ATI COMPREHENSIVE PREDICTOR – QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD
PDF.
Core Domains
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
Introduction
The ATI Comprehensive Predictor is a high-stakes assessment designed to evaluate
a student's readiness for the NCLEX-RN licensure examination. This assessment
,measures mastery of essential nursing content, clinical judgment, and the ability to
provide safe, effective care across the lifespan. The exam incorporates a variety of
multiple-choice and complex scenario-based questions that require students to
synthesize foundational theory with professional practice. By emphasizing real-world
application and ethical decision-making, the exam ensures that candidates possess
the critical thinking skills necessary for entry-level nursing. This document provides a
rigorous simulation of the exam environment to prepare students for success.
SECTION ONE: QUESTIONS 1–100
1. A nurse is caring for a client who is 24 hours postoperative following an
abdominal hysterectomy. Which of the following actions should the nurse take
first?
A. Assist the client with incentive spirometry.
B. Encourage the client to increase fluid intake.
C. Administer prescribed analgesic medication.
D. Ask the client to rate their pain level.
🟢 Correct answer D. Ask the client to rate their pain level.
🔴 RATIONALE: According to the nursing process, assessment is the first step. The
,nurse must assess the client's pain intensity using a standardized scale before
determining the need for intervention or medication administration.
2. A nurse is preparing to administer digoxin to a client with heart failure. Which of
the following findings should the nurse report to the provider before
administering the dose?
A. Potassium level 3.9 mEq/L
B. Apical pulse 52/min
C. Digoxin level 0.8 ng/mL
D. Blood pressure 110/70 mm Hg
🟢 Correct answer B. Apical pulse 52/min
🔴 RATIONALE: Digoxin is an inotropic medication that slows the heart rate. It
should be withheld, and the provider notified, if the apical pulse is below 60/min in an
adult to avoid toxicity and bradycardia.
3. A nurse is reinforcing teaching with a client who has a new prescription for
lithium carbonate. Which of the following instructions should the nurse include?
A. Limit sodium intake to 1,500 mg per day.
B. Discontinue the medication if tremors occur.
, C. Maintain a consistent fluid intake of 2 to 3 liters per day.
D. Take the medication on an empty stomach.
🟢 Correct answer C. Maintain a consistent fluid intake of 2 to 3 liters per day.
🔴 RATIONALE: Lithium is a salt, and stable fluid and sodium levels are required to
prevent lithium toxicity. Increasing fluids helps prevent dehydration, which can lead to
dangerously high lithium levels.
4. A nurse is caring for a client who is in the active stage of labor. The nurse notes
a late deceleration on the fetal heart rate monitor. Which of the following actions
should the nurse take first?
A. Increase the rate of the IV fluid infusion.
B. Assist the client into a left-lateral position.
C. Administer oxygen at 8 to 10 L/min via mask.
D. Notify the primary healthcare provider.
🟢 Correct answer B. Assist the client into a left-lateral position.
🔴 RATIONALE: Late decelerations indicate uteroplacental insufficiency. The first
action is to reposition the client to the side to relieve pressure on the inferior vena
cava and improve placental perfusion.
(VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD
PDF.
Core Domains
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
Introduction
The ATI Comprehensive Predictor is a high-stakes assessment designed to evaluate
a student's readiness for the NCLEX-RN licensure examination. This assessment
,measures mastery of essential nursing content, clinical judgment, and the ability to
provide safe, effective care across the lifespan. The exam incorporates a variety of
multiple-choice and complex scenario-based questions that require students to
synthesize foundational theory with professional practice. By emphasizing real-world
application and ethical decision-making, the exam ensures that candidates possess
the critical thinking skills necessary for entry-level nursing. This document provides a
rigorous simulation of the exam environment to prepare students for success.
SECTION ONE: QUESTIONS 1–100
1. A nurse is caring for a client who is 24 hours postoperative following an
abdominal hysterectomy. Which of the following actions should the nurse take
first?
A. Assist the client with incentive spirometry.
B. Encourage the client to increase fluid intake.
C. Administer prescribed analgesic medication.
D. Ask the client to rate their pain level.
🟢 Correct answer D. Ask the client to rate their pain level.
🔴 RATIONALE: According to the nursing process, assessment is the first step. The
,nurse must assess the client's pain intensity using a standardized scale before
determining the need for intervention or medication administration.
2. A nurse is preparing to administer digoxin to a client with heart failure. Which of
the following findings should the nurse report to the provider before
administering the dose?
A. Potassium level 3.9 mEq/L
B. Apical pulse 52/min
C. Digoxin level 0.8 ng/mL
D. Blood pressure 110/70 mm Hg
🟢 Correct answer B. Apical pulse 52/min
🔴 RATIONALE: Digoxin is an inotropic medication that slows the heart rate. It
should be withheld, and the provider notified, if the apical pulse is below 60/min in an
adult to avoid toxicity and bradycardia.
3. A nurse is reinforcing teaching with a client who has a new prescription for
lithium carbonate. Which of the following instructions should the nurse include?
A. Limit sodium intake to 1,500 mg per day.
B. Discontinue the medication if tremors occur.
, C. Maintain a consistent fluid intake of 2 to 3 liters per day.
D. Take the medication on an empty stomach.
🟢 Correct answer C. Maintain a consistent fluid intake of 2 to 3 liters per day.
🔴 RATIONALE: Lithium is a salt, and stable fluid and sodium levels are required to
prevent lithium toxicity. Increasing fluids helps prevent dehydration, which can lead to
dangerously high lithium levels.
4. A nurse is caring for a client who is in the active stage of labor. The nurse notes
a late deceleration on the fetal heart rate monitor. Which of the following actions
should the nurse take first?
A. Increase the rate of the IV fluid infusion.
B. Assist the client into a left-lateral position.
C. Administer oxygen at 8 to 10 L/min via mask.
D. Notify the primary healthcare provider.
🟢 Correct answer B. Assist the client into a left-lateral position.
🔴 RATIONALE: Late decelerations indicate uteroplacental insufficiency. The first
action is to reposition the client to the side to relieve pressure on the inferior vena
cava and improve placental perfusion.
