Exam 2025/2026
180 Minutes | 180 Questions | 100% Correct Answers
Section 1: Introduction
This document includes fully verified and 100% correct answers for the ATI RN
Comprehensive Predictor Exam, updated for the 2025/2026 cycle.
This capstone assessment consists of 180 questions to be completed in 180 minutes, and is
specifically designed to:
Evaluate student readiness for the NCLEX-RN
Measure overall competency across the entire nursing curriculum
Reflect the clinical judgment model and real-world scenarios tested on licensure exams
Topics include all major domains of nursing practice, such as:
Medical-Surgical Nursing
Pharmacology
Maternal-Newborn & Pediatric Nursing
Mental Health Nursing
Leadership & Management
Fundamentals of Nursing Practice
This A+ graded file simulates the official ATI testing experience and is ideal for final exam
prep, remediation, or NCLEX predictor performance improvement.
Section 2: Exam Questions and Answers
Format: Four answer choices per question (A–D). Correct answer highlighted. Questions
span across all areas of nursing and mirror ATI's current predictor format.
Question 1
A nurse is assessing a client with chest pain suspected of myocardial infarction. What is the
priority action?
A) Administer morphine
B) Obtain an electrocardiogram (ECG)
C) Give oxygen at 2 L/min
D) Provide a nitroglycerin tablet
Correct Answer: B) Obtain an electrocardiogram (ECG)
Rationale: An ECG is critical to confirm myocardial infarction and guide treatment.
Question 2
A nurse is administering furosemide to a client with heart failure. What should the nurse
,monitor?
A) Blood glucose
B) Potassium levels
C) Hemoglobin
D) White blood cell count
Correct Answer: B) Potassium levels
Rationale: Furosemide can cause hypokalemia, requiring monitoring.
Question 3
A nurse is caring for a postpartum client with excessive bleeding. What is the priority
intervention?
A) Administer oxytocin
B) Apply fundal massage
C) Increase IV fluids
D) Prepare for surgery
Correct Answer: B) Apply fundal massage
Rationale: Fundal massage helps control postpartum hemorrhage.
Question 4
A nurse is assessing a 6-month-old infant with a fever. What finding requires immediate
action?
A) Temperature of 38.5°C (101.3°F)
B) Lethargy and poor feeding
C) Mild rash
D) Increased urine output
Correct Answer: B) Lethargy and poor feeding
Rationale: These suggest a serious infection in infants.
Question 5
A nurse is caring for a client with schizophrenia who is experiencing hallucinations. What is
the best response?
A) Tell the client the hallucinations are not real
B) Ask the client to describe what they are seeing
C) Administer a sedative immediately
D) Ignore the client’s behavior
Correct Answer: B) Ask the client to describe what they are seeing
Rationale: This builds trust and assesses the hallucination’s impact.
Question 6
A charge nurse is assigning tasks to staff. Which task should be delegated to a licensed
practical nurse (LPN)?
A) Develop a care plan
B) Administer IV push medications
C) Perform wound dressing changes
,D) Evaluate client outcomes
Correct Answer: C) Perform wound dressing changes
Rationale: Wound care is within an LPN’s scope with proper training.
Question 7
A nurse is teaching a client about preventing pressure injuries. What is a key intervention?
A) Reposition every 4 hours
B) Use a donut-shaped cushion
C) Turn every 2 hours
D) Keep skin moist
Correct Answer: C) Turn every 2 hours
Rationale: Turning prevents pressure buildup on vulnerable areas.
Question 8
A nurse is assessing a client receiving a blood transfusion who develops fever and chills.
What should the nurse do first?
A) Stop the transfusion
B) Increase the infusion rate
C) Administer antipyretics
D) Notify the lab
Correct Answer: A) Stop the transfusion
Rationale: This prevents worsening of a transfusion reaction.
Question 9
A nurse is caring for a client with pneumonia. What is a priority nursing diagnosis?
A) Risk for falls
B) Impaired gas exchange
C) Deficient knowledge
D) Acute pain
Correct Answer: B) Impaired gas exchange
Rationale: This addresses the primary respiratory compromise.
Question 10
A nurse is administering morphine to a client with cancer pain. What is a key monitoring
parameter?
A) Urine output
B) Respiratory rate
C) Blood pressure
D) Temperature
Correct Answer: B) Respiratory rate
Rationale: Morphine can cause respiratory depression.
Question 11
A nurse is teaching a prenatal client about warning signs. What should be reported
, immediately?
A) Mild swelling of ankles
B) Decreased fetal movement
C) Occasional backache
D) Normal weight gain
Correct Answer: B) Decreased fetal movement
Rationale: This may indicate fetal distress.
Question 12
A nurse is caring for a 2-year-old with a suspected ingestion. What is the priority action?
A) Induce vomiting
B) Contact poison control
C) Administer activated charcoal
D) Give milk or water
Correct Answer: B) Contact poison control
Rationale: Expert guidance is needed before any intervention.
Question 13
A nurse is assessing a client with depression. What finding is most concerning?
A) Poor appetite
B) Suicidal ideation
C) Social withdrawal
D) Fatigue
Correct Answer: B) Suicidal ideation
Rationale: This requires immediate safety measures.
Question 14
A nurse manager is conducting a staff meeting. What is the best way to promote teamwork?
A) Assign tasks without input
B) Encourage open communication
C) Focus on individual performance
D) Limit staff feedback
Correct Answer: B) Encourage open communication
Rationale: This fosters collaboration.
Question 15
A nurse is performing a bed bath for a client. What is a key infection control measure?
A) Wear clean gloves
B) Use the same washcloth for all areas
C) Skip hand hygiene
D) Reuse bath water
Correct Answer: A) Wear clean gloves
Rationale: Gloves reduce cross-contamination.