ATI RN COMPREHENSIVE PREDICTOR 2019
FORM E (2025-2026 UPDATE) with 180
Questions and Verified Rationalized Answers,
100% Guarantee Pass
100% Verified Passing Score Guaranteed Expert Rationales Included
Question 1
A client who has a diagnosis of complete placenta previa is admitted to the labor and delivery suite at 36
weeks gestation with contractions 5 min in frequency and 1 min in duration. Which of the following actions
should the nurse take?
A. Rupture the amniotic sac
B. Medicate the client for pain
C. Prepare the client for a cesarean section
D. Perform a vaginal exam
Correct Answer
Prepare the client for a cesarean section
Rationale:
The client's diagnosis of complete placenta previa increases the risk of hemorrhage and placental abruption, making a
vaginal delivery high-risk and potentially life-threatening. Preparing the client for a cesarean section is the correct action
because it prioritizes the mother's safety and reduces the risk of complications, allowing for a more controlled and safe
delivery.
Question 2
A nurse enters a client's room and finds the client lying on the floor in a puddle of water. Which of the
following statements should the nurse document in an incident report?
A. Client fell out of bed because an assistive personnel left the rails of the bed down
B. Client's roommate thinks the client is confused and fell when getting out of bed
C. Client appears to have slipped in water but reports no injuries
D. Client found lying on the floor near the bedside table
Correct Answer
Client found lying on the floor near the bedside table
Rationale:
The correct answer is D. Client found lying on the floor near the bedside table because it is a factual and objective statement
that simply reports what the nurse observed, without attributing blame or providing incomplete information.
Page 1 of 60
,Question 3
A charge nurse on a pediatric unit is making assignments for a float nurse from the medical unit. Which of
the following clients is appropriate to assign to the float nurse?
A. A 10-year-old client who has pneumonia and is receiving respiratory treatments
B. A 4-year-old client who has a Wilms tumor and is receiving chemotherapy
C. An 8-month-old client who is scheduled for a surgical repair of a ventricular septal defect tomorrow
D. A 14-year-old client who is scheduled for discharge today following placement of a Herrington rod
Correct Answer
A 10-year-old client who has pneumonia and is receiving respiratory treatments
Rationale:
The float nurse from the medical unit should be assigned to the 10-year-old client with pneumonia because this client's
medical condition is more similar to those typically found on a medical unit, making the float nurse's skills and experience
more applicable to this client's care. In contrast, the other options involve pediatric clients with specialized medical
conditions or procedures that require specific expertise and equipment not typically found on a medical unit, making them
more suitable for the pediatric unit's nurses.
Question 4
A nurse is preparing to administer vancomycin to a client who has an infected wound. The nurse should
plan to monitor for which of the following adverse reactions?
A. Hepatotoxicity
B. Ototoxicity
C. Hypercalcemia
D. Hypertension
Correct Answer
Ototoxicity
Rationale:
Vancomycin is an aminoglycoside antibiotic that can cause ototoxicity, a condition characterized by damage to the inner ear
and potentially leading to hearing loss or tinnitus. As a result, the nurse should plan to monitor for ototoxicity when
administering vancomycin to a client with an infected wound.
Question 5
A nurse is assessing an infant who has water intoxication. Which of the following findings should the nurse
expect?
A. Generalized edema
B. Elevated urine specific gravity
C. Thready pulse
D. Increased hematocrit
Correct Answer
Thready pulse
Rationale:
Water intoxication, also known as hyponatremia, is a condition where an excessive amount of water dilutes the sodium
levels in the body, leading to a decrease in blood volume and subsequent decreased cardiac output. A thready pulse is a
common finding in water intoxication, as the body's ability to maintain blood pressure is compromised, resulting in a weak
and rapid pulse.
Page 2 of 60
,Question 6
A home health nurse is conducting an initial home visit for a client who has terminal breast cancer. The
client has two school-age children and a limited support system. Which of the following is the priority
nursing action?
