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2026 ATI RN Comprehensive Predictor Retake Questions (NEW UPDATED VERSION) LATEST
ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS)-
GUARANTEED PASS A+
ATI Comprehensive Predictor – 2026
Question:
A patient with chronic kidney disease presents with fatigue and pallor. Which lab is most likely
abnormal?
Answer:
Hemoglobin and hematocrit (low)
Rationale:
Chronic kidney disease leads to decreased erythropoietin production, resulting in anemia.
Question:
A patient presents with sudden shortness of breath, chest pain, and tachycardia. What is the
priority nursing action?
Answer:
Assess oxygenation and notify the provider for suspected pulmonary embolism
Rationale:
Pulmonary embolism can be life-threatening; early intervention is essential.
Question:
A patient with asthma is prescribed a corticosteroid inhaler. Which teaching is important?
Answer:
Rinse mouth after use
Rationale:
Reduces risk of oral candidiasis, a common side effect of inhaled corticosteroids.
Question:
A patient with hypokalemia has muscle weakness and ECG changes. What is the priority nursing
action?
practice exam 2026
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Answer:
Administer potassium per order and monitor cardiac rhythm
Rationale:
Correcting potassium prevents dangerous arrhythmias and improves muscle function.
Question:
Which intervention is priority for a patient with suspected stroke who arrives within 3 hours of
symptom onset?
Answer:
Call the stroke team for possible thrombolytic therapy
Rationale:
Early intervention is critical to restore perfusion and reduce neurologic damage.
Question:
A patient receiving IV antibiotics develops itching and urticaria. What is the first action?
Answer:
Stop the infusion and notify the provider
Rationale:
These are early signs of an allergic reaction; prompt action prevents progression.
Question:
A patient on warfarin reports bruising and prolonged bleeding. Which lab is essential?
Answer:
INR
Rationale:
Monitoring ensures anticoagulation is within the therapeutic range and prevents bleeding
complications.
Question:
A patient with heart failure presents with weight gain, edema, and dyspnea. What is the nursing
priority?
practice exam 2026
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Answer:
Assess fluid status and notify provider
Rationale:
These signs indicate worsening heart failure; early intervention prevents hospitalization.
Question:
A patient with hypernatremia presents with confusion and dry mucous membranes. Which
intervention is priority?
Answer:
Administer IV fluids per order and monitor neurologic status
Rationale:
Restoring fluid balance prevents neurologic complications from cellular dehydration.
Question:
A patient with DKA has potassium 5.8 mEq/L. What is the priority nursing intervention before
insulin?
Answer:
Monitor cardiac rhythm and prepare for insulin therapy
Rationale:
Insulin shifts potassium into cells; careful monitoring prevents hypokalemia-related arrhythmias.
Question:
A patient presents with hypotension, tachycardia, and pale skin after surgery. Which intervention
is priority?
Answer:
Assess for bleeding and start IV fluids
Rationale:
Postoperative hypovolemia can lead to shock; early intervention prevents complications.
practice exam 2026
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Question:
A patient with hypocalcemia exhibits muscle spasms and a positive Chvostek sign. What is the
nursing action?
Answer:
Administer calcium as ordered and monitor for cardiac effects
Rationale:
Low calcium increases neuromuscular excitability and can cause life-threatening arrhythmias.
Question:
A patient with COPD has an oxygen saturation of 85%. What is the priority intervention?
Answer:
Administer supplemental oxygen cautiously and monitor ABGs
Rationale:
Prevents hypoxemia while avoiding CO2 retention in patients at risk of hypercapnia.
Question:
Which patient should the nurse assess first: a) BP 180/110, b) Temp 99°F, c) HR 95, d) O2 sat
92%?
Answer:
O2 sat 92%
Rationale:
Airway and oxygenation take priority over other vital sign deviations according to ABCs.
Question:
A patient with stage 3 pressure ulcer requires wound care. Which intervention is priority?
