ATI RN Comprehensive Predictor
Examination 2026 Comprehensive
NCLEX-RN Readiness and Exit Exam
Assessment
EXAM INSTRUCTIONS
Exam Title: ATI RN Comprehensive Predictor Examination – Comprehensive Nursing Knowledge
and Clinical Judgment Assessment for NCLEX-RN Readiness
SECTION 1: MANAGEMENT OF CARE (Questions 1-35)
1. A nurse is caring for four clients. Which client should the nurse assess first?
A. Client with COPD and SpO₂ 89% on 2L nasal cannula
B. Client post-appendectomy day 2 with temperature 38.3°C (101°F)
C. Client with heart failure and 3+ pitting edema
D. Client with new onset confusion and bounding pulse
Correct Answer: D
Rationale: New onset confusion with bounding pulse suggests hypercapnia or fluid overload
affecting cerebral perfusion. This is a change in neurological status, which is always the priority.
Option A is expected in COPD; Option B is post-op inflammation; Option C is a chronic finding .
,2. A charge nurse is assigning staff. Which client should be assigned to the LPN?
A. Client 1 hour post-cardiac catheterization with bleeding
B. Client with stable diabetes requiring insulin and foot care
C. Client newly admitted with stroke and altered mental status
D. Client receiving IV heparin with PTT of 98 seconds
Correct Answer: B
Rationale: LPNs can administer insulin, perform stable wound care, and monitor stable clients.
Options A, C, and D require RN assessment (bleeding, neurological changes, critical lab
monitoring) .
3. A nurse delegates vital signs to an assistive personnel (AP). Which client should the AP NOT
be assigned to?
A. Client with pneumonia on room air
B. Client post-op day 3 with stable vitals
C. Client with frequent loose stools and orthostatic hypotension
D. Client with hypertension controlled on lisinopril
,Correct Answer: C
Rationale: Orthostatic hypotension requires skilled assessment (measuring lying, sitting,
standing). APs can take routine vital signs but should not perform orthostatic checks on unstable
clients .
4. A nurse is providing discharge teaching to a client with heart failure. Which statement
indicates understanding of fall precautions?
A. "I will keep my walker close to my bed at night."
B. "I will wear socks without grippers to bed."
C. "I will dim the lights to reduce glare."
D. "I will remove my bed alarm since I feel safe now."
Correct Answer: A
Rationale: Keeping assistive devices close to the bed prevents falls during transfers. Socks should
have non-skid grips, lights should be adequate (not dimmed), and bed alarms should remain in
place as prescribed .
, 5. A nurse is caring for a client with heart failure who has crackles in lung bases, +3 edema,
and dyspnea on exertion. Which dietary instruction is most important?
A. Increase fluid intake to 3 L/day
B. Restrict sodium to 2 g/day
C. Increase potassium-rich foods
D. Limit carbohydrates to 50 g/day
Correct Answer: B
Rationale: Sodium restriction is crucial for heart failure management to prevent fluid retention.
The other options are not the priority .
6. A nurse is caring for a client who refuses a blood transfusion. Which action should the
nurse take?
A. Notify risk management about the client's refusal
B. Document the client's refusal in the medical record
C. Inform the client that the transfusion is mandatory
D. Suggest that the client explore alternative therapies
Examination 2026 Comprehensive
NCLEX-RN Readiness and Exit Exam
Assessment
EXAM INSTRUCTIONS
Exam Title: ATI RN Comprehensive Predictor Examination – Comprehensive Nursing Knowledge
and Clinical Judgment Assessment for NCLEX-RN Readiness
SECTION 1: MANAGEMENT OF CARE (Questions 1-35)
1. A nurse is caring for four clients. Which client should the nurse assess first?
A. Client with COPD and SpO₂ 89% on 2L nasal cannula
B. Client post-appendectomy day 2 with temperature 38.3°C (101°F)
C. Client with heart failure and 3+ pitting edema
D. Client with new onset confusion and bounding pulse
Correct Answer: D
Rationale: New onset confusion with bounding pulse suggests hypercapnia or fluid overload
affecting cerebral perfusion. This is a change in neurological status, which is always the priority.
Option A is expected in COPD; Option B is post-op inflammation; Option C is a chronic finding .
,2. A charge nurse is assigning staff. Which client should be assigned to the LPN?
A. Client 1 hour post-cardiac catheterization with bleeding
B. Client with stable diabetes requiring insulin and foot care
C. Client newly admitted with stroke and altered mental status
D. Client receiving IV heparin with PTT of 98 seconds
Correct Answer: B
Rationale: LPNs can administer insulin, perform stable wound care, and monitor stable clients.
Options A, C, and D require RN assessment (bleeding, neurological changes, critical lab
monitoring) .
3. A nurse delegates vital signs to an assistive personnel (AP). Which client should the AP NOT
be assigned to?
A. Client with pneumonia on room air
B. Client post-op day 3 with stable vitals
C. Client with frequent loose stools and orthostatic hypotension
D. Client with hypertension controlled on lisinopril
,Correct Answer: C
Rationale: Orthostatic hypotension requires skilled assessment (measuring lying, sitting,
standing). APs can take routine vital signs but should not perform orthostatic checks on unstable
clients .
4. A nurse is providing discharge teaching to a client with heart failure. Which statement
indicates understanding of fall precautions?
A. "I will keep my walker close to my bed at night."
B. "I will wear socks without grippers to bed."
C. "I will dim the lights to reduce glare."
D. "I will remove my bed alarm since I feel safe now."
Correct Answer: A
Rationale: Keeping assistive devices close to the bed prevents falls during transfers. Socks should
have non-skid grips, lights should be adequate (not dimmed), and bed alarms should remain in
place as prescribed .
, 5. A nurse is caring for a client with heart failure who has crackles in lung bases, +3 edema,
and dyspnea on exertion. Which dietary instruction is most important?
A. Increase fluid intake to 3 L/day
B. Restrict sodium to 2 g/day
C. Increase potassium-rich foods
D. Limit carbohydrates to 50 g/day
Correct Answer: B
Rationale: Sodium restriction is crucial for heart failure management to prevent fluid retention.
The other options are not the priority .
6. A nurse is caring for a client who refuses a blood transfusion. Which action should the
nurse take?
A. Notify risk management about the client's refusal
B. Document the client's refusal in the medical record
C. Inform the client that the transfusion is mandatory
D. Suggest that the client explore alternative therapies
