LATEST ATI RN COMPREHENSIVE EXIT RETAKE
2026/2027 EXAM QUESTIONS AND CORRECT
ANSWERS PLUS RATIONALES
CORE DOMAINS
Management of Care (15-20%)
Safety and Infection Control (10-15%)
Health Promotion and Maintenance (6-12%)
Psychosocial Integrity (6-12%)
Basic Care and Comfort (6-12%)
Pharmacological and Parenteral Therapies (10-15%)
Reduction of Risk Potential (10-15%)
Physiological Adaptation (10-15%)
INTRODUCTION
The ATI RN Comprehensive Predictor Exit Exam assesses the
competency of nursing students preparing for NCLEX-RN licensure.
This comprehensive assessment evaluates knowledge across all major
client need categories and is designed to predict first-time NCLEX-RN
success . The examination employs 180 questions including Next
Generation NCLEX (NGN) style items such as bow-tie, matrix, and
unfolding case studies . Emphasis is placed on clinical judgment,
prioritization, and safe nursing practice. Successful completion validates
the candidate's readiness for entry-level professional nursing practice.
SECTION ONE: QUESTIONS 1–100
,Question 1
A nurse is caring for a client with heart failure who reports worsening
shortness of breath and weight gain of 3 kg (6.6 lb) in 2 days. Which
action should the nurse take FIRST?
A) Administer furosemide 40 mg IV push as prescribed
B) Auscultate breath sounds
C) Restrict oral fluids to 1,500 mL/day
D) Place the client in high-Fowler's position
D) Place the client in high-Fowler's position
RATIONALE: High-Fowler's position uses gravity to reduce preload
and improve ventilation, providing immediate relief of dyspnea. After
positioning, the nurse auscultates breath sounds to assess severity, then
administers furosemide as prescribed. Fluid restriction is a longer-term
intervention .
Question 2
A nurse is assessing a client who is receiving a blood transfusion. The
client reports low back pain and chills. Which action should the nurse
take FIRST?
A) Slow the transfusion rate
B) Stop the transfusion
C) Administer antipyretics
D) Obtain a urine specimen
B) Stop the transfusion
RATIONALE: The client is showing signs of a hemolytic transfusion
reaction. The first action is to stop the transfusion immediately to
,prevent further reaction. After stopping the transfusion, the nurse should
maintain IV access with new tubing, notify the provider, and send the
blood bag to the lab .
Question 3
A nurse is caring for a client who has a prescription for furosemide.
Which laboratory value should the nurse monitor most closely?
A) Sodium 138 mEq/L
B) Potassium 2.9 mEq/L
C) Calcium 9.4 mg/dL
D) Magnesium 2.1 mEq/L
B) Potassium 2.9 mEq/L
RATIONALE: Furosemide is a loop diuretic that causes potassium
wasting. Hypokalemia (potassium <3.5 mEq/L) increases the risk of
cardiac dysrhythmias and digoxin toxicity .
Question 4
A nurse is providing discharge teaching to a client who has a new
prescription for warfarin. Which statement by the client indicates an
understanding of the teaching?
A) "I will increase my intake of green leafy vegetables."
B) "I will use a straight razor to shave."
C) "I will take ibuprofen for headaches."
D) "I will report any unusual bruising."
D) "I will report any unusual bruising."
RATIONALE: Warfarin is an anticoagulant that increases bleeding
risk. Unexplained bruising may indicate excessive anticoagulation.
, Green leafy vegetables contain vitamin K which antagonizes warfarin.
Straight razors increase bleeding risk. Ibuprofen increases bleeding risk
.
Question 5
A nurse is assessing a client who is 2 hours postpartum. The nurse notes
the client's fundus is boggy and deviated to the right. Which action
should the nurse take FIRST?
A) Massage the fundus
B) Assist the client to void
C) Administer oxytocin
D) Notify the provider
B) Assist the client to void
RATIONALE: A boggy fundus deviated to the right often indicates a
full bladder displacing the uterus. The nurse should first assist the client
to void, then reassess the fundus .
Question 6
A nurse receives report on four clients. Which client should the nurse
assess FIRST?
