ATI RN COMPREHENSIVE
PREDICTOR EXAM 2026-High-Yield
Concepts Test Bank||Questions And
Answers With Rationales/Graded
A+/2026 Update/100% Correct
/Instant Download
80+ Practice Questions with Detailed Rationales
Exam Domain: NCLEX-RN Readiness Assessment | Format: Multiple Choice,
Select All That Apply, NGN Case Scenarios
Latest Update: 2026 | Target Level: Exit Exam / Level 3 Preparation
SECTION 1: SAFETY & INFECTION CONTROL (Questions 1-12)
1. A nurse is caring for a client with a history of tonic-clonic seizures. Which of
the following safety precautions should the nurse implement?
A. Keep a padded tongue blade at the bedside
B. Place the bed in the highest position
C. Ensure suction equipment is available in the room
D. Restrain the client's limbs during a seizure
Correct Answer: C
Rationale: Suction equipment is essential to maintain a patent airway if the client
vomits or has excessive secretions during or after a seizure. Padded tongue blades
are contraindicated as they can cause injury and may break, creating an airway
obstruction risk. The bed should be in the lowest position to prevent injury from
,falls during seizure activity. Restraining limbs during a seizure can cause fractures
or joint injuries.
2. A nurse is preparing to suction a client's endotracheal tube. What is the
maximum time for each suction pass?
A. 5 seconds
B. 10 to 15 seconds
C. 30 seconds
D. 1 minute
Correct Answer: B
Rationale: Suctioning for longer than 15 seconds can cause significant hypoxia and
vagal stimulation, leading to bradycardia. The nurse should pre-oxygenate before
suctioning and allow at least 30 seconds between passes for recovery.
3. A nurse is providing hand hygiene education. Which statement indicates
understanding?
A. "Alcohol-based hand rub is effective against C. diff spores"
B. "I should wash my hands with soap and water for at least 15 seconds"
C. "Hand hygiene is only needed after client contact"
D. "Artificial nails are acceptable if I wear gloves"
Correct Answer: B
Rationale: Washing with soap and water for at least 15 seconds is recommended
for mechanical removal of microorganisms. Alcohol-based hand rub is NOT
effective against C. difficile spores—soap and water must be used. Hand hygiene is
required before and after client contact, as well as after contact with contaminated
surfaces. Artificial nails harbor bacteria and are not recommended in healthcare
settings.
4. In triage after a disaster, which type of injury should a nurse assign the
highest priority?
,A. Simple fracture of the arm
B. Minor laceration with bleeding controlled
C. 95% full-thickness body burn
D. Open chest wound with difficulty breathing
Correct Answer: D
Rationale: In disaster triage, the highest priority (RED tag/immediate) is given to
clients with life-threatening but potentially survivable injuries. An open chest
wound with respiratory difficulty is immediately life-threatening and requires rapid
intervention. A 95% full-thickness body burn is typically considered expectant
(BLACK tag) due to non-survivable injuries. Minor injuries are delayed (GREEN
tag).
5. A nurse is responding to a fire in a client's room. Place the following actions
in the correct order:
A. Extinguish the fire / B. Alarm / C. Contain / D. Rescue
Correct Order: D, B, C, A
Rationale: The RACE protocol guides fire response: Rescue clients in immediate
danger, Activate the alarm, Contain the fire by closing doors and
windows, Extinguish the fire using appropriate extinguisher. This sequence
prioritizes client safety while ensuring proper notification and containment.
6. A client with tuberculosis on airborne precautions must go to radiology. The
nurse should ensure the client:
A. Is escorted via the shortest route while wearing a simple mask
B. Wears a surgical mask during transport
C. Is transported only after all other clients have cleared the hallway
D. Remains in isolation and the procedure is performed at the bedside
Correct Answer: B
Rationale: Clients on airborne precautions must wear a surgical mask during
transport to contain infectious droplets. The N95 respirator is for staff protection,
but the client wears a standard surgical mask. The transport should be planned to
, minimize exposure to others, but complete hallway clearance is not necessary or
practical.
7. Which infection requires the nurse to use soap and water rather than
alcohol-based hand rub?
A. MRSA
B. Clostridium difficile
C. Influenza
D. VRE
Correct Answer: B
Rationale: C. difficile spores are not killed by alcohol-based hand rubs; only
mechanical washing with soap and water effectively removes them. For other
common pathogens like MRSA, VRE, and influenza, alcohol-based hand rub is
sufficient.
8. A nurse is caring for a client with a chest tube. The nurse notes continuous
bubbling in the water seal chamber. What does this indicate?
A. The system is functioning normally
B. There is an air leak in the system
C. The lung has fully re-expanded
D. The suction pressure is too high
Correct Answer: B
Rationale: Continuous bubbling in the water seal chamber indicates an air leak in
the system. Intermittent bubbling (during coughing or expiration) is expected but
continuous bubbling requires assessment of connections and potential leak sites.
The tube should NEVER be clamped to check for a leak as this could cause tension
pneumothorax.
9. A nurse is updating protocols for the use of belt restraints. Which guideline
should be included?
