ATI RN Comprehensive Predictor Exit Exam
2025/2026 | Complete 180 Actual Questions
with Verified Answers & Detailed Rationales
| Already Graded A+
Question 1
A nurse is caring for a client who has an arteriovenous fistula. Which of the following
findings should the nurse report?
A) Thrill upon palpation
B) Absence of a bruit
C) Distended blood vessels
D) Swishing sound upon auscultation
Answer: B
Rationale: Absence of bruit indicates decreased blood flow, suggesting stenosis or
thrombosis. Thrill and swishing sound are expected findings.
Question 2
A nurse is providing discharge teaching for a client who has an implantable cardioverter
defibrillator (ICD). Which of the following statements demonstrates understanding of
the teaching?
A) "I will soak in the tub rather than showering"
B) "I will wear loose clothing around my ICD"
C) "I will stop using my microwave oven at home because of my ICD"
D) "I can hold my cellphone on the same side of my body as the ICD"
Answer: B
Rationale: Loose clothing prevents irritation. Shower (not bathe), microwave is safe,
cell phone on opposite side at least 6 inches away.
Question 3
A nurse is caring for a client who is at 14 weeks gestation and reports feelings of
ambivalence about being pregnant. Which of the following responses should the nurse
make?
A) "Describe your feelings to me about being pregnant"
pg. 1
,B) "You should discuss your feelings about being pregnant with your provider"
C) "Have you discussed these feelings with your partner?"
D) "When did you start having these feelings?"
Answer: A
Rationale: Open-ended question encourages expression and validates ambivalence,
which is normal in first trimester.
Question 4
A nurse is planning care for a client who has a prescription for a bowel-training program
following a spinal cord injury. Which of the following actions should the nurse include
in the plan of care?
A) Encourage a maximum fluid intake of 1,500 ml per day
B) Increase the amount of refined grains in the client's diet
C) Provide the client with a cold drink prior to defecation
D) Administer a rectal suppository 30 minutes prior to scheduled defecation times
Answer: D
Rationale: Suppository stimulates defecation reflex. Fluids should be 2,000-3,000
mL, fiber increased, warm drinks stimulate peristalsis.
Question 5
A nurse is caring for a client who is in active labor and requests pain management.
Which of the following actions should the nurse take?
A) Administer ondansetron
B) Place the client in a warm shower
C) Apply fundal pressure during contractions
D) Assist the client to a supine position
Answer: B
Rationale: Warm shower is safe non-pharmacological pain management. Ondansetron
is for nausea, fundal pressure contraindicated, supine can cause hypotension.
Question 6
A nurse in an emergency department is performing triage for multiple clients following
a disaster in the community. To which of the following types of injuries should the nurse
assign the highest priority?
A) Below-the-knee amputation
B) Fractured tibia
pg. 2
,C) 95% full-thickness body burn
D) 10 cm (4 in) laceration to the forearm
Answer: A
Rationale: Below-knee amputation is life-threatening (emergent). 95% full-thickness
burn is expectant (likely non-survivable) in mass casualty.
Question 7
A nurse manager is updating protocols for the use of belt restraints. Which of the
following guidelines should the nurse include?
A) Remove the client's restraint every 4 hours
B) Document the client's condition every 15 minutes
C) Attach the restraint to the bed's side rails
D) Request a PRN restraint prescription for clients who are aggressive
Answer: B
Rationale: Document every 15 minutes. Remove every 2 hours, attach to bed frame
(not side rails), cannot be PRN.
Question 8
A nurse is teaching an in-service about nursing leadership. Which of the following
information should the nurse include about an effective leader?
A) Acts as an advocate for the nursing unit
B) Prioritizes staff requests over client needs
C) Provides routine client care and documentation
D) Avoids conflict
Answer: A
Rationale: Effective leader advocates for the unit, supports staff, promotes positive
work environment.
Question 9
A nurse is reviewing the laboratory findings of a client who has diabetes mellitus and
reports that she has been following her care plan. The nurse should identify which of the
following findings indicates a need to revise the client's plan of care?
A) Serum sodium 144 mEq/L
B) Hemoglobin A1C 8.5%
C) Fasting blood glucose 110 mg/dL
pg. 3
, D) Serum potassium 4.2 mEq/L
Answer: B
Rationale: A1C 8.5% indicates poor glycemic control (goal <7%). Plan needs revision.
Question 10
A nurse in a provider's office is reviewing the laboratory results of a group of clients. The
nurse should identify that which of the following sexually transmitted infections is a
nationally notifiable infectious disease that should be reported to the state health
department?
A) Chlamydia
B) Human papillomavirus
C) Candidiasis
D) Herpes simplex virus
Answer: A
Rationale: Chlamydia is nationally notifiable. HPV, candidiasis, herpes are not
reportable.
Question 11
A nurse is teaching a newly licensed nurse about therapeutic techniques to use when
leading a group on a mental health unit. Which of the following group facilitation
techniques should the nurse include in the teaching?
A) Share personal opinions to help influence the group's values
B) Measure the accomplishments of the group against a previous group
C) Yield in situations of conflicts to maintain group harmony
D) Use modeling to help the clients improve their interpersonal skills
Answer: D
Rationale: Modeling demonstrates appropriate interpersonal skills. Sharing opinions
and yielding to conflict are not therapeutic.
Question 12
A nurse is planning care for a client who practices Orthodox Judaism. The client tells the
nurse that it is the Passover holiday. Which of the following actions should the nurse
include in the plan of care?
