RN ATI COMPREHENSIVE PREDICTOR EXIT EXAM
2026 | & CORRECT ANSWERS | COMPLETE RN
2026 Exam · 190 Questions · With Rationales
ati. 2026 | & CORRECT ANSWERS | COMPLETE RN RATIONALES & EXPLANATIONS | LEVEL 3 | ATI PROCTORED EXAM PR
REDICTOR EXIT EXAM
Question: 1 of 190
A patient with a history of chronic obstructive pulmonary disease (COPD) presents with increasing dyspnea,
productive cough with purulent sputum, and fever. Arterial blood gas results show pH 7.30, PaCO2 55 mm Hg,
A. Administer oxygen at 2 L/min via nasal cannula and monitor SpO2
B. Initiate noninvasive positive pressure ventilation (NIPPV) immediately
C. Administer albuterol via nebulizer and obtain sputum culture
D. Prepare for endotracheal intubation and mechanical ventilation
PREVIOUS CONTINUE
A patient with a history of chronic obstructive pulmonary disease (COPD) presents with
increasing dyspnea, productive cough with purulent sputum, and fever. Arterial blood gas
results show pH 7.30, PaCO2 55 mm Hg, PaO2 60 mm Hg, HCO3- 24 mEq/L. Which of the
following is the most appropriate initial intervention?
' A. Administer oxygen at 2 L/min via nasal cannula and monitor SpO2
B. Initiate noninvasive positive pressure ventilation (NIPPV) immediately
C. Administer albuterol via nebulizer and obtain sputum culture
D. Prepare for endotracheal intubation and mechanical ventilation
Correct Answer: A
The ABG shows acute respiratory acidosis (uncompensated) with hypoxemia. For COPD patients, the goal is to
maintain PaO2 60-65 mm Hg; high-flow oxygen can suppress hypoxic drive. Low-flow oxygen is appropriate
first. NIPPV may be considered if respiratory failure worsens. Albuterol and sputum culture are important but
not the most immediate priority. Intubation is reserved for failure of less invasive measures.
PREDICTOR EXIT EXAM 2026 | & CORRECT ANSWERS | COMPLETE RN RATIONALES & EXPLANATIONS | LEVEL 3 | ATI PROCTORED EXAM
, RN ATI COMPREHENSIVE PREDICTOR EXIT EXAM
2026 | & CORRECT ANSWERS | COMPLETE RN
2026 Exam · 190 Questions · With Rationales
ati. 2026 | & CORRECT ANSWERS | COMPLETE RN RATIONALES & EXPLANATIONS | LEVEL 3 | ATI PROCTORED EXAM PR
REDICTOR EXIT EXAM
Question: 2 of 190
A patient with diabetic ketoacidosis (DKA) is being treated with intravenous insulin and fluids. Which of the
following laboratory values indicates the most appropriate time to transition from intravenous to subcutaneous
A. Serum glucose < 250 mg/dL and anion gap normal
B. Serum glucose < 200 mg/dL and bicarbonate > 18 mEq/L
C. Serum glucose < 300 mg/dL and pH > 7.30
D. Serum glucose < 250 mg/dL and serum ketones negative
PREVIOUS CONTINUE
A patient with diabetic ketoacidosis (DKA) is being treated with intravenous insulin and
fluids. Which of the following laboratory values indicates the most appropriate time to
transition from intravenous to subcutaneous insulin?
A. Serum glucose < 250 mg/dL and anion gap normal
' B. Serum glucose < 200 mg/dL and bicarbonate > 18 mEq/L
C. Serum glucose < 300 mg/dL and pH > 7.30
D. Serum glucose < 250 mg/dL and serum ketones negative
Correct Answer: B
Transition to subcutaneous insulin is appropriate when the patient is clinically stable, serum glucose is <200
mg/dL, bicarbonate is >18 mEq/L, and pH is >7.30. Option A is close but does not include bicarbonate. Option
C's glucose threshold is too high. Option D: serum ketones may take longer to clear; glucose and bicarbonate
are more reliable criteria.
