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ATI RN Comprehensive Predictor Practice Test –
2025 Latest Exam Questions, Correct Answers,
and Study Guide for NCLEX Success
Here are the multiple-choice questions and rationales for the provided text, with the correct answer indicated: Question 1: A nurse in an emergency department completes an assessment on an adolescent client that has conduct disorder. The client threatened suicide to a teacher at school. Which of the following statements should the nurse include in the assessment? a) Tell me about your siblings b) Tell me what kind of music you like c) Tell me how often do you drink alcohol - - correct ans- - c) Tell me how often do you drink alcohol d) Tell me about your school schedule Rationale: When an adolescent with conduct disorder threatens suicide, assessing for risk factors such as substance use (alcohol) is crucial. Substance use can impair judgment and increase impulsivity, elevating the risk of suicide. While family, interests, and school are important aspects of the overall assessment, the immediate priority in a suicide threat is to identify acute risk factors. Question 2: A nurse is observing bonding between a client and her newborn. Which of the following actions by the client requires the nurse to intervene? a) Holding the newborn in a face-to-face position b) Asking the father to change the newborn's diaper c) Requesting the nurse take the newborn to the nursery so she can rest d) Viewing the newborn's actions to be uncooperative - - correct ans- - d) Viewing the newborn's actions to be uncooperative
Rationale: Viewing the newborn's actions as "uncooperative" suggests a negative perception and potential difficulty with bonding. While needing rest and involving the partner are normal and healthy behaviors, negative attributions to the newborn's behavior can hinder the development of a positive parent-infant relationship. Holding the newborn face-to-face is an example of positive bonding. Question 3: A nurse is caring for a client who is taking levothyroxine. Which of the following findings should indicate that the medication is effective? a) Weight loss - - correct ans- - a) Weight loss b) Decreased blood pressure c) Absence of seizures d) Decreased inflammation Rationale: Levothyroxine is a synthetic thyroid hormone used to treat hypothyroidism (low thyroid hormone levels). Common symptoms of hypothyroidism include weight gain, fatigue, and cold intolerance. An effective response to levothyroxine would include weight loss as the metabolism normalizes. While blood pressure might be affected by thyroid function, weight loss is a more direct indicator of effective treatment for hypothyroidism. Levothyroxine is not a primary treatment for seizures or inflammation. Question 4: A nurse is planning discharge teaching for cord care for the parent of a newborn. Which instructions would you include in the teaching? a) Contact provider if the cord still turns black b) Clean the base of the cord with hydrogen peroxide daily c) Keep the cord dry until it falls off - - correct ans- - c) Keep the cord dry until it falls off d) The cord stump will fall off in five days Rationale: The current recommendation for cord care is to keep the cord dry and clean. Contacting the provider for a black cord is incorrect; the cord turns black as it dries. Hydrogen peroxide is not routinely recommended as it can interfere with the natural drying process. The cord typically falls off within 1-2 weeks, not specifically in five days. Question 5: A nurse is assessing a client in the PACU. Which of the following findings indicates decreased cardiac output? a) Shivering
assessment and intervention. The other options describe expected findings or less acute situations. Mucus in an ileal conduit is common. A palpable thrill in an arteriovenous fistula is normal. Red-tinged urine after a TURP is also expected initially. Question 8: A nurse is caring for a client who just received the first dose of lisinopril. Which of the following is an appropriate nursing intervention? a) Place on cardiac monitoring b) Monitor the client's oxygen saturation level c) Provide standby assist with the client from bed - - correct ans- - c) Provide standby assist with the client from bed d) Encourage foods high in potassium Rationale: Lisinopril is an ACE inhibitor that can cause hypotension, especially with the first dose. Providing standby assist helps prevent falls if the client experiences dizziness or lightheadedness due to a drop in blood pressure. Cardiac monitoring and oxygen saturation monitoring are not routinely required for a first dose unless there are other indications. ACE inhibitors can cause hyperkalemia, so encouraging high-potassium foods is contraindicated. Question 9: A nurse is caring for a client who is in labor and whose fetus is receiving electronic fetal monitoring. The nurse is reviewing the monitor tracing and notes early decelerations. Which of the following should the nurse expect? a) Fetal hypoxia b) Abruptio placentae c) Post maturity d) Head Compression - - correct ans- - d) Head Compression Rationale: Early decelerations are a transient decrease in fetal heart rate that mirrors the uterine contractions. They are typically caused by fetal head compression during labor and are considered a benign finding that does not usually indicate fetal distress or hypoxia. Abruptio placentae would likely cause late decelerations or other signs of fetal distress. Post-maturity is a gestational age factor and not directly linked to early decelerations.
