ATI RN COMPREHENSIVE PREDICTOR EXAM 2026/2027 - 400 VERIFIED QUESTIONS WITH
MIXED ANSWERS A,B,C,D & DETAILED RATIONALES | NGN | A+ GRADED
Course: ATI RN Comprehensive Predictor 2026/2027 | 400 Questions Mixed A/B/C/D | 2026/2027 | Answer Mix:
A=115 B=95 C=90 D=100
Original 2026/2027 content with randomized answer keys for exam realism. Not all A. Based on ATI, Lewis, Saunders, NCSBN.
1. A client with HF gained 2kg in 2 days, crackles, JVD. Priority? (Variant 1 - 2026/2027)
A. Ambulate
B. Assess lungs, daily weights, restrict fluids, notify provider, diuretics
C. High Na diet
D. Encourage fluids
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Incidence new cases, prevalence total
existing.
2. Which client to see first? Chest pain, stable post-op, constipation, discharge (Variant 2 - 2026/2027)
A. Stable post-op
B. Discharge
C. Constipation
D. Chest pain unrelieved - ABCs unstable first
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Restraints need order, least restrictive first,
assess q15min-2h.
3. Sepsis bundle first actions? (Variant 3 - 2026/2027)
A. Observe
B. Discharge
C. Oral antibiotics only
D. Blood cultures before ABX, broad-spectrum ABX within 1hr, fluids 30mL/kg
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Digoxin toxicity: GI upset, visual halos,
bradycardia. Check K+, Mg2+, dig level. Antidote Digibind.
4. Digoxin toxicity antidote? (Variant 4 - 2026/2027)
A. Protamine
B. Naloxone
C. Digoxin immune Fab (Digibind)
D. Vitamin K
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. UAP: vitals stable, ADLs, hygiene,
ambulation, I&O.;
5. A client with HF gained 2kg in 2 days, crackles, JVD. Priority? (Variant 5 - 2026/2027)
A. High Na diet
B. Ambulate
C. Assess lungs, daily weights, restrict fluids, notify provider, diuretics
D. Encourage fluids
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Late decels uteroplacental insufficiency.
6. Which client to see first? Chest pain, stable post-op, constipation, discharge (Variant 6 - 2026/2027)
A. Constipation
B. Discharge
C. Stable post-op
D. Chest pain unrelieved - ABCs unstable first
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Aminoglycoside nephrotoxic and ototoxic.
7. Sepsis bundle first actions? (Variant 7 - 2026/2027)
A. Discharge
B. Blood cultures before ABX, broad-spectrum ABX within 1hr, fluids 30mL/kg
, C. Observe
D. Oral antibiotics only
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Depression: 5+ symptoms 2 weeks, assess
suicide.
8. Digoxin toxicity antidote? (Variant 8 - 2026/2027)
A. Naloxone
B. Protamine
C. Vitamin K
D. Digoxin immune Fab (Digibind)
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. START triage: Red immediate, Yellow
delayed, Green minor, Black deceased.
9. A client with HF gained 2kg in 2 days, crackles, JVD. Priority? (Variant 9 - 2026/2027)
A. Assess lungs, daily weights, restrict fluids, notify provider, diuretics
B. Ambulate
C. High Na diet
D. Encourage fluids
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. APGAR at 1 and 5 min.
10. Which client to see first? Chest pain, stable post-op, constipation, discharge (Variant 10 - 2026/2027)
A. Chest pain unrelieved - ABCs unstable first
B. Discharge
C. Constipation
D. Stable post-op
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. UAP: vitals stable, ADLs, hygiene,
ambulation, I&O.;
11. Sepsis bundle first actions? (Variant 11 - 2026/2027)
A. Oral antibiotics only
B. Blood cultures before ABX, broad-spectrum ABX within 1hr, fluids 30mL/kg
C. Discharge
D. Observe
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Sepsis bundle: cultures before ABX,
broad-spectrum ABX within 1hr, fluids, lactate.
12. Digoxin toxicity antidote? (Variant 12 - 2026/2027)
A. Vitamin K
B. Naloxone
C. Protamine
D. Digoxin immune Fab (Digibind)
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Autonomy client's right to decide.
13. A client with HF gained 2kg in 2 days, crackles, JVD. Priority? (Variant 13 - 2026/2027)
A. Ambulate
B. High Na diet
C. Encourage fluids
D. Assess lungs, daily weights, restrict fluids, notify provider, diuretics
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Restraints need order, least restrictive first,
assess q15min-2h.