PREDICTOR EXIT EXAM 2026 | & CORRECT ANSWERS | COMPLETE RN RATIONALES & EXPLANATIONS | LEVEL 3 | ATI PROCTORED EXAM
, RN ATI COMPREHENSIVE PREDICTOR EXIT EXAM
2026 | & CORRECT ANSWERS | COMPLETE RN
2026 Exam · 190 Questions · With Rationales
ati. 2026 | & CORRECT ANSWERS | COMPLETE RN RATIONALES & EXPLANATIONS | LEVEL 3 | ATI PROCTORED EXAM PR
REDICTOR EXIT EXAM
Question: 3 of 190
A nurse is caring for a patient who has a central venous catheter (CVC) and develops sudden onset of
dyspnea, chest pain, and hypotension. The nurse suspects an air embolism. Which of the following actions
A. Place the patient in Trendelenburg position on the left side
B. Administer 100% oxygen via non-rebreather mask
C. Clamp the CVC immediately
D. Notify the provider and prepare for chest tube insertion
PREVIOUS CONTINUE
A nurse is caring for a patient who has a central venous catheter (CVC) and develops
sudden onset of dyspnea, chest pain, and hypotension. The nurse suspects an air
embolism. Which of the following actions should the nurse take first?
' A. Place the patient in Trendelenburg position on the left side
B. Administer 100% oxygen via non-rebreather mask
C. Clamp the CVC immediately
D. Notify the provider and prepare for chest tube insertion
Correct Answer: A
For suspected air embolism, the immediate priority is to prevent air from traveling to the right ventricle and
pulmonary circulation. Placing the patient in Trendelenburg position with left lateral decubitus (Durant's
maneuver) traps air in the apex of the right ventricle. Clamping the CVC is important but secondary. Oxygen is
supportive. Chest tube is not first-line.
PREDICTOR EXIT EXAM 2026 | & CORRECT ANSWERS | COMPLETE RN RATIONALES & EXPLANATIONS | LEVEL 3 | ATI PROCTORED EXAM
, RN ATI COMPREHENSIVE PREDICTOR EXIT EXAM
2026 | & CORRECT ANSWERS | COMPLETE RN
2026 Exam · 190 Questions · With Rationales
ati. 2026 | & CORRECT ANSWERS | COMPLETE RN RATIONALES & EXPLANATIONS | LEVEL 3 | ATI PROCTORED EXAM PR
REDICTOR EXIT EXAM
Question: 4 of 190
A patient with a history of schizophrenia is admitted with acute psychosis. The patient has been nonadherent
to oral antipsychotics. Which of the following medication regimens is most likely to improve adherence and
A. Olanzapine orally disintegrating tablet daily
B. Haloperidol decanoate intramuscular injection every 4 weeks
C. Risperidone long-acting injectable every 2 weeks
D. Clozapine with weekly blood monitoring
PREVIOUS CONTINUE
A patient with a history of schizophrenia is admitted with acute psychosis. The patient has
been nonadherent to oral antipsychotics. Which of the following medication regimens is
most likely to improve adherence and control symptoms?
A. Olanzapine orally disintegrating tablet daily
B. Haloperidol decanoate intramuscular injection every 4 weeks
' C. Risperidone long-acting injectable every 2 weeks
D. Clozapine with weekly blood monitoring
Correct Answer: C
Long-acting injectable antipsychotics improve adherence in patients with history of nonadherence. Among
options, risperidone LAI is effective and dosed every 2 weeks. Haloperidol decanoate is also LAI but has higher
risk of extrapyramidal symptoms. Olanzapine ODT still requires daily administration. Clozapine requires
frequent blood monitoring and is reserved for treatment-resistant cases.
