Latest ATI RN COMPREHENSIVE PREDICTOR Well Structured
2026/2027 Actual Exam Questions/ ALL Correct answers with
Rationales/ Fully Covered Rated and Verified GRADED A+/
Tested and Approved
• Management of Care
• Safety and Infection Control
• Health Promotion and Maintenance
• Psychosocial Integrity
• Basic Care and Comfort
• Pharmacological and Parenteral Therapies
• Reduction of Risk Potential
• Physiological Adaptation
• Professional Issues
1
A 72-year-old with COPD reports worsening shortness of breath and thick yellow sputum. O₂ sat
84%, RR 30, HR 112.
Administer supplemental oxygen, position upright, assess lung sounds and work of
breathing, start bronchodilator therapy as prescribed, monitor vital signs and oxygen
saturation frequently, and educate the client on airway clearance and energy conservation.
2
A 28-year-old postpartum client, 36 hours after cesarean, reports severe abdominal pain at the
incision. Temp 101.8°F, HR 118.
Assess for infection and hemorrhage, monitor vital signs, notify the provider, administer
prescribed analgesics, implement infection control, and educate on warning signs such as
increased bleeding or foul-smelling drainage.
3
A 16-year-old with Type 1 diabetes presents with nausea, vomiting, and abdominal pain.
Glucose 520 mg/dL, urine ketones positive.
Assess for diabetic ketoacidosis, start IV fluids and insulin per protocol, monitor
,electrolytes and cardiac rhythm, assess neurological status, and educate client and family
on sick-day management.
4
A 45-year-old with hypertension and CAD reports chest pressure radiating to the arm,
diaphoresis, and shortness of breath. BP 162/100, HR 104, O₂ sat 91%.
Perform rapid cardiac assessment, administer oxygen, obtain ECG and labs, give
prescribed medications, monitor for arrhythmias or deterioration, and educate the client
on reporting worsening symptoms.
5
A 6-year-old with leukemia has a temperature of 100.4°F and WBC 1,000/mm³. Parents are
anxious about chemotherapy side effects.
Assess for infection, implement protective precautions, provide emotional support and
education, coordinate antiemetic therapy, monitor labs and hydration, and prioritize safety
and infection prevention.
6
A 32-year-old with severe depression says, “I don’t want to live anymore,” and holds a
pocketknife.
Ensure immediate safety, remove harmful objects, provide constant supervision, notify
psychiatric provider, and implement crisis intervention measures.
7
A 60-year-old with chronic kidney disease presents with edema, fatigue, and shortness of breath.
Labs: K⁺ 6.1, creatinine 5.2.
Monitor cardiac rhythm, assess fluid status and lung sounds, notify the provider, initiate
interventions for hyperkalemia if indicated, and prepare for dialysis.
8
A 4-year-old with asthma has severe wheezing, RR 44, O₂ sat 87%, and uses accessory muscles.
Provide supplemental oxygen, administer rapid-acting bronchodilator, position upright,
monitor respiratory status continuously, and prepare for escalation of care.
9
A 50-year-old recovering from stroke suddenly has right-sided weakness, facial droop, and
slurred speech. BP 182/108.
Activate stroke protocol, assess airway and circulation, notify provider, prepare for
imaging, and monitor neurological status closely.
10
A 35-year-old at 32 weeks gestation reports sudden painless vaginal bleeding and dizziness. BP
92/60, HR 120, fetal heart 138.
Assess maternal and fetal status immediately, start IV fluids, monitor vital signs and fetal
heart rate, notify obstetric provider, and prepare for emergency delivery if needed.
,11
A 70-year-old with heart failure reports worsening shortness of breath and orthopnea. O₂ sat
85%, BP 86/52, crackles throughout lungs.
Provide supplemental oxygen, elevate head of bed, administer prescribed diuretics while
monitoring vitals, assess for fluid overload, and educate on daily weight and fluid
restriction.