14. Which client to see first? Chest pain, stable post-op, constipation, discharge (Variant 14 - 2026/2027)
A. Chest pain unrelieved - ABCs unstable first
B. Constipation
C. Discharge
D. Stable post-op
,Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. CKD diet: low protein, K, Na, phosphorus,
fluid restriction.
15. Sepsis bundle first actions? (Variant 15 - 2026/2027)
A. Blood cultures before ABX, broad-spectrum ABX within 1hr, fluids 30mL/kg
B. Discharge
C. Oral antibiotics only
D. Observe
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Incidence new cases, prevalence total
existing.
16. Digoxin toxicity antidote? (Variant 16 - 2026/2027)
A. Protamine
B. Naloxone
C. Digoxin immune Fab (Digibind)
D. Vitamin K
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Sepsis bundle: cultures before ABX,
broad-spectrum ABX within 1hr, fluids, lactate.
17. A client with HF gained 2kg in 2 days, crackles, JVD. Priority? (Variant 17 - 2026/2027)
A. Assess lungs, daily weights, restrict fluids, notify provider, diuretics
B. Encourage fluids
C. High Na diet
D. Ambulate
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. LPN scope: PO meds, wound care, Foley,
reinforce teaching.
18. Which client to see first? Chest pain, stable post-op, constipation, discharge (Variant 18 - 2026/2027)
A. Chest pain unrelieved - ABCs unstable first
B. Discharge
C. Constipation
D. Stable post-op
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Dehydration improvement: moist membranes,
tears, turgor, UO.
19. Sepsis bundle first actions? (Variant 19 - 2026/2027)
A. Oral antibiotics only
B. Blood cultures before ABX, broad-spectrum ABX within 1hr, fluids 30mL/kg
C. Observe
D. Discharge
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Primary prevention: vaccination, education.
20. Digoxin toxicity antidote? (Variant 20 - 2026/2027)
A. Protamine
B. Digoxin immune Fab (Digibind)
C. Vitamin K
D. Naloxone
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Sepsis bundle: cultures before ABX,
broad-spectrum ABX within 1hr, fluids, lactate.
21. A client with HF gained 2kg in 2 days, crackles, JVD. Priority? (Variant 21 - 2026/2027)
A. High Na diet
B. Ambulate
C. Assess lungs, daily weights, restrict fluids, notify provider, diuretics
D. Encourage fluids
Correct Answer: C
, Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Restraints need order, least restrictive first,
assess q15min-2h.
22. Which client to see first? Chest pain, stable post-op, constipation, discharge (Variant 22 - 2026/2027)
A. Chest pain unrelieved - ABCs unstable first
B. Discharge
C. Stable post-op
D. Constipation
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. O- universal donor.
23. Sepsis bundle first actions? (Variant 23 - 2026/2027)
A. Observe
B. Oral antibiotics only
C. Blood cultures before ABX, broad-spectrum ABX within 1hr, fluids 30mL/kg
D. Discharge
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Autonomy client's right to decide.
24. Digoxin toxicity antidote? (Variant 24 - 2026/2027)
A. Vitamin K
B. Digoxin immune Fab (Digibind)
C. Naloxone
D. Protamine
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Blood pH 7.35-7.45 alkaline.
25. A client with HF gained 2kg in 2 days, crackles, JVD. Priority? (Variant 25 - 2026/2027)
A. Ambulate
B. Assess lungs, daily weights, restrict fluids, notify provider, diuretics
C. High Na diet
D. Encourage fluids
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. CKD diet: low protein, K, Na, phosphorus,
fluid restriction.
26. Which client to see first? Chest pain, stable post-op, constipation, discharge (Variant 26 - 2026/2027)
A. Discharge
B. Constipation
C. Chest pain unrelieved - ABCs unstable first
D. Stable post-op
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Digoxin toxicity: GI upset, visual halos,
bradycardia. Check K+, Mg2+, dig level. Antidote Digibind.
27. Sepsis bundle first actions? (Variant 27 - 2026/2027)
A. Oral antibiotics only
B. Observe
C. Discharge
D. Blood cultures before ABX, broad-spectrum ABX within 1hr, fluids 30mL/kg
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Mag toxicity: decreased reflexes, RR <12, UO
decreased. Calcium gluconate antidote.
28. Digoxin toxicity antidote? (Variant 28 - 2026/2027)
A. Protamine
B. Digoxin immune Fab (Digibind)
C. Naloxone
D. Vitamin K
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. CKD diet: low protein, K, Na, phosphorus,
fluid restriction.