A nurse is caring for a client who has chronic kidney disease. The nurse should identify which of the following laboratory values as in an indication for hemodialysis? a) glomerular filtration rate of 14 mL/ minute b) BUN 16 mg/DL c) serum magnesium 1.8 mg mg/dl d) Serum phosphorus 4.0 mg/dL - - correct ans- - a) glomerular filtration rate of 14 mL/ minute A nurse is caring for an infant who has a prescription for continuous pulse oximetry. The following is an appropriate action for the nurse to take? a) Placed infant under radiant warmer b) Move the probe site every 3 hours c) Heat the skin one minute prior to placing the program d) Placed a sensor on the index finger - - correct ans- - c) Heat the skin one minute prior to placing the program A nurse in a mental health facility receives a change of shift report on for clients. Which of the following clients should the nurse plan to assess first? a) Client placed in restraints to the aggressive behavior b) A new limited client pleasures history of 4.5 kg weight loss in the past two months c) Client is receiving a PRN dose of health heard all two hours ago for increased anxiety d) Applied he'll be receiving his first ECT treatment today - - correct ans- - a) Client placed in restraints to the aggressive behavior A nurse working at the clinic is teaching a group of clients who are pregnant on the use of non-pharmacological pain management. Which of the following statements by the nurse is an appropriate description of the use of hypnosis during labor? a) Hypnosis focuses on the biofeedback as a relaxation technique b) Hypnosis promotes increased control of her pain perception during contractions c) Hypnosis uses therapeutic touch to reduce anxiety during labor
the following laboratory values should nurse report to provider? a) WBC 3,000/mm b) Hemoglobin 14 g/dl c) Platelet 250,000/mm d) aPTT 30 seconds - - correct ans- - a) WBC 3,000/mm Home health nurse is carefully planned for Alzheimer's disease. To the following action should the nurse include in the plan of care a) Place a daily calendar in the kitchen b) Replace button clothing with zippered items c) Replace the carpet with hardwood floors d) Create variation in daily routine - - correct ans- - a) Place a daily calendar in the kitchen Nurse is performing change of shift assessments on 4 clients. Which of the following findings should the nurse report to provider first? a) The client was cystic fibrosis and has a thick productive clock and reports thirst b) Client who has gastroenteritis and is lethargic and confused c) The Client has diabetes mellitus has morning fasting Legal cost of 185 mg over deal d) The client was sick of signing it reports pain 15 minutes after receiving oral analgesic -
- correct ans- - b) Client who has gastroenteritis and is lethargic and confused A nurse is caring for a client was in the second trimester of pregnancy and asks how to treat constipation. Which of the following statements by the nurse is appropriate? a) Decrease taking vitamins and supplements to every other day b) Eat 15 g of fiber per day
c) Consume 48 ounces of water each day d) Drink hot water with lemon juice each morning when you wake up - - correct ans- - d) Drink hot water with lemon juice each morning when you wake up A nurse is caring for a client who is preparing his advance directives. Which is the following statements by the client indicates an understanding of advanced directives? select all that apply a) I can't change my instructions once a minute b) My doctor will need to approve my advance directives c) I need an attorney to witness my signature on the advance directives d) I have the right to refuse treatment e) My health care proxy can make medical decisions for me - - correct ans- - d) I have the right to refuse treatment e) My health care proxy can make medical decisions for me A nurse is caring for a client who is at 32 weeks gestation and has a history of cardiac disease. Which of the following positions should the nurse place the client to best promote optimal cardiac output? a) The chest b) Standing c) Supine d) Left lateral - - correct ans- - d) Left lateral A nurse is caring for a group of clients. Which of the following clients should the nurse assign to an AP? a) Client who has chronic obstructive pulmonary disease and needs guidance on incentive spirometry b) Client who has awoken following a bronchoscopy and requests a drink c) Client who had a myocardial infarction 3 days ago reports chest discomfort
