Download A.T.I RN Comprehensive Predictor 2025: Complete Practice Exam, 100+ Verified Questions and more Exams Nursing in PDF only on Docsity!
ATI RN Comprehensive Predictor 2025:
Complete Practice Exam, 100+ Verified
Questions & Rationales for NCLEX Success
Question 1: A nurse in a pediatric unit is preparing to insert an IV catheter for a 7-year-old. Which of the following actions should the nurse take? A. (Unable to read) B. Tell the child they will feel discomfort during the catheter insertion. - - correct ans- - B. Tell the child they will feel discomfort during the catheter insertion. C. Use a mummy restraint to hold the child during the catheter insertion. D. Require the parents to leave the room during the procedure. Rationale: Honesty and developmentally appropriate communication are essential when working with children. Explaining that they will feel some discomfort prepares the child and builds trust. While restraints may be necessary in some situations, they should be the least restrictive method and used with appropriate justification and consent (if possible). Parents can often provide comfort and support during procedures. Question 2: A nurse is caring for a client who has an arteriovenous fistula. Which of the following findings should the nurse report? A. Thrill upon palpation. B. Absence of a bruit. - - correct ans- - B. Absence of a bruit. C. Distended blood vessels D. Swishing sound upon auscultation. Rationale: A thrill upon palpation and a swishing sound (bruit) upon auscultation are normal findings indicating patency of an arteriovenous fistula. Distended blood vessels can be normal or indicate stenosis, but the absence of a bruit is a significant finding that suggests a potential blockage or clotting of the fistula, requiring immediate attention to maintain vascular access for dialysis.
Question 3: A nurse is providing discharge teaching for a client who has an implantable cardioverter defibrillator. Which of the following statements demonstrates understanding of the teaching? A. "I will soak in the tub rather than showering" B. "I will wear loose clothing around my ICD" - - correct ans- - B. "I will wear loose clothing around my ICD" C. "I will stop using my microwave oven at home because of my ICD" D. "I can hold my cellphone on the same side of my body as the ICD" Rationale: Wearing loose clothing around the ICD site prevents irritation and pressure. While some precautions regarding strong magnetic fields exist, normal household appliances like microwave ovens are generally safe. Soaking in a tub is generally discouraged due to the risk of electrical hazards. Cellphones should be held on the opposite side of the body from the ICD to minimize potential interference. Question 4: A nurse is caring for a client who is at 14 weeks gestation and reports feelings of ambivalence about being pregnant. Which of the following responses should the nurse make? A. "Describe your feelings to me about being pregnant" - - correct ans- - A. "Describe your feelings to me about being pregnant" B. "You should discuss your feelings about being pregnant with your provider" C. "Have you discussed these feelings with your partner?" D. "When did you start having these feelings?" Rationale: Open-ended questions like "Describe your feelings to me about being pregnant" encourage the client to elaborate and explore their emotions. This allows the nurse to gather more information and provide appropriate support and resources. While discussing feelings with the provider and partner is important, the nurse's initial response should be to facilitate the client's expression of their feelings. Asking "when" the feelings started is less helpful in understanding the current emotional state. Question 5: A nurse is planning care for a client who has a prescription for a bowel-training program following a spinal cord injury. Which of the following actions should the nurse include in the plan of care?
