ATI RN Retake Comprehensive Predictor Exam
2026 – Version 4: Complete 180 Questions &
Answers Latest Update This Year Instant
Download Pdf
Exam Overview
The ATI RN Comprehensive Predictor Version 4 (Retake) is a 180-question exam
designed to evaluate readiness for the NCLEX-RN . This version features Next Generation
NCLEX (NGN)-style items, including unfolding case studies and matrix-style questions .
Aspect Detail
Version 4 (Retake)
Questions 180
Format NGN: Multiple-choice, SATA, Ordered Response, Bow-tie, Matrix
Content Management of Care (20%), Pharmacology (18%), Physiological
Categories Adaptation (14%), Safety/Infection Control (12%), Health Promotion
(9%), Psychosocial Integrity (9%), Basic Care (6%), Risk Reduction
(12%)
SECTION 1: MANAGEMENT OF CARE & PRIORITIZATION (Questions 1-40)
1. A charge nurse is assigning clients on a medical-surgical unit. Which client should
be assigned to the RN rather than the LPN?
A) A client post-op day 2 requiring a simple dressing change
B) A client requiring a straight catheterization for a post-void residual
C) A client with new-onset confusion and a blood pressure of 90/60
D) A client receiving a continuous tube feeding
,Rationale: New-onset confusion and hypotension indicate a potential change in condition
(e.g., sepsis, stroke). The RN must assess unstable clients. LPNs can perform stable,
predictable tasks like dressing changes, catheterizations, and feedings .
2. A nurse is caring for a client who just signed a DNR order. The client's family
member says, "I don't care what the paper says; you will do CPR if I see him stop
breathing." What is the nurse's priority response?
A) "I will have to follow the DNR order, as the client has the right to make that
decision."
B) "I understand you are upset, but you need to leave the room."
C) "Let's call for an ethics committee meeting right now."
D) "Okay, I will do CPR if you insist."
Rationale: The client's autonomous decision (DNR) supersedes the family's wishes. The
nurse must advocate for the client's choice .
3. A nurse is preparing to witness a client's signature on an informed consent for a
total knee arthroplasty. Which client statement indicates the nurse should contact the
surgeon?
A) "I wonder if the metal in my knee will show up in airport screenings"
B) "The physical therapy has not been working, so I will need to have the surgery"
C) "I look forward to being able to bend my knee again when I sit in a chair"
D) "I am thankful there are no serious complications from this type of surgery"
Rationale: This statement indicates the client does not understand that all surgeries have
serious complications. The nurse should contact the surgeon to clarify .
4. A nurse is preparing a client for a procedure. The client asks, "Why do I need to
sign this consent form?" What is the best response?
A) "It protects the hospital from being sued if something goes wrong."
B) "It allows the doctor to do whatever they think is best during surgery."
, C) "It is a legal requirement stating you understand the risks and agree to the
procedure."
D) "It is just a formality since the doctor already told you what to expect."
Rationale: Informed consent is a legal and ethical mandate. The signature confirms the
client understands the risks, benefits, and alternatives, and voluntarily agrees .
5. A nurse is teaching a client about a living will. What statement by the client
indicates understanding?
A) "My living will names the person who will make my financial decisions."
B) "A living will tells doctors what treatments I want if I cannot speak."
C) "I need to be 65 years old before I can sign a living will."
D) "Once I sign a living will, it cannot be changed for any reason."
Rationale: A living will is a legal document outlining end-of-life medical treatments
(intubation, feeding tubes) a client does or does not want. Durable power of attorney
designates a person .
6. A nurse is preparing to discharge a client. Which statement indicates
understanding of fall precautions?
A) "I will keep my walker close to my bed at night."
B) "I will wear socks without grippers to bed."
C) "I will dim the lights to reduce glare."
D) "I will remove my bed alarm since I feel safe now."
Rationale: Keeping assistive devices close to the bed prevents falls during transfers. Socks
should have non-skid grips, lights should be adequate (not dimmed), and bed alarms should
remain in place as prescribed .
7. A nurse is caring for a client who is post-op and reports nausea. What action
should the nurse take first?
, A) Administer the prescribed antiemetic.
*B) Turn the client onto their side. *
C) Offer a glass of water.
D) Notify the provider.
Rationale: Positioning the client on their side prevents aspiration if vomiting occurs, making
it the priority safety intervention .
8. A nurse manager is updating protocols for the use of belt restraints. Which
guideline should the nurse include?
*A) Document the client's condition and restraint check every 15 minutes. *
B) Attach the restraint to the side rail for easy access.
C) Keep the restraint on for 8 hours to ensure safety.
D) Request a PRN (as needed) restraint prescription.
Rationale: Restraints require frequent monitoring. The nurse must document circulation,
behavior, and needs every 15 minutes. Restraints must be tied to the bed frame (not side
rails) and require a specific time-limited order (not PRN) .
9. A nurse is assessing a client who has a possible right pneumothorax. Which
finding should the nurse expect?
A) Absent breath sounds on the right side
B) Hyperresonance on percussion
C) Tracheal deviation to the right
D) Diminished breath sounds on the left side
Rationale: A pneumothorax causes absent breath sounds on the affected side due to air in
the pleural space .
