ATI Comprehensive Practice
Assessment A well written
one year 2025 /2026
updated graded A+ Advanced
Clinical Judgment and Comprehensive
Nursing Practice Examination
Exam Title: ATI RN Comprehensive Online Practice Assessment A – Advanced Clinical Judgment,
Prioritization, Delegation, and Evidence-Based Nursing Practice for Pre-Licensure RN Candidates
Difficulty Level: Advanced / Hard / Mixed
,Target Audience: Senior nursing students, pre-licensure RN candidates preparing for the ATI
Comprehensive Predictor, ATI Capstone Proctored Assessment, and NCLEX-RN examination
Exam Format: 150 multiple-choice questions with one correct answer per question
Content Areas: Fundamentals of Nursing, Pharmacology, Medical-Surgical Nursing, MaternalNewborn
Nursing, Pediatrics, Mental Health Nursing, Leadership and Management, Community Health
Instructions: Select the single best answer for each question. Base your responses on current
evidence-based nursing practice, the NCLEX-RN Test Plan, and ATI Nursing Education standards.
Prioritize client safety, the nursing process, and clinical judgment in all responses.
SECTION 1: FUNDAMENTALS OF NURSING (Questions 1–25)
Question 1
A nurse is caring for a client who has a nasogastric (NG) tube attached to continuous suction. Which of
the following findings should the nurse report to the provider immediately?
A) Gastric output of 300 mL in the past 8 hours
B) Intermittent bubbling in the suction control chamber
C) Greenish-yellow drainage in the collection canister
D) The client reports nausea and abdominal cramping
- detailed answer 100 % correct :-D
Rationale: Nausea and abdominal cramping with continuous NG suction may indicate tube
obstruction or displacement, requiring immediate assessment. Gastric output of 300 mL in 8 hours (A)
is within expected range. Intermittent bubbling (B) is normal suction function. Greenish-yellow
drainage (C) is expected gastric contents.
Question 2
A nurse is preparing to perform a sterile dressing change for a client with a surgical wound. Which of
the following actions demonstrates proper sterile technique?
A) Opening the sterile package away from the body
B) Setting up the sterile field while wearing clean gloves
C) Placing the sterile field at waist level
,D) Reaching over the sterile field to retrieve additional supplies
- detailed answer 100 % correct :-C
Rationale: A sterile field should be placed at waist level, which is considered the sterile boundary. The
sterile package should be opened away from the body (A) but this is only one aspect. Clean gloves (B)
are not appropriate for establishing a sterile field. Reaching over the sterile field (D) contaminates the
field.
Question 3
A nurse is providing discharge teaching to a client who has a new colostomy. Which of the following
client statements indicates an understanding of the teaching?
A) "I will empty my pouch when it is half full."
B) "I will change my pouch every day to prevent odor."
C) "I will apply a skin barrier around the stoma before attaching the pouch."
D) "I will use soap and water to clean the stoma and the peristomal skin."
- detailed answer 100 % correct :-D
Rationale: Mild soap and water are appropriate for cleaning the stoma and surrounding skin.
Alcoholbased products or harsh soaps should be avoided. Pouches should be emptied when one-third
to onehalf full (A) but not changed daily unless necessary. Skin barriers are applied to the skin, not
around the stoma (C).
Question 4
A nurse is caring for a client who has a new diagnosis of type 1 diabetes mellitus. Which of the
following statements by the client indicates a need for further teaching?
A) "I will rotate my insulin injection sites within one anatomical region."
B) "I will use the abdominal site for my insulin because it absorbs fastest."
C) "I will keep my insulin in the freezer to keep it fresh."
D) "I will check my blood glucose before each meal and at bedtime."
, - detailed answer 100 % correct :-C
Rationale: Insulin should never be frozen. It should be stored at room temperature (once opened) or
in the refrigerator (unopened). Freezing destroys the insulin molecule.
Question 5
A nurse is calculating the intake and output for a client over an 8-hour shift. The client received 1,000
mL of IV fluids, 240 mL of oral fluids, and had 150 mL of wound drainage, 300 mL of urine, and 100 mL
of gastric output. What is the client's total output?
A) 450 mL
B) 500 mL
C) 550 mL
D) 600 mL
- detailed answer 100 % correct :-C
Rationale: Total output includes urine (300 mL) + wound drainage (150 mL) + gastric output (100 mL)
= 550 mL. IV fluids and oral fluids are intake measurements, not output.
Question 6
A nurse is preparing to administer a tube feeding to a client who has an NG tube. Which of the
following actions should the nurse take first?
A) Check the residual volume
B) Verify tube placement
C) Flush the tube with 30 mL of water
D) Position the client in a semi-Fowler's position
- detailed answer 100 % correct :-B
Rationale: Before administering any tube feeding, the nurse must first verify correct tube placement to
prevent accidental administration into the lungs. This is a critical safety priority.
Question 7
A nurse is caring for a client who is on fall precautions. Which of the following interventions should the
nurse implement?
