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ATI RN Comprehensive Predictor 2026: The Ultimate NCLEX Power Bank

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Stop guessing what's on the NCLEX. This is the complete predictor test bank with detailed, verified answers and rationales. Covering medical-surgical fundamentals, pharmacology, maternity, and pediatrics, this guide gives you the exact "why" behind every correct answer. Walk into your exit exam with the confidence of knowing you've seen these questions before.

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ATI RN Comprehensive Predictor 2026-2027 BANK QUESTIONS
WITH DETAILED VERIFIED ANSWERS EXAM QUESTIONS
WILL COME FROM HERE (100% CORRECT ANSWERS A+
GRADED




1. A nurse is caring for a client who has a prescription for a clear liquid
diet. Which of the following items should the nurse offer the client?
A. Applesauce
B. Chicken broth
C. Orange juice with pulp
D. Coffee with cream
Answer: B. Chicken broth
Explanation: A clear liquid diet includes liquids that are transparent and
free from any residue at room temperature. Chicken broth meets this
criterion as it is a clear fluid without solid particles. Applesauce is a full
liquid or soft diet item because it contains fruit solids. Orange juice with
pulp contains particulate matter and is not clear. Coffee with cream
contains dairy fat, which is opaque and not permitted.


2. A nurse is assessing a client who has fluid volume deficit. Which of
the following findings should the nurse expect?
A. Bounding peripheral pulses

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B. Jugular vein distention
C. Orthostatic hypotension
D. Crackles in the lung bases
Answer: C. Orthostatic hypotension
Explanation: Fluid volume deficit, or hypovolemia, results in decreased
circulating blood volume, leading to a drop in blood pressure when the
client changes position, known as orthostatic hypotension. Bounding
peripheral pulses and jugular vein distention are associated with fluid
volume excess, not deficit. Crackles in the lung bases indicate
pulmonary edema, also a sign of fluid overload.


3. A nurse is preparing to administer enoxaparin subcutaneously to a
client. Which of the following actions should the nurse take?
A. Massage the site after injection
B. Aspirate before injecting the medication
C. Administer the injection at a 90-degree angle
D. Use a 1-inch needle for insertion
Answer: C. Administer the injection at a 90-degree angle
Explanation: Enoxaparin is a low-molecular-weight heparin
administered subcutaneously. For subcutaneous injections, a 45- to 90-
degree angle is recommended depending on the client's adipose tissue;
a 90-degree angle is appropriate for clients with adequate
subcutaneous tissue. Massaging the site after injection increases the
risk of bruising and hematoma formation. Aspiration is contraindicated
for subcutaneous administration of anticoagulants. A typical needle

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length for subcutaneous injection is 3/8 to 5/8 inch, not 1 inch, which is
used for intramuscular injections.


4. A client who has pneumonia is receiving oxygen therapy at 4 L/min
via nasal cannula. The client reports difficulty breathing and the nurse
notes the oxygen saturation is 88%. Which of the following actions
should the nurse take first?
A. Increase the oxygen flow rate
B. Assess the client's respiratory status
C. Notify the healthcare provider
D. Obtain an arterial blood gas analysis
Answer: B. Assess the client's respiratory status
Explanation: The nurse should use the nursing process to prioritize care.
The first step is always assessment. The client reports difficulty
breathing and has a low oxygen saturation; the nurse must directly
assess the client’s respiratory rate, effort, lung sounds, and level of
consciousness to determine the severity and cause before
implementing interventions or notifying the provider. Increasing
oxygen requires a provider order or standing protocol assessment first.


5. A nurse is providing teaching to a client who has a new prescription
for warfarin. Which of the following client statements indicates an
understanding of the teaching?
A. "I will need to have my activated partial thromboplastin time
checked regularly."
B. "I should eat more broccoli to help my blood clot."

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C. "I will use an electric razor to shave."
D. "I can take ibuprofen for my arthritis pain."
Answer: C. "I will use an electric razor to shave."
Explanation: Warfarin is an anticoagulant that increases the risk of
bleeding. Using an electric razor instead of a straight razor reduces the
risk of cuts and bleeding. Warfarin therapy is monitored using
prothrombin time and international normalized ratio, not activated
partial thromboplastin time, which monitors heparin. Broccoli is high in
vitamin K, which antagonizes warfarin, so the client should maintain a
consistent intake, not increase it. Ibuprofen is a nonsteroidal anti-
inflammatory drug that increases bleeding risk and should be avoided.


6. A nurse is caring for a client who has a history of falls. Which of the
following actions should the nurse take first?
A. Place a fall risk identification bracelet on the client
B. Keep the client's bed in the lowest position
C. Educate the client about the use of the call light
D. Assess the client's risk factors for falls
Answer: D. Assess the client's risk factors for falls
Explanation: Using the nursing process, assessment is the initial step.
The nurse must first identify the client’s specific risk factors for falls,
such as medications, mobility status, and cognitive impairments, to
develop an individualized plan of care. Interventions like placing a
bracelet, lowering the bed, and educating the client are important but
follow the assessment phase.

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