WEST COAST UNIVERSITY
NURS 493 - INTEGRATION OF NURSING CONCEPTS
ATI RN COMPREHENSIVE PREDICTOR
FALL 2026 | FULL-LENGTH PRACTICE ASSESSMENT
Candidate Name: ________________________________________ Date: _________________
180 multiple-choice questions | 180 practice points | Four answer choices per question
Suggested practice time: 4 hours (ATI public pages differ about official timing).
Choose ONE best answer for each question. No partial marks are awarded in this practice paper.
Official WCU classification: NURS 493 end-of-course ATI readiness/predictor assessment, not a regular midterm or
final.
WCU benchmark in the applicable catalog policy: at least 92% predicted probability of NCLEX-RN success, with
NURS 493 Pass/No Pass.
Practice scoring is not ATI scoring. ATI historically reported 150 scored + 30 pretest items for a 180-item version;
that split has not been confirmed for Fall 2026.
Original practice questions, written or adapted from concepts in the four uploaded study PDFs. The materials are
not verified ATI exam questions and cannot predict the lecturer's exam.
All items in this practice version use A, B, C, or D, as requested; the official ATI assessment may use additional
formats.
Candidate practice record: Correct ______ / 180 Practice percentage ______ %
The answer key and rationales appear after all 180 questions so that students can attempt the paper without seeing the solutions.
WCU NURS 493 | Fall 2026 | INDEPENDENT PRACTICE - NOT AN OFFICIAL ATI TEST 1
, 1. A nurse is providing teaching about a clear liquid diet. Which of the following should the nurse
instruct the client to avoid?
A. Ginger ale
B. Black coffee
C. Orange sherbet
D. Lemon-lime sports drinks
2. The nursing team includes two RNs, one LPN/LVN, and one nursing assistant. The nurse should
consider the assignments appropriate if the nursing assistant is assigned to care for
A. A client with scleroderma receiving a tube feeding.
B. A client with osteoporosis complaining of burning on urination.
C. A client with cancer who has Cheyne-Stokes respirations.
D. A client with Alzheimer's requiring assistance with feeding.
3. A 69-year-old client is undergoing his second exchange of intermittent peritoneal dialysis (IPD).
Which of the following would require an intervention by the nurse?
A. The client complains of constipation.
B. The client complains of pain during the inflow of the dialysate.
C. There is blood-tinged fluid around the intra-abdominal catheter.
D. The dialysate outflow is cloudy.
4. Which medication is named in the notes as an opioid-overdose reversal agent?
A. Naloxone
B. Ferrous sulfate
C. Haloperidol
D. Lithium
5. Which of the following is a realistic short-term goal to be accomplished in 2 to 3 days for a
client with delirium?
A. Regain orientation to time and place.
B. Explain the experience of having delirium.
C. Resume a normal sleep-wake cycle.
D. Establish normal bowel and bladder function.
6. For a client receiving TPN, which finding is emphasized as a basic indicator of adequate renal
perfusion?
A. No urine for 12 hours
B. A steadily declining level of consciousness
C. Urine output of at least 30 mL/hour
D. New profound hypotension
WCU NURS 493 | Fall 2026 | INDEPENDENT PRACTICE - NOT AN OFFICIAL ATI TEST 2
, 7. A nurse recognizes that an initial positive outcome of treatment for a victim of sexual abuse by
one parent would be that the client
A. Reestablishes a trusting relationship with hithe clientr other parent.
B. Acknowledges willing participation in an incestuous relationship.
C. Verbalizes that the client is not responsible for the sexual abuse.
D. Describes feelings of anxiety when speaking about sexual abuse.
8. Which term denotes personal values and beliefs guiding behavior?
A. Delegation
B. Triage
C. Acuity
D. Morals
9. Which over-the-counter product is specifically identified as a concern for a client beginning
warfarin?
A. Artificial tears
B. Saline nasal spray
C. Plain water
D. Aspirin
10. A client is scheduled for a left lower lobectomy. The physician has ordered diazepam (Valium)
2 mg IM for anxiety. The nurse would determine that the medication is appropriate if the client
displays which of the following symptoms?
A. Restlessness and increased heart rate.
B. Hostility and increased blood pressure.
C. Agitation and decreased level of consciousness.
D. Lethargy and decreased respiratory rate.
11. An adolescent client is ordered to take tetracycline HCL (Achromycin) 250 mg PO bid. Which of
the following instructions should be given to this client by the nurse?