A. Inform the client of available community resources
B. Assist the client in finding child care options
C. Agree upon short-term goals for the client
D. Ask the client about their understanding of the diagnosis
Correct Answer
Inform the client of available community resources
Rationale:
The priority nursing action is to inform the client of available community resources because the client has a limited support
system and is dealing with a terminal illness, which increases their vulnerability and need for external assistance. By
informing the client of available resources, the nurse can help ensure the client receives the necessary support and services to
manage their care and maintain their quality of life, particularly given the client's unique circumstances with young children.
Question 7
A nurse in an emergency department is assessing a client who has a nasal fracture. Which of the following
findings should cause the nurse to suspect a skull fracture?
A. Clear fluid drainage from the nares
B. Report of pain around the eyes
C. Dried blood in the mouth
D. Mandibular asymmetry
Correct Answer
Clear fluid drainage from the nares
Rationale:
Clear fluid drainage from the nares is a characteristic of cerebrospinal fluid (CSF) leakage, which is a potential indicator of a
skull fracture. This is because the nasal passages (nares) are not a typical location for CSF to drain, and its presence suggests
that the skull has been compromised, allowing CSF to escape from the brain into the nasal cavity.
Question 8
A nurse in an urgent care clinic is collecting admission history from a client who is at 16 weeks of gestation
and has bacterial vaginosis. The nurse should recognize that which of the following clinical findings are
associated with this infection?
A. Profuse milky white discharge
B. Frequency and dysuria
C. Low-grade fever
D. Hematuria
Correct Answer
Profuse milky white discharge
Rationale:
Bacterial vaginosis is characterized by a disruption of the normal vaginal flora, leading to an overgrowth of Gardnerella
vaginalis bacteria, which produces a thin, white or grayish discharge that is often profuse. Therefore, a profuse milky white
discharge is a common clinical finding associated with bacterial vaginosis, making option A the correct answer.
Page 3 of 60
, Question 9
A nurse is discussing the z-track administration of hydroxyzine with a newly licensed nurse. Which of the
following statements indicates the newly licensed nurse understands the purpose of the technique?
A. This technique prevents injury to the sciatic nerve
B. This technique decreases the risk of subcutaneous infiltration
C. This technique allows a larger amount of medication to be injected
D. This technique increases the absorption rate of the drug
Correct Answer
This technique decreases the risk of subcutaneous infiltration
Rationale:
The correct answer is B because the z-track technique, also known as the "Z-track method", is designed to prevent
subcutaneous infiltration of medication, which occurs when the needle punctures the skin and injects medication into the
subcutaneous tissue rather than the intended location. By using the z-track technique, the risk of subcutaneous infiltration is
decreased, ensuring accurate medication administration.
Question 10
A nurse is caring for a full-term newborn immediately following birth. Which of the following actions should
the nurse take first?
A. Instill erythromycin ophthalmic ointment in the newborn's eyes
B. Weigh the newborn
C. Place identification bracelets on the newborn
D. Dry the newborn
Correct Answer
Dry the newborn
Rationale:
The nurse should dry the newborn first because the newborn's body temperature is still regulated by the mother's, and drying
the newborn helps to stimulate the onset of thermogenesis, or the production of body heat, which is essential for
maintaining a stable body temperature. Additionally, drying the newborn also helps to stimulate the onset of respiration, as
the newborn's first breaths are often triggered by the drying process.
Question 11
A nurse is planning to provide community education about viral hepatitis. Which of the following should the
nurse plan to include in the teaching?
A. A series of four hepatitis vaccines is recommended to prevent viral hepatitis
B. Hepatitis B is transmitted by contaminated food
C. Chronic hepatitis can lead to renal cell cancer
D. Clients who have a history of viral hepatitis are unable to donate blood
Correct Answer
Clients who have a history of viral hepatitis are unable to donate blood
Rationale:
The nurse should plan to include the correct statement D because individuals with a history of viral hepatitis are at risk of
transmitting the virus through blood donation, which would pose a significant risk to the recipient. By educating the
community about this risk, the nurse can help prevent potential harm to blood recipients and emphasize the importance of
identifying and excluding individuals with a history of viral hepatitis from blood donation.
