NGN ATI RN VATI COMPREHENSIVE