PREDICTOR EXIT EXAM 2026 | & CORRECT ANSWERS | COMPLETE RN RATIONALES & EXPLANATIONS | LEVEL 3 | ATI PROCTORED EXAM
2026 | & CORRECT ANSWERS | COMPLETE RN
2026 Exam · 190 Questions · With Rationales
ati. 2026 | & CORRECT ANSWERS | COMPLETE RN RATIONALES & EXPLANATIONS | LEVEL 3 | ATI PROCTORED EXAM PR
REDICTOR EXIT EXAM
Question: 1 of 190
A patient with a history of chronic obstructive pulmonary disease (COPD) presents with increasing dyspnea,
productive cough with purulent sputum, and fever. Arterial blood gas results show pH 7.30, PaCO2 55 mm Hg,
A. Administer oxygen at 2 L/min via nasal cannula and monitor SpO2
B. Initiate noninvasive positive pressure ventilation (NIPPV) immediately
C. Administer albuterol via nebulizer and obtain sputum culture
D. Prepare for endotracheal intubation and mechanical ventilation
PREVIOUS CONTINUE
A patient with a history of chronic obstructive pulmonary disease (COPD) presents with
increasing dyspnea, productive cough with purulent sputum, and fever. Arterial blood gas
results show pH 7.30, PaCO2 55 mm Hg, PaO2 60 mm Hg, HCO3- 24 mEq/L. Which of the
following is the most appropriate initial intervention?
' A. Administer oxygen at 2 L/min via nasal cannula and monitor SpO2
B. Initiate noninvasive positive pressure ventilation (NIPPV) immediately
C. Administer albuterol via nebulizer and obtain sputum culture
D. Prepare for endotracheal intubation and mechanical ventilation
Correct Answer: A
The ABG shows acute respiratory acidosis (uncompensated) with hypoxemia. For COPD patients, the goal is to
maintain PaO2 60-65 mm Hg; high-flow oxygen can suppress hypoxic drive. Low-flow oxygen is appropriate
first. NIPPV may be considered if respiratory failure worsens. Albuterol and sputum culture are important but
not the most immediate priority. Intubation is reserved for failure of less invasive measures.
PREDICTOR EXIT EXAM 2026 | & CORRECT ANSWERS | COMPLETE RN RATIONALES & EXPLANATIONS | LEVEL 3 | ATI PROCTORED EXAM
, RN ATI COMPREHENSIVE PREDICTOR EXIT EXAM
2026 | & CORRECT ANSWERS | COMPLETE RN
2026 Exam · 190 Questions · With Rationales
ati. 2026 | & CORRECT ANSWERS | COMPLETE RN RATIONALES & EXPLANATIONS | LEVEL 3 | ATI PROCTORED EXAM PR
REDICTOR EXIT EXAM
Question: 2 of 190
A patient with diabetic ketoacidosis (DKA) is being treated with intravenous insulin and fluids. Which of the
following laboratory values indicates the most appropriate time to transition from intravenous to subcutaneous
A. Serum glucose < 250 mg/dL and anion gap normal
B. Serum glucose < 200 mg/dL and bicarbonate > 18 mEq/L
C. Serum glucose < 300 mg/dL and pH > 7.30
D. Serum glucose < 250 mg/dL and serum ketones negative
PREVIOUS CONTINUE
A patient with diabetic ketoacidosis (DKA) is being treated with intravenous insulin and
fluids. Which of the following laboratory values indicates the most appropriate time to
transition from intravenous to subcutaneous insulin?
A. Serum glucose < 250 mg/dL and anion gap normal
' B. Serum glucose < 200 mg/dL and bicarbonate > 18 mEq/L
C. Serum glucose < 300 mg/dL and pH > 7.30
D. Serum glucose < 250 mg/dL and serum ketones negative
Correct Answer: B
Transition to subcutaneous insulin is appropriate when the patient is clinically stable, serum glucose is <200
mg/dL, bicarbonate is >18 mEq/L, and pH is >7.30. Option A is close but does not include bicarbonate. Option
C's glucose threshold is too high. Option D: serum ketones may take longer to clear; glucose and bicarbonate
are more reliable criteria.
