1
ATI RN VATI Comprehensive Predictor Exam Actual
Exam 2026/2027 | Complete Exam-Style Questions |
100% Verified – Detailed Rationales – Pass
Guaranteed – A+ Graded
TABLE OF CONTENTS
Section 1 | Safe and Effective Care Environment | Q1 – Q23
Section 2 | Health Promotion and Maintenance | Q24 – Q45
Section 3 | Psychosocial Integrity | Q46 – Q68
Section 4 | Physiological Integrity: Basic Care and Comfort | Q69 – Q90
Section 5 | Physiological Integrity: Pharmacological and Parenteral Therapies | Q91 – Q113
Section 6 | Physiological Integrity: Reduction of Risk Potential | Q114 – Q135
Section 7 | Physiological Integrity: Physiological Adaptation | Q136 – Q158
Section 8 | Next Generation NCLEX (NGN) Case Studies | Q159 – Q180
Instructions: Choose the single best answer. Pass: 75% in 240 minutes.
══════════════════════════════════════
SECTION 1: SAFE AND EFFECTIVE CARE ENVIRONMENT Q1 – Q23
══════════════════════════════════════
Question 1 of 180
A charge nurse is making assignments for the shift. The team consists of one RN, one LPN, and
one assistive personnel (AP). Which client should the nurse assign to the LPN?
A. A client who was just admitted with a new diagnosis of sepsis and requires antibiotic
administration.
B. A client who is 2 days post-knee replacement and needs assistance with ambulation and pain
meds.
,2
C. A client receiving a blood transfusion who reports itching and shortness of breath.
D. A client with a head injury who has a rapidly dropping Glasgow Coma Scale. ✓ CORRECT
Correct Answer: B
Rationale: LPN scope of practice includes stable clients with predictable outcomes, such as post-
operative clients requiring standard pain management and ambulation. The newly admitted
sepsis client and the client with a transfusion reaction require the critical thinking and assessment
skills of the RN.
Question 2 of 180
A nurse on a medical-surgical unit is receiving report on four clients. Which client should the
nurse assess first?
A. A client with type 2 diabetes reporting fatigue and a blood glucose of 95 mg/dL.
B. A client with heart failure who gained 2 kg overnight and has a cough productive of pink
frothy sputum.
C. A client with osteoarthritis requesting pain medication for aching joints.
D. A client with pneumonia who is due for their next dose of IV antibiotics. ✓ CORRECT
Correct Answer: B
Rationale: Rapid weight gain and pink frothy sputum indicate acute pulmonary edema, a life-
threatening emergency requiring immediate intervention. While the pneumonia client needs
antibiotics, heart failure decompensation poses a more immediate threat to life.
Question 3 of 180
While performing a sterile dressing change, a nurse notices the sterile field is wet near the corner.
What action should the nurse take?
A. Place a sterile towel over the wet area to reinforce the field.
,3
B. Continue the procedure quickly to minimize exposure.
C. Discard the field and set up a new sterile field.
D. Spray the area with antiseptic solution to restore sterility. ✓ CORRECT
Correct Answer: C
Rationale: A wet sterile field is considered contaminated because moisture allows bacteria to
travel through the barrier. Replacing the field is the only way to ensure sterility and prevent
wound infection.
Question 4 of 180
A client is on airborne precautions for active tuberculosis. The nurse enters the room to
administer medications. Which personal protective equipment is required?
A. N95 respirator mask, gown, gloves.
B. Surgical mask, gloves, gown.
C. N95 respirator mask.
D. Surgical face shield and gown. ✓ CORRECT
Correct Answer: C
Rationale: Airborne precautions require an N95 respirator to filter out tiny airborne particles,
which is the primary route for TB transmission. Gowns and gloves are not required unless
contact with infectious material is anticipated, unlike droplet or contact precautions.
Question 5 of 180
A nurse is preparing to insert a nasogastric tube for a client with a bowel obstruction. To verify
correct placement, the nurse should prioritize which method?
A. Aspirating gastric contents and testing the pH.
B. Obtaining a chest x-ray to confirm tube placement.
, 4
C. Auscultating the epigastrium while injecting air.
D. Placing the free end of the tube under water to check for bubbling. ✓ CORRECT
Correct Answer: B
Rationale: X-ray is the gold standard for verifying NG tube placement prior to feeding or
medication administration. While pH testing is a secondary bedside check, radiographic
verification is the safest and most definitive method, especially for initial placement.
Question 6 of 180
A nurse is caring for a client who is scheduled for surgery in 2 hours and states, "I do not want
the surgery because I am afraid." What is the nurse's best response?
A. "You should not be worried; the surgeon has performed this procedure many times."
B. "I will cancel the surgery and call the provider immediately."
C. "Tell me more about what is making you feel afraid."
D. "If you do not have the surgery, you could die from your condition." ✓ CORRECT
Correct Answer: C
Rationale: This response uses therapeutic communication to explore the client's feelings, which
is essential for providing support and education before proceeding. Dismissing the fear,
threatening death, or immediately cancelling without assessment violates the client's right to
understand their decision.
Question 7 of 180
A nurse is triaging clients in the emergency department after a mass casualty incident. Which
client should be tagged as "expectant" (black)?
