ATI RN Comprehensive Predictor 2026 Exit Exam | 180 Questions with Verified Answers & Rationales
NEWEST ATI RN COMPREHENSIVE
PREDICTOR 2026 EXIT EXAM WITH
NGN
180 Questions
100% Verified Answers and Rationales
To Pass 2026 RN ATI Comprehensive Predictor Exit Exam
Includes: Pharmacology | Med-Surg | OB/Maternal | Pediatrics
Mental Health | NGN Questions | Priority & Triage
Infection Control | Oncology | Safety & Legal | Wound Care
1
,ATI RN Comprehensive Predictor 2026 Exit Exam | 180 Questions with Verified Answers & Rationales
How to Use This Study Guide
This comprehensive study guide contains 180 original practice questions modeled after the ATI RN
Comprehensive Predictor Exit Exam format, including Next Generation NCLEX (NGN) style questions,
Multiple Response (Select All That Apply), and traditional multiple-choice questions.
Study Tips for Success:
1. Read each question stem carefully before reviewing answer choices.
2. For SATA questions, treat each option independently as true or false.
3. Apply Maslow's Hierarchy, ABCs, and the Nursing Process to prioritization questions.
4. Read each rationale thoroughly to understand the underlying clinical reasoning.
5. For NGN questions, consider the full clinical picture presented in the scenario.
6. Focus on identifying the "most important," "first," or "priority" action in safety questions.
Content Areas Covered:
Pharmacology | Medical-Surgical Nursing (Respiratory, Cardiac, Neurological, GI, Renal, Endocrine,
Musculoskeletal, Oncology) | Obstetric/Maternal Nursing | Pediatric Nursing | Mental Health Nursing |
Infection Control | Patient Safety & Legal Issues | Fluid & Electrolytes | Wound Care | Priority Setting &
Triage | Next Generation NCLEX (NGN) Questions
2
,ATI RN Comprehensive Predictor 2026 Exit Exam | 180 Questions with Verified Answers & Rationales
180 Practice Questions with Verified Answers and
Rationales
Question 1
Type: Multiple Response (SATA)
A nurse is caring for a client who has been prescribed lithium for bipolar disorder. The client's serum
lithium level is 1.8 mEq/L. Which of the following findings should the nurse expect? (Select all that
apply)
A. Coarse hand tremors
B. Confusion
C. Vomiting
D. Polyuria
E. Bradycardia
Correct Answer: A, B, C
Rationale: A lithium level of 1.8 mEq/L indicates toxicity (therapeutic range: 0.6–1.2 mEq/L). Signs
include coarse hand tremors, confusion, and vomiting. Polyuria may occur at therapeutic levels;
bradycardia is not a typical toxicity sign.
Question 2
Type: Multiple Choice
A nurse is preparing to initiate IV fluids via infusion pump. Which of the following actions should the
nurse take first?
A. Obtain a surge protector that can accommodate the pump and several other appliances
B. Verify that the extension cord for the pump is ungrounded
C. Report the pump has a frayed cord and proceed with the infusion
D. Check the expiration date on the safety inspection sticker of the pump
Correct Answer: D
Rationale: Before using any electrical medical equipment, the nurse should confirm that the device has
a current safety inspection sticker. Using an uninspected pump could pose electrical and patient-safety
hazards.
Question 3
Type: Multiple Choice
A nurse is caring for a client who has a new prescription for warfarin. Which of the following foods
should the nurse instruct the client to limit?
A. Bananas
B. Spinach
C. Milk
D. Rice
Correct Answer: B
3
, ATI RN Comprehensive Predictor 2026 Exit Exam | 180 Questions with Verified Answers & Rationales
Rationale: Spinach is high in vitamin K, which counteracts the anticoagulant effect of warfarin. Clients
on warfarin should maintain a consistent vitamin K intake and limit foods rich in it.
Question 4
Type: Multiple Choice
A nurse is administering medications to a client who has heart failure. Which of the following findings
requires the nurse to withhold digoxin and notify the provider?
A. Apical pulse of 58/min
B. Serum potassium of 3.2 mEq/L
C. Blood pressure of 110/70 mmHg
D. Serum digoxin level of 1.0 ng/mL
Correct Answer: B
Rationale: Hypokalemia (K+ < 3.5 mEq/L) increases the risk of digoxin toxicity. The nurse should
withhold digoxin, notify the provider, and anticipate potassium replacement.
Question 5
Type: Multiple Choice
A nurse is caring for a client who has been receiving heparin therapy. The client's aPTT is 120
seconds. Which of the following actions should the nurse take?
A. Administer protamine sulfate
B. Increase the heparin infusion rate
C. Decrease the heparin infusion rate
D. Administer vitamin K
Correct Answer: C
Rationale: The therapeutic aPTT range for heparin is 60–100 seconds (1.5–2.5 times normal). An
aPTT of 120 seconds indicates supratherapeutic anticoagulation; the nurse should decrease the
infusion rate per protocol.
Question 6
Type: Multiple Choice
A nurse is assessing a client who has COPD. Which of the following findings should the nurse expect?
A. Barrel chest
B. Decreased anteroposterior diameter
C. Hyperventilation with respiratory alkalosis
D. Pink, frothy sputum
Correct Answer: A
Rationale: Chronic air trapping in COPD leads to lung hyperinflation, resulting in a barrel chest
(increased anteroposterior diameter). Pink frothy sputum is associated with pulmonary edema.
