RN VATI Comprehensive Predictor (PDF) | (2026) Nursing Exam
Questions & Rationales | ATI - 190 Questions and Answers
Already Graded A+ Premium Exam Tested And Verified
Subject Area Nursing (Comprehensive Predictor)
Description This exam assesses advanced nursing knowledge across the lifespan, including
pathophysiology, pharmacology, evidence-based interventions, and clinical
decision-making for complex patient scenarios. It integrates the latest guidelines
from the American Heart Association, CDC, and WHO, and emphasizes safety,
ethics, and interprofessional collaboration.
Expected Grade A+
Total Questions 190
Duration 3 hours
Learning Outcomes 1. Apply advanced pathophysiology to interpret clinical data and prioritize
interventions.
2. Synthesize pharmacological principles with patient-specific factors to ensure
safe medication administration.
3. Evaluate evidence-based practices for managing acute and chronic conditions
across diverse populations.
4. Demonstrate clinical reasoning in complex, multi-system scenarios.
Accreditation Meets AACN Essentials and NCSBN NCLEX-RN test plan standards for US
university nursing programs.
Page 1
,ati. RN VATI Comprehensive Predictor (PDF) | (2026) Nursing Exam Questions &
Rationales | ATI - 190 Questions and Answers Already Graded A+ Premium Exam
Question: 1 of 190
A 6-year-old child with a history of asthma presents to the emergency department with
acute respiratory distress. Initial assessment reveals oxygen saturation of 88% on
room air, accessory muscle use, and a prolonged expiratory phase. The child has been
using a short-acting beta-2 agonist (SABA) at home every 2 hours for the past 12
Administer intravenous magnesium sulfate
Initiate continuous albuterol nebulization
Obtain a chest radiograph
Start oral corticosteroids
PREVIOUS
Question: 2 of 190
A nurse is reviewing the electronic health record of a patient with type 2 diabetes
mellitus. The patient's most recent hemoglobin A1c is 9.2%, and they have been
prescribed metformin 1000 mg twice daily and glipizide 10 mg daily. The patient
reports frequent hypoglycemic episodes in the late afternoon. Which of the following
Suggest adding a bedtime snack to prevent nocturnal hypoglycemia
Recommend splitting the glipizide dose into morning and evening
Advise the patient to skip breakfast to lower morning glucose
Instruct the patient to take glipizide only when blood glucose is >200 mg/dL
PREVIOUS
Page 2
,ati. RN VATI Comprehensive Predictor (PDF) | (2026) Nursing Exam Questions &
Rationales | ATI - 190 Questions and Answers Already Graded A+ Premium Exam
Question: 3 of 190
A patient with end-stage renal disease (ESRD) on hemodialysis is admitted with
confusion and muscle cramps. Vital signs: BP 170/90, HR 55, RR 14, Temp 36.8°C. ECG
shows peaked T waves. Laboratory results: serum potassium 6.8 mEq/L, BUN 80
mg/dL, creatinine 6.5 mg/dL. Which of the following interventions should the nurse
Administer sodium polystyrene sulfonate (Kayexalate) orally
Prepare for emergency hemodialysis
Give intravenous calcium gluconate
Insert a peripheral intravenous line for fluid resuscitation
PREVIOUS
Question: 4 of 190
A patient with a history of chronic heart failure (NYHA class III) is admitted with acute
decompensation. The nurse notes jugular venous distention, bilateral crackles, and an
S3 gallop. The patient is receiving furosemide 80 mg IV twice daily and is on a 2-gram
sodium diet. Which of the following laboratory values is most important to monitor
Serum potassium level
Serum creatinine level
Serum sodium level
Serum magnesium level
PREVIOUS
Page 3
, ati. RN VATI Comprehensive Predictor (PDF) | (2026) Nursing Exam Questions &
Rationales | ATI - 190 Questions and Answers Already Graded A+ Premium Exam
Question: 5 of 190
A nurse is caring for a patient who is 2 days postoperative following a total hip
arthroplasty. The patient reports sudden onset of pleuritic chest pain and dyspnea.
Vital signs: HR 110, BP 100/60, RR 28, SpO2 88% on room air. Which of the following
actions should the nurse take first?
Administer oxygen via non-rebreather mask at 15 L/min
Notify the healthcare provider immediately
Apply antiembolism stockings
Obtain a STAT electrocardiogram
PREVIOUS
Question: 6 of 190
A patient with a history of hypertension and type 2 diabetes is admitted with a blood
pressure of 200/110 mmHg. The patient reports a severe headache and blurred vision.
The nurse administers intravenous labetalol as prescribed. Which of the following
findings indicates that the medication is effective?
