ATI Comprehensive Predictor Exam Prep |
100 Predictor-Style Questions, Detailed
Rationales, NCLEX Readiness Assessment,
Pharmacology, Prioritization & Clinical
Judgment Review
ATI Comprehensive Predictor Examination
Professional Exam Preparation Guide
Features
✔ 100 ATI Predictor-Style Questions
✔ Detailed Rationales
✔ NCLEX Readiness Assessment
✔ Clinical Judgment & NGN Concepts
✔ Prioritization & Delegation
✔ Pharmacology Review
✔ Adult Health Nursing
✔ Maternal-Newborn Nursing
✔ Pediatric Nursing
✔ Mental Health Nursing
✔ Leadership & Management
ATI Comprehensive Predictor Blueprint
Overview
1. Adult Medical-Surgical Nursing – 30 Questions
2. Pharmacology – 15 Questions
3. Maternal-Newborn Nursing – 10 Questions
4. Pediatric Nursing – 10 Questions
,5. Mental Health Nursing – 10 Questions
6. Leadership, Management & Delegation – 15 Questions
7. Clinical Judgment & Prioritization – 10 Questions
, Questions 1–100
Adult Medical-Surgical Nursing
1. A nurse is caring for a client admitted with heart failure. Which assessment finding
should the nurse identify as the highest priority?
A. Bilateral ankle edema
B. Weight gain of 2 lb in 24 hours
C. Crackles in both lung bases with oxygen saturation of 88%
D. Fatigue with activity
Correct Answer: C. Crackles in both lung bases with oxygen saturation of 88%
Rationale: Impaired oxygenation is the priority concern. Crackles and decreased oxygen
saturation indicate pulmonary congestion and compromised gas exchange, which can
rapidly progress to respiratory failure if not addressed.
ATI Success Strategy: Prioritize airway, breathing, and circulation before addressing
comfort or chronic findings.
Difficulty: Difficult
2. A nurse is caring for a client who has type 1 diabetes mellitus. Which finding requires
immediate intervention?
A. Blood glucose of 58 mg/dL
B. Increased thirst
C. Polyuria
D. Hemoglobin A1C of 7.2%
Correct Answer: A. Blood glucose of 58 mg/dL
Rationale: Hypoglycemia can quickly lead to altered mental status, seizures, and loss of
consciousness. Immediate treatment is necessary to prevent serious complications.
ATI Success Strategy: Hypoglycemia is generally a higher priority than hyperglycemia
because of its rapid onset and immediate risk.
Difficulty: Moderate
, 3. A nurse is caring for a client receiving morphine following surgery. Which
assessment finding requires immediate action?
A. Pain rating of 3/10
B. Respiratory rate of 8/min
C. Blood pressure of 128/76 mm Hg
D. Heart rate of 84/min
Correct Answer: B. Respiratory rate of 8/min
Rationale: Respiratory depression is a life-threatening adverse effect of opioid medications
and requires immediate intervention.
ATI Success Strategy: Always assess respiratory status before and after opioid
administration.
Difficulty: Difficult
4. A nurse is caring for a client diagnosed with chronic kidney disease. Which
laboratory value should the nurse report immediately?
A. Potassium 6.7 mEq/L
B. Sodium 138 mEq/L
C. Calcium 9.1 mg/dL
D. Glucose 102 mg/dL
Correct Answer: A. Potassium 6.7 mEq/L
Rationale: Severe hyperkalemia can cause fatal cardiac dysrhythmias and requires urgent
treatment.
ATI Success Strategy: Potassium abnormalities frequently appear in ATI and NCLEX
priority questions.
Difficulty: Difficult
5. A nurse is caring for a client who has pneumonia. Which assessment finding requires
immediate intervention?
