NGN ATI COMPREHENSIVE EXAM RETAKE 2026
UPDATED {3 Versions}
180 Questions with Correct Answers & NGN Case
Scenarios
This comprehensive review package contains 180 NGN-style
questions with verified correct answers and detailed rationales, designed
for students preparing for the ATI Comprehensive Predictor or Exit Exam
retake in 2026.
The ATI Comprehensive Predictor is a three-hour, 180-item proctored test
designed to assess readiness for the NCLEX exam. The questions span all
NCLEX categories, helping you focus your studies on areas where you most
need improvement.
MENTAL HEALTH / SUICIDE ASSESSMENT
Question 1:
An adolescent client with conduct disorder arrives at the emergency
department after threatening suicide to a teacher at school. The nurse is
gathering additional assessment data.
,Vital Signs: Temperature 36.9°C (98.4°F), HR 88/min, RR 18/min, BP 108/70
mm Hg
Which of the following statements should the nurse include during the
assessment?
A) "Tell me about your siblings."
B) "Tell me what kind of music you like."
C) "Tell me how often you drink alcohol."
D) "Tell me about your school schedule."
Correct Answer: C) "Tell me how often you drink alcohol."
Rationale: Assessing for substance use, including alcohol, is critical in
adolescents with conduct disorder and suicidal ideation, as substance misuse
can exacerbate mental health issues. Options A, B, and D offer general
psychosocial information but do not directly address a risk factor that could
contribute significantly to suicidal behavior.
Question 2:
A client expressing suicidal thoughts says, "It just doesn't seem worth it
anymore. Why not end my misery?"
Which of the following responses by the nurse is most appropriate?
A) "Why do you think your life is not worth it anymore?"
B) "Do you have a plan to end your life?"
C) "I need to know what you mean by 'misery.'"
D) "You can trust me and tell me what you're thinking."
Correct Answer: B) "Do you have a plan to end your life?"
Rationale: Assessing for a specific plan is crucial for determining the
immediacy of risk and guiding intervention. Therapeutic communication
,focuses on risk assessment rather than solely exploring feelings or offering
reassurance.
Question 3:
A client who is having suicidal thoughts tells a nurse, "It just does not seem
worth it anymore. Why not end my misery?"
Which of the following responses by the nurse is appropriate?
A) "I think you have many reasons to live."
B) "Do you have a plan to end your life?"
C) "Tell me more about your feelings."
D) "You have so much to live for."
Correct Answer: B) "Do you have a plan to end your life?"
Rationale: The priority is to assess for a specific suicide plan, which includes
method, access to means, and timeline. This direct assessment is essential for
determining immediate risk and implementing safety measures.
INTIMATE PARTNER VIOLENCE
Question 4:
A female client presents with bruises on her arms that she explains are from
physical abuse by her husband. She says, "I don't know how much longer I
can take this, but I'm afraid he will hurt me if I leave."
Which of the following is an appropriate nursing intervention?
A) Offer to speak to the client's husband regarding his abusive behavior.
B) Help the client recognize the signs of escalation of abusive behavior.
C) Assist the client to identify personal behaviors that trigger abusive
, behavior.
D) Assist the client to report abusive behavior to the proper authority.
Correct Answer: B) Help the client recognize the signs of escalation of
abusive behavior.
Rationale: Educating about the cycle of violence and recognizing its
escalation empowers the client to seek help and stay safe. Directly
confronting the abuser may endanger the client. Victim blaming or
attributing the abuse to the client's behaviors is inappropriate. Mandatory
reporting may vary by jurisdiction; the most immediate intervention is safety
planning and education.
PHARMACOLOGY
Question 5:
A nurse is teaching a client who has a new prescription for sertraline to
treat depression.
Which statement by the client indicates an understanding of the
medication treatment plan?
A) "I will be able to start this medication and immediately feel better."
B) "I can expect to urinate frequently while on this medication."
C) "I understand I may experience difficulty sleeping on this medication."
D) "I should decrease my sodium intake while on this medication."
Correct Answer: C) "I understand I may experience difficulty sleeping
on this medication."
Rationale: SSRIs like sertraline can cause insomnia or sleep disturbances.
They do not typically cause immediate relief, nor is frequent urination or
sodium restriction a common concern.
