ASSESSMENT TECHNOLOGIES INSTITUTE
ATI Comprehensive Predictor Exam
Versions 1-3
Official Practice Exam · 2026/2027 Edition
Questions Minutes Passing Score Sections
180 240 80% 8
Table of Contents
Management of Care • Questions 1-27 (27)
Safety and Infection Control • Questions 28-49 (22)
Health Promotion and Maintenance • Questions 50-69 (20)
Psychosocial Integrity • Questions 70-89 (20)
Basic Care and Comfort • Questions 90-107 (18)
Pharmacological and Parenteral Therapies • Questions 108-132 (25)
Reduction of Risk Potential • Questions 133-157 (25)
Physiological Adaptation • Questions 158-180 (23)
Instructions
This practice exam contains 180 multiple-choice questions divided into 8 sections. Select the single best answer for
each question. You have 240 minutes to complete the exam. A score of 80% (144/180 correct) is required to pass.
Each question includes a rationale explaining the correct answer and why the top distractor is incorrect.
ATI Comprehensive Predictor - 2026/2027 | Passing Score: 80% | Page 1 of {}
,Management of Care Questions 1-27 | 2026/2027
Q1. Question 1 of 180
Q1. A 72-year-old client with terminal cancer tells the nurse she wants to refuse further
chemotherapy. The daughter insists the mother continue treatment. The nurse should first
advocate for which action?
A. Follow the daughter's wishes as the surrogate decision-maker
B. Request an ethics committee review before any action
C. Continue chemotherapy until the provider writes a new order
D. Respect the client's autonomous decision to refuse treatment
Correct Answer: D
Rationale:
The principle of autonomy gives competent adults the right to refuse treatment even if family members
disagree. The nurse's primary advocacy duty is to the client's own expressed wishes, not to the family's
preferences.
Q2. Question 2 of 180
Q2. A nurse is assigned to care for four clients. Which client should the nurse assess first
after receiving shift report?
A. A client who had a total hip replacement 2 days ago with a new-onset temperature of 101.2 F
B. A client receiving IV heparin with an aPTT of 95 seconds
C. A client with chronic kidney disease whose potassium is 5.1 mEq/L
D. A client with type 2 diabetes whose fasting glucose is 168 mg/dL
Correct Answer: B
Rationale:
An aPTT of 95 seconds is critically elevated (therapeutic range 60-80 seconds for DVT treatment), placing
the client at high risk for serious bleeding. This finding requires the most urgent assessment and potential
dose adjustment.
ATI Comprehensive Predictor - 2026/2027 | Passing Score: 80% | Page 2 of {}
, Q3. Question 3 of 180
Q3. A newly licensed nurse is preparing to administer a blood transfusion. The charge nurse
should intervene when the new nurse states which of the following?
A. I will verify the blood product with another licensed nurse at the bedside.
B. I will use a 22-gauge IV catheter for the transfusion.
C. I will remain with the client for the first 15 minutes of the transfusion.
D. I will infuse 0.9% sodium chloride with the blood product.
Correct Answer: B
Rationale:
A 22-gauge catheter is too small for blood administration; at least a 20-gauge or larger is recommended to
prevent hemolysis of red blood cells. The other statements reflect correct blood transfusion practice.
Q4. Question 4 of 180
Q4. A nurse manager is developing a schedule for the medical-surgical unit. The manager
should assign which client to the most experienced nurse?
A. A client preparing for discharge after a laparoscopic cholecystectomy
B. A client receiving continuous IV nitroglycerin for unstable angina
C. A client who is 1 day postoperative following an appendectomy
D. A client admitted with community-acquired pneumonia
Correct Answer: B
Rationale:
Continuous IV nitroglycerin requires frequent titration and close hemodynamic monitoring, making this the
most complex and unstable client. Less experienced nurses can safely manage stable postoperative and
pneumonia clients.
ATI Comprehensive Predictor - 2026/2027 | Passing Score: 80% | Page 3 of {}
, Q5. Question 5 of 180
Q5. A client with a do-not-resuscitate order goes into cardiac arrest. A family member at the
bedside begs the nurse to resuscitate. The nurse should take which action first?
A. Ask the family member to leave the room during the emergency
B. Explain that the DNR order will be followed as written
C. Call the provider to clarify the DNR order immediately
D. Begin chest compressions while the charge nurse is notified
Correct Answer: B
Rationale:
The DNR order is a legally binding medical order that must be followed. The nurse should calmly explain
this to the family member while providing emotional support. Initiating resuscitation would violate the
client's documented wishes.
Q6. Question 6 of 180
Q6. A nurse delegates vital signs to an unlicensed assistive personnel (UAP). The UAP reports
a blood pressure of 190/110 mm Hg in a client with a history of stroke. The nurse should first
A. Document the finding and reassess in 30 minutes
B. Reassess the blood pressure personally before taking further action
C. Administer a prescribed PRN antihypertensive medication immediately
D. Notify the healthcare provider of the critical value
Correct Answer: B
Rationale:
The nurse must validate any critical or unexpected finding reported by UAP before acting. Reassessing the
blood pressure personally ensures accuracy before potentially administering medication or notifying the
provider.