Heart rate decreases from 110 to 60 bpm
Blood pressure decreases to 160/90 mmHg over 30 minutes
Patient reports relief of headache within 10 minutes
Urine output increases to 50 mL/hour
PREVIOUS
Page 4
Questions & Rationales | ATI - 190 Questions and Answers
Already Graded A+ Premium Exam Tested And Verified
Subject Area Nursing (Comprehensive Predictor)
Description This exam assesses advanced nursing knowledge across the lifespan, including
pathophysiology, pharmacology, evidence-based interventions, and clinical
decision-making for complex patient scenarios. It integrates the latest guidelines
from the American Heart Association, CDC, and WHO, and emphasizes safety,
ethics, and interprofessional collaboration.
Expected Grade A+
Total Questions 190
Duration 3 hours
Learning Outcomes 1. Apply advanced pathophysiology to interpret clinical data and prioritize
interventions.
2. Synthesize pharmacological principles with patient-specific factors to ensure
safe medication administration.
3. Evaluate evidence-based practices for managing acute and chronic conditions
across diverse populations.
4. Demonstrate clinical reasoning in complex, multi-system scenarios.
Accreditation Meets AACN Essentials and NCSBN NCLEX-RN test plan standards for US
university nursing programs.
Page 1
,ati. RN VATI Comprehensive Predictor (PDF) | (2026) Nursing Exam Questions &
Rationales | ATI - 190 Questions and Answers Already Graded A+ Premium Exam
Question: 1 of 190
A 6-year-old child with a history of asthma presents to the emergency department with
acute respiratory distress. Initial assessment reveals oxygen saturation of 88% on
room air, accessory muscle use, and a prolonged expiratory phase. The child has been
using a short-acting beta-2 agonist (SABA) at home every 2 hours for the past 12
Administer intravenous magnesium sulfate
Initiate continuous albuterol nebulization
Obtain a chest radiograph
Start oral corticosteroids
PREVIOUS
Question: 2 of 190
A nurse is reviewing the electronic health record of a patient with type 2 diabetes
mellitus. The patient's most recent hemoglobin A1c is 9.2%, and they have been
prescribed metformin 1000 mg twice daily and glipizide 10 mg daily. The patient
reports frequent hypoglycemic episodes in the late afternoon. Which of the following
Suggest adding a bedtime snack to prevent nocturnal hypoglycemia
Recommend splitting the glipizide dose into morning and evening
Advise the patient to skip breakfast to lower morning glucose
Instruct the patient to take glipizide only when blood glucose is >200 mg/dL
PREVIOUS
Page 2
,ati. RN VATI Comprehensive Predictor (PDF) | (2026) Nursing Exam Questions &
Rationales | ATI - 190 Questions and Answers Already Graded A+ Premium Exam
Question: 3 of 190
A patient with end-stage renal disease (ESRD) on hemodialysis is admitted with
confusion and muscle cramps. Vital signs: BP 170/90, HR 55, RR 14, Temp 36.8°C. ECG
shows peaked T waves. Laboratory results: serum potassium 6.8 mEq/L, BUN 80
mg/dL, creatinine 6.5 mg/dL. Which of the following interventions should the nurse
Administer sodium polystyrene sulfonate (Kayexalate) orally
Prepare for emergency hemodialysis
Give intravenous calcium gluconate
Insert a peripheral intravenous line for fluid resuscitation
PREVIOUS
Question: 4 of 190
A patient with a history of chronic heart failure (NYHA class III) is admitted with acute
decompensation. The nurse notes jugular venous distention, bilateral crackles, and an
S3 gallop. The patient is receiving furosemide 80 mg IV twice daily and is on a 2-gram
sodium diet. Which of the following laboratory values is most important to monitor
Serum potassium level
Serum creatinine level
Serum sodium level
Serum magnesium level
PREVIOUS
Page 3
, ati. RN VATI Comprehensive Predictor (PDF) | (2026) Nursing Exam Questions &
Rationales | ATI - 190 Questions and Answers Already Graded A+ Premium Exam
Question: 5 of 190
A nurse is caring for a patient who is 2 days postoperative following a total hip
arthroplasty. The patient reports sudden onset of pleuritic chest pain and dyspnea.
Vital signs: HR 110, BP 100/60, RR 28, SpO2 88% on room air. Which of the following
actions should the nurse take first?
Administer oxygen via non-rebreather mask at 15 L/min
Notify the healthcare provider immediately
Apply antiembolism stockings
Obtain a STAT electrocardiogram
PREVIOUS
Question: 6 of 190
A patient with a history of hypertension and type 2 diabetes is admitted with a blood
pressure of 200/110 mmHg. The patient reports a severe headache and blurred vision.
The nurse administers intravenous labetalol as prescribed. Which of the following
findings indicates that the medication is effective?
Heart rate decreases from 110 to 60 bpm
Blood pressure decreases to 160/90 mmHg over 30 minutes
Patient reports relief of headache within 10 minutes
Urine output increases to 50 mL/hour
PREVIOUS
Page 4
