ATI RN Comprehensive Predictor
2026: All-In-One Prep
Pack|||Questions And Answers With
Rationales/Graded A+/2026
Update/100% Correct /Instant
Download
Student Name: _________________________________________
Date: __________________________________________________
Total Questions: 85
Time Allowed: 150 minutes
Instructions: Select the best answer for each question. Highlighted options
indicate the correct answer. Rationales are provided to explain the clinical
reasoning.
Section 1: Fundamentals of Nursing & Safety (Questions 1-15)
1. A nurse is preparing to administer a medication to a client. The label is
illegible. What is the priority action?
• A. Call the pharmacist to verify the medication.
• B. Compare the label to the MAR.
• C. Ask another nurse to read the label.
• D. Return the medication to the pharmacy for a replacement.
,Rationale: The rights of medication administration include "Right Medication." If
the label is illegible, the nurse cannot verify the medication. The priority is to
ensure safety by obtaining a new, clearly labeled medication from the pharmacy.
Administering an unknown medication puts the patient at risk .
2. A nurse discovers a small fire in a client's trash can. What action should the
nurse take first?
• A. Pull the fire alarm.
• B. Rescue the client from the room.
• C. Use the fire extinguisher.
• D. Close the client's door.
Rationale: The mnemonic RACE is used for fire
safety: Rescue, Alarm, Contain, Evacuate. The priority is to remove the client
from immediate danger before attempting to extinguish the fire or alerting others .
3. A client is prescribed wrist restraints. Which intervention is essential to
include in the plan of care?
• A. Tie the restraints to the side rail of the bed.
• B. Remove the restraints every 2 hours for range of motion.
• C. Apply the restraints tightly to prevent movement.
• D. Keep the restraints on until the provider discontinues the order.
Rationale: Restraints must be removed every 2 hours to allow for range of motion,
hydration, and toileting to prevent complications like contractures or skin
breakdown. Restraints are a last resort and require frequent reassessment .
4. A nurse is assessing an older adult client's skin turgor. Which site is most
accurate for this assessment?
• A. Back of the hand
• B. Clavicle or sternum
• C. Forearm
• D. Lower leg
,Rationale: In older adults, the skin loses elasticity due to decreased collagen.
Assessing turgor over the clavicle or sternum provides a more accurate result than
the hand, which may have age-related loss of elasticity .
5. A nurse is providing post-mortem care before family viewing. What action
is appropriate?
• A. Remove all indwelling tubes.
• B. Place dentures in the mouth to maintain facial shape.
• C. Place the body flat in a supine position.
• D. Label the body only after the family leaves.
Rationale: Placing dentures in the mouth helps maintain the natural contour of the
face for family viewing. Tubes are usually left in place unless contraindicated, and
the head of the bed is slightly elevated to prevent discoloration .
6. A client has a new colostomy. The stoma appears dark purple and dry.
What is the nurse's priority action?
• A. Apply a moisturizing ointment.
• B. Gently massage the stoma.
• C. Notify the provider immediately.
• D. Document the finding as normal.
Rationale: A healthy stoma should be pink or red and moist. A dark purple or
black stoma is a sign of ischemia or necrosis, indicating a lack of blood supply to
the tissue. This is a surgical emergency .
7. A nurse is teaching a client with a new ileal conduit (urinary diversion).
Which statement indicates understanding?
• A. "I will change my appliance once a month."
• B. "I will drink plenty of fluids to prevent mucus buildup."
• C. "I expect my urine to be thick and mucus-filled."
• D. "Skin care around the stoma is not necessary."
, Rationale: The ileum produces mucus, which can accumulate in the conduit and
cause odor or obstruction. Increased fluid intake dilutes the urine and helps flush
the mucus out of the stoma .
8. A nurse is inserting an indwelling urinary catheter for a male client. Which
action is correct?
• A. Advance the catheter as soon as resistance is met.
• B. Lift the penis perpendicular (90-degree angle) to the body.
• C. Clean the meatus with antiseptic solution in a circular motion from
outside to inside.
• D. Inflate the balloon before inserting the catheter.
Rationale: Lifting the penis to a 90-degree angle straightens the urethra, allowing
smooth passage of the catheter past the prostate. Resistance should never be
forced; the nurse should ask the client to take deep breaths .
9. A client is receiving a blood transfusion and reports chills and back pain.
What is the priority action?
• A. Slow the infusion rate.
• B. Stop the transfusion.
• C. Administer acetaminophen (Tylenol).
• D. Notify the provider.
Rationale: Chills and back pain are classic signs of an acute hemolytic reaction
(ABO incompatibility). The priority is to stop the transfusion immediately to
prevent further destruction of RBCs, then run normal saline to keep the vein open .
10. A nurse is preparing to insert a nasogastric (NG) tube for decompression.
Which measurement should the nurse use to determine the insertion length?