Page 4 of 60
FORM E (2025-2026 UPDATE) with 180
Questions and Verified Rationalized Answers,
100% Guarantee Pass
100% Verified Passing Score Guaranteed Expert Rationales Included
Question 1
A client who has a diagnosis of complete placenta previa is admitted to the labor and delivery suite at 36
weeks gestation with contractions 5 min in frequency and 1 min in duration. Which of the following actions
should the nurse take?
A. Rupture the amniotic sac
B. Medicate the client for pain
C. Prepare the client for a cesarean section
D. Perform a vaginal exam
Correct Answer
Prepare the client for a cesarean section
Rationale:
The client's diagnosis of complete placenta previa increases the risk of hemorrhage and placental abruption, making a
vaginal delivery high-risk and potentially life-threatening. Preparing the client for a cesarean section is the correct action
because it prioritizes the mother's safety and reduces the risk of complications, allowing for a more controlled and safe
delivery.
Question 2
A nurse enters a client's room and finds the client lying on the floor in a puddle of water. Which of the
following statements should the nurse document in an incident report?
A. Client fell out of bed because an assistive personnel left the rails of the bed down
B. Client's roommate thinks the client is confused and fell when getting out of bed
C. Client appears to have slipped in water but reports no injuries
D. Client found lying on the floor near the bedside table
Correct Answer
Client found lying on the floor near the bedside table
Rationale:
The correct answer is D. Client found lying on the floor near the bedside table because it is a factual and objective statement
that simply reports what the nurse observed, without attributing blame or providing incomplete information.
Page 1 of 60
,Question 3
A charge nurse on a pediatric unit is making assignments for a float nurse from the medical unit. Which of
the following clients is appropriate to assign to the float nurse?
A. A 10-year-old client who has pneumonia and is receiving respiratory treatments
B. A 4-year-old client who has a Wilms tumor and is receiving chemotherapy
C. An 8-month-old client who is scheduled for a surgical repair of a ventricular septal defect tomorrow
D. A 14-year-old client who is scheduled for discharge today following placement of a Herrington rod
Correct Answer
A 10-year-old client who has pneumonia and is receiving respiratory treatments
Rationale:
The float nurse from the medical unit should be assigned to the 10-year-old client with pneumonia because this client's
medical condition is more similar to those typically found on a medical unit, making the float nurse's skills and experience
more applicable to this client's care. In contrast, the other options involve pediatric clients with specialized medical
conditions or procedures that require specific expertise and equipment not typically found on a medical unit, making them
more suitable for the pediatric unit's nurses.
Question 4
A nurse is preparing to administer vancomycin to a client who has an infected wound. The nurse should
plan to monitor for which of the following adverse reactions?
A. Hepatotoxicity
B. Ototoxicity
C. Hypercalcemia
D. Hypertension
Correct Answer
Ototoxicity
Rationale:
Vancomycin is an aminoglycoside antibiotic that can cause ototoxicity, a condition characterized by damage to the inner ear
and potentially leading to hearing loss or tinnitus. As a result, the nurse should plan to monitor for ototoxicity when
administering vancomycin to a client with an infected wound.
Question 5
A nurse is assessing an infant who has water intoxication. Which of the following findings should the nurse
expect?
A. Generalized edema
B. Elevated urine specific gravity
C. Thready pulse
D. Increased hematocrit
Correct Answer
Thready pulse
Rationale:
Water intoxication, also known as hyponatremia, is a condition where an excessive amount of water dilutes the sodium
levels in the body, leading to a decrease in blood volume and subsequent decreased cardiac output. A thready pulse is a
common finding in water intoxication, as the body's ability to maintain blood pressure is compromised, resulting in a weak
and rapid pulse.
Page 2 of 60
,Question 6
A home health nurse is conducting an initial home visit for a client who has terminal breast cancer. The
client has two school-age children and a limited support system. Which of the following is the priority
nursing action?
