ATI COMPREHENSIVE PREDICTOR
2026 (NGN) QUESTIONS WITH
CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026
Q&A | INSTANT DOWNLOAD PDF
Core Domains
1. Management of Care & Prioritization
2. Safety & Infection Control
3. Health Promotion & Maintenance
4. Psychosocial Integrity
5. Basic Care & Comfort
6. Pharmacological & Parenteral Therapies
7. Reduction of Risk Potential
8. Physiological Adaptation
9. NGN Case Studies & Clinical Judgment
Introduction
The ATI Comprehensive Predictor Examination assesses a nursing student's
readiness to sit for the NCLEX-RN and predicts the likelihood of first-time pass
success. The exam evaluates knowledge across medical-surgical,
pharmacological, maternal-newborn, pediatric, mental health, and leadership
domains. Questions utilize Next Generation NCLEX (NGN) formats including
multiple-choice, Select-All-That-Apply (SATA), bow-tie, matrix, and unfolding
case studies. The examination emphasizes clinical judgment, prioritization,
delegation, and real-world decision-making to ensure safe, competent nursing
practice.
SECTION ONE: QUESTIONS 1–180
,1. A nurse is planning care for a client who has a new diagnosis of
terminal cancer. Which of the following actions should the nurse take
first?
A. Discuss hospice referral with the client
B. Assess the client's understanding of the diagnosis
C. Notify the provider of the client's prognosis
D. Administer prescribed pain medication
B. Assess the client's understanding of the diagnosis
RATIONALE: Assessment is the first step of the nursing process. Before
any interventions, the nurse must determine what the client knows and feels
about the diagnosis.
2. A charge nurse is assigning clients on a medical-surgical unit. Which
client should be assigned to a float nurse from the postpartum unit?
A. Client 1 day post-appendectomy, stable, dressing dry
B. Client with active tuberculosis requiring airborne precautions
C. Client receiving IV heparin for DVT
D. Client post-cardiac catheterization with a femoral sheath
A. Client 1 day post-appendectomy, stable, dressing dry
RATIONALE: The stable postoperative client is appropriate for a float
nurse. The other clients require specialized skills (TB isolation,
anticoagulation monitoring, post-cath care).
,3. A nurse manager is reviewing informed consent. Which of the
following clients can legally give informed consent? (SATA)
A. A 17-year-old living independently and married
B. A 35-year-old who is intoxicated
C. A 40-year-old with mild dementia who is oriented to person, place, time
D. A 50-year-old who speaks only Spanish with an interpreter present
E. A 20-year-old admitted for suicidal ideation
A, C, D
RATIONALE: Emancipated minors (married) can consent. Intoxicated
clients cannot. Dementia clients if lucid can consent. An interpreter allows
valid consent. Suicidal ideation alone does not impair capacity unless severe.
4. A nurse is preparing a client for discharge after a stroke. Which of the
following is the priority referral?
A. Physical therapy
B. Speech-language pathology
C. Home health aide
D. Social work for financial assistance
B. Speech-language pathology
RATIONALE: Swallowing assessment is critical to prevent aspiration
pneumonia. Airway and safety are priorities over mobility or finances.
5. A nurse is delegating to an LPN. Which task is appropriate?
A. Initial admission assessment
, B. Teaching a client about insulin injection
C. Administering a tube feeding to a stable client
D. Creating the nursing care plan
C. Administering a tube feeding to a stable client
RATIONALE: LPNs can administer tube feedings to stable clients.
Assessment, teaching, and care planning are RN responsibilities.
6. A client refuses a blood transfusion due to religious beliefs. Which
action demonstrates appropriate advocacy?
A. Notify the provider to obtain a court order
B. Document the refusal and notify the provider
C. Attempt to persuade the client to accept
D. Administer the blood quietly because it's an emergency
B. Document the refusal and notify the provider
RATIONALE: Respect client autonomy. Document refusal and inform
provider. Forcing treatment violates ethics.
7. A nurse is triaging after a mass casualty event. Which client should
be seen first?
