing a client's level of consciousness. Which finding indicates the client is alert? A. Responds to verbal stimuli B. Responds to painful stimuli C. Opens eyes spontaneously and responds appropriately D. Unresponsive to all stimuli 9. A nurse is caring for a client who is on bed rest. Which intervention is most important to prevent pressure ulcers? A. Massage reddened areas B. Reposition the client every 2 hours C. Use a donut-shaped cushion D. Keep the head of the bed elevated 90 degrees 10. A nurse is preparing to insert a nasogastric tube. Which action should the nurse take first? A. Measure the tube from the nose to the earlobe to the xiphoid process B. Lubricate the tube with petroleum jelly C. Ask the client to swallow while the tube is inserted D. Secure the tube with tape 11. A nurse is teaching a client about a clear liquid diet. Which item should the nurse include? A. Milk B. Orange juice C. Gelatin D. Oatmeal 12. A nurse is caring for a client who has a prescription for a stool specimen. Which action should the nurse take? A. Send the specimen to the lab immediately B. Refrigerate the specimen for 24 hours C. Place the specimen in a sterile container D. Collect the specimen after administering a laxative 13. A nurse is assessing a client's pain. Which tool is most appropriate for a client who is unable to verbalize pain? A. Numeric rating scale B. Wong-Baker FACES scale C. FLACC scale D. Visual analog scale 14. A nurse is caring for a client who has a new prescription for oxygen therapy. Which delivery device provides the most precise oxygen concentration? A. Nasal cannula B. Simple face mask C. Venturi mask D. Nonrebreather mask 15. A nurse is teaching a client about the use of a cane. Which instruction should the nurse include? A. Hold the cane on the unaffected side B. Hold the cane on the affected side C. Advance the cane and the affected leg together D. Use the cane only when climbing stairs 16. A nurse is preparing to administer a medication via a nasogastric tube. Which action should the nurse take? A. Verify tube placement by auscultating for air bubbles B. Administer the medication with the client supine C. Flush the tube with 5 mL of water after medication D. Mix all medications together before administration 17. A nurse is caring for a client who is at risk for aspiration. Which action should the nurse take? A. Position the client supine during meals B. Encourage the client to eat quickly C. Place the client in a high-Fowler's position during meals D. Provide thin liquids 18. A nurse is assessing a client's skin for pressure ulcers. Which area is most at risk? A. Heel B. Sacrum C. Shoulder D. Elbow 19. A nurse is teaching a client about the use of a metered-dose inhaler. Which instruction should the nurse include? A. Shake the inhaler before use B. Inhale slowly after activating the inhaler C. Hold breath for 5 seconds after inhaling D. Use the inhaler without a spacer 20. A nurse is caring for a client who has a prescription for a 24-hour urine collection. Which action should the nurse take? A. Discard the first voided specimen B. Keep the specimen at room temperature C. Collect the first voided specimen D. Refrigerate the specimen for 48 hours 21. A nurse is assessing a client's hydration status. Which finding indicates dehydration? A. Moist mucous membranes