Rationale: In triage, the highest priority is given to clients with life-threatening injuries that have a reasonable chance of survival with prompt intervention. A below-the-knee amputation, while severe, poses a significant risk of hemorrhage and requires immediate attention to stabilize the client. A 95% full-thickness burn has a poor prognosis even with extensive treatment. A fractured tibia and a 10cm laceration are serious but less immediately life-threatening than a major amputation with potential for rapid blood loss. Question 8: A nurse manager is updating protocols for the use of belt restraints. Which of the following guidelines should the nurse include? A. Remove the client's restraint every 4hr B. Document the client's condition every 15 min - - correct ans- - B. Document the client's condition every 15 min C. Attach the restrain to the bed's side rails D. Request a PRN restrain prescription for clients who are aggressive Rationale: Frequent monitoring and documentation of the client's condition (including circulation, skin integrity, and behavior) are crucial when restraints are in use. Restraints should be removed more frequently than every 4 hours for assessment and care (typically every 2 hours or per facility policy). Restraints should be attached to the bed frame, not side rails, to prevent injury during bed movement. PRN (as needed) restraint prescriptions are generally not acceptable; a specific indication and duration are required for each application. Question 9: A nurse is teaching an in-service about nursing leadership. Which of the following information should the nurse include about an effective leader? A. Acts as an advocate for the nursing unit. - - correct ans- - A. Acts as an advocate for the nursing unit. B. (Unable to read) for the unit C. Priorities staff request over client needs. D. Provides routine client care and documentation. Rationale: An effective nurse leader acts as an advocate for their nursing unit, ensuring that the staff has the resources and support needed to provide quality patient care. While supporting staff is important, client needs should always be the priority. Effective
leaders may participate in unit activities but their primary role is leadership, not routine care. Question 10: A nurse is reviewing the laboratory findings of a client who has diabetes mellitus and reports that she has been following her (unable to read) care. The nurse should identify which of the following findings indicates a need to revise the client's plan of care. A. Serum sodium 144 mEq/L B. (Unable to read) C. HbA1c 10 % - - correct ans- - C. HbA1c 10 % D. Random serum glucose 190 mg/dl. Rationale: HbA1c reflects the average blood glucose level over the past 2-3 months. A level of 10% indicates poor long-term glycemic control and a need to revise the client's diabetes management plan. A random serum glucose of 190 mg/dL is elevated but represents a single point in time. A serum sodium of 144 mEq/L is within the normal range. Question 11: A nurse in a provider's office is reviewing the laboratory results of a group of clients. The nurse should identify that which of the following sexually transmitted infections is a nationally notifiable infectious disease that should be reported to the state health department? A. Chlamydia - - correct ans- - A. Chlamydia B. Human papillomavirus C. Candidiasis D. Herpes simplex virus Rationale: Chlamydia is a nationally notifiable infectious disease. This means that healthcare providers and laboratories are required to report confirmed cases to the state health department, which then reports to the Centers for Disease Control and Prevention (CDC). This surveillance is important for tracking disease trends, implementing public health interventions, and preventing further spread. Human papillomavirus (HPV), candidiasis (yeast infection), and herpes simplex virus (HSV) are generally not nationally notifiable.
- A nurse is teaching a newly licensed nurse about therapeutic techniques
B. Administer flumazenil to the client. C. Evaluate the client for further suicidal behavior. D. Initiate seizure precautions for the client. - - correct ans- - B. Administer flumazenil to the client.
- A nurse in an emergency department is caring for a client who reports cocaine use 1hr ago. Which of the following findings should the nurse expect? A. Hypotension B. Memory loss C. Slurred speech D. Elevated temperature - - correct ans- - D. Elevated temperature
- A nurse is assessing a newborn who has a blood glucose level of 30 mg/dl. Which of the following manifestations should the nurse expect? A. Loose stools B. Jitteriness C. Hypertonia D. Abdominal distention - - correct ans- - Jitteriness
- A nurse in a pediatric clinic is reviewing the laboratory test results of a school age child. Which of the following findings should the nurse report to the provider? A. Hgb 12.5 g/dl B. Platelets 250,000/mm C. Hct 40% D. WBC 14,000/mm3 - - correct ans- - D. WBC 14,000/mm
- A charge nurse is teaching a newly licensed nurse about clients designating a health care proxy in situations that require a durable power of attorney for heal care (DPSHC). Which of the following information should the charge nurse include? A. "The proxy should make health care decisions for the client regardless of the client's ability to do so." B. "The proxy can make financial decisions if the need arises." C. "The proxy can make treatment decisions if the client is under anesthesia." D. "The proxy should manage legal issues for the client." - - correct ans- - C. "The proxy can make treatment decisions if the client is under anesthesia."
- A nurse in the PACU is caring for a client who reports nausea. Which of the following actions should the nurse take first? A. Turn the client on their side. B. Administer an analgesic C. Administer antiemetic D. Monitor the client's vital signs. - - correct ans- - A. Turn the client on their side.
- A nurse is caring for a client who has a history of depression and is experiencing a situational crisis. Which of the following actions should the nurse take first? A. Confirm the client's perception of the event B. Notify the client's support system C. Help the client identify personal strengths D. Teach the client relaxation techniques - - correct ans- - A. Confirm the client's perception of the event
- A nurse is caring for a client who has bipolar disorder and is experiencing
A nurse is caring for a client who is dilated to 10 cm and pushing. Which of the following pain-management is a safe option for the client? A. Naloxone hydrochloride. B. Spinal anesthesia. C. Pudendal block. D. Butorphanol tartrate. - - correct ans- - C. Pudendal block.
- A nurse is assessing a client who has major depressive disorder. Which of the following findings should the nurse identify as the priority (Most important?) A. The client changes the subject when future plans are mentioned. B. The client talks about being in pain constantly. C. The client sleeping over 12 hr. each day. D. The client reports giving away personal items. - - correct ans- - D. The client reports giving away personal items.
