ATI COMPREHENSIVE PREDICTOR Actual
Exam 2026/2027 – Complete Questions and
Answers with Detailed Rationales – Pass
Guaranteed - A+ Graded
Total Questions: 180 | Time: 240 min | Pass: Level 2 Proficiency
TABLE OF CONTENTS
Section 1 | Management of Care | Q1 – Q25
Section 2 | Safety & Infection Control | Q26 – Q50
Section 3 | Health Promotion & Maintenance | Q51 – Q73
Section 4 | Psychosocial Integrity | Q74 – Q96
Section 5 | Basic Care & Comfort | Q97 – Q114
Section 6 | Pharmacological & Parenteral Therapies | Q115 – Q137
Section 7 | Reduction of Risk Potential | Q138 – Q160
Section 8 | Physiological Adaptation | Q161 – Q180
Instructions: Choose the single best answer. Pass: Level 2 proficiency in 240 minutes.
══════════════════════════════════════
SECTION 1: MANAGEMENT OF CARE Q1 – Q25
══════════════════════════════════════
Question 1 of 180
A 72-year-old client admitted for exacerbation of heart failure has stable vital signs but
requires assistance with all activities of daily living. The nurse is caring for four clients
on a busy medical-surgical unit. Which task is most appropriate for the nurse to
delegate to an unlicensed assistive personnel?
A. Assess the client’s breath sounds after diuretic administration
B. Evaluate the effectiveness of the client’s current oxygen therapy
C. Obtain the client’s morning weight and document the intake and output ✓ CORRECT
D. Educate the client about sodium restriction prior to discharge
,Correct Answer: C
Rationale: Measuring weight and recording intake and output are within the scope of
unlicensed assistive personnel and do not require clinical judgment or assessment.
Breath sound assessment and oxygen therapy evaluation are nursing assessments that
require a licensed nurse, and patient education is a registered nurse responsibility.
Question 2 of 180
The charge nurse on a telemetry unit receives a call from the emergency department
about four clients awaiting admission. All rooms are full and one client must be
transferred to a step-down unit first. Which client is the priority for transfer to the
step-down unit?
A. A 58-year-old client admitted for chest pain whose troponin levels are trending
downward
B. A 45-year-old client with new-onset atrial fibrillation on a heparin drip with a PTT of 48
seconds
C. A 66-year-old client post-cardiac catheterization with a femoral sheath removed two
hours ago and stable vitals ✓ CORRECT
D. A 39-year-old client with hypertensive emergency whose blood pressure is now
158/92 on a nitroprusside drip
Correct Answer: C
Rationale: The post-catheterization client with stable vitals and no active complications
is the most appropriate for step-down because the highest-risk period after sheath
removal has passed without incident. The chest pain client still needs troponin
monitoring, the atrial fibrillation client requires heparin titration, and the hypertensive
emergency client needs continuous titrated infusion.
Question 3 of 180
,A nurse manager is reviewing incident reports from the previous quarter and notices an
increase in medication errors occurring during shift change. Which quality improvement
action should the manager implement first?
A. Terminate the nurses involved in the errors to prevent future mistakes
B. Mandate that all nurses complete a refresher pharmacology course online
C. Conduct a root cause analysis to identify system failures during handoff ✓ CORRECT
D. Require nurses to arrive thirty minutes early to review all medications
Correct Answer: C
Rationale: Root cause analysis is the standard first step in quality improvement because
it identifies underlying system issues rather than blaming individuals. Termination and
punitive measures create a culture of fear, and mandatory early arrival is an
administrative burden that does not address the actual handoff process failure.
Question 4 of 180
A 54-year-old client with a new diagnosis of type 2 diabetes is being discharged home
with metformin and glipizide. The nurse case manager is coordinating care. Which
referral is most appropriate to ensure safe transition to home?
A. Referral to a physical therapist for gait training before discharge
B. Referral to a home health nurse for medication reconciliation and glucose monitoring
teaching ✓ CORRECT
C. Referral to a speech therapist for swallowing evaluation prior to meals
D. Referral to an occupational therapist for upper extremity strengthening exercises
Correct Answer: B
Rationale: A home health nurse can provide essential medication teaching, glucose
monitoring instruction, and safety assessment for a newly diagnosed diabetic client at
home. Physical therapy, speech therapy, and occupational therapy are not indicated
unless specific functional deficits exist.
Question 5 of 180
, During a interdisciplinary care conference for an 82-year-old client with advanced
dementia, the family insists on full resuscitation despite the client’s poor prognosis. The
physician believes a do-not-resuscitate order is appropriate. What is the nurse’s most
appropriate action?
A. Support the physician’s decision and tell the family they have no choice in the matter
B. Advocate for the family’s wishes by refusing to participate in any DNR discussion
C. Facilitate an ethics consultation to mediate the conflict and clarify goals of care ✓
CORRECT
D. Document the disagreement and avoid further discussion to prevent upsetting the
family
Correct Answer: C
Rationale: An ethics consultation provides a structured, neutral forum for resolving
conflicts between family wishes and medical recommendations while respecting client
autonomy. Nurses should not unilaterally impose decisions or avoid difficult
conversations, as advocacy includes facilitating ethical resolution.
Question 6 of 180
A registered nurse is supervising a licensed practical nurse and an unlicensed assistive
personnel on a rehabilitation unit. Which assignment demonstrates appropriate
delegation?
A. The LPN administers an insulin drip titrated per sliding scale protocol
B. The UAP performs a sterile dressing change on a stage 3 sacral wound
C. The LPN administers oral medications to a group of stable clients ✓ CORRECT
D. The UAP evaluates a client’s pain level after physical therapy
Correct Answer: C
Rationale: Licensed practical nurses can administer oral medications to stable clients in
most states, while insulin drips require registered nurse assessment and titration.