12
A 25-year-old client with newly diagnosed type 2 diabetes presents with polyuria, polydipsia,
and blurred vision. Glucose 350 mg/dL.
Assess for hyperglycemia symptoms, teach blood glucose monitoring, initiate lifestyle
modification and medication education, monitor for complications, and provide support
for dietary and insulin adherence.
13
A 30-year-old postpartum client reports heavy vaginal bleeding and dizziness 2 hours after
vaginal delivery. BP 88/54, HR 120.
Assess fundal tone, massage if boggy, monitor vital signs, notify provider, prepare IV fluids
and medications as ordered, and educate on warning signs of hemorrhage.
14
A 40-year-old with asthma reports nighttime shortness of breath and wheezing. O₂ sat 92%, RR
24.
Assess triggers and current medications, administer bronchodilator, educate on inhaler
technique and peak flow monitoring, and create an asthma action plan.
15
A 55-year-old with hypertension presents with headache, blurred vision, and BP 200/110.
Assess for signs of hypertensive emergency, provide antihypertensive therapy as
prescribed, monitor neurological status, educate on medication adherence, and implement
lifestyle modification strategies.
16
A 65-year-old diabetic reports foot ulcer with redness, swelling, and purulent drainage. Temp
101°F.
Assess wound size, depth, and signs of infection, obtain cultures if ordered, administer
antibiotics as prescribed, teach wound care and blood glucose control, and monitor for
systemic infection.
17
A 22-year-old with sickle cell disease presents with severe pain in the arms and legs. Temp
100.5°F, HR 110.
Administer prescribed analgesics and IV fluids, monitor for signs of infection or acute
chest syndrome, encourage hydration, provide emotional support, and educate on triggers
and pain management strategies.
, 18
A 28-year-old pregnant client at 28 weeks reports severe abdominal pain and vaginal bleeding.
BP 90/60, HR 120.
Assess maternal and fetal status, establish IV access, monitor vital signs and fetal heart
rate, notify provider for potential placenta abruption, and prepare for emergency
interventions.
19
A 50-year-old with COPD reports worsening cough and green sputum. O₂ sat 88%, RR 28.
Provide oxygen, assess lung sounds, administer bronchodilators and antibiotics as
prescribed, monitor vital signs, and teach airway clearance and infection prevention.
20
A 35-year-old client presents with nausea, vomiting, and severe diarrhea for 24 hours. BP 88/56,
HR 115, dry mucous membranes.
Assess hydration status, start IV fluids for rehydration, monitor electrolytes and vital signs,
provide antiemetics as prescribed, and educate on oral rehydration and signs of worsening
dehydration.
21
A 60-year-old with chronic kidney disease reports fatigue, nausea, and decreased urine output.
Labs: BUN 60, creatinine 5.5, potassium 6.2.
Assess for hyperkalemia and fluid overload, monitor cardiac rhythm and vital signs, notify
the provider immediately, prepare for urgent dialysis, and educate the client about dietary
restrictions and signs of electrolyte imbalance.
22
A 7-year-old with type 1 diabetes presents with lethargy, fruity breath, and vomiting. Glucose
480 mg/dL, ketones positive.
Assess for diabetic ketoacidosis, initiate IV fluids and insulin per protocol, monitor
electrolytes and cardiac status, assess neurological function, and educate family on sick-day
management and early warning signs.
23
A 35-year-old postpartum client reports breast tenderness, fever, and erythema of the right breast
10 days after delivery.
Assess for mastitis, encourage frequent breastfeeding or pumping, administer prescribed
antibiotics, provide pain relief, monitor temperature, and educate the client on hand
hygiene and proper latch technique.
24
A 48-year-old with hypertension reports sudden severe headache, blurred vision, and nausea. BP
210/120.
Assess for hypertensive crisis, provide rapid but controlled antihypertensive therapy as
prescribed, monitor neurological status, educate on medication adherence, and prepare for
possible ICU transfer if symptoms worsen.
