ATI Comprehensive Predictor 2K20. All
the information you need for the near
exam quick read to guarantee a top score
in 15 short pages.
Purpose: A quick-read, high-yield guide to ace the ATI Comprehensive Predictor 2020,
predicting NCLEX-RN success.
Exam Overview:
Format: 180 questions (150 scored), multiple-choice, some fill-in-the-blank/ordered-
response, 4 hours.
Topics: Management of Care, Safety/Infection Control, Health Promotion, Psychosocial
Integrity, Basic Care/Comfort, Pharmacology, Risk Reduction, Physiological Adaptation.
Passing: Typically 70–80% (varies by school), e.g., 73.3% = 93% NCLEX pass
probability.
Goal: Achieve Level 2 (meets NCLEX standards) or Level 3 (exceeds standards).
Page 1: Exam Structure and Scoring
Structure: 180 questions, 150 scored, covering all NCLEX client need categories.
Scoring Levels:
o Level 1: Below minimum competency, needs remediation.
o Level 2: Meets minimum NCLEX standards.
o Level 3: Exceeds standards (aim for 80.7%+ for 99% NCLEX pass probability).
Key Scores:
o 70.6% = 88% NCLEX pass probability.
o 73.8% = 93% NCLEX pass probability.
SPaG: 9-mark questions include Spelling, Punctuation, Grammar (3 marks).
Tip: Start prep early (final semester), use practice tests to mimic exam conditions.
Page 2: Test-Taking Strategies
Elimination Method: Narrow down multiple-choice options by ruling out incorrect
answers.
, Prioritize: Focus on ABCs (Airway, Breathing, Circulation) and Maslow’s hierarchy
(physiological needs first).
Delegation: RNs handle assessments, teaching, evaluation; APs handle routine tasks
(e.g., ambulation).
Time Management: ~1.3 minutes per question (4 hours for 180 questions). Skip and
return to tough questions.
Read Carefully: Note keywords like “first,” “priority,” or “most likely.”
Practice: Use Naxlex, ATI pink book, or BoardVitals for NCLEX-style questions.
Page 3: Management of Care (20–25%)
Key Concepts: Prioritization, delegation, ethics, client rights, informed consent.
Delegation Rules (5 Rights): Right task, person, circumstance, direction, supervision.
o RN Tasks: Assessments, teaching, IV meds, care plans.
o AP Tasks: Ambulation, bathing, vital signs (stable clients).
Example Question: Which task can an RN delegate to an AP?
Answer: Ambulating a client to the bathroom
Rationale: Ambulation is within AP scope; RNs handle teaching or assessments.
Tip: Review ethical principles (autonomy, beneficence, justice).
Page 4: Safety and Infection Control (10–15%)
Key Concepts: Standard precautions, fall prevention, restraints, disaster planning.
Standard Precautions: Hand hygiene, PPE (gloves for contact, masks for droplets).
Restraints: Use least restrictive, check every 2 hours, need provider order.
Example Question: What should a nurse do first for a client post-bronchoscopy?
Answer: Check for a gag reflex
Rationale: Ensures airway safety before feeding or drinking.
Tip: Memorize isolation precautions (e.g., MRSA = contact, TB = airborne).
Page 5: Health Promotion and Maintenance (6–12%)
Key Concepts: Growth/development, health screenings, lifestyle education.
Developmental Stages:
o Infants: Trust vs. mistrust, posterior fontanel closes by 2–3 months.
o Toddlers: Autonomy, parallel play.
o Adults: Health screenings (e.g., mammograms at 40).
the information you need for the near
exam quick read to guarantee a top score
in 15 short pages.
Purpose: A quick-read, high-yield guide to ace the ATI Comprehensive Predictor 2020,
predicting NCLEX-RN success.
Exam Overview:
Format: 180 questions (150 scored), multiple-choice, some fill-in-the-blank/ordered-
response, 4 hours.
Topics: Management of Care, Safety/Infection Control, Health Promotion, Psychosocial
Integrity, Basic Care/Comfort, Pharmacology, Risk Reduction, Physiological Adaptation.
Passing: Typically 70–80% (varies by school), e.g., 73.3% = 93% NCLEX pass
probability.
Goal: Achieve Level 2 (meets NCLEX standards) or Level 3 (exceeds standards).
Page 1: Exam Structure and Scoring
Structure: 180 questions, 150 scored, covering all NCLEX client need categories.
Scoring Levels:
o Level 1: Below minimum competency, needs remediation.
o Level 2: Meets minimum NCLEX standards.
o Level 3: Exceeds standards (aim for 80.7%+ for 99% NCLEX pass probability).
Key Scores:
o 70.6% = 88% NCLEX pass probability.
o 73.8% = 93% NCLEX pass probability.
SPaG: 9-mark questions include Spelling, Punctuation, Grammar (3 marks).
Tip: Start prep early (final semester), use practice tests to mimic exam conditions.
Page 2: Test-Taking Strategies
Elimination Method: Narrow down multiple-choice options by ruling out incorrect
answers.
, Prioritize: Focus on ABCs (Airway, Breathing, Circulation) and Maslow’s hierarchy
(physiological needs first).
Delegation: RNs handle assessments, teaching, evaluation; APs handle routine tasks
(e.g., ambulation).
Time Management: ~1.3 minutes per question (4 hours for 180 questions). Skip and
return to tough questions.
Read Carefully: Note keywords like “first,” “priority,” or “most likely.”
Practice: Use Naxlex, ATI pink book, or BoardVitals for NCLEX-style questions.
Page 3: Management of Care (20–25%)
Key Concepts: Prioritization, delegation, ethics, client rights, informed consent.
Delegation Rules (5 Rights): Right task, person, circumstance, direction, supervision.
o RN Tasks: Assessments, teaching, IV meds, care plans.
o AP Tasks: Ambulation, bathing, vital signs (stable clients).
Example Question: Which task can an RN delegate to an AP?
Answer: Ambulating a client to the bathroom
Rationale: Ambulation is within AP scope; RNs handle teaching or assessments.
Tip: Review ethical principles (autonomy, beneficence, justice).
Page 4: Safety and Infection Control (10–15%)
Key Concepts: Standard precautions, fall prevention, restraints, disaster planning.
Standard Precautions: Hand hygiene, PPE (gloves for contact, masks for droplets).
Restraints: Use least restrictive, check every 2 hours, need provider order.
Example Question: What should a nurse do first for a client post-bronchoscopy?
Answer: Check for a gag reflex
Rationale: Ensures airway safety before feeding or drinking.
Tip: Memorize isolation precautions (e.g., MRSA = contact, TB = airborne).
Page 5: Health Promotion and Maintenance (6–12%)
Key Concepts: Growth/development, health screenings, lifestyle education.
Developmental Stages:
o Infants: Trust vs. mistrust, posterior fontanel closes by 2–3 months.
o Toddlers: Autonomy, parallel play.
o Adults: Health screenings (e.g., mammograms at 40).
