1|Page - AT I R N P R E D I C T O R & N C L E X R N P R E PA R AT I O N -
,2|Page - AT I R N P R E D I C T O R & N C L E X R N P R E PA R AT I O N -
ATI RN Comprehensive Predictor Exam 2026–2027 Latest Update |
Comprehensive Practice Questions, Detailed Rationales, NCLEXRN®
Preparation, Clinical Judgment Review, Nursing Concepts Mastery,
and Exam Success Study Guide
Content Covered:
• Medical-Surgical Nursing – Cardiovascular, respiratory, GI, renal, neuro, endocrine, musculoskeletal
• Maternal-Newborn – Antepartum, intrapartum, postpartum, newborn care
• Pediatrics – Growth, development, immunizations, childhood conditions
• Mental Health – Psychiatric disorders, therapeutic communication, psychopharmacology
• Pharmacology – Drug calculations, therapeutic levels, adverse effects, antidotes
• Leadership/Management – Delegation, prioritization, ethics, advocacy
• Fundamentals – Safety, infection control, nutrition, elimination, mobility
Key Features:
Scenario-based clinical judgment questions
Prioritization & delegation challenges
Evidence-based rationales for every answer
NCLEX-RN® style & next-gen formatting
Randomized questions – no topic grouping
Purpose:
Build confidence, reinforce nursing concepts, identify weak areas, and prepare for success on the ATI RN
Comprehensive Predictor and the NCLEX-RN® examination.
Best of luck!
,3|Page - AT I R N P R E D I C T O R & N C L E X R N P R E PA R AT I O N -
1. A nurse is caring for a newborn who is jittery and has a blood glucose level of 45 mg/dL. Which of the following
actions should the nurse take first?
A) Administer intravenous dextrose
B) Initiate early oral feedings
C) Notify the healthcare provider
D) Obtain a serum calcium level
Correct Answer: B) Initiate early oral feedings
Rationale: Newborn hypoglycemia is defined as blood glucose below 40 mg/dL; however, jitteriness with a glucose
of 45 mg/dL indicates mild hypoglycemia. Early oral feedings are the initial intervention to stabilize glucose levels.
IV dextrose is reserved for severe hypoglycemia unresponsive to feeding, and notifying the provider would delay
necessary intervention.
2. A client who underwent a total hip arthroplasty should be positioned in which of the following ways to prevent
dislocation?
A) Adduction with internal rotation
B) Abduction with external rotation
C) Adduction with external rotation
D) Flexion greater than 90 degrees
Correct Answer: B) Abduction with external rotation
Rationale: Following hip arthroplasty, the hip must be maintained in an abducted position away from midline with
external rotation to prevent dislocation. Adduction and internal rotation increase the risk of prosthesis displacement,
, 4|Page - AT I R N P R E D I C T O R & N C L E X R N P R E PA R AT I O N -
and flexion beyond 90 degrees can also cause dislocation. Keeping the hip in the correct alignment promotes proper
healing and prevents complications.
3. A nurse is caring for a client who is 2 hours postsubtotal thyroidectomy. Which of the following medications
should the nurse anticipate administering if the client develops hypocalcemia?
A) Potassium chloride
B) Calcium gluconate
C) Sodium bicarbonate
D) Magnesium sulfate
Correct Answer: B) Calcium gluconate
Rationale: Subtotal thyroidectomy places the parathyroid glands at risk, which can lead to hypocalcemia due to
accidental removal or damage. Calcium gluconate is administered intravenously to rapidly correct low serum
calcium levels and prevent complications such as tetany and laryngospasm. The other options do not address the
underlying electrolyte imbalance.
4. A nurse is preparing to administer a medication with a halflife of 4 hours. The client received the initial dose at
0800. At what time will the medication concentration be reduced to 25% of the original dose?
A) 1200
B) 1600
C) 2000
D) 2400
,2|Page - AT I R N P R E D I C T O R & N C L E X R N P R E PA R AT I O N -
ATI RN Comprehensive Predictor Exam 2026–2027 Latest Update |
Comprehensive Practice Questions, Detailed Rationales, NCLEXRN®
Preparation, Clinical Judgment Review, Nursing Concepts Mastery,
and Exam Success Study Guide
Content Covered:
• Medical-Surgical Nursing – Cardiovascular, respiratory, GI, renal, neuro, endocrine, musculoskeletal
• Maternal-Newborn – Antepartum, intrapartum, postpartum, newborn care
• Pediatrics – Growth, development, immunizations, childhood conditions
• Mental Health – Psychiatric disorders, therapeutic communication, psychopharmacology
• Pharmacology – Drug calculations, therapeutic levels, adverse effects, antidotes
• Leadership/Management – Delegation, prioritization, ethics, advocacy
• Fundamentals – Safety, infection control, nutrition, elimination, mobility
Key Features:
Scenario-based clinical judgment questions
Prioritization & delegation challenges
Evidence-based rationales for every answer
NCLEX-RN® style & next-gen formatting
Randomized questions – no topic grouping
Purpose:
Build confidence, reinforce nursing concepts, identify weak areas, and prepare for success on the ATI RN
Comprehensive Predictor and the NCLEX-RN® examination.
Best of luck!
,3|Page - AT I R N P R E D I C T O R & N C L E X R N P R E PA R AT I O N -
1. A nurse is caring for a newborn who is jittery and has a blood glucose level of 45 mg/dL. Which of the following
actions should the nurse take first?
A) Administer intravenous dextrose
B) Initiate early oral feedings
C) Notify the healthcare provider
D) Obtain a serum calcium level
Correct Answer: B) Initiate early oral feedings
Rationale: Newborn hypoglycemia is defined as blood glucose below 40 mg/dL; however, jitteriness with a glucose
of 45 mg/dL indicates mild hypoglycemia. Early oral feedings are the initial intervention to stabilize glucose levels.
IV dextrose is reserved for severe hypoglycemia unresponsive to feeding, and notifying the provider would delay
necessary intervention.
2. A client who underwent a total hip arthroplasty should be positioned in which of the following ways to prevent
dislocation?
A) Adduction with internal rotation
B) Abduction with external rotation
C) Adduction with external rotation
D) Flexion greater than 90 degrees
Correct Answer: B) Abduction with external rotation
Rationale: Following hip arthroplasty, the hip must be maintained in an abducted position away from midline with
external rotation to prevent dislocation. Adduction and internal rotation increase the risk of prosthesis displacement,
, 4|Page - AT I R N P R E D I C T O R & N C L E X R N P R E PA R AT I O N -
and flexion beyond 90 degrees can also cause dislocation. Keeping the hip in the correct alignment promotes proper
healing and prevents complications.
3. A nurse is caring for a client who is 2 hours postsubtotal thyroidectomy. Which of the following medications
should the nurse anticipate administering if the client develops hypocalcemia?
A) Potassium chloride
B) Calcium gluconate
C) Sodium bicarbonate
D) Magnesium sulfate
Correct Answer: B) Calcium gluconate
Rationale: Subtotal thyroidectomy places the parathyroid glands at risk, which can lead to hypocalcemia due to
accidental removal or damage. Calcium gluconate is administered intravenously to rapidly correct low serum
calcium levels and prevent complications such as tetany and laryngospasm. The other options do not address the
underlying electrolyte imbalance.
4. A nurse is preparing to administer a medication with a halflife of 4 hours. The client received the initial dose at
0800. At what time will the medication concentration be reduced to 25% of the original dose?
A) 1200
B) 1600
C) 2000
D) 2400
