ATI Comprehensive Predictor
Examination 2026–2027 | Comprehensive
Question Practice Test with Answers &
Rationales| Free Pdf Access
1. A nurse is caring for a client with heart failure. Which assessment finding
should be reported immediately?
A. Mild ankle edema
B. Weight gain of 5 lb in 2 days
C. Fatigue after activity
D. Blood pressure 138/84 mmHg
Correct Answer: B
Rationale: Rapid weight gain indicates fluid retention and possible worsening heart
failure.
2. Which client should the nurse assess first?
A. Client requesting pain medication
B. Client with oxygen saturation of 82%
C. Client awaiting discharge instructions
D. Client requesting assistance to ambulate
Correct Answer: B
Rationale: Oxygen saturation of 82% indicates severe hypoxemia requiring immediate
intervention.
3. A client receiving furosemide is at risk for:
A. Hyperkalemia
B. Hypokalemia
,C. Hypercalcemia
D. Hypernatremia
Correct Answer: B
Rationale: Furosemide can increase potassium excretion and lead to hypokalemia.
4. Which finding is expected in a client with hypoglycemia?
A. Polyuria
B. Fruity breath odor
C. Diaphoresis
D. Kussmaul respirations
Correct Answer: C
Rationale: Sweating, shakiness, and anxiety are common manifestations of hypoglycemia.
5. A nurse is caring for a client experiencing anaphylaxis. Which medication
should be administered first?
A. Diphenhydramine
B. Epinephrine
C. Hydrocortisone
D. Acetaminophen
Correct Answer: B
Rationale: Epinephrine is the first-line treatment for anaphylactic reactions.
6. Which laboratory value requires immediate intervention?
A. Potassium 6.6 mEq/L
B. Sodium 138 mEq/L
C. Hemoglobin 13 g/dL
D. Glucose 102 mg/dL
Correct Answer: A
Rationale: Severe hyperkalemia can cause life-threatening cardiac dysrhythmias.
7. A client with COPD becomes increasingly restless. The nurse should:
A. Encourage sleep
B. Assess oxygenation status
, C. Restrict fluids
D. Document findings
Correct Answer: B
Rationale: Restlessness may be an early sign of hypoxia.
8. Which intervention is appropriate for seizure precautions?
A. Restrain the client
B. Insert an oral airway during seizure activity
C. Pad side rails
D. Place the client in restraints
Correct Answer: C
Rationale: Padding side rails helps prevent injury during seizures.
9. A client develops chills and fever during a blood transfusion. What is the
nurse's first action?
A. Continue the transfusion
B. Slow the transfusion
C. Stop the transfusion
D. Administer acetaminophen
Correct Answer: C
Rationale: The nurse should immediately stop a transfusion when a reaction is suspected.
10. Which assessment finding indicates fluid volume overload?
A. Dry mucous membranes
B. Hypotension
C. Crackles in the lungs
D. Flat neck veins
Correct Answer: C
Rationale: Crackles suggest excess fluid accumulation in the lungs.
11. A nurse is teaching a client about warfarin therapy. Which statement
indicates understanding?
Examination 2026–2027 | Comprehensive
Question Practice Test with Answers &
Rationales| Free Pdf Access
1. A nurse is caring for a client with heart failure. Which assessment finding
should be reported immediately?
A. Mild ankle edema
B. Weight gain of 5 lb in 2 days
C. Fatigue after activity
D. Blood pressure 138/84 mmHg
Correct Answer: B
Rationale: Rapid weight gain indicates fluid retention and possible worsening heart
failure.
2. Which client should the nurse assess first?
A. Client requesting pain medication
B. Client with oxygen saturation of 82%
C. Client awaiting discharge instructions
D. Client requesting assistance to ambulate
Correct Answer: B
Rationale: Oxygen saturation of 82% indicates severe hypoxemia requiring immediate
intervention.
3. A client receiving furosemide is at risk for:
A. Hyperkalemia
B. Hypokalemia
,C. Hypercalcemia
D. Hypernatremia
Correct Answer: B
Rationale: Furosemide can increase potassium excretion and lead to hypokalemia.
4. Which finding is expected in a client with hypoglycemia?
A. Polyuria
B. Fruity breath odor
C. Diaphoresis
D. Kussmaul respirations
Correct Answer: C
Rationale: Sweating, shakiness, and anxiety are common manifestations of hypoglycemia.
5. A nurse is caring for a client experiencing anaphylaxis. Which medication
should be administered first?
A. Diphenhydramine
B. Epinephrine
C. Hydrocortisone
D. Acetaminophen
Correct Answer: B
Rationale: Epinephrine is the first-line treatment for anaphylactic reactions.
6. Which laboratory value requires immediate intervention?
A. Potassium 6.6 mEq/L
B. Sodium 138 mEq/L
C. Hemoglobin 13 g/dL
D. Glucose 102 mg/dL
Correct Answer: A
Rationale: Severe hyperkalemia can cause life-threatening cardiac dysrhythmias.
7. A client with COPD becomes increasingly restless. The nurse should:
A. Encourage sleep
B. Assess oxygenation status
, C. Restrict fluids
D. Document findings
Correct Answer: B
Rationale: Restlessness may be an early sign of hypoxia.
8. Which intervention is appropriate for seizure precautions?
A. Restrain the client
B. Insert an oral airway during seizure activity
C. Pad side rails
D. Place the client in restraints
Correct Answer: C
Rationale: Padding side rails helps prevent injury during seizures.
9. A client develops chills and fever during a blood transfusion. What is the
nurse's first action?
A. Continue the transfusion
B. Slow the transfusion
C. Stop the transfusion
D. Administer acetaminophen
Correct Answer: C
Rationale: The nurse should immediately stop a transfusion when a reaction is suspected.
10. Which assessment finding indicates fluid volume overload?
A. Dry mucous membranes
B. Hypotension
C. Crackles in the lungs
D. Flat neck veins
Correct Answer: C
Rationale: Crackles suggest excess fluid accumulation in the lungs.
11. A nurse is teaching a client about warfarin therapy. Which statement
indicates understanding?
