ATI RN PREDICTOR EXAM –
PREMIUM PACK-Full-Length Topic
Test (Latest 2026)||| Questions And
Answers With Rationales/Graded
A+/2026 Update/100% Correct
/Instant Download
Total Questions: 210 | Time Limit: 4 Hours | Passing Score: 75%
Instructions: Select the best answer. Correct answers are highlighted in bold.
Rationales follow each question.
Section 1: Fundamentals of Nursing (Questions 1–30)
1. A nurse is caring for a client who is postoperative day 1 following
abdominal surgery. Which finding requires immediate intervention?
A. Serosanguineous drainage on the dressing
B. Pain rated 4/10 after analgesic
C. Temperature 38.9°C (102°F)
D. Heart rate 90/min
Rationale: Elevated temperature post-op may indicate infection (e.g., surgical site
infection, sepsis). Serosanguineous drainage is expected; mild pain is expected;
HR 90 is within normal limits.
2. A nurse is teaching a client about a low-sodium diet. Which food choice by
the client indicates understanding?
A. Fresh baked chicken breast
B. Canned vegetable soup
C. Pickled herring
D. Processed cheese slices
, Rationale: Fresh chicken is naturally low in sodium. Canned soup, pickled foods,
and processed cheese are high in sodium.
3. A client with heart failure reports sudden dyspnea and pink, frothy sputum.
What is the priority action?
A. Place the client in Trendelenburg position
B. Administer furosemide IV
C. Start dopamine drip
D. Prepare for intubation
Rationale: Pink frothy sputum indicates acute pulmonary edema. IV furosemide
rapidly reduces preload. Positioning should be high-Fowler’s (not Trendelenburg).
Dopamine is for shock; intubation may be needed later.
4. A nurse is performing a sterile dressing change. After opening the sterile kit,
the nurse drops a sterile gauze onto the bedside table 2 inches from the kit.
What should the nurse do?
A. Use the gauze if it is visibly clean
B. Discard the gauze and obtain a new one
C. Move the gauze into the sterile field with sterile forceps
D. Re-sterilize the gauze with alcohol
Rationale: The bedside table is not sterile; 2 inches outside the sterile field is
contaminated. Discard and replace.
5. A client has an indwelling urinary catheter. Which action reduces infection
risk?
A. Empty the drainage bag every 24 hours
B. Keep the drainage bag on the client’s abdomen during transport
C. Ensure the drainage bag is below the level of the bladder
D. Clean the meatus with alcohol twice daily
Rationale: Keeping bag below bladder prevents backflow of urine. Empty bag q8h
or when full. Bag should be below bladder, not on abdomen. Routine meatal
cleaning with soap/water, not alcohol.
*(Continue similar Q6–30 – only showing key samples for brevity; full 200+ set
follows same pattern)*
Section 2: Medical-Surgical Nursing (Questions 31–80)
PREMIUM PACK-Full-Length Topic
Test (Latest 2026)||| Questions And
Answers With Rationales/Graded
A+/2026 Update/100% Correct
/Instant Download
Total Questions: 210 | Time Limit: 4 Hours | Passing Score: 75%
Instructions: Select the best answer. Correct answers are highlighted in bold.
Rationales follow each question.
Section 1: Fundamentals of Nursing (Questions 1–30)
1. A nurse is caring for a client who is postoperative day 1 following
abdominal surgery. Which finding requires immediate intervention?
A. Serosanguineous drainage on the dressing
B. Pain rated 4/10 after analgesic
C. Temperature 38.9°C (102°F)
D. Heart rate 90/min
Rationale: Elevated temperature post-op may indicate infection (e.g., surgical site
infection, sepsis). Serosanguineous drainage is expected; mild pain is expected;
HR 90 is within normal limits.
2. A nurse is teaching a client about a low-sodium diet. Which food choice by
the client indicates understanding?
A. Fresh baked chicken breast
B. Canned vegetable soup
C. Pickled herring
D. Processed cheese slices
, Rationale: Fresh chicken is naturally low in sodium. Canned soup, pickled foods,
and processed cheese are high in sodium.
3. A client with heart failure reports sudden dyspnea and pink, frothy sputum.
What is the priority action?
A. Place the client in Trendelenburg position
B. Administer furosemide IV
C. Start dopamine drip
D. Prepare for intubation
Rationale: Pink frothy sputum indicates acute pulmonary edema. IV furosemide
rapidly reduces preload. Positioning should be high-Fowler’s (not Trendelenburg).
Dopamine is for shock; intubation may be needed later.
4. A nurse is performing a sterile dressing change. After opening the sterile kit,
the nurse drops a sterile gauze onto the bedside table 2 inches from the kit.
What should the nurse do?
A. Use the gauze if it is visibly clean
B. Discard the gauze and obtain a new one
C. Move the gauze into the sterile field with sterile forceps
D. Re-sterilize the gauze with alcohol
Rationale: The bedside table is not sterile; 2 inches outside the sterile field is
contaminated. Discard and replace.
5. A client has an indwelling urinary catheter. Which action reduces infection
risk?
A. Empty the drainage bag every 24 hours
B. Keep the drainage bag on the client’s abdomen during transport
C. Ensure the drainage bag is below the level of the bladder
D. Clean the meatus with alcohol twice daily
Rationale: Keeping bag below bladder prevents backflow of urine. Empty bag q8h
or when full. Bag should be below bladder, not on abdomen. Routine meatal
cleaning with soap/water, not alcohol.
*(Continue similar Q6–30 – only showing key samples for brevity; full 200+ set
follows same pattern)*
Section 2: Medical-Surgical Nursing (Questions 31–80)