Exam 2026/2027 – Complete Questions and
Answers with Detailed Rationales – Pass
Guaranteed - A+ Graded
Total Questions: 180 | Time: 240 min | Pass: Level 2 Proficiency
TABLE OF CONTENTS
Section 1 | Management of Care | Q1 – Q25
Section 2 | Safety & Infection Control | Q26 – Q50
Section 3 | Health Promotion & Maintenance | Q51 – Q73
Section 4 | Psychosocial Integrity | Q74 – Q96
Section 5 | Basic Care & Comfort | Q97 – Q114
Section 6 | Pharmacological & Parenteral Therapies | Q115 – Q137
Section 7 | Reduction of Risk Potential | Q138 – Q160
Section 8 | Physiological Adaptation | Q161 – Q180
Instructions: Choose the single best answer. Pass: Level 2 proficiency in 240 minutes.
══════════════════════════════════════
SECTION 1: MANAGEMENT OF CARE Q1 – Q25
══════════════════════════════════════
Question 1 of 180
A 72-year-old client admitted for exacerbation of heart failure has stable vital signs but
requires assistance with all activities of daily living. The nurse is caring for four clients
on a busy medical-surgical unit. Which task is most appropriate for the nurse to
delegate to an unlicensed assistive personnel?
A. Assess the client’s breath sounds after diuretic administration
B. Evaluate the effectiveness of the client’s current oxygen therapy
C. Obtain the client’s morning weight and document the intake and output ✓ CORRECT
D. Educate the client about sodium restriction prior to discharge
,Correct Answer: C
Rationale: Measuring weight and recording intake and output are within the scope of
unlicensed assistive personnel and do not require clinical judgment or assessment.
Breath sound assessment and oxygen therapy evaluation are nursing assessments that
require a licensed nurse, and patient education is a registered nurse responsibility.
Question 2 of 180
The charge nurse on a telemetry unit receives a call from the emergency department
about four clients awaiting admission. All rooms are full and one client must be
transferred to a step-down unit first. Which client is the priority for transfer to the
step-down unit?
A. A 58-year-old client admitted for chest pain whose troponin levels are trending
downward
B. A 45-year-old client with new-onset atrial fibrillation on a heparin drip with a PTT of 48
seconds
C. A 66-year-old client post-cardiac catheterization with a femoral sheath removed two
hours ago and stable vitals ✓ CORRECT
D. A 39-year-old client with hypertensive emergency whose blood pressure is now
158/92 on a nitroprusside drip
Correct Answer: C
Rationale: The post-catheterization client with stable vitals and no active complications
is the most appropriate for step-down because the highest-risk period after sheath
removal has passed without incident. The chest pain client still needs troponin
monitoring, the atrial fibrillation client requires heparin titration, and the hypertensive
emergency client needs continuous titrated infusion.
Question 3 of 180
,A nurse manager is reviewing incident reports from the previous quarter and notices an
increase in medication errors occurring during shift change. Which quality improvement
action should the manager implement first?
A. Terminate the nurses involved in the errors to prevent future mistakes
B. Mandate that all nurses complete a refresher pharmacology course online
C. Conduct a root cause analysis to identify system failures during handoff ✓ CORRECT
D. Require nurses to arrive thirty minutes early to review all medications
Correct Answer: C
Rationale: Root cause analysis is the standard first step in quality improvement because
it identifies underlying system issues rather than blaming individuals. Termination and
punitive measures create a culture of fear, and mandatory early arrival is an
administrative burden that does not address the actual handoff process failure.
Question 4 of 180
A 54-year-old client with a new diagnosis of type 2 diabetes is being discharged home
with metformin and glipizide. The nurse case manager is coordinating care. Which
referral is most appropriate to ensure safe transition to home?
A. Referral to a physical therapist for gait training before discharge
B. Referral to a home health nurse for medication reconciliation and glucose monitoring
teaching ✓ CORRECT
C. Referral to a speech therapist for swallowing evaluation prior to meals
D. Referral to an occupational therapist for upper extremity strengthening exercises
Correct Answer: B
Rationale: A home health nurse can provide essential medication teaching, glucose
monitoring instruction, and safety assessment for a newly diagnosed diabetic client at
home. Physical therapy, speech therapy, and occupational therapy are not indicated
unless specific functional deficits exist.
Question 5 of 180
, During a interdisciplinary care conference for an 82-year-old client with advanced
dementia, the family insists on full resuscitation despite the client’s poor prognosis. The
physician believes a do-not-resuscitate order is appropriate. What is the nurse’s most
appropriate action?
A. Support the physician’s decision and tell the family they have no choice in the matter
B. Advocate for the family’s wishes by refusing to participate in any DNR discussion
C. Facilitate an ethics consultation to mediate the conflict and clarify goals of care ✓
CORRECT
D. Document the disagreement and avoid further discussion to prevent upsetting the
family
Correct Answer: C
Rationale: An ethics consultation provides a structured, neutral forum for resolving
conflicts between family wishes and medical recommendations while respecting client
autonomy. Nurses should not unilaterally impose decisions or avoid difficult
conversations, as advocacy includes facilitating ethical resolution.
Question 6 of 180
A registered nurse is supervising a licensed practical nurse and an unlicensed assistive
personnel on a rehabilitation unit. Which assignment demonstrates appropriate
delegation?
A. The LPN administers an insulin drip titrated per sliding scale protocol
B. The UAP performs a sterile dressing change on a stage 3 sacral wound
C. The LPN administers oral medications to a group of stable clients ✓ CORRECT
D. The UAP evaluates a client’s pain level after physical therapy
Correct Answer: C
Rationale: Licensed practical nurses can administer oral medications to stable clients in
most states, while insulin drips require registered nurse assessment and titration.
