1|Page
ATI RN Comprehensive Predictor 2026 Retake Questions (NEW UPDATED VERSION)
LATEST ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED
QUESTIONS AND ANSWERS)- GUARANTEED PASS A+ UPDATED 2026-2027
Question:
A patient with COPD is experiencing shortness of breath and an O2 saturation of 86%. What is
the priority nursing action?
Answer:
Administer supplemental oxygen per order
Rationale:
Hypoxemia requires immediate correction to prevent organ damage and maintain adequate tissue
perfusion.
Question:
Which intervention is priority for a patient with hypovolemic shock?
Answer:
Administer IV fluids rapidly
Rationale:
Restoring circulating volume prevents tissue hypoxia, organ failure, and cardiovascular collapse.
Question:
A patient with suspected stroke arrives at the ER. What is the nurse’s first action?
Answer:
Perform rapid neurological assessment and call the stroke team
Rationale:
Early recognition and intervention are critical; timely thrombolytic therapy may improve
outcomes.
practice exam 2026
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Question:
Which electrolyte imbalance is most likely in a patient with severe vomiting?
Answer:
Hypokalemia and metabolic alkalosis
Rationale:
Loss of gastric H+ and K+ through vomiting leads to alkalosis and potassium depletion,
increasing risk of arrhythmias.
Question:
A patient is experiencing chest pain with ST-elevation on ECG. What is the priority action?
Answer:
Notify provider and prepare for reperfusion therapy
Rationale:
STEMI requires urgent intervention to restore coronary perfusion and prevent permanent
myocardial damage.
Question:
Which action is priority for a patient receiving IV potassium?
Answer:
Administer via IV pump and monitor cardiac rhythm
Rationale:
Rapid infusion can cause life-threatening arrhythmias; careful administration prevents
complications.
Question:
A patient with pneumonia has a temperature of 102°F and crackles in lower lungs. Which
intervention is priority?
Answer:
Administer prescribed antibiotics
Rationale:
Early treatment prevents sepsis, resolves infection, and reduces mortality risk.
practice exam 2026
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Question:
Which nursing action is appropriate for a patient with a nasogastric tube (NGT) on suction?
Answer:
Check tube placement and maintain suction as ordered
Rationale:
Ensures decompression, prevents aspiration, and maintains patient safety.
Question:
A patient is taking digoxin. Which symptom suggests digoxin toxicity?
Answer:
Nausea, vomiting, and visual changes (e.g., yellow halos)
Rationale:
Early recognition of toxicity prevents severe cardiac complications.
Question:
Which patient is at highest risk for deep vein thrombosis (DVT)?
Answer:
A post-operative orthopedic patient immobilized for several days
Rationale:
Immobility and surgery increase clot formation risk; prophylaxis is essential to prevent
complications.
Question:
Which lab result indicates worsening renal function?
Answer:
Rising BUN and creatinine
Rationale:
Elevated values reflect decreased glomerular filtration and kidney dysfunction.
practice exam 2026
, 4|Page
Question:
A patient has rapid weight gain of 3 lbs in 2 days and peripheral edema. What is the nursing
action?
Answer:
Notify the provider and evaluate fluid status
Rationale:
Rapid weight gain suggests fluid retention, indicating worsening heart failure.
Question:
A patient with hypokalemia has flattened T waves and U waves on ECG. What is the priority
nursing action?
Answer:
Administer potassium as ordered and monitor cardiac rhythm
Rationale:
Correcting potassium prevents arrhythmias and restores myocardial stability.
Question:
Which nursing intervention is priority for a stroke patient with impaired swallowing?
Answer:
Implement aspiration precautions
Rationale:
Dysphagia increases risk of aspiration pneumonia; NPO or thickened liquids prevent
complications.
Question:
A patient with COPD has CO2 retention and confusion. What is the priority nursing action?
