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ATI RN Comprehensive Predictor 2025 – Full Exam
Breakdown, Study Guide, and Verified Questions
for Registered Nurse Prep
Here are the multiple-choice questions and rationales for the provided text, with the correct answer indicated: Question 1: A nurse is caring for a client who has experienced a stroke and is moving in with their adult child. Which of the following actions should the nurse encourage the client and family to take as they adjust to their new roles? A. Minimize open discussion regarding the changes to avoid embarrassment. B. Decrease socialization with extended relatives until roles are identified. C. Encourage authoritative communication from the adult child. D. Implement firm but flexible boundaries in their relationship - - correct ans- - D. Implement firm but flexible boundaries in their relationship Rationale: Implementing firm but flexible boundaries allows for structure and predictability while also acknowledging the need for adjustments and individual needs in the evolving relationship after a stroke. Minimizing discussion can hinder adjustment. Decreasing socialization is not generally helpful. Authoritative communication from the adult child may undermine the client's autonomy. Question 2: 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? A. Administer a cathartic suppository 30 min prior to scheduled defecation times. - - correct ans- - A. Administer a cathartic suppository 30 min prior to scheduled defecation times. B. Encourage a maximum fluid intake of 1,500 mL per day. C. Increase the amount of refined grains in the client's diet. D. Provide the client with a cold drink prior to defecation.
Rationale: For clients with spinal cord injuries, a bowel-training program often involves stimulating bowel evacuation at a predictable time. A cathartic suppository can help to stimulate peristalsis and facilitate defecation when given prior to the scheduled time. Adequate fluid intake (more than 1500 ml unless contraindicated) and a diet high in fiber (not refined grains) are also important. Cold drinks can sometimes stimulate bowel motility but are not a primary component of a structured bowel-training program. Question 3: A nurse is caring for a client who has acute glomerulonephritis. Which of the following findings should the nurse expect? A. Hypotension B. Weight loss C. Polyuria D. Hematuria - - correct ans- - D. Hematuria Rationale: Acute glomerulonephritis is an inflammation of the glomeruli in the kidneys, often following a streptococcal infection. A key finding is hematuria (blood in the urine) due to glomerular damage. Other expected findings include proteinuria, edema, and hypertension due to impaired kidney function and fluid retention. Weight gain, not loss, is expected due to fluid retention, and oliguria, not polyuria, is more common due to decreased glomerular filtration. Question 4: A nurse is caring for a client who has a prescription for a peripheral IV catheter. After puncturing the skin with the vascular access device and noting a blood return in the flashback chamber, which of the following actions should the nurse perform next? A. Release the tourniquet. B. Retract the stylet. C. Flush the catheter with saline. D. Advance the catheter into the vein. - - correct ans- - D. Advance the catheter into the vein. Rationale: Seeing blood return in the flashback chamber confirms that the needle has entered the vein. The next step is to advance the catheter (the flexible plastic part) further into the vein while stabilizing the needle. After the catheter is advanced, the tourniquet is released, the stylet (metal needle) is retracted, and then the catheter is flushed and secured. Question 5:
C. Apply a warm compress to the operative site once daily. D. Administer analgesics on a scheduled basis for the first 24 hr - - correct ans- - D. Administer analgesics on a scheduled basis for the first 24 hr Rationale: Managing postoperative pain is essential for promoting comfort and facilitating recovery. Administering analgesics on a scheduled basis, especially in the initial 24 hours, helps to maintain a consistent level of pain relief. Offering clear liquids may be appropriate but usually depends on the return of bowel function. Cromolyn is used to treat asthma and is not indicated for appendicitis recovery. Warm compresses are generally used later in the healing process to promote circulation, not in the immediate postoperative period where they might increase swelling. Question 8: A nurse is providing teaching to a client who has a new prescription for enoxaparin. Which of the following medications for pain relief should the nurse include in the teaching that can be taken concurrently with enoxaparin? A. Acetaminophen - - correct ans- - A. Acetaminophen B. Ibuprofen C. Naproxen sodium D. Aspirin Rationale: Enoxaparin is a low molecular weight heparin, an anticoagulant. Concurrent use of other medications that increase the risk of bleeding should be avoided. Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen and naproxen sodium, as well as aspirin, have antiplatelet properties and can increase the risk of bleeding when taken with anticoagulants. Acetaminophen (Tylenol) is an analgesic and antipyretic that does not significantly affect platelet function and is generally safe to take with enoxaparin for pain relief. A nurse is providing preoperative teaching to a client about promoting circulation during the postoperative period. Which of the following instructions should the nurse include? A. "Participate in range-of-motion exercises." B. "Place a pillow under your knees while in bed." C. "Remain on bed rest for 24 hours following the procedure."
