ATI RN Comprehensive Predictor Exam 2025–2026 volume 1 & 2 – 180
Questions (Full-Length Simulation) well written A+. .
Question 1 (Recognize Cues)
Which assessment findings are most concerning and require immediate intervention? (Select all that apply)
A. Temperature 102.4°F (39.1°C)
B. Respiratory rate 34/min
C. SpO2 82% on 2L nasal cannula
D. Confusion
E. Heart rate 122 bpm
☑ ☑ Answer: ☑B, C, D
• B: Tachypnea indicates respiratory distress
• C: Severe hypoxemia despite supplemental oxygen
• D: Confusion indicates cerebral hypoxemia or hypercapnia
• A and E are concerning but secondary to the respiratory failure
,Question 2 (Analyze Cues)
The nurse reviews the arterial blood gas (ABG). Which interpretation is correct?
pH PaCO2 HCO3
7.28 68 28
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis with metabolic compensation
D. Respiratory alkalosis
☑ ☑ Answer: ☑C
• pH < 7.35 → acidosis
• PaCO2 > 45 → respiratory acidosis
• HCO3 elevated (>26) → metabolic compensation (renal retention of bicarbonate)
,Question 3 (Generate Solutions)
The provider orders noninvasive positive pressure ventilation (NIPPV) via BiPAP. Which interventions are
indicated? (Select all that apply)
A. Apply mask and ensure proper fit to minimize air leaks
B. Set FiO2 to 100% continuously
C. Monitor for gastric distension
D. Remove BiPAP every 15 minutes for oral care
E. Assess skin integrity on the bridge of the nose
☑ ☑ Answer: ☑A, C, E
• A: Proper fit ensures effectiveness and comfort
• C: Gastric distension from air swallowing increases aspiration risk
• E: Mask pressure can cause skin breakdown
• B: FiO2 is titrated to SpO2 goal; 100% continuously risks oxygen toxicity
• D: BiPAP should be removed only for brief periods to maintain therapy
Question 4 (NGN Matrix)
For each potential nursing action, indicate whether it is Indicated, Contraindicated, or Non-Essential.
, Nursing Action Indicated Contraindicated Non-Essential
Place client in high-Fowler’s position ☐ ☐ ☐
Administer morphine for anxiety ☐ ☐ ☐
Encourage oral fluids to thin secretions ☐ ☐ ☐
Prepare for endotracheal intubation ☐ ☐ ☐
Restrict all visitors ☐ ☐ ☐
Answer:
Nursing Action Indicated Contraindicated Non-Essential
High-Fowler’s position ✓
Morphine for anxiety ✓ (respiratory depression risk)
Encourage oral fluids ✓ (aspiration risk; NPO)
Questions (Full-Length Simulation) well written A+. .
Question 1 (Recognize Cues)
Which assessment findings are most concerning and require immediate intervention? (Select all that apply)
A. Temperature 102.4°F (39.1°C)
B. Respiratory rate 34/min
C. SpO2 82% on 2L nasal cannula
D. Confusion
E. Heart rate 122 bpm
☑ ☑ Answer: ☑B, C, D
• B: Tachypnea indicates respiratory distress
• C: Severe hypoxemia despite supplemental oxygen
• D: Confusion indicates cerebral hypoxemia or hypercapnia
• A and E are concerning but secondary to the respiratory failure
,Question 2 (Analyze Cues)
The nurse reviews the arterial blood gas (ABG). Which interpretation is correct?
pH PaCO2 HCO3
7.28 68 28
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis with metabolic compensation
D. Respiratory alkalosis
☑ ☑ Answer: ☑C
• pH < 7.35 → acidosis
• PaCO2 > 45 → respiratory acidosis
• HCO3 elevated (>26) → metabolic compensation (renal retention of bicarbonate)
,Question 3 (Generate Solutions)
The provider orders noninvasive positive pressure ventilation (NIPPV) via BiPAP. Which interventions are
indicated? (Select all that apply)
A. Apply mask and ensure proper fit to minimize air leaks
B. Set FiO2 to 100% continuously
C. Monitor for gastric distension
D. Remove BiPAP every 15 minutes for oral care
E. Assess skin integrity on the bridge of the nose
☑ ☑ Answer: ☑A, C, E
• A: Proper fit ensures effectiveness and comfort
• C: Gastric distension from air swallowing increases aspiration risk
• E: Mask pressure can cause skin breakdown
• B: FiO2 is titrated to SpO2 goal; 100% continuously risks oxygen toxicity
• D: BiPAP should be removed only for brief periods to maintain therapy
Question 4 (NGN Matrix)
For each potential nursing action, indicate whether it is Indicated, Contraindicated, or Non-Essential.
, Nursing Action Indicated Contraindicated Non-Essential
Place client in high-Fowler’s position ☐ ☐ ☐
Administer morphine for anxiety ☐ ☐ ☐
Encourage oral fluids to thin secretions ☐ ☐ ☐
Prepare for endotracheal intubation ☐ ☐ ☐
Restrict all visitors ☐ ☐ ☐
Answer:
Nursing Action Indicated Contraindicated Non-Essential
High-Fowler’s position ✓
Morphine for anxiety ✓ (respiratory depression risk)
Encourage oral fluids ✓ (aspiration risk; NPO)
