ATI COMPREHENSIVE PN PREDICTOR |
2026/2027 TESTBANK | LATEST UPDATE FOR
GRADE A+
___________________________________________________
1. A nurse is caring for a client with a new prescription for a low-fiber diet. Which
food should the nurse recommend?
A. Brown rice
B. Fresh broccoli
C. White bread
D. Lentils
Correct answer: C
Examiner’s Note: White bread is low in fiber. Brown rice, broccoli, and lentils are high in
fiber.
2. A nurse is providing discharge teaching to a client with a new prescription for
digoxin. Which statement by the client indicates understanding?
A. "I will take an extra dose if I miss one."
B. "I will check my pulse before taking the medication."
C. "I will take the medication with antacids to prevent upset stomach."
D. "I will stop taking it if I feel dizzy."
,Correct answer: B
Examiner’s Note: Digoxin can cause bradycardia; the pulse should be checked before each
dose. Do not double doses or stop abruptly.
3. A nurse is assessing a client 2 hours after a thoracentesis. Which finding requires
immediate action?
A. Respiratory rate 18/min
B. Oxygen saturation 89%
C. Pain rated 2/10 at insertion site
D. Small amount of serous drainage on dressing
Correct answer: B
Examiner’s Note: Hypoxemia after thoracentesis may indicate pneumothorax, a serious
complication.
4. A nurse is preparing to insert a urinary catheter. Which action maintains sterile
technique?
A. Opening the outer packaging before applying sterile gloves
B. Placing the sterile field on the client’s bedside table
C. Using clean gloves to handle the catheter
D. Opening the inner wrapper after putting on sterile gloves
Correct answer: A
Examiner’s Note: The outer packaging is opened before donning sterile gloves. The sterile
field must be on a dry, clean surface.
5. A nurse is caring for a client with a new diagnosis of bipolar disorder. Which
finding is most consistent with mania?
A. Flat affect
B. Pressured speech
C. Psychomotor retardation
D. Social withdrawal
Correct answer: B
Examiner’s Note: Pressured speech is a classic sign of mania. Flat affect and withdrawal
are seen in depression.
6. A nurse is assessing a client with a new diagnosis of hyperthyroidism. Which
finding should the nurse expect?
,A. Weight gain
B. Cold intolerance
C. Bradycardia
D. Fine tremor of the hands
Correct answer: D
Examiner’s Note: Hyperthyroidism causes tremor, weight loss, tachycardia, and heat
intolerance.
7. A nurse is providing teaching to a client with a new prescription for warfarin.
Which over-the-counter medication should the client avoid?
A. Acetaminophen
B. Ibuprofen
C. Diphenhydramine
D. Loratadine
Correct answer: B
Examiner’s Note: NSAIDs like ibuprofen increase bleeding risk with warfarin.
Acetaminophen is safer but should still be used cautiously.
8. A nurse is caring for a client who has a new colostomy. The stoma appears
bright red and moist. Which action should the nurse take?
A. Apply a cold compress
B. Notify the provider immediately
C. Document as a normal finding
D. Gently massage the stoma
Correct answer: C
Examiner’s Note: A healthy stoma is pink to bright red and moist. Dark purple indicates
ischemia.
9. A nurse is assessing a client with a new diagnosis of hypothyroidism. Which
laboratory finding is expected?
A. Elevated TSH
B. Decreased TSH
C. Elevated T3
D. Elevated T4
Correct answer: A
, Examiner’s Note: Primary hypothyroidism causes elevated TSH due to lack of negative
feedback.
10. A nurse is preparing to administer a blood transfusion. Which action should
the nurse take first?
A. Start a large-bore IV line
B. Obtain signed informed consent
C. Check vital signs
D. Verify client identity and blood compatibility with another nurse
Correct answer: D
Examiner’s Note: Verification of client identity and blood compatibility is the first and most
critical step to prevent hemolytic reaction.
11. A nurse is caring for a client with heart failure who reports sudden shortness of
breath and coughing pink, frothy sputum. Which action should the nurse take
first?
A. Place the client in high-Fowler’s position
B. Administer furosemide IV
C. Apply a pulse oximeter
D. Notify the provider
Correct answer: A
Examiner’s Note: High-Fowler’s position reduces preload and improves breathing in
pulmonary edema. Oxygenation is the priority.
12. A nurse is providing discharge teaching to a client with a new prescription for
furosemide. Which food should the nurse recommend to prevent a common
adverse effect?
A. Apples
B. Bananas
C. White rice
D. Green beans
Correct answer: B
Examiner’s Note: Furosemide causes hypokalemia; bananas are rich in potassium.
13. A nurse is assessing a client with a new diagnosis of pneumonia. Which finding
is most concerning?
