ATI RN PREDICTOR RETAKE EXAM
PREP: 200 QUESTIONS WITH
RATIONALES AND VERIFIED
ANSWERS | LATEST
Questions 1-10: Management of Care & Leadership
1. A charge nurse is assigning rooms for four clients. Which client should be
placed in a private room?
A. Client with pneumonia.
B. Client with methicillin-resistant Staphylococcus aureus (MRSA).
C. Client with a diabetic foot ulcer.
D. Client with chronic obstructive pulmonary disease (COPD).
Answer: B
Rationale: MRSA requires contact isolation, and a private room is essential to
prevent transmission to other clients .
2. A charge nurse is making assignments for a float nurse from the medical unit
to the pediatric unit. Which client is most appropriate to assign to this nurse?
A. A 10-year-old with pneumonia receiving respiratory treatments.
B. A 4-year-old with a Wilms tumor receiving chemotherapy.
C. An 8-month-old scheduled for surgical repair of a ventricular septal defect.
D. A 14-year-old scheduled for discharge following placement of a Harrington rod.
Answer: A
Rationale: A float nurse from a medical unit is most competent to care for a client
with pneumonia, a condition commonly managed on medical units. The other
options require specialized pediatric expertise .
3. A nurse is delegating tasks to an assistive personnel (AP). Which task is
appropriate to delegate?
A. Assess a postoperative incision.
B. Teach a client how to use a walker.
C. Obtain a capillary blood glucose level.
D. Evaluate a client's pain level.
,Answer: C
Rationale: APs can perform capillary blood glucose testing. Assessment, teaching,
and evaluation require nursing judgment and are outside the AP's scope of practice .
4. A nurse in an emergency department is caring for a client who received a
dose of penicillin and is now anxious, flushing, tachycardic, and has difficulty
swallowing. Which of the following actions is the nurse's priority?
A. Monitor the client's ECG.
B. Take the client's vital signs.
C. Administer oxygen.
D. Insert an IV line.
Answer: C
Rationale: The client is experiencing an anaphylactic reaction. The priority action is
to administer oxygen to address airway and breathing, which are the first steps in the
ABCs (Airway, Breathing, Circulation) .
5. A nurse is preparing to give change-of-shift report. Which method is most
effective for handoff communication?
A. SHAR report (Situation, History, Assessment, Recommendations).
B. SOAP (Subjective, Objective, Assessment, Plan).
C. SBAR (Situation, Background, Assessment, Recommendation).
D. PIE (Problem, Intervention, Evaluation).
Answer: C
Rationale: SBAR (Situation, Background, Assessment, Recommendation) is the most
effective standardized handoff communication tool. It promotes clarity, reduces
errors, and improves patient safety during transitions of care .
6. A nurse overhears two assistive personnel (AP) discussing care for a client
while in the elevator. Which of the following actions should the nurse take?
A. Contact the client's family about the incident.
B. Notify the client's provider about the incident.
C. File a complaint with the facility's ethics committee.
D. Report the incident to the AP's charge nurse.
Answer: D
Rationale: The APs have violated client confidentiality by discussing the client in a
public place. The nurse should report the incident to the AP's charge nurse for
appropriate follow-up and disciplinary action .
7. A competent adult client refuses a blood transfusion for religious reasons.
Which actions should the nurse take? (Select all that apply.)
A. Verify the client understands the risks.
B. Document the refusal.
,C. Administer the transfusion if Hgb is critical.
D. Notify the provider.
E. Ask the family to override the decision.
Answer: A, B, D
Rationale: Competent adults have autonomy. The nurse ensures informed refusal,
documents the refusal, and notifies the provider. Administering the transfusion or
asking the family to override would violate the client's rights .
8. 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. ... (The action is not fully legible but points to a standard intervention).
Answer: (Information based on standard practice) A bowel training program typically
includes interventions like scheduling a regular time for defecation, using a warm
drink or digital stimulation to stimulate the gastrocolic reflex, and ensuring adequate
fluid and fiber intake.
9. A nurse is caring for a client who has a living will. Which of the following
statements by the client indicates an understanding of the document?
