classmerit.com — The Marketplace to Buy and Sell Study Materials
RN ATI Comprehensive Predictor 2026 Page 1
RN ATI Comprehensive
Predictor 2026
Comprehensive Practice Questions with Correct Answers & Rationales
Assessment Technologies Institute | NCLEX-RN Preparation
53 Questions | Correct Answers | Clinical Rationales | Source Images
This study guide contains practice questions from the RN ATI Comprehensive Predictor 2026 assessment. Each
question includes the original source image, all answer options, the correct answer, and a detailed clinical rationale to
support exam preparation and nursing competency. Questions are arranged in ascending order by question number.
Note: Some question stems may be partially visible due to the source screenshot format. Answers and rationales are based on established ATI
and NCLEX-RN standards.
, classmerit.com — The Marketplace to Buy and Sell Study Materials
RN ATI Comprehensive Predictor 2026 Page 2
Question 1 of 180
Source: ATI RN Comprehensive Predictor 2026
A nurse is performing high-frequency chest compressions using a mechanical chest compression device for a child
who has cystic fibrosis. Which of the following findings indicates the treatment has been effective?
A. The child develops a dry, hacking cough.
B. The child has increased nasal secretions.
C. The child has increased sputum production.
D. The child develops diminished breath sounds.
✔ CORRECT ANSWER
C. The child has increased sputum production.
RATIONALE
High-frequency chest compressions loosen and mobilize secretions in the airways. Increased sputum production
indicates the therapy is effectively clearing mucus from the lungs.
Question 2 of 180
, classmerit.com — The Marketplace to Buy and Sell Study Materials
RN ATI Comprehensive Predictor 2026 Page 3
Source: ATI RN Comprehensive Predictor 2026
A nurse in the emergency department is assessing a client who has status asthmaticus. The nurse should
expect which of the following findings?
A. Increase in peak expiratory rate flow
B. Epigastric pain
C. Distended neck veins
D. Bradycardia
✔ CORRECT ANSWER
C. Distended neck veins.
RATIONALE
Status asthmaticus causes severe air trapping and increased intrathoracic pressure, which impedes venous return and
results in distended neck veins. Peak flow decreases (not increases), and tachycardia (not bradycardia) is expected.
Question 5 of 180
, classmerit.com — The Marketplace to Buy and Sell Study Materials
RN ATI Comprehensive Predictor 2026 Page 4
Source: ATI RN Comprehensive Predictor 2026
A nurse in an emergency department is assessing a toddler who accidentally ingested lead. Which of the
following findings should the nurse expect?
A. Cognitive impairment
B. Coughing
C. Hemoptysis
D. Excessive drooling
✔ CORRECT ANSWER
A. Cognitive impairment.
RATIONALE
Lead poisoning in toddlers primarily causes neurotoxic effects including cognitive impairment,
developmental delays, and behavioral changes. The brain is especially vulnerable during early childhood.
Question 6 of 180
Want to earn $1,500
extra per year?
, classmerit.com — The Marketplace to Buy and Sell Study Materials
RN ATI Comprehensive Predictor 2026 Page 5
Source: ATI RN Comprehensive Predictor 2026
A nurse is providing an in-service about client evacuation during a fire. Which of the following clients should
the nurse evacuate first?
A. A client who is ambulatory and receiving oxygen.
B. A client who uses a wheelchair and is confused.
C. A client who is bedridden and wears a hearing aid.
D. A client who has a fracture and is in balance suspension traction.
✔ CORRECT ANSWER
D. A client who has a fracture and is in balance suspension traction.
RATIONALE
Using the RACE mnemonic, the client in balance suspension traction is the most difficult to move and is at greatest
risk — traction cannot be simply released. This client requires the most assistance and should be evacuated first to
ensure adequate help is available.
Question 15 of 180
, classmerit.com — The Marketplace to Buy and Sell Study Materials
RN ATI Comprehensive Predictor 2026 Page 6
Source: ATI RN Comprehensive Predictor 2026
A nurse on a mental health unit is planning room assignments for newly admitted clients. Which of the following
clients should the nurse place in a room near the nurses' station?