A nurse is assessing client brought to the hospital psychiatric emergency services by a law enforcement officer. The client has disorganized, incoherent speech with loose associations and religious content. You should recognize the signs and symptoms as being consistent with which of the following? a) Alzheimer's disease b) Schizophrenia c) Substance intoxication d) Depression - - correct ans- - b) Schizophrenia A nurse is caring for a child who has infectious mononucleosis.. Which of the following findings are associated with this diagnosis? Select all that apply a) splenomegaly b) Koplik spots c) Malaise d) Vertigo e) Sore throat - - correct ans- - a) splenomegaly c) Malaise e) Sore throat Nurse is performing dressing change for client was a sacral wound using negative pressure wound therapy. Which The following actions should the nurse take first? a) Apply skin preparation to wound edges. b) Normal saline c) Don sterile gloves
d) Determine pain level - - correct ans- - d) Determine pain level A nurses caring for client recovery from the bowel surgery who has nasogastric tube connected to low intermittent suction. Which the following assessment findings should indicate to the nurse that the NG tube may not be functioning properly? a) Drainage fluid is greenish-yellow b) aspirate pH of 3 c) Abdominal rigidity d) air bubbles noted in the NG tube - - correct ans- - c) Abdominal rigidity A nurse is preparing to administer TPN with added fat supplements to a client who has malnutrition. Which of the following action should the nurse take? a) Piggyback 0.9 sodium chloride with TPN solution b) Check for an allergy to eggs c) Discuss the TPS solution for 12 hours d) Monitor for hypoglycemia - - correct ans- - b) Check for an allergy to eggs A charge nurse is discussing the use of applying ice to a client's injured knee with a newly licensed nurse. Which of the following should the nurse identify as a benefit? (A/C?) a) Systemic analgesic effect b) increase in your metabolism c) Decreased capillary permeability d) Vasodilation - - correct ans- - c) Decreased capillary permeability
a) I will be able starting this medication with feel better b) I can expect to urinate frequently while on this medication c) I understand I may experience difficulty sleeping on this medication d) I should decrease my sodium intake while on this medication - - correct ans- - c) I understand I may experience difficulty sleeping on this medication A nurse has been caring for a female client who has bruises on her arms that she explains are a result of physical abuse by her husband. The client states, "I don't know how much longer I can take this, but I'm afraid he'll really hurt me if I leave. "Which of the following is an appropriate nursing intervention?" a) Offer to speak to the client's husband regarding his abuse behavior. b) Help the client to recognize the signs of escalation of abuse behavior c) Assist the client to identify personal behaviors that trigger abusive behavior d) Assist the client to Reports abusive behavior to the proper authority - - correct ans- - b) Help the client to recognize the signs of escalation of abuse behavior A client was having suicidal thoughts tells the nurse "It just does not seem worth it anymore. Why not end my misery?" Which of the following responses for the nurses appropriate? a) Why do you think your life is not worth it anymore? b) Do you have a plan to end your life? c) I need to know what you mean my misery d) You can trust me and tell me what you're thinking - - correct ans- - b) Do you have a plan to end your life? A nurse is caring for a client who has schizophrenia. Which of the following assessment findings should the nurse expect?
a) Decreased level consciousness b) Unable to identify common objects c) Poor problem solving ability d) Preoccupation was somatic disturbances - - correct ans- - c) Poor problem solving ability A nurse is caring for a client who has deep vein thrombosis of the left lower extremity. Which of the following action should nurse take? There are 3 tabs that contain separate categories of data. a) Position the client with the affected extremity lower than the heart b) Administration of acetaminophen c) Massage the affected extremity every 4 hrs. d) Withhold heparin IV infusion - - correct ans- - d) Withhold heparin IV infusion Is caring for clients was a new prescription for enoxaparin for the prevention of DVT. Which of the following is an appropriate action by the nurse? a) Expel air bubble at the top of the prefilled syringe b) Massage the injection site to evenly distribute the medication c) Inject the medication the lateral abdominal wall d) Administer an NSAID for injection site discomfort - - correct ans- - c) Inject the medication the lateral abdominal wall Nurses caring for four clients. Which of the following client data should the nurse report to the provider? a) A client who has a pleurisy and reports pain of 6 on a scale of 0 to 10 when coughing b) Client was a total of 110 mL of serosanguineous fluid from the Jackson Pratt drain within the first 24 hour following surgery
