Ultimate ATI RN Comprehensive Predictor 2026 Study Guide: 150 NCLEX-Style Practice Questions with
Answers & Rationales Covering Med-Surg, Pharmacology, Pediatrics, Mental Health, Leadership,
Fundamentals, and Priority Nursing Care Concepts*
Questions 1–150
# Question Options Correct Answe
A) Potassium 4.0 mEq/L
A nurse is caring for a client with
B) BNP 100 pg/mL
1 heart failure. Which lab value D) Potassium 5
C) Creatinine 1.2 mg/dL
requires immediate intervention?
D) Potassium 5.9 mEq/L
A) To prevent superinfection
A toddler is prescribed
B) To reduce antibiotic resistance
amoxicillin for otitis media. The C) To ensure c
2 C) To ensure complete
parent asks why the full bottle eradication of
eradication of bacteria
must be finished. Best response?
D) To decrease fever faster
A) Praise the nurse for detail
A nurse manager observes a staff
B) Tell the nurse to use only
nurse documenting "patient B) Tell the nurs
3 objective terms
angry and uncooperative." What objective term
C) File a disciplinary report
action is best?
D) Ignore it as minor
A) New MI with chest pain
B) Post-op day 3 hip
Which client should a charge B) Post-op day
4 replacement, stable
nurse assign to an LPN? replacement, s
C) New stroke with dysphagia
D) Septic shock on vasopressors
5 A client with schizophrenia says, A) "That’s not true, the FBI isn't B) "You seem f
"The FBI is poisoning my food." here." more."
Best therapeutic response? B) "You seem frightened. Tell me
more."
C) "Let's talk about something
else."
,# Question Options Correct Answe
D) "I will check your food for
poison."
A) Give the medication as
ordered
A nurse administers digoxin to a B) Hold the dose and reassess in
6 C) Hold and no
patient with HR 52. Next action? 30 min
C) Hold and notify provider
D) Give atropine first
A) D5W
A preschooler is admitted with
B) 0.9% NS with 20 mEq KCl/L
7 dehydration. Which IV fluid is B) 0.9% NS wit
C) 0.45% NS
preferred?
D) 3% NS
A) Call the provider
A nurse finds a client on the floor B) Assess the client for injuries
8 B) Assess the c
after a fall. Priority action? C) Fill out an incident report
D) Help client back to bed
A) Fundus firm at umbilicus
Which finding in a postpartum
B) Lochia rubra moderate
9 mother requires immediate C) Saturating o
C) Saturating one pad per hour
intervention?
D) Temperature 99.0°F (37.2°C)
A) Increase oxygen intake
A nurse is teaching a client with B) Strengthen diaphragm
C) Prolong exh
10 COPD about pursed-lip C) Prolong exhalation to prevent
airway collaps
breathing. Primary goal? airway collapse
D) Reduce anxiety
A) Administer vitamin K
A client on warfarin has an INR of B) Hold warfarin and notify
B) Hold warfar
11 4.5. No bleeding noted. What provider
provider
should the nurse anticipate? C) Give protamine sulfate
D) Increase warfarin dose
, # Question Options Correct Answe
A) Applying a heating pad to the
abdomen
A nurse is caring for a child with
B) Monitoring for rebound A) Applying a
12 suspected appendicitis. Which
tenderness abdomen
action is contraindicated?
C) NPO status
D) Preparing for possible surgery
A) Client on a ventilator
B) Client with chest tube and
A charge nurse is making
continuous bubbling
assignments. Which client is C) Stable diabe
13 C) Stable diabetic client needing
most appropriate for a new discharge teac
discharge teaching
graduate RN?
D) Client with active suicidal
ideation
A) Anhedonia
A nurse is assessing a client with B) Insomnia
D) "I have a pl
14 major depressive disorder. Which C) Statements of worthlessness
pills"
finding is priority? D) "I have a plan to overdose on
pills"
A) Increased BP
A nurse administers furosemide
B) Decreased dyspnea and clear
to a client with pulmonary B) Decreased d
15 lung sounds
edema. Which outcome indicates lung sounds
C) Weight gain of 2 lbs
effectiveness?
