2026 ATI RN COMPREHENSIVE PREDICTOR –
PROCTORED EXAM TEST BANK |
5 FULL SET EXAMS | NGN-STYLE QUESTIONS & CASE SCENARIOS
UPDATED QUESTIONS AND ANSWERS WITH RATIONALE
A+ GRADED| BRAND NEW RELEASE!
This comprehensive test bank is designed for RN students preparing for the
2026 ATI RN Comprehensive Predictor Proctored Exam. It includes 5 full sets
of exam-style questions incorporating NGN (Next Generation NCLEX) formats
such as multiple response, matrix, fill-in-the-blank, and case scenarios.
Each question is accompanied by the correct answer and a detailed rationale
to reinforce clinical judgment and nursing knowledge.
DOMAINS COVERED:
1. Management of Care (Advocacy, Ethics, Legal, Prioritization, Delegation)
2. Safety and Infection Control (Standard Precautions, Injury Prevention)
3. Health Promotion and Maintenance (Developmental Stages, Screening)
4. Psychosocial Integrity (Coping, Mental Health, Crisis Intervention)
5. Basic Care and Comfort (Mobility, Nutrition, Elimination, Rest)
6. Pharmacological and Parenteral Therapies (Medications, IV Therapy)
7. Reduction of Risk Potential (Lab Values, Diagnostics, Surgical Care)
8. Physiological Adaptation (Acute/Chronic Illness, Medical Emergencies)
9. NGN Case Studies & Unfolding Scenarios (Clinical Judgment)
SET 1 EXAM
Question 1
A home health nurse is caring for a child who has Lyme disease. Which of the
,following is an appropriate action for the nurse to take?
A. Ensure the state health department has been notified
B. Administer antitoxin
C. Educate the family to avoid sharing personal belongings
D. Assess for skin necrosis
Correct Answer: A
Rationale: Lyme disease is a reportable communicable disease in most states.
The nurse must ensure proper notification to public health authorities.
Antitoxin is not used for Lyme disease (antibiotics are). Skin necrosis is
not a characteristic finding of Lyme disease; erythema migrans is the
classic rash.
Question 2
A nurse is caring for a client who has been admitted to the hospital. (NGN -
Select 5 actions the nurse should take)
Select all that apply:
[ ] Provide frequent rest periods
[ ] Restrict client sodium intake
[ ] Advise client to avoid using soap and alcohol-based lotions
[ ] Instruct the client to avoid blowing their nose forcefully
[ ] Assess the client's level of orientation
Correct Answers: All 5 options should be selected
Rationale: These interventions are appropriate for a client with potential
,increased intracranial pressure or post-operative cranial surgery. Rest
periods reduce metabolic demands; sodium restriction prevents fluid
retention; avoiding soap/alcohol prevents skin irritation; avoiding nose
blowing prevents increased ICP; assessing orientation monitors neurological
status.
Question 3
A nurse is caring for a client who has a vented NG tube set to low
intermittent suction and has vomited. Which of the following actions should
the nurse perform first?
A. Administer an antiemetic medication
B. Evaluate functioning of the suction device
C. Provide oral hygiene care
D. Replace the NG tube
Correct Answer: B
Rationale: According to the nursing process and priority-setting framework,
the nurse must first assess the equipment. If the suction device is not
functioning properly, gastric contents cannot drain, leading to vomiting.
The nurse must check for kinks, proper suction settings, and tube placement
before implementing other interventions.
Question 4
While performing a routine assessment, a nurse notices fraying on the
, electrical cord of a client's continuous passive motion (CPM) device. Which
of the following actions should the nurse take first?
A. Initiate a requisition for a replacement CPM device
B. Report the defect to the equipment maintenance staff
C. Remove the device from the room
D. Ensure the device inspection sticker is current
Correct Answer: C
Rationale: Client safety is the priority. A frayed electrical cord poses an
immediate fire and electrocution hazard. The nurse must remove the device
from the room immediately to prevent harm, then follow up with reporting
and replacement.
Question 5
A nurse is setting up a sterile field to perform wound irrigation for a
client. Which of the following actions should the nurse take when pouring
the sterile solution?
