ATI COMPREHENSIVE PREDICTOR 2026
300 Questions with Rationales (priority-based, case-based & SATA style questions)
1. A client with heart failure. Which findings indicate fluid overload? (Select all
that apply)
A. Edema
B. Crackles
C. Weight gain
D. Dry mucosa
E. Dyspnea
Answer: A, B, C, E
Rationale: Classic fluid overload signs.
2. A client with COPD. Which are appropriate nursing interventions? (Select all
that apply)
A. Low-flow oxygen
B. High-flow oxygen
C. Encourage pursed-lip breathing
D. Monitor ABG
E. Lay flat
Answer: A, C, D
Rationale: Prevent CO₂ retention, improve ventilation.
3. A client receiving Furosemide. Which effects are expected? (Select all that
apply)
A. Increased urine
B. Hypokalemia
C. Dehydration
D. Hyperkalemia
E. Hypotension
Answer: A, B, C, E
Rationale: Diuretic effects.
4. A client with hypoglycemia. Which findings are expected? (Select all that
apply)
, A. Sweating
B. Tremors
C. Confusion
D. Polyuria
E. Tachycardia
Answer: A, B, C, E
Rationale: Sympathetic + neuroglycopenia.
5. A client with pneumonia. Which findings indicate worsening condition?
(Select all that apply)
A. Increased RR
B. Decreased SpO₂
C. Confusion
D. Clear lungs
E. Fever
Answer: A, B, C, E
Rationale: Hypoxia progression.
6. A client on Heparin. Which require immediate action? (Select all that apply)
A. Bleeding gums
B. Bruising
C. aPTT elevated
D. Hematuria
E. Stable vitals
Answer: A, B, C, D
Rationale: Bleeding risk.
7. A client with MI. Which are priority interventions? (Select all that apply)
A. Oxygen
B. Aspirin
C. Nitroglycerin
D. Morphine
E. Exercise
Answer: A, B, C, D
Rationale: MONA concept.
,8. A client with hyperkalemia. Which findings are expected? (Select all that
apply)
A. Peaked T waves
B. Weakness
C. Arrhythmia
D. Constipation
E. Numbness
Answer: A, B, C, E
Rationale: Neuromuscular + cardiac.
9. A client with sepsis. Which findings indicate septic shock? (Select all that
apply)
A. Hypotension
B. Tachycardia
C. Confusion
D. Warm skin early
E. Bradycardia
Answer: A, B, C, D
Rationale: Shock progression.
10. A client receiving Digoxin. Which indicate toxicity? (Select all that apply)
A. Nausea
B. Visual halos
C. Bradycardia
D. Hypertension
E. Confusion
Answer: A, B, C, E
Rationale: Classic toxicity signs.
11. A client with stroke. Which nursing priorities apply? (Select all that apply)
A. Maintain airway
B. NPO
C. Assess swallowing
D. Encourage walking immediately
E. Monitor neuro status
, Answer: A, B, C, E
Rationale: Prevent aspiration + monitor.
12. A client with dehydration. Which findings are expected? (Select all that apply)
A. Dry mucosa
B. Tachycardia
C. Low BP
D. Edema
E. Poor skin turgor
Answer: A, B, C, E
Rationale: Fluid deficit signs.
13. A client with asthma attack. Which are appropriate? (Select all that apply)
A. Albuterol
B. Oxygen
C. Corticosteroids
D. Lie flat
E. Monitor SpO₂
Answer: A, B, C, E
Rationale: Airway management.
14. A client with CKD. Which electrolyte issues may occur? (Select all that apply)
A. Hyperkalemia
B. Hyperphosphatemia
C. Hypocalcemia
D. Hypokalemia
E. Fluid overload
Answer: A, B, C, E
Rationale: Kidney failure effects.