• A. Nose to ear to xiphoid process
• B. Nose to ear to umbilicus
• C. Corner of mouth to ear to xiphoid
• D. Tip of nose to earlobe to sternum
2026: All-In-One Prep
Pack|||Questions And Answers With
Rationales/Graded A+/2026
Update/100% Correct /Instant
Download
Student Name: _________________________________________
Date: __________________________________________________
Total Questions: 85
Time Allowed: 150 minutes
Instructions: Select the best answer for each question. Highlighted options
indicate the correct answer. Rationales are provided to explain the clinical
reasoning.
Section 1: Fundamentals of Nursing & Safety (Questions 1-15)
1. A nurse is preparing to administer a medication to a client. The label is
illegible. What is the priority action?
• A. Call the pharmacist to verify the medication.
• B. Compare the label to the MAR.
• C. Ask another nurse to read the label.
• D. Return the medication to the pharmacy for a replacement.
,Rationale: The rights of medication administration include "Right Medication." If
the label is illegible, the nurse cannot verify the medication. The priority is to
ensure safety by obtaining a new, clearly labeled medication from the pharmacy.
Administering an unknown medication puts the patient at risk .
2. A nurse discovers a small fire in a client's trash can. What action should the
nurse take first?
• A. Pull the fire alarm.
• B. Rescue the client from the room.
• C. Use the fire extinguisher.
• D. Close the client's door.
Rationale: The mnemonic RACE is used for fire
safety: Rescue, Alarm, Contain, Evacuate. The priority is to remove the client
from immediate danger before attempting to extinguish the fire or alerting others .
3. A client is prescribed wrist restraints. Which intervention is essential to
include in the plan of care?
• A. Tie the restraints to the side rail of the bed.
• B. Remove the restraints every 2 hours for range of motion.
• C. Apply the restraints tightly to prevent movement.
• D. Keep the restraints on until the provider discontinues the order.
Rationale: Restraints must be removed every 2 hours to allow for range of motion,
hydration, and toileting to prevent complications like contractures or skin
breakdown. Restraints are a last resort and require frequent reassessment .
4. A nurse is assessing an older adult client's skin turgor. Which site is most
accurate for this assessment?
• A. Back of the hand
• B. Clavicle or sternum
• C. Forearm
• D. Lower leg
,Rationale: In older adults, the skin loses elasticity due to decreased collagen.
Assessing turgor over the clavicle or sternum provides a more accurate result than
the hand, which may have age-related loss of elasticity .
5. A nurse is providing post-mortem care before family viewing. What action
is appropriate?
• A. Remove all indwelling tubes.
• B. Place dentures in the mouth to maintain facial shape.
• C. Place the body flat in a supine position.
• D. Label the body only after the family leaves.
Rationale: Placing dentures in the mouth helps maintain the natural contour of the
face for family viewing. Tubes are usually left in place unless contraindicated, and
the head of the bed is slightly elevated to prevent discoloration .
6. A client has a new colostomy. The stoma appears dark purple and dry.
What is the nurse's priority action?
• A. Apply a moisturizing ointment.
• B. Gently massage the stoma.
• C. Notify the provider immediately.
• D. Document the finding as normal.
Rationale: A healthy stoma should be pink or red and moist. A dark purple or
black stoma is a sign of ischemia or necrosis, indicating a lack of blood supply to
the tissue. This is a surgical emergency .
7. A nurse is teaching a client with a new ileal conduit (urinary diversion).
Which statement indicates understanding?
• A. "I will change my appliance once a month."
• B. "I will drink plenty of fluids to prevent mucus buildup."
• C. "I expect my urine to be thick and mucus-filled."
• D. "Skin care around the stoma is not necessary."
, Rationale: The ileum produces mucus, which can accumulate in the conduit and
cause odor or obstruction. Increased fluid intake dilutes the urine and helps flush
the mucus out of the stoma .
8. A nurse is inserting an indwelling urinary catheter for a male client. Which
action is correct?
• A. Advance the catheter as soon as resistance is met.
• B. Lift the penis perpendicular (90-degree angle) to the body.
• C. Clean the meatus with antiseptic solution in a circular motion from
outside to inside.
• D. Inflate the balloon before inserting the catheter.
Rationale: Lifting the penis to a 90-degree angle straightens the urethra, allowing
smooth passage of the catheter past the prostate. Resistance should never be
forced; the nurse should ask the client to take deep breaths .
9. A client is receiving a blood transfusion and reports chills and back pain.
What is the priority action?
• A. Slow the infusion rate.
• B. Stop the transfusion.
• C. Administer acetaminophen (Tylenol).
• D. Notify the provider.
Rationale: Chills and back pain are classic signs of an acute hemolytic reaction
(ABO incompatibility). The priority is to stop the transfusion immediately to
prevent further destruction of RBCs, then run normal saline to keep the vein open .
10. A nurse is preparing to insert a nasogastric (NG) tube for decompression.
Which measurement should the nurse use to determine the insertion length?
• A. Nose to ear to xiphoid process
• B. Nose to ear to umbilicus
• C. Corner of mouth to ear to xiphoid
• D. Tip of nose to earlobe to sternum
