ATI RN Comprehensive Predictor 2026/2027 Actual Exam –
Complete Exam-Style Questions with Detailed Rationales | 100%
Verified – Pass Guaranteed – A+ Graded
Time Allotment: 90 Minutes
Total Questions: 55 (Multiple-Choice and Select-All-That-Apply)
Instructions
This examination assesses readiness for the NCLEX-RN and covers the integrated
nursing domains: Fundamentals and Pharmacology, Adult Medical-Surgical,
Maternal/Newborn and Pediatric, Mental Health and Community, and
Leadership/Management. Select the best answer for each multiple-choice question. For
Select-All-That-Apply (SATA) questions, choose all options that apply. No partial credit is
awarded for SATA items.
Section 1: Fundamentals, Pharmacology, and Safety
Question 1
A nurse on a busy medical-surgical unit is caring for four patients. The charge nurse
must determine which patient requires immediate assessment. Which patient should
the nurse see FIRST?
,A. A 68-year-old 2 hours post-op hip replacement with a 2 cm serosanguineous stain on
the dressing
B. A 55-year-old with heart failure whose 0900 furosemide was withheld due to a blood
pressure of 98/62 mmHg
C. A 42-year-old with a new ileostomy reporting moderate abdominal pain rated 6/10
D. A 79-year-old with pneumonia whose SpO2 is 88% on 2 L nasal cannula and is newly
confused
Correct Answer: D
Rationale: New-onset confusion accompanied by hypoxemia indicates acute cerebral
hypoxia and potential respiratory failure. The ABCs (airway, breathing, circulation)
always take precedence. The other options describe stable or expected postoperative
findings that require monitoring but not immediate intervention.
Question 2 (SATA)
A nurse is caring for a patient with confirmed Clostridioides difficile infection. Which
actions by the nurse are appropriate? (Select all that apply.)
A. Placing the patient in a private room with the door closed
B. Wearing an N95 respirator when entering the room
C. Performing hand hygiene with soap and water after removing gloves
D. Using a dedicated disposable stethoscope for this patient
E. Wearing a yellow gown and gloves for all contact with the patient or environment
,Correct Answer: A, C, D, E
Rationale: C. difficile is transmitted via the fecal-oral route and requires contact
precautions. Soap and water are superior to alcohol-based hand sanitizer for removing
spores. An N95 respirator (B) is required for airborne pathogens (e.g., tuberculosis,
measles, varicella), not for contact precautions.
Question 3
A nurse is delegating medication administration to a licensed practical nurse (LPN).
Which medication is MOST APPROPRIATE for the LPN to administer?
A. A sliding-scale insulin dose based on the patient's current blood glucose
B. A one-time dose of IV push adenosine for supraventricular tachycardia
C. A blood transfusion of packed red blood cells to a patient with a history of
transfusion reaction
D. An oral dose of a newly prescribed antiepileptic drug to a patient with a new seizure
disorder
Correct Answer: A
Rationale: LPNs may administer medications, including insulin, to stable patients using
established protocols. IV push adenosine (B) requires advanced cardiac assessment.
Blood transfusion with a history of reaction (C) requires RN-level monitoring. New
antiepileptic medications (D) require initial patient assessment and teaching, which are
within the RN scope.
Question 4
, A patient is receiving digoxin 0.125 mg daily. The morning laboratory results are:
potassium 3.1 mEq/L, magnesium 1.4 mg/dL, creatinine 1.3 mg/dL, digoxin level 1.2
ng/mL. Which action should the nurse take FIRST?
A. Administer the scheduled digoxin dose as ordered
B. Hold the digoxin and notify the provider of the hypokalemia
C. Administer the digoxin and obtain a stat 12-lead ECG
D. Hold the digoxin and administer a potassium supplement per protocol
Correct Answer: B
Rationale: Hypokalemia increases myocardial sensitivity to digoxin and predisposes the
patient to toxicity, even when the digoxin level is within the therapeutic range. The nurse
must hold the dose and notify the provider. Administering potassium supplements (D)
requires a provider order.
Question 5 (SATA)
A nurse is caring for a patient at high risk for falls. Which interventions are appropriate
for this patient? (Select all that apply.)