- A nurse is providing teaching about immunizations to a client who is pregnant. The nurse should inform the client that she can receive which of the following immunizations during pregnancy? (Select all that apply) A. Varicella vaccine. B. Inactivated polio vaccine. C. Tetanus diphtheria and acellular pertussis vaccine D. Rubella vaccine. E. Inactivated influenza vaccine. - - correct ans- - C,E
- A nurse is caring for a client who has end-stage kidney disease. The client's adult child asks the nurse about becoming a living kidney donor for her father. Which of the following condition in the child's medical history should the nurse identify as a contraindication to the procedure?
A. Amputation B. Osteoarthritis C. Hypertension D. Primary glaucoma - - correct ans- - C. Hypertension
- A nurse is providing discharge teaching for a group of clients. The nurse should recommend a referral to a dietitian A. A client who has a prescription for warfarin and states "I will need to limit how much spinach I eat". B. A client who has gout and states, "I can continue to eat anchovies on my pizza." C. A client who has a prescription for spironolactone and states "I will reduce my intake of foods that contain potassium". D. A client who has (Unable to read) and states "I'll plan to take my calcium carbonate with a full glass of water". - - correct ans- - B. A client who has gout and states, "I can continue to eat anchovies on my pizza."
- A hospice nurse is visiting with the son of a client who has terminal cancer. The son reports sleeping very little during the past week due to caring for his mother. Which of the following responses should the nurse make? A. "I can give you information about respite care if you are interested." B. "You should consider taking a sleeping pill before bed each night" C. "It must be difficult taking care of someone who is terminally ill" D. "You are doing a great job taking care of your mother" - - correct ans- - A. "I can give you information about respite care if you are interested." A nurse is assessing a child who is being treated for bacterial pneumonia. The nurse notes an increase in the child's glucose. The nurse should identify
A. Critical pathways have unlimited timeframe for completion B. decrease health care costs. C. critical pathway if variances D. are used to create the critical pathway. - - correct ans- - B. decrease health care costs. A nurse is reviewing the medical record of a client who has schizophrenia. Which of the following should the nurse report to the provider? Exhibit 1 Blood pressure: 102/56 mm Hg. Heart rate: 95/min Respiratory rate: 18/min Temperature: 37.4C (99.3F) Exhibit 2 Medication Administration Record Clozapine 150 mg PO twice daily Benztropine 0.5 mg PO twice daily as needed for tremors. Exhibit 3 Nurse's notes: Client reports feeling dizzy when changing positions, Reports weight gain of 1kg (2.2 lb.) in the past month. Also reports a sore throat for the past 3 days and dry mouth. Client ate 75% of breakfast and reports slightly nauseous. A. Dietary intake B. Heart rate. C. Sore throat. D. Blood pressure. - - correct ans- - C. Sore throat. A charge nurse is educating a group of unit nurses about delegating client tasks to assistive personnel
A. "The nurse is legally responsible for the actions of the AP". B. "An AP can perform tasks outside of his range if he has been trained". C. "An experienced AP can delegate to another AP". D. "An RN evaluates the client needs to determine tasks to delegate" - - correct ans- - D. "An RN evaluates the client needs to determine tasks to delegate" A nurse is assessing a client who is in active labor. Which of the following findings should the nurse report to the provider? A. Contractions lasting 80 seconds B. FHR baseline 170/min C. Early decelerations in the FHR D. Temperature 37.4C (99.3) - - correct ans- - B. FHR baseline 170/min A nurse working in a rehabilitation facility is developing a discharge plan for a client who has left-sided hemiplegia the following actions is the nurse's priority? A. Consult with a case manager about insurance coverage. B. Counsel caregivers about respite care options. C. Ensure that the client has a referral for physical therapy. D. Refer the client to a local stroke support group. - - correct ans- - C. Ensure that the client has a referral for physical therapy. A nurse in a mental health unit is planning room assignments for four clients. Which of the following client should be closest to the nurse's station? A. A client who has an anxiety disorder and is experiencing moderate anxiety. B. A client who has somatic symptom disorder and reports chronic pain. C. A client who has depressive disorder and reports feeling hopeless.
