ATI RN Comprehensive Predictor 2026 Exit Exam | NGN-Style
Practice Questions with Verified Answers & Rationales | Updated for
2026 NCLEX Standards Chamberlain University College of Nursing
This comprehensive study guide features original multiple-choice
practice questions meticulously designed to mirror the format and
content of the ATI RN Comprehensive Predictor 2026 Exit Exam, with each
question including the correct answer in bold italic and detailed
rationales in bold italic for optimal learning. These questions cover
priority nursing interventions, pharmacology, delegation, lab values,
safety protocols, and NGN-style clinical scenarios that are frequently
tested on nursing exit exams, making this resource invaluable for final
exam preparation. Perfect for nursing students preparing for the ATI
Comprehensive Predictor, NCLEX-RN, or HESI Exit Exam, this document
provides immediate answer verification and in-depth explanations to
reinforce critical thinking and clinical judgment skills.
Question 1
A nurse is receiving change-of-shift report on four clients. Which client
should the nurse assess first?
A. A client with a dressing that needs reinforcement
B. A client reporting pain rated 6/10
C. A client whose urinary output was 100 mL in 12 hours
D. A client scheduled for discharge
,Correct Answer: C
*Explanation: Low urine output (100 mL in 12 hours) indicates
possible renal failure or hypovolemia. Urine output should be at
least 30 mL/hour (240 mL in 8 hours), making this an urgent finding
requiring immediate assessment. Pain and dressing reinforcement
are important but not the priority.
Question 2
A charge nurse is making assignments for a float nurse from the medical
unit to the pediatric unit. Which client is appropriate to assign to the float
nurse?
A. A 10-year-old with pneumonia receiving respiratory treatments
B. A 4-year-old with a Wilms tumor receiving chemotherapy
C. An 8-month-old scheduled for surgical repair of a ventricular septal
defect
D. A 14-year-old scheduled for discharge following placement of a
Harrington rod
Correct Answer: A
*Explanation: A float nurse from a medical unit is most competent to
care for a client with pneumonia, as respiratory conditions are
common in both adult medical and pediatric units. Complex oncology,
,surgical, or orthopedic pediatric patients require specialized
pediatric experience.
Question 3
Which task should the nurse delegate to an LPN/LVN?
A. Initial admission assessment of a patient with pneumonia
B. Administration of enteral tube feeding to a stable patient
C. Evaluation of a patient's response to pain medication
D. Teaching a diabetic patient about insulin injection
Correct Answer: B
*Explanation: LPNs can administer enteral feedings to stable
patients. Initial assessment, evaluation of response to interventions,
and patient teaching are RN responsibilities due to the need for
critical thinking and comprehensive evaluation.
Question 4
A nurse is providing an in-service about client evacuation during a fire.
Which of the following clients should the nurse instruct the staff to
evacuate first?
, A. A client who uses a wheelchair and is confused
B. A client who is bedridden and wears a hearing aid
C. A client who is ambulatory and receiving oxygen
D. A client who has a fracture and is in balance suspension traction
Correct Answer: C
*Explanation: RACE protocol: Rescue (ambulatory clients first),
Alarm, Confine, Extinguish/Evacuate. Ambulatory clients can walk
out independently but need guidance first due to oxygen explosion
risk. Evacuating them first clears the way for rescuing less mobile
clients.
Question 5
Which client should be placed in a private room with negative pressure?
A. Client with pneumonia
B. Client with active pulmonary tuberculosis
C. Client with MRSA in a wound
D. Client with Clostridium difficile
Correct Answer: B
*Explanation: Active pulmonary tuberculosis requires airborne
precautions, which include a private room with negative pressure.
Contact precautions (gown and gloves) are sufficient for MRSA and
C. diff, and pneumonia alone does not require special isolation.
Practice Questions with Verified Answers & Rationales | Updated for
2026 NCLEX Standards Chamberlain University College of Nursing
This comprehensive study guide features original multiple-choice
practice questions meticulously designed to mirror the format and
content of the ATI RN Comprehensive Predictor 2026 Exit Exam, with each
question including the correct answer in bold italic and detailed
rationales in bold italic for optimal learning. These questions cover
priority nursing interventions, pharmacology, delegation, lab values,
safety protocols, and NGN-style clinical scenarios that are frequently
tested on nursing exit exams, making this resource invaluable for final
exam preparation. Perfect for nursing students preparing for the ATI
Comprehensive Predictor, NCLEX-RN, or HESI Exit Exam, this document
provides immediate answer verification and in-depth explanations to
reinforce critical thinking and clinical judgment skills.
Question 1
A nurse is receiving change-of-shift report on four clients. Which client
should the nurse assess first?
A. A client with a dressing that needs reinforcement
B. A client reporting pain rated 6/10
C. A client whose urinary output was 100 mL in 12 hours
D. A client scheduled for discharge
,Correct Answer: C
*Explanation: Low urine output (100 mL in 12 hours) indicates
possible renal failure or hypovolemia. Urine output should be at
least 30 mL/hour (240 mL in 8 hours), making this an urgent finding
requiring immediate assessment. Pain and dressing reinforcement
are important but not the priority.
Question 2
A charge nurse is making assignments for a float nurse from the medical
unit to the pediatric unit. Which client is appropriate to assign to the float
nurse?
A. A 10-year-old with pneumonia receiving respiratory treatments
B. A 4-year-old with a Wilms tumor receiving chemotherapy
C. An 8-month-old scheduled for surgical repair of a ventricular septal
defect
D. A 14-year-old scheduled for discharge following placement of a
Harrington rod
Correct Answer: A
*Explanation: A float nurse from a medical unit is most competent to
care for a client with pneumonia, as respiratory conditions are
common in both adult medical and pediatric units. Complex oncology,
,surgical, or orthopedic pediatric patients require specialized
pediatric experience.
Question 3
Which task should the nurse delegate to an LPN/LVN?
A. Initial admission assessment of a patient with pneumonia
B. Administration of enteral tube feeding to a stable patient
C. Evaluation of a patient's response to pain medication
D. Teaching a diabetic patient about insulin injection
Correct Answer: B
*Explanation: LPNs can administer enteral feedings to stable
patients. Initial assessment, evaluation of response to interventions,
and patient teaching are RN responsibilities due to the need for
critical thinking and comprehensive evaluation.
Question 4
A nurse is providing an in-service about client evacuation during a fire.
Which of the following clients should the nurse instruct the staff to
evacuate first?
, A. A client who uses a wheelchair and is confused
B. A client who is bedridden and wears a hearing aid
C. A client who is ambulatory and receiving oxygen
D. A client who has a fracture and is in balance suspension traction
Correct Answer: C
*Explanation: RACE protocol: Rescue (ambulatory clients first),
Alarm, Confine, Extinguish/Evacuate. Ambulatory clients can walk
out independently but need guidance first due to oxygen explosion
risk. Evacuating them first clears the way for rescuing less mobile
clients.
Question 5
Which client should be placed in a private room with negative pressure?
A. Client with pneumonia
B. Client with active pulmonary tuberculosis
C. Client with MRSA in a wound
D. Client with Clostridium difficile
Correct Answer: B
*Explanation: Active pulmonary tuberculosis requires airborne
precautions, which include a private room with negative pressure.
Contact precautions (gown and gloves) are sufficient for MRSA and
C. diff, and pneumonia alone does not require special isolation.
