Level 3 | Practice Questions and Rationales | Complete Review -
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Subject Area Nursing (Comprehensive Predictor)
Description This exam simulates the ATI RN Comprehensive ADN Predictor at Level 3,
integrating nursing concepts across health promotion, management of care,
pharmacology, and complex patient scenarios. It requires synthesis of
evidence-based practice, safety, and clinical judgment.
Expected Grade A+
Total Questions 100
Duration 3 hours
Learning Outcomes 1. Analyze complex patient data to prioritize nursing actions.
2. Apply evidence-based guidelines in pharmacology, maternal-child, and
medical-surgical nursing.
3. Evaluate risk factors and implement preventive measures across the lifespan.
4. Integrate ethical, legal, and interprofessional considerations in care delivery.
Accreditation Aligned with AACN Baccalaureate Essentials and NCSBN NCLEX-RN Test Plan
standards.
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,ati. ATI RN Comprehensive ADN Predictor Retake Exam 2026 | Level 3 | Practice
Questions and Rationales | Complete Review - Questions and Answers Already
Question: 1 of 100
A client with chronic kidney disease (CKD) is prescribed epoetin alfa. The nurse notes
the hemoglobin is 11 g/dL. Which action is most appropriate?
Administer the dose as ordered.
Hold the dose and notify the provider.
Increase the dose to achieve a target hemoglobin of 13 g/dL.
Administer with an iron supplement only if ferritin is low.
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Question: 2 of 100
A nurse is assessing a client who developed chest pain and ST-segment elevation 12
hours after an acute myocardial infarction. Which finding indicates a mechanical
complication?
New systolic murmur at the apex radiating to the axilla.
Pericardial friction rub.
Jugular venous distention and muffled heart sounds.
Recurrent chest pain with further ST elevation.
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,ati. ATI RN Comprehensive ADN Predictor Retake Exam 2026 | Level 3 | Practice
Questions and Rationales | Complete Review - Questions and Answers Already
Question: 3 of 100
A nurse is planning care for a client with diabetic ketoacidosis who has a serum
potassium of 5.8 mEq/L. Which action is priority?
Initiate continuous ECG monitoring.
Administer IV insulin bolus.
Prepare for hemodialysis.
Restrict dietary potassium.
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Question: 4 of 100
A postpartum client who is Rh-negative and unsensitized delivers an Rh-positive
infant. The newborn's direct Coombs test is negative. Which nursing action is correct?
Administer RhIG to the client within 72 hours.
Administer RhIG to the newborn.
Document that RhIG is not indicated due to negative Coombs.
Obtain a maternal antibody titer before administering RhIG.
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, ati. ATI RN Comprehensive ADN Predictor Retake Exam 2026 | Level 3 | Practice
Questions and Rationales | Complete Review - Questions and Answers Already
Question: 5 of 100
A client with cirrhosis and ascites is receiving spironolactone. Which laboratory
finding indicates a therapeutic effect?
Serum sodium 135 mEq/L
Urine sodium 25 mEq/L
Serum potassium 5.0 mEq/L
Aldosterone level decreased
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Question: 6 of 100
A nurse is teaching a client about a low-purine diet for gout. Which food choice
indicates understanding?
Grilled salmon
Roasted turkey
Spinach salad
Lentil soup
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