ATI Comprehensive NCLEX-focused
Nursing Predictor EXAM 2026-
2027 LATEST VERSION QUESTIONS
AND VERIFfied
• Exam
• This document provides the most up-to-date ATI Comprehensive Predictor Exam
questions for the 2026–2027 cycle, including all verified correct answers. It covers
essential NCLEX-focused nursing content areas such as pharmacology, medical-
surgical nursing, maternity, pediatrics, mental health, leadership, and priority-
setting frameworks. The material is designed to support thorough preparation for
the ATI Predictor and aligns with current ATI and NCLEX testing standards.
•
• Fundamentals
• Med-Surg
• Maternal–Newborn
• Pediatrics
• Psych
• Prioritization / Delegation
• Pharmacology
• Management of Care
• Leadership & Safety
1. The nurse is caring for a client receiving digoxin. Which finding
indicates a need to hold the medication?
A. Heart rate 58/min
B. Potassium 4.0 mEq/L
C. BP 108/70 mm Hg
D. Respiratory rate 20/min
,Correct Answer: A
Rationale: Hold digoxin if HR < 60 in adults due to risk of toxicity.
2. A client with heart failure reports a persistent cough after starting
lisinopril. What is the priority action?
A. Document the finding
B. Notify the provider
C. Give prescribed cough syrup
D. Increase oral fluids
Correct Answer: B
Rationale: ACE inhibitors can cause a dangerous angioedema-
related cough.
3. A nurse is reinforcing teaching about newborn safety. Which
statement indicates understanding?
A. “I will place soft blankets in the crib.”
B. “I will put my baby on their back to sleep.”
C. “I will keep the bumper pads in the crib.”
D. “I will give water between feedings.”
Correct Answer: B
Rationale: Back sleeping reduces SIDS.
4. The nurse receives four clients. Who should be seen first?
A. COPD with O₂ sat 91%
B. Asthma exacerbation with audible wheezing
,C. Colostomy patient needing teaching
D. Client requesting pain medication
Correct Answer: B
Rationale: Wheezing indicates bronchoconstriction and risk for
airway obstruction.
5. A client taking warfarin has an INR of 5.4. What is the priority
action?
A. Hold the dose
B. Give vitamin K
C. Call the provider
D. Recheck INR tomorrow
Correct Answer: A
Rationale: High INR → hold immediately; vitamin K depends on
provider order.
6. Which task can the nurse delegate to a UAP?
A. Applying oxygen
B. Ambulating a stable client
C. Teaching about incentive spirometry
D. Evaluating pain relief
Correct Answer: B
7. A client with dehydration due to vomiting is being treated with IV
fluids. Which finding indicates improvement?
, A. Urine specific gravity 1.034
B. Heart rate 112/min
C. Capillary refill < 2 seconds
D. BP 88/46 mm Hg
Correct Answer: C
8. Which medication requires two nurses to verify before
administration?
A. Metoprolol
B. Heparin infusion
C. Furosemide
D. Ceftriaxone
Correct Answer: B
Rationale: High-alert medications like heparin require independent
verification.
9. A child with croup arrives with inspiratory stridor. What is the
priority?
A. Give IV fluids
B. Prepare for a throat culture
C. Provide cool mist humidification
D. Insert a nasal airway
Correct Answer: C
10. A nurse is caring for a client with a new NG tube. Which action is
correct?
Nursing Predictor EXAM 2026-
2027 LATEST VERSION QUESTIONS
AND VERIFfied
• Exam
• This document provides the most up-to-date ATI Comprehensive Predictor Exam
questions for the 2026–2027 cycle, including all verified correct answers. It covers
essential NCLEX-focused nursing content areas such as pharmacology, medical-
surgical nursing, maternity, pediatrics, mental health, leadership, and priority-
setting frameworks. The material is designed to support thorough preparation for
the ATI Predictor and aligns with current ATI and NCLEX testing standards.
•
• Fundamentals
• Med-Surg
• Maternal–Newborn
• Pediatrics
• Psych
• Prioritization / Delegation
• Pharmacology
• Management of Care
• Leadership & Safety
1. The nurse is caring for a client receiving digoxin. Which finding
indicates a need to hold the medication?
A. Heart rate 58/min
B. Potassium 4.0 mEq/L
C. BP 108/70 mm Hg
D. Respiratory rate 20/min
,Correct Answer: A
Rationale: Hold digoxin if HR < 60 in adults due to risk of toxicity.
2. A client with heart failure reports a persistent cough after starting
lisinopril. What is the priority action?
A. Document the finding
B. Notify the provider
C. Give prescribed cough syrup
D. Increase oral fluids
Correct Answer: B
Rationale: ACE inhibitors can cause a dangerous angioedema-
related cough.
3. A nurse is reinforcing teaching about newborn safety. Which
statement indicates understanding?
A. “I will place soft blankets in the crib.”
B. “I will put my baby on their back to sleep.”
C. “I will keep the bumper pads in the crib.”
D. “I will give water between feedings.”
Correct Answer: B
Rationale: Back sleeping reduces SIDS.
4. The nurse receives four clients. Who should be seen first?
A. COPD with O₂ sat 91%
B. Asthma exacerbation with audible wheezing
,C. Colostomy patient needing teaching
D. Client requesting pain medication
Correct Answer: B
Rationale: Wheezing indicates bronchoconstriction and risk for
airway obstruction.
5. A client taking warfarin has an INR of 5.4. What is the priority
action?
A. Hold the dose
B. Give vitamin K
C. Call the provider
D. Recheck INR tomorrow
Correct Answer: A
Rationale: High INR → hold immediately; vitamin K depends on
provider order.
6. Which task can the nurse delegate to a UAP?
A. Applying oxygen
B. Ambulating a stable client
C. Teaching about incentive spirometry
D. Evaluating pain relief
Correct Answer: B
7. A client with dehydration due to vomiting is being treated with IV
fluids. Which finding indicates improvement?
, A. Urine specific gravity 1.034
B. Heart rate 112/min
C. Capillary refill < 2 seconds
D. BP 88/46 mm Hg
Correct Answer: C
8. Which medication requires two nurses to verify before
administration?
A. Metoprolol
B. Heparin infusion
C. Furosemide
D. Ceftriaxone
Correct Answer: B
Rationale: High-alert medications like heparin require independent
verification.
9. A child with croup arrives with inspiratory stridor. What is the
priority?
A. Give IV fluids
B. Prepare for a throat culture
C. Provide cool mist humidification
D. Insert a nasal airway
Correct Answer: C
10. A nurse is caring for a client with a new NG tube. Which action is
correct?