A. Ambulatory with minor abrasions
B. Not breathing after airway repositioning
C. Severe bleeding from thigh - tourniquet applied, pulse present
D. Unresponsive with a Glasgow Coma Scale of 5
C. Severe bleeding from thigh - tourniquet applied, pulse present
2026 (NGN) QUESTIONS WITH
CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026
Q&A | INSTANT DOWNLOAD PDF
Core Domains
1. Management of Care & Prioritization
2. Safety & Infection Control
3. Health Promotion & Maintenance
4. Psychosocial Integrity
5. Basic Care & Comfort
6. Pharmacological & Parenteral Therapies
7. Reduction of Risk Potential
8. Physiological Adaptation
9. NGN Case Studies & Clinical Judgment
Introduction
The ATI Comprehensive Predictor Examination assesses a nursing student's
readiness to sit for the NCLEX-RN and predicts the likelihood of first-time pass
success. The exam evaluates knowledge across medical-surgical,
pharmacological, maternal-newborn, pediatric, mental health, and leadership
domains. Questions utilize Next Generation NCLEX (NGN) formats including
multiple-choice, Select-All-That-Apply (SATA), bow-tie, matrix, and unfolding
case studies. The examination emphasizes clinical judgment, prioritization,
delegation, and real-world decision-making to ensure safe, competent nursing
practice.
SECTION ONE: QUESTIONS 1–180
,1. A nurse is planning care for a client who has a new diagnosis of
terminal cancer. Which of the following actions should the nurse take
first?
A. Discuss hospice referral with the client
B. Assess the client's understanding of the diagnosis
C. Notify the provider of the client's prognosis
D. Administer prescribed pain medication
B. Assess the client's understanding of the diagnosis
RATIONALE: Assessment is the first step of the nursing process. Before
any interventions, the nurse must determine what the client knows and feels
about the diagnosis.
2. A charge nurse is assigning clients on a medical-surgical unit. Which
client should be assigned to a float nurse from the postpartum unit?
A. Client 1 day post-appendectomy, stable, dressing dry
B. Client with active tuberculosis requiring airborne precautions
C. Client receiving IV heparin for DVT
D. Client post-cardiac catheterization with a femoral sheath
A. Client 1 day post-appendectomy, stable, dressing dry
RATIONALE: The stable postoperative client is appropriate for a float
nurse. The other clients require specialized skills (TB isolation,
anticoagulation monitoring, post-cath care).
,3. A nurse manager is reviewing informed consent. Which of the
following clients can legally give informed consent? (SATA)
A. A 17-year-old living independently and married
B. A 35-year-old who is intoxicated
C. A 40-year-old with mild dementia who is oriented to person, place, time
D. A 50-year-old who speaks only Spanish with an interpreter present
E. A 20-year-old admitted for suicidal ideation
A, C, D
RATIONALE: Emancipated minors (married) can consent. Intoxicated
clients cannot. Dementia clients if lucid can consent. An interpreter allows
valid consent. Suicidal ideation alone does not impair capacity unless severe.
4. A nurse is preparing a client for discharge after a stroke. Which of the
following is the priority referral?
A. Physical therapy
B. Speech-language pathology
C. Home health aide
D. Social work for financial assistance
B. Speech-language pathology
RATIONALE: Swallowing assessment is critical to prevent aspiration
pneumonia. Airway and safety are priorities over mobility or finances.
5. A nurse is delegating to an LPN. Which task is appropriate?
A. Initial admission assessment
, B. Teaching a client about insulin injection
C. Administering a tube feeding to a stable client
D. Creating the nursing care plan
C. Administering a tube feeding to a stable client
RATIONALE: LPNs can administer tube feedings to stable clients.
Assessment, teaching, and care planning are RN responsibilities.
6. A client refuses a blood transfusion due to religious beliefs. Which
action demonstrates appropriate advocacy?
A. Notify the provider to obtain a court order
B. Document the refusal and notify the provider
C. Attempt to persuade the client to accept
D. Administer the blood quietly because it's an emergency
B. Document the refusal and notify the provider
RATIONALE: Respect client autonomy. Document refusal and inform
provider. Forcing treatment violates ethics.
7. A nurse is triaging after a mass casualty event. Which client should
be seen first?
A. Ambulatory with minor abrasions
B. Not breathing after airway repositioning
C. Severe bleeding from thigh - tourniquet applied, pulse present
D. Unresponsive with a Glasgow Coma Scale of 5
C. Severe bleeding from thigh - tourniquet applied, pulse present