A. Inform the client of available community resources
B. Assist the client in finding child care options
C. Agree upon short-term goals for the client
D. Ask the client about their understanding of the diagnosis
Correct Answer
Inform the client of available community resources
Rationale:
The priority nursing action is to inform the client of available community resources because the client has a limited support
system and is dealing with a terminal illness, which increases their vulnerability and need for external assistance. By
informing the client of available resources, the nurse can help ensure the client receives the necessary support and services to
manage their care and maintain their quality of life, particularly given the client's unique circumstances with young children.
Question 7
A nurse in an emergency department is assessing a client who has a nasal fracture. Which of the following
findings should cause the nurse to suspect a skull fracture?
A. Clear fluid drainage from the nares
B. Report of pain around the eyes
C. Dried blood in the mouth
D. Mandibular asymmetry
Correct Answer
Clear fluid drainage from the nares
Rationale:
Clear fluid drainage from the nares is a characteristic of cerebrospinal fluid (CSF) leakage, which is a potential indicator of a
skull fracture. This is because the nasal passages (nares) are not a typical location for CSF to drain, and its presence suggests
that the skull has been compromised, allowing CSF to escape from the brain into the nasal cavity.
Question 8
A nurse in an urgent care clinic is collecting admission history from a client who is at 16 weeks of gestation
and has bacterial vaginosis. The nurse should recognize that which of the following clinical findings are
associated with this infection?
A. Profuse milky white discharge
B. Frequency and dysuria
C. Low-grade fever
D. Hematuria
Correct Answer
Profuse milky white discharge
Rationale:
Bacterial vaginosis is characterized by a disruption of the normal vaginal flora, leading to an overgrowth of Gardnerella
vaginalis bacteria, which produces a thin, white or grayish discharge that is often profuse. Therefore, a profuse milky white
discharge is a common clinical finding associated with bacterial vaginosis, making option A the correct answer.
Page 3 of 60
, Question 9
A nurse is discussing the z-track administration of hydroxyzine with a newly licensed nurse. Which of the
following statements indicates the newly licensed nurse understands the purpose of the technique?
A. This technique prevents injury to the sciatic nerve
B. This technique decreases the risk of subcutaneous infiltration
C. This technique allows a larger amount of medication to be injected
D. This technique increases the absorption rate of the drug
Correct Answer
This technique decreases the risk of subcutaneous infiltration
Rationale:
The correct answer is B because the z-track technique, also known as the "Z-track method", is designed to prevent
subcutaneous infiltration of medication, which occurs when the needle punctures the skin and injects medication into the
subcutaneous tissue rather than the intended location. By using the z-track technique, the risk of subcutaneous infiltration is
decreased, ensuring accurate medication administration.
Question 10
A nurse is caring for a full-term newborn immediately following birth. Which of the following actions should
the nurse take first?
A. Instill erythromycin ophthalmic ointment in the newborn's eyes
B. Weigh the newborn
C. Place identification bracelets on the newborn
D. Dry the newborn
Correct Answer
Dry the newborn
Rationale:
The nurse should dry the newborn first because the newborn's body temperature is still regulated by the mother's, and drying
the newborn helps to stimulate the onset of thermogenesis, or the production of body heat, which is essential for
maintaining a stable body temperature. Additionally, drying the newborn also helps to stimulate the onset of respiration, as
the newborn's first breaths are often triggered by the drying process.
Question 11
A nurse is planning to provide community education about viral hepatitis. Which of the following should the
nurse plan to include in the teaching?
A. A series of four hepatitis vaccines is recommended to prevent viral hepatitis
B. Hepatitis B is transmitted by contaminated food
C. Chronic hepatitis can lead to renal cell cancer
D. Clients who have a history of viral hepatitis are unable to donate blood
Correct Answer
Clients who have a history of viral hepatitis are unable to donate blood
Rationale:
The nurse should plan to include the correct statement D because individuals with a history of viral hepatitis are at risk of
transmitting the virus through blood donation, which would pose a significant risk to the recipient. By educating the
community about this risk, the nurse can help prevent potential harm to blood recipients and emphasize the importance of
identifying and excluding individuals with a history of viral hepatitis from blood donation.
Page 4 of 60