Answer:
Apply oxygen cautiously and monitor ABGs
Rationale:
Excess oxygen can suppress respiratory drive in CO2 retainers; careful titration prevents
respiratory depression.
practice exam 2026
ATI RN Comprehensive Predictor 2026 Retake Questions (NEW UPDATED VERSION)
LATEST ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED
QUESTIONS AND ANSWERS)- GUARANTEED PASS A+ UPDATED 2026-2027
Question:
A patient with COPD is experiencing shortness of breath and an O2 saturation of 86%. What is
the priority nursing action?
Answer:
Administer supplemental oxygen per order
Rationale:
Hypoxemia requires immediate correction to prevent organ damage and maintain adequate tissue
perfusion.
Question:
Which intervention is priority for a patient with hypovolemic shock?
Answer:
Administer IV fluids rapidly
Rationale:
Restoring circulating volume prevents tissue hypoxia, organ failure, and cardiovascular collapse.
Question:
A patient with suspected stroke arrives at the ER. What is the nurse’s first action?
Answer:
Perform rapid neurological assessment and call the stroke team
Rationale:
Early recognition and intervention are critical; timely thrombolytic therapy may improve
outcomes.
practice exam 2026
,2|Page
Question:
Which electrolyte imbalance is most likely in a patient with severe vomiting?
Answer:
Hypokalemia and metabolic alkalosis
Rationale:
Loss of gastric H+ and K+ through vomiting leads to alkalosis and potassium depletion,
increasing risk of arrhythmias.
Question:
A patient is experiencing chest pain with ST-elevation on ECG. What is the priority action?
Answer:
Notify provider and prepare for reperfusion therapy
Rationale:
STEMI requires urgent intervention to restore coronary perfusion and prevent permanent
myocardial damage.
Question:
Which action is priority for a patient receiving IV potassium?
Answer:
Administer via IV pump and monitor cardiac rhythm
Rationale:
Rapid infusion can cause life-threatening arrhythmias; careful administration prevents
complications.
Question:
A patient with pneumonia has a temperature of 102°F and crackles in lower lungs. Which
intervention is priority?
Answer:
Administer prescribed antibiotics
Rationale:
Early treatment prevents sepsis, resolves infection, and reduces mortality risk.
practice exam 2026
,3|Page
Question:
Which nursing action is appropriate for a patient with a nasogastric tube (NGT) on suction?
Answer:
Check tube placement and maintain suction as ordered
Rationale:
Ensures decompression, prevents aspiration, and maintains patient safety.
Question:
A patient is taking digoxin. Which symptom suggests digoxin toxicity?
Answer:
Nausea, vomiting, and visual changes (e.g., yellow halos)
Rationale:
Early recognition of toxicity prevents severe cardiac complications.
Question:
Which patient is at highest risk for deep vein thrombosis (DVT)?
Answer:
A post-operative orthopedic patient immobilized for several days
Rationale:
Immobility and surgery increase clot formation risk; prophylaxis is essential to prevent
complications.
Question:
Which lab result indicates worsening renal function?
Answer:
Rising BUN and creatinine
Rationale:
Elevated values reflect decreased glomerular filtration and kidney dysfunction.
practice exam 2026
, 4|Page
Question:
A patient has rapid weight gain of 3 lbs in 2 days and peripheral edema. What is the nursing
action?
Answer:
Notify the provider and evaluate fluid status
Rationale:
Rapid weight gain suggests fluid retention, indicating worsening heart failure.
Question:
A patient with hypokalemia has flattened T waves and U waves on ECG. What is the priority
nursing action?
Answer:
Administer potassium as ordered and monitor cardiac rhythm
Rationale:
Correcting potassium prevents arrhythmias and restores myocardial stability.
Question:
Which nursing intervention is priority for a stroke patient with impaired swallowing?
Answer:
Implement aspiration precautions
Rationale:
Dysphagia increases risk of aspiration pneumonia; NPO or thickened liquids prevent
complications.
Question:
A patient with COPD has CO2 retention and confusion. What is the priority nursing action?
Answer:
Apply oxygen cautiously and monitor ABGs
Rationale:
Excess oxygen can suppress respiratory drive in CO2 retainers; careful titration prevents
respiratory depression.
practice exam 2026