D. "Use an incentive spirometer every 4 hours - - correct ans- - A. "Participate in range- of-motion exercises." A nurse is setting up a sterile field to perform wound irrigation for a client. Which of the following actions should the nurse take when pouring the sterile solution? A. Hold the bottle in the center of the sterile field when pouring the solution. A. Hold the bottle in the center of the sterile field when pouring the solution. B. Place sterile gauze over areas of spilled solution within the sterile field. C. Hold the irrigation solution bottle with the label facing away from the palm of the hand. D. Remove the cap and place it sterile-side up on a clean surface. - - correct ans- - C. Hold the irrigation solution bottle with the label facing away from the palm of the hand. A nurse is caring for a client who is receiving penicillin G via intermittent IV piggyback. Which of the following actions should the nurse take? A. Infuse the medication over 10 min. B. Check the client for a sulfa allergy. C. Refrigerate the medication after reconstitution. D. Instruct the client to notify the provider if diarrhea develops. - - correct ans- - A. Infuse the medication over 10 min. ???? C??? Question 30: A nurse is admitting a client who has schizophrenia. The client states, "I'm hearing voices." Which of the following responses is the priority for the nurse to state?
C. Magnesium hydroxide 30 mL PO D. Famotidine 20 mg PO - - correct ans- - ???? A nurse is providing teaching to a client about the adverse effects of sertraline. Which of the following adverse effects should the nurse include? A. Metallic taste in the mouth B. Excessive sweating C. Increased urinary frequency D. Dry cough - - correct ans- - B. Excessive sweating A nurse in a long-term care facility is providing care for a client who has been receiving donepezil. Which of the following findings indicates that the medication is effective? A. Improved short-term memory B. Increased food intake C. Can perform ADLs independently D. Enhanced mood - - correct ans- - A. Improved short-term memory A nurse is planning to teach a client about taking prednisone. Which of the following instructions should the nurse include? A. Take on an empty stomach. B. Schedule dosage at bedtime. C. Increase dietary calcium. D. Monitor for weight loss. - - correct ans- - D. Monitor for weight loss. A nurse is caring for a client who is receiving intermittent enteral tube feedings. Which of the following factors places the client at risk for aspiration? A. A residual of 65 mL 1 hr postprandial
B. Sitting in high-Fowler's position during the feeding C. A history of gastroesophageal reflux disease D. Receiving a high-osmolarity formula - - correct ans- - A. A residual of 65 mL 1 hr postprandial A nurse is planning care for a client who has a prescription for continuous enteral feedings through an NG tube. Which of the following actions should the nurse plan to take? A. Measure gastric residual volumes every 4 hr. B. Flush the NG tube with 30 mL 0.9% sodium chloride before and after medication. C. Maintain the head of the bed at a 20° angle. D. Advance the rate of the feeding every 2 hr. - - correct ans- - B. Flush the NG tube with 30 mL 0.9% sodium chloride before and after medication. Question 39: A nurse is caring for a 2-year-old toddler. Which of the following food choices should the nurse recommend to promote independence in eating? A. Banana slices B. Hot dog C. Grapes D. Popcorn - - correct ans- - A. Banana slices A nurse is caring for an infant who has gastroenteritis. Which of the following assessment findings should the nurse report to the provider? A. Pale and a 24-hr fluid deficit of 30 mL B. Sunken fontanels and dry mucous membranes C. Temperature 38°C (100.4°F) and pulse rate 124/min D. Decreased appetite and irritability - - correct ans- - B. Sunken fontanels and dry mucous membranes
client's food tray? A. Scrambled eggs and toast with milk B. Bacon and cheese quiche with milk C. Ham sandwich with milk D. Shrimp salad and tomato soup with milk - - correct ans- - A. Scrambled eggs and toast with milk A nurse is caring for a client who has given informed consent for electroconvulsive therapy. Just before the procedure, the client tells the nurse she is considering not going forward with the treatment. Which of the following statements by the nurse is appropriate? A. "You don't have to go through with the treatment." B. "Your doctor wouldn't have ordered this treatment unless it was necessary." C. "Most people who have this procedure feel better following the treatment." D. "It's okay to be nervous before this treatment." - - correct ans- - A. "You don't have to go through with the treatment." A hospice nurse is visiting with the son of a client who has terminal cancer. The 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. "I am sure you're doing a great job taking care of your mother." C. "You should consider taking a sleeping pill before bed each night." D. "It is always difficult caring for someone who is terminally ill." - - correct ans- - A. "I can give you information about respite care if you are interested." A nurse is reviewing the medical records of four clients. The nurse should identify
