2026 ATI RN
COMPREHENSIVE PREDICTOR
500+ QUESTIONS BANK
(NGN-STYLE QUESTIONS & CASE SCENARIOS)
Answers with detailed Rationale
What You’ll Get:
• 500+ questions
• quick review
• Printable, easy-to-study PDF
Not affiliated with ATI, VATI or NCLEX. For study purposes only.
,Table of Contents
QUESTIONS BANK (SECTION) ............................................. 2
NCLEX NGN-STYLE QUESTIONS ...................................... 237
QUESTIONS BANK (SECTION)
1. A nurse in an outpatient clinic is assessing a client who is pregnant for unsafe
behaviors during pregnancy. Which of the following findings indicates a need for
further evaluation?
A. The client started working in a parking garage 3 months ago
B. The client reports eating pasteurized feta cheese twice this week
C. The client has been swimming laps at a community pool daily
D. The client states she takes a prenatal vitamin every morning
Correct Answer: A
Rationale: Working in a parking garage exposes the client to carbon monoxide from
vehicle exhaust, which crosses the placenta and reduces oxygen delivery to the fetus.
This requires immediate occupational counseling and possible work restriction.
Pasteurized cheese (B), swimming (C), and prenatal vitamins (D) are safe, expected
maternal behaviors and do not require intervention.
2. A nurse is preparing to perform a heel stick on an infant. Which of the following
actions should the nurse plan to take to reduce the infant's pain during the
procedure?
A. Apply a topical anesthetic 30 minutes before the stick
B. Promote skin-to-skin contact with the infant's guardian during the procedure
C. Give the infant a pacifier dipped in sucrose immediately after the stick
,D. Perform the procedure while the infant is in a supine, unswaddled position
Correct Answer: B
Rationale: Skin-to-skin contact (kangaroo care) during minor painful procedures is an
evidence-based, non-pharmacological intervention that reduces pain scores through
maternal regulation of the infant's autonomic nervous system. Topical anesthetic (A) is
impractical for a routine heel stick, sucrose (C) is most effective when given 1–2
minutes before the procedure, and leaving the infant unswaddled (D) increases distress.
3. A nurse is caring for a client who has lung cancer and has a sealed radiation
implant. Which of the following actions should the nurse take? (Select all that
apply.)
A. Wear a lead apron when providing care
B. Close the door to the client's room
C. Allow pregnant visitors to remain at the bedside for up to 2 hours
D. Limit visitors to 30 min per visit
Correct Answer: A, B, D
Rationale: A sealed implant (brachytherapy) emits radiation to a localized area; time,
distance, and shielding principles apply. A lead apron (A) protects the nurse, closing the
door (B) limits radiation exposure to others in the hallway, and limiting visitor time (D)
reduces their cumulative dose. Pregnant individuals and children should not visit (C is
incorrect) because the fetus and pediatric tissues are highly radiosensitive.
4. A nurse in a surgical clinic is providing teaching to a client who is scheduled
for a modified radical mastectomy. Which of the following statements by the
client indicates an understanding of the teaching?
A. "I will complete my arm exercises four times a day starting the morning after surgery."
B. "I will have my blood pressure taken in my affected arm at my follow-up visit."
C. "I will lift objects heavier than 10 lb as soon as I get home."
D. "I will keep my arm positioned below my heart level while I am in bed."
Correct Answer: A
, Rationale: Early, frequent range-of-motion exercises on the affected side prevent
lymphedema and axillary web syndrome after mastectomy with lymph node dissection.
Blood pressure (B), IVs, and venipuncture should be avoided in the affected arm to
prevent lymphedema. Lifting restrictions (C) are required for several weeks, and the arm
should be elevated (D), not dependent, to promote lymphatic drainage.
5. A nurse in an emergency department is triaging clients following an external
natural disaster. Which of the following clients should the nurse identify to
receive care first?
A. A client who has an open fracture of the left tibia with a distal pulse present
B. A client who has a 4-inch laceration on the forearm that is bleeding steadily
C. A client who reports abdominal pain rated 6/10 and is walking independently
D. A client who has flail chest and a respiratory rate of 32/min
Correct Answer: D
Rationale: In disaster triage, the nurse prioritizes life-threatening airway, breathing, and
circulation (ABC) problems. Flail chest with tachypnea (32/min) signals impending
respiratory failure from paradoxical chest movement and pulmonary contusion. This
client needs immediate airway support. The other clients have serious but non-
immediately-lethal injuries and can be triaged as delayed (B, C) or urgent (A).
6. A nurse is reviewing laboratory findings for a client who is to receive a dose of
enoxaparin. For which of the following laboratory values should the nurse
withhold the dose and notify the provider?
A. aPTT 35 seconds (control 30–40 seconds)
B. INR 1.1 (therapeutic range 2.0–3.0)
C. Hemoglobin 11.2 g/dL (12–16 g/dL)
D. Platelets 80,000/mm³ (150,000–400,000/mm³)
Correct Answer: D
Rationale: Enoxaparin is a low-molecular-weight heparin (LMWH). Although routine
aPTT monitoring is not required, platelet counts must be monitored because LMWH can
trigger heparin-induced thrombocytopenia (HIT). A platelet count of 80,000/mm³
represents moderate thrombocytopenia and warrants withholding the dose and notifying
COMPREHENSIVE PREDICTOR
500+ QUESTIONS BANK
(NGN-STYLE QUESTIONS & CASE SCENARIOS)
Answers with detailed Rationale
What You’ll Get:
• 500+ questions
• quick review
• Printable, easy-to-study PDF
Not affiliated with ATI, VATI or NCLEX. For study purposes only.
