Virtual ATI Green Light Comprehensive
Predictor 2026 Test Bank Questions and
Answers | 300+ Practice Exam with Detailed
Rationales, NCLEX RN Predictor Review &
ATI Success Prep Guide
• This 300-question practice exam mirrors the ATI Green Light Comprehensive
Predictor format, featuring bold questions, five vertically spaced answer options (A–
E), bold correct answers with checkmark indicators, and italic EXPERT RATIONALE
to reinforce clinical reasoning.
• Study by attempting each question independently before reviewing the correct
answer and EXPERT RATIONALE; focus extra time on any topic area where you
miss two or more consecutive questions.
1. A nurse is caring for a client who has heart failure and is receiving IV
furosemide. Which assessment finding requires immediate intervention?
A. Urine output of 150 mL/hr
B. Blood pressure of 118/76 mmHg
C. Serum potassium of 2.9 mEq/L
D. Weight loss of 1 kg since yesterday
E. Mild ankle edema bilaterally
✔ C. Serum potassium of 2.9 mEq/L
Furosemide is a loop diuretic that causes potassium wasting. A serum potassium below
3.5 mEq/L indicates hypokalemia, which can precipitate life-threatening dysrhythmias,
especially in clients with heart failure who may also be on digoxin.
2. A nurse is assessing a client who is 12 hours postoperative following
abdominal surgery. Which finding is the priority concern?
A. Incision site with mild redness at edges
,B. Pain rated 5/10 at the surgical site
C. Absent bowel sounds in all four quadrants
D. Blood pressure of 88/52 mmHg and heart rate of 118/min
E. Urinary output of 40 mL over the past hour
✔ D. Blood pressure of 88/52 mmHg and heart rate of 118/min
Hypotension combined with tachycardia in the postoperative period indicates
hypovolemic shock, which is an immediate life-threatening emergency requiring rapid
intervention. Using the ABCs and Maslow's hierarchy, circulatory compromise is always
the priority.
3. A nurse is teaching a client who has a new prescription for warfarin. Which
statement by the client indicates understanding?
A. "I will take aspirin if I have a headache."
B. "I can eat as much spinach as I want."
C. "I will report any unusual bruising or bleeding to my provider."
D. "I only need blood tests every six months."
E. "I should stop taking warfarin if I miss a dose."
✔ C. "I will report any unusual bruising or bleeding to my provider."
Warfarin is an anticoagulant that increases bleeding risk. Clients must report signs of
bleeding immediately. Aspirin increases bleeding risk and should be avoided. Vitamin K-
rich foods like spinach can reduce warfarin's effectiveness and should be kept
consistent. INR monitoring is required more frequently than every six months.
4. A nurse is caring for a client in active labor whose fetal heart rate tracing
shows late decelerations. What is the nurse's first action?
A. Prepare for immediate cesarean delivery
,B. Administer oxygen via face mask at 8–10 L/min
C. Increase the rate of oxytocin infusion
D. Reposition the client to the left lateral position
E. Notify the healthcare provider
✔ D. Reposition the client to the left lateral position
Late decelerations indicate uteroplacental insufficiency. The first nursing action is to
reposition the client to the left lateral position to relieve aortic and vena caval
compression, improving placental perfusion. Oxygen and notifying the provider follow
repositioning.
5. A nurse is preparing to administer digoxin to a client. Which assessment
finding requires the nurse to hold the medication and notify the provider?
A. Blood pressure 130/82 mmHg
B. Apical pulse of 56 beats/min
C. Serum sodium of 138 mEq/L
D. Respiratory rate of 16/min
E. Weight gain of 0.5 kg in 24 hours
✔ B. Apical pulse of 56 beats/min
Digoxin is held when the apical pulse is below 60 beats/min in adults, as the drug slows
conduction through the AV node and can cause severe bradycardia or heart block. The
provider must be notified before administration.
6. A nurse is caring for a client who has been admitted with diabetic
ketoacidosis (DKA). Which laboratory finding is expected?
A. pH of 7.46
B. Serum bicarbonate of 22 mEq/L
, C. Blood glucose of 62 mg/dL
D. Serum potassium of 5.8 mEq/L initially
E. PaCO2 of 50 mmHg
✔ D. Serum potassium of 5.8 mEq/L initially
In DKA, acidosis drives potassium out of cells into the extracellular fluid, causing an
initially elevated serum potassium. As insulin therapy is initiated and acidosis corrects,
potassium shifts back into cells, often causing dangerous hypokalemia. DKA also
presents with low pH, low bicarbonate, and hyperglycemia.
7. A nurse is assessing a newborn at 1 minute after birth. The newborn has a
heart rate of 96/min, slow and irregular respiratory effort, some flexion of
extremities, grimace in response to stimulation, and a pink body with blue
extremities. What is the Apgar score?
A. 5
B. 6
C. 7
D. 4
E. 8
✔ B. 6
Apgar scoring: Heart rate below 100 = 1; slow irregular respirations = 1; some flexion =
1; grimace = 1; pink body/blue extremities (acrocyanosis) = 1. Total = 6. A score of 6
indicates moderate need for resuscitative measures.
8. A nurse is caring for a client who has chronic kidney disease. Which dietary
instruction is most appropriate?