A. A client who has bipolar disorder and impaired social interactions.
B. A client who has a somatic symptom disorder and reports chronic pain.
C. A client who has a depressive disorder and reports feeling hopeless.
D. A client who has an anxiety disorder and is experiencing moderate anxiety.
✔ CORRECT ANSWER
C. A client who has a depressive disorder and reports feeling hopeless.
RATIONALE
A client who reports feeling hopeless is at high risk for suicide. Placing this client near the nurses' station allows for
closer observation and rapid intervention if needed.
Question 18 of 180
Want to earn $1,500
extra per year?
, classmerit.com — The Marketplace to Buy and Sell Study Materials
RN ATI Comprehensive Predictor 2026 Page 7
Source: ATI RN Comprehensive Predictor 2026
A nurse is teaching a client about bladder retraining for incontinence. Which of the following statements indicates
understanding of the teaching?
A. "Drink 8 ounces of citrus juice per day."
B. "Practice pelvic-floor exercises regularly."
C. "Wear a pair of disposable briefs at bedtime."
D. "Limit oral fluid intake to 1,000 milliliters per day."
✔ CORRECT ANSWER
B. "Practice pelvic-floor exercises regularly."
RATIONALE
Pelvic-floor (Kegel) exercises strengthen the muscles that control urination and are a cornerstone of bladder
retraining. Citrus juice irritates the bladder; disposable briefs promote dependency; restricting fluids to 1,000 mL is
inadequate and promotes UTIs.
Question 20 of 180
, classmerit.com — The Marketplace to Buy and Sell Study Materials
RN ATI Comprehensive Predictor 2026 Page 8
Source: ATI RN Comprehensive Predictor 2026
A nurse is preparing to administer vancomycin IV to an adult client. The client asks the nurse if the
medication is late. Which of the following statements should the nurse make?
A. "I have up to 2 hours after the usual scheduled time to give you this medication."
B. "I can infuse the medication at a faster rate."
C. "I can adjust the time and schedule for when it's convenient for you."
D. "I can start the medication 30 minutes earlier."
✔ CORRECT ANSWER
A. "I have up to 2 hours after the usual scheduled time to give you this medication."
RATIONALE
Per safe medication administration guidelines, medications can typically be given within 1–2 hours of the scheduled
time without being considered late. Increasing the infusion rate of vancomycin risks 'red man syndrome.'
Question 21 of 180
, classmerit.com — The Marketplace to Buy and Sell Study Materials
RN ATI Comprehensive Predictor 2026 Page 9
Source: ATI RN Comprehensive Predictor 2026
A nurse is teaching a client about dietary recommendations while breastfeeding. Which of the following client
statements should the nurse identify as an indication of understanding the teaching?
A. "I need to drink a glass of fluid each time I nurse and with all meals."
B. "I should limit my caloric intake while breastfeeding."
C. "I should avoid eating fish while breastfeeding."
D. "I need to take iron supplements while breastfeeding."
✔ CORRECT ANSWER
A. "I need to drink a glass of fluid each time I nurse and with all meals."
RATIONALE
Breastfeeding mothers need increased fluid intake (about 13 cups/day). Drinking fluids with each nursing session and
meal helps ensure adequate hydration and milk production.
Question 26 of 180
, classmerit.com — The Marketplace to Buy and Sell Study Materials
RN ATI Comprehensive Predictor 2026 Page 10
Source: ATI RN Comprehensive Predictor 2026
A nurse is caring for a client who has schizophrenia. The nurse should expect the client to exhibit which of the
following manifestations? (Select all that apply.)
A. Repeats the words of others when speaking
B. Experiences delusions
C. Speaks in word salad
D. Expresses interest in ADLs
E. Has a blunt affect
✔ CORRECT ANSWER
A, B, C, E. Repeats the words of others (echolalia), Experiences delusions, Speaks in word salad, Has a
blunt affect.
RATIONALE
Schizophrenia manifestations include positive symptoms (delusions, hallucinations, disorganized speech/word salad,
echolalia) and negative symptoms (blunted affect, avolition, alogia). Interest in ADLs is not a typical manifestation.
