ATI RN Comprehensive Predictor Retake |
2025/2026 Latest Edition | Actual Exam with 180
Verified Questions & Correct Answers with
Rationale | Guaranteed Pass
The ATI RN Comprehensive Predictor Retake exam measures readiness for the
NCLEX-RN by evaluating core nursing knowledge across all major areas of practice, including
medical-surgical nursing, pediatrics, maternity, pharmacology, psychiatric nursing, leadership,
and patient safety. This 2025/2026 newest update provides 180 verified actual exam-based
questions with correct answers and rationales to ensure complete accuracy and alignment with
the ATI test plan.
Overview
This complete ATI resource helps nursing students strengthen clinical judgment, prioritize safe
interventions, and apply evidence-based care strategies. Rated A+ for accuracy, reliability, and
comprehensive NCLEX preparation support.
Answer Format
Correct answers are highlighted in bold green. Each question includes a rationale to explain
best practice, reinforce nursing concepts, and guarantee exam success.
1. A client with heart failure is prescribed furosemide. Which finding
indicates the medication is effective?
a) Increased blood pressure
b) Decreased edema
c) Increased heart rate
d) Decreased potassium levels
b) Decreased edema
Rationale: Furosemide, a loop diuretic, reduces fluid overload, decreasing edema in heart
failure.
2. A pediatric client with asthma is wheezing. What is the priority nursing
action?
a) Administer a bronchodilator
b) Encourage deep breathing
c) Position in prone
d) Obtain a chest X-ray
a) Administer a bronchodilator
Rationale: Bronchodilators relieve acute wheezing by opening airways in asthma.
,3. A postpartum client has a temperature of 100.8°F. What is the priority
nursing action?
a) Administer acetaminophen
b) Assess for infection
c) Increase fluid intake
d) Monitor vital signs every 8 hours
b) Assess for infection
Rationale: Fever in postpartum clients may indicate infection, requiring immediate assessment.
4. A client is prescribed warfarin. Which food should the nurse advise to
limit?
a) Apples
b) Spinach
c) Chicken
d) Rice
b) Spinach
Rationale: Spinach, high in vitamin K, can interfere with warfarin’s anticoagulant effect.
5. A client with schizophrenia reports auditory hallucinations. What is the
nurse’s priority?
a) Encourage group therapy
b) Assess for safety risks
c) Administer a PRN sedative
d) Ignore the hallucinations
b) Assess for safety risks
Rationale: Hallucinations may lead to harmful behaviors, requiring safety assessment.
6. A charge nurse is delegating tasks. Which task can be assigned to a UAP?
a) Administering medications
b) Assisting with ambulation
c) Developing a care plan
d) Interpreting lab results
b) Assisting with ambulation
Rationale: UAPs can perform non-invasive tasks like ambulation, per scope of practice.
7. A client with a pressure ulcer requires a dressing change. What is the
priority nursing action?
a) Administer pain medication
b) Assess the wound
c) Apply a dry gauze dressing
d) Reposition the client
b) Assess the wound
Rationale: Wound assessment guides appropriate dressing selection and care.
8. A pediatric client is receiving IV fluids. What indicates fluid overload?
a) Decreased heart rate
,b) Crackles in lungs
c) Increased urine output
d) Dry mucous membranes
b) Crackles in lungs
Rationale: Crackles indicate pulmonary edema from fluid overload.
9. A client in labor has a prolonged deceleration. What is the priority
nursing action?
a) Administer oxygen
b) Prepare for cesarean delivery
c) Increase IV fluids
d) Reposition the client
d) Reposition the client
Rationale: Repositioning may relieve cord compression, improving fetal oxygenation.
10. A client is prescribed digoxin. Which lab value should the nurse
monitor?
a) Sodium
b) Potassium
c) Calcium
d) Magnesium
b) Potassium
Rationale: Hypokalemia increases the risk of digoxin toxicity.
11. A client with bipolar disorder is manic. What is the priority nursing
intervention?
a) Encourage group activities
b) Provide a calm environment
c) Restrict fluid intake
d) Administer a stimulant
b) Provide a calm environment
Rationale: A calm environment reduces stimulation during a manic episode.
