ATI COMPREHENSIVE PREDICTOR
2026 (NGN) | PRACTICE
QUESTIONS WITH VERIFIED
ANSWERS & RATIONALES 2026
Q&A | INSTANT DOWNLOAD PDF
1. A charge nurse is making assignments on a medical-surgical unit.
Which client should be assigned to the most experienced RN?
A. A client with diabetes requiring routine insulin
B. A client with pneumonia on oral antibiotics
C. A client with chest tubes and new-onset respiratory distress
D. A client with a urinary tract infection
RATIONALE: The client with chest tubes and respiratory distress is
unstable and requires complex assessment and intervention, making them a
priority for the most experienced nurse. Stable clients can be assigned to less
experienced staff.
2. Which task can the RN delegate to an assistive personnel (AP)?
A. Assess a patient's post-operative pain level
B. Ambulate a patient with a walker who has been stable for 24 hours
C. Administer a tube feeding through a nasogastric tube
D. Evaluate the effectiveness of a patient's incentive spirometry use
, RATIONALE: Ambulating a stable patient with a walker is within the
scope of assistive personnel. Assessment, evaluation, and administration of
tube feedings require nursing judgment and cannot be delegated to AP.
3. A competent adult client refuses a blood transfusion for religious
reasons. Which actions should the nurse take? (Select all that apply.)
A. Verify the client understands the risks
B. Document the refusal
C. Administer the transfusion if Hgb is critical
D. Notify the provider
E. Ask the family to override the decision
RATIONALE: Competent adults have the right to refuse treatment
(autonomy). The nurse must ensure informed refusal, document the refusal
clearly, and notify the provider. Administering against the client's wishes
constitutes battery, and asking family to override violates client autonomy.
4. A nurse is preparing to administer a blood transfusion. Which action
should the nurse take first?
A. Verify the client's identity using two identifiers
B. Check the expiration date on the blood product
C. Assess the client's vital signs
D. Obtain signed informed consent
RATIONALE: The nurse should assess baseline vital signs before initiating
the transfusion to detect any changes that may indicate a transfusion reaction.
Informed consent should already be obtained prior to the procedure.
5. A client has a new prescription for enoxaparin. Which of the
following actions should the nurse take?
A. Administer the medication via the IM route
,B. Expel the air bubble from the prefilled syringe
C. Inject the medication into the abdomen
D. Aspirate for blood return before injection
RATIONALE: Enoxaparin is a low-molecular-weight heparin administered
subcutaneously into the abdomen to ensure proper absorption and reduce
hematoma risk. The IM route is incorrect. Air bubbles should not be expelled,
and aspiration is unnecessary.
6. A nurse is reinforcing teaching with a client who is postpartum about
the measles, mumps, rubella (MMR) vaccine. Which of the following
instructions should the nurse include in teaching?
A. "You should avoid becoming pregnant for 4 weeks after receiving the
vaccine."
B. "Your partner should also receive the MMR vaccine."
C. "If you are allergic to gluten, you should not receive this vaccine."
D. "Avoid breastfeeding for 3 days after receiving the vaccine."
RATIONALE: The MMR vaccine is a live vaccine and is contraindicated
during pregnancy. Postpartum clients should be advised to avoid pregnancy
for 4 weeks after vaccination.
7. A nurse is caring for a client who is at 31 weeks of gestation and
presents with a severe headache unrelieved by acetaminophen,
frequent vomiting, and decreased fetal movement. The client's blood
pressure is 168/110 mm Hg. Which of the following conditions should
the nurse suspect?
A. Gestational hypertension
B. Preeclampsia with severe features
C. Chronic hypertension
, D. Eclampsia
RATIONALE: Severe headache unrelieved by acetaminophen, vomiting,
and decreased fetal movement in a client at 31 weeks with a blood pressure of
168/110 mm Hg are classic signs of preeclampsia with severe features.
8. A nurse is reinforcing discharge teaching with a client who has stable
angina. Which of the following statements by the client indicates an
understanding of the teaching?
A. "I will take my nitroglycerin only when the pain is severe."
B. "I will call 911 if my chest pain is not relieved after taking 1 nitroglycerin
tablet."
C. "I will stop taking my beta-blocker if my heart rate is below 70."
D. "I will take my nitroglycerin with a glass of water."
RATIONALE: If chest pain is not relieved after one nitroglycerin tablet,
the client should call 911. Nitroglycerin should be taken sublingually and may
cause a burning sensation. Beta-blockers should not be stopped abruptly.
9. A nurse is caring for a client who has a new prescription for digoxin.
Which of the following findings should the nurse identify as an
indication of digoxin toxicity?
A. Bradycardia
B. Tachycardia
C. Hypertension
D. Hyperkalemia
RATIONALE: Bradycardia, along with nausea, vomiting, and visual
disturbances such as green-yellow halos, are classic signs of digoxin toxicity.
10. A nurse is assessing a client who has a cast on the right arm. Which
of the following findings should the nurse report immediately?
