ATI RN Comprehensive Predictor Exam NGN Style
Questions with 100% Correct Answers and Rationale
(2026 Version)
MOST TESTED & HARDEST ATI-STYLE QUESTIONS (1–15)
1. A nurse is caring for four clients. Which client should be assessed FIRST?
A. Client with chronic heart failure reporting 2-lb weight gain
B. Client with asthma using accessory muscles
C. Client with diabetes and blood glucose of 180 mg/dL
D. Client postoperative day 2 with pain 6/10
✅ Correct Answer: B
Rationale
• Accessory muscle use = respiratory distress (ABC)
• Others are stable or expected findings
2. Which task can the RN safely delegate to a UAP?
A. Administer oral pain medication
B. Teach incentive spirometer use
C. Measure urine output for a stable post-op client
D. Assess breath sounds
✅ Correct Answer: C
Rationale
UAPs can perform routine, non-invasive tasks on stable clients.
3. A client receiving IV opioids develops respirations of 8/min. What is the priority action?
,A. Call the provider
B. Administer naloxone
C. Increase oxygen
D. Reassess in 10 minutes
✅ Correct Answer: B
Rationale
• RR <10 = life-threatening opioid overdose
• Naloxone is priority
4. Which finding indicates effective treatment of heart failure?
A. Weight gain
B. Crackles
C. Decreased BNP
D. Peripheral edema
✅ Correct Answer: C
Rationale
BNP decreases when ventricular stretch improves.
5. Which client should NOT receive a live vaccine?
A. Client with asthma
B. Client taking corticosteroids long-term
C. Client with hypertension
D. Client with diabetes
✅ Correct Answer: B
Rationale
Immunosuppressed patients cannot receive live vaccines.
6. A nurse suspects hypoglycemia. Which symptom supports this?
A. Fruity breath
B. Polyuria
C. Diaphoresis
D. Deep respirations
✅ Correct Answer: C
,Rationale
Hypoglycemia = cold, clammy, sweaty
7. Which medication requires monitoring of potassium levels?
A. Furosemide
B. Acetaminophen
C. Warfarin
D. Metoprolol
✅ Correct Answer: A
Rationale
Loop diuretics cause hypokalemia → arrhythmias
8. A postpartum client has heavy bleeding and boggy uterus. What is the priority intervention?
A. Notify provider
B. Massage the fundus
C. Administer oxytocin
D. Insert Foley catheter
✅ Correct Answer: B
Rationale
Uterine atony → fundal massage FIRST
9. Which finding indicates a pediatric client is dehydrated?
A. Sunken fontanel
B. Increased urine output
C. Bounding pulse
D. Moist mucous membranes
✅ Correct Answer: A
10. Which action prevents catheter-associated urinary tract infections (CAUTI)?
A. Daily catheter irrigation
B. Keeping drainage bag above bladder
C. Removing catheter as soon as possible
D. Changing catheter every 24 hours
, ✅ Correct Answer: C
11. A nurse is caring for a client with suicidal ideation. What is the priority intervention?
A. Encourage journaling
B. Place client on suicide precautions
C. Teach coping skills
D. Ask about support system
✅ Correct Answer: B
12. Which medication requires an antidote readily available?
A. Heparin
B. Digoxin
C. Insulin
D. Furosemide
✅ Correct Answer: A
Rationale
• Antidote: Protamine sulfate
13. Which client should be assigned to an LPN?
A. New admission with chest pain
B. Client receiving blood transfusion
C. Stable client with wound dressing change
D. Client requiring initial education
✅ Correct Answer: C
14. Which lab value requires immediate follow-up?
A. Sodium 136 mEq/L
B. Potassium 6.2 mEq/L
C. Hemoglobin 12 g/dL
D. WBC 9,000/mm³
✅ Correct Answer: B
Rationale
Hyperkalemia → fatal arrhythmias
Questions with 100% Correct Answers and Rationale
(2026 Version)
MOST TESTED & HARDEST ATI-STYLE QUESTIONS (1–15)
1. A nurse is caring for four clients. Which client should be assessed FIRST?
A. Client with chronic heart failure reporting 2-lb weight gain
B. Client with asthma using accessory muscles
C. Client with diabetes and blood glucose of 180 mg/dL
D. Client postoperative day 2 with pain 6/10
✅ Correct Answer: B
Rationale
• Accessory muscle use = respiratory distress (ABC)
• Others are stable or expected findings
2. Which task can the RN safely delegate to a UAP?
A. Administer oral pain medication
B. Teach incentive spirometer use
C. Measure urine output for a stable post-op client
D. Assess breath sounds
✅ Correct Answer: C
Rationale
UAPs can perform routine, non-invasive tasks on stable clients.
3. A client receiving IV opioids develops respirations of 8/min. What is the priority action?
,A. Call the provider
B. Administer naloxone
C. Increase oxygen
D. Reassess in 10 minutes
✅ Correct Answer: B
Rationale
• RR <10 = life-threatening opioid overdose
• Naloxone is priority
4. Which finding indicates effective treatment of heart failure?
A. Weight gain
B. Crackles
C. Decreased BNP
D. Peripheral edema
✅ Correct Answer: C
Rationale
BNP decreases when ventricular stretch improves.
5. Which client should NOT receive a live vaccine?
A. Client with asthma
B. Client taking corticosteroids long-term
C. Client with hypertension
D. Client with diabetes
✅ Correct Answer: B
Rationale
Immunosuppressed patients cannot receive live vaccines.
6. A nurse suspects hypoglycemia. Which symptom supports this?
A. Fruity breath
B. Polyuria
C. Diaphoresis
D. Deep respirations
✅ Correct Answer: C
,Rationale
Hypoglycemia = cold, clammy, sweaty
7. Which medication requires monitoring of potassium levels?
A. Furosemide
B. Acetaminophen
C. Warfarin
D. Metoprolol
✅ Correct Answer: A
Rationale
Loop diuretics cause hypokalemia → arrhythmias
8. A postpartum client has heavy bleeding and boggy uterus. What is the priority intervention?
A. Notify provider
B. Massage the fundus
C. Administer oxytocin
D. Insert Foley catheter
✅ Correct Answer: B
Rationale
Uterine atony → fundal massage FIRST
9. Which finding indicates a pediatric client is dehydrated?
A. Sunken fontanel
B. Increased urine output
C. Bounding pulse
D. Moist mucous membranes
✅ Correct Answer: A
10. Which action prevents catheter-associated urinary tract infections (CAUTI)?
A. Daily catheter irrigation
B. Keeping drainage bag above bladder
C. Removing catheter as soon as possible
D. Changing catheter every 24 hours
, ✅ Correct Answer: C
11. A nurse is caring for a client with suicidal ideation. What is the priority intervention?
A. Encourage journaling
B. Place client on suicide precautions
C. Teach coping skills
D. Ask about support system
✅ Correct Answer: B
12. Which medication requires an antidote readily available?
A. Heparin
B. Digoxin
C. Insulin
D. Furosemide
✅ Correct Answer: A
Rationale
• Antidote: Protamine sulfate
13. Which client should be assigned to an LPN?
A. New admission with chest pain
B. Client receiving blood transfusion
C. Stable client with wound dressing change
D. Client requiring initial education
✅ Correct Answer: C
14. Which lab value requires immediate follow-up?
A. Sodium 136 mEq/L
B. Potassium 6.2 mEq/L
C. Hemoglobin 12 g/dL
D. WBC 9,000/mm³
✅ Correct Answer: B
Rationale
Hyperkalemia → fatal arrhythmias