A. Productive cough
B. Temperature of 38.4°C (101.1°F)
C. Oxygen saturation of 85%
D. Fatigue
Correct Answer: C. Oxygen saturation of 85%
100 Predictor-Style Questions, Detailed
Rationales, NCLEX Readiness Assessment,
Pharmacology, Prioritization & Clinical
Judgment Review
ATI Comprehensive Predictor Examination
Professional Exam Preparation Guide
Features
✔ 100 ATI Predictor-Style Questions
✔ Detailed Rationales
✔ NCLEX Readiness Assessment
✔ Clinical Judgment & NGN Concepts
✔ Prioritization & Delegation
✔ Pharmacology Review
✔ Adult Health Nursing
✔ Maternal-Newborn Nursing
✔ Pediatric Nursing
✔ Mental Health Nursing
✔ Leadership & Management
ATI Comprehensive Predictor Blueprint
Overview
1. Adult Medical-Surgical Nursing – 30 Questions
2. Pharmacology – 15 Questions
3. Maternal-Newborn Nursing – 10 Questions
4. Pediatric Nursing – 10 Questions
,5. Mental Health Nursing – 10 Questions
6. Leadership, Management & Delegation – 15 Questions
7. Clinical Judgment & Prioritization – 10 Questions
, Questions 1–100
Adult Medical-Surgical Nursing
1. A nurse is caring for a client admitted with heart failure. Which assessment finding
should the nurse identify as the highest priority?
A. Bilateral ankle edema
B. Weight gain of 2 lb in 24 hours
C. Crackles in both lung bases with oxygen saturation of 88%
D. Fatigue with activity
Correct Answer: C. Crackles in both lung bases with oxygen saturation of 88%
Rationale: Impaired oxygenation is the priority concern. Crackles and decreased oxygen
saturation indicate pulmonary congestion and compromised gas exchange, which can
rapidly progress to respiratory failure if not addressed.
ATI Success Strategy: Prioritize airway, breathing, and circulation before addressing
comfort or chronic findings.
Difficulty: Difficult
2. A nurse is caring for a client who has type 1 diabetes mellitus. Which finding requires
immediate intervention?
A. Blood glucose of 58 mg/dL
B. Increased thirst
C. Polyuria
D. Hemoglobin A1C of 7.2%
Correct Answer: A. Blood glucose of 58 mg/dL
Rationale: Hypoglycemia can quickly lead to altered mental status, seizures, and loss of
consciousness. Immediate treatment is necessary to prevent serious complications.
ATI Success Strategy: Hypoglycemia is generally a higher priority than hyperglycemia
because of its rapid onset and immediate risk.
Difficulty: Moderate
, 3. A nurse is caring for a client receiving morphine following surgery. Which
assessment finding requires immediate action?
A. Pain rating of 3/10
B. Respiratory rate of 8/min
C. Blood pressure of 128/76 mm Hg
D. Heart rate of 84/min
Correct Answer: B. Respiratory rate of 8/min
Rationale: Respiratory depression is a life-threatening adverse effect of opioid medications
and requires immediate intervention.
ATI Success Strategy: Always assess respiratory status before and after opioid
administration.
Difficulty: Difficult
4. A nurse is caring for a client diagnosed with chronic kidney disease. Which
laboratory value should the nurse report immediately?
A. Potassium 6.7 mEq/L
B. Sodium 138 mEq/L
C. Calcium 9.1 mg/dL
D. Glucose 102 mg/dL
Correct Answer: A. Potassium 6.7 mEq/L
Rationale: Severe hyperkalemia can cause fatal cardiac dysrhythmias and requires urgent
treatment.
ATI Success Strategy: Potassium abnormalities frequently appear in ATI and NCLEX
priority questions.
Difficulty: Difficult
5. A nurse is caring for a client who has pneumonia. Which assessment finding requires
immediate intervention?
A. Productive cough
B. Temperature of 38.4°C (101.1°F)
C. Oxygen saturation of 85%
D. Fatigue
Correct Answer: C. Oxygen saturation of 85%