A. "My living will allows my family to make all health care decisions for me."
B. "My living will specifies my wishes regarding life-sustaining treatment."
C. "My living will designates who will manage my finances if I become incapacitated."
D. "My living will is a legal document that appoints a health care proxy."
Answer: B
Rationale: A living will is a legal document that specifies a client's wishes regarding
medical treatment, particularly life-sustaining measures, in the event they become
unable to communicate their decisions .
10. A nurse is caring for a client who refuses a prescribed medication. Which of
the following actions should the nurse take?
A. Administer the medication anyway.
B. Document the refusal and notify the provider.
C. Crush the medication and hide it in food.
D. Persuade the client to take the medication.
Answer: B
Rationale: The client has the right to refuse treatment. The nurse should document
the refusal, notify the provider, and explore the client's reasons for refusal .
, Questions 11-20: Pharmacology & Medication Administration
11. A client is prescribed enoxaparin 40 mg subcutaneously once daily. The
nurse notes a platelet count of 90,000/mm³. What should the nurse do?
A. Administer the dose as prescribed.
B. Hold the dose and notify the provider.
C. Check for signs of bleeding and proceed.
D. Administer protamine sulfate.
Answer: B
Rationale: A platelet count <100,000 may indicate heparin-induced
thrombocytopenia (HIT) and is a contraindication for enoxaparin .
12. Which adverse effects should the nurse monitor for in a client taking
prednisone? (Select all that apply.)
A. Hyperglycemia
B. Weight gain
C. Hypotension
D. Increased susceptibility to infection
E. Muscle weakness
Answer: A, B, D, E
Rationale: Corticosteroids cause hyperglycemia, fluid retention (weight gain),
immunosuppression, and muscle weakness. Hypertension, not hypotension, is
common .
13. A client receiving gentamicin reports dizziness and ringing in the ears. What
should the nurse do?
A. Hold the medication and notify the provider.
B. Administer antiemetics.
C. Encourage hydration.
D. Reassure the client this is normal.
Answer: A
Rationale: Dizziness and tinnitus are signs of ototoxicity, a serious adverse effect of
aminoglycosides like gentamicin .
14. Which instructions should the nurse include when teaching a client about
warfarin? (Select all that apply.)
A. Use a soft-bristled toothbrush.
B. Avoid foods high in vitamin K.
C. Take aspirin for minor aches.
PREP: 200 QUESTIONS WITH
RATIONALES AND VERIFIED
ANSWERS | LATEST
Questions 1-10: Management of Care & Leadership
1. A charge nurse is assigning rooms for four clients. Which client should be
placed in a private room?
A. Client with pneumonia.
B. Client with methicillin-resistant Staphylococcus aureus (MRSA).
C. Client with a diabetic foot ulcer.
D. Client with chronic obstructive pulmonary disease (COPD).
Answer: B
Rationale: MRSA requires contact isolation, and a private room is essential to
prevent transmission to other clients .
2. A charge nurse is making assignments for a float nurse from the medical unit
to the pediatric unit. Which client is most appropriate to assign to this nurse?
A. A 10-year-old with pneumonia receiving respiratory treatments.
B. A 4-year-old with a Wilms tumor receiving chemotherapy.
C. An 8-month-old scheduled for surgical repair of a ventricular septal defect.
D. A 14-year-old scheduled for discharge following placement of a Harrington rod.
Answer: A
Rationale: A float nurse from a medical unit is most competent to care for a client
with pneumonia, a condition commonly managed on medical units. The other
options require specialized pediatric expertise .
3. A nurse is delegating tasks to an assistive personnel (AP). Which task is
appropriate to delegate?
A. Assess a postoperative incision.
B. Teach a client how to use a walker.
C. Obtain a capillary blood glucose level.
D. Evaluate a client's pain level.
,Answer: C
Rationale: APs can perform capillary blood glucose testing. Assessment, teaching,
and evaluation require nursing judgment and are outside the AP's scope of practice .
4. A nurse in an emergency department is caring for a client who received a
dose of penicillin and is now anxious, flushing, tachycardic, and has difficulty
swallowing. Which of the following actions is the nurse's priority?
A. Monitor the client's ECG.
B. Take the client's vital signs.
C. Administer oxygen.
D. Insert an IV line.
Answer: C
Rationale: The client is experiencing an anaphylactic reaction. The priority action is
to administer oxygen to address airway and breathing, which are the first steps in the
ABCs (Airway, Breathing, Circulation) .
