ATI RN COMPREHENSIVE PREDICTOR 2026
Page |1
ATI RN COMPREHENSIVE PREDICTOR 2026
EXIT EXAM 4 WITH NGN PACKAGE Questions
with ANSWERs and Rationales 2026
Complete Questions and Answers Study Guide
A nurse is planning to administer pain medication to a client who has postoperative pain following
abdominal surgery. Which of the following actions should the nurse take first?
A. Use the pain scale to determine the client's pain level.
B. Discuss the adverse effects of pain medication with the client.
C. Obtain the client's vital signs.
D. Check the client's allergies. –
Correct Answer :A. use the pain scale to determine the client's pain level.
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Rationale: The first action the nurse should take is to begin pain management by asking the client to
describe her pain.
A nurse is preparing to remove an NG tube for a client who had a partial colectomy. Which of the
following action should the nurse take?
A. Maintain suction while removing the NG tube.
B. Instill 100 mL of air into the NG tube before removal.
C. Pinch the NG tube while removing the tube.
D. Instruct the client to breathe in and out during the removal of the NG tube. –
Correct Answer :C. Pinch the NG tube while removing the tube
Rationale: decrease the risk of aspiration of any gastric contents
A nurse is preparing to administer an intramuscular injection to a client who is overweight. Which of
the following sites should the nurse select for the injection?
A. The lower, medial quadrant of the buttock near the coccyx.
B. The side hip between the iliac crest and anterior iliac spine
C. the tissue of the posterior upper arm
D. The lower, inner thigh, 2 finger widths above the patella. –
Correct Answer :The side hip between the iliac crest and anterior iliac spine
A nurse is preparing to administer eye drops to a client following surgery. Which of the following
actions should the nurse take when instilling the eye drops?
A. Drop the eye medication into the lower conjunctival sac.
B. Apply gentle pressure in the outer opening of the eye for 2 min
C. hold the eye dropper 0.5 cm (0.2 in) from cornea
D. Instruct the client to close eyes tightly after administration –
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Correct Answer :Drop eye medication into the lower conjunctival sac
Rationale: avoid placing drops on cornea and causing damage
.
A nurse is caring for a client who was admitted for acute alcohol delirium withdrawal 2 days ago. Which
of the following findings is associated with this diagnosis?
A. Increased appetite
B. Elevated Temperature
C. Bradycardia
D. Drowsiness –
Correct Answer :Elevated Temperature
Rationale: The content of this question emphasizes the concept of client-centered care through
identifying findings associated with a client's diagnosis. Client-centered care focuses on the client and
emphasizes the client's cultural, ethnic, and social values. The identification of expected and
unexpected findings associated with a client's diagnosis assists the nurse to distinguish possible
unrelated complications the client might be experiencing, which indicates the need for further
investigation. The specific focus on the client enhances the provision of safe, quality nursing care. An
elevated temperature is a finding associated with acute alcohol delirium.
A nurse working in a hospice facility is talking to a client's son who is distressed because his mother
cries frequently and says she wants to die. Which of the following responses by the nurse is
appropriate?
A. "I know this must be difficult, but your mother will calm down soon."
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B. "Lets discuss some strategies you can use when this happens again."
C. Individuals near death are ready to let go toward the end."
D. "Have you determined why she is crying and saying she is ready to die?" –
Correct Answer :" Let's discuss some strategies you can use when this happens again."
Rationale: This response by the nurse offers to provide information, which can reduce anxiety and
enhance decision making. This response creates a safe environment, fosters trust and respect, and is
appropriate.
A nurse is caring for a client who had cerebrovascular accident 2 days ago. Which of the following is
the first sign of increased intracranial pressure (ICP)?
A. pupil dilation
B. Ataxia
C. Lethargy
D Bradycardia –
Correct Answer :Lethargy
rationale: Lethargy occurs when pressure is placed on the reticular activating system within the
brainstem. Along with other indicators of a change in level of consciousness, such as restlessness,
irritability, and disorientation. Lethargy is the first sign of increased ICP.
A nurse working in a provider's office is reinforcing teaching with a client who is 14 weeks of gestation.
The nurse should instruct the client to immediately notify the provider if she experiences which of the
following?