Assessment A well written
one year 2025 /2026
updated graded A+ Advanced
Clinical Judgment and Comprehensive
Nursing Practice Examination
Exam Title: ATI RN Comprehensive Online Practice Assessment A – Advanced Clinical Judgment,
Prioritization, Delegation, and Evidence-Based Nursing Practice for Pre-Licensure RN Candidates
Difficulty Level: Advanced / Hard / Mixed
,Target Audience: Senior nursing students, pre-licensure RN candidates preparing for the ATI
Comprehensive Predictor, ATI Capstone Proctored Assessment, and NCLEX-RN examination
Exam Format: 150 multiple-choice questions with one correct answer per question
Content Areas: Fundamentals of Nursing, Pharmacology, Medical-Surgical Nursing, MaternalNewborn
Nursing, Pediatrics, Mental Health Nursing, Leadership and Management, Community Health
Instructions: Select the single best answer for each question. Base your responses on current
evidence-based nursing practice, the NCLEX-RN Test Plan, and ATI Nursing Education standards.
Prioritize client safety, the nursing process, and clinical judgment in all responses.
SECTION 1: FUNDAMENTALS OF NURSING (Questions 1–25)
Question 1
A nurse is caring for a client who has a nasogastric (NG) tube attached to continuous suction. Which of
the following findings should the nurse report to the provider immediately?
A) Gastric output of 300 mL in the past 8 hours
B) Intermittent bubbling in the suction control chamber
C) Greenish-yellow drainage in the collection canister
D) The client reports nausea and abdominal cramping
- detailed answer 100 % correct :-D
Rationale: Nausea and abdominal cramping with continuous NG suction may indicate tube
obstruction or displacement, requiring immediate assessment. Gastric output of 300 mL in 8 hours (A)
is within expected range. Intermittent bubbling (B) is normal suction function. Greenish-yellow
drainage (C) is expected gastric contents.
Question 2
A nurse is preparing to perform a sterile dressing change for a client with a surgical wound. Which of
the following actions demonstrates proper sterile technique?
A) Opening the sterile package away from the body
B) Setting up the sterile field while wearing clean gloves
C) Placing the sterile field at waist level
,D) Reaching over the sterile field to retrieve additional supplies
- detailed answer 100 % correct :-C
Rationale: A sterile field should be placed at waist level, which is considered the sterile boundary. The
sterile package should be opened away from the body (A) but this is only one aspect. Clean gloves (B)
are not appropriate for establishing a sterile field. Reaching over the sterile field (D) contaminates the
field.
Question 3
A nurse is providing discharge teaching to a client who has a new colostomy. Which of the following
client statements indicates an understanding of the teaching?
A) "I will empty my pouch when it is half full."
B) "I will change my pouch every day to prevent odor."
C) "I will apply a skin barrier around the stoma before attaching the pouch."
D) "I will use soap and water to clean the stoma and the peristomal skin."
- detailed answer 100 % correct :-D
Rationale: Mild soap and water are appropriate for cleaning the stoma and surrounding skin.
Alcoholbased products or harsh soaps should be avoided. Pouches should be emptied when one-third
to onehalf full (A) but not changed daily unless necessary. Skin barriers are applied to the skin, not
around the stoma (C).
Question 4
A nurse is caring for a client who has a new diagnosis of type 1 diabetes mellitus. Which of the
following statements by the client indicates a need for further teaching?
A) "I will rotate my insulin injection sites within one anatomical region."
B) "I will use the abdominal site for my insulin because it absorbs fastest."
C) "I will keep my insulin in the freezer to keep it fresh."
D) "I will check my blood glucose before each meal and at bedtime."
, - detailed answer 100 % correct :-C
Rationale: Insulin should never be frozen. It should be stored at room temperature (once opened) or
in the refrigerator (unopened). Freezing destroys the insulin molecule.
Question 5
A nurse is calculating the intake and output for a client over an 8-hour shift. The client received 1,000
mL of IV fluids, 240 mL of oral fluids, and had 150 mL of wound drainage, 300 mL of urine, and 100 mL
of gastric output. What is the client's total output?
A) 450 mL
B) 500 mL
C) 550 mL
D) 600 mL
- detailed answer 100 % correct :-C
Rationale: Total output includes urine (300 mL) + wound drainage (150 mL) + gastric output (100 mL)
= 550 mL. IV fluids and oral fluids are intake measurements, not output.
Question 6
A nurse is preparing to administer a tube feeding to a client who has an NG tube. Which of the
following actions should the nurse take first?
A) Check the residual volume
B) Verify tube placement
C) Flush the tube with 30 mL of water
D) Position the client in a semi-Fowler's position
- detailed answer 100 % correct :-B
Rationale: Before administering any tube feeding, the nurse must first verify correct tube placement to
prevent accidental administration into the lungs. This is a critical safety priority.
Question 7
A nurse is caring for a client who is on fall precautions. Which of the following interventions should the
nurse implement?