12. A nurse is prioritizing care for multiple clients. Which client should be
seen first?
a) Client with a blood pressure of 120/80 mmHg
b) Client with chest pain
c) Client awaiting discharge
d) Client with a scheduled dressing change
b) Client with chest pain
Rationale: Chest pain may indicate a life-threatening condition, requiring immediate attention.
13. A client with diabetes has a blood glucose of 50 mg/dL. What is the
priority action?
a) Administer insulin
b) Give 15 g of carbohydrates
, c) Monitor vital signs
d) Encourage ambulation
b) Give 15 g of carbohydrates
Rationale: Hypoglycemia requires immediate carbohydrate administration to raise glucose
levels.
14. A pediatric client with a fever is prescribed acetaminophen. What is the
priority assessment?
a) Weight
b) Blood pressure
c) Heart rate
d) Respiratory rate
a) Weight
Rationale: Acetaminophen dosing in pediatrics is weight-based for safety.
15. A client in labor reports severe back pain. What is the priority nursing
action?
a) Administer an epidural
b) Assess fetal heart rate
c) Encourage ambulation
d) Apply a heating pad
b) Assess fetal heart rate
Rationale: Severe back pain may indicate fetal distress, requiring fetal monitoring.
16. A client is prescribed heparin. Which lab value should the nurse
monitor?
a) INR
b) aPTT
c) Platelet count
d) Hemoglobin
b) aPTT
Rationale: aPTT monitors heparin’s anticoagulant effect.
17. A client with depression is withdrawn. What is the priority nursing
intervention?
a) Encourage social isolation
b) Establish a therapeutic relationship
c) Administer a stimulant
d) Restrict visitors
b) Establish a therapeutic relationship
Rationale: A therapeutic relationship promotes trust and engagement in depression.
18. A nurse is leading a team. Which action demonstrates effective
leadership?
a) Ignoring staff concerns
b) Communicating clearly
2025/2026 Latest Edition | Actual Exam with 180
Verified Questions & Correct Answers with
Rationale | Guaranteed Pass
The ATI RN Comprehensive Predictor Retake exam measures readiness for the
NCLEX-RN by evaluating core nursing knowledge across all major areas of practice, including
medical-surgical nursing, pediatrics, maternity, pharmacology, psychiatric nursing, leadership,
and patient safety. This 2025/2026 newest update provides 180 verified actual exam-based
questions with correct answers and rationales to ensure complete accuracy and alignment with
the ATI test plan.
Overview
This complete ATI resource helps nursing students strengthen clinical judgment, prioritize safe
interventions, and apply evidence-based care strategies. Rated A+ for accuracy, reliability, and
comprehensive NCLEX preparation support.
Answer Format
Correct answers are highlighted in bold green. Each question includes a rationale to explain
best practice, reinforce nursing concepts, and guarantee exam success.
1. A client with heart failure is prescribed furosemide. Which finding
indicates the medication is effective?
a) Increased blood pressure
b) Decreased edema
c) Increased heart rate
d) Decreased potassium levels
b) Decreased edema
Rationale: Furosemide, a loop diuretic, reduces fluid overload, decreasing edema in heart
failure.
2. A pediatric client with asthma is wheezing. What is the priority nursing
action?
a) Administer a bronchodilator
b) Encourage deep breathing
c) Position in prone
d) Obtain a chest X-ray
a) Administer a bronchodilator
Rationale: Bronchodilators relieve acute wheezing by opening airways in asthma.
,3. A postpartum client has a temperature of 100.8°F. What is the priority
nursing action?
a) Administer acetaminophen
b) Assess for infection
c) Increase fluid intake
d) Monitor vital signs every 8 hours
b) Assess for infection
Rationale: Fever in postpartum clients may indicate infection, requiring immediate assessment.
