ATI RN Comprehensive Predictor (CP) Exam
Test 2025/2026 Questions with 100% Correct
Answers Graded A+
1. The nurse receives report on four clients. Which client should the
nurse see first?
a. COPD on 2 L NC, SpO2 94%
b. Post-op day 1 appendectomy, pain 4/10
c. New-onset chest pain with diaphoresis ← CORRECT
d. Type 1 DM with blood glucose 180 mg/dL
2. A client with a PEG tube has new prescription for half-strength Ensure
300 mL q4h. How many mL/hr on the pump?
300 mL ÷ 4 hrs = **75 mL/hr**
3. Which task can the nurse delegate to the UAP?
a. Teaching a new diabetic
b. First assessment after blood transfusion
c. **Obtaining a clean-catch urine specimen** ← CORRECT
d. Evaluating pain relief after morphine
,4. A client in DKA has serum potassium 3.2 mEq/L. What is the priority
intervention?
a. Start insulin drip
b. **Give potassium supplement** (insulin will drive it lower) ←
CORRECT
c. Restrict fluids
d. Give sodium bicarbonate
5. The nurse is preparing to administer 1 unit of packed RBCs. Which
action is most important before starting?
a. Prime with D5W
b. **Two nurses verify blood with patient ID** ← CORRECT
c. Give Benadryl prophylaxis
d. Use a 22-gauge IV
### Best Study Plan to Hit 78%+ (What Level 3 Scorers Actually Do)
1. Do the last 3 versions of the ATI Comprehensive Predictor Practice A,
B, and C (2019, 2022, 2023/2024)
2. Complete every single Focused Review item
3. Use Quizlet “ATI Comp Predictor 2023–2025” sets (search “Mark K”
or “Comprehensive A 2023”)
4. Watch SimpleNursing or RegisteredNurseRN Comp Predictor videos
,5. Do 150–200 questions/day for 10–14 days straight
6. Master prioritization: unstable = see first, fresh post-op <12 hrs = see
before chronic
You’ve already crushed Maternity — the Comp Predictor is just more of
the same style, just broader. Want me to drop a 50-question Comp
Predictor practice test with answers next, or focus on one area (pharm,
delegation, labs, etc.)? Just tell me! You’re going to kill this exam.
5. The nurse is preparing to administer 1 unit of packed RBCs. Which
action is most important before starting?
**Correct answer: b. Two nurses verify blood with patient ID**
Rationale: ATI and The Joint Commission require **two licensed
nurses** to verify** the blood product, patient name, MR number,
blood type, Rh, unit number, and expiration date at the bedside before
spiking the bag. This is the #1 question on every Comp Predictor about
blood transfusions.
6. A client with myasthenia gravis is admitted with increasing weakness
and difficulty swallowing. Which medication should the nurse prepare
to administer immediately?
a. Atropine
b. Edrophonium (Tensilon)
c. Pyridostigmine (Mestinon) ↑ dose or IV
d. Prednisone
, **Correct: c** → This is a myasthenic crisis (under-medicated). Give
more anticholinesterase drugs ASAP.
7. During a code, the nurse knows chest compressions should be:
a. 80–100/min
b. 100–120/min ← CORRECT
c. 120–140/min
d. As fast as possible
Rationale: 2020–2025 AHA guidelines = 100–120 compressions per
minute, at least 2 inches deep in adults.
8. A client post-thyroidectomy reports tingling around the mouth and
fingertips 12 hours after surgery. The nurse’s priority action is:
a. Check calcium level
b. Administer IV calcium gluconate
c. Assess Chvostek’s sign ← CORRECT (priority assessment)
d. Notify surgeon
Rationale: Classic hypocalcemia from accidental parathyroid
removal. Chvostek’s/Trousseau’s are the fastest bedside assessments.
9. The nurse is caring for a child with suspected epiglottitis. Which
action is contraindicated?
Test 2025/2026 Questions with 100% Correct
Answers Graded A+
1. The nurse receives report on four clients. Which client should the
nurse see first?
a. COPD on 2 L NC, SpO2 94%
b. Post-op day 1 appendectomy, pain 4/10
c. New-onset chest pain with diaphoresis ← CORRECT
d. Type 1 DM with blood glucose 180 mg/dL
2. A client with a PEG tube has new prescription for half-strength Ensure
300 mL q4h. How many mL/hr on the pump?
300 mL ÷ 4 hrs = **75 mL/hr**
3. Which task can the nurse delegate to the UAP?
a. Teaching a new diabetic
b. First assessment after blood transfusion
c. **Obtaining a clean-catch urine specimen** ← CORRECT
d. Evaluating pain relief after morphine
,4. A client in DKA has serum potassium 3.2 mEq/L. What is the priority
intervention?
a. Start insulin drip
b. **Give potassium supplement** (insulin will drive it lower) ←
CORRECT
c. Restrict fluids
d. Give sodium bicarbonate
5. The nurse is preparing to administer 1 unit of packed RBCs. Which
action is most important before starting?
a. Prime with D5W
b. **Two nurses verify blood with patient ID** ← CORRECT
c. Give Benadryl prophylaxis
d. Use a 22-gauge IV
### Best Study Plan to Hit 78%+ (What Level 3 Scorers Actually Do)
1. Do the last 3 versions of the ATI Comprehensive Predictor Practice A,
B, and C (2019, 2022, 2023/2024)
2. Complete every single Focused Review item
3. Use Quizlet “ATI Comp Predictor 2023–2025” sets (search “Mark K”
or “Comprehensive A 2023”)
4. Watch SimpleNursing or RegisteredNurseRN Comp Predictor videos
,5. Do 150–200 questions/day for 10–14 days straight
6. Master prioritization: unstable = see first, fresh post-op <12 hrs = see
before chronic
You’ve already crushed Maternity — the Comp Predictor is just more of
the same style, just broader. Want me to drop a 50-question Comp
Predictor practice test with answers next, or focus on one area (pharm,
delegation, labs, etc.)? Just tell me! You’re going to kill this exam.
5. The nurse is preparing to administer 1 unit of packed RBCs. Which
action is most important before starting?
**Correct answer: b. Two nurses verify blood with patient ID**
Rationale: ATI and The Joint Commission require **two licensed
nurses** to verify** the blood product, patient name, MR number,
blood type, Rh, unit number, and expiration date at the bedside before
spiking the bag. This is the #1 question on every Comp Predictor about
blood transfusions.
6. A client with myasthenia gravis is admitted with increasing weakness
and difficulty swallowing. Which medication should the nurse prepare
to administer immediately?
a. Atropine
b. Edrophonium (Tensilon)
c. Pyridostigmine (Mestinon) ↑ dose or IV
d. Prednisone
, **Correct: c** → This is a myasthenic crisis (under-medicated). Give
more anticholinesterase drugs ASAP.
7. During a code, the nurse knows chest compressions should be:
a. 80–100/min
b. 100–120/min ← CORRECT
c. 120–140/min
d. As fast as possible
Rationale: 2020–2025 AHA guidelines = 100–120 compressions per
minute, at least 2 inches deep in adults.
8. A client post-thyroidectomy reports tingling around the mouth and
fingertips 12 hours after surgery. The nurse’s priority action is:
a. Check calcium level
b. Administer IV calcium gluconate
c. Assess Chvostek’s sign ← CORRECT (priority assessment)
d. Notify surgeon
Rationale: Classic hypocalcemia from accidental parathyroid
removal. Chvostek’s/Trousseau’s are the fastest bedside assessments.
9. The nurse is caring for a child with suspected epiglottitis. Which
action is contraindicated?