PREDICTOR EXAM 2026-High-Yield
Concepts Test Bank||Questions And
Answers With Rationales/Graded
A+/2026 Update/100% Correct
/Instant Download
80+ Practice Questions with Detailed Rationales
Exam Domain: NCLEX-RN Readiness Assessment | Format: Multiple Choice,
Select All That Apply, NGN Case Scenarios
Latest Update: 2026 | Target Level: Exit Exam / Level 3 Preparation
SECTION 1: SAFETY & INFECTION CONTROL (Questions 1-12)
1. A nurse is caring for a client with a history of tonic-clonic seizures. Which of
the following safety precautions should the nurse implement?
A. Keep a padded tongue blade at the bedside
B. Place the bed in the highest position
C. Ensure suction equipment is available in the room
D. Restrain the client's limbs during a seizure
Correct Answer: C
Rationale: Suction equipment is essential to maintain a patent airway if the client
vomits or has excessive secretions during or after a seizure. Padded tongue blades
are contraindicated as they can cause injury and may break, creating an airway
obstruction risk. The bed should be in the lowest position to prevent injury from
,falls during seizure activity. Restraining limbs during a seizure can cause fractures
or joint injuries.
2. A nurse is preparing to suction a client's endotracheal tube. What is the
maximum time for each suction pass?
A. 5 seconds
B. 10 to 15 seconds
C. 30 seconds
D. 1 minute
Correct Answer: B
Rationale: Suctioning for longer than 15 seconds can cause significant hypoxia and
vagal stimulation, leading to bradycardia. The nurse should pre-oxygenate before
suctioning and allow at least 30 seconds between passes for recovery.
3. A nurse is providing hand hygiene education. Which statement indicates
understanding?
A. "Alcohol-based hand rub is effective against C. diff spores"
B. "I should wash my hands with soap and water for at least 15 seconds"
C. "Hand hygiene is only needed after client contact"
D. "Artificial nails are acceptable if I wear gloves"
Correct Answer: B
Rationale: Washing with soap and water for at least 15 seconds is recommended
for mechanical removal of microorganisms. Alcohol-based hand rub is NOT
effective against C. difficile spores—soap and water must be used. Hand hygiene is
required before and after client contact, as well as after contact with contaminated
surfaces. Artificial nails harbor bacteria and are not recommended in healthcare
settings.
4. In triage after a disaster, which type of injury should a nurse assign the
highest priority?
,A. Simple fracture of the arm
B. Minor laceration with bleeding controlled
C. 95% full-thickness body burn
D. Open chest wound with difficulty breathing
Correct Answer: D
Rationale: In disaster triage, the highest priority (RED tag/immediate) is given to
clients with life-threatening but potentially survivable injuries. An open chest
wound with respiratory difficulty is immediately life-threatening and requires rapid
intervention. A 95% full-thickness body burn is typically considered expectant
(BLACK tag) due to non-survivable injuries. Minor injuries are delayed (GREEN
tag).
5. A nurse is responding to a fire in a client's room. Place the following actions
in the correct order:
A. Extinguish the fire / B. Alarm / C. Contain / D. Rescue
Correct Order: D, B, C, A
Rationale: The RACE protocol guides fire response: Rescue clients in immediate
danger, Activate the alarm, Contain the fire by closing doors and
windows, Extinguish the fire using appropriate extinguisher. This sequence
prioritizes client safety while ensuring proper notification and containment.
6. A client with tuberculosis on airborne precautions must go to radiology. The
nurse should ensure the client:
A. Is escorted via the shortest route while wearing a simple mask
B. Wears a surgical mask during transport
C. Is transported only after all other clients have cleared the hallway
D. Remains in isolation and the procedure is performed at the bedside
Correct Answer: B
Rationale: Clients on airborne precautions must wear a surgical mask during
transport to contain infectious droplets. The N95 respirator is for staff protection,
but the client wears a standard surgical mask. The transport should be planned to
, minimize exposure to others, but complete hallway clearance is not necessary or
practical.
7. Which infection requires the nurse to use soap and water rather than
alcohol-based hand rub?
A. MRSA
B. Clostridium difficile
C. Influenza
D. VRE
Correct Answer: B
Rationale: C. difficile spores are not killed by alcohol-based hand rubs; only
mechanical washing with soap and water effectively removes them. For other
common pathogens like MRSA, VRE, and influenza, alcohol-based hand rub is
sufficient.
8. A nurse is caring for a client with a chest tube. The nurse notes continuous
bubbling in the water seal chamber. What does this indicate?
A. The system is functioning normally
B. There is an air leak in the system
C. The lung has fully re-expanded
D. The suction pressure is too high
Correct Answer: B
Rationale: Continuous bubbling in the water seal chamber indicates an air leak in
the system. Intermittent bubbling (during coughing or expiration) is expected but
continuous bubbling requires assessment of connections and potential leak sites.
The tube should NEVER be clamped to check for a leak as this could cause tension
pneumothorax.
9. A nurse is updating protocols for the use of belt restraints. Which guideline
should be included?