A. A client with a compound fracture of the femur and radial pulses of 2+.
B. A client with penetrating chest trauma and labored breathing.
ATI RN VATI Comprehensive Predictor Exam Actual
Exam 2026/2027 | Complete Exam-Style Questions |
100% Verified – Detailed Rationales – Pass
Guaranteed – A+ Graded
TABLE OF CONTENTS
Section 1 | Safe and Effective Care Environment | Q1 – Q23
Section 2 | Health Promotion and Maintenance | Q24 – Q45
Section 3 | Psychosocial Integrity | Q46 – Q68
Section 4 | Physiological Integrity: Basic Care and Comfort | Q69 – Q90
Section 5 | Physiological Integrity: Pharmacological and Parenteral Therapies | Q91 – Q113
Section 6 | Physiological Integrity: Reduction of Risk Potential | Q114 – Q135
Section 7 | Physiological Integrity: Physiological Adaptation | Q136 – Q158
Section 8 | Next Generation NCLEX (NGN) Case Studies | Q159 – Q180
Instructions: Choose the single best answer. Pass: 75% in 240 minutes.
══════════════════════════════════════
SECTION 1: SAFE AND EFFECTIVE CARE ENVIRONMENT Q1 – Q23
══════════════════════════════════════
Question 1 of 180
A charge nurse is making assignments for the shift. The team consists of one RN, one LPN, and
one assistive personnel (AP). Which client should the nurse assign to the LPN?
A. A client who was just admitted with a new diagnosis of sepsis and requires antibiotic
administration.
B. A client who is 2 days post-knee replacement and needs assistance with ambulation and pain
meds.
,2
C. A client receiving a blood transfusion who reports itching and shortness of breath.
D. A client with a head injury who has a rapidly dropping Glasgow Coma Scale. ✓ CORRECT
Correct Answer: B
Rationale: LPN scope of practice includes stable clients with predictable outcomes, such as post-
operative clients requiring standard pain management and ambulation. The newly admitted
sepsis client and the client with a transfusion reaction require the critical thinking and assessment
skills of the RN.
Question 2 of 180
A nurse on a medical-surgical unit is receiving report on four clients. Which client should the
nurse assess first?
A. A client with type 2 diabetes reporting fatigue and a blood glucose of 95 mg/dL.
B. A client with heart failure who gained 2 kg overnight and has a cough productive of pink
frothy sputum.
C. A client with osteoarthritis requesting pain medication for aching joints.
D. A client with pneumonia who is due for their next dose of IV antibiotics. ✓ CORRECT
Correct Answer: B
Rationale: Rapid weight gain and pink frothy sputum indicate acute pulmonary edema, a life-
threatening emergency requiring immediate intervention. While the pneumonia client needs
antibiotics, heart failure decompensation poses a more immediate threat to life.
Question 3 of 180
While performing a sterile dressing change, a nurse notices the sterile field is wet near the corner.
What action should the nurse take?
A. Place a sterile towel over the wet area to reinforce the field.
,3
B. Continue the procedure quickly to minimize exposure.
C. Discard the field and set up a new sterile field.
D. Spray the area with antiseptic solution to restore sterility. ✓ CORRECT
Correct Answer: C
Rationale: A wet sterile field is considered contaminated because moisture allows bacteria to
travel through the barrier. Replacing the field is the only way to ensure sterility and prevent
wound infection.
Question 4 of 180
A client is on airborne precautions for active tuberculosis. The nurse enters the room to
administer medications. Which personal protective equipment is required?
A. N95 respirator mask, gown, gloves.
B. Surgical mask, gloves, gown.
C. N95 respirator mask.
D. Surgical face shield and gown. ✓ CORRECT
Correct Answer: C
Rationale: Airborne precautions require an N95 respirator to filter out tiny airborne particles,
which is the primary route for TB transmission. Gowns and gloves are not required unless
contact with infectious material is anticipated, unlike droplet or contact precautions.
Question 5 of 180
A nurse is preparing to insert a nasogastric tube for a client with a bowel obstruction. To verify
correct placement, the nurse should prioritize which method?
A. Aspirating gastric contents and testing the pH.
B. Obtaining a chest x-ray to confirm tube placement.
, 4
C. Auscultating the epigastrium while injecting air.
D. Placing the free end of the tube under water to check for bubbling. ✓ CORRECT
Correct Answer: B
Rationale: X-ray is the gold standard for verifying NG tube placement prior to feeding or
medication administration. While pH testing is a secondary bedside check, radiographic
verification is the safest and most definitive method, especially for initial placement.
Question 6 of 180
A nurse is caring for a client who is scheduled for surgery in 2 hours and states, "I do not want
the surgery because I am afraid." What is the nurse's best response?
A. "You should not be worried; the surgeon has performed this procedure many times."
B. "I will cancel the surgery and call the provider immediately."
C. "Tell me more about what is making you feel afraid."
D. "If you do not have the surgery, you could die from your condition." ✓ CORRECT
Correct Answer: C
Rationale: This response uses therapeutic communication to explore the client's feelings, which
is essential for providing support and education before proceeding. Dismissing the fear,
threatening death, or immediately cancelling without assessment violates the client's right to
understand their decision.
Question 7 of 180
A nurse is triaging clients in the emergency department after a mass casualty incident. Which
client should be tagged as "expectant" (black)?
A. A client with a compound fracture of the femur and radial pulses of 2+.
B. A client with penetrating chest trauma and labored breathing.