A nurse is caring for a client who is 24 hr. postpartum and is breast feeding her newborns. The client asks the nurse to warm up seaweed soup that the client's partner brought for her. Which of the following responses should the nurse make? A. "Does the doctor know you are eating that?" B. "Why are you eating seaweed soup?" C. "Of course I will heat that up for you" D. "The hospital good is more nutritious" - - correct ans- - A. "Does the doctor know you are eating that?" a nurse is preparing an in-service for a group of nurses about malpractice issues in nursing. Which of the following examples should the nurse include in the teaching? A. Leaving a nasogastric tube clamped after administering oral medication B. Documenting communication with a provider in the progress notes of the client's medical records C. Administering potassium via IV bolus D. Placing a yellow bracelet on a client who is at risk for falls - - correct ans- - C. Administering potassium via IV bolus a nurse is providing teaching to family members of a client who has dementia. Which of the following instructions should the nurse include in the teaching? A. Establish a toileting schedule for the client B. Use clothing with buttons and sippers C. Discourage physical activity during the day D. Engage the client in activities that increase sensory stimulation - - correct ans- - A. Establish a toileting schedule for the client
The nurse is reviewing the medical record of a client who is requesting combination oral contraceptives. Which of the following conditions in the client's history is a contradiction to the use of oral contraceptives? A. Hyperthyroidism. B. Thrombophlebitis. C. Diverticulosis. D. Hypocalcemia. - - correct ans- - B. Thrombophlebitis. A nurse is admitting a client who has schizophrenia and experiences auditory hallucinations. The client states, "It's hard not to listen to the voices." Which of the following questions should the nurse ask the client? A. "Do you understand that the voices are not real?" B. "Why do you think the voices are talking to you?" C. "Have you tried going to a private place when this occurs?" D. "What helps you ignore what you are hearing?" - - correct ans- - D. "What helps you ignore what you are hearing?"
- A charge nurse is teaching a group of newly licensed nurses about the correct use of restraints. Which of the following should the nurse include in the teaching? A. Placing a belt restraint on a school-age child who has seizures. B. Securing wrist restraints to the bed rails for an adolescent. C. Applying elbow immobilizers of an infant receiving cleft lip injury D. Keeping the side rails of a toddler's crib elevated. - - correct ans- - C. Applying elbow immobilizers of an infant receiving cleft lip injury
- A nurse is preparing to mix NPH and regular insulin in the same syringe. Which of the following should nurse do first?
A. Waits 2 minutes between suctions. B. Encourages the client to cough during suctioning. C. Apply suctioning for 15 seconds. D. Inserts the catheter without applying suction. - - correct ans- - A. Waits 2 minutes between suctions. A nurse is teaching at a community health fair about electrical fire prevention. Which of the following information should the nurse include in the teaching? A. Use three pronged grounded plugs. B. Cover extension cords with a rug. C. Check the tingling sensations around the cord to ensure the electricity is working. D. Remove the plug from the socket by pulling the cord. - - correct ans- - A. Use three pronged grounded plugs. A nurse is providing care for a group of clients. Which of the following client's should the nurse identify as having the highest risk for developing a pressure injury? A. A client who has a T-tube following an open cholecystectomy. B. A client who had a knee 2 days ago following a sports injury. C. A client who has dementia and is incontinent of urine and feces D. A client who has a myocardial infarction and is receiving thrombolytic therapy. - - correct ans- - A. A client who has a T-tube following an open cholecystectomy. A nurse is teaching a client who has glaucoma and a new prescription for timolol eyedrops. Which of the following statements indicates an understanding of the teaching?
A. "I will place the eye drops in the center of my eye" B. "I will place pressure on the corner of my eye after using he eye drops" C. "I should expect my tears to turn a red color after using the eye drops." D. "I should expect the eye drops to appear cloudy." - - correct ans- - B. "I will place pressure on the corner of my eye after using he eye drops" A nurse is providing teaching to a client who is 14 weeks of gestation about findings to report to the provider. Which of the following findings should the nurse include in the teaching? A. Bleeding gums B. Faintness upon rising C. Swelling of the face D. Urinary frequency - - correct ans- - C. Swelling of the face
- A nurse is caring for a client who has a diagnosis of stage IV metastatic cancer. Which of the following responses should the nurse make? A. "I would recommend sharing your feelings with a psychologist". B. "I can give you information about making end of life decisions". C. "You should discuss your end life decisions with your family" D. "Everyone feels this way at first. You will start feeling better soon". - - correct ans- - B. "I can give you information about making end of life decisions". A nurse is caring for a client who has severe hypertension and is to receive nitroprusside via continuous IV infusion. Which of the following actions should the nurse plan to take? A. Keep client's calcium gluconate at the client's bedside B. Monitor blood pressure every 2 hr. C. Limit IV bag from exposure to light.
