ATI RN
COMPREHENSIVE
PREDICTOR EXAMS
2026: 4 VERSIONS (180
Q EACH) – COMPLETE
NGN PRACTICE
QUESTIONS & STUDY
GUIDE LATEST EXAM
, UPDATE THIS YEAR
STUDY GUIDE
Exam Overview
The ATI RN Comprehensive Predictor is a 180-item fixed-length test designed to evaluate
readiness for the NCLEX-RN and guide remediation efforts . The 2026 exams feature Next
Generation NCLEX (NGN) items, including unfolding case studies, bow-tie questions, and
matrix-style multiple-choice questions.
Exam Structure at a Glance:
Aspect Detail
Versions 4 (Versions A, B, C, and Retake)
Questions per 180
Version
Time Allotted 3 hours
Format NGN: Multiple-choice, SATA, Ordered Response, Bow-tie, Matrix,
Highlighting, Drag-and-Drop
Content Management of Care (20%), Pharmacology (18%), Physiological
Categories Adaptation (14%), Safety/Infection Control (12%), Health Promotion
(9%), Psychosocial Integrity (9%), Basic Care (6%), Risk Reduction
(12%)
, Version A: Core Clinical Judgment & NGN Case Studies (Questions 1-180)
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
Rationale: Lyme disease is a reportable communicable disease. The nurse must ensure
proper notification to public health authorities. Antitoxin is not used; antibiotics are. Skin
necrosis is not characteristic; erythema migrans is the classic rash .
2. A nurse is caring for a client who has been admitted to the hospital. (NGN - Select
5 actions the nurse should take)
A) Provide frequent rest periods
B) Restrict client sodium intake
C) Advise client to avoid using soap and alcohol-based lotions
D) Encourage fluid intake
E) Monitor for signs of infection
F) Assess vital signs every 4 hours
Correct Answers: A, C, E, F, and D
, Rationale: Frequent rest periods conserve energy; avoiding soap/alcohol lotions prevents
skin dryness and breakdown; monitoring for infection and vital signs ensures early detection
of complications; fluid intake prevents dehydration .
3. A nurse is providing discharge teaching for a client who has an implantable
cardioverter defibrillator. Which of the following statements demonstrates
understanding of the teaching?
A) "I will soak in the tub rather than showering"
B) "I will wear loose clothing around my ICD"
C) "I will stop using my microwave oven at home because of my ICD"
D) "I can hold my cellphone on the same side of my body as the ICD"
Rationale: Loose clothing prevents irritation over the ICD site. Tub soaking is not
recommended; microwave ovens do not interfere with ICDs; cellphones should be held on
the opposite side .
4. A nurse is assessing a newborn who has a blood glucose level of 30 mg/dL. Which
of the following manifestations should the nurse expect?
A) Loose stools
B) Jitteriness
C) Hypertonia
D) Abdominal distention
COMPREHENSIVE
PREDICTOR EXAMS
2026: 4 VERSIONS (180
Q EACH) – COMPLETE
NGN PRACTICE
QUESTIONS & STUDY
GUIDE LATEST EXAM
, UPDATE THIS YEAR
STUDY GUIDE
Exam Overview
The ATI RN Comprehensive Predictor is a 180-item fixed-length test designed to evaluate
readiness for the NCLEX-RN and guide remediation efforts . The 2026 exams feature Next
Generation NCLEX (NGN) items, including unfolding case studies, bow-tie questions, and
matrix-style multiple-choice questions.
Exam Structure at a Glance:
Aspect Detail
Versions 4 (Versions A, B, C, and Retake)
Questions per 180
Version
Time Allotted 3 hours
Format NGN: Multiple-choice, SATA, Ordered Response, Bow-tie, Matrix,
Highlighting, Drag-and-Drop
Content Management of Care (20%), Pharmacology (18%), Physiological
Categories Adaptation (14%), Safety/Infection Control (12%), Health Promotion
(9%), Psychosocial Integrity (9%), Basic Care (6%), Risk Reduction
(12%)
, Version A: Core Clinical Judgment & NGN Case Studies (Questions 1-180)
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
Rationale: Lyme disease is a reportable communicable disease. The nurse must ensure
proper notification to public health authorities. Antitoxin is not used; antibiotics are. Skin
necrosis is not characteristic; erythema migrans is the classic rash .
2. A nurse is caring for a client who has been admitted to the hospital. (NGN - Select
5 actions the nurse should take)
A) Provide frequent rest periods
B) Restrict client sodium intake
C) Advise client to avoid using soap and alcohol-based lotions
D) Encourage fluid intake
E) Monitor for signs of infection
F) Assess vital signs every 4 hours
Correct Answers: A, C, E, F, and D
, Rationale: Frequent rest periods conserve energy; avoiding soap/alcohol lotions prevents
skin dryness and breakdown; monitoring for infection and vital signs ensures early detection
of complications; fluid intake prevents dehydration .
3. A nurse is providing discharge teaching for a client who has an implantable
cardioverter defibrillator. Which of the following statements demonstrates
understanding of the teaching?
A) "I will soak in the tub rather than showering"
B) "I will wear loose clothing around my ICD"
C) "I will stop using my microwave oven at home because of my ICD"
D) "I can hold my cellphone on the same side of my body as the ICD"
Rationale: Loose clothing prevents irritation over the ICD site. Tub soaking is not
recommended; microwave ovens do not interfere with ICDs; cellphones should be held on
the opposite side .
4. A nurse is assessing a newborn who has a blood glucose level of 30 mg/dL. Which
of the following manifestations should the nurse expect?
A) Loose stools
B) Jitteriness
C) Hypertonia
D) Abdominal distention
