ATI RN COMPREHENSIVE PREDICTOR 2026/2027 RETAKE EXAM: COMPLETE 200-QUESTION Q-BANK WITH DETAILED ANSWER EXPLANATIONS

ATI RN COMPREHENSIVE PREDICTOR 2026/2027 RETAKE EXAM: COMPLETE 200-QUESTION Q-BANK WITH DETAILED ANSWER EXPLANATIONS Question 1 A nurse is caring for a client who is 24 hours post-operative following a total hip arthroplasty. Which action is most important to prevent dislocation of the new joint? A) Place a pillow between the client's legs when turning B) Maintain the client in a high-Fowler's position C) Encourage the client to cross their legs at the ankles D) Assist the client to bend forward to reach items on the floor Correct Answer: A Rationale: After a total hip arthroplasty, the hip joint is at high risk for dislocation. Placing a pillow between the legs when turning maintains the hip in abduction, preventing adduction and internal rotation which can cause dislocation. Crossing the legs or bending forward past 90 degrees should be strictly avoided to prevent dislocation. ________________________________________ Question 2 A nurse is providing discharge teaching to a client with a new diagnosis of hypertension. Which client statement indicates a need for further teaching? A) "I will check my blood pressure at the same time each day." B) "I can stop taking my medication when my blood pressure is normal." C) "I should limit my sodium intake to 1,500 mg per day." D) "I will incorporate 30 minutes of physical activity most days." Correct Answer: B Rationale: Antihypertensive medications are typically required for life to manage hypertension. Stopping the medication when blood pressure normalizes can cause rebound hypertension and serious complications. The other statements reflect accurate understanding of hypertensive management. ________________________________________ Question 3 A client with chronic obstructive pulmonary disease is receiving oxygen at 2 L/min via nasal cannula. The nurse assesses the client and notes a respiratory rate of 8 breaths/min and somnolence. Which action should the nurse take first? A) Increase the oxygen flow rate to 4 L/min B) Encourage the client to take deep breaths C) Place the client in a supine position D) Discontinue the oxygen therapy Correct Answer: D Rationale: The client is showing signs of oxygen toxicity or hypoventilation due to a loss of hypoxic drive, a risk for clients with COPD. The first action is to discontinue the oxygen and maintain the client's airway. Oxygen should be titrated to maintain an SpO2 of 88-92% to avoid suppressing the respiratory drive further. ________________________________________ Question 4 A nurse is caring for a client with a nasogastric tube connected to continuous suction. Which finding indicates a potential complication that the nurse should report to the provider? A) Gastric aspirate pH of 4.0 B) Bilateral lung crackles upon auscultation C) Bowel sounds present in all four quadrants D) Nasogastric tube output of 300 mL in 8 hours Correct Answer: B Rationale: Bilateral lung crackles indicate fluid overload, a potential complication of continuous gastric suction leading to electrolyte imbalances, or possibly aspiration pneumonia from tube displacement. This finding should be reported immediately. The other options are expected or normal findings. ________________________________________ Question 5 A nurse is caring for a client with a diagnosis of major depressive disorder who is prescribed a monoamine oxidase inhibitor. Which food item on the client's meal tray should the nurse remove? A) Grilled chicken breast B) Fresh fruit salad C) Cheddar cheese D) Steamed broccoli Correct Answer: C Rationale: Clients taking MAOIs must avoid foods high in tyramine to prevent a hypertensive crisis. Tyramine-rich foods include aged cheeses (cheddar), cured meats, fermented foods, and red wine. The other options are safe to consume. ________________________________________ Question 6 A nurse is preparing to administer a blood transfusion to a client. The client asks if they can receive blood from their sibling who is a universal donor. Which blood type is considered the universal donor? A) Type A positive B) Type B negative C) Type O negative D) Type AB positive Correct Answer: C Rationale: Type O negative blood is considered the universal donor because it lacks A, B, and Rh antigens, making it safe for transfusion to any client regardless of blood type. Type AB positive is the universal recipient. ________________________________________ Question 7 A nurse is assessing a client who is receiving a continuous enteral feeding via a jejunostomy tube. Which finding should the nurse report to the provider immediately? A) The client's blood glucose is 140 mg/dL B) The client has a weight gain of 0.5 kg in 24 hours C) The client's gastric residual volume is 400 mL D) The client has a bowel movement twice daily