ATI RN Comprehensive Predictor Test Bank
2026/2027: 164 Exam Questions with
Answers, NGN Case Studies, and Full
Rationales for NCLEX-RN Success
Description:
Prepare for the ATI RN Comprehensive Predictor 2026/2027 with this complete 164-item test
bank covering all eight NCLEX-RN Client Needs categories. Includes 150 multiple-choice
questions, 14 Next Generation NCLEX case studies, matrix, bowtie, trend, highlight, and drop-
down items, plus evidence-based rationales, answer keys, performance analytics, and test-taking
strategies. Aligned to the latest 2026 NCLEX-RN Test Plan, this ATI Predictor study guide is
perfect for nursing students, exam prep platforms, and digital learning.
Download the ultimate ATI Comprehensive Predictor 2026/2027 Test Bank now — your first-
attempt pass starts here!
,ATI Comprehensive Predictor 2026/2027 Test Bank – 164 Questions
& NGN Answers
Section One: Management of Care (Items 1–30)
Subsection A: Prioritization and Assignment
1. A charge nurse is assigning clients on a medical-surgical unit. Which client should the
charge nurse assign to the nurse with the least acute care experience?
A. A client receiving intravenous heparin with an aPTT of 95 seconds
B. A client with a new colostomy requesting assistance with appliance change
C. A client with acute pancreatitis reporting severe abdominal pain
D. A client with a new diagnosis of heart failure receiving intravenous furosemide
Answer: B
Explanation: The client with a new colostomy requesting assistance with appliance change
represents a stable, predictable care need appropriate for a less experienced nurse with
appropriate supervision. The client receiving heparin with a supratherapeutic aPTT (A) requires
close monitoring for bleeding and potential protamine sulfate administration. The client with
acute pancreatitis (C) requires ongoing pain assessment and monitoring for complications such
as hypovolemic shock. The client with new heart failure receiving IV furosemide (D) requires
monitoring for fluid and electrolyte imbalances, hypotension, and renal function changes. This
item tests assignment-making competency and scope-of-practice awareness within the
Management of Care domain .
2. A nurse is triaging clients following a mass casualty incident using the START method.
Which client should the nurse tag as red (immediate)?
A. A client with an open femur fracture and a palpable pedal pulse
B. A client with a tension pneumothorax and tracheal deviation
C. A client who is ambulatory with a 3-cm forehead laceration
D. A client with a Glasgow Coma Scale score of 15 requesting water
,Answer: B
Explanation: In START triage, the red (immediate) tag is assigned to clients who require life-
saving intervention within minutes, including tension pneumothorax with tracheal deviation,
which indicates mediastinal shift and impending cardiovascular collapse requiring needle
decompression . The open femur fracture (A) is urgent but not immediately life-threatening and
would be tagged yellow (delayed). The ambulatory client with a minor laceration (C) is green
(minor). The client with a GCS of 15 (D) is stable and does not require immediate intervention.
3. A nurse is delegating tasks to assistive personnel (AP). Which task is appropriate for
delegation?
A. Assessing a client's response to a blood transfusion
B. Obtaining a routine blood glucose reading for a stable client
C. Evaluating a client's understanding of discharge instructions
D. Administering a scheduled oral medication
Answer: B
Explanation: Obtaining a routine blood glucose reading for a stable client is within the scope of
practice for assistive personnel when the client's condition is predictable and the procedure is
routine. Assessment (A), evaluation (C), and medication administration (D) require the clinical
judgment of a licensed nurse and cannot be delegated to AP. The RN retains accountability for
all delegated tasks and must ensure the five rights of delegation: right task, right circumstance,
right person, right direction/communication, and right supervision/evaluation .
Subsection B: Legal and Ethical Practice
4. A nurse is caring for a client who has a do-not-resuscitate (DNR) order. The client's
adult child insists that the nurse "do everything possible" if the client arrests. Which action
should the nurse take?
A. Honor the family's request and initiate resuscitation
B. Explain that the DNR order reflects the client's documented wishes
, C. Ask the family to leave the room immediately
D. Document the family's request and continue with the DNR order
Answer: B
Explanation: The DNR order represents the client's legally documented autonomous decision
and must be honored. The nurse's responsibility is to provide compassionate education about the
DNR order and the client's expressed preferences. Honoring the family's request (A) would
violate the client's rights and the legal order. Removing the family (C) is not therapeutic and
dismisses their concerns. Documentation (D) is appropriate but must be paired with family
education and support.
5. A nurse is reviewing advance directives with a newly admitted client. Which statement
about advance directives is accurate?
A. Advance directives take effect immediately upon hospital admission
B. Advance directives allow clients to specify healthcare wishes in advance
C. Advance directives transfer decision-making authority to the provider
D. Advance directives require notarization in all states to be valid
Answer: B
Explanation: Advance directives are legal documents that allow clients to communicate
healthcare preferences in advance, including treatments they do or do not want if they lose
decision-making capacity. They do not take effect immediately upon admission (A); they apply
when the client cannot make decisions. They designate a surrogate decision-maker, not the
provider (C). Notarization requirements vary by state (D).
6. A nurse is serving on a quality improvement committee reviewing medication errors.
Which action represents a systems-level approach to error reduction?