A. Remove the cap and place it sterile-side up on a clean surface
B. Place sterile gauze over areas of spilled solution
C. Hold the bottle in the center of the sterile field when pouring the
solution
D. Hold the irrigation solution bottle with the label facing away from the
palm of the hand
Correct Answer: A
PROCTORED EXAM TEST BANK |
5 FULL SET EXAMS | NGN-STYLE QUESTIONS & CASE SCENARIOS
UPDATED QUESTIONS AND ANSWERS WITH RATIONALE
A+ GRADED| BRAND NEW RELEASE!
This comprehensive test bank is designed for RN students preparing for the
2026 ATI RN Comprehensive Predictor Proctored Exam. It includes 5 full sets
of exam-style questions incorporating NGN (Next Generation NCLEX) formats
such as multiple response, matrix, fill-in-the-blank, and case scenarios.
Each question is accompanied by the correct answer and a detailed rationale
to reinforce clinical judgment and nursing knowledge.
DOMAINS COVERED:
1. Management of Care (Advocacy, Ethics, Legal, Prioritization, Delegation)
2. Safety and Infection Control (Standard Precautions, Injury Prevention)
3. Health Promotion and Maintenance (Developmental Stages, Screening)
4. Psychosocial Integrity (Coping, Mental Health, Crisis Intervention)
5. Basic Care and Comfort (Mobility, Nutrition, Elimination, Rest)
6. Pharmacological and Parenteral Therapies (Medications, IV Therapy)
7. Reduction of Risk Potential (Lab Values, Diagnostics, Surgical Care)
8. Physiological Adaptation (Acute/Chronic Illness, Medical Emergencies)
9. NGN Case Studies & Unfolding Scenarios (Clinical Judgment)
SET 1 EXAM
Question 1
A home health nurse is caring for a child who has Lyme disease. Which of the
,following is an appropriate action for the nurse to take?
A. Ensure the state health department has been notified
B. Administer antitoxin
C. Educate the family to avoid sharing personal belongings
D. Assess for skin necrosis
Correct Answer: A
Rationale: Lyme disease is a reportable communicable disease in most states.
The nurse must ensure proper notification to public health authorities.
Antitoxin is not used for Lyme disease (antibiotics are). Skin necrosis is
not a characteristic finding of Lyme disease; erythema migrans is the
classic rash.
Question 2
A nurse is caring for a client who has been admitted to the hospital. (NGN -
Select 5 actions the nurse should take)
Select all that apply:
[ ] Provide frequent rest periods
[ ] Restrict client sodium intake
[ ] Advise client to avoid using soap and alcohol-based lotions
[ ] Instruct the client to avoid blowing their nose forcefully
[ ] Assess the client's level of orientation
Correct Answers: All 5 options should be selected
Rationale: These interventions are appropriate for a client with potential
,increased intracranial pressure or post-operative cranial surgery. Rest
periods reduce metabolic demands; sodium restriction prevents fluid
retention; avoiding soap/alcohol prevents skin irritation; avoiding nose
blowing prevents increased ICP; assessing orientation monitors neurological
status.
Question 3
A nurse is caring for a client who has a vented NG tube set to low
intermittent suction and has vomited. Which of the following actions should
the nurse perform first?
A. Administer an antiemetic medication
B. Evaluate functioning of the suction device
C. Provide oral hygiene care
D. Replace the NG tube
Correct Answer: B
Rationale: According to the nursing process and priority-setting framework,
the nurse must first assess the equipment. If the suction device is not
functioning properly, gastric contents cannot drain, leading to vomiting.
The nurse must check for kinks, proper suction settings, and tube placement
before implementing other interventions.
Question 4
While performing a routine assessment, a nurse notices fraying on the
, electrical cord of a client's continuous passive motion (CPM) device. Which
of the following actions should the nurse take first?
A. Initiate a requisition for a replacement CPM device
B. Report the defect to the equipment maintenance staff
C. Remove the device from the room
D. Ensure the device inspection sticker is current
Correct Answer: C
Rationale: Client safety is the priority. A frayed electrical cord poses an
immediate fire and electrocution hazard. The nurse must remove the device
from the room immediately to prevent harm, then follow up with reporting
and replacement.
Question 5
A nurse is setting up a sterile field to perform wound irrigation for a
client. Which of the following actions should the nurse take when pouring
the sterile solution?
A. Remove the cap and place it sterile-side up on a clean surface
B. Place sterile gauze over areas of spilled solution
C. Hold the bottle in the center of the sterile field when pouring the
solution
D. Hold the irrigation solution bottle with the label facing away from the
palm of the hand
Correct Answer: A
