EXAM PAPER 3 (ADVANCED LEVEL) – 40 ORIGINAL
ATI/NCLEX-STYLE QUESTIONS WITH VERIFIED
ANSWERS & DETAILED EXPLANATIONS | NURSING
REVISION TEST BANK 2026
COURSE NAME
ATI RN Comprehensive Predictor Practice
LEVEL
College / University – Advanced Level
SHORT INTRODUCTION
This advanced-level ATI/NCLEX-style practice exam is designed to
evaluate clinical judgment, prioritization, delegation, leadership,
pharmacology, medical-surgical nursing, maternal-child nursing, mental
health, emergency care, and evidence-based nursing practice. The
questions emphasize application of knowledge in complex clinical
situations and support comprehensive examination preparation.
INSTRUCTIONS
Answer all 40 questions.
Section A: Multiple Choice Questions.
Section B: Short Answer Questions.
Section C: Clinical Scenario Questions.
, Section D: Higher-Order Thinking Questions.
Each question includes an Answer followed by an Explanation
written in italics.
Suggested time: 2 hours.
Use this paper for advanced revision and examination preparation.
SECTION A: MULTIPLE CHOICE QUESTIONS (1–15)
1. Which client should the nurse assess first?
A. Client with chronic arthritis pain
B. Client with oxygen saturation of 84%
C. Client requesting discharge instructions
D. Client awaiting scheduled medication
Answer: B
Explanation: An oxygen saturation of 84% indicates significant
hypoxemia requiring immediate assessment and intervention.
2. Which laboratory value requires immediate nursing action?
A. Sodium 138 mEq/L
B. Hemoglobin 13.2 g/dL
C. Potassium 2.7 mEq/L
D. Glucose 102 mg/dL
Answer: C
Explanation: Severe hypokalemia places the client at high risk for life-
threatening cardiac dysrhythmias.