Page 1 of 206
ATI Comprehensive Predictor Exam Versions
1-3 Actual Exam 2026/2027 – Complete Exam
Style
Question 1
Scenario: A nurse is caring for a client with heart failure who
reports shortness of breath when ambulating. The client's oxygen
saturation is 90% on room air. Which action should the nurse
take FIRST?
A) Administer oxygen via nasal cannula at 2 L/min
B) Place the client in a high-Fowler’s position
C) Notify the healthcare provider
D) Check the client’s blood pressure
Answer: B
Rationale: High-Fowler’s position maximizes lung expansion and
reduces venous return, improving oxygenation. This is a
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non-invasive, immediate intervention that does not require a
provider order. Oxygen may be added later, but positioning is
first. Notifying the provider or checking BP delays relief.
Question 2
A nurse is teaching a client with type 1 diabetes about sick-day
management. Which statement indicates understanding?
A) “I will stop my insulin if I cannot eat.”
B) “I will check my blood glucose every 4 hours.”
C) “I will drink sugar-free liquids only.”
D) “I will call my provider if my glucose is >200 mg/dL.”
Answer: B
Rationale: During illness, blood glucose should be checked every
4 hours to detect hyperglycemia early. Insulin should never be
stopped (risk of DKA). Caloric liquids (broth, juice) are needed if
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unable to eat. Calling provider for >200 mg/dL is not
necessary; illness often causes higher glucose, but persistent
elevation or vomiting warrants a call.
Question 3
Scenario: A nurse is assessing a post-operative client 6 hours
after abdominal surgery. The client’s heart rate is 110/min,
blood pressure 90/60 mm Hg, and urine output is 20 mL/hour.
What is the priority action?
A) Increase IV fluid rate as ordered
B) Administer pain medication
C) Encourage deep breathing exercises
D) Apply sequential compression devices
Answer: A
, Page 4 of 206
Rationale: Tachycardia, hypotension, and oliguria (≤0.5
mL/kg/hr) indicate hypovolemia. Increasing IV fluids expands
intravascular volume and improves perfusion. Pain management
and hypoxia prevention are important but not the priority here.
Question 4
A nurse is preparing to administer furosemide 40 mg IV push.
Which laboratory value should the nurse check before
administration?
A) Serum sodium
B) Serum potassium
C) Serum creatinine
D) Serum calcium
Answer: B
ATI Comprehensive Predictor Exam Versions
1-3 Actual Exam 2026/2027 – Complete Exam
Style
Question 1
Scenario: A nurse is caring for a client with heart failure who
reports shortness of breath when ambulating. The client's oxygen
saturation is 90% on room air. Which action should the nurse
take FIRST?
A) Administer oxygen via nasal cannula at 2 L/min
B) Place the client in a high-Fowler’s position
C) Notify the healthcare provider
D) Check the client’s blood pressure
Answer: B
Rationale: High-Fowler’s position maximizes lung expansion and
reduces venous return, improving oxygenation. This is a
,Page 2 of 206
non-invasive, immediate intervention that does not require a
provider order. Oxygen may be added later, but positioning is
first. Notifying the provider or checking BP delays relief.
Question 2
A nurse is teaching a client with type 1 diabetes about sick-day
management. Which statement indicates understanding?
A) “I will stop my insulin if I cannot eat.”
B) “I will check my blood glucose every 4 hours.”
C) “I will drink sugar-free liquids only.”
D) “I will call my provider if my glucose is >200 mg/dL.”
Answer: B
Rationale: During illness, blood glucose should be checked every
4 hours to detect hyperglycemia early. Insulin should never be
stopped (risk of DKA). Caloric liquids (broth, juice) are needed if
,Page 3 of 206
unable to eat. Calling provider for >200 mg/dL is not
necessary; illness often causes higher glucose, but persistent
elevation or vomiting warrants a call.
Question 3
Scenario: A nurse is assessing a post-operative client 6 hours
after abdominal surgery. The client’s heart rate is 110/min,
blood pressure 90/60 mm Hg, and urine output is 20 mL/hour.
What is the priority action?
A) Increase IV fluid rate as ordered
B) Administer pain medication
C) Encourage deep breathing exercises
D) Apply sequential compression devices
Answer: A
, Page 4 of 206
Rationale: Tachycardia, hypotension, and oliguria (≤0.5
mL/kg/hr) indicate hypovolemia. Increasing IV fluids expands
intravascular volume and improves perfusion. Pain management
and hypoxia prevention are important but not the priority here.
Question 4
A nurse is preparing to administer furosemide 40 mg IV push.
Which laboratory value should the nurse check before
administration?
A) Serum sodium
B) Serum potassium
C) Serum creatinine
D) Serum calcium
Answer: B
