2026 ATI RN
COMPREHENSIVE PREDICTOR
5 FULL SET EXAMS
(NGN-STYLE QUESTIONS & CASE SCENARIOS)
Answers with detailed Rationale
What You’ll Get:
• EACH SET HAS 180 questions
• quick review
• Printable, easy-to-study PDF
Not affiliated with ATI, VATI or NCLEX. For study purposes only.
, SET 1 EXAM.................................................................2
SET 2 EXAM...............................................................77
SET 3 EXAM.............................................................151
SET 4 EXAM.............................................................222
SET 5 EXAM.............................................................412
SET 1 EXAM
Question 1
A home health nurse is caring for a child who has Lyme disease. Which of the
following is an appropriate action for the nurse to take?
A. Ensure the state health department has been notified
B. Administer antitoxin
C. Educate the family to avoid sharing personal belongings
D. Assess for skin necrosis
Correct Answer: A
Rationale: Lyme disease is a reportable communicable disease in most states. The
nurse must ensure proper notification to public health authorities. Antitoxin is not used
for Lyme disease (antibiotics are). Skin necrosis is not a characteristic finding of Lyme
disease; erythema migrans is the classic rash.
Question 2
A nurse is caring for a client who has been admitted to the hospital. (NGN - Select
5 actions the nurse should take)
Select all that apply:
, [ ] Provide frequent rest periods
[ ] Restrict client sodium intake
[ ] Advise client to avoid using soap and alcohol-based lotions
[ ] Instruct the client to avoid blowing their nose forcefully
[ ] Assess the client's level of orientation
Correct Answers: All 5 options should be selected
Rationale: These interventions are appropriate for a client with potential increased
intracranial pressure or post-operative cranial surgery. Rest periods reduce metabolic
demands; sodium restriction prevents fluid retention; avoiding soap/alcohol prevents
skin irritation; avoiding nose blowing prevents increased ICP; assessing orientation
monitors neurological status.
Question 3
A nurse is caring for a client who has a vented NG tube set to low intermittent
suction and has vomited. Which of the following actions should the nurse
perform first?
A. Administer an antiemetic medication
B. Evaluate functioning of the suction device
C. Provide oral hygiene care
D. Replace the NG tube
Correct Answer: B
Rationale: According to the nursing process and priority-setting framework, the nurse
must first assess the equipment. If the suction device is not functioning properly, gastric
contents cannot drain, leading to vomiting. The nurse must check for kinks, proper
suction settings, and tube placement before implementing other interventions.
Question 4
While performing a routine assessment, a nurse notices fraying on the electrical
cord of a client's continuous passive motion (CPM) device. Which of the following
actions should the nurse take first?
A. Initiate a requisition for a replacement CPM device
B. Report the defect to the equipment maintenance staff
, C. Remove the device from the room
D. Ensure the device inspection sticker is current
Correct Answer: C
Rationale: Client safety is the priority. A frayed electrical cord poses an immediate fire
and electrocution hazard. The nurse must remove the device from the room immediately
to prevent harm, then follow up with reporting and replacement.
Question 5
A nurse is setting up a sterile field to perform wound irrigation for a client. Which
of the following actions should the nurse take when pouring the sterile solution?
A. Remove the cap and place it sterile-side up on a clean surface
B. Place sterile gauze over areas of spilled
C. Hold the bottle in the center of the sterile field when pouring the solution
D. Hold the irrigation solution bottle with the label facing away from the palm of the hand
Correct Answer: A
Rationale: When pouring sterile solutions, the cap should be removed and placed
sterile-side up to maintain sterility. The bottle should be held outside the sterile field to
prevent contamination. The label should face the palm to prevent solution from running
over the label.
Question 6
A nurse is creating a plan of care for a female client who has recurrent urinary
tract infections. Which of the following interventions should the nurse include in
the plan?
A. Wear loose-fitting underwear
B. Take a bubble bath after intercourse
C. Drink four 240-mL (8-oz) glasses of water each day
D. Void every 5-6 hr during the day
Correct Answer: A
Rationale: Loose-fitting cotton underwear promotes air circulation and reduces
moisture, creating a less favorable environment for bacterial growth. Bubble baths can
irritate the urethra; adequate fluid intake requires more than 4 glasses (approximately
COMPREHENSIVE PREDICTOR
5 FULL SET EXAMS
(NGN-STYLE QUESTIONS & CASE SCENARIOS)
Answers with detailed Rationale
What You’ll Get:
• EACH SET HAS 180 questions
• quick review
• Printable, easy-to-study PDF
Not affiliated with ATI, VATI or NCLEX. For study purposes only.
