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. 1. Which client should the nurse assess first?

      1. A. Client 1 day post-op with pain 5/10
      2. B. Client with a new onset of confusion and SpO2 of 86% ✓
      3. C. Client with diabetes asking about lunch
      4. 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. 2. A client develops itching, wheezing and low blood pressure during an IV antibiotic. What should the nurse do first?

      1. A. Stop the infusion ✓
      2. B. Give oral diphenhydramine
      3. C. Document the reaction
      4. 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. 3. Which client should be placed on airborne precautions?

      1. A. Client with MRSA in a wound
      2. B. Client with pulmonary tuberculosis ✓
      3. C. Client with influenza
      4. 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.

    See all core ATI proctored exams or browse every test bank.