ATI Comprehensive Predictor Proctored Exam
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80 NCLEX-Style Multiple-Choice Questions for ATI Comprehensive
Predictor
1. (Fundamentals) A nurse is assessing a clients risk for pressure ulcers. Which client is at
highest risk?
A. A client with limited mobility
B. A client with high protein intake
C. A client who ambulates daily
D. A client with intact skin
Correct Answer: A
Rationale: Limited mobility increases pressure ulcer risk due to prolonged pressure on
bony prominences. High protein intake, ambulation, and intact skin reduce risk.
2. (Pharmacology) A patient is prescribed lisinopril. Which adverse effect should the nurse
monitor?
A. Dry cough
B. Weight gain
C. Hypoglycemia
D. Bradycardia
Correct Answer: A
Rationale: Lisinopril, an ACE inhibitor, commonly causes a dry cough due to bradykinin
accumulation.
3. (Medical-Surgical) A client with heart failure is admitted. Which symptom requires imme-
diate intervention?
A. Jugular vein distention
B. Peripheral edema
C. Fatigue
D. Dry cough
Correct Answer: A
Rationale: Jugular vein distention indicates worsening fluid overload in heart failure, re-
quiring urgent intervention.
4. (Maternal-Newborn) A postpartum client reports heavy vaginal bleeding. Which action is
priority?
A. Massage the fundus
1
, B. Administer pain medication
C. Check vital signs
D. Encourage ambulation
Correct Answer: A
Rationale: Fundal massage addresses uterine atony, a common cause of postpartum hem-
orrhage.
5. (Mental Health) A client with depression expresses hopelessness. Which response is ther-
apeutic?
A. What gives you strength to keep going?
B. You shouldnt feel that way.
C. Everyone feels hopeless sometimes.
D. Lets change the topic.
Correct Answer: A
Rationale: Open-ended questions encourage the client to explore feelings, promoting ther-
apeutic communication.
6. (Pediatric) A 2-year-old is assessed for developmental milestones. Which is expected?
A. Speaks in two-word phrases
B. Rides a tricycle
C. Draws a square
D. Counts to 10
Correct Answer: A
Rationale: A 2-year-old typically speaks in two-word phrases, reflecting language devel-
opment.
7. (Leadership) A charge nurse is delegating tasks. Which task is appropriate for a UAP?
A. Assisting with ambulation
B. Administering IV medications
C. Assessing a clients condition
D. Teaching a client about diet
Correct Answer: A
Rationale: Assisting with ambulation is within the UAPs scope, while other tasks require
licensed personnel.
8. (Fundamentals) A nurse is applying a dressing to a wound. Which action ensures infection
control?
A. Use sterile gloves
B. Reuse dressing materials
C. Touch the wound directly
D. Apply tape loosely
Correct Answer: A
Rationale: Sterile gloves maintain a sterile field, reducing infection risk.
9. (Pharmacology) A 20-kg child is prescribed amoxicillin 40 mg/kg/day in two divided
doses. How much is each dose?
A. 400 mg
B. 800 mg
C. 200 mg
D. 100 mg
2
, Correct Answer: A
Rationale: Daily dose: 40 mg/kg/day Œ 20 kg = 800 mg/day. Divide by 2: 800 mg œ 2 =
400 mg per dose.
10. (Medical-Surgical) A client with pneumonia has a fever of 102řF. Which intervention is
priority?
A. Administer antipyretics
B. Encourage fluid restriction
C. Apply warm compresses
D. Limit oxygen therapy
Correct Answer: A
Rationale: Antipyretics reduce fever, improving client comfort and preventing complica-
tions.
11. (Maternal-Newborn) A nurse is assessing a newborn at 24 hours. Which finding requires
intervention?
A. Jaundice on the face
B. Heart rate of 140 bpm
C. Acrocyanosis
D. Respiratory rate of 40 breaths/min
Correct Answer: A
Rationale: Jaundice within 24 hours is pathological and requires evaluation for conditions
like hemolytic disease.
12. (Mental Health) A client with schizophrenia reports auditory hallucinations. Which re-
sponse is appropriate?
A. What are the voices saying?
B. Those voices arent real.
C. Ignore the voices.
D. Ill distract you.
Correct Answer: A
Rationale: Asking about the hallucinations helps assess their content and potential risk,
promoting safety.
13. (Pediatric) A 6-month-old with dehydration is admitted. Which assessment is most con-
cerning?
A. Sunken fontanelle
B. Moist mucous membranes
C. Weight gain
D. Increased urine output
Correct Answer: A
Rationale: A sunken fontanelle indicates severe dehydration, requiring immediate inter-
vention.
14. (Leadership) A nurse observes a coworker violating client confidentiality. Which action is
ethical?