Question 30 of 180
RN ATI Comprehensive Predictor 2026 Page 1
RN ATI Comprehensive
Predictor 2026
Comprehensive Practice Questions with Correct Answers & Rationales
Assessment Technologies Institute | NCLEX-RN Preparation
53 Questions | Correct Answers | Clinical Rationales | Source Images
This study guide contains practice questions from the RN ATI Comprehensive Predictor 2026 assessment. Each
question includes the original source image, all answer options, the correct answer, and a detailed clinical rationale to
support exam preparation and nursing competency. Questions are arranged in ascending order by question number.
Note: Some question stems may be partially visible due to the source screenshot format. Answers and rationales are based on established ATI
and NCLEX-RN standards.
, classmerit.com — The Marketplace to Buy and Sell Study Materials
RN ATI Comprehensive Predictor 2026 Page 2
Question 1 of 180
Source: ATI RN Comprehensive Predictor 2026
A nurse is performing high-frequency chest compressions using a mechanical chest compression device for a child
who has cystic fibrosis. Which of the following findings indicates the treatment has been effective?
A. The child develops a dry, hacking cough.
B. The child has increased nasal secretions.
C. The child has increased sputum production.
D. The child develops diminished breath sounds.
✔ CORRECT ANSWER
C. The child has increased sputum production.
RATIONALE
High-frequency chest compressions loosen and mobilize secretions in the airways. Increased sputum production
indicates the therapy is effectively clearing mucus from the lungs.
Question 2 of 180
, classmerit.com — The Marketplace to Buy and Sell Study Materials
RN ATI Comprehensive Predictor 2026 Page 3
Source: ATI RN Comprehensive Predictor 2026
A nurse in the emergency department is assessing a client who has status asthmaticus. The nurse should
expect which of the following findings?
A. Increase in peak expiratory rate flow
B. Epigastric pain
C. Distended neck veins
D. Bradycardia
✔ CORRECT ANSWER
C. Distended neck veins.
RATIONALE
Status asthmaticus causes severe air trapping and increased intrathoracic pressure, which impedes venous return and
results in distended neck veins. Peak flow decreases (not increases), and tachycardia (not bradycardia) is expected.
Question 5 of 180
, classmerit.com — The Marketplace to Buy and Sell Study Materials
RN ATI Comprehensive Predictor 2026 Page 4
Source: ATI RN Comprehensive Predictor 2026
A nurse in an emergency department is assessing a toddler who accidentally ingested lead. Which of the
following findings should the nurse expect?
A. Cognitive impairment
B. Coughing
C. Hemoptysis
D. Excessive drooling
✔ CORRECT ANSWER
A. Cognitive impairment.
RATIONALE
Lead poisoning in toddlers primarily causes neurotoxic effects including cognitive impairment,
developmental delays, and behavioral changes. The brain is especially vulnerable during early childhood.
Question 6 of 180
Want to earn $1,500
extra per year?
, classmerit.com — The Marketplace to Buy and Sell Study Materials
RN ATI Comprehensive Predictor 2026 Page 5
Source: ATI RN Comprehensive Predictor 2026
A nurse is providing an in-service about client evacuation during a fire. Which of the following clients should
the nurse evacuate first?
A. A client who is ambulatory and receiving oxygen.
B. A client who uses a wheelchair and is confused.
C. A client who is bedridden and wears a hearing aid.
D. A client who has a fracture and is in balance suspension traction.
✔ CORRECT ANSWER
D. A client who has a fracture and is in balance suspension traction.
RATIONALE
Using the RACE mnemonic, the client in balance suspension traction is the most difficult to move and is at greatest
risk — traction cannot be simply released. This client requires the most assistance and should be evacuated first to
ensure adequate help is available.
Question 15 of 180
, classmerit.com — The Marketplace to Buy and Sell Study Materials
RN ATI Comprehensive Predictor 2026 Page 6
Source: ATI RN Comprehensive Predictor 2026
A nurse on a mental health unit is planning room assignments for newly admitted clients. Which of the following
clients should the nurse place in a room near the nurses' station?
