ATI Comprehensive Nursing Midterm Exam
2026/2027: 100 NGN-Style Practice Questions
with Answers, Rationales, and Evidence
Citations for Nursing Students
Description:
Ace your ATI Comprehensive Nursing Midterm with this 2026/2027 exam-ready question
bank. Includes 100 NGN-style items covering Management of Care, Safety and Infection
Control, Pharmacology, Physiological Adaptation, Health Promotion, Psychosocial
Integrity, and Clinical Judgment. Every question features a bolded answer, detailed rationale,
difficulty tag, Bloom's level, and APA 7th edition evidence citation. Organized by NCLEX-RN
Client Needs categories with a full blueprint, difficulty distribution, and NGN format map. Ideal
for nursing students, NCLEX prep, and exam platforms.
Download the complete 2026/2027 ATI Nursing Midterm test bank today and walk into your exam
fully prepared.
, ATI Nursing Midterm Exam 2026/2027 — 100 Questions &
Answers (NGN Ready)
Section I: Management of Care (Questions 1–15)
Question 1 (M | Bloom's: Analyze)
A nurse is receiving a change-of-shift report on four clients. Which client should the nurse assess
first?
A. A client who is 1 day postoperative with a pain rating of 6/10
B. A client with chronic obstructive pulmonary disease who has an oxygen saturation of 88% on
room air
C. A client who is awaiting discharge teaching regarding a new prescription
D. A client with stable type 2 diabetes who is requesting a snack
Answer: B
Explanation: Prioritization follows the airway, breathing, circulation framework. An oxygen
saturation of 88% indicates respiratory compromise and potential hypoxemia, which takes
precedence over pain management, discharge education, or non-urgent requests. Prompt
assessment and intervention are required to prevent further deterioration.
Content Validity: Physiological Integrity — Physiological Adaptation; ABC prioritization.
Evidence: Institute for Safe Medication Practices. (2024). ISMP list of high-alert medications in
acute care settings.
Question 2 (E | Bloom's: Apply)
A nurse is delegating tasks to assistive personnel. Which task is most appropriate for the nurse to
delegate?
A. Administering enteral feedings via gastrostomy tube
B. Obtaining a sterile urine specimen from an indwelling catheter
C. Measuring a client's intake and output
D. Assessing a client's wound for signs of infection
,Answer: C
Explanation: Measurement of intake and output is a routine, predictable task within the scope of
assistive personnel. Tasks requiring clinical judgment, sterile technique, or professional
assessment must be performed by licensed nursing staff. Delegation transfers task performance
but not nursing accountability.
Content Validity: Safe and Effective Care Environment — Management of Care; delegation.
Evidence: National Council of State Boards of Nursing. (2023). NCSBN delegation framework.
Question 3 (M | Bloom's: Apply)
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 the risks of refusal
B. Document the refusal in the medical record
C. Administer the transfusion if the hemoglobin is critically low
D. Notify the provider of the client's decision
E. Ask the family to override the client's decision
Answer: A, B, D
Explanation: A competent adult possesses the right to autonomy and may refuse any treatment.
The nurse's responsibilities include ensuring informed refusal, documenting the decision, and
notifying the provider. The client's decision cannot be overridden by family members or nursing
staff. Administering the transfusion against the client's wishes would constitute battery.
Content Validity: Safe and Effective Care Environment — Management of Care; informed
consent, autonomy.
Evidence: American Nurses Association. (2025). Code of ethics for nurses with interpretive
statements.
, Question 4 (E | Bloom's: Understand)
A nurse is caring for a client who has a living will. Which action should the nurse take?
A. Withhold all food and water from the client
B. Follow the client's documented wishes regarding life-sustaining treatment
C. Ignore the document if the family disagrees with its provisions
D. Administer all treatments regardless of the document's directives
Answer: B
Explanation: A living will is a legal advance directive that specifies the client's preferences
regarding life-sustaining treatment. The nurse is obligated to honor the client's documented
wishes. Family disagreement does not negate the legal and ethical force of the advance directive.
Content Validity: Safe and Effective Care Environment — Management of Care; advance
directives.
Evidence: Centers for Medicare & Medicaid Services. (2024). Advance directives policy.
Question 5 (E | Bloom's: Apply)
A nurse is preparing to administer medication to a client. Which action is most important for
preventing medication errors?
A. Verify the client's identity using two identifiers
B. Ask the client to state their name only
C. Check the medication once at the nursing station
D. Administer medications within 30 minutes of the scheduled time
Answer: A
Explanation: Verification of client identity using two identifiers is the foundational safety check
for medication administration. Relying solely on the client's verbal statement of name is
insufficient. The rights of medication administration require multiple verification points.