which of the following client findings that requires follow-up care. A. A client who received a Mantoux test 48 hr ago and has an induration B. A client who is taking bumetanide and has a potassium level of 3.6 mEq/L C. A client who is scheduled for a colonoscopy and is taking sodium phosphate D. A client who is taking warfarin and has an INR of 1.8 - - correct ans- - A or D A nurse is providing nutrition teaching for a client who has hypertension. Which of the following foods should the nurse suggest the client include in their diet? A. Canned black beans B. Cheese C. Fish D. Red meat - - correct ans- - C. Fish A nurse is reporting a client's laboratory tests to the provider to obtain a prescription for the client's daily warfarin. Which of the following laboratory tests should the nurse plan to report to obtain the prescription for the warfarin? A. INR B. Fibrinogen level C. aPTT D. Platelet count - - correct ans- - A. INR A nurse has just received change-of-shift report for four clients. Which of the following clients should the nurse assess first? A. A client who is scheduled for a procedure in 1 hr B. A client who received a pain medication 30 min ago for postoperative pain C. A client who has 100 mL of fluid remaining in his IV bag D. A client who was just given a glass of orange juice for a low blood glucose level - - correct ans- - D. A client who was just given a glass of orange juice for a low blood glucose level
A. Include any adverse effects of the medications the client might develop. B. Exclude nutritional supplements from the list of medications the client reports. C. Encourage the client to make his own list after he returns to his home. D. Compare new prescriptions with the list of medications the client reports. - - correct ans- - D. Compare new prescriptions with the list of medications the client reports. A school nurse is teaching a parent about absence seizures. Which of the following information should the nurse include? A. "The child usually has an aura prior to onset." B. "This type of seizure can be mistaken for daydreaming." C. "This type of seizure lasts 30 to 60 seconds." D. "This type of seizure has a gradual onset." - - correct ans- - B. "This type of seizure can be mistaken for daydreaming." A nurse is planning care for an older adult client who has dementia. Which of the following interventions should the nurse include in the plan of care? (Select al A. Reinforce orientation to time, place, and person. B. Allow the client to choose among a variety of activities each day. C. Give the client one simple direction at a time. D. Establish eye contact when communicating with the client. E. Refute the client's delusions using logic - - correct ans- - A. Reinforce orientation to time, place, and person. B. Allow the client to choose among a variety of activities each day. C. Give the client one simple direction at a time. D. Establish eye contact when communicating with the client. A nurse is providing teaching to a client who is at 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- - B. Faintness upon rising A charge nurse is delegating care for a group of clients. Which of the following tasks should the charge nurse assign to a licensed practical nurse? A. Perform a sterile dressing change for a client who has an abdominal wound. B. Complete discharge teaching for a client who has a new diagnosis of diabetes mellitus. C. Perform an admission assessment for a client who is scheduled for surgery. D. Complete the Glasgow Coma Scale for a client who has an evolving stroke. - - correct ans- - A. Perform a sterile dressing change for a client who has an abdominal wound. A nurse is caring for a client who has a vented NG tube set to low intermittent suction and has vomited. Which of the following actions should the nurse perform first? A. Provide oral hygiene care. B. Administer an antiemetic medication. C. Replace the NG tube. D. Evaluate the functioning of the suction device. - - correct ans- - A. Provide oral hygiene care. or D? A nurse is obtaining a client's manual blood pressure and is having difficulty auscultating sounds. Which of the following actions should the nurse take? A. Apply the largest cuff available.