, SET 1 EXAM.................................................................2
SET 2 EXAM...............................................................77
SET 3 EXAM.............................................................151
SET 4 EXAM.............................................................222
SET 5 EXAM.............................................................412
SET 1 EXAM
Question 1
A home health nurse is caring for a child who has Lyme disease. Which of the
following is an appropriate action for the nurse to take?
A. Ensure the state health department has been notified
B. Administer antitoxin
C. Educate the family to avoid sharing personal belongings
D. Assess for skin necrosis
Correct Answer: A
Rationale: Lyme disease is a reportable communicable disease in most states. The
nurse must ensure proper notification to public health authorities. Antitoxin is not used
for Lyme disease (antibiotics are). Skin necrosis is not a characteristic finding of Lyme
disease; erythema migrans is the classic rash.
Question 2
A nurse is caring for a client who has been admitted to the hospital. (NGN - Select
5 actions the nurse should take)
Select all that apply:
, [ ] Provide frequent rest periods
[ ] Restrict client sodium intake
[ ] Advise client to avoid using soap and alcohol-based lotions
[ ] Instruct the client to avoid blowing their nose forcefully
[ ] Assess the client's level of orientation
Correct Answers: All 5 options should be selected
Rationale: These interventions are appropriate for a client with potential increased
intracranial pressure or post-operative cranial surgery. Rest periods reduce metabolic
demands; sodium restriction prevents fluid retention; avoiding soap/alcohol prevents
skin irritation; avoiding nose blowing prevents increased ICP; assessing orientation
monitors neurological status.
Question 3
A nurse is caring for a client who has a vented NG tube set to low intermittent
suction and has vomited. Which of the following actions should the nurse
perform first?
A. Administer an antiemetic medication
B. Evaluate functioning of the suction device
C. Provide oral hygiene care
D. Replace the NG tube
Correct Answer: B
Rationale: According to the nursing process and priority-setting framework, the nurse
must first assess the equipment. If the suction device is not functioning properly, gastric
contents cannot drain, leading to vomiting. The nurse must check for kinks, proper
suction settings, and tube placement before implementing other interventions.
Question 4
While performing a routine assessment, a nurse notices fraying on the electrical
cord of a client's continuous passive motion (CPM) device. Which of the following
actions should the nurse take first?
A. Initiate a requisition for a replacement CPM device
B. Report the defect to the equipment maintenance staff
, C. Remove the device from the room
D. Ensure the device inspection sticker is current
Correct Answer: C
Rationale: Client safety is the priority. A frayed electrical cord poses an immediate fire
and electrocution hazard. The nurse must remove the device from the room immediately
to prevent harm, then follow up with reporting and replacement.
Question 5
A nurse is setting up a sterile field to perform wound irrigation for a client. Which
of the following actions should the nurse take when pouring the sterile solution?
A. Remove the cap and place it sterile-side up on a clean surface
B. Place sterile gauze over areas of spilled
C. Hold the bottle in the center of the sterile field when pouring the solution
D. Hold the irrigation solution bottle with the label facing away from the palm of the hand
Correct Answer: A
Rationale: When pouring sterile solutions, the cap should be removed and placed
sterile-side up to maintain sterility. The bottle should be held outside the sterile field to
prevent contamination. The label should face the palm to prevent solution from running
over the label.
Question 6
A nurse is creating a plan of care for a female client who has recurrent urinary
tract infections. Which of the following interventions should the nurse include in
the plan?
A. Wear loose-fitting underwear
B. Take a bubble bath after intercourse
C. Drink four 240-mL (8-oz) glasses of water each day
D. Void every 5-6 hr during the day
Correct Answer: A
Rationale: Loose-fitting cotton underwear promotes air circulation and reduces
moisture, creating a less favorable environment for bacterial growth. Bubble baths can
irritate the urethra; adequate fluid intake requires more than 4 glasses (approximately
