2026
ATI RN
Comprehensive
Predictor
5 Full Practice
Exams NGN STYLE
Answer Keys with
Detailed Rationales
NGN-style questions, case studies and answer keys
to help you prepare with confidence.
Reshuffled Edition • Not affiliated with ATI, VATI or NCLEX. For study purposes only.
, Table of Contents
SET 1 EXAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Questions 1–25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Questions 26–50 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Questions 51–75 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Questions 76–100 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Questions 101–125 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Questions 126–150 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Questions 151–175 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Questions 176–180 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
SET 2 EXAM . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Questions 1–25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Questions 26–50 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Questions 51–75 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
Questions 76–100 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
Questions 101–125 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
Questions 126–150 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
Questions 151–175 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97
Questions 176–180 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104
SET 3 EXAM . . . . . . . . . . . . . . . . . . . . . . . . . . . 106
Questions 1–25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106
Questions 26–50 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113
Questions 51–75 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119
Questions 76–100 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126
Questions 101–125 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132
Questions 126–150 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139
Questions 151–175 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 146
ATI RN Comprehensive Predictor — 5 Full Set Exams Page 2
, Questions 176–177 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153
SET 4 EXAM . . . . . . . . . . . . . . . . . . . . . . . . . . . 155
Questions 1–25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155
Questions 26–50 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169
Questions 51–75 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 182
Questions 76–100 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 196
Questions 101–125 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 211
Questions 126–150 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 228
Questions 151–175 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 242
Questions 176–178 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 256
SET 5 EXAM . . . . . . . . . . . . . . . . . . . . . . . . . . . 259
Questions 1–25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 259
Questions 26–50 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 269
Questions 51–75 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 280
Questions 76–100 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 290
Questions 101–125 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 301
Questions 126–150 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 311
Questions 151–151 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 321
ATI RN Comprehensive Predictor — 5 Full Set Exams Page 3
, SET 1withEXAM
180 questions answers and rationales
Question 1
A nurse is planning care for a client who has a prescription for continuous enteral feedings through
an NG tube. Which action should the nurse plan?
A. Advance the rate of feeding q2h
B. Flush the NG tube with 30 mL 0.9% sodium chloride before and after medication
C. Measure gastric residual volumes q4h
D. Maintain the head of the bed at 20° angle
Correct Answer: C
Rationale: Gastric residual monitoring assesses tolerance and prevents aspiration. Flush with
15-30 mL before and after feeding, not just medication; head of bed at 30-
45°; rate advancement per protocol, not fixed schedule.
Question 2
A nurse is caring for a client who is receiving TPN. The bag has 20 mL remaining to infuse, but a
new bag is not readily available. Which action should the nurse take?
A. Slow TPN infusion rate
B. Give 500 mL lactated Ringer's
C. Temporarily discontinue the infusion
D. Administer dextrose 10% in water
Correct Answer: D
Rationale: Dextrose 10% prevents hypoglycemia when TPN is interrupted. LR does not provide
glucose; slowing the rate does not address the impending empty bag; discontinuing without
alternative causes dangerous hypoglycemia.
Question 3
A nurse is assessing a client who is post-op following abdominal surgery and has an indwelling
urinary catheter that is draining dark yellow urine at 25 mL/hr. Which of the following should the
nurse anticipate?
A. Obtain a urine specimen for culture and sensitivity
B. Administer fluid bolus
C. Initiate continuous bladder irrigation
D. Clamp the catheter tubing for 30 min
Correct Answer: A
Rationale: Dark yellow, concentrated urine at a low output (25 mL/hr is below normal 30 mL/hr
minimum) suggests possible infection or dehydration. A culture and sensitivity will identify
pathogens. The priority is determining if infection is present before implementing other
interventions.
ATI RN Comprehensive Predictor — 5 Full Set Exams Page 4
ATI RN
Comprehensive
Predictor
5 Full Practice
Exams NGN STYLE
Answer Keys with
Detailed Rationales
NGN-style questions, case studies and answer keys
to help you prepare with confidence.
Reshuffled Edition • Not affiliated with ATI, VATI or NCLEX. For study purposes only.
, Table of Contents
SET 1 EXAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Questions 1–25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Questions 26–50 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Questions 51–75 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Questions 76–100 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Questions 101–125 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Questions 126–150 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Questions 151–175 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Questions 176–180 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
SET 2 EXAM . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Questions 1–25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Questions 26–50 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Questions 51–75 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
Questions 76–100 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
Questions 101–125 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
Questions 126–150 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
Questions 151–175 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97
Questions 176–180 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104
SET 3 EXAM . . . . . . . . . . . . . . . . . . . . . . . . . . . 106
Questions 1–25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106
Questions 26–50 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113
Questions 51–75 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119
Questions 76–100 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126
Questions 101–125 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132
Questions 126–150 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139
Questions 151–175 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 146
ATI RN Comprehensive Predictor — 5 Full Set Exams Page 2
, Questions 176–177 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153
SET 4 EXAM . . . . . . . . . . . . . . . . . . . . . . . . . . . 155
Questions 1–25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155
Questions 26–50 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169
Questions 51–75 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 182
Questions 76–100 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 196
Questions 101–125 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 211
Questions 126–150 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 228
Questions 151–175 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 242
Questions 176–178 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 256
SET 5 EXAM . . . . . . . . . . . . . . . . . . . . . . . . . . . 259
Questions 1–25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 259
Questions 26–50 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 269
Questions 51–75 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 280
Questions 76–100 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 290
Questions 101–125 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 301
Questions 126–150 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 311
Questions 151–151 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 321
ATI RN Comprehensive Predictor — 5 Full Set Exams Page 3
, SET 1withEXAM
180 questions answers and rationales
Question 1
A nurse is planning care for a client who has a prescription for continuous enteral feedings through
an NG tube. Which action should the nurse plan?
A. Advance the rate of feeding q2h
B. Flush the NG tube with 30 mL 0.9% sodium chloride before and after medication
C. Measure gastric residual volumes q4h
D. Maintain the head of the bed at 20° angle
Correct Answer: C
Rationale: Gastric residual monitoring assesses tolerance and prevents aspiration. Flush with
15-30 mL before and after feeding, not just medication; head of bed at 30-
45°; rate advancement per protocol, not fixed schedule.
Question 2
A nurse is caring for a client who is receiving TPN. The bag has 20 mL remaining to infuse, but a
new bag is not readily available. Which action should the nurse take?
A. Slow TPN infusion rate
B. Give 500 mL lactated Ringer's
C. Temporarily discontinue the infusion
D. Administer dextrose 10% in water
Correct Answer: D
Rationale: Dextrose 10% prevents hypoglycemia when TPN is interrupted. LR does not provide
glucose; slowing the rate does not address the impending empty bag; discontinuing without
alternative causes dangerous hypoglycemia.
Question 3
A nurse is assessing a client who is post-op following abdominal surgery and has an indwelling
urinary catheter that is draining dark yellow urine at 25 mL/hr. Which of the following should the
nurse anticipate?
A. Obtain a urine specimen for culture and sensitivity
B. Administer fluid bolus
C. Initiate continuous bladder irrigation
D. Clamp the catheter tubing for 30 min
Correct Answer: A
Rationale: Dark yellow, concentrated urine at a low output (25 mL/hr is below normal 30 mL/hr
minimum) suggests possible infection or dehydration. A culture and sensitivity will identify
pathogens. The priority is determining if infection is present before implementing other
interventions.
ATI RN Comprehensive Predictor — 5 Full Set Exams Page 4
