Virtual ATI Comprehensive Predictor
2025–2026
180 Questions and Correct Answers
NCLEX-RN Readiness Assessment | Already Graded A+ | 100% Verified
Safe & Effective Care Environment • Health Promotion & Maintenance
Psychosocial Integrity • Physiological Integrity
Correct answers highlighted in bold cyan
,Abstract
This document presents the Virtual ATI Comprehensive Predictor examination for 2025–2026,
comprising 180 evidence-based exam-style questions distributed across all four NCLEX-RN
Client Needs categories. The examination covers Safe and Effective Care Environment
(Management of Care and Safety & Infection Control), Health Promotion and Maintenance,
Psychosocial Integrity, and Physiological Integrity (Basic Care & Comfort, Pharmacological &
Parenteral Therapies, Reduction of Risk Potential, and Physiological Adaptation). Questions are
aligned with the 2026 NCLEX-RN test plan and emphasize clinical judgment, prioritization,
delegation, evidence-based nursing interventions, and patient safety principles essential for
achieving Virtual ATI Green Light status and NCLEX-RN licensure success. Each item includes
a detailed rationale supporting the correct answer with clinical reasoning and explanation of why
alternative options are less appropriate.
Keywords: Virtual ATI Comprehensive Predictor, NCLEX-RN, nursing exam, clinical
judgment, patient safety, evidence-based practice, Green Light status, 2026
,Table of Contents
Section I: Management of Care (Q1–Q28)
Section II: Safety and Infection Control (Q29–Q46)
Section III: Health Promotion and Maintenance (Q47–Q65)
Section IV: Psychosocial Integrity (Q66–Q83)
Section V: Basic Care and Comfort (Q84–Q100)
Section VI: Pharmacological and Parenteral Therapies (Q101–Q126)
Section VII: Reduction of Risk Potential (Q127–Q152)
Section VIII: Physiological Adaptation (Q153–Q180)
Comprehensive Answer Key (All Questions)
, SECTION I: MANAGEMENT OF CARE (Q1–Q28)
Q1
A nurse receives shift report on four clients. Which should the nurse assess first?
[Prioritization | Moderate]
A. A client 1 day post-total hip replacement with pain of 4/10
B. A client with heart failure reporting increasing dyspnea over 2 hours
C. A client with type 2 diabetes and fasting glucose 142 mg/dL
D. A client with a new colostomy requesting appliance change assistance
Rationale: The client with heart failure and increasing dyspnea should be assessed first using ABC
prioritization. Worsening dyspnea may indicate pulmonary edema or cardiac decompensation—a
life-threatening respiratory emergency. Postoperative hip pain at 4/10, mildly elevated glucose,
and routine ostomy care are lower-acuity findings addressable after stabilizing the unstable
client.
Q2
A charge nurse assigns tasks to an LPN and UAP. Which is most appropriate to delegate to the
UAP?
[Delegation | Easy]
A. Measuring and recording intake and output for a client with AKI
B. Evaluating effectiveness of a new antiemetic medication
C. Performing initial admission assessment on a newly transferred client
D. Providing discharge teaching about home insulin administration
Rationale: I&O measurement is a standardized, unchanging procedure within UAP scope. UAPs
may collect and document measurable data (I&O, vital signs, weights). Evaluating medication
effectiveness and performing assessments require licensed nurse clinical judgment. Discharge
teaching on insulin requires RN knowledge and cannot be delegated.
2025–2026
180 Questions and Correct Answers
NCLEX-RN Readiness Assessment | Already Graded A+ | 100% Verified
Safe & Effective Care Environment • Health Promotion & Maintenance
Psychosocial Integrity • Physiological Integrity
Correct answers highlighted in bold cyan
,Abstract
This document presents the Virtual ATI Comprehensive Predictor examination for 2025–2026,
comprising 180 evidence-based exam-style questions distributed across all four NCLEX-RN
Client Needs categories. The examination covers Safe and Effective Care Environment
(Management of Care and Safety & Infection Control), Health Promotion and Maintenance,
Psychosocial Integrity, and Physiological Integrity (Basic Care & Comfort, Pharmacological &
Parenteral Therapies, Reduction of Risk Potential, and Physiological Adaptation). Questions are
aligned with the 2026 NCLEX-RN test plan and emphasize clinical judgment, prioritization,
delegation, evidence-based nursing interventions, and patient safety principles essential for
achieving Virtual ATI Green Light status and NCLEX-RN licensure success. Each item includes
a detailed rationale supporting the correct answer with clinical reasoning and explanation of why
alternative options are less appropriate.
Keywords: Virtual ATI Comprehensive Predictor, NCLEX-RN, nursing exam, clinical
judgment, patient safety, evidence-based practice, Green Light status, 2026
,Table of Contents
Section I: Management of Care (Q1–Q28)
Section II: Safety and Infection Control (Q29–Q46)
Section III: Health Promotion and Maintenance (Q47–Q65)
Section IV: Psychosocial Integrity (Q66–Q83)
Section V: Basic Care and Comfort (Q84–Q100)
Section VI: Pharmacological and Parenteral Therapies (Q101–Q126)
Section VII: Reduction of Risk Potential (Q127–Q152)
Section VIII: Physiological Adaptation (Q153–Q180)
Comprehensive Answer Key (All Questions)
, SECTION I: MANAGEMENT OF CARE (Q1–Q28)
Q1
A nurse receives shift report on four clients. Which should the nurse assess first?
[Prioritization | Moderate]
A. A client 1 day post-total hip replacement with pain of 4/10
B. A client with heart failure reporting increasing dyspnea over 2 hours
C. A client with type 2 diabetes and fasting glucose 142 mg/dL
D. A client with a new colostomy requesting appliance change assistance
Rationale: The client with heart failure and increasing dyspnea should be assessed first using ABC
prioritization. Worsening dyspnea may indicate pulmonary edema or cardiac decompensation—a
life-threatening respiratory emergency. Postoperative hip pain at 4/10, mildly elevated glucose,
and routine ostomy care are lower-acuity findings addressable after stabilizing the unstable
client.
Q2
A charge nurse assigns tasks to an LPN and UAP. Which is most appropriate to delegate to the
UAP?
[Delegation | Easy]
A. Measuring and recording intake and output for a client with AKI
B. Evaluating effectiveness of a new antiemetic medication
C. Performing initial admission assessment on a newly transferred client
D. Providing discharge teaching about home insulin administration
Rationale: I&O measurement is a standardized, unchanging procedure within UAP scope. UAPs
may collect and document measurable data (I&O, vital signs, weights). Evaluating medication
effectiveness and performing assessments require licensed nurse clinical judgment. Discharge
teaching on insulin requires RN knowledge and cannot be delegated.
