Proctored ATI Comp Predictior 2026

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Sample questions from Proctored ATI Comp Predictior 2026

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.At change of shift on a medical-surgical unit, a nurse receives report on four clients. Which client should the nurse assess first?

   • A.A 72-year-old with pneumonia who has an SpO2 of 89% on room air, up from 86% after repositioning
   • B.A 45-year-old who is awaiting discharge instructions after an uncomplicated appendectomy
   • C.A 60-year-old with diabetes whose premeal glucose is 218 mg/dL and who reports no symptoms
   • D.A 38-year-old requesting an as-needed medication for incisional pain rated 6 out of 10

   Rationale: The client with pneumonia has persistent hypoxemia and needs prompt respiratory assessment and intervention. The other clients have needs that are important but are not as immediately threatening. Prioritize unstable airway and breathing concerns over discharge, moderate hyperglycemia without symptoms, and pain.

2. 2.During an inpatient shift, a charge nurse is assigning care for four clients. Which tasks are appropriate to delegate to an experienced unlicensed assistive personnel (UAP)? Select all that apply.

   • A.Assist a stable client with ambulation after the nurse has assessed the client's tolerance
   • B.Assess a newly admitted client for breath sounds and work of breathing
   • C.Measure and document urine output for a stable client with an indwelling catheter
   • D.Evaluate whether a client's pain improved after an analgesic
   • E.Teach a client how to use a newly prescribed insulin pen
   • F.Obtain and record routine vital signs for a stable client awaiting discharge

   Rationale: Routine vital signs, assistance with ambulation after the nurse's assessment, and measuring urine output for a stable client are predictable tasks appropriate for a UAP. Assessment of a new client, teaching insulin administration, and evaluating a medication response require nursing judgment and remain the nurse's responsibility. Delegation transfers a task, not accountability for appropriate supervision and follow-up.

3. 3.A client states, "I do not want a blood transfusion for religious reasons," while alert and oriented before a scheduled procedure. Which response by the nurse is best?

   • A."Your family should decide whether the transfusion is necessary."
   • B."You may change your mind once the blood is available, so we will prepare it now."
   • C."Your provider can explain the risks and alternatives, and I will document your decision."
   • D."I will ask the provider to obtain consent on your behalf."

   Rationale: An alert, competent adult has the right to refuse treatment, and the nurse should ensure the client understands the options and document the decision. Preparing blood despite refusal or transferring the decision to family disregards autonomy. The provider cannot consent for a competent client; informed consent and refusal are the client's decisions.

4. 4.In a pediatric clinic, a 6-year-old with asthma is prescribed a metered-dose inhaler with a spacer. Which action should the nurse take to evaluate the child's understanding?

   • A.Ask the child to state the medication's generic name
   • B.Give the family a printed instruction sheet
   • C.Ask the parent whether the child has used an inhaler before
   • D.Ask the child to demonstrate use of the inhaler and spacer

   Answer and rationale are in the full material.

5. 5.Refer to the client's chart. Which action should the nurse take first?

   • A.Document the result and recheck the potassium level in 4 hours
   • B.Stop the potassium infusion and assess the client and cardiac rhythm
   • C.Increase the infusion rate to correct the potassium level promptly
   • D.Ask the client to ambulate to assess muscle strength

   Answer and rationale are in the full material.