ATI COMPREHENSIVE
PREDICTOR 2026: FINAL
EXAMINATION|||questions and
answers with rationales/graded
A+/2026 update/100% correct /instant
download
Student Name: _________________________
Total Questions: 80
Time Allowed: 120 minutes
Target Score for NCLEX Readiness: 72% or higher
Section 1: Management of Care (Prioritization, Delegation, Ethics) –
Questions 1-10
1. A nurse is caring for four clients. Which client should the nurse assess first?
• A) Client with pneumonia who has an oxygen saturation of 91% on room
air.
• B) Client with a new tracheostomy who has thick, yellow secretions and
a temperature of 38.9°C (102°F).
• C) Client with diabetes mellitus who has a blood glucose level of 180
mg/dL.
• D) Client with heart failure who has 1+ pitting edema in the lower
extremities.
Rationale: A new tracheostomy with thick secretions and fever suggests an
impending airway obstruction or infection (tracheitis/pneumonia). Airway is
,always the priority (ABCs). Option A (SpO2 91%) is stable. Option C (BG 180) is
elevated but not critical. Option D (1+ edema) is expected.
2. A charge nurse is delegating tasks to a licensed practical nurse (LPN).
Which task should the charge nurse delegate to the LPN?
• A) Administer IV push morphine to a post-op client.
• B) Monitor a client’s nasogastric tube for placement and output.
• C) Complete the admission assessment for a new client with chest pain.
• D) Teach a client how to self-administer insulin.
Rationale: LPNs can monitor NG tubes, collect data, and measure output. IV push
medications (A) require an RN. Initial assessments (C) and teaching (D) are RN
responsibilities.
3. A client with terminal cancer tells the nurse, “I am ready to stop all
treatments and just go home.” What is the nurse’s best response?
• A) “You should discuss this with your family first.”
• B) “Tell me more about your decision to stop treatment.”
• C) “Let’s wait until your doctor comes in tomorrow.”
• D) “You will need a psychiatric consult before stopping treatment.”
Rationale: The nurse should use therapeutic communication, exploring the client’s
feelings and respecting autonomy. Option B is open-ended and nonjudgmental.
4. A nurse observes another nurse administering a medication without a
second verification for a high-alert drug. What action should the nurse take
first?
• A) Speak directly to the nurse about the safety violation.
• B) Report the nurse to the state board of nursing.
• C) Complete an incident report without speaking to the nurse.
• D) Ignore it if no harm occurred.
Rationale: The first step in addressing a colleague’s error is to speak directly and
privately to correct the behavior (chain of command: verbal correction → charge
nurse → manager → board if unaddressed).
, 5. A client is being discharged home after a stroke. The family expresses
concern about falls. Which referral is most appropriate?
• A) Occupational therapy
• B) Home health physical therapy
• C) Social work
• D) Speech therapy
Rationale: Physical therapy focuses on mobility, gait training, and fall prevention
at home. OT focuses on ADLs. Social work assists with finances/resources.
6. Which client would be most appropriate to assign to an RN who is floating
from a medical-surgical unit?
• A) A client with a new colostomy needing stoma teaching.
• B) A client on a continuous IV heparin drip with a PTT of 85.
• C) A client with gastroenteritis needing IV fluids and antiemetics PRN.
• D) A client with chest tubes 2 hours post-removal.
Rationale: The float RN can manage stable medical conditions. New teaching (A),
high-alert infusions (B), and chest tube complications (D) require primary unit
expertise.
7. A client with a do-not-resuscitate (DNR) order stops breathing. What
should the nurse do first?
• A) Begin chest compressions.
• B) Provide comfort measures and notify the family.
• C) Call a code blue.
• D) Administer epinephrine.
Rationale: DNR orders mean no resuscitation (no CPR, intubation, or code meds).
The nurse provides palliative/comfort care.
8. A nurse is preparing to discharge a client who speaks a different language.
No interpreter is available. What should the nurse do?
• A) Use a hospital-approved phone or video interpreter service.