,Table of Contents
QUESTIONS BANK (SECTION) ............................................. 2
NCLEX NGN-STYLE QUESTIONS ...................................... 237
QUESTIONS BANK (SECTION)
1. A nurse in an outpatient clinic is assessing a client who is pregnant for unsafe
behaviors during pregnancy. Which of the following findings indicates a need for
further evaluation?
A. The client started working in a parking garage 3 months ago
B. The client reports eating pasteurized feta cheese twice this week
C. The client has been swimming laps at a community pool daily
D. The client states she takes a prenatal vitamin every morning
Correct Answer: A
Rationale: Working in a parking garage exposes the client to carbon monoxide from
vehicle exhaust, which crosses the placenta and reduces oxygen delivery to the fetus.
This requires immediate occupational counseling and possible work restriction.
Pasteurized cheese (B), swimming (C), and prenatal vitamins (D) are safe, expected
maternal behaviors and do not require intervention.
2. A nurse is preparing to perform a heel stick on an infant. Which of the following
actions should the nurse plan to take to reduce the infant's pain during the
procedure?
A. Apply a topical anesthetic 30 minutes before the stick
B. Promote skin-to-skin contact with the infant's guardian during the procedure
C. Give the infant a pacifier dipped in sucrose immediately after the stick
,D. Perform the procedure while the infant is in a supine, unswaddled position
Correct Answer: B
Rationale: Skin-to-skin contact (kangaroo care) during minor painful procedures is an
evidence-based, non-pharmacological intervention that reduces pain scores through
maternal regulation of the infant's autonomic nervous system. Topical anesthetic (A) is
impractical for a routine heel stick, sucrose (C) is most effective when given 1–2
minutes before the procedure, and leaving the infant unswaddled (D) increases distress.
3. A nurse is caring for a client who has lung cancer and has a sealed radiation
implant. Which of the following actions should the nurse take? (Select all that
apply.)
A. Wear a lead apron when providing care
B. Close the door to the client's room
C. Allow pregnant visitors to remain at the bedside for up to 2 hours
D. Limit visitors to 30 min per visit
Correct Answer: A, B, D
Rationale: A sealed implant (brachytherapy) emits radiation to a localized area; time,
distance, and shielding principles apply. A lead apron (A) protects the nurse, closing the
door (B) limits radiation exposure to others in the hallway, and limiting visitor time (D)
reduces their cumulative dose. Pregnant individuals and children should not visit (C is
incorrect) because the fetus and pediatric tissues are highly radiosensitive.
4. A nurse in a surgical clinic is providing teaching to a client who is scheduled
for a modified radical mastectomy. Which of the following statements by the
client indicates an understanding of the teaching?
A. "I will complete my arm exercises four times a day starting the morning after surgery."
B. "I will have my blood pressure taken in my affected arm at my follow-up visit."
C. "I will lift objects heavier than 10 lb as soon as I get home."
D. "I will keep my arm positioned below my heart level while I am in bed."
Correct Answer: A
, Rationale: Early, frequent range-of-motion exercises on the affected side prevent
lymphedema and axillary web syndrome after mastectomy with lymph node dissection.
Blood pressure (B), IVs, and venipuncture should be avoided in the affected arm to
prevent lymphedema. Lifting restrictions (C) are required for several weeks, and the arm
should be elevated (D), not dependent, to promote lymphatic drainage.
5. A nurse in an emergency department is triaging clients following an external
natural disaster. Which of the following clients should the nurse identify to
receive care first?
A. A client who has an open fracture of the left tibia with a distal pulse present
B. A client who has a 4-inch laceration on the forearm that is bleeding steadily
C. A client who reports abdominal pain rated 6/10 and is walking independently
D. A client who has flail chest and a respiratory rate of 32/min
Correct Answer: D
Rationale: In disaster triage, the nurse prioritizes life-threatening airway, breathing, and
circulation (ABC) problems. Flail chest with tachypnea (32/min) signals impending
respiratory failure from paradoxical chest movement and pulmonary contusion. This
client needs immediate airway support. The other clients have serious but non-
immediately-lethal injuries and can be triaged as delayed (B, C) or urgent (A).
6. A nurse is reviewing laboratory findings for a client who is to receive a dose of
enoxaparin. For which of the following laboratory values should the nurse
withhold the dose and notify the provider?
A. aPTT 35 seconds (control 30–40 seconds)
B. INR 1.1 (therapeutic range 2.0–3.0)
C. Hemoglobin 11.2 g/dL (12–16 g/dL)
D. Platelets 80,000/mm³ (150,000–400,000/mm³)
Correct Answer: D
Rationale: Enoxaparin is a low-molecular-weight heparin (LMWH). Although routine
aPTT monitoring is not required, platelet counts must be monitored because LMWH can
trigger heparin-induced thrombocytopenia (HIT). A platelet count of 80,000/mm³
represents moderate thrombocytopenia and warrants withholding the dose and notifying