ATI Comprehensive Predictor - 2026/2027 | Passing Score: 80% | Page 4 of {}
ATI Comprehensive Predictor Exam
Versions 1-3
Official Practice Exam · 2026/2027 Edition
Questions Minutes Passing Score Sections
180 240 80% 8
Table of Contents
Management of Care • Questions 1-27 (27)
Safety and Infection Control • Questions 28-49 (22)
Health Promotion and Maintenance • Questions 50-69 (20)
Psychosocial Integrity • Questions 70-89 (20)
Basic Care and Comfort • Questions 90-107 (18)
Pharmacological and Parenteral Therapies • Questions 108-132 (25)
Reduction of Risk Potential • Questions 133-157 (25)
Physiological Adaptation • Questions 158-180 (23)
Instructions
This practice exam contains 180 multiple-choice questions divided into 8 sections. Select the single best answer for
each question. You have 240 minutes to complete the exam. A score of 80% (144/180 correct) is required to pass.
Each question includes a rationale explaining the correct answer and why the top distractor is incorrect.
ATI Comprehensive Predictor - 2026/2027 | Passing Score: 80% | Page 1 of {}
,Management of Care Questions 1-27 | 2026/2027
Q1. Question 1 of 180
Q1. A 72-year-old client with terminal cancer tells the nurse she wants to refuse further
chemotherapy. The daughter insists the mother continue treatment. The nurse should first
advocate for which action?
A. Follow the daughter's wishes as the surrogate decision-maker
B. Request an ethics committee review before any action
C. Continue chemotherapy until the provider writes a new order
D. Respect the client's autonomous decision to refuse treatment
Correct Answer: D
Rationale:
The principle of autonomy gives competent adults the right to refuse treatment even if family members
disagree. The nurse's primary advocacy duty is to the client's own expressed wishes, not to the family's
preferences.
Q2. Question 2 of 180
Q2. A nurse is assigned to care for four clients. Which client should the nurse assess first
after receiving shift report?
A. A client who had a total hip replacement 2 days ago with a new-onset temperature of 101.2 F
B. A client receiving IV heparin with an aPTT of 95 seconds
C. A client with chronic kidney disease whose potassium is 5.1 mEq/L
D. A client with type 2 diabetes whose fasting glucose is 168 mg/dL
Correct Answer: B
Rationale:
An aPTT of 95 seconds is critically elevated (therapeutic range 60-80 seconds for DVT treatment), placing
the client at high risk for serious bleeding. This finding requires the most urgent assessment and potential
dose adjustment.
ATI Comprehensive Predictor - 2026/2027 | Passing Score: 80% | Page 2 of {}
, Q3. Question 3 of 180
Q3. A newly licensed nurse is preparing to administer a blood transfusion. The charge nurse
should intervene when the new nurse states which of the following?
A. I will verify the blood product with another licensed nurse at the bedside.
B. I will use a 22-gauge IV catheter for the transfusion.
C. I will remain with the client for the first 15 minutes of the transfusion.
D. I will infuse 0.9% sodium chloride with the blood product.
Correct Answer: B
Rationale:
A 22-gauge catheter is too small for blood administration; at least a 20-gauge or larger is recommended to
prevent hemolysis of red blood cells. The other statements reflect correct blood transfusion practice.
Q4. Question 4 of 180
Q4. A nurse manager is developing a schedule for the medical-surgical unit. The manager
should assign which client to the most experienced nurse?
A. A client preparing for discharge after a laparoscopic cholecystectomy
B. A client receiving continuous IV nitroglycerin for unstable angina
C. A client who is 1 day postoperative following an appendectomy
D. A client admitted with community-acquired pneumonia
Correct Answer: B
Rationale:
Continuous IV nitroglycerin requires frequent titration and close hemodynamic monitoring, making this the
most complex and unstable client. Less experienced nurses can safely manage stable postoperative and
pneumonia clients.
ATI Comprehensive Predictor - 2026/2027 | Passing Score: 80% | Page 3 of {}
, Q5. Question 5 of 180
Q5. A client with a do-not-resuscitate order goes into cardiac arrest. A family member at the
bedside begs the nurse to resuscitate. The nurse should take which action first?
A. Ask the family member to leave the room during the emergency
B. Explain that the DNR order will be followed as written
C. Call the provider to clarify the DNR order immediately
D. Begin chest compressions while the charge nurse is notified
Correct Answer: B
Rationale:
The DNR order is a legally binding medical order that must be followed. The nurse should calmly explain
this to the family member while providing emotional support. Initiating resuscitation would violate the
client's documented wishes.
Q6. Question 6 of 180
Q6. A nurse delegates vital signs to an unlicensed assistive personnel (UAP). The UAP reports
a blood pressure of 190/110 mm Hg in a client with a history of stroke. The nurse should first
A. Document the finding and reassess in 30 minutes
B. Reassess the blood pressure personally before taking further action
C. Administer a prescribed PRN antihypertensive medication immediately
D. Notify the healthcare provider of the critical value
Correct Answer: B
Rationale:
The nurse must validate any critical or unexpected finding reported by UAP before acting. Reassessing the
blood pressure personally ensures accuracy before potentially administering medication or notifying the
provider.
ATI Comprehensive Predictor - 2026/2027 | Passing Score: 80% | Page 4 of {}