4. A client is prescribed warfarin. Which food should the nurse advise to
limit?
a) Apples
b) Spinach
c) Chicken
d) Rice
b) Spinach
Rationale: Spinach, high in vitamin K, can interfere with warfarin’s anticoagulant effect.
5. A client with schizophrenia reports auditory hallucinations. What is the
nurse’s priority?
a) Encourage group therapy
b) Assess for safety risks
c) Administer a PRN sedative
d) Ignore the hallucinations
b) Assess for safety risks
Rationale: Hallucinations may lead to harmful behaviors, requiring safety assessment.
6. A charge nurse is delegating tasks. Which task can be assigned to a UAP?
a) Administering medications
b) Assisting with ambulation
c) Developing a care plan
d) Interpreting lab results
b) Assisting with ambulation
Rationale: UAPs can perform non-invasive tasks like ambulation, per scope of practice.
7. A client with a pressure ulcer requires a dressing change. What is the
priority nursing action?
a) Administer pain medication
b) Assess the wound
c) Apply a dry gauze dressing
d) Reposition the client
b) Assess the wound
Rationale: Wound assessment guides appropriate dressing selection and care.
8. A pediatric client is receiving IV fluids. What indicates fluid overload?
a) Decreased heart rate
,b) Crackles in lungs
c) Increased urine output
d) Dry mucous membranes
b) Crackles in lungs
Rationale: Crackles indicate pulmonary edema from fluid overload.
9. A client in labor has a prolonged deceleration. What is the priority
nursing action?
a) Administer oxygen
b) Prepare for cesarean delivery
c) Increase IV fluids
d) Reposition the client
d) Reposition the client
Rationale: Repositioning may relieve cord compression, improving fetal oxygenation.
10. A client is prescribed digoxin. Which lab value should the nurse
monitor?
a) Sodium
b) Potassium
c) Calcium
d) Magnesium
b) Potassium
Rationale: Hypokalemia increases the risk of digoxin toxicity.
11. A client with bipolar disorder is manic. What is the priority nursing
intervention?
a) Encourage group activities
b) Provide a calm environment
c) Restrict fluid intake
d) Administer a stimulant
b) Provide a calm environment
Rationale: A calm environment reduces stimulation during a manic episode.
12. A nurse is prioritizing care for multiple clients. Which client should be
seen first?
a) Client with a blood pressure of 120/80 mmHg
b) Client with chest pain
c) Client awaiting discharge
d) Client with a scheduled dressing change
b) Client with chest pain
Rationale: Chest pain may indicate a life-threatening condition, requiring immediate attention.
13. A client with diabetes has a blood glucose of 50 mg/dL. What is the
priority action?
a) Administer insulin
b) Give 15 g of carbohydrates
, c) Monitor vital signs
d) Encourage ambulation
b) Give 15 g of carbohydrates
Rationale: Hypoglycemia requires immediate carbohydrate administration to raise glucose
levels.
14. A pediatric client with a fever is prescribed acetaminophen. What is the
priority assessment?
a) Weight
b) Blood pressure
c) Heart rate
d) Respiratory rate
a) Weight
Rationale: Acetaminophen dosing in pediatrics is weight-based for safety.
15. A client in labor reports severe back pain. What is the priority nursing
action?
a) Administer an epidural
b) Assess fetal heart rate
c) Encourage ambulation
d) Apply a heating pad
b) Assess fetal heart rate
Rationale: Severe back pain may indicate fetal distress, requiring fetal monitoring.
16. A client is prescribed heparin. Which lab value should the nurse
monitor?
a) INR
b) aPTT
c) Platelet count
d) Hemoglobin
b) aPTT
Rationale: aPTT monitors heparin’s anticoagulant effect.
17. A client with depression is withdrawn. What is the priority nursing
intervention?
a) Encourage social isolation
b) Establish a therapeutic relationship
c) Administer a stimulant
d) Restrict visitors
b) Establish a therapeutic relationship
Rationale: A therapeutic relationship promotes trust and engagement in depression.
18. A nurse is leading a team. Which action demonstrates effective
leadership?
a) Ignoring staff concerns
b) Communicating clearly