A. Increase potassium intake to 4,000 mg/day
B. Encourage high-protein foods at every meal
Predictor 2026 Test Bank Questions and
Answers | 300+ Practice Exam with Detailed
Rationales, NCLEX RN Predictor Review &
ATI Success Prep Guide
• This 300-question practice exam mirrors the ATI Green Light Comprehensive
Predictor format, featuring bold questions, five vertically spaced answer options (A–
E), bold correct answers with checkmark indicators, and italic EXPERT RATIONALE
to reinforce clinical reasoning.
• Study by attempting each question independently before reviewing the correct
answer and EXPERT RATIONALE; focus extra time on any topic area where you
miss two or more consecutive questions.
1. A nurse is caring for a client who has heart failure and is receiving IV
furosemide. Which assessment finding requires immediate intervention?
A. Urine output of 150 mL/hr
B. Blood pressure of 118/76 mmHg
C. Serum potassium of 2.9 mEq/L
D. Weight loss of 1 kg since yesterday
E. Mild ankle edema bilaterally
✔ C. Serum potassium of 2.9 mEq/L
Furosemide is a loop diuretic that causes potassium wasting. A serum potassium below
3.5 mEq/L indicates hypokalemia, which can precipitate life-threatening dysrhythmias,
especially in clients with heart failure who may also be on digoxin.
2. A nurse is assessing a client who is 12 hours postoperative following
abdominal surgery. Which finding is the priority concern?
A. Incision site with mild redness at edges
,B. Pain rated 5/10 at the surgical site
C. Absent bowel sounds in all four quadrants
D. Blood pressure of 88/52 mmHg and heart rate of 118/min
E. Urinary output of 40 mL over the past hour
✔ D. Blood pressure of 88/52 mmHg and heart rate of 118/min
Hypotension combined with tachycardia in the postoperative period indicates
hypovolemic shock, which is an immediate life-threatening emergency requiring rapid
intervention. Using the ABCs and Maslow's hierarchy, circulatory compromise is always
the priority.
3. A nurse is teaching a client who has a new prescription for warfarin. Which
statement by the client indicates understanding?
A. "I will take aspirin if I have a headache."
B. "I can eat as much spinach as I want."
C. "I will report any unusual bruising or bleeding to my provider."
D. "I only need blood tests every six months."
E. "I should stop taking warfarin if I miss a dose."
✔ C. "I will report any unusual bruising or bleeding to my provider."
Warfarin is an anticoagulant that increases bleeding risk. Clients must report signs of
bleeding immediately. Aspirin increases bleeding risk and should be avoided. Vitamin K-
rich foods like spinach can reduce warfarin's effectiveness and should be kept
consistent. INR monitoring is required more frequently than every six months.
4. A nurse is caring for a client in active labor whose fetal heart rate tracing
shows late decelerations. What is the nurse's first action?
A. Prepare for immediate cesarean delivery
,B. Administer oxygen via face mask at 8–10 L/min
C. Increase the rate of oxytocin infusion
D. Reposition the client to the left lateral position
E. Notify the healthcare provider
✔ D. Reposition the client to the left lateral position
Late decelerations indicate uteroplacental insufficiency. The first nursing action is to
reposition the client to the left lateral position to relieve aortic and vena caval
compression, improving placental perfusion. Oxygen and notifying the provider follow
repositioning.
5. A nurse is preparing to administer digoxin to a client. Which assessment
finding requires the nurse to hold the medication and notify the provider?
A. Blood pressure 130/82 mmHg
B. Apical pulse of 56 beats/min
C. Serum sodium of 138 mEq/L
D. Respiratory rate of 16/min
E. Weight gain of 0.5 kg in 24 hours
✔ B. Apical pulse of 56 beats/min
Digoxin is held when the apical pulse is below 60 beats/min in adults, as the drug slows
conduction through the AV node and can cause severe bradycardia or heart block. The
provider must be notified before administration.
6. A nurse is caring for a client who has been admitted with diabetic
ketoacidosis (DKA). Which laboratory finding is expected?
A. pH of 7.46
B. Serum bicarbonate of 22 mEq/L
, C. Blood glucose of 62 mg/dL
D. Serum potassium of 5.8 mEq/L initially
E. PaCO2 of 50 mmHg
✔ D. Serum potassium of 5.8 mEq/L initially
In DKA, acidosis drives potassium out of cells into the extracellular fluid, causing an
initially elevated serum potassium. As insulin therapy is initiated and acidosis corrects,
potassium shifts back into cells, often causing dangerous hypokalemia. DKA also
presents with low pH, low bicarbonate, and hyperglycemia.
7. A nurse is assessing a newborn at 1 minute after birth. The newborn has a
heart rate of 96/min, slow and irregular respiratory effort, some flexion of
extremities, grimace in response to stimulation, and a pink body with blue
extremities. What is the Apgar score?
A. 5
B. 6
C. 7
D. 4
E. 8
✔ B. 6
Apgar scoring: Heart rate below 100 = 1; slow irregular respirations = 1; some flexion =
1; grimace = 1; pink body/blue extremities (acrocyanosis) = 1. Total = 6. A score of 6
indicates moderate need for resuscitative measures.
8. A nurse is caring for a client who has chronic kidney disease. Which dietary
instruction is most appropriate?
A. Increase potassium intake to 4,000 mg/day
B. Encourage high-protein foods at every meal