A. "Take the medication on a full stomach, or with a glass of milk."
B. "Wear sunscreen and a hat when outdoors."
C. "Avoid the use of soaps or detergents for two weeks."
D. "Continue taking the medication until you feel better."
12. What is the primary role of an interdisciplinary healthcare team?
A. Allow only one profession to establish all care
B. Replace nursing assessments with billing
C. Coordinate expertise from multiple disciplines
D. Prevent patient involvement in decisions
13. Which action should be considered after myocardial infarction when a client reports fatigue?
A. Bed rest without any reassessment forever
B. Immediate unsupervised strenuous exercise
C. Avoiding cardiac rehabilitation discussions
D. Gradual return to self-care tasks
WCU NURS 493 | Fall 2026 | INDEPENDENT PRACTICE - NOT AN OFFICIAL ATI TEST 3
, 14. A nurse on a medical-surgical unit has recieved change of shift report and will care for 4
clients. Which of the following clients needs will the nurse assign to an AP?
A. Feeding a client who was admitted 24 hours ago with aspiration pneumonia
B. Reapplying a condom catheter for a client who has urinary incontinence
C. Applying a sterile dressing to a pressure ulcer
D. Reinforcing teaching with a client who is learning to walk with a quad cane
15. Which leadership style allows staff participation in decisions and two-way communication?
A. Punitive
B. Democratic
C. Laissez-faire only
D. Authoritarian
16. After sustaining a closed head injury and numerous lacerations and abrasions to the face and
neck, a five-year-old child is admitted to the emergency room. The client is unconscious and has
minimal response to noxious stimuli. Which of the following assessments, if observed by the nurse
three hours after admission, should be reported to the physician?
A. There is some bleeding from the child's lacerations.
B. The client has slight edema of the eyelids.
C. The client withdraws in response to painful stimuli.
D. There is clear fluid draining from the client's right ear.
17. Which potential contributor to acute delirium is specifically highlighted in the notes?
A. Normal hunger
B. A stable eyeglass prescription
C. Medication intoxication
D. A childhood hobby
18. A nurse screens for signs of lithium toxicity. Which combination appears in the notes?
A. No neurologic or gastrointestinal effects
B. Tremor, gastrointestinal symptoms, and muscle weakness
C. Improved speech clarity only
D. Higher visual acuity
19. If a client develops cor pulmonale (right-sided heart failure), the nurse would expect to
observe
A. Increasing respiratory difficulty seen with exertion.
B. Twitching of extremities.
C. Cough productive of a large amount of thick, yellow mucus.
D. Peripheral edema and anorexia.
WCU NURS 493 | Fall 2026 | INDEPENDENT PRACTICE - NOT AN OFFICIAL ATI TEST 4
NURS 493 - INTEGRATION OF NURSING CONCEPTS
ATI RN COMPREHENSIVE PREDICTOR
FALL 2026 | FULL-LENGTH PRACTICE ASSESSMENT
Candidate Name: ________________________________________ Date: _________________
180 multiple-choice questions | 180 practice points | Four answer choices per question
Suggested practice time: 4 hours (ATI public pages differ about official timing).
Choose ONE best answer for each question. No partial marks are awarded in this practice paper.
Official WCU classification: NURS 493 end-of-course ATI readiness/predictor assessment, not a regular midterm or
final.
WCU benchmark in the applicable catalog policy: at least 92% predicted probability of NCLEX-RN success, with
NURS 493 Pass/No Pass.
Practice scoring is not ATI scoring. ATI historically reported 150 scored + 30 pretest items for a 180-item version;
that split has not been confirmed for Fall 2026.
Original practice questions, written or adapted from concepts in the four uploaded study PDFs. The materials are
not verified ATI exam questions and cannot predict the lecturer's exam.
All items in this practice version use A, B, C, or D, as requested; the official ATI assessment may use additional
formats.
Candidate practice record: Correct ______ / 180 Practice percentage ______ %
The answer key and rationales appear after all 180 questions so that students can attempt the paper without seeing the solutions.
WCU NURS 493 | Fall 2026 | INDEPENDENT PRACTICE - NOT AN OFFICIAL ATI TEST 1
, 1. A nurse is providing teaching about a clear liquid diet. Which of the following should the nurse
instruct the client to avoid?
A. Ginger ale
B. Black coffee
C. Orange sherbet
D. Lemon-lime sports drinks
2. The nursing team includes two RNs, one LPN/LVN, and one nursing assistant. The nurse should
consider the assignments appropriate if the nursing assistant is assigned to care for
A. A client with scleroderma receiving a tube feeding.
B. A client with osteoporosis complaining of burning on urination.
C. A client with cancer who has Cheyne-Stokes respirations.
D. A client with Alzheimer's requiring assistance with feeding.
3. A 69-year-old client is undergoing his second exchange of intermittent peritoneal dialysis (IPD).
Which of the following would require an intervention by the nurse?
