RN ATI Comprehensive Predictor Exit Exam
Overview Questions Bank and Correct
Answers Guaranteed Pass Latest Version
2025 with Rationales
The RN ATI Comprehensive Predictor (often called the
"Exit Exam") is a proctored assessment developed by
Assessment Technologies Institute (ATI) for nursing
students in their final semester. It's designed to evaluate
your overall knowledge and predict your likelihood of
passing the NCLEX-RN on the first attempt. The exam
typically consists of ans180 questionsans (150 scored, 30
unscored pretest items), lasts ans4 hoursans, and
includes mostly multiple-choice questions, plus Next
Generation NCLEX (NGN) formats like select-all-that-
apply, fill-in-the-blank, ordered response, and case
studies. Questions cover all major NCLEX client needs
categories, such as:
,1. A nurse is preparing to administer a blood transfusion.
Which of the following is the priority nursing action? . A.
Stay with the client for the first 15 min of the
transfusion.<br>B. Titrate the rate of infusion to maintain
the client’s blood pressure at least 90/60 mm Hg.<br>C.
Document the blood product transfusion in the client’s
medical record.<br>D. Obtain the first unit of packed
RBCs from the blood bank. . Ans A. The first 15 minutes is
when most acute reactions (e.g., hemolytic) occur;
monitor vital signs closely. .
2. An RN is making assignments for client care to an LPN
at the beginning of the shift. Which of the following
assignments should the LPN question? . A. Assisting a
client who is 24 hr postop to use an incentive
spirometer.<br>B. Collecting a clean-catch urine
specimen from a client who was admitted on the
previous shift.<br>C. Providing nasopharyngeal
suctioning for a client who has pneumonia.<br>D.
Replacing the cartridge and tubing on a PCA pump. . Ans
B. LPNs cannot perform initial assessments or adjust pain
management devices like PCA pumps; this requires RN
oversight for safety. .
3. A nurse is assessing a client who received 2 units of
packed RBCs 48 hr ago. Which finding indicates the
,therapy was effective? . A. Hemoglobin 10.2 g/dL<br>B.
Hemoglobin 14.9 g/dL<br>C. Urine output 20
mL/hr<br>D. Platelet count 50,000/mm³ . Ans B Normal
hemoglobin is 12-18 g/dL; 14.9 indicates improved
oxygen-carrying capacity post-transfusion. .
4. A nurse is triaging clients in the ED after a mass
casualty. Which client should be treated first? . A. Client
with a sprained ankle.<br>B. Client with chest pain and
dyspnea.<br>C. Client with a lacerated arm.<br>D. Client
with abdominal pain. Ans B Uses ABC prioritization—
chest pain/dyspnea suggests immediate
respiratory/cardiac threat. .
### More High-Yield ATI Comprehensive Predictor
Practice Questions (2024–2025 Style with Rationales)
Here are additional questions that frequently appear (or
are very close to ones that appear) on the actual RN ATI
Comprehensive Predictor. These reflect the latest NGN
format and ATI’s favorite topics.
| # | Question | Options | Correct Answer & Rationale |
|---|---------|---------|----------------------------|
, | 6 | A nurse is caring for a client who is receiving
morphine via PCA pump. The client’s respiratory rate is
10/min. Which action should the nurse take first? | A.
Administer naloxone<br>B. Stop the PCA infusion<br>C.
Notify the provider<br>D. Increase oxygen via nasal
cannula | Ans B. Stop the PCA infusion first. This
immediately removes the source of opioid-induced
respiratory depression (ABC priority). Naloxone is next if
needed. |
| 7 | A client with heart failure is prescribed
spironolactone. Which laboratory value requires
immediate notification of the provider? | A. Sodium 138
mEq/L<br>B. Potassium 5.8 mEq/L<br>C. BUN 18
mg/dL<br>D. Creatinine 1.0 mg/dL | Ans B.
Spironolactone is potassium-sparing → hyperkalemia
risk. 5.8 is critical (normal 3.5–5.0). |
| 8 | A nurse is teaching a client with new-onset diabetes
about sick-day rules. Which statement by the client
indicates a need for further teaching? | A. “I will continue
taking my metformin even if I’m vomiting.”<br>B. “I
should check my blood glucose every 4 hours.”<br>C. “I
will drink sugar-free liquids if I can’t eat.”<br>D. “I should
call my doctor if I have ketones in my urine.” | Ans A.