2026 (NGN) | PRACTICE
QUESTIONS WITH VERIFIED
ANSWERS & RATIONALES 2026
Q&A | INSTANT DOWNLOAD PDF
1. A charge nurse is making assignments on a medical-surgical unit.
Which client should be assigned to the most experienced RN?
A. A client with diabetes requiring routine insulin
B. A client with pneumonia on oral antibiotics
C. A client with chest tubes and new-onset respiratory distress
D. A client with a urinary tract infection
RATIONALE: The client with chest tubes and respiratory distress is
unstable and requires complex assessment and intervention, making them a
priority for the most experienced nurse. Stable clients can be assigned to less
experienced staff.
2. Which task can the RN delegate to an assistive personnel (AP)?
A. Assess a patient's post-operative pain level
B. Ambulate a patient with a walker who has been stable for 24 hours
C. Administer a tube feeding through a nasogastric tube
D. Evaluate the effectiveness of a patient's incentive spirometry use
, RATIONALE: Ambulating a stable patient with a walker is within the
scope of assistive personnel. Assessment, evaluation, and administration of
tube feedings require nursing judgment and cannot be delegated to AP.
3. A competent adult client refuses a blood transfusion for religious
reasons. Which actions should the nurse take? (Select all that apply.)
A. Verify the client understands the risks
B. Document the refusal
C. Administer the transfusion if Hgb is critical
D. Notify the provider
E. Ask the family to override the decision
RATIONALE: Competent adults have the right to refuse treatment
(autonomy). The nurse must ensure informed refusal, document the refusal
clearly, and notify the provider. Administering against the client's wishes
constitutes battery, and asking family to override violates client autonomy.
4. A nurse is preparing to administer a blood transfusion. Which action
should the nurse take first?
A. Verify the client's identity using two identifiers
B. Check the expiration date on the blood product
C. Assess the client's vital signs
D. Obtain signed informed consent
RATIONALE: The nurse should assess baseline vital signs before initiating
the transfusion to detect any changes that may indicate a transfusion reaction.
Informed consent should already be obtained prior to the procedure.
5. A client has a new prescription for enoxaparin. Which of the
following actions should the nurse take?
A. Administer the medication via the IM route
,B. Expel the air bubble from the prefilled syringe
C. Inject the medication into the abdomen
D. Aspirate for blood return before injection
RATIONALE: Enoxaparin is a low-molecular-weight heparin administered
subcutaneously into the abdomen to ensure proper absorption and reduce
hematoma risk. The IM route is incorrect. Air bubbles should not be expelled,
and aspiration is unnecessary.
6. A nurse is reinforcing teaching with a client who is postpartum about
the measles, mumps, rubella (MMR) vaccine. Which of the following
instructions should the nurse include in teaching?
A. "You should avoid becoming pregnant for 4 weeks after receiving the
vaccine."
B. "Your partner should also receive the MMR vaccine."
C. "If you are allergic to gluten, you should not receive this vaccine."
D. "Avoid breastfeeding for 3 days after receiving the vaccine."
RATIONALE: The MMR vaccine is a live vaccine and is contraindicated
during pregnancy. Postpartum clients should be advised to avoid pregnancy
for 4 weeks after vaccination.
7. A nurse is caring for a client who is at 31 weeks of gestation and
presents with a severe headache unrelieved by acetaminophen,
frequent vomiting, and decreased fetal movement. The client's blood
pressure is 168/110 mm Hg. Which of the following conditions should
the nurse suspect?
A. Gestational hypertension
B. Preeclampsia with severe features
C. Chronic hypertension
, D. Eclampsia
RATIONALE: Severe headache unrelieved by acetaminophen, vomiting,
and decreased fetal movement in a client at 31 weeks with a blood pressure of
168/110 mm Hg are classic signs of preeclampsia with severe features.
8. A nurse is reinforcing discharge teaching with a client who has stable
angina. Which of the following statements by the client indicates an
understanding of the teaching?
A. "I will take my nitroglycerin only when the pain is severe."
B. "I will call 911 if my chest pain is not relieved after taking 1 nitroglycerin
tablet."
C. "I will stop taking my beta-blocker if my heart rate is below 70."
D. "I will take my nitroglycerin with a glass of water."
RATIONALE: If chest pain is not relieved after one nitroglycerin tablet,
the client should call 911. Nitroglycerin should be taken sublingually and may
cause a burning sensation. Beta-blockers should not be stopped abruptly.
9. A nurse is caring for a client who has a new prescription for digoxin.
Which of the following findings should the nurse identify as an
indication of digoxin toxicity?
A. Bradycardia
B. Tachycardia
C. Hypertension
D. Hyperkalemia
RATIONALE: Bradycardia, along with nausea, vomiting, and visual
disturbances such as green-yellow halos, are classic signs of digoxin toxicity.
10. A nurse is assessing a client who has a cast on the right arm. Which
of the following findings should the nurse report immediately?
