ATI Comprehensive Predictor Questions and
Correct Answers (Verified Answers) Plus
Rationales 2026 Q&A | Instant Download Pdf
1. A nurse is caring for a client who has heart failure and is
prescribed furosemide. Which assessment finding indicates the
medication is effective?
A. Increased blood pressure
B. Decreased urine output
C. Reduction in peripheral edema
D. Increased jugular venous distention
Rationale: Furosemide is a loop diuretic that promotes sodium and
water excretion, reducing fluid overload. A reduction in peripheral
edema indicates that excess fluid is being removed effectively.
Increased urine output, improved lung sounds, decreased weight, and
reduced edema are expected therapeutic responses.
2. A nurse is caring for a client with chronic obstructive pulmonary
disease (COPD). Which oxygen delivery method is most
appropriate?
,A. Nonrebreather mask at 15 L/min
B. Venturi mask at 100% oxygen
C. Nasal cannula at 1–2 L/min
D. Simple face mask at 10 L/min
Rationale: Clients with COPD often rely on hypoxic respiratory drive.
Low-flow oxygen delivered via nasal cannula helps maintain oxygen
saturation while minimizing the risk of suppressing respiratory drive.
Oxygen should be titrated to achieve target saturations according to
provider orders.
3. A nurse is teaching a client prescribed warfarin. Which statement
by the client indicates understanding?
A. "I should avoid all green vegetables."
B. "I will have my INR checked regularly."
C. "I can take aspirin for headaches."
D. "If I miss a dose, I'll double the next dose."
Rationale: Warfarin therapy requires routine INR monitoring to ensure
therapeutic anticoagulation while minimizing bleeding risk. Clients
should maintain consistent—not eliminate—vitamin K intake, avoid
NSAIDs unless approved, and never double doses.
4. A nurse is assessing a client experiencing hypoglycemia. Which
finding should the nurse expect?
,A. Bradycardia
B. Dry skin
C. Diaphoresis and tremors
D. Slow respirations
Rationale: Hypoglycemia stimulates the sympathetic nervous system,
producing diaphoresis, tremors, tachycardia, anxiety, and hunger.
Severe hypoglycemia may also result in confusion, seizures, or loss of
consciousness if untreated.
5. A nurse is caring for a client after a thyroidectomy. Which
assessment finding requires immediate intervention?
A. Hoarse voice immediately after surgery
B. Mild incisional pain
C. Inspiratory stridor
D. Small amount of bloody drainage
Rationale: Inspiratory stridor indicates airway obstruction, which is a
life-threatening complication following thyroid surgery. Causes may
include laryngeal edema or hematoma formation. The nurse should
notify the provider immediately and prepare for emergency airway
management.
6. A nurse is assessing a client with increased intracranial pressure.
Which finding is most concerning?
, A. Headache
B. Nausea
C. Decreased level of consciousness
D. Blurred vision
Rationale: A declining level of consciousness is the earliest and most
reliable indicator of worsening intracranial pressure. Prompt
recognition is critical because untreated increased ICP can lead to
brain herniation and death.
7. A nurse is teaching a client about insulin administration. Which
insulin has the fastest onset?
A. NPH
B. Regular
C. Glargine
D. Lispro
Rationale: Lispro is a rapid-acting insulin that begins working within
approximately 15 minutes. It should be administered immediately
before meals to reduce the risk of hypoglycemia.
8. A nurse is caring for a client receiving a blood transfusion. Which
finding indicates an acute hemolytic transfusion reaction?
Correct Answers (Verified Answers) Plus
Rationales 2026 Q&A | Instant Download Pdf
1. A nurse is caring for a client who has heart failure and is
prescribed furosemide. Which assessment finding indicates the
medication is effective?
A. Increased blood pressure
B. Decreased urine output
C. Reduction in peripheral edema
D. Increased jugular venous distention
Rationale: Furosemide is a loop diuretic that promotes sodium and
water excretion, reducing fluid overload. A reduction in peripheral
edema indicates that excess fluid is being removed effectively.
Increased urine output, improved lung sounds, decreased weight, and
reduced edema are expected therapeutic responses.
2. A nurse is caring for a client with chronic obstructive pulmonary
disease (COPD). Which oxygen delivery method is most
appropriate?
,A. Nonrebreather mask at 15 L/min
B. Venturi mask at 100% oxygen
C. Nasal cannula at 1–2 L/min
D. Simple face mask at 10 L/min
Rationale: Clients with COPD often rely on hypoxic respiratory drive.
Low-flow oxygen delivered via nasal cannula helps maintain oxygen
saturation while minimizing the risk of suppressing respiratory drive.
Oxygen should be titrated to achieve target saturations according to
provider orders.
3. A nurse is teaching a client prescribed warfarin. Which statement
by the client indicates understanding?
A. "I should avoid all green vegetables."
B. "I will have my INR checked regularly."
C. "I can take aspirin for headaches."
D. "If I miss a dose, I'll double the next dose."
Rationale: Warfarin therapy requires routine INR monitoring to ensure
therapeutic anticoagulation while minimizing bleeding risk. Clients
should maintain consistent—not eliminate—vitamin K intake, avoid
NSAIDs unless approved, and never double doses.
4. A nurse is assessing a client experiencing hypoglycemia. Which
finding should the nurse expect?
,A. Bradycardia
B. Dry skin
C. Diaphoresis and tremors
D. Slow respirations
Rationale: Hypoglycemia stimulates the sympathetic nervous system,
producing diaphoresis, tremors, tachycardia, anxiety, and hunger.
Severe hypoglycemia may also result in confusion, seizures, or loss of
consciousness if untreated.
5. A nurse is caring for a client after a thyroidectomy. Which
assessment finding requires immediate intervention?
A. Hoarse voice immediately after surgery
B. Mild incisional pain
C. Inspiratory stridor
D. Small amount of bloody drainage
Rationale: Inspiratory stridor indicates airway obstruction, which is a
life-threatening complication following thyroid surgery. Causes may
include laryngeal edema or hematoma formation. The nurse should
notify the provider immediately and prepare for emergency airway
management.
6. A nurse is assessing a client with increased intracranial pressure.
Which finding is most concerning?
, A. Headache
B. Nausea
C. Decreased level of consciousness
D. Blurred vision
Rationale: A declining level of consciousness is the earliest and most
reliable indicator of worsening intracranial pressure. Prompt
recognition is critical because untreated increased ICP can lead to
brain herniation and death.
7. A nurse is teaching a client about insulin administration. Which
insulin has the fastest onset?
A. NPH
B. Regular
C. Glargine
D. Lispro
Rationale: Lispro is a rapid-acting insulin that begins working within
approximately 15 minutes. It should be administered immediately
before meals to reduce the risk of hypoglycemia.
8. A nurse is caring for a client receiving a blood transfusion. Which
finding indicates an acute hemolytic transfusion reaction?