A. Address the issue privately
B. Discuss with other staff
C. Ignore the violation
D. Report to the media
3
Retake with Questions and Verified Rationalized
Answers, 100% Passing Score Guarantee
80 NCLEX-Style Multiple-Choice Questions for ATI Comprehensive
Predictor
1. (Fundamentals) A nurse is assessing a clients risk for pressure ulcers. Which client is at
highest risk?
A. A client with limited mobility
B. A client with high protein intake
C. A client who ambulates daily
D. A client with intact skin
Correct Answer: A
Rationale: Limited mobility increases pressure ulcer risk due to prolonged pressure on
bony prominences. High protein intake, ambulation, and intact skin reduce risk.
2. (Pharmacology) A patient is prescribed lisinopril. Which adverse effect should the nurse
monitor?
A. Dry cough
B. Weight gain
C. Hypoglycemia
D. Bradycardia
Correct Answer: A
Rationale: Lisinopril, an ACE inhibitor, commonly causes a dry cough due to bradykinin
accumulation.
3. (Medical-Surgical) A client with heart failure is admitted. Which symptom requires imme-
diate intervention?
A. Jugular vein distention
B. Peripheral edema
C. Fatigue
D. Dry cough
Correct Answer: A
Rationale: Jugular vein distention indicates worsening fluid overload in heart failure, re-
quiring urgent intervention.
4. (Maternal-Newborn) A postpartum client reports heavy vaginal bleeding. Which action is
priority?
A. Massage the fundus
1
, B. Administer pain medication
C. Check vital signs
D. Encourage ambulation
Correct Answer: A
Rationale: Fundal massage addresses uterine atony, a common cause of postpartum hem-
orrhage.
5. (Mental Health) A client with depression expresses hopelessness. Which response is ther-
apeutic?
A. What gives you strength to keep going?
B. You shouldnt feel that way.
C. Everyone feels hopeless sometimes.
D. Lets change the topic.
Correct Answer: A
Rationale: Open-ended questions encourage the client to explore feelings, promoting ther-
apeutic communication.
6. (Pediatric) A 2-year-old is assessed for developmental milestones. Which is expected?
A. Speaks in two-word phrases
B. Rides a tricycle
C. Draws a square
D. Counts to 10
Correct Answer: A
Rationale: A 2-year-old typically speaks in two-word phrases, reflecting language devel-
opment.
7. (Leadership) A charge nurse is delegating tasks. Which task is appropriate for a UAP?
A. Assisting with ambulation
B. Administering IV medications
C. Assessing a clients condition
D. Teaching a client about diet
Correct Answer: A
Rationale: Assisting with ambulation is within the UAPs scope, while other tasks require
licensed personnel.
8. (Fundamentals) A nurse is applying a dressing to a wound. Which action ensures infection
control?
A. Use sterile gloves
B. Reuse dressing materials
C. Touch the wound directly
D. Apply tape loosely
Correct Answer: A
Rationale: Sterile gloves maintain a sterile field, reducing infection risk.
9. (Pharmacology) A 20-kg child is prescribed amoxicillin 40 mg/kg/day in two divided
doses. How much is each dose?
A. 400 mg
B. 800 mg
C. 200 mg
D. 100 mg
2
, Correct Answer: A
Rationale: Daily dose: 40 mg/kg/day Œ 20 kg = 800 mg/day. Divide by 2: 800 mg œ 2 =
400 mg per dose.
10. (Medical-Surgical) A client with pneumonia has a fever of 102řF. Which intervention is
priority?
A. Administer antipyretics
B. Encourage fluid restriction
C. Apply warm compresses
D. Limit oxygen therapy
Correct Answer: A
Rationale: Antipyretics reduce fever, improving client comfort and preventing complica-
tions.
11. (Maternal-Newborn) A nurse is assessing a newborn at 24 hours. Which finding requires
intervention?
A. Jaundice on the face
B. Heart rate of 140 bpm
C. Acrocyanosis
D. Respiratory rate of 40 breaths/min
Correct Answer: A
Rationale: Jaundice within 24 hours is pathological and requires evaluation for conditions
like hemolytic disease.
12. (Mental Health) A client with schizophrenia reports auditory hallucinations. Which re-
sponse is appropriate?
A. What are the voices saying?
B. Those voices arent real.
C. Ignore the voices.
D. Ill distract you.
Correct Answer: A
Rationale: Asking about the hallucinations helps assess their content and potential risk,
promoting safety.
13. (Pediatric) A 6-month-old with dehydration is admitted. Which assessment is most con-
cerning?
A. Sunken fontanelle
B. Moist mucous membranes
C. Weight gain
D. Increased urine output
Correct Answer: A
Rationale: A sunken fontanelle indicates severe dehydration, requiring immediate inter-
vention.
14. (Leadership) A nurse observes a coworker violating client confidentiality. Which action is
ethical?
A. Address the issue privately
B. Discuss with other staff
C. Ignore the violation
D. Report to the media
3
