ATI COMPREHENSIVE PREDICTOR 2026
(NGN) | PRACTICE QUESTIONS WITH
VERIFIED ANSWERS & RATIONALES 1-180
WITH SATA QUESTIONS, BOWTIES, NGN
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
Introduction
The ATI Comprehensive Predictor is a standardized assessment used by
nursing programs to evaluate readiness for the NCLEX and predict first-
attempt pass probability. The 2026 examination incorporates Next Generation
NCLEX (NGN) item types including bowtie, matrix, select-all-that-apply, and
unfolding case studies across 180 total items. Content spans all eight NCLEX
client need categories with emphasis on clinical judgment, prioritization,
delegation, and safe decision-making. Candidates must demonstrate synthesis
of nursing knowledge across medical-surgical, pharmacology, maternal-
newborn, pediatric, mental health, and leadership domains. This practice
examination mirrors the format and difficulty of the proctored assessment.
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. Pneumonia may require droplet
precautions but MRSA contact isolation 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 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
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 or asking the family to override would violate
the client's rights.
Question 6
A nurse on a medical-surgical unit is delegating tasks to an LPN/LVN. Which
of the following tasks should the nurse delegate?
A. Initial admission assessment of a patient with pneumonia
B. Teaching a diabetic patient how to self-administer insulin
C. Administration of a tube feeding to a patient with a gastrostomy tube
D. Evaluation of a patient's response to pain medication
C. Administration of a tube feeding to a patient with a gastrostomy tube
RATIONALE: LPNs/LVNs can administer enteral feedings and perform
stable, predictable tasks. Initial assessments, teaching, and evaluation require
RN-level critical thinking.
Question 7
A nurse is caring for a client who has a vented NG tube set to low intermittent
suction and has vomited. Which of the following actions should the nurse
perform first?
A. Administer an antiemetic medication
B. Evaluate functioning of the suction device
C. Provide oral hygiene care
D. Replace the NG tube
B. Evaluate functioning of the suction device
RATIONALE: The nurse must first assess the equipment. If the suction
device is not functioning properly, gastric contents cannot drain, leading to
(NGN) | PRACTICE QUESTIONS WITH
VERIFIED ANSWERS & RATIONALES 1-180
WITH SATA QUESTIONS, BOWTIES, NGN
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
Introduction
The ATI Comprehensive Predictor is a standardized assessment used by
nursing programs to evaluate readiness for the NCLEX and predict first-
attempt pass probability. The 2026 examination incorporates Next Generation
NCLEX (NGN) item types including bowtie, matrix, select-all-that-apply, and
unfolding case studies across 180 total items. Content spans all eight NCLEX
client need categories with emphasis on clinical judgment, prioritization,
delegation, and safe decision-making. Candidates must demonstrate synthesis
of nursing knowledge across medical-surgical, pharmacology, maternal-
newborn, pediatric, mental health, and leadership domains. This practice
examination mirrors the format and difficulty of the proctored assessment.
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. Pneumonia may require droplet
precautions but MRSA contact isolation 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 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
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 or asking the family to override would violate
the client's rights.
Question 6
A nurse on a medical-surgical unit is delegating tasks to an LPN/LVN. Which
of the following tasks should the nurse delegate?
A. Initial admission assessment of a patient with pneumonia
B. Teaching a diabetic patient how to self-administer insulin
C. Administration of a tube feeding to a patient with a gastrostomy tube
D. Evaluation of a patient's response to pain medication
C. Administration of a tube feeding to a patient with a gastrostomy tube
RATIONALE: LPNs/LVNs can administer enteral feedings and perform
stable, predictable tasks. Initial assessments, teaching, and evaluation require
RN-level critical thinking.
Question 7
A nurse is caring for a client who has a vented NG tube set to low intermittent
suction and has vomited. Which of the following actions should the nurse
perform first?
A. Administer an antiemetic medication
B. Evaluate functioning of the suction device
C. Provide oral hygiene care
D. Replace the NG tube
B. Evaluate functioning of the suction device
RATIONALE: The nurse must first assess the equipment. If the suction
device is not functioning properly, gastric contents cannot drain, leading to