2026/2027: 100 NGN-Style Practice Questions
with Answers, Rationales, and Evidence
Citations for Nursing Students
Description:
Ace your ATI Comprehensive Nursing Midterm with this 2026/2027 exam-ready question
bank. Includes 100 NGN-style items covering Management of Care, Safety and Infection
Control, Pharmacology, Physiological Adaptation, Health Promotion, Psychosocial
Integrity, and Clinical Judgment. Every question features a bolded answer, detailed rationale,
difficulty tag, Bloom's level, and APA 7th edition evidence citation. Organized by NCLEX-RN
Client Needs categories with a full blueprint, difficulty distribution, and NGN format map. Ideal
for nursing students, NCLEX prep, and exam platforms.
Download the complete 2026/2027 ATI Nursing Midterm test bank today and walk into your exam
fully prepared.
, ATI Nursing Midterm Exam 2026/2027 — 100 Questions &
Answers (NGN Ready)
Section I: Management of Care (Questions 1–15)
Question 1 (M | Bloom's: Analyze)
A nurse is receiving a change-of-shift report on four clients. Which client should the nurse assess
first?
A. A client who is 1 day postoperative with a pain rating of 6/10
B. A client with chronic obstructive pulmonary disease who has an oxygen saturation of 88% on
room air
C. A client who is awaiting discharge teaching regarding a new prescription
D. A client with stable type 2 diabetes who is requesting a snack
Answer: B
Explanation: Prioritization follows the airway, breathing, circulation framework. An oxygen
saturation of 88% indicates respiratory compromise and potential hypoxemia, which takes
precedence over pain management, discharge education, or non-urgent requests. Prompt
assessment and intervention are required to prevent further deterioration.
Content Validity: Physiological Integrity — Physiological Adaptation; ABC prioritization.
Evidence: Institute for Safe Medication Practices. (2024). ISMP list of high-alert medications in
acute care settings.
Question 2 (E | Bloom's: Apply)
A nurse is delegating tasks to assistive personnel. Which task is most appropriate for the nurse to
delegate?
A. Administering enteral feedings via gastrostomy tube
B. Obtaining a sterile urine specimen from an indwelling catheter
C. Measuring a client's intake and output
D. Assessing a client's wound for signs of infection
,Answer: C
Explanation: Measurement of intake and output is a routine, predictable task within the scope of
assistive personnel. Tasks requiring clinical judgment, sterile technique, or professional
assessment must be performed by licensed nursing staff. Delegation transfers task performance
but not nursing accountability.
Content Validity: Safe and Effective Care Environment — Management of Care; delegation.
Evidence: National Council of State Boards of Nursing. (2023). NCSBN delegation framework.
Question 3 (M | Bloom's: Apply)
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 the risks of refusal
B. Document the refusal in the medical record
C. Administer the transfusion if the hemoglobin is critically low
D. Notify the provider of the client's decision
E. Ask the family to override the client's decision
Answer: A, B, D
Explanation: A competent adult possesses the right to autonomy and may refuse any treatment.
The nurse's responsibilities include ensuring informed refusal, documenting the decision, and
notifying the provider. The client's decision cannot be overridden by family members or nursing
staff. Administering the transfusion against the client's wishes would constitute battery.
Content Validity: Safe and Effective Care Environment — Management of Care; informed
consent, autonomy.
Evidence: American Nurses Association. (2025). Code of ethics for nurses with interpretive
statements.
, Question 4 (E | Bloom's: Understand)
A nurse is caring for a client who has a living will. Which action should the nurse take?
A. Withhold all food and water from the client
B. Follow the client's documented wishes regarding life-sustaining treatment
C. Ignore the document if the family disagrees with its provisions
D. Administer all treatments regardless of the document's directives
Answer: B
Explanation: A living will is a legal advance directive that specifies the client's preferences
regarding life-sustaining treatment. The nurse is obligated to honor the client's documented
wishes. Family disagreement does not negate the legal and ethical force of the advance directive.
Content Validity: Safe and Effective Care Environment — Management of Care; advance
directives.
Evidence: Centers for Medicare & Medicaid Services. (2024). Advance directives policy.
Question 5 (E | Bloom's: Apply)
A nurse is preparing to administer medication to a client. Which action is most important for
preventing medication errors?
A. Verify the client's identity using two identifiers
B. Ask the client to state their name only
C. Check the medication once at the nursing station
D. Administer medications within 30 minutes of the scheduled time
Answer: A
Explanation: Verification of client identity using two identifiers is the foundational safety check
for medication administration. Relying solely on the client's verbal statement of name is
insufficient. The rights of medication administration require multiple verification points.
