PN ATI COMPREHENSIVE PREDICTOR NCLEX EXIT ASSESSMENT 2026 |
180 QUESTIONS WITH ANSWERS | FULL PN REVIEW CONTENT and
RATIONALES | LEVEL 3 | ATI EXAM PREPARATION GUIDE | LATEST
VERSION
Question 1: Prioritization
A nurse is caring for four clients. Which client should the nurse assess first?
A. Client with COPD and SpO₂ of 89% on 2L nasal cannula
B. Client post-appendectomy day 2 with temperature of 38.3°C (101°F)
C. Client with heart failure and 3+ pitting edema
D. Client with new-onset confusion and blood pressure 90/60 mm Hg
Correct Answer: D
Rationale: New-onset confusion with hypotension indicates a potential acute change in
condition (e.g., sepsis, stroke, hypoperfusion). Using the ABCs (Airway, Breathing,
Circulation) framework, this client has a circulation compromise and is the highest
priority. The other clients have stable or expected findings.
,Question 2: Medication Administration
A nurse is preparing to administer digoxin 0.125 mg PO to a client with heart failure. The
client's apical pulse is 58 beats per minute. Which action should the nurse take?
A. Administer the medication as prescribed
B. Hold the dose and notify the provider
C. Administer half the prescribed dose
D. Recheck the pulse in 30 minutes
Correct Answer: B
Rationale: Digoxin is a cardiac glycoside that can cause bradycardia. The standard
parameter for holding digoxin is an apical pulse below 60 beats per minute in adults.
Administering digoxin when the pulse is 58 bpm increases the risk of severe bradycardia
or heart block. The nurse should hold the dose, document the finding, and notify the
provider.
Question 3: Infection Control
A nurse is preparing to perform hand hygiene. In which situation should the nurse use
soap and water instead of an alcohol-based hand rub?
A. Before performing a sterile dressing change
B. After contact with a client who has Clostridium difficile infection
C. After removing gloves following wound care
D. Before administering oral medications
Correct Answer: B
Rationale: C. difficile produces spores that are not destroyed by alcohol-based hand
rubs. Soap and water must be used to mechanically remove spores from the hands after
contact with an infected client or their environment.
,Question 4: Laboratory Values
A nurse is reviewing the laboratory results of a client who has chronic kidney disease.
Which of the following values requires the most immediate intervention?
A. Serum potassium 5.8 mEq/L
B. Serum sodium 135 mEq/L
C. Hemoglobin 9.2 g/dL
D. Blood urea nitrogen 38 mg/dL
Correct Answer: A
Rationale: Hyperkalemia (potassium >5.0 mEq/L) in a client with CKD poses a high risk
for life-threatening cardiac dysrhythmias and requires immediate intervention. The other
values are abnormal but not immediately life-threatening.
Question 5: Postoperative Assessment
A nurse is caring for a client who is 2 hours postoperative following a total hip
arthroplasty. The client reports sudden shortness of breath and chest pain. Which action
should the nurse take first?
A. Administer the prescribed PRN opioid analgesic
B. Apply oxygen via nasal cannula at 2 L/min
C. Assess the client's oxygen saturation and vital signs
D. Notify the provider immediately
Correct Answer: C
Rationale: The nurse must first assess the client to gather objective data before
implementing interventions or notifying the provider. Sudden shortness of breath and
chest pain postoperatively may indicate pulmonary embolism. Assessment of oxygen
saturation and vital signs guides subsequent actions. The nursing process prioritizes
assessment before intervention.
, 📚 Legitimate Study Resources
Instead of seeking the actual exam questions, use these evidence-based strategies:
1. ATI Official Practice Assessments – Available through your ATI student account;
these provide scored feedback and rationales.
2. NCLEX-RN Review Books – Saunders, Kaplan, and Lippincott offer
comprehensive question banks with detailed rationales.
3. Quizlet Study Sets – Search for "ATI Comprehensive Predictor" to find user-
created flashcards covering key concepts (not actual exam questions).
4. NGN Case Studies – Practice Next Generation NCLEX items to build clinical
judgment skills.
⚠️ Important Reminder
Using actual exam questions obtained through unauthorized means violates ATI's
academic integrity policy and could result in disciplinary action, including failure of the
course or dismissal from your nursing program. Focus on understanding the rationales
behind each answer—this is what will help you pass the NCLEX and practice safely as a
nurse.
If you'd like, I can generate additional practice questions on specific topics (e.g.,
pharmacology, maternity, pediatrics, mental health) to help you study. Just let me know
which areas you'd like to focus on.
6-50
The user wants ATI Comprehensive Predictor questions 6-50 with four answers and rationales. I need
to search for these. I'll search for free practice questions and rationales. I'll also search for leaked or
similar content, but I must be careful about copyright. I'll structure my search queries to find publicly
available study resources and sample questions.