D) Decreased urine output
A) 4 months
A mother asks when to introduce B) 6 months
D) After high-r
16 peanut butter to her infant. Best C) 12 months
if eczema pres
response? D) After high-risk allergy testing
if eczema present
17 A nurse observes another nurse A) Ignore it if no identifying info B) Report to th
taking a photo of a patient with a visible immediately
personal phone. What action is B) Report to the nurse manager
best? immediately
Answers & Rationales Covering Med-Surg, Pharmacology, Pediatrics, Mental Health, Leadership,
Fundamentals, and Priority Nursing Care Concepts*
Questions 1–150
# Question Options Correct Answe
A) Potassium 4.0 mEq/L
A nurse is caring for a client with
B) BNP 100 pg/mL
1 heart failure. Which lab value D) Potassium 5
C) Creatinine 1.2 mg/dL
requires immediate intervention?
D) Potassium 5.9 mEq/L
A) To prevent superinfection
A toddler is prescribed
B) To reduce antibiotic resistance
amoxicillin for otitis media. The C) To ensure c
2 C) To ensure complete
parent asks why the full bottle eradication of
eradication of bacteria
must be finished. Best response?
D) To decrease fever faster
A) Praise the nurse for detail
A nurse manager observes a staff
B) Tell the nurse to use only
nurse documenting "patient B) Tell the nurs
3 objective terms
angry and uncooperative." What objective term
C) File a disciplinary report
action is best?
D) Ignore it as minor
A) New MI with chest pain
B) Post-op day 3 hip
Which client should a charge B) Post-op day
4 replacement, stable
nurse assign to an LPN? replacement, s
C) New stroke with dysphagia
D) Septic shock on vasopressors
5 A client with schizophrenia says, A) "That’s not true, the FBI isn't B) "You seem f
"The FBI is poisoning my food." here." more."
Best therapeutic response? B) "You seem frightened. Tell me
more."
C) "Let's talk about something
else."
,# Question Options Correct Answe
D) "I will check your food for
poison."
A) Give the medication as
ordered
A nurse administers digoxin to a B) Hold the dose and reassess in
6 C) Hold and no
patient with HR 52. Next action? 30 min
C) Hold and notify provider
D) Give atropine first
A) D5W
A preschooler is admitted with
B) 0.9% NS with 20 mEq KCl/L
7 dehydration. Which IV fluid is B) 0.9% NS wit
C) 0.45% NS
preferred?
D) 3% NS
A) Call the provider
A nurse finds a client on the floor B) Assess the client for injuries
8 B) Assess the c
after a fall. Priority action? C) Fill out an incident report
D) Help client back to bed
A) Fundus firm at umbilicus
Which finding in a postpartum
B) Lochia rubra moderate
9 mother requires immediate C) Saturating o
C) Saturating one pad per hour
intervention?
D) Temperature 99.0°F (37.2°C)
A) Increase oxygen intake
A nurse is teaching a client with B) Strengthen diaphragm
C) Prolong exh
10 COPD about pursed-lip C) Prolong exhalation to prevent
airway collaps
breathing. Primary goal? airway collapse
D) Reduce anxiety
A) Administer vitamin K
A client on warfarin has an INR of B) Hold warfarin and notify
B) Hold warfar
11 4.5. No bleeding noted. What provider
provider
should the nurse anticipate? C) Give protamine sulfate
D) Increase warfarin dose
, # Question Options Correct Answe
A) Applying a heating pad to the
abdomen
A nurse is caring for a child with
B) Monitoring for rebound A) Applying a
12 suspected appendicitis. Which
tenderness abdomen
action is contraindicated?
C) NPO status
D) Preparing for possible surgery
A) Client on a ventilator
B) Client with chest tube and
A charge nurse is making
continuous bubbling
assignments. Which client is C) Stable diabe
13 C) Stable diabetic client needing
most appropriate for a new discharge teac
discharge teaching
graduate RN?
D) Client with active suicidal
ideation
A) Anhedonia
A nurse is assessing a client with B) Insomnia
D) "I have a pl
14 major depressive disorder. Which C) Statements of worthlessness
pills"
finding is priority? D) "I have a plan to overdose on
pills"
A) Increased BP
A nurse administers furosemide
B) Decreased dyspnea and clear
to a client with pulmonary B) Decreased d
15 lung sounds
edema. Which outcome indicates lung sounds
C) Weight gain of 2 lbs
effectiveness?
D) Decreased urine output
A) 4 months
A mother asks when to introduce B) 6 months
D) After high-r
16 peanut butter to her infant. Best C) 12 months
if eczema pres
response? D) After high-risk allergy testing
if eczema present
17 A nurse observes another nurse A) Ignore it if no identifying info B) Report to th
taking a photo of a patient with a visible immediately
personal phone. What action is B) Report to the nurse manager
best? immediately
