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ATI RN Comprehensive Predictor Exam 2025 –
100+ Verified Questions with Answers and NCLEX
Prep Review
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 child who has cystic fibrosis and requires postural drainage. Which of the following actions should the nurse take? A. Perform the procedure twice each day. B. Hold the hand flat to perform percussions on the child. C. Administer a bronchodilator after the procedure. D. Perform the procedure prior to meals. - - correct ans- - D. Perform the procedure prior to meals. Rationale: Postural drainage should be performed before meals or at least 1-2 hours after eating to minimize the risk of vomiting and aspiration. The frequency of the procedure depends on the child's condition and secretions. Cupped hands should be used for percussion to create an air cushion and loosen secretions. Bronchodilators are typically administered before postural drainage to open airways and enhance secretion removal. Question 2: A nurse is developing a plan of care for a newborn whose mother tested positive for heroin during pregnancy. The newborn is experiencing neonatal abstinence syndrome. Which of the following actions should the nurse include in the plan? A. Maintain eye contact with the newborn during feedings. B. Swaddle the newborn with his legs extended. C. Minimize noise in the newborn's environment. - - correct ans- - C. Minimize noise in the newborn's environment. D. Administer naloxone to the newborn. Rationale: Newborns experiencing neonatal abstinence syndrome are often hypersensitive to stimuli. Minimizing noise, light, and handling can help reduce
irritability and promote comfort. While eye contact during feedings can be encouraged in healthy newborns, it might be overstimulating for a NAS baby. Swaddling with legs flexed and arms close to the body is preferred. Naloxone is used to reverse opioid overdose and is not the primary treatment for NAS. Question 3: A nurse is admitting a client to a medical-surgical unit. When performing medication reconciliation for the client, which of the following actions should the nurse take? 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. Rationale: Medication reconciliation involves comparing the medications the client was taking at home with the new medications prescribed during hospitalization to identify and prevent potential discrepancies, such as omissions, duplications, or interactions. Nutritional supplements should be included in the medication list. While client involvement is important, the nurse is responsible for the initial reconciliation. Predicting all potential adverse effects is not the primary goal of this process. Question 4: 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." - - correct ans- - 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." Rationale: Absence seizures are characterized by a brief loss of consciousness with minimal or no motor activity, often appearing as a blank stare or daydreaming. They typically last only a few seconds (5-10 seconds), have a sudden onset and cessation, and are not usually preceded by an aura. Question 5:
Rationale: Swelling of the face during pregnancy, especially in combination with other symptoms like headache or visual disturbances, can be a sign of preeclampsia, a serious condition that requires immediate medical attention. Bleeding gums and urinary frequency are common discomforts of pregnancy. Faintness upon rising (orthostatic hypotension) is also common due to hormonal changes but should be reported if severe or persistent. Question 7: 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. - - correct ans- - 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. Rationale: Licensed Practical Nurses (LPNs) are competent in providing care for clients with stable and predictable outcomes. Performing a sterile dressing change is within their scope of practice. Completing discharge teaching for a new diagnosis, performing admission assessments, and completing the Glasgow Coma Scale for an evolving neurological condition typically require the assessment and teaching skills of a Registered Nurse (RN). Question 8: 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- - D. Evaluate the functioning of the suction device. Rationale: The priority action after a client with an NG tube vomits is to ensure the suction device is functioning correctly to prevent further aspiration and maintain decompression. While oral hygiene is important, and antiemetics might be needed,
confirming the functionality of the suction is the immediate first step. Replacing the NG tube is not indicated as the initial action unless there is evidence of malfunction. Question 9: 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. B. Place the arm above the level of the client's heart. C. Deflate the cuff quickly. D. Use the palpatory method to determine blood pressure. - - correct ans- - D. Use the palpatory method to determine blood pressure. Rationale: When auscultating blood pressure is difficult, using the palpatory method can provide an estimate of the systolic blood pressure. Using too large a cuff can lead to a falsely low reading. Placing the arm above the heart will result in a falsely low reading. Deflating the cuff quickly makes it harder to hear the Korotkoff sounds accurately. Question 10: A nurse is providing discharge teaching about home care of a surgical incision to a client who speaks a different language from the nurse. The nurse is communicating with the client using an interpreter. Which of the following actions should the nurse take? A. Use gestures to convey meaning. B. Speak slowly when talking to the interpreter. C. Speak directly to the client. - - correct ans- - C. Speak directly to the client. D. Pause in the middle of sentences. Rationale: When using an interpreter, the nurse should speak directly to the client, maintaining eye contact and observing their nonverbal cues. The interpreter will then convey the information in the client's language. Speaking slowly to the interpreter or pausing mid-sentence can disrupt the flow of interpretation. While gestures can supplement communication, they should not replace the interpreter's role. A public health nurse working in a rural area is developing a program to improve health for the local population. Which of the following actions should the nurse plan to take? A. Encourage rural residents to focus health spending on tertiary health interventions. B. Launch a media campaign to increase awareness about industrial pollution.
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 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 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. 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. - - correct ans- - A. Administer a cathartic suppository 30 min prior to scheduled defecation times.
A. Initiate airborne precautions. B. Monitor for the development of Koplik spots. C. Administer aspirin to the client. D. Isolate the client from staff who are pregnant. - - correct ans- - D. Isolate the client from staff who are pregnant. A nurse is planning care for a school-age child who is 4 hr postoperative following appendicitis. Which of the following actions should the nurse include in the plan of care? A. Offer small amounts of clear liquids 6 hr following surgery. B. Give cromolyn nebulized solution every 8 hr. 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 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 B. Ibuprofen C. Naproxen sodium D. Aspirin - - correct ans- - A. Acetaminophen 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
amniocentesis. The nurse should monitor the client for which of the following complications? A. Hypertension B. Epigastric pain C. Contractions D. Vomiting - - correct ans- - C. Contractions 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.