A. Disciplining the nurse who made the error
B. Recommending changes to the medication administration process
C. Requiring all nurses to attend a refresher course
D. Adding a second verification step only for high-risk medications
2026/2027: 164 Exam Questions with
Answers, NGN Case Studies, and Full
Rationales for NCLEX-RN Success
Description:
Prepare for the ATI RN Comprehensive Predictor 2026/2027 with this complete 164-item test
bank covering all eight NCLEX-RN Client Needs categories. Includes 150 multiple-choice
questions, 14 Next Generation NCLEX case studies, matrix, bowtie, trend, highlight, and drop-
down items, plus evidence-based rationales, answer keys, performance analytics, and test-taking
strategies. Aligned to the latest 2026 NCLEX-RN Test Plan, this ATI Predictor study guide is
perfect for nursing students, exam prep platforms, and digital learning.
Download the ultimate ATI Comprehensive Predictor 2026/2027 Test Bank now — your first-
attempt pass starts here!
,ATI Comprehensive Predictor 2026/2027 Test Bank – 164 Questions
& NGN Answers
Section One: Management of Care (Items 1–30)
Subsection A: Prioritization and Assignment
1. A charge nurse is assigning clients on a medical-surgical unit. Which client should the
charge nurse assign to the nurse with the least acute care experience?
A. A client receiving intravenous heparin with an aPTT of 95 seconds
B. A client with a new colostomy requesting assistance with appliance change
C. A client with acute pancreatitis reporting severe abdominal pain
D. A client with a new diagnosis of heart failure receiving intravenous furosemide
Answer: B
Explanation: The client with a new colostomy requesting assistance with appliance change
represents a stable, predictable care need appropriate for a less experienced nurse with
appropriate supervision. The client receiving heparin with a supratherapeutic aPTT (A) requires
close monitoring for bleeding and potential protamine sulfate administration. The client with
acute pancreatitis (C) requires ongoing pain assessment and monitoring for complications such
as hypovolemic shock. The client with new heart failure receiving IV furosemide (D) requires
monitoring for fluid and electrolyte imbalances, hypotension, and renal function changes. This
item tests assignment-making competency and scope-of-practice awareness within the
Management of Care domain .
2. A nurse is triaging clients following a mass casualty incident using the START method.
Which client should the nurse tag as red (immediate)?
A. A client with an open femur fracture and a palpable pedal pulse
B. A client with a tension pneumothorax and tracheal deviation
C. A client who is ambulatory with a 3-cm forehead laceration
D. A client with a Glasgow Coma Scale score of 15 requesting water
,Answer: B
Explanation: In START triage, the red (immediate) tag is assigned to clients who require life-
saving intervention within minutes, including tension pneumothorax with tracheal deviation,
which indicates mediastinal shift and impending cardiovascular collapse requiring needle
decompression . The open femur fracture (A) is urgent but not immediately life-threatening and
would be tagged yellow (delayed). The ambulatory client with a minor laceration (C) is green
(minor). The client with a GCS of 15 (D) is stable and does not require immediate intervention.
3. A nurse is delegating tasks to assistive personnel (AP). Which task is appropriate for
delegation?
A. Assessing a client's response to a blood transfusion
B. Obtaining a routine blood glucose reading for a stable client
C. Evaluating a client's understanding of discharge instructions
D. Administering a scheduled oral medication
Answer: B
Explanation: Obtaining a routine blood glucose reading for a stable client is within the scope of
practice for assistive personnel when the client's condition is predictable and the procedure is
routine. Assessment (A), evaluation (C), and medication administration (D) require the clinical
judgment of a licensed nurse and cannot be delegated to AP. The RN retains accountability for
all delegated tasks and must ensure the five rights of delegation: right task, right circumstance,
right person, right direction/communication, and right supervision/evaluation .
Subsection B: Legal and Ethical Practice
4. A nurse is caring for a client who has a do-not-resuscitate (DNR) order. The client's
adult child insists that the nurse "do everything possible" if the client arrests. Which action
should the nurse take?
A. Honor the family's request and initiate resuscitation
B. Explain that the DNR order reflects the client's documented wishes
, C. Ask the family to leave the room immediately
D. Document the family's request and continue with the DNR order
Answer: B
Explanation: The DNR order represents the client's legally documented autonomous decision
and must be honored. The nurse's responsibility is to provide compassionate education about the
DNR order and the client's expressed preferences. Honoring the family's request (A) would
violate the client's rights and the legal order. Removing the family (C) is not therapeutic and
dismisses their concerns. Documentation (D) is appropriate but must be paired with family
education and support.
5. A nurse is reviewing advance directives with a newly admitted client. Which statement
about advance directives is accurate?
A. Advance directives take effect immediately upon hospital admission
B. Advance directives allow clients to specify healthcare wishes in advance
C. Advance directives transfer decision-making authority to the provider
D. Advance directives require notarization in all states to be valid
Answer: B
Explanation: Advance directives are legal documents that allow clients to communicate
healthcare preferences in advance, including treatments they do or do not want if they lose
decision-making capacity. They do not take effect immediately upon admission (A); they apply
when the client cannot make decisions. They designate a surrogate decision-maker, not the
provider (C). Notarization requirements vary by state (D).
6. A nurse is serving on a quality improvement committee reviewing medication errors.
Which action represents a systems-level approach to error reduction?
A. Disciplining the nurse who made the error
B. Recommending changes to the medication administration process
C. Requiring all nurses to attend a refresher course
D. Adding a second verification step only for high-risk medications