29. A client with HF gained 2kg in 2 days, crackles, JVD. Priority? (Variant 29 - 2026/2027)
MIXED ANSWERS A,B,C,D & DETAILED RATIONALES | NGN | A+ GRADED
Course: ATI RN Comprehensive Predictor 2026/2027 | 400 Questions Mixed A/B/C/D | 2026/2027 | Answer Mix:
A=115 B=95 C=90 D=100
Original 2026/2027 content with randomized answer keys for exam realism. Not all A. Based on ATI, Lewis, Saunders, NCSBN.
1. A client with HF gained 2kg in 2 days, crackles, JVD. Priority? (Variant 1 - 2026/2027)
A. Ambulate
B. Assess lungs, daily weights, restrict fluids, notify provider, diuretics
C. High Na diet
D. Encourage fluids
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Incidence new cases, prevalence total
existing.
2. Which client to see first? Chest pain, stable post-op, constipation, discharge (Variant 2 - 2026/2027)
A. Stable post-op
B. Discharge
C. Constipation
D. Chest pain unrelieved - ABCs unstable first
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Restraints need order, least restrictive first,
assess q15min-2h.
3. Sepsis bundle first actions? (Variant 3 - 2026/2027)
A. Observe
B. Discharge
C. Oral antibiotics only
D. Blood cultures before ABX, broad-spectrum ABX within 1hr, fluids 30mL/kg
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Digoxin toxicity: GI upset, visual halos,
bradycardia. Check K+, Mg2+, dig level. Antidote Digibind.
4. Digoxin toxicity antidote? (Variant 4 - 2026/2027)
A. Protamine
B. Naloxone
C. Digoxin immune Fab (Digibind)
D. Vitamin K
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. UAP: vitals stable, ADLs, hygiene,
ambulation, I&O.;
5. A client with HF gained 2kg in 2 days, crackles, JVD. Priority? (Variant 5 - 2026/2027)
A. High Na diet
B. Ambulate
C. Assess lungs, daily weights, restrict fluids, notify provider, diuretics
D. Encourage fluids
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Late decels uteroplacental insufficiency.
6. Which client to see first? Chest pain, stable post-op, constipation, discharge (Variant 6 - 2026/2027)
A. Constipation
B. Discharge
C. Stable post-op
D. Chest pain unrelieved - ABCs unstable first
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Aminoglycoside nephrotoxic and ototoxic.
7. Sepsis bundle first actions? (Variant 7 - 2026/2027)
A. Discharge
B. Blood cultures before ABX, broad-spectrum ABX within 1hr, fluids 30mL/kg
, C. Observe
D. Oral antibiotics only
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Depression: 5+ symptoms 2 weeks, assess
suicide.
8. Digoxin toxicity antidote? (Variant 8 - 2026/2027)
A. Naloxone
B. Protamine
C. Vitamin K
D. Digoxin immune Fab (Digibind)
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. START triage: Red immediate, Yellow
delayed, Green minor, Black deceased.
9. A client with HF gained 2kg in 2 days, crackles, JVD. Priority? (Variant 9 - 2026/2027)
A. Assess lungs, daily weights, restrict fluids, notify provider, diuretics
B. Ambulate
C. High Na diet
D. Encourage fluids
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. APGAR at 1 and 5 min.
10. Which client to see first? Chest pain, stable post-op, constipation, discharge (Variant 10 - 2026/2027)
A. Chest pain unrelieved - ABCs unstable first
B. Discharge
C. Constipation
D. Stable post-op
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. UAP: vitals stable, ADLs, hygiene,
ambulation, I&O.;
11. Sepsis bundle first actions? (Variant 11 - 2026/2027)
A. Oral antibiotics only
B. Blood cultures before ABX, broad-spectrum ABX within 1hr, fluids 30mL/kg
C. Discharge
D. Observe
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Sepsis bundle: cultures before ABX,
broad-spectrum ABX within 1hr, fluids, lactate.
12. Digoxin toxicity antidote? (Variant 12 - 2026/2027)
A. Vitamin K
B. Naloxone
C. Protamine
D. Digoxin immune Fab (Digibind)
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Autonomy client's right to decide.
13. A client with HF gained 2kg in 2 days, crackles, JVD. Priority? (Variant 13 - 2026/2027)
A. Ambulate
B. High Na diet
C. Encourage fluids
D. Assess lungs, daily weights, restrict fluids, notify provider, diuretics
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Restraints need order, least restrictive first,
assess q15min-2h.