Answer:
Apply prescribed wound dressing and reposition every 2 hours
Rationale:
Prevents further tissue damage and promotes healing.
practice exam 2026
2026 ATI RN Comprehensive Predictor Retake Questions (NEW UPDATED VERSION) LATEST
ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS)-
GUARANTEED PASS A+
ATI Comprehensive Predictor – 2026
Question:
A patient with chronic kidney disease presents with fatigue and pallor. Which lab is most likely
abnormal?
Answer:
Hemoglobin and hematocrit (low)
Rationale:
Chronic kidney disease leads to decreased erythropoietin production, resulting in anemia.
Question:
A patient presents with sudden shortness of breath, chest pain, and tachycardia. What is the
priority nursing action?
Answer:
Assess oxygenation and notify the provider for suspected pulmonary embolism
Rationale:
Pulmonary embolism can be life-threatening; early intervention is essential.
Question:
A patient with asthma is prescribed a corticosteroid inhaler. Which teaching is important?
Answer:
Rinse mouth after use
Rationale:
Reduces risk of oral candidiasis, a common side effect of inhaled corticosteroids.
Question:
A patient with hypokalemia has muscle weakness and ECG changes. What is the priority nursing
action?
practice exam 2026
,2|Page
Answer:
Administer potassium per order and monitor cardiac rhythm
Rationale:
Correcting potassium prevents dangerous arrhythmias and improves muscle function.
Question:
Which intervention is priority for a patient with suspected stroke who arrives within 3 hours of
symptom onset?
Answer:
Call the stroke team for possible thrombolytic therapy
Rationale:
Early intervention is critical to restore perfusion and reduce neurologic damage.
Question:
A patient receiving IV antibiotics develops itching and urticaria. What is the first action?
Answer:
Stop the infusion and notify the provider
Rationale:
These are early signs of an allergic reaction; prompt action prevents progression.
Question:
A patient on warfarin reports bruising and prolonged bleeding. Which lab is essential?
Answer:
INR
Rationale:
Monitoring ensures anticoagulation is within the therapeutic range and prevents bleeding
complications.
Question:
A patient with heart failure presents with weight gain, edema, and dyspnea. What is the nursing
priority?
practice exam 2026
,3|Page
Answer:
Assess fluid status and notify provider
Rationale:
These signs indicate worsening heart failure; early intervention prevents hospitalization.
Question:
A patient with hypernatremia presents with confusion and dry mucous membranes. Which
intervention is priority?
Answer:
Administer IV fluids per order and monitor neurologic status
Rationale:
Restoring fluid balance prevents neurologic complications from cellular dehydration.
Question:
A patient with DKA has potassium 5.8 mEq/L. What is the priority nursing intervention before
insulin?
Answer:
Monitor cardiac rhythm and prepare for insulin therapy
Rationale:
Insulin shifts potassium into cells; careful monitoring prevents hypokalemia-related arrhythmias.
Question:
A patient presents with hypotension, tachycardia, and pale skin after surgery. Which intervention
is priority?
Answer:
Assess for bleeding and start IV fluids
Rationale:
Postoperative hypovolemia can lead to shock; early intervention prevents complications.
practice exam 2026
, 4|Page
Question:
A patient with hypocalcemia exhibits muscle spasms and a positive Chvostek sign. What is the
nursing action?
Answer:
Administer calcium as ordered and monitor for cardiac effects
Rationale:
Low calcium increases neuromuscular excitability and can cause life-threatening arrhythmias.
Question:
A patient with COPD has an oxygen saturation of 85%. What is the priority intervention?
Answer:
Administer supplemental oxygen cautiously and monitor ABGs
Rationale:
Prevents hypoxemia while avoiding CO2 retention in patients at risk of hypercapnia.
Question:
Which patient should the nurse assess first: a) BP 180/110, b) Temp 99°F, c) HR 95, d) O2 sat
92%?
Answer:
O2 sat 92%
Rationale:
Airway and oxygenation take priority over other vital sign deviations according to ABCs.
Question:
A patient with stage 3 pressure ulcer requires wound care. Which intervention is priority?
Answer:
Apply prescribed wound dressing and reposition every 2 hours
Rationale:
Prevents further tissue damage and promotes healing.
practice exam 2026