5. A nurse is preparing to give change-of-shift report. Which method is most
effective for handoff communication?
A. SHAR report (Situation, History, Assessment, Recommendations).
B. SOAP (Subjective, Objective, Assessment, Plan).
C. SBAR (Situation, Background, Assessment, Recommendation).
D. PIE (Problem, Intervention, Evaluation).
Answer: C
Rationale: SBAR (Situation, Background, Assessment, Recommendation) is the most
effective standardized handoff communication tool. It promotes clarity, reduces
errors, and improves patient safety during transitions of care .
6. A nurse overhears two assistive personnel (AP) discussing care for a client
while in the elevator. Which of the following actions should the nurse take?
A. Contact the client's family about the incident.
B. Notify the client's provider about the incident.
C. File a complaint with the facility's ethics committee.
D. Report the incident to the AP's charge nurse.
Answer: D
Rationale: The APs have violated client confidentiality by discussing the client in a
public place. The nurse should report the incident to the AP's charge nurse for
appropriate follow-up and disciplinary action .
7. A competent adult client refuses a blood transfusion for religious reasons.
Which actions should the nurse take? (Select all that apply.)
A. Verify the client understands the risks.
B. Document the refusal.
,C. Administer the transfusion if Hgb is critical.
D. Notify the provider.
E. Ask the family to override the decision.
Answer: A, B, D
Rationale: Competent adults have autonomy. The nurse ensures informed refusal,
documents the refusal, and notifies the provider. Administering the transfusion or
asking the family to override would violate the client's rights .
8. 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. ... (The action is not fully legible but points to a standard intervention).
Answer: (Information based on standard practice) A bowel training program typically
includes interventions like scheduling a regular time for defecation, using a warm
drink or digital stimulation to stimulate the gastrocolic reflex, and ensuring adequate
fluid and fiber intake.
9. A nurse is caring for a client who has a living will. Which of the following
statements by the client indicates an understanding of the document?
A. "My living will allows my family to make all health care decisions for me."
B. "My living will specifies my wishes regarding life-sustaining treatment."
C. "My living will designates who will manage my finances if I become incapacitated."
D. "My living will is a legal document that appoints a health care proxy."
Answer: B
Rationale: A living will is a legal document that specifies a client's wishes regarding
medical treatment, particularly life-sustaining measures, in the event they become
unable to communicate their decisions .
10. A nurse is caring for a client who refuses a prescribed medication. Which of
the following actions should the nurse take?
A. Administer the medication anyway.
B. Document the refusal and notify the provider.
C. Crush the medication and hide it in food.
D. Persuade the client to take the medication.
Answer: B
Rationale: The client has the right to refuse treatment. The nurse should document
the refusal, notify the provider, and explore the client's reasons for refusal .
, Questions 11-20: Pharmacology & Medication Administration
11. A client is prescribed enoxaparin 40 mg subcutaneously once daily. The
nurse notes a platelet count of 90,000/mm³. What should the nurse do?
A. Administer the dose as prescribed.
B. Hold the dose and notify the provider.
C. Check for signs of bleeding and proceed.
D. Administer protamine sulfate.
Answer: B
Rationale: A platelet count <100,000 may indicate heparin-induced
thrombocytopenia (HIT) and is a contraindication for enoxaparin .
12. Which adverse effects should the nurse monitor for in a client taking
prednisone? (Select all that apply.)
A. Hyperglycemia
B. Weight gain
C. Hypotension
D. Increased susceptibility to infection
E. Muscle weakness
Answer: A, B, D, E
Rationale: Corticosteroids cause hyperglycemia, fluid retention (weight gain),
immunosuppression, and muscle weakness. Hypertension, not hypotension, is
common .
13. A client receiving gentamicin reports dizziness and ringing in the ears. What
should the nurse do?
A. Hold the medication and notify the provider.
B. Administer antiemetics.
C. Encourage hydration.
D. Reassure the client this is normal.
Answer: A
Rationale: Dizziness and tinnitus are signs of ototoxicity, a serious adverse effect of
aminoglycosides like gentamicin .
14. Which instructions should the nurse include when teaching a client about
warfarin? (Select all that apply.)
A. Use a soft-bristled toothbrush.
B. Avoid foods high in vitamin K.
C. Take aspirin for minor aches.