A) A 68-year-old with heart failure reporting shortness of breath when
lying flat; SpO₂ 90% on room air
B) A 55-year-old with type 1 diabetes, blood glucose 54 mg/dL,
diaphoretic but alert
C) A 72-year-old postoperative abdominal surgery client with BP 88/52
mmHg, HR 118 bpm, urine output 15 mL/hr
D) A 40-year-old with pneumonia receiving IV antibiotics, temperature
101.8°F
2026/2027 EXAM QUESTIONS AND CORRECT
ANSWERS PLUS RATIONALES
CORE DOMAINS
Management of Care (15-20%)
Safety and Infection Control (10-15%)
Health Promotion and Maintenance (6-12%)
Psychosocial Integrity (6-12%)
Basic Care and Comfort (6-12%)
Pharmacological and Parenteral Therapies (10-15%)
Reduction of Risk Potential (10-15%)
Physiological Adaptation (10-15%)
INTRODUCTION
The ATI RN Comprehensive Predictor Exit Exam assesses the
competency of nursing students preparing for NCLEX-RN licensure.
This comprehensive assessment evaluates knowledge across all major
client need categories and is designed to predict first-time NCLEX-RN
success . The examination employs 180 questions including Next
Generation NCLEX (NGN) style items such as bow-tie, matrix, and
unfolding case studies . Emphasis is placed on clinical judgment,
prioritization, and safe nursing practice. Successful completion validates
the candidate's readiness for entry-level professional nursing practice.
SECTION ONE: QUESTIONS 1–100
,Question 1
A nurse is caring for a client with heart failure who reports worsening
shortness of breath and weight gain of 3 kg (6.6 lb) in 2 days. Which
action should the nurse take FIRST?
A) Administer furosemide 40 mg IV push as prescribed
B) Auscultate breath sounds
C) Restrict oral fluids to 1,500 mL/day
D) Place the client in high-Fowler's position
D) Place the client in high-Fowler's position
RATIONALE: High-Fowler's position uses gravity to reduce preload
and improve ventilation, providing immediate relief of dyspnea. After
positioning, the nurse auscultates breath sounds to assess severity, then
administers furosemide as prescribed. Fluid restriction is a longer-term
intervention .
Question 2
A nurse is assessing a client who is receiving a blood transfusion. The
client reports low back pain and chills. Which action should the nurse
take FIRST?
A) Slow the transfusion rate
B) Stop the transfusion
C) Administer antipyretics
D) Obtain a urine specimen
B) Stop the transfusion
RATIONALE: The client is showing signs of a hemolytic transfusion
reaction. The first action is to stop the transfusion immediately to
,prevent further reaction. After stopping the transfusion, the nurse should
maintain IV access with new tubing, notify the provider, and send the
blood bag to the lab .
Question 3
A nurse is caring for a client who has a prescription for furosemide.
Which laboratory value should the nurse monitor most closely?
A) Sodium 138 mEq/L
B) Potassium 2.9 mEq/L
C) Calcium 9.4 mg/dL
D) Magnesium 2.1 mEq/L
B) Potassium 2.9 mEq/L
RATIONALE: Furosemide is a loop diuretic that causes potassium
wasting. Hypokalemia (potassium <3.5 mEq/L) increases the risk of
cardiac dysrhythmias and digoxin toxicity .
Question 4
A nurse is providing discharge teaching to a client who has a new
prescription for warfarin. Which statement by the client indicates an
understanding of the teaching?
A) "I will increase my intake of green leafy vegetables."
B) "I will use a straight razor to shave."
C) "I will take ibuprofen for headaches."
D) "I will report any unusual bruising."
D) "I will report any unusual bruising."
RATIONALE: Warfarin is an anticoagulant that increases bleeding
risk. Unexplained bruising may indicate excessive anticoagulation.
, Green leafy vegetables contain vitamin K which antagonizes warfarin.
Straight razors increase bleeding risk. Ibuprofen increases bleeding risk
.
Question 5
A nurse is assessing a client who is 2 hours postpartum. The nurse notes
the client's fundus is boggy and deviated to the right. Which action
should the nurse take FIRST?
A) Massage the fundus
B) Assist the client to void
C) Administer oxytocin
D) Notify the provider
B) Assist the client to void
RATIONALE: A boggy fundus deviated to the right often indicates a
full bladder displacing the uterus. The nurse should first assist the client
to void, then reassess the fundus .
Question 6
A nurse receives report on four clients. Which client should the nurse
assess FIRST?
A) A 68-year-old with heart failure reporting shortness of breath when
lying flat; SpO₂ 90% on room air
B) A 55-year-old with type 1 diabetes, blood glucose 54 mg/dL,
diaphoretic but alert
C) A 72-year-old postoperative abdominal surgery client with BP 88/52
mmHg, HR 118 bpm, urine output 15 mL/hr
D) A 40-year-old with pneumonia receiving IV antibiotics, temperature
101.8°F