15. A client post-op. Which indicate complications? (Select all that apply)
A. Fever
B. Red incision
C. Drainage
D. Severe pain
E. Stable vitals
300 Questions with Rationales (priority-based, case-based & SATA style questions)
1. A client with heart failure. Which findings indicate fluid overload? (Select all
that apply)
A. Edema
B. Crackles
C. Weight gain
D. Dry mucosa
E. Dyspnea
Answer: A, B, C, E
Rationale: Classic fluid overload signs.
2. A client with COPD. Which are appropriate nursing interventions? (Select all
that apply)
A. Low-flow oxygen
B. High-flow oxygen
C. Encourage pursed-lip breathing
D. Monitor ABG
E. Lay flat
Answer: A, C, D
Rationale: Prevent CO₂ retention, improve ventilation.
3. A client receiving Furosemide. Which effects are expected? (Select all that
apply)
A. Increased urine
B. Hypokalemia
C. Dehydration
D. Hyperkalemia
E. Hypotension
Answer: A, B, C, E
Rationale: Diuretic effects.
4. A client with hypoglycemia. Which findings are expected? (Select all that
apply)
, A. Sweating
B. Tremors
C. Confusion
D. Polyuria
E. Tachycardia
Answer: A, B, C, E
Rationale: Sympathetic + neuroglycopenia.
5. A client with pneumonia. Which findings indicate worsening condition?
(Select all that apply)
A. Increased RR
B. Decreased SpO₂
C. Confusion
D. Clear lungs
E. Fever
Answer: A, B, C, E
Rationale: Hypoxia progression.
6. A client on Heparin. Which require immediate action? (Select all that apply)
A. Bleeding gums
B. Bruising
C. aPTT elevated
D. Hematuria
E. Stable vitals
Answer: A, B, C, D
Rationale: Bleeding risk.
7. A client with MI. Which are priority interventions? (Select all that apply)
A. Oxygen
B. Aspirin
C. Nitroglycerin
D. Morphine
E. Exercise
Answer: A, B, C, D
Rationale: MONA concept.
,8. A client with hyperkalemia. Which findings are expected? (Select all that
apply)
A. Peaked T waves
B. Weakness
C. Arrhythmia
D. Constipation
E. Numbness
Answer: A, B, C, E
Rationale: Neuromuscular + cardiac.
9. A client with sepsis. Which findings indicate septic shock? (Select all that
apply)
A. Hypotension
B. Tachycardia
C. Confusion
D. Warm skin early
E. Bradycardia
Answer: A, B, C, D
Rationale: Shock progression.
10. A client receiving Digoxin. Which indicate toxicity? (Select all that apply)
A. Nausea
B. Visual halos
C. Bradycardia
D. Hypertension
E. Confusion
Answer: A, B, C, E
Rationale: Classic toxicity signs.
11. A client with stroke. Which nursing priorities apply? (Select all that apply)
A. Maintain airway
B. NPO
C. Assess swallowing
D. Encourage walking immediately
E. Monitor neuro status
, Answer: A, B, C, E
Rationale: Prevent aspiration + monitor.
12. A client with dehydration. Which findings are expected? (Select all that apply)
A. Dry mucosa
B. Tachycardia
C. Low BP
D. Edema
E. Poor skin turgor
Answer: A, B, C, E
Rationale: Fluid deficit signs.
13. A client with asthma attack. Which are appropriate? (Select all that apply)
A. Albuterol
B. Oxygen
C. Corticosteroids
D. Lie flat
E. Monitor SpO₂
Answer: A, B, C, E
Rationale: Airway management.
14. A client with CKD. Which electrolyte issues may occur? (Select all that apply)
A. Hyperkalemia
B. Hyperphosphatemia
C. Hypocalcemia
D. Hypokalemia
E. Fluid overload
Answer: A, B, C, E
Rationale: Kidney failure effects.
15. A client post-op. Which indicate complications? (Select all that apply)
A. Fever
B. Red incision
C. Drainage
D. Severe pain
E. Stable vitals