PREDICTOR EXIT EXAM 2026 | & CORRECT ANSWERS | COMPLETE RN RATIONALES & EXPLANATIONS | LEVEL 3 | ATI PROCTORED EXAM
, RN ATI COMPREHENSIVE PREDICTOR EXIT EXAM
2026 | & CORRECT ANSWERS | COMPLETE RN
2026 Exam · 190 Questions · With Rationales
ati. 2026 | & CORRECT ANSWERS | COMPLETE RN RATIONALES & EXPLANATIONS | LEVEL 3 | ATI PROCTORED EXAM PR
REDICTOR EXIT EXAM
Question: 3 of 190
A nurse is caring for a patient who has a central venous catheter (CVC) and develops sudden onset of
dyspnea, chest pain, and hypotension. The nurse suspects an air embolism. Which of the following actions
A. Place the patient in Trendelenburg position on the left side
B. Administer 100% oxygen via non-rebreather mask
C. Clamp the CVC immediately
D. Notify the provider and prepare for chest tube insertion
PREVIOUS CONTINUE
A nurse is caring for a patient who has a central venous catheter (CVC) and develops
sudden onset of dyspnea, chest pain, and hypotension. The nurse suspects an air
embolism. Which of the following actions should the nurse take first?
' A. Place the patient in Trendelenburg position on the left side
B. Administer 100% oxygen via non-rebreather mask
C. Clamp the CVC immediately
D. Notify the provider and prepare for chest tube insertion
Correct Answer: A
For suspected air embolism, the immediate priority is to prevent air from traveling to the right ventricle and
pulmonary circulation. Placing the patient in Trendelenburg position with left lateral decubitus (Durant's
maneuver) traps air in the apex of the right ventricle. Clamping the CVC is important but secondary. Oxygen is
supportive. Chest tube is not first-line.
PREDICTOR EXIT EXAM 2026 | & CORRECT ANSWERS | COMPLETE RN RATIONALES & EXPLANATIONS | LEVEL 3 | ATI PROCTORED EXAM
, RN ATI COMPREHENSIVE PREDICTOR EXIT EXAM
2026 | & CORRECT ANSWERS | COMPLETE RN
2026 Exam · 190 Questions · With Rationales
ati. 2026 | & CORRECT ANSWERS | COMPLETE RN RATIONALES & EXPLANATIONS | LEVEL 3 | ATI PROCTORED EXAM PR
REDICTOR EXIT EXAM
Question: 4 of 190
A patient with a history of schizophrenia is admitted with acute psychosis. The patient has been nonadherent
to oral antipsychotics. Which of the following medication regimens is most likely to improve adherence and
A. Olanzapine orally disintegrating tablet daily
B. Haloperidol decanoate intramuscular injection every 4 weeks
C. Risperidone long-acting injectable every 2 weeks
D. Clozapine with weekly blood monitoring
PREVIOUS CONTINUE
A patient with a history of schizophrenia is admitted with acute psychosis. The patient has
been nonadherent to oral antipsychotics. Which of the following medication regimens is
most likely to improve adherence and control symptoms?
A. Olanzapine orally disintegrating tablet daily
B. Haloperidol decanoate intramuscular injection every 4 weeks
' C. Risperidone long-acting injectable every 2 weeks
D. Clozapine with weekly blood monitoring
Correct Answer: C
Long-acting injectable antipsychotics improve adherence in patients with history of nonadherence. Among
options, risperidone LAI is effective and dosed every 2 weeks. Haloperidol decanoate is also LAI but has higher
risk of extrapyramidal symptoms. Olanzapine ODT still requires daily administration. Clozapine requires
frequent blood monitoring and is reserved for treatment-resistant cases.
PREDICTOR EXIT EXAM 2026 | & CORRECT ANSWERS | COMPLETE RN RATIONALES & EXPLANATIONS | LEVEL 3 | ATI PROCTORED EXAM
