ATI RN COMPREHENSIVE PREDICTOR ACTUAL EXAM
REVIEW WITH SCREENSHOTS | STUDY GUIDE |
TESTBANK | PRACTICE QUESTIONS & ANSWERS | EXAM
PREPARATION | COMPREHENSIVE PRACTICE EXAM |
LATEST UPDATE 2026/2027 | ADVANCED REVIEW
Question 1: Infant Fontanel Assessment
ummary:
S
The question asks you to determine which finding is considerednormalwhen
assessing the fontanels of an8-month-oldinfant.
Underlying Nursing Concept:
G
● rowth and development of the infant skull.
● Expected timing of fontanel closure.
● Recognition of normal versus abnormal pediatric assessment findings.
Key Takeaways:
● T heanterior fontanelnormally remains open until approximately12–18
months.
● Theposterior fontaneltypically closes by2–3 monthsof age.
, P
● ersistent molding is expected only shortly after birth, not at 8 months.
● Nurses should distinguish normal developmental findings from signs of
dehydration, increased intracranial pressure, or cranial abnormalities.
Question 2: ALS with Dysphagia
ummary:
S
The question asks which member of the interdisciplinary healthcare team should
be consulted first for a client withamyotrophic lateral sclerosis (ALS)who
hasdifficulty swallowing (dysphagia).
Underlying Nursing Concept:
I nterprofessional collaboration.
●
● Airway protection and aspiration prevention.
● Management of neurological disorders affecting swallowing.
Key Takeaways:
D
● ysphagia greatly increases the risk of aspiration.
● A swallowing evaluation is a priority before oral intake continues.
● Nurses should recognize which healthcare professional specializes in
swallowing assessment and therapy.
● Preventing aspiration takes priority over nutritional optimization or
mobility interventions.
,Question 3: Pediatric Postoperative Assessment
ummary:
S
This item presents several exhibits (vital signs and clinical information) for a
preschool child recovering from an appendectomy. You must complete
statements identifying postoperative risks based on the assessment findings.
Underlying Nursing Concept:
C
● linical judgment using multiple sources of patient data.
● Recognition of postoperative respiratory complications.
● Pediatric postoperative nursing care.
Key Takeaways:
● C hildren recovering from abdominal surgery are at increased risk for
respiratory complications because pain limits deep breathing.
● Shallow respirations reduce lung expansion and promote secretion
retention.
● Incentive spirometry, coughing, deep breathing, and early ambulation
help prevent postoperative pulmonary complications.
● Nurses must integrate assessment findings from several exhibits before
identifying the priority problem.
, Question 4: Emergency Department Priority Actions
ummary:
S
This is a multiple-response question requiring identification of several nursing
actions after reviewing changing vital signs and assessment findings of an
emergency department client.
Underlying Nursing Concept:
P
● rioritization using the ABCs (Airway, Breathing, Circulation).
● Recognition of acute cardiovascular deterioration.
● Rapid intervention for suspected acute coronary syndrome.
Key Takeaways:
● W orsening oxygen saturation, increasing blood pressure, and increasing
heart rate suggest clinical deterioration.
● A 12-lead ECG is essential for rapid evaluation of possible myocardial
ischemia.
● Oxygen therapy may be indicated for hypoxemia.
● Preparing for definitive cardiac intervention is often necessary when
myocardial infarction is suspected.
● Nurses must distinguish cardiac emergencies from respiratory or
infectious causes when selecting priority interventions.
REVIEW WITH SCREENSHOTS | STUDY GUIDE |
TESTBANK | PRACTICE QUESTIONS & ANSWERS | EXAM
PREPARATION | COMPREHENSIVE PRACTICE EXAM |
LATEST UPDATE 2026/2027 | ADVANCED REVIEW
Question 1: Infant Fontanel Assessment
ummary:
S
The question asks you to determine which finding is considerednormalwhen
assessing the fontanels of an8-month-oldinfant.
Underlying Nursing Concept:
G
● rowth and development of the infant skull.
● Expected timing of fontanel closure.
● Recognition of normal versus abnormal pediatric assessment findings.
Key Takeaways:
● T heanterior fontanelnormally remains open until approximately12–18
months.
● Theposterior fontaneltypically closes by2–3 monthsof age.
, P
● ersistent molding is expected only shortly after birth, not at 8 months.
● Nurses should distinguish normal developmental findings from signs of
dehydration, increased intracranial pressure, or cranial abnormalities.
Question 2: ALS with Dysphagia
ummary:
S
The question asks which member of the interdisciplinary healthcare team should
be consulted first for a client withamyotrophic lateral sclerosis (ALS)who
hasdifficulty swallowing (dysphagia).
Underlying Nursing Concept:
I nterprofessional collaboration.
●
● Airway protection and aspiration prevention.
● Management of neurological disorders affecting swallowing.
Key Takeaways:
D
● ysphagia greatly increases the risk of aspiration.
● A swallowing evaluation is a priority before oral intake continues.
● Nurses should recognize which healthcare professional specializes in
swallowing assessment and therapy.
● Preventing aspiration takes priority over nutritional optimization or
mobility interventions.
,Question 3: Pediatric Postoperative Assessment
ummary:
S
This item presents several exhibits (vital signs and clinical information) for a
preschool child recovering from an appendectomy. You must complete
statements identifying postoperative risks based on the assessment findings.
Underlying Nursing Concept:
C
● linical judgment using multiple sources of patient data.
● Recognition of postoperative respiratory complications.
● Pediatric postoperative nursing care.
Key Takeaways:
● C hildren recovering from abdominal surgery are at increased risk for
respiratory complications because pain limits deep breathing.
● Shallow respirations reduce lung expansion and promote secretion
retention.
● Incentive spirometry, coughing, deep breathing, and early ambulation
help prevent postoperative pulmonary complications.
● Nurses must integrate assessment findings from several exhibits before
identifying the priority problem.
, Question 4: Emergency Department Priority Actions
ummary:
S
This is a multiple-response question requiring identification of several nursing
actions after reviewing changing vital signs and assessment findings of an
emergency department client.
Underlying Nursing Concept:
P
● rioritization using the ABCs (Airway, Breathing, Circulation).
● Recognition of acute cardiovascular deterioration.
● Rapid intervention for suspected acute coronary syndrome.
Key Takeaways:
● W orsening oxygen saturation, increasing blood pressure, and increasing
heart rate suggest clinical deterioration.
● A 12-lead ECG is essential for rapid evaluation of possible myocardial
ischemia.
● Oxygen therapy may be indicated for hypoxemia.
● Preparing for definitive cardiac intervention is often necessary when
myocardial infarction is suspected.
● Nurses must distinguish cardiac emergencies from respiratory or
infectious causes when selecting priority interventions.
