---ATI
RN Comprehensive Predictor Exam
– (2026) Actual Questions & Answers
(ATI Comprehensive Predictor NGN
Questions).
**1. A nurse in an emergency department is assessing four clients.
Which client should the nurse assess first?**
A. A client with COPD and oxygen saturation of 88% on room air.
B. A client with chest pain who reports pain 4/10 and is waiting for an
ECG.
C. A client with abdominal pain and a temperature of 38.3°C (100.9°F).
D. A client with a leg fracture who is asking for pain medication.
**Answer: A.**
**Rationale:** A client with an SpO2 of 88% is experiencing hypoxemia,
which is a life-threatening respiratory issue. According to the ABCs
(Airway, Breathing, Circulation), this client requires immediate
intervention to prevent respiratory failure. The other clients are in a
more stable condition .
**2. A nurse is teaching a client prescribed warfarin. Which of the
following statements by the client indicates understanding?**
,A. "I will increase my intake of green leafy vegetables."
B. "I will have my INR monitored regularly."
C. "I can stop the medication if bruising occurs."
D. "I will take a daily aspirin to prevent blood clots."
**Answer: B.**
**Rationale:** Warfarin therapy requires regular monitoring of the
International Normalized Ratio (INR) to ensure the dosage is
therapeutic and safe (typically INR of 2-3). Increasing green leafy
vegetables (high in Vitamin K) can decrease warfarin's effectiveness.
Aspirin increases bleeding risk and should not be taken without a
provider's approval .
**3. A nurse is preparing to administer a blood transfusion. The client
develops chills and back pain during the infusion. What is the priority
nursing action?**
A. Slow the infusion rate.
B. Stop the transfusion.
C. Administer acetaminophen.
D. Notify the family.
**Answer: B.**
**Rationale:** Chills and back pain are classic signs of an acute
hemolytic transfusion reaction. The priority action is to stop the
transfusion immediately to prevent further complications. After
stopping the transfusion, the nurse should maintain IV access with
normal saline, notify the provider, and monitor the client .
, **4. A nurse is caring for a client with heart failure. Which of the
following findings indicate fluid volume overload? (Select all that
apply.)**
A. Crackles in the lungs.
B. Peripheral edema.
C. Daily weight gain.
D. Dry mucous membranes.
E. Distended neck veins.
**Answer: A, B, C, E.**
**Rationale:** Fluid volume overload leads to increased hydrostatic
pressure, causing fluid to leak into tissues and lungs. This manifests as
crackles (pulmonary edema), peripheral edema, and distended neck
veins (jugular venous distension). Weight gain is a key indicator of fluid
retention. Dry mucous membranes are a sign of dehydration, not fluid
overload .
**5. Which laboratory value should the nurse report immediately to
the provider?**
A. Potassium 6.2 mEq/L.
B. Sodium 138 mEq/L.
C. Hemoglobin 13 g/dL.
D. Platelets 220,000/mm³.
**Answer: A.**
RN Comprehensive Predictor Exam
– (2026) Actual Questions & Answers
(ATI Comprehensive Predictor NGN
Questions).
**1. A nurse in an emergency department is assessing four clients.
Which client should the nurse assess first?**
A. A client with COPD and oxygen saturation of 88% on room air.
B. A client with chest pain who reports pain 4/10 and is waiting for an
ECG.
C. A client with abdominal pain and a temperature of 38.3°C (100.9°F).
D. A client with a leg fracture who is asking for pain medication.
**Answer: A.**
**Rationale:** A client with an SpO2 of 88% is experiencing hypoxemia,
which is a life-threatening respiratory issue. According to the ABCs
(Airway, Breathing, Circulation), this client requires immediate
intervention to prevent respiratory failure. The other clients are in a
more stable condition .
**2. A nurse is teaching a client prescribed warfarin. Which of the
following statements by the client indicates understanding?**
,A. "I will increase my intake of green leafy vegetables."
B. "I will have my INR monitored regularly."
C. "I can stop the medication if bruising occurs."
D. "I will take a daily aspirin to prevent blood clots."
**Answer: B.**
**Rationale:** Warfarin therapy requires regular monitoring of the
International Normalized Ratio (INR) to ensure the dosage is
therapeutic and safe (typically INR of 2-3). Increasing green leafy
vegetables (high in Vitamin K) can decrease warfarin's effectiveness.
Aspirin increases bleeding risk and should not be taken without a
provider's approval .
**3. A nurse is preparing to administer a blood transfusion. The client
develops chills and back pain during the infusion. What is the priority
nursing action?**
A. Slow the infusion rate.
B. Stop the transfusion.
C. Administer acetaminophen.
D. Notify the family.
**Answer: B.**
**Rationale:** Chills and back pain are classic signs of an acute
hemolytic transfusion reaction. The priority action is to stop the
transfusion immediately to prevent further complications. After
stopping the transfusion, the nurse should maintain IV access with
normal saline, notify the provider, and monitor the client .
, **4. A nurse is caring for a client with heart failure. Which of the
following findings indicate fluid volume overload? (Select all that
apply.)**
A. Crackles in the lungs.
B. Peripheral edema.
C. Daily weight gain.
D. Dry mucous membranes.
E. Distended neck veins.
**Answer: A, B, C, E.**
**Rationale:** Fluid volume overload leads to increased hydrostatic
pressure, causing fluid to leak into tissues and lungs. This manifests as
crackles (pulmonary edema), peripheral edema, and distended neck
veins (jugular venous distension). Weight gain is a key indicator of fluid
retention. Dry mucous membranes are a sign of dehydration, not fluid
overload .
**5. Which laboratory value should the nurse report immediately to
the provider?**
A. Potassium 6.2 mEq/L.
B. Sodium 138 mEq/L.
C. Hemoglobin 13 g/dL.
D. Platelets 220,000/mm³.
**Answer: A.**