C. Initiate continuous bladder irrigation. D. Administer a fluid bolus - - correct ans- - B. Obtain a urine specimen for culture and sensitivity. D??? A nurse is caring for a client whose partner recently died. The nurse sits with the client to provide comfort. Which of the following ethical principles is the nurse demonstrating? A. Beneficence B. Autonomy C. Fidelity D. Veracity - - correct ans- - A. Beneficence Question 14: A nurse is caring for a female client who requests a contraceptive diaphragm. Which of the following actions should the nurse take first? A. Document the client's level of understanding about potential adverse effects. B. Teach the client how to insert the diaphragm. C. Determine the client's knowledge about diaphragm use. C. Determine the client's knowledge about diaphragm use. D. Supervise return demonstration of diaphragm use - - correct ans- - C. Determine the client's knowledge about diaphragm use. A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the nurse take? A. Encourage the client to watch television. B. Sit with the client to provide a sense of security. C. Administer a dose of atomoxetine to decrease anxiety.
D. Teach the client how to meditate. - - correct ans- - B. Sit with the client to provide a sense of security. A nurse inadvertently administered 160 mg of valsartan PO to a client who was scheduled to receive 80 mg. Which of the following actions is the priority for the nurse to take? A. Evaluate the client for orthostatic hypotension. B. Check the client for nasal congestion. C. Obtain the client's laboratory results. D. Monitor the client's urine output. - - correct ans- - A. Evaluate the client for orthostatic hypotension. A charge nurse is teaching a newly licensed nurse about the facility's computerized documentation system. Which of the following information should the nurse include? A. "Documentation of sensitive material is performed by the charge nurse." B. You will be given access to the medical records of every client in the facility. C. You will be asked to change your password once per year. D. "Information Technology will install a firewall to secure client information." - - correct ans- - C. You will be asked to change your password once per year. Question 18: A home health nurse is caring for a child who has Lyme disease. Which of the following is an appropriate action for the nurse to take? A. Educate the family to avoid sharing personal belongings. B. Ensure the state health department has been notified. C. Administer antitoxin. D. Assess for skin necrosis - - correct ans- - A. Educate the family to avoid sharing personal belongings.
A nurse is caring for a school-age child who is postoperative and received morphine via IV bolus for pain 10 min ago. Which of the following findings is the nurse's priority? A. Constipation B. Euphoria C. Bradypnea D. Sedation - - correct ans- - C. Bradypnea Question 56: A nurse is caring for a client who reports xerostomia following radiation therapy to the mandible. Which of the following is an appropriate action by the nurse? A. Suggest rinsing his mouth with an alcohol-based mouthwash. B. Provide humidification of the room air. C. Offer the client saltine crackers between meals. D. Instruct the client on the use of esophageal speech. - - correct ans- - B. Provide humidification of the room air. A nurse is providing teaching to a client who has a depressive disorder and a new prescription for amitriptyline. Which of the following statements by the client indicates an understanding of the teaching? A. "I can continue to take St. John's wort while taking this medication." B. "I should take this medication on an empty stomach." C. "I expect this medication to raise my blood pressure." D. "I know it will be a couple of weeks before the medication helps me feel better." - - correct ans- - D. "I know it will be a couple of weeks before the medication helps me feel better." A nurse is creating a plan of care for a female client who has recurrent urinary
tract infections. Which of the following interventions should the nurse include in the plan? A. Take a bubble bath after intercourse. B. Drink four 240 mL (8 oz) glasses of water each day. C. Wear loose-fitting underwear. D. Void every 5 to 6 hr during the day. - - correct ans- - C. Wear loose-fitting underwear. Question 59: A nurse is preparing to administer a medication that is available in a glass ampule. Which of the following actions should the nurse plan to take? A. The nurse should use a filter needle to withdraw the medication. B. The nurse should use the same needle to draw up and inject the client. C. The nurse should break the neck of the ampule toward their body. D. The nurse should dispose of the ampule in the trash can. - - correct ans- - A. The nurse should use a filter needle to withdraw the medication. A charge nurse is concerned about a recent increase in facility-acquired catheter infections. Which of the following actions should the nurse take first? A. Schedule nursing staff training for infection control procedures. B. Identify possible precipitating factors related to the infections. C. Meet with providers to discuss measures to decrease the infections. D. Revise the current policy for catheter care - - correct ans- - B. Identify possible precipitating factors related to the infections. A nurse is caring for a client who is experiencing expressive aphasia and right hemiparesis following a stroke. Which of the following actions by the nurse best promotes communication among staff caring for the client? A. Having interdisciplinary team meetings for the client on a regular basis B. Noting changes in the treatment plan in the client's medical record