Overview Questions Bank and Correct
Answers Guaranteed Pass Latest Version
2025 with Rationales
The RN ATI Comprehensive Predictor (often called the
"Exit Exam") is a proctored assessment developed by
Assessment Technologies Institute (ATI) for nursing
students in their final semester. It's designed to evaluate
your overall knowledge and predict your likelihood of
passing the NCLEX-RN on the first attempt. The exam
typically consists of ans180 questionsans (150 scored, 30
unscored pretest items), lasts ans4 hoursans, and
includes mostly multiple-choice questions, plus Next
Generation NCLEX (NGN) formats like select-all-that-
apply, fill-in-the-blank, ordered response, and case
studies. Questions cover all major NCLEX client needs
categories, such as:
,1. A nurse is preparing to administer a blood transfusion.
Which of the following is the priority nursing action? . A.
Stay with the client for the first 15 min of the
transfusion.<br>B. Titrate the rate of infusion to maintain
the client’s blood pressure at least 90/60 mm Hg.<br>C.
Document the blood product transfusion in the client’s
medical record.<br>D. Obtain the first unit of packed
RBCs from the blood bank. . Ans A. The first 15 minutes is
when most acute reactions (e.g., hemolytic) occur;
monitor vital signs closely. .
2. An RN is making assignments for client care to an LPN
at the beginning of the shift. Which of the following
assignments should the LPN question? . A. Assisting a
client who is 24 hr postop to use an incentive
spirometer.<br>B. Collecting a clean-catch urine
specimen from a client who was admitted on the
previous shift.<br>C. Providing nasopharyngeal
suctioning for a client who has pneumonia.<br>D.
Replacing the cartridge and tubing on a PCA pump. . Ans
B. LPNs cannot perform initial assessments or adjust pain
management devices like PCA pumps; this requires RN
oversight for safety. .
3. A nurse is assessing a client who received 2 units of
packed RBCs 48 hr ago. Which finding indicates the
,therapy was effective? . A. Hemoglobin 10.2 g/dL<br>B.
Hemoglobin 14.9 g/dL<br>C. Urine output 20
mL/hr<br>D. Platelet count 50,000/mm³ . Ans B Normal
hemoglobin is 12-18 g/dL; 14.9 indicates improved
oxygen-carrying capacity post-transfusion. .
4. A nurse is triaging clients in the ED after a mass
casualty. Which client should be treated first? . A. Client
with a sprained ankle.<br>B. Client with chest pain and
dyspnea.<br>C. Client with a lacerated arm.<br>D. Client
with abdominal pain. Ans B Uses ABC prioritization—
chest pain/dyspnea suggests immediate
respiratory/cardiac threat. .
### More High-Yield ATI Comprehensive Predictor
Practice Questions (2024–2025 Style with Rationales)
Here are additional questions that frequently appear (or
are very close to ones that appear) on the actual RN ATI
Comprehensive Predictor. These reflect the latest NGN
format and ATI’s favorite topics.
| # | Question | Options | Correct Answer & Rationale |
|---|---------|---------|----------------------------|
, | 6 | A nurse is caring for a client who is receiving
morphine via PCA pump. The client’s respiratory rate is
10/min. Which action should the nurse take first? | A.
Administer naloxone<br>B. Stop the PCA infusion<br>C.
Notify the provider<br>D. Increase oxygen via nasal
cannula | Ans B. Stop the PCA infusion first. This
immediately removes the source of opioid-induced
respiratory depression (ABC priority). Naloxone is next if
needed. |
| 7 | A client with heart failure is prescribed
spironolactone. Which laboratory value requires
immediate notification of the provider? | A. Sodium 138
mEq/L<br>B. Potassium 5.8 mEq/L<br>C. BUN 18
mg/dL<br>D. Creatinine 1.0 mg/dL | Ans B.
Spironolactone is potassium-sparing → hyperkalemia
risk. 5.8 is critical (normal 3.5–5.0). |
| 8 | A nurse is teaching a client with new-onset diabetes
about sick-day rules. Which statement by the client
indicates a need for further teaching? | A. “I will continue
taking my metformin even if I’m vomiting.”<br>B. “I
should check my blood glucose every 4 hours.”<br>C. “I
will drink sugar-free liquids if I can’t eat.”<br>D. “I should
call my doctor if I have ketones in my urine.” | Ans A.