A. Keeping the bed in the lowest position with brakes locked
B. Placing the call light within the patient's reach
C. Using a Posey vest restraint when the patient is agitated
D. Keeping the floor clear of clutter and spills
E. Ensuring non-skid footwear is available and used
Complete Exam-Style Questions with Detailed Rationales | 100%
Verified – Pass Guaranteed – A+ Graded
Time Allotment: 90 Minutes
Total Questions: 55 (Multiple-Choice and Select-All-That-Apply)
Instructions
This examination assesses readiness for the NCLEX-RN and covers the integrated
nursing domains: Fundamentals and Pharmacology, Adult Medical-Surgical,
Maternal/Newborn and Pediatric, Mental Health and Community, and
Leadership/Management. Select the best answer for each multiple-choice question. For
Select-All-That-Apply (SATA) questions, choose all options that apply. No partial credit is
awarded for SATA items.
Section 1: Fundamentals, Pharmacology, and Safety
Question 1
A nurse on a busy medical-surgical unit is caring for four patients. The charge nurse
must determine which patient requires immediate assessment. Which patient should
the nurse see FIRST?
,A. A 68-year-old 2 hours post-op hip replacement with a 2 cm serosanguineous stain on
the dressing
B. A 55-year-old with heart failure whose 0900 furosemide was withheld due to a blood
pressure of 98/62 mmHg
C. A 42-year-old with a new ileostomy reporting moderate abdominal pain rated 6/10
D. A 79-year-old with pneumonia whose SpO2 is 88% on 2 L nasal cannula and is newly
confused
Correct Answer: D
Rationale: New-onset confusion accompanied by hypoxemia indicates acute cerebral
hypoxia and potential respiratory failure. The ABCs (airway, breathing, circulation)
always take precedence. The other options describe stable or expected postoperative
findings that require monitoring but not immediate intervention.
Question 2 (SATA)
A nurse is caring for a patient with confirmed Clostridioides difficile infection. Which
actions by the nurse are appropriate? (Select all that apply.)
A. Placing the patient in a private room with the door closed
B. Wearing an N95 respirator when entering the room
C. Performing hand hygiene with soap and water after removing gloves
D. Using a dedicated disposable stethoscope for this patient
E. Wearing a yellow gown and gloves for all contact with the patient or environment
,Correct Answer: A, C, D, E
Rationale: C. difficile is transmitted via the fecal-oral route and requires contact
precautions. Soap and water are superior to alcohol-based hand sanitizer for removing
spores. An N95 respirator (B) is required for airborne pathogens (e.g., tuberculosis,
measles, varicella), not for contact precautions.
Question 3
A nurse is delegating medication administration to a licensed practical nurse (LPN).
Which medication is MOST APPROPRIATE for the LPN to administer?
A. A sliding-scale insulin dose based on the patient's current blood glucose
B. A one-time dose of IV push adenosine for supraventricular tachycardia
C. A blood transfusion of packed red blood cells to a patient with a history of
transfusion reaction
D. An oral dose of a newly prescribed antiepileptic drug to a patient with a new seizure
disorder
Correct Answer: A
Rationale: LPNs may administer medications, including insulin, to stable patients using
established protocols. IV push adenosine (B) requires advanced cardiac assessment.
Blood transfusion with a history of reaction (C) requires RN-level monitoring. New
antiepileptic medications (D) require initial patient assessment and teaching, which are
within the RN scope.
Question 4
, A patient is receiving digoxin 0.125 mg daily. The morning laboratory results are:
potassium 3.1 mEq/L, magnesium 1.4 mg/dL, creatinine 1.3 mg/dL, digoxin level 1.2
ng/mL. Which action should the nurse take FIRST?
A. Administer the scheduled digoxin dose as ordered
B. Hold the digoxin and notify the provider of the hypokalemia
C. Administer the digoxin and obtain a stat 12-lead ECG
D. Hold the digoxin and administer a potassium supplement per protocol
Correct Answer: B
Rationale: Hypokalemia increases myocardial sensitivity to digoxin and predisposes the
patient to toxicity, even when the digoxin level is within the therapeutic range. The nurse
must hold the dose and notify the provider. Administering potassium supplements (D)
requires a provider order.
Question 5 (SATA)
A nurse is caring for a patient at high risk for falls. Which interventions are appropriate
for this patient? (Select all that apply.)
A. Keeping the bed in the lowest position with brakes locked
B. Placing the call light within the patient's reach
C. Using a Posey vest restraint when the patient is agitated
D. Keeping the floor clear of clutter and spills
E. Ensuring non-skid footwear is available and used