A. The client complains of constipation.
B. The client complains of pain during the inflow of the dialysate.
C. There is blood-tinged fluid around the intra-abdominal catheter.
D. The dialysate outflow is cloudy.
4. Which medication is named in the notes as an opioid-overdose reversal agent?
A. Naloxone
B. Ferrous sulfate
C. Haloperidol
D. Lithium
5. Which of the following is a realistic short-term goal to be accomplished in 2 to 3 days for a
client with delirium?
A. Regain orientation to time and place.
B. Explain the experience of having delirium.
C. Resume a normal sleep-wake cycle.
D. Establish normal bowel and bladder function.
6. For a client receiving TPN, which finding is emphasized as a basic indicator of adequate renal
perfusion?
A. No urine for 12 hours
B. A steadily declining level of consciousness
C. Urine output of at least 30 mL/hour
D. New profound hypotension
WCU NURS 493 | Fall 2026 | INDEPENDENT PRACTICE - NOT AN OFFICIAL ATI TEST 2
, 7. A nurse recognizes that an initial positive outcome of treatment for a victim of sexual abuse by
one parent would be that the client
A. Reestablishes a trusting relationship with hithe clientr other parent.
B. Acknowledges willing participation in an incestuous relationship.
C. Verbalizes that the client is not responsible for the sexual abuse.
D. Describes feelings of anxiety when speaking about sexual abuse.
8. Which term denotes personal values and beliefs guiding behavior?
A. Delegation
B. Triage
C. Acuity
D. Morals
9. Which over-the-counter product is specifically identified as a concern for a client beginning
warfarin?
A. Artificial tears
B. Saline nasal spray
C. Plain water
D. Aspirin
10. A client is scheduled for a left lower lobectomy. The physician has ordered diazepam (Valium)
2 mg IM for anxiety. The nurse would determine that the medication is appropriate if the client
displays which of the following symptoms?
A. Restlessness and increased heart rate.
B. Hostility and increased blood pressure.
C. Agitation and decreased level of consciousness.
D. Lethargy and decreased respiratory rate.
11. An adolescent client is ordered to take tetracycline HCL (Achromycin) 250 mg PO bid. Which of
the following instructions should be given to this client by the nurse?
A. "Take the medication on a full stomach, or with a glass of milk."
B. "Wear sunscreen and a hat when outdoors."
C. "Avoid the use of soaps or detergents for two weeks."
D. "Continue taking the medication until you feel better."
12. What is the primary role of an interdisciplinary healthcare team?
A. Allow only one profession to establish all care
B. Replace nursing assessments with billing
C. Coordinate expertise from multiple disciplines
D. Prevent patient involvement in decisions
13. Which action should be considered after myocardial infarction when a client reports fatigue?
A. Bed rest without any reassessment forever
B. Immediate unsupervised strenuous exercise
C. Avoiding cardiac rehabilitation discussions
D. Gradual return to self-care tasks
WCU NURS 493 | Fall 2026 | INDEPENDENT PRACTICE - NOT AN OFFICIAL ATI TEST 3
, 14. A nurse on a medical-surgical unit has recieved change of shift report and will care for 4
clients. Which of the following clients needs will the nurse assign to an AP?
A. Feeding a client who was admitted 24 hours ago with aspiration pneumonia
B. Reapplying a condom catheter for a client who has urinary incontinence
C. Applying a sterile dressing to a pressure ulcer
D. Reinforcing teaching with a client who is learning to walk with a quad cane
15. Which leadership style allows staff participation in decisions and two-way communication?
A. Punitive
B. Democratic
C. Laissez-faire only
D. Authoritarian
16. After sustaining a closed head injury and numerous lacerations and abrasions to the face and
neck, a five-year-old child is admitted to the emergency room. The client is unconscious and has
minimal response to noxious stimuli. Which of the following assessments, if observed by the nurse
three hours after admission, should be reported to the physician?
A. There is some bleeding from the child's lacerations.
B. The client has slight edema of the eyelids.
C. The client withdraws in response to painful stimuli.
D. There is clear fluid draining from the client's right ear.
17. Which potential contributor to acute delirium is specifically highlighted in the notes?
A. Normal hunger
B. A stable eyeglass prescription
C. Medication intoxication
D. A childhood hobby
18. A nurse screens for signs of lithium toxicity. Which combination appears in the notes?
A. No neurologic or gastrointestinal effects
B. Tremor, gastrointestinal symptoms, and muscle weakness
C. Improved speech clarity only
D. Higher visual acuity
19. If a client develops cor pulmonale (right-sided heart failure), the nurse would expect to
observe
A. Increasing respiratory difficulty seen with exertion.
B. Twitching of extremities.
C. Cough productive of a large amount of thick, yellow mucus.
D. Peripheral edema and anorexia.
WCU NURS 493 | Fall 2026 | INDEPENDENT PRACTICE - NOT AN OFFICIAL ATI TEST 4