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Page |1
ATI RN COMPREHENSIVE PREDICTOR 2026
EXIT EXAM 4 WITH NGN PACKAGE Questions
with ANSWERs and Rationales 2026
Complete Questions and Answers Study Guide
A nurse is planning to administer pain medication to a client who has postoperative pain following
abdominal surgery. Which of the following actions should the nurse take first?
A. Use the pain scale to determine the client's pain level.
B. Discuss the adverse effects of pain medication with the client.
C. Obtain the client's vital signs.
D. Check the client's allergies. –
Correct Answer :A. use the pain scale to determine the client's pain level.
P a g e 1 | 90
, ATI RN COMPREHENSIVE PREDICTOR 2026
Page |2
Rationale: The first action the nurse should take is to begin pain management by asking the client to
describe her pain.
A nurse is preparing to remove an NG tube for a client who had a partial colectomy. Which of the
following action should the nurse take?
A. Maintain suction while removing the NG tube.
B. Instill 100 mL of air into the NG tube before removal.
C. Pinch the NG tube while removing the tube.
D. Instruct the client to breathe in and out during the removal of the NG tube. –
Correct Answer :C. Pinch the NG tube while removing the tube
Rationale: decrease the risk of aspiration of any gastric contents
A nurse is preparing to administer an intramuscular injection to a client who is overweight. Which of
the following sites should the nurse select for the injection?
A. The lower, medial quadrant of the buttock near the coccyx.
B. The side hip between the iliac crest and anterior iliac spine
C. the tissue of the posterior upper arm
D. The lower, inner thigh, 2 finger widths above the patella. –
Correct Answer :The side hip between the iliac crest and anterior iliac spine
A nurse is preparing to administer eye drops to a client following surgery. Which of the following
actions should the nurse take when instilling the eye drops?
A. Drop the eye medication into the lower conjunctival sac.
B. Apply gentle pressure in the outer opening of the eye for 2 min
C. hold the eye dropper 0.5 cm (0.2 in) from cornea
D. Instruct the client to close eyes tightly after administration –
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Correct Answer :Drop eye medication into the lower conjunctival sac
Rationale: avoid placing drops on cornea and causing damage
.
A nurse is caring for a client who was admitted for acute alcohol delirium withdrawal 2 days ago. Which
of the following findings is associated with this diagnosis?
A. Increased appetite
B. Elevated Temperature
C. Bradycardia
D. Drowsiness –
Correct Answer :Elevated Temperature
Rationale: The content of this question emphasizes the concept of client-centered care through
identifying findings associated with a client's diagnosis. Client-centered care focuses on the client and
emphasizes the client's cultural, ethnic, and social values. The identification of expected and
unexpected findings associated with a client's diagnosis assists the nurse to distinguish possible
unrelated complications the client might be experiencing, which indicates the need for further
investigation. The specific focus on the client enhances the provision of safe, quality nursing care. An
elevated temperature is a finding associated with acute alcohol delirium.
A nurse working in a hospice facility is talking to a client's son who is distressed because his mother
cries frequently and says she wants to die. Which of the following responses by the nurse is
appropriate?
A. "I know this must be difficult, but your mother will calm down soon."
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Page |4
B. "Lets discuss some strategies you can use when this happens again."
C. Individuals near death are ready to let go toward the end."
D. "Have you determined why she is crying and saying she is ready to die?" –
Correct Answer :" Let's discuss some strategies you can use when this happens again."
Rationale: This response by the nurse offers to provide information, which can reduce anxiety and
enhance decision making. This response creates a safe environment, fosters trust and respect, and is
appropriate.
A nurse is caring for a client who had cerebrovascular accident 2 days ago. Which of the following is
the first sign of increased intracranial pressure (ICP)?
A. pupil dilation
B. Ataxia
C. Lethargy
D Bradycardia –
Correct Answer :Lethargy
rationale: Lethargy occurs when pressure is placed on the reticular activating system within the
brainstem. Along with other indicators of a change in level of consciousness, such as restlessness,
irritability, and disorientation. Lethargy is the first sign of increased ICP.
A nurse working in a provider's office is reinforcing teaching with a client who is 14 weeks of gestation.
The nurse should instruct the client to immediately notify the provider if she experiences which of the
following?
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