ATI RN Comprehensive Predictor 2026 Independent Study Guide & 80 Original NCLEX-Style Practice Questions

ATI RN Comprehensive Predictor 2026 Independent Study Guide & 80 Original NCLEX-Style Practice Questions Includes 80 original practice questions • answer key • rationales • high-yield review framework • 7-day study plan Domains Prioritization, safety, pharmacology, adult medical-surgical, maternal-newborn, pediatrics, mental health, leadership, community health and clinical judgment Audience RN nursing students preparing with independent review and practice Disclaimer Independent educational resource. Not affiliated with or endorsed by ATI or NCSBN. No actual, recalled, leaked, or verified ATI Predictor questions are included. Prepared October 2026 • Educational use only Instructions: Attempt each question before reviewing the answer and rationale. Clinical guidance can change; use current course materials, institutional policies, and instructor guidance. Independent RN study guide • October 2026 Page 2 Original Practice Questions Choose the single best answer unless the item says “Select all that apply.” These questions are independently written practice items, not actual ATI exam questions.

1. [Priority] A post-thyroidectomy client develops stridor. What is the priority?
2. Assess airway and summon emergency help
3. Offer sips of water
4. Document and recheck in 30 minutes
5. Lower the head of the bed

Correct answer: A Rationale: Stridor can signal acute airway obstruction; airway support and rapid escalation take priority.

2. [Safety] A confused client tries to climb out of bed. What should the nurse do first?
3. Apply restraints immediately
4. Assess causes and implement least-restrictive safety measures
5. Raise all four side rails
6. Ask the client to remain still without assistance

Correct answer: B Rationale: Assess reversible causes and use individualized, least-restrictive fall prevention.

3. [Infection] A client is admitted with suspected infectious pulmonary tuberculosis. Which precautions are indicated?
4. Contact only
5. Droplet only
6. Airborne precautions and appropriate respirator
7. Standard precautions only until results return

Correct answer: C Rationale: Suspected infectious pulmonary TB requires airborne precautions pending evaluation.

4. [Pharmacology] An adult prescribed digoxin has an apical pulse of 50/min. What should the nurse do?
5. Give the dose with food
6. Hold and clarify according to order/policy
7. Give double the next dose
8. Encourage exercise, then administer

Correct answer: B Rationale: Bradycardia may be a reason to withhold digoxin; follow parameters and notify the prescriber.

5. [Pharmacology] A client taking warfarin reports black, tarry stools and dizziness. What is the priority?
6. Recommend more leafy greens
7. Arrange urgent assessment for possible bleeding
8. Skip all future doses without advice
9. Reassure that this is expected

Correct answer: B Rationale: Melena with dizziness can indicate significant gastrointestinal bleeding.