2026 – Version 4: Complete 180 Questions &
Answers Latest Update This Year Instant
Download Pdf
Exam Overview
The ATI RN Comprehensive Predictor Version 4 (Retake) is a 180-question exam
designed to evaluate readiness for the NCLEX-RN . This version features Next Generation
NCLEX (NGN)-style items, including unfolding case studies and matrix-style questions .
Aspect Detail
Version 4 (Retake)
Questions 180
Format NGN: Multiple-choice, SATA, Ordered Response, Bow-tie, Matrix
Content Management of Care (20%), Pharmacology (18%), Physiological
Categories Adaptation (14%), Safety/Infection Control (12%), Health Promotion
(9%), Psychosocial Integrity (9%), Basic Care (6%), Risk Reduction
(12%)
SECTION 1: MANAGEMENT OF CARE & PRIORITIZATION (Questions 1-40)
1. A charge nurse is assigning clients on a medical-surgical unit. Which client should
be assigned to the RN rather than the LPN?
A) A client post-op day 2 requiring a simple dressing change
B) A client requiring a straight catheterization for a post-void residual
C) A client with new-onset confusion and a blood pressure of 90/60
D) A client receiving a continuous tube feeding
,Rationale: New-onset confusion and hypotension indicate a potential change in condition
(e.g., sepsis, stroke). The RN must assess unstable clients. LPNs can perform stable,
predictable tasks like dressing changes, catheterizations, and feedings .
2. A nurse is caring for a client who just signed a DNR order. The client's family
member says, "I don't care what the paper says; you will do CPR if I see him stop
breathing." What is the nurse's priority response?
A) "I will have to follow the DNR order, as the client has the right to make that
decision."
B) "I understand you are upset, but you need to leave the room."
C) "Let's call for an ethics committee meeting right now."
D) "Okay, I will do CPR if you insist."
Rationale: The client's autonomous decision (DNR) supersedes the family's wishes. The
nurse must advocate for the client's choice .
3. A nurse is preparing to witness a client's signature on an informed consent for a
total knee arthroplasty. Which client statement indicates the nurse should contact the
surgeon?
A) "I wonder if the metal in my knee will show up in airport screenings"
B) "The physical therapy has not been working, so I will need to have the surgery"
C) "I look forward to being able to bend my knee again when I sit in a chair"
D) "I am thankful there are no serious complications from this type of surgery"
Rationale: This statement indicates the client does not understand that all surgeries have
serious complications. The nurse should contact the surgeon to clarify .
4. A nurse is preparing a client for a procedure. The client asks, "Why do I need to
sign this consent form?" What is the best response?
A) "It protects the hospital from being sued if something goes wrong."
B) "It allows the doctor to do whatever they think is best during surgery."
, C) "It is a legal requirement stating you understand the risks and agree to the
procedure."
D) "It is just a formality since the doctor already told you what to expect."
Rationale: Informed consent is a legal and ethical mandate. The signature confirms the
client understands the risks, benefits, and alternatives, and voluntarily agrees .
5. A nurse is teaching a client about a living will. What statement by the client
indicates understanding?
A) "My living will names the person who will make my financial decisions."
B) "A living will tells doctors what treatments I want if I cannot speak."
C) "I need to be 65 years old before I can sign a living will."
D) "Once I sign a living will, it cannot be changed for any reason."
Rationale: A living will is a legal document outlining end-of-life medical treatments
(intubation, feeding tubes) a client does or does not want. Durable power of attorney
designates a person .
6. A nurse is preparing to discharge a client. Which statement indicates
understanding of fall precautions?
A) "I will keep my walker close to my bed at night."
B) "I will wear socks without grippers to bed."
C) "I will dim the lights to reduce glare."
D) "I will remove my bed alarm since I feel safe now."
Rationale: Keeping assistive devices close to the bed prevents falls during transfers. Socks
should have non-skid grips, lights should be adequate (not dimmed), and bed alarms should
remain in place as prescribed .
7. A nurse is caring for a client who is post-op and reports nausea. What action
should the nurse take first?
, A) Administer the prescribed antiemetic.
*B) Turn the client onto their side. *
C) Offer a glass of water.
D) Notify the provider.
Rationale: Positioning the client on their side prevents aspiration if vomiting occurs, making
it the priority safety intervention .
8. A nurse manager is updating protocols for the use of belt restraints. Which
guideline should the nurse include?
*A) Document the client's condition and restraint check every 15 minutes. *
B) Attach the restraint to the side rail for easy access.
C) Keep the restraint on for 8 hours to ensure safety.
D) Request a PRN (as needed) restraint prescription.
Rationale: Restraints require frequent monitoring. The nurse must document circulation,
behavior, and needs every 15 minutes. Restraints must be tied to the bed frame (not side
rails) and require a specific time-limited order (not PRN) .
9. A nurse is assessing a client who has a possible right pneumothorax. Which
finding should the nurse expect?
A) Absent breath sounds on the right side
B) Hyperresonance on percussion
C) Tracheal deviation to the right
D) Diminished breath sounds on the left side
Rationale: A pneumothorax causes absent breath sounds on the affected side due to air in
the pleural space .