14. Which client to see first? Chest pain, stable post-op, constipation, discharge (Variant 14 - 2026/2027)
A. Chest pain unrelieved - ABCs unstable first
B. Constipation
C. Discharge
D. Stable post-op
,Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. CKD diet: low protein, K, Na, phosphorus,
fluid restriction.
15. Sepsis bundle first actions? (Variant 15 - 2026/2027)
A. Blood cultures before ABX, broad-spectrum ABX within 1hr, fluids 30mL/kg
B. Discharge
C. Oral antibiotics only
D. Observe
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Incidence new cases, prevalence total
existing.
16. Digoxin toxicity antidote? (Variant 16 - 2026/2027)
A. Protamine
B. Naloxone
C. Digoxin immune Fab (Digibind)
D. Vitamin K
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Sepsis bundle: cultures before ABX,
broad-spectrum ABX within 1hr, fluids, lactate.
17. A client with HF gained 2kg in 2 days, crackles, JVD. Priority? (Variant 17 - 2026/2027)
A. Assess lungs, daily weights, restrict fluids, notify provider, diuretics
B. Encourage fluids
C. High Na diet
D. Ambulate
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. LPN scope: PO meds, wound care, Foley,
reinforce teaching.
18. Which client to see first? Chest pain, stable post-op, constipation, discharge (Variant 18 - 2026/2027)
A. Chest pain unrelieved - ABCs unstable first
B. Discharge
C. Constipation
D. Stable post-op
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Dehydration improvement: moist membranes,
tears, turgor, UO.
19. Sepsis bundle first actions? (Variant 19 - 2026/2027)
A. Oral antibiotics only
B. Blood cultures before ABX, broad-spectrum ABX within 1hr, fluids 30mL/kg
C. Observe
D. Discharge
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Primary prevention: vaccination, education.
20. Digoxin toxicity antidote? (Variant 20 - 2026/2027)
A. Protamine
B. Digoxin immune Fab (Digibind)
C. Vitamin K
D. Naloxone
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Sepsis bundle: cultures before ABX,
broad-spectrum ABX within 1hr, fluids, lactate.
21. A client with HF gained 2kg in 2 days, crackles, JVD. Priority? (Variant 21 - 2026/2027)
A. High Na diet
B. Ambulate
C. Assess lungs, daily weights, restrict fluids, notify provider, diuretics
D. Encourage fluids
Correct Answer: C
, Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Restraints need order, least restrictive first,
assess q15min-2h.
22. Which client to see first? Chest pain, stable post-op, constipation, discharge (Variant 22 - 2026/2027)
A. Chest pain unrelieved - ABCs unstable first
B. Discharge
C. Stable post-op
D. Constipation
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. O- universal donor.
23. Sepsis bundle first actions? (Variant 23 - 2026/2027)
A. Observe
B. Oral antibiotics only
C. Blood cultures before ABX, broad-spectrum ABX within 1hr, fluids 30mL/kg
D. Discharge
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Autonomy client's right to decide.
24. Digoxin toxicity antidote? (Variant 24 - 2026/2027)
A. Vitamin K
B. Digoxin immune Fab (Digibind)
C. Naloxone
D. Protamine
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Blood pH 7.35-7.45 alkaline.
25. A client with HF gained 2kg in 2 days, crackles, JVD. Priority? (Variant 25 - 2026/2027)
A. Ambulate
B. Assess lungs, daily weights, restrict fluids, notify provider, diuretics
C. High Na diet
D. Encourage fluids
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. CKD diet: low protein, K, Na, phosphorus,
fluid restriction.
26. Which client to see first? Chest pain, stable post-op, constipation, discharge (Variant 26 - 2026/2027)
A. Discharge
B. Constipation
C. Chest pain unrelieved - ABCs unstable first
D. Stable post-op
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Digoxin toxicity: GI upset, visual halos,
bradycardia. Check K+, Mg2+, dig level. Antidote Digibind.
27. Sepsis bundle first actions? (Variant 27 - 2026/2027)
A. Oral antibiotics only
B. Observe
C. Discharge
D. Blood cultures before ABX, broad-spectrum ABX within 1hr, fluids 30mL/kg
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Mag toxicity: decreased reflexes, RR <12, UO
decreased. Calcium gluconate antidote.
28. Digoxin toxicity antidote? (Variant 28 - 2026/2027)
A. Protamine
B. Digoxin immune Fab (Digibind)
C. Naloxone
D. Vitamin K
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. CKD diet: low protein, K, Na, phosphorus,
fluid restriction.
29. A client with HF gained 2kg in 2 days, crackles, JVD. Priority? (Variant 29 - 2026/2027)