2026/2027 Actual Exam Questions/ ALL Correct answers with
Rationales/ Fully Covered Rated and Verified GRADED A+/
Tested and Approved
• Management of Care
• Safety and Infection Control
• Health Promotion and Maintenance
• Psychosocial Integrity
• Basic Care and Comfort
• Pharmacological and Parenteral Therapies
• Reduction of Risk Potential
• Physiological Adaptation
• Professional Issues
1
A 72-year-old with COPD reports worsening shortness of breath and thick yellow sputum. O₂ sat
84%, RR 30, HR 112.
Administer supplemental oxygen, position upright, assess lung sounds and work of
breathing, start bronchodilator therapy as prescribed, monitor vital signs and oxygen
saturation frequently, and educate the client on airway clearance and energy conservation.
2
A 28-year-old postpartum client, 36 hours after cesarean, reports severe abdominal pain at the
incision. Temp 101.8°F, HR 118.
Assess for infection and hemorrhage, monitor vital signs, notify the provider, administer
prescribed analgesics, implement infection control, and educate on warning signs such as
increased bleeding or foul-smelling drainage.
3
A 16-year-old with Type 1 diabetes presents with nausea, vomiting, and abdominal pain.
Glucose 520 mg/dL, urine ketones positive.
Assess for diabetic ketoacidosis, start IV fluids and insulin per protocol, monitor
,electrolytes and cardiac rhythm, assess neurological status, and educate client and family
on sick-day management.
4
A 45-year-old with hypertension and CAD reports chest pressure radiating to the arm,
diaphoresis, and shortness of breath. BP 162/100, HR 104, O₂ sat 91%.
Perform rapid cardiac assessment, administer oxygen, obtain ECG and labs, give
prescribed medications, monitor for arrhythmias or deterioration, and educate the client
on reporting worsening symptoms.
5
A 6-year-old with leukemia has a temperature of 100.4°F and WBC 1,000/mm³. Parents are
anxious about chemotherapy side effects.
Assess for infection, implement protective precautions, provide emotional support and
education, coordinate antiemetic therapy, monitor labs and hydration, and prioritize safety
and infection prevention.
6
A 32-year-old with severe depression says, “I don’t want to live anymore,” and holds a
pocketknife.
Ensure immediate safety, remove harmful objects, provide constant supervision, notify
psychiatric provider, and implement crisis intervention measures.
7
A 60-year-old with chronic kidney disease presents with edema, fatigue, and shortness of breath.
Labs: K⁺ 6.1, creatinine 5.2.
Monitor cardiac rhythm, assess fluid status and lung sounds, notify the provider, initiate
interventions for hyperkalemia if indicated, and prepare for dialysis.
8
A 4-year-old with asthma has severe wheezing, RR 44, O₂ sat 87%, and uses accessory muscles.
Provide supplemental oxygen, administer rapid-acting bronchodilator, position upright,
monitor respiratory status continuously, and prepare for escalation of care.
9
A 50-year-old recovering from stroke suddenly has right-sided weakness, facial droop, and
slurred speech. BP 182/108.
Activate stroke protocol, assess airway and circulation, notify provider, prepare for
imaging, and monitor neurological status closely.
10
A 35-year-old at 32 weeks gestation reports sudden painless vaginal bleeding and dizziness. BP
92/60, HR 120, fetal heart 138.
Assess maternal and fetal status immediately, start IV fluids, monitor vital signs and fetal
heart rate, notify obstetric provider, and prepare for emergency delivery if needed.
,11
A 70-year-old with heart failure reports worsening shortness of breath and orthopnea. O₂ sat
85%, BP 86/52, crackles throughout lungs.
Provide supplemental oxygen, elevate head of bed, administer prescribed diuretics while
monitoring vitals, assess for fluid overload, and educate on daily weight and fluid
restriction.