A) Provide chicken with cream sauce
B) Avoid serving fish with fins and scales
C) Provide unleavened bread
pg. 4
2025/2026 | Complete 180 Actual Questions
with Verified Answers & Detailed Rationales
| Already Graded A+
Question 1
A nurse is caring for a client who has an arteriovenous fistula. Which of the following
findings should the nurse report?
A) Thrill upon palpation
B) Absence of a bruit
C) Distended blood vessels
D) Swishing sound upon auscultation
Answer: B
Rationale: Absence of bruit indicates decreased blood flow, suggesting stenosis or
thrombosis. Thrill and swishing sound are expected findings.
Question 2
A nurse is providing discharge teaching for a client who has an implantable cardioverter
defibrillator (ICD). Which of the following statements demonstrates understanding of
the teaching?
A) "I will soak in the tub rather than showering"
B) "I will wear loose clothing around my ICD"
C) "I will stop using my microwave oven at home because of my ICD"
D) "I can hold my cellphone on the same side of my body as the ICD"
Answer: B
Rationale: Loose clothing prevents irritation. Shower (not bathe), microwave is safe,
cell phone on opposite side at least 6 inches away.
Question 3
A nurse is caring for a client who is at 14 weeks gestation and reports feelings of
ambivalence about being pregnant. Which of the following responses should the nurse
make?
A) "Describe your feelings to me about being pregnant"
pg. 1
,B) "You should discuss your feelings about being pregnant with your provider"
C) "Have you discussed these feelings with your partner?"
D) "When did you start having these feelings?"
Answer: A
Rationale: Open-ended question encourages expression and validates ambivalence,
which is normal in first trimester.
Question 4
A nurse is planning care for a client who has a prescription for a bowel-training program
following a spinal cord injury. Which of the following actions should the nurse include
in the plan of care?
A) Encourage a maximum fluid intake of 1,500 ml per day
B) Increase the amount of refined grains in the client's diet
C) Provide the client with a cold drink prior to defecation
D) Administer a rectal suppository 30 minutes prior to scheduled defecation times
Answer: D
Rationale: Suppository stimulates defecation reflex. Fluids should be 2,000-3,000
mL, fiber increased, warm drinks stimulate peristalsis.
Question 5
A nurse is caring for a client who is in active labor and requests pain management.
Which of the following actions should the nurse take?
A) Administer ondansetron
B) Place the client in a warm shower
C) Apply fundal pressure during contractions
D) Assist the client to a supine position
Answer: B
Rationale: Warm shower is safe non-pharmacological pain management. Ondansetron
is for nausea, fundal pressure contraindicated, supine can cause hypotension.
Question 6
A nurse in an emergency department is performing triage for multiple clients following
a disaster in the community. To which of the following types of injuries should the nurse
assign the highest priority?
A) Below-the-knee amputation
B) Fractured tibia
pg. 2
,C) 95% full-thickness body burn
D) 10 cm (4 in) laceration to the forearm
Answer: A
Rationale: Below-knee amputation is life-threatening (emergent). 95% full-thickness
burn is expectant (likely non-survivable) in mass casualty.
Question 7
A nurse manager is updating protocols for the use of belt restraints. Which of the
following guidelines should the nurse include?
A) Remove the client's restraint every 4 hours
B) Document the client's condition every 15 minutes
C) Attach the restraint to the bed's side rails
D) Request a PRN restraint prescription for clients who are aggressive
Answer: B
Rationale: Document every 15 minutes. Remove every 2 hours, attach to bed frame
(not side rails), cannot be PRN.
Question 8
A nurse is teaching an in-service about nursing leadership. Which of the following
information should the nurse include about an effective leader?
A) Acts as an advocate for the nursing unit
B) Prioritizes staff requests over client needs
C) Provides routine client care and documentation
D) Avoids conflict
Answer: A
Rationale: Effective leader advocates for the unit, supports staff, promotes positive
work environment.
Question 9
A nurse is reviewing the laboratory findings of a client who has diabetes mellitus and
reports that she has been following her care plan. The nurse should identify which of the
following findings indicates a need to revise the client's plan of care?
A) Serum sodium 144 mEq/L
B) Hemoglobin A1C 8.5%
C) Fasting blood glucose 110 mg/dL
pg. 3
, D) Serum potassium 4.2 mEq/L
Answer: B
Rationale: A1C 8.5% indicates poor glycemic control (goal <7%). Plan needs revision.
Question 10
A nurse in a provider's office is reviewing the laboratory results of a group of clients. The
nurse should identify that which of the following sexually transmitted infections is a
nationally notifiable infectious disease that should be reported to the state health
department?
A) Chlamydia
B) Human papillomavirus
C) Candidiasis
D) Herpes simplex virus
Answer: A
Rationale: Chlamydia is nationally notifiable. HPV, candidiasis, herpes are not
reportable.
Question 11
A nurse is teaching a newly licensed nurse about therapeutic techniques to use when
leading a group on a mental health unit. Which of the following group facilitation
techniques should the nurse include in the teaching?
A) Share personal opinions to help influence the group's values
B) Measure the accomplishments of the group against a previous group
C) Yield in situations of conflicts to maintain group harmony
D) Use modeling to help the clients improve their interpersonal skills
Answer: D
Rationale: Modeling demonstrates appropriate interpersonal skills. Sharing opinions
and yielding to conflict are not therapeutic.
Question 12
A nurse is planning care for a client who practices Orthodox Judaism. The client tells the
nurse that it is the Passover holiday. Which of the following actions should the nurse
include in the plan of care?
A) Provide chicken with cream sauce
B) Avoid serving fish with fins and scales
C) Provide unleavened bread
pg. 4