A. A client who has bipolar disorder and impaired social interactions.
B. A client who has a somatic symptom disorder and reports chronic pain.
C. A client who has a depressive disorder and reports feeling hopeless.
D. A client who has an anxiety disorder and is experiencing moderate anxiety.
✔ CORRECT ANSWER
C. A client who has a depressive disorder and reports feeling hopeless.
RATIONALE
A client who reports feeling hopeless is at high risk for suicide. Placing this client near the nurses' station allows for
closer observation and rapid intervention if needed.
Question 18 of 180
Want to earn $1,500
extra per year?
, classmerit.com — The Marketplace to Buy and Sell Study Materials
RN ATI Comprehensive Predictor 2026 Page 7
Source: ATI RN Comprehensive Predictor 2026
A nurse is teaching a client about bladder retraining for incontinence. Which of the following statements indicates
understanding of the teaching?
A. "Drink 8 ounces of citrus juice per day."
B. "Practice pelvic-floor exercises regularly."
C. "Wear a pair of disposable briefs at bedtime."
D. "Limit oral fluid intake to 1,000 milliliters per day."
✔ CORRECT ANSWER
B. "Practice pelvic-floor exercises regularly."
RATIONALE
Pelvic-floor (Kegel) exercises strengthen the muscles that control urination and are a cornerstone of bladder
retraining. Citrus juice irritates the bladder; disposable briefs promote dependency; restricting fluids to 1,000 mL is
inadequate and promotes UTIs.
Question 20 of 180
, classmerit.com — The Marketplace to Buy and Sell Study Materials
RN ATI Comprehensive Predictor 2026 Page 8
Source: ATI RN Comprehensive Predictor 2026
A nurse is preparing to administer vancomycin IV to an adult client. The client asks the nurse if the
medication is late. Which of the following statements should the nurse make?
A. "I have up to 2 hours after the usual scheduled time to give you this medication."
B. "I can infuse the medication at a faster rate."
C. "I can adjust the time and schedule for when it's convenient for you."
D. "I can start the medication 30 minutes earlier."
✔ CORRECT ANSWER
A. "I have up to 2 hours after the usual scheduled time to give you this medication."
RATIONALE
Per safe medication administration guidelines, medications can typically be given within 1–2 hours of the scheduled
time without being considered late. Increasing the infusion rate of vancomycin risks 'red man syndrome.'
Question 21 of 180
, classmerit.com — The Marketplace to Buy and Sell Study Materials
RN ATI Comprehensive Predictor 2026 Page 9
Source: ATI RN Comprehensive Predictor 2026
A nurse is teaching a client about dietary recommendations while breastfeeding. Which of the following client
statements should the nurse identify as an indication of understanding the teaching?
A. "I need to drink a glass of fluid each time I nurse and with all meals."
B. "I should limit my caloric intake while breastfeeding."
C. "I should avoid eating fish while breastfeeding."
D. "I need to take iron supplements while breastfeeding."
✔ CORRECT ANSWER
A. "I need to drink a glass of fluid each time I nurse and with all meals."
RATIONALE
Breastfeeding mothers need increased fluid intake (about 13 cups/day). Drinking fluids with each nursing session and
meal helps ensure adequate hydration and milk production.
Question 26 of 180
, classmerit.com — The Marketplace to Buy and Sell Study Materials
RN ATI Comprehensive Predictor 2026 Page 10
Source: ATI RN Comprehensive Predictor 2026
A nurse is caring for a client who has schizophrenia. The nurse should expect the client to exhibit which of the
following manifestations? (Select all that apply.)
A. Repeats the words of others when speaking
B. Experiences delusions
C. Speaks in word salad
D. Expresses interest in ADLs
E. Has a blunt affect
✔ CORRECT ANSWER
A, B, C, E. Repeats the words of others (echolalia), Experiences delusions, Speaks in word salad, Has a
blunt affect.
RATIONALE
Schizophrenia manifestations include positive symptoms (delusions, hallucinations, disorganized speech/word salad,
echolalia) and negative symptoms (blunted affect, avolition, alogia). Interest in ADLs is not a typical manifestation.
Question 30 of 180
