, Pass the ATI RN Comprehensive Predictor Forms A, B & C | NGN
Questions & Case Scenarios (Updated PDF)
FORM A
1. A client with heart failure has crackles in bilateral lung bases, jugular venous distention, and an
S3 gallop. Which medication should the nurse prepare to administer first?
A) Metoprolol
B) Furosemide IV
C) Digoxin
D) Spironolactone
Answer: B
Rationale: IV loop diuretics rapidly reduce preload and pulmonary congestion in acute decompensated
heart failure.
2. A client with a new tracheostomy has difficulty passing a suction catheter and decreased breath
sounds. What is the priority action?
A) Increase oxygen flow
B) Suction or replace the tracheostomy tube
C) Notify the provider
D) Apply a tracheostomy collar
Answer: B
Rationale: Obstruction requires immediate intervention to maintain airway patency (ABCs).
3. A client with bipolar disorder in a manic episode is pacing, talking loudly, and grandiose. Which
intervention is most appropriate initially?
A) Place in seclusion
B) Provide a quiet, low-stimulation environment
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,C) Confront grandiose statements
D) Apply restraints
Answer: B
Rationale: Reducing stimuli helps decrease agitation and manic behavior.
4. A postpartum client 2 hours after delivery has a boggy fundus displaced to the right and heavy
lochia. What is the priority action?
A) Administer methylergonovine
B) Assist the client to void
C) Perform fundal massage
D) Increase oxytocin infusion
Answer: B
Rationale: A displaced boggy fundus often indicates a distended bladder; emptying it allows uterine
contraction.
5. A child with asthma has a peak flow reading of 50% of personal best and is speaking in short
phrases. Which action first?
A) Administer oral corticosteroid
B) Administer rescue bronchodilator via nebulizer
C) Call 911
D) Apply oxygen at 2 L/min
Answer: B
Rationale: Peak flow 50-80% (yellow zone) indicates moderate exacerbation; bronchodilator is first-line.
6. The charge nurse is making assignments. Which client is most appropriate for an LPN?
A) New tracheostomy requiring frequent suctioning
B) Urinary tract infection on oral antibiotics
C) Chest tube on water seal
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, D) IV dopamine for septic shock
Answer: B
Rationale: Stable client on oral meds is within LPN scope. Unstable/complex clients require RN.
7. A client with CKD has potassium 6.8 mEq/L. Which ECG change is expected?
A) Prominent U waves
B) Peaked T waves
C) Prolonged PR interval
D) ST depression
Answer: B
Rationale: Hyperkalemia causes peaked T waves, then wide QRS, and sine wave.
8. A client with major depressive disorder is started on phenelzine (MAOI). Which food should be
avoided?
A) Broiled chicken
B) Aged cheddar cheese
C) Fresh apples
D) White rice
Answer: B
Rationale: MAOIs require a low-tyramine diet; aged cheese can cause hypertensive crisis.
9. A client with pulmonary embolism on heparin has aPTT 110 seconds (control 30). Which action?
A) Continue same rate
B) Decrease infusion and notify provider
C) Increase infusion
D) Stop heparin and give protamine
Answer: B
Rationale: aPTT 110 is supratherapeutic (goal 45-75); reduce rate and notify provider.
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Questions & Case Scenarios (Updated PDF)
FORM A
1. A client with heart failure has crackles in bilateral lung bases, jugular venous distention, and an
S3 gallop. Which medication should the nurse prepare to administer first?
A) Metoprolol
B) Furosemide IV
C) Digoxin
D) Spironolactone
Answer: B
Rationale: IV loop diuretics rapidly reduce preload and pulmonary congestion in acute decompensated
heart failure.
2. A client with a new tracheostomy has difficulty passing a suction catheter and decreased breath
sounds. What is the priority action?
A) Increase oxygen flow
B) Suction or replace the tracheostomy tube
C) Notify the provider
D) Apply a tracheostomy collar
Answer: B
Rationale: Obstruction requires immediate intervention to maintain airway patency (ABCs).
3. A client with bipolar disorder in a manic episode is pacing, talking loudly, and grandiose. Which
intervention is most appropriate initially?
A) Place in seclusion
B) Provide a quiet, low-stimulation environment
2
,C) Confront grandiose statements
D) Apply restraints
Answer: B
Rationale: Reducing stimuli helps decrease agitation and manic behavior.
4. A postpartum client 2 hours after delivery has a boggy fundus displaced to the right and heavy
lochia. What is the priority action?
A) Administer methylergonovine
B) Assist the client to void
C) Perform fundal massage
D) Increase oxytocin infusion
Answer: B
Rationale: A displaced boggy fundus often indicates a distended bladder; emptying it allows uterine
contraction.
5. A child with asthma has a peak flow reading of 50% of personal best and is speaking in short
phrases. Which action first?
A) Administer oral corticosteroid
B) Administer rescue bronchodilator via nebulizer
C) Call 911
D) Apply oxygen at 2 L/min
Answer: B
Rationale: Peak flow 50-80% (yellow zone) indicates moderate exacerbation; bronchodilator is first-line.
6. The charge nurse is making assignments. Which client is most appropriate for an LPN?
A) New tracheostomy requiring frequent suctioning
B) Urinary tract infection on oral antibiotics
C) Chest tube on water seal
3
, D) IV dopamine for septic shock
Answer: B
Rationale: Stable client on oral meds is within LPN scope. Unstable/complex clients require RN.
7. A client with CKD has potassium 6.8 mEq/L. Which ECG change is expected?
A) Prominent U waves
B) Peaked T waves
C) Prolonged PR interval
D) ST depression
Answer: B
Rationale: Hyperkalemia causes peaked T waves, then wide QRS, and sine wave.
8. A client with major depressive disorder is started on phenelzine (MAOI). Which food should be
avoided?
A) Broiled chicken
B) Aged cheddar cheese
C) Fresh apples
D) White rice
Answer: B
Rationale: MAOIs require a low-tyramine diet; aged cheese can cause hypertensive crisis.
9. A client with pulmonary embolism on heparin has aPTT 110 seconds (control 30). Which action?
A) Continue same rate
B) Decrease infusion and notify provider
C) Increase infusion
D) Stop heparin and give protamine
Answer: B
Rationale: aPTT 110 is supratherapeutic (goal 45-75); reduce rate and notify provider.
4