PREDICTOR 2026: FINAL
EXAMINATION|||questions and
answers with rationales/graded
A+/2026 update/100% correct /instant
download
Student Name: _________________________
Total Questions: 80
Time Allowed: 120 minutes
Target Score for NCLEX Readiness: 72% or higher
Section 1: Management of Care (Prioritization, Delegation, Ethics) –
Questions 1-10
1. A nurse is caring for four clients. Which client should the nurse assess first?
• A) Client with pneumonia who has an oxygen saturation of 91% on room
air.
• B) Client with a new tracheostomy who has thick, yellow secretions and
a temperature of 38.9°C (102°F).
• C) Client with diabetes mellitus who has a blood glucose level of 180
mg/dL.
• D) Client with heart failure who has 1+ pitting edema in the lower
extremities.
Rationale: A new tracheostomy with thick secretions and fever suggests an
impending airway obstruction or infection (tracheitis/pneumonia). Airway is
,always the priority (ABCs). Option A (SpO2 91%) is stable. Option C (BG 180) is
elevated but not critical. Option D (1+ edema) is expected.
2. A charge nurse is delegating tasks to a licensed practical nurse (LPN).
Which task should the charge nurse delegate to the LPN?
• A) Administer IV push morphine to a post-op client.
• B) Monitor a client’s nasogastric tube for placement and output.
• C) Complete the admission assessment for a new client with chest pain.
• D) Teach a client how to self-administer insulin.
Rationale: LPNs can monitor NG tubes, collect data, and measure output. IV push
medications (A) require an RN. Initial assessments (C) and teaching (D) are RN
responsibilities.
3. A client with terminal cancer tells the nurse, “I am ready to stop all
treatments and just go home.” What is the nurse’s best response?
• A) “You should discuss this with your family first.”
• B) “Tell me more about your decision to stop treatment.”
• C) “Let’s wait until your doctor comes in tomorrow.”
• D) “You will need a psychiatric consult before stopping treatment.”
Rationale: The nurse should use therapeutic communication, exploring the client’s
feelings and respecting autonomy. Option B is open-ended and nonjudgmental.
4. A nurse observes another nurse administering a medication without a
second verification for a high-alert drug. What action should the nurse take
first?
• A) Speak directly to the nurse about the safety violation.
• B) Report the nurse to the state board of nursing.
• C) Complete an incident report without speaking to the nurse.
• D) Ignore it if no harm occurred.
Rationale: The first step in addressing a colleague’s error is to speak directly and
privately to correct the behavior (chain of command: verbal correction → charge
nurse → manager → board if unaddressed).
, 5. A client is being discharged home after a stroke. The family expresses
concern about falls. Which referral is most appropriate?
• A) Occupational therapy
• B) Home health physical therapy
• C) Social work
• D) Speech therapy
Rationale: Physical therapy focuses on mobility, gait training, and fall prevention
at home. OT focuses on ADLs. Social work assists with finances/resources.
6. Which client would be most appropriate to assign to an RN who is floating
from a medical-surgical unit?
• A) A client with a new colostomy needing stoma teaching.
• B) A client on a continuous IV heparin drip with a PTT of 85.
• C) A client with gastroenteritis needing IV fluids and antiemetics PRN.
• D) A client with chest tubes 2 hours post-removal.
Rationale: The float RN can manage stable medical conditions. New teaching (A),
high-alert infusions (B), and chest tube complications (D) require primary unit
expertise.
7. A client with a do-not-resuscitate (DNR) order stops breathing. What
should the nurse do first?
• A) Begin chest compressions.
• B) Provide comfort measures and notify the family.
• C) Call a code blue.
• D) Administer epinephrine.
Rationale: DNR orders mean no resuscitation (no CPR, intubation, or code meds).
The nurse provides palliative/comfort care.
8. A nurse is preparing to discharge a client who speaks a different language.
No interpreter is available. What should the nurse do?
• A) Use a hospital-approved phone or video interpreter service.