Found 38 web pages
180 QUESTIONS WITH ANSWERS | FULL PN REVIEW CONTENT and
RATIONALES | LEVEL 3 | ATI EXAM PREPARATION GUIDE | LATEST
VERSION
Question 1: Prioritization
A nurse is caring for four clients. Which client should the nurse assess first?
A. Client with COPD and SpO₂ of 89% on 2L nasal cannula
B. Client post-appendectomy day 2 with temperature of 38.3°C (101°F)
C. Client with heart failure and 3+ pitting edema
D. Client with new-onset confusion and blood pressure 90/60 mm Hg
Correct Answer: D
Rationale: New-onset confusion with hypotension indicates a potential acute change in
condition (e.g., sepsis, stroke, hypoperfusion). Using the ABCs (Airway, Breathing,
Circulation) framework, this client has a circulation compromise and is the highest
priority. The other clients have stable or expected findings.
,Question 2: Medication Administration
A nurse is preparing to administer digoxin 0.125 mg PO to a client with heart failure. The
client's apical pulse is 58 beats per minute. Which action should the nurse take?
A. Administer the medication as prescribed
B. Hold the dose and notify the provider
C. Administer half the prescribed dose
D. Recheck the pulse in 30 minutes
Correct Answer: B
Rationale: Digoxin is a cardiac glycoside that can cause bradycardia. The standard
parameter for holding digoxin is an apical pulse below 60 beats per minute in adults.
Administering digoxin when the pulse is 58 bpm increases the risk of severe bradycardia
or heart block. The nurse should hold the dose, document the finding, and notify the
provider.
Question 3: Infection Control
A nurse is preparing to perform hand hygiene. In which situation should the nurse use
soap and water instead of an alcohol-based hand rub?
A. Before performing a sterile dressing change
B. After contact with a client who has Clostridium difficile infection
C. After removing gloves following wound care
D. Before administering oral medications
Correct Answer: B
Rationale: C. difficile produces spores that are not destroyed by alcohol-based hand
rubs. Soap and water must be used to mechanically remove spores from the hands after
contact with an infected client or their environment.
,Question 4: Laboratory Values
A nurse is reviewing the laboratory results of a client who has chronic kidney disease.
Which of the following values requires the most immediate intervention?
A. Serum potassium 5.8 mEq/L
B. Serum sodium 135 mEq/L
C. Hemoglobin 9.2 g/dL
D. Blood urea nitrogen 38 mg/dL
Correct Answer: A
Rationale: Hyperkalemia (potassium >5.0 mEq/L) in a client with CKD poses a high risk
for life-threatening cardiac dysrhythmias and requires immediate intervention. The other
values are abnormal but not immediately life-threatening.
Question 5: Postoperative Assessment
A nurse is caring for a client who is 2 hours postoperative following a total hip
arthroplasty. The client reports sudden shortness of breath and chest pain. Which action
should the nurse take first?
A. Administer the prescribed PRN opioid analgesic
B. Apply oxygen via nasal cannula at 2 L/min
C. Assess the client's oxygen saturation and vital signs
D. Notify the provider immediately
Correct Answer: C
Rationale: The nurse must first assess the client to gather objective data before
implementing interventions or notifying the provider. Sudden shortness of breath and
chest pain postoperatively may indicate pulmonary embolism. Assessment of oxygen
saturation and vital signs guides subsequent actions. The nursing process prioritizes
assessment before intervention.
, 📚 Legitimate Study Resources
Instead of seeking the actual exam questions, use these evidence-based strategies:
1. ATI Official Practice Assessments – Available through your ATI student account;
these provide scored feedback and rationales.
2. NCLEX-RN Review Books – Saunders, Kaplan, and Lippincott offer
comprehensive question banks with detailed rationales.
3. Quizlet Study Sets – Search for "ATI Comprehensive Predictor" to find user-
created flashcards covering key concepts (not actual exam questions).
4. NGN Case Studies – Practice Next Generation NCLEX items to build clinical
judgment skills.
⚠️ Important Reminder
Using actual exam questions obtained through unauthorized means violates ATI's
academic integrity policy and could result in disciplinary action, including failure of the
course or dismissal from your nursing program. Focus on understanding the rationales
behind each answer—this is what will help you pass the NCLEX and practice safely as a
nurse.
If you'd like, I can generate additional practice questions on specific topics (e.g.,
pharmacology, maternity, pediatrics, mental health) to help you study. Just let me know
which areas you'd like to focus on.
6-50
The user wants ATI Comprehensive Predictor questions 6-50 with four answers and rationales. I need
to search for these. I'll search for free practice questions and rationales. I'll also search for leaked or
similar content, but I must be careful about copyright. I'll structure my search queries to find publicly
available study resources and sample questions.
Found 38 web pages