b) Increased oxytocin infusion c) Decreased oxytocin infusion d) Maintain oxytocin infusion - - correct ans- - a) Discontinue oxytocin infusion A nurse is admitting a client who is in labor and at 38 wks of gestation to the maternal newborn unit. The client has a history of herpes simplex virus 2. Which of the following questions is most appropriate for the nurse to ask the client? a) Have your membranes ruptured? b) How far apart are your contractions? c) Do you have any active lesions? d) Are you positive for beta strap? - - correct ans- - c) Do you have any active lesions? Nurse is providing teaching for child prescribed ferrous sulfate. Which of the following instructions should the nurse include? a) Take with meals b) Take at bedtime c) Take with a glass of milk d) Take with a glass of orange juice - - correct ans- - d) Take with a glass of orange juice Four clients present to the emergency department. The nurse should plan to see which of the following clients first? a) A 6 year old client whose left shoulder is dislocated b) A 26 year old client for sickle cell disease and a severe joint pain c) A 76 year old client was confused, febrile and has foul smelling urine
d) A 50- year old client who has slurred speech, is disoriented, and reports a headache -
- correct ans- - d) A 50- year old client who has slurred speech, is disoriented, and reports a headache A nurse is completing a dietary assessment for client who is Jewish and observes kosher dietary practices. Which of the following behaviors should the nurse expect to find? a) Leavened bread maybe eaten during Passover. b) Shellfish is commonly consumed in the diet. c) Meat and dairy products are eaten separately. d) Fasting from meat occurs during Hanukkah. - - correct ans- - c) Meat and dairy products are eaten separately. A nurse is in an ER caring for client of multiple wounds due to a motor vehicle crash. Which of the following interventions are appropriate? Select all that apply a) Apply direct pressure to bleeding wounds b) Clean rest last rations and abrasions with hydrogen peroxide c) Cover wounds with a sterile dressing d) Administer 650 mg aspirin PO as needed for pain e) Determine date of last tetanus toxoid vaccination. - - correct ans- - a) Apply direct pressure to bleeding wounds c) Cover wounds with a sterile dressing e) Determine date of last tetanus toxoid vaccination. The nurses reviewing clients admission laboratory results. Which of the findings required further evaluation? a) Sodium 138 b) Creatinine 1.
A nurse is taking a medication history from client was type II diabetes mellitus is scheduled for an arteriogram. Which of the following medications to the nurses instruct the client to discontinue 48 hrs prior to the procedure? a) Atorvastatin b) Digoxin c) Nifedipine d) Metformin - - correct ans- - d) Metformin The nurses assessing client with posttraumatic stress disorder. Which of the following findings to the nurse expect to find? a) Dependence on family and friends b) Loss of interest in usual activities c) Ritualistic behavior d) Passive aggressive behavior - - correct ans- - b) Loss of interest in usual activities A nurse working in a long-term care facility is caring for an older adult client has dementia. The clients often agitated and frequently wanders the halls. Which of the following intervention should the nurse include in the plan of care? a) Give the client several choices when scheduling activities. b) Confront the client regarding unacceptable behavior c) Maintain Nutritional requirements by offering finger foods d) Stimulate the client by leaving the television on throughout the day - - correct ans- - c) Maintain Nutritional requirements by offering finger foods
A nurse on a mental health unit receives report on four clients. Which of the following client should the nurse attend to first? a) A client who has begun to demonstrate catatonic behavior b) The client was compulsive behavior and is frequently drinking from the water fountain c) Client was having auditory hallucinations is becoming agitated d) A client was making sexual comments to clients of the opposite sex - - correct ans- - c) Client was having auditory hallucinations is becoming agitated A nurse is caring for the full term newborn immediately following birth. Which of the following actions should the nurse take first? a) Instill erythromycin ophthalmic ointment and the newborn's eyes. b) Place identification bracelets on the newborn. c) Weigh the newborn. d) Dry the newborn - - correct ans- - d) Dry the newborn A nurse receives report on a group of clients. Which of the following client should the nurse attend to first? a) A client who was admitted with asthma and has an SaO2 of 92% long receiving oxygen at 1 L per minute via nasal cannula b) A client was admitted with angina and reports left arm pain of 4 on a scale of 0 to 10 c) The client was type II diabetes mellitus in his blood with glucose level is at 80 mg/dL d) A client who had a gastric endoscopy and whose nasogastric tube is draining 30 mL per hour of green fluid - - correct ans- - b) A client was admitted with angina and reports left arm pain of 4 on a scale of 0 to 10
