ATI RN VATI Comprehensive Predictor
Master Exam Preparation: Questions 82 to 180 ( Verified Answers & Clinical Rationales )
Target Exam: ATI Comprehensive / Format: High-Yield Questions & Status: Complete & Verified Review
NCLEX-RN Rationales
PART II: CORE PRACTICE QUESTIONS (Q82 – Q180)
Question 82
A nurse is assisting with the plan of care for a client who had a stroke and has dysphagia. Which of the
following interventions should the nurse include in the plan of care?
Offer a drink of ice water before meals
Maintain the client in an upright position for 10 mins after meals
✓ Remind the client to swallow twice with each bite of food
Engage the client in conversation during the meal
Clinical Rationale:
Swallowing twice (dry swallow) clears residual food/pharyngeal pooling from the pharynx, significantly reducing the risk of
aspiration. Clients with dysphagia should remain upright for at least 30–60 minutes after meals and should avoid distraction/
talking while eating.
Question 83
A nurse is discussing the use of epidural analgesia with a newly licensed nurse. Which of the following
statements by the newly licensed nurse indicates an understanding of this method of pain control?
I should instruct the client to administer a dose of medication when he feels pain
I should monitor the client for hypertension when he is receiving the analgesia
I should instruct the client that the medication is administered directly to the nerve
✓ I should report leaking at the insertion site to the anesthesiologist
Clinical Rationale:
Fluid leaking from an epidural catheter insertion site can indicate CSF leakage or catheter displacement and requires
immediate notification of the anesthesia provider/anesthesiologist. Epidural opioids/anesthetics routinely cause hypotension
(not hypertension) due to sympathetic blockade.
ATI RN VATI Comprehensive Predictor — High-Yield Exam Guide Page 1 of 10
, Question 84
A nurse at a mental health facility is assisting with the development of an education program for newly
licensed nurses. The nurse should include that it is appropriate to obtain a prescription to place a client in
seclusion in which of the following situations?
A client shouts degrading statements at a family member
A client states she is going to leave the facility in the middle of the night
A client refuses to take her medication and throws the pills toward the nurse's desk
✓ A client hits another client because she thought he was talking about her
Clinical Rationale:
Seclusion and restraint are emergency measures used ONLY when a client exhibits violent or aggressive behavior that
presents an immediate, physical danger to self or others, and after less restrictive measures have failed.
Question 85
A nurse is collecting data about health risks from a young adult client. Which of the following questions by
the nurse is the priority?
How many fruits and vegetables do you include in your diet
✓ How much alcohol do you consume on a regular basis
What types of physical activity do you engage in
Can you describe your peer relationships
Clinical Rationale:
Unintentional injury/accidents secondary to substance and alcohol use represent the leading cause of morbidity and
mortality in young adults. Screening for high-risk substance use takes priority over routine lifestyle assessments.
Question 86
A client who is diagnosed with Parkinson's disease verbalizes frustration due to increased difficulty with
ambulation. Which of the following is an appropriate response for the nurse to make?
Watch your feet when you walk to maintain balance to prevent falls
We should monitor your serum blood level of levodopa monthly
✓ Perform active range of motion with your arms and legs three times a day
You should consider using a wheelchair instead of trying to walk
Clinical Rationale:
Regular active ROM exercises help maintain muscle strength, flexibility, and joint mobility, preventing contractures and gait
deterioration in Parkinson's disease. Patients should be taught to walk upright while looking forward (not at feet) to preserve
posture.
ATI RN VATI Comprehensive Predictor — High-Yield Exam Guide Page 2 of 10
Master Exam Preparation: Questions 82 to 180 ( Verified Answers & Clinical Rationales )
Target Exam: ATI Comprehensive / Format: High-Yield Questions & Status: Complete & Verified Review
NCLEX-RN Rationales
PART II: CORE PRACTICE QUESTIONS (Q82 – Q180)
Question 82
A nurse is assisting with the plan of care for a client who had a stroke and has dysphagia. Which of the
following interventions should the nurse include in the plan of care?
Offer a drink of ice water before meals
Maintain the client in an upright position for 10 mins after meals
✓ Remind the client to swallow twice with each bite of food
Engage the client in conversation during the meal
Clinical Rationale:
Swallowing twice (dry swallow) clears residual food/pharyngeal pooling from the pharynx, significantly reducing the risk of
aspiration. Clients with dysphagia should remain upright for at least 30–60 minutes after meals and should avoid distraction/
talking while eating.
Question 83
A nurse is discussing the use of epidural analgesia with a newly licensed nurse. Which of the following
statements by the newly licensed nurse indicates an understanding of this method of pain control?
I should instruct the client to administer a dose of medication when he feels pain
I should monitor the client for hypertension when he is receiving the analgesia
I should instruct the client that the medication is administered directly to the nerve
✓ I should report leaking at the insertion site to the anesthesiologist
Clinical Rationale:
Fluid leaking from an epidural catheter insertion site can indicate CSF leakage or catheter displacement and requires
immediate notification of the anesthesia provider/anesthesiologist. Epidural opioids/anesthetics routinely cause hypotension
(not hypertension) due to sympathetic blockade.
ATI RN VATI Comprehensive Predictor — High-Yield Exam Guide Page 1 of 10
, Question 84
A nurse at a mental health facility is assisting with the development of an education program for newly
licensed nurses. The nurse should include that it is appropriate to obtain a prescription to place a client in
seclusion in which of the following situations?
A client shouts degrading statements at a family member
A client states she is going to leave the facility in the middle of the night
A client refuses to take her medication and throws the pills toward the nurse's desk
✓ A client hits another client because she thought he was talking about her
Clinical Rationale:
Seclusion and restraint are emergency measures used ONLY when a client exhibits violent or aggressive behavior that
presents an immediate, physical danger to self or others, and after less restrictive measures have failed.
Question 85
A nurse is collecting data about health risks from a young adult client. Which of the following questions by
the nurse is the priority?
How many fruits and vegetables do you include in your diet
✓ How much alcohol do you consume on a regular basis
What types of physical activity do you engage in
Can you describe your peer relationships
Clinical Rationale:
Unintentional injury/accidents secondary to substance and alcohol use represent the leading cause of morbidity and
mortality in young adults. Screening for high-risk substance use takes priority over routine lifestyle assessments.
Question 86
A client who is diagnosed with Parkinson's disease verbalizes frustration due to increased difficulty with
ambulation. Which of the following is an appropriate response for the nurse to make?
Watch your feet when you walk to maintain balance to prevent falls
We should monitor your serum blood level of levodopa monthly
✓ Perform active range of motion with your arms and legs three times a day
You should consider using a wheelchair instead of trying to walk
Clinical Rationale:
Regular active ROM exercises help maintain muscle strength, flexibility, and joint mobility, preventing contractures and gait
deterioration in Parkinson's disease. Patients should be taught to walk upright while looking forward (not at feet) to preserve
posture.
ATI RN VATI Comprehensive Predictor — High-Yield Exam Guide Page 2 of 10