2026/2027 TESTBANK | LATEST UPDATE FOR
GRADE A+
___________________________________________________
1. A nurse is caring for a client with a new prescription for a low-fiber diet. Which
food should the nurse recommend?
A. Brown rice
B. Fresh broccoli
C. White bread
D. Lentils
Correct answer: C
Examiner’s Note: White bread is low in fiber. Brown rice, broccoli, and lentils are high in
fiber.
2. A nurse is providing discharge teaching to a client with a new prescription for
digoxin. Which statement by the client indicates understanding?
A. "I will take an extra dose if I miss one."
B. "I will check my pulse before taking the medication."
C. "I will take the medication with antacids to prevent upset stomach."
D. "I will stop taking it if I feel dizzy."
,Correct answer: B
Examiner’s Note: Digoxin can cause bradycardia; the pulse should be checked before each
dose. Do not double doses or stop abruptly.
3. A nurse is assessing a client 2 hours after a thoracentesis. Which finding requires
immediate action?
A. Respiratory rate 18/min
B. Oxygen saturation 89%
C. Pain rated 2/10 at insertion site
D. Small amount of serous drainage on dressing
Correct answer: B
Examiner’s Note: Hypoxemia after thoracentesis may indicate pneumothorax, a serious
complication.
4. A nurse is preparing to insert a urinary catheter. Which action maintains sterile
technique?
A. Opening the outer packaging before applying sterile gloves
B. Placing the sterile field on the client’s bedside table
C. Using clean gloves to handle the catheter
D. Opening the inner wrapper after putting on sterile gloves
Correct answer: A
Examiner’s Note: The outer packaging is opened before donning sterile gloves. The sterile
field must be on a dry, clean surface.
5. A nurse is caring for a client with a new diagnosis of bipolar disorder. Which
finding is most consistent with mania?
A. Flat affect
B. Pressured speech
C. Psychomotor retardation
D. Social withdrawal
Correct answer: B
Examiner’s Note: Pressured speech is a classic sign of mania. Flat affect and withdrawal
are seen in depression.
6. A nurse is assessing a client with a new diagnosis of hyperthyroidism. Which
finding should the nurse expect?
,A. Weight gain
B. Cold intolerance
C. Bradycardia
D. Fine tremor of the hands
Correct answer: D
Examiner’s Note: Hyperthyroidism causes tremor, weight loss, tachycardia, and heat
intolerance.
7. A nurse is providing teaching to a client with a new prescription for warfarin.
Which over-the-counter medication should the client avoid?
A. Acetaminophen
B. Ibuprofen
C. Diphenhydramine
D. Loratadine
Correct answer: B
Examiner’s Note: NSAIDs like ibuprofen increase bleeding risk with warfarin.
Acetaminophen is safer but should still be used cautiously.
8. A nurse is caring for a client who has a new colostomy. The stoma appears
bright red and moist. Which action should the nurse take?
A. Apply a cold compress
B. Notify the provider immediately
C. Document as a normal finding
D. Gently massage the stoma
Correct answer: C
Examiner’s Note: A healthy stoma is pink to bright red and moist. Dark purple indicates
ischemia.
9. A nurse is assessing a client with a new diagnosis of hypothyroidism. Which
laboratory finding is expected?
A. Elevated TSH
B. Decreased TSH
C. Elevated T3
D. Elevated T4
Correct answer: A
, Examiner’s Note: Primary hypothyroidism causes elevated TSH due to lack of negative
feedback.
10. A nurse is preparing to administer a blood transfusion. Which action should
the nurse take first?
A. Start a large-bore IV line
B. Obtain signed informed consent
C. Check vital signs
D. Verify client identity and blood compatibility with another nurse
Correct answer: D
Examiner’s Note: Verification of client identity and blood compatibility is the first and most
critical step to prevent hemolytic reaction.
11. A nurse is caring for a client with heart failure who reports sudden shortness of
breath and coughing pink, frothy sputum. Which action should the nurse take
first?
A. Place the client in high-Fowler’s position
B. Administer furosemide IV
C. Apply a pulse oximeter
D. Notify the provider
Correct answer: A
Examiner’s Note: High-Fowler’s position reduces preload and improves breathing in
pulmonary edema. Oxygenation is the priority.
12. A nurse is providing discharge teaching to a client with a new prescription for
furosemide. Which food should the nurse recommend to prevent a common
adverse effect?
A. Apples
B. Bananas
C. White rice
D. Green beans
Correct answer: B
Examiner’s Note: Furosemide causes hypokalemia; bananas are rich in potassium.
13. A nurse is assessing a client with a new diagnosis of pneumonia. Which finding
is most concerning?