Question 7
Type: Multiple Response (SATA)
A nurse is caring for a client who has a chest tube connected to a water-seal drainage system. Which
of the following findings indicate the system is functioning correctly? (Select all that apply)
4
NEWEST ATI RN COMPREHENSIVE
PREDICTOR 2026 EXIT EXAM WITH
NGN
180 Questions
100% Verified Answers and Rationales
To Pass 2026 RN ATI Comprehensive Predictor Exit Exam
Includes: Pharmacology | Med-Surg | OB/Maternal | Pediatrics
Mental Health | NGN Questions | Priority & Triage
Infection Control | Oncology | Safety & Legal | Wound Care
1
,ATI RN Comprehensive Predictor 2026 Exit Exam | 180 Questions with Verified Answers & Rationales
How to Use This Study Guide
This comprehensive study guide contains 180 original practice questions modeled after the ATI RN
Comprehensive Predictor Exit Exam format, including Next Generation NCLEX (NGN) style questions,
Multiple Response (Select All That Apply), and traditional multiple-choice questions.
Study Tips for Success:
1. Read each question stem carefully before reviewing answer choices.
2. For SATA questions, treat each option independently as true or false.
3. Apply Maslow's Hierarchy, ABCs, and the Nursing Process to prioritization questions.
4. Read each rationale thoroughly to understand the underlying clinical reasoning.
5. For NGN questions, consider the full clinical picture presented in the scenario.
6. Focus on identifying the "most important," "first," or "priority" action in safety questions.
Content Areas Covered:
Pharmacology | Medical-Surgical Nursing (Respiratory, Cardiac, Neurological, GI, Renal, Endocrine,
Musculoskeletal, Oncology) | Obstetric/Maternal Nursing | Pediatric Nursing | Mental Health Nursing |
Infection Control | Patient Safety & Legal Issues | Fluid & Electrolytes | Wound Care | Priority Setting &
Triage | Next Generation NCLEX (NGN) Questions
2
,ATI RN Comprehensive Predictor 2026 Exit Exam | 180 Questions with Verified Answers & Rationales
180 Practice Questions with Verified Answers and
Rationales
Question 1
Type: Multiple Response (SATA)
A nurse is caring for a client who has been prescribed lithium for bipolar disorder. The client's serum
lithium level is 1.8 mEq/L. Which of the following findings should the nurse expect? (Select all that
apply)
A. Coarse hand tremors
B. Confusion
C. Vomiting
D. Polyuria
E. Bradycardia
Correct Answer: A, B, C
Rationale: A lithium level of 1.8 mEq/L indicates toxicity (therapeutic range: 0.6–1.2 mEq/L). Signs
include coarse hand tremors, confusion, and vomiting. Polyuria may occur at therapeutic levels;
bradycardia is not a typical toxicity sign.
Question 2
Type: Multiple Choice
A nurse is preparing to initiate IV fluids via infusion pump. Which of the following actions should the
nurse take first?
A. Obtain a surge protector that can accommodate the pump and several other appliances
B. Verify that the extension cord for the pump is ungrounded
C. Report the pump has a frayed cord and proceed with the infusion
D. Check the expiration date on the safety inspection sticker of the pump
Correct Answer: D
Rationale: Before using any electrical medical equipment, the nurse should confirm that the device has
a current safety inspection sticker. Using an uninspected pump could pose electrical and patient-safety
hazards.
Question 3
Type: Multiple Choice
A nurse is caring for a client who has a new prescription for warfarin. Which of the following foods
should the nurse instruct the client to limit?
A. Bananas
B. Spinach
C. Milk
D. Rice
Correct Answer: B
3
, ATI RN Comprehensive Predictor 2026 Exit Exam | 180 Questions with Verified Answers & Rationales
Rationale: Spinach is high in vitamin K, which counteracts the anticoagulant effect of warfarin. Clients
on warfarin should maintain a consistent vitamin K intake and limit foods rich in it.
Question 4
Type: Multiple Choice
A nurse is administering medications to a client who has heart failure. Which of the following findings
requires the nurse to withhold digoxin and notify the provider?
A. Apical pulse of 58/min
B. Serum potassium of 3.2 mEq/L
C. Blood pressure of 110/70 mmHg
D. Serum digoxin level of 1.0 ng/mL
Correct Answer: B
Rationale: Hypokalemia (K+ < 3.5 mEq/L) increases the risk of digoxin toxicity. The nurse should
withhold digoxin, notify the provider, and anticipate potassium replacement.
Question 5
Type: Multiple Choice
A nurse is caring for a client who has been receiving heparin therapy. The client's aPTT is 120
seconds. Which of the following actions should the nurse take?
A. Administer protamine sulfate
B. Increase the heparin infusion rate
C. Decrease the heparin infusion rate
D. Administer vitamin K
Correct Answer: C
Rationale: The therapeutic aPTT range for heparin is 60–100 seconds (1.5–2.5 times normal). An
aPTT of 120 seconds indicates supratherapeutic anticoagulation; the nurse should decrease the
infusion rate per protocol.
Question 6
Type: Multiple Choice
A nurse is assessing a client who has COPD. Which of the following findings should the nurse expect?
A. Barrel chest
B. Decreased anteroposterior diameter
C. Hyperventilation with respiratory alkalosis
D. Pink, frothy sputum
Correct Answer: A
Rationale: Chronic air trapping in COPD leads to lung hyperinflation, resulting in a barrel chest
(increased anteroposterior diameter). Pink frothy sputum is associated with pulmonary edema.
Question 7
Type: Multiple Response (SATA)
A nurse is caring for a client who has a chest tube connected to a water-seal drainage system. Which
of the following findings indicate the system is functioning correctly? (Select all that apply)
4