12
A 25-year-old client with newly diagnosed type 2 diabetes presents with polyuria, polydipsia,
and blurred vision. Glucose 350 mg/dL.
Assess for hyperglycemia symptoms, teach blood glucose monitoring, initiate lifestyle
modification and medication education, monitor for complications, and provide support
for dietary and insulin adherence.
13
A 30-year-old postpartum client reports heavy vaginal bleeding and dizziness 2 hours after
vaginal delivery. BP 88/54, HR 120.
Assess fundal tone, massage if boggy, monitor vital signs, notify provider, prepare IV fluids
and medications as ordered, and educate on warning signs of hemorrhage.
14
A 40-year-old with asthma reports nighttime shortness of breath and wheezing. O₂ sat 92%, RR
24.
Assess triggers and current medications, administer bronchodilator, educate on inhaler
technique and peak flow monitoring, and create an asthma action plan.
15
A 55-year-old with hypertension presents with headache, blurred vision, and BP 200/110.
Assess for signs of hypertensive emergency, provide antihypertensive therapy as
prescribed, monitor neurological status, educate on medication adherence, and implement
lifestyle modification strategies.
16
A 65-year-old diabetic reports foot ulcer with redness, swelling, and purulent drainage. Temp
101°F.
Assess wound size, depth, and signs of infection, obtain cultures if ordered, administer
antibiotics as prescribed, teach wound care and blood glucose control, and monitor for
systemic infection.
17
A 22-year-old with sickle cell disease presents with severe pain in the arms and legs. Temp
100.5°F, HR 110.
Administer prescribed analgesics and IV fluids, monitor for signs of infection or acute
chest syndrome, encourage hydration, provide emotional support, and educate on triggers
and pain management strategies.
, 18
A 28-year-old pregnant client at 28 weeks reports severe abdominal pain and vaginal bleeding.
BP 90/60, HR 120.
Assess maternal and fetal status, establish IV access, monitor vital signs and fetal heart
rate, notify provider for potential placenta abruption, and prepare for emergency
interventions.
19
A 50-year-old with COPD reports worsening cough and green sputum. O₂ sat 88%, RR 28.
Provide oxygen, assess lung sounds, administer bronchodilators and antibiotics as
prescribed, monitor vital signs, and teach airway clearance and infection prevention.
20
A 35-year-old client presents with nausea, vomiting, and severe diarrhea for 24 hours. BP 88/56,
HR 115, dry mucous membranes.
Assess hydration status, start IV fluids for rehydration, monitor electrolytes and vital signs,
provide antiemetics as prescribed, and educate on oral rehydration and signs of worsening
dehydration.
21
A 60-year-old with chronic kidney disease reports fatigue, nausea, and decreased urine output.
Labs: BUN 60, creatinine 5.5, potassium 6.2.
Assess for hyperkalemia and fluid overload, monitor cardiac rhythm and vital signs, notify
the provider immediately, prepare for urgent dialysis, and educate the client about dietary
restrictions and signs of electrolyte imbalance.
22
A 7-year-old with type 1 diabetes presents with lethargy, fruity breath, and vomiting. Glucose
480 mg/dL, ketones positive.
Assess for diabetic ketoacidosis, initiate IV fluids and insulin per protocol, monitor
electrolytes and cardiac status, assess neurological function, and educate family on sick-day
management and early warning signs.
23
A 35-year-old postpartum client reports breast tenderness, fever, and erythema of the right breast
10 days after delivery.
Assess for mastitis, encourage frequent breastfeeding or pumping, administer prescribed
antibiotics, provide pain relief, monitor temperature, and educate the client on hand
hygiene and proper latch technique.
24
A 48-year-old with hypertension reports sudden severe headache, blurred vision, and nausea. BP
210/120.
Assess for hypertensive crisis, provide rapid but controlled antihypertensive therapy as
prescribed, monitor neurological status, educate on medication adherence, and prepare for
possible ICU transfer if symptoms worsen.