UPDATED {3 Versions}
180 Questions with Correct Answers & NGN Case
Scenarios
This comprehensive review package contains 180 NGN-style
questions with verified correct answers and detailed rationales, designed
for students preparing for the ATI Comprehensive Predictor or Exit Exam
retake in 2026.
The ATI Comprehensive Predictor is a three-hour, 180-item proctored test
designed to assess readiness for the NCLEX exam. The questions span all
NCLEX categories, helping you focus your studies on areas where you most
need improvement.
MENTAL HEALTH / SUICIDE ASSESSMENT
Question 1:
An adolescent client with conduct disorder arrives at the emergency
department after threatening suicide to a teacher at school. The nurse is
gathering additional assessment data.
,Vital Signs: Temperature 36.9°C (98.4°F), HR 88/min, RR 18/min, BP 108/70
mm Hg
Which of the following statements should the nurse include during the
assessment?
A) "Tell me about your siblings."
B) "Tell me what kind of music you like."
C) "Tell me how often you drink alcohol."
D) "Tell me about your school schedule."
Correct Answer: C) "Tell me how often you drink alcohol."
Rationale: Assessing for substance use, including alcohol, is critical in
adolescents with conduct disorder and suicidal ideation, as substance misuse
can exacerbate mental health issues. Options A, B, and D offer general
psychosocial information but do not directly address a risk factor that could
contribute significantly to suicidal behavior.
Question 2:
A client expressing suicidal thoughts says, "It just doesn't seem worth it
anymore. Why not end my misery?"
Which of the following responses by the nurse is most appropriate?
A) "Why do you think your life is not worth it anymore?"
B) "Do you have a plan to end your life?"
C) "I need to know what you mean by 'misery.'"
D) "You can trust me and tell me what you're thinking."
Correct Answer: B) "Do you have a plan to end your life?"
Rationale: Assessing for a specific plan is crucial for determining the
immediacy of risk and guiding intervention. Therapeutic communication
,focuses on risk assessment rather than solely exploring feelings or offering
reassurance.
Question 3:
A client who is having suicidal thoughts tells a nurse, "It just does not seem
worth it anymore. Why not end my misery?"
Which of the following responses by the nurse is appropriate?
A) "I think you have many reasons to live."
B) "Do you have a plan to end your life?"
C) "Tell me more about your feelings."
D) "You have so much to live for."
Correct Answer: B) "Do you have a plan to end your life?"
Rationale: The priority is to assess for a specific suicide plan, which includes
method, access to means, and timeline. This direct assessment is essential for
determining immediate risk and implementing safety measures.
INTIMATE PARTNER VIOLENCE
Question 4:
A female client presents with bruises on her arms that she explains are from
physical abuse by her husband. She says, "I don't know how much longer I
can take this, but I'm afraid he will hurt me if I leave."
Which of the following is an appropriate nursing intervention?
A) Offer to speak to the client's husband regarding his abusive behavior.
B) Help the client recognize the signs of escalation of abusive behavior.
C) Assist the client to identify personal behaviors that trigger abusive
, behavior.
D) Assist the client to report abusive behavior to the proper authority.
Correct Answer: B) Help the client recognize the signs of escalation of
abusive behavior.
Rationale: Educating about the cycle of violence and recognizing its
escalation empowers the client to seek help and stay safe. Directly
confronting the abuser may endanger the client. Victim blaming or
attributing the abuse to the client's behaviors is inappropriate. Mandatory
reporting may vary by jurisdiction; the most immediate intervention is safety
planning and education.
PHARMACOLOGY
Question 5:
A nurse is teaching a client who has a new prescription for sertraline to
treat depression.
Which statement by the client indicates an understanding of the
medication treatment plan?
A) "I will be able to start this medication and immediately feel better."
B) "I can expect to urinate frequently while on this medication."
C) "I understand I may experience difficulty sleeping on this medication."
D) "I should decrease my sodium intake while on this medication."
Correct Answer: C) "I understand I may experience difficulty sleeping
on this medication."
Rationale: SSRIs like sertraline can cause insomnia or sleep disturbances.
They do not typically cause immediate relief, nor is frequent urination or
sodium restriction a common concern.
