ATI RN PREDICTOR
COMPREHENSIVE EXAM –
LATEST 2026||questions and answers
with rationales/graded A+/2026
update/100% correct /instant
download
Topic: Nursing Integration of Concepts (Management of Care, Safety,
Pharmacology, Reduction of Risk, Physiological Adaptation, Psychosocial
Integrity, Health Promotion)
Instructions: Choose the best answer. Correct answers are bolded and
highlighted. A rationale follows each question.
Section 1: Management of Care (Items 1-15)
1. A nurse is caring for a client who has a new tracheostomy. Which action
should the nurse take first when the client experiences sudden respiratory
distress?
• A. Suction the tracheostomy
• B. Manually ventilate with a bag-valve-mask
• C. Call the rapid response team
• D. Check the oxygen saturation level
Rationale: Airway always comes first. Manual ventilation supports breathing
while assessing for obstruction (e.g., mucus plug). Suctioning may be needed but
only after establishing ventilation.
, 2. A charge nurse is assigning rooms for new admissions. Which client should
be placed in a negative-pressure room?
• A. Client with C. difficile
• B. Client with active pulmonary tuberculosis
• C. Client with MRSA wound infection
• D. Client with RSV
Rationale: Pulmonary TB requires airborne precautions with negative pressure. C.
diff and MRSA need contact precautions; RSV needs droplet/contact.
3. A nurse is planning discharge teaching for a client with heart failure. Which
statement by the client indicates understanding of daily weight monitoring?
• A. “I will weigh myself each morning before breakfast.”
• B. “I should wear different clothes each time I weigh myself.”
• C. “A gain of 1 pound in a week is concerning.”
• D. “I will weigh myself after drinking a glass of water.”
Rationale: Daily weights should be done at same time, same scale, after voiding,
before breakfast. A 2-3 lb gain in 24 hours or 5 lb in a week indicates fluid
retention.
4. A nurse is preparing to transfer a client from the ICU to a medical unit.
Which information must the nurse include in the handoff report?
• A. Complete family medical history
• B. Client’s preferred meal choices
• C. Current medications and pending lab results
• D. Room number on the new unit
Rationale: SBAR handoff must include current status, medications, allergies, and
pending results. Family history is not essential for unit transfer.
5. A nurse notes that a colleague is diverting opioids. Which action is most
appropriate?
• A. Ignore it if it happens only once
COMPREHENSIVE EXAM –
LATEST 2026||questions and answers
with rationales/graded A+/2026
update/100% correct /instant
download
Topic: Nursing Integration of Concepts (Management of Care, Safety,
Pharmacology, Reduction of Risk, Physiological Adaptation, Psychosocial
Integrity, Health Promotion)
Instructions: Choose the best answer. Correct answers are bolded and
highlighted. A rationale follows each question.
Section 1: Management of Care (Items 1-15)
1. A nurse is caring for a client who has a new tracheostomy. Which action
should the nurse take first when the client experiences sudden respiratory
distress?
• A. Suction the tracheostomy
• B. Manually ventilate with a bag-valve-mask
• C. Call the rapid response team
• D. Check the oxygen saturation level
Rationale: Airway always comes first. Manual ventilation supports breathing
while assessing for obstruction (e.g., mucus plug). Suctioning may be needed but
only after establishing ventilation.
, 2. A charge nurse is assigning rooms for new admissions. Which client should
be placed in a negative-pressure room?
• A. Client with C. difficile
• B. Client with active pulmonary tuberculosis
• C. Client with MRSA wound infection
• D. Client with RSV
Rationale: Pulmonary TB requires airborne precautions with negative pressure. C.
diff and MRSA need contact precautions; RSV needs droplet/contact.
3. A nurse is planning discharge teaching for a client with heart failure. Which
statement by the client indicates understanding of daily weight monitoring?
• A. “I will weigh myself each morning before breakfast.”
• B. “I should wear different clothes each time I weigh myself.”
• C. “A gain of 1 pound in a week is concerning.”
• D. “I will weigh myself after drinking a glass of water.”
Rationale: Daily weights should be done at same time, same scale, after voiding,
before breakfast. A 2-3 lb gain in 24 hours or 5 lb in a week indicates fluid
retention.
4. A nurse is preparing to transfer a client from the ICU to a medical unit.
Which information must the nurse include in the handoff report?
• A. Complete family medical history
• B. Client’s preferred meal choices
• C. Current medications and pending lab results
• D. Room number on the new unit
Rationale: SBAR handoff must include current status, medications, allergies, and
pending results. Family history is not essential for unit transfer.
5. A nurse notes that a colleague is diverting opioids. Which action is most
appropriate?
• A. Ignore it if it happens only once
