ATI Comprehensive Predictor Practice Exam
The ATI Comprehensive Predictor is the 180-question exit exam many programs use to judge NCLEX readiness. NursingPlex offers full-length practice so you can build stamina, plus questions on prioritization, infection control and pharmacology — the areas that move your predicted pass chance most. Start with the free samples below.
ATI Comprehensive Predictor Exam at a Glance
- When taken
- Final semester, before the NCLEX
- Length
- 180 questions in one timed session
- Question types
- Multiple choice, SATA, ordering, hot spot
- Scoring
- Percent score plus predicted NCLEX pass chance
High-yield topics to study
- Management of care and prioritization
- Safety and infection control
- Pharmacology
- Physiological adaptation
- Reduction of risk potential
Exam details vary by school and test version — confirm with your program. NursingPlex is not affiliated with or endorsed by ATI.
Free ATI Comprehensive Predictor Sample Questions with Rationales
Try these 3 practice questions written by NursingPlex. The correct answer and rationale are shown under each one.
1. Which client should the nurse assess first?
- A. Client 1 day post-op with pain 5/10
- B. Client with a new onset of confusion and SpO2 of 86% ✓
- C. Client with diabetes asking about lunch
- D. Client with a stable cast who wants to walk
Rationale: New confusion with low oxygen saturation points to hypoxia, an urgent breathing problem. Use airway, breathing, circulation to prioritize.
2. A client develops itching, wheezing and low blood pressure during an IV antibiotic. What should the nurse do first?
- A. Stop the infusion ✓
- B. Give oral diphenhydramine
- C. Document the reaction
- D. Slow the infusion rate
Rationale: Stop the medication right away in suspected anaphylaxis, keep the IV line open, call for help and prepare epinephrine.
3. Which client should be placed on airborne precautions?
- A. Client with MRSA in a wound
- B. Client with pulmonary tuberculosis ✓
- C. Client with influenza
- D. Client with C. difficile
Rationale: Tuberculosis, measles and varicella need airborne precautions with a negative-pressure room and N95 respirator. Influenza is droplet; MRSA and C. difficile are contact.
ATI Comprehensive Predictor Practice Question Sets
Every set below comes from the NursingPlex ATI Comprehensive Predictor library. Open any set to practice with answers and rationales.
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ATI Comprehensive Predictor Exam FAQs
Nursing Care Plans for ATI Comprehensive Predictor
Study the care plans that go with this exam: what to assess, likely nursing diagnoses, goals and the interventions that fit each condition.
Angina Pectoris (CAD) Care Plan
Chest pain from myocardial ischemia; nitrates, rest, risk-factor teaching and pain-pattern tracking.
Cardiac Arrhythmias & Digitalis Toxicity Care Plan
Rhythm disturbances and drug toxicity; continuous monitoring, electrolyte correction and pulse checks.
Cardiac Catheterization Care Plan
Pre/post procedure care with site bleeding checks, distal pulses, hydration and contrast precautions.
Asthma Care Plan
Reversible airway obstruction; trigger control, inhaler teaching and exacerbation management.
COPD (Emphysema & Chronic Bronchitis) Care Plan
Chronic airflow limitation; pursed-lip breathing, controlled oxygen and energy conservation.
Pneumonia Care Plan
Lung infection; antibiotics, airway clearance, hydration and oxygenation.
Addison's Disease Care Plan
Adrenal insufficiency causing hypotension, hyponatremia and fatigue; steroid replacement and crisis prevention.
Cushing's Disease Care Plan
Cortisol excess with fluid retention, fragile skin, hyperglycemia and infection risk.
Diabetes Mellitus (Type 1 & 2) Care Plan
Chronic hyperglycemia care: glucose monitoring, insulin/oral agents, diet, foot care and complication prevention.
Stroke (CVA) Care Plan
Ischemic or hemorrhagic brain injury; rapid triage, swallow screen and rehabilitation.
Traumatic Brain Injury & Increased ICP Care Plan
Head injury care with ICP control, neuro checks and stimulation limits.
Spinal Cord Injury Care Plan
Paralysis care including autonomic dysreflexia, bladder/bowel programs and skin protection.
Normal Labor & Delivery Care Plan
Stages of labor care: fetal monitoring, comfort measures, progress tracking and support.
Cesarean Birth Care Plan
Surgical birth care with incision healing, pain control, bonding and early ambulation.
Postpartum Care Care Plan
Fourth-trimester assessment: fundus, lochia, perineum, breasts, bladder and mood.
Bronchiolitis & RSV Care Plan
Infant lower airway infection; suctioning, hydration, oxygen and contact precautions.
Croup & Epiglottitis Care Plan
Upper airway obstruction; humidified air, calm approach and no throat exam in epiglottitis.
Cystic Fibrosis Care Plan
Thick secretions in lungs and pancreas; airway clearance, enzymes and high-calorie diet.
Anxiety & Panic Disorders Care Plan
Excess worry or panic episodes; grounding, calm environment, therapy and medication teaching.
Bipolar Disorder Care Plan
Mood cycling between mania and depression; safety, sleep, nutrition and lithium monitoring.
Major Depressive Disorder Care Plan
Persistent low mood and anhedonia; suicide screening, activity scheduling and adherence.
Acute Confusion (Delirium) Care Plan
Sudden, fluctuating change in attention and cognition, usually reversible once the trigger (infection, hypoxia, drugs, electrolytes) is corrected.
Acute Pain & Pain Management Care Plan
Short-lived pain from injury, surgery or disease; managed with timed assessment, multimodal analgesia and non-drug comfort measures.
Activity Intolerance & Generalized Weakness Care Plan
Insufficient energy to complete required activity; care focuses on paced activity, vitals response and progressive conditioning.
Browse the full nursing care plan library, or start with the care plan writing guide.
Continue Your ATI Study Path
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Get ready for the ATI Fundamentals proctored exam with NursingPlex: free sample questions on safety, infection control, vital signs and the nursing process, each with a clear rationale.
See all core ATI proctored exams or browse every test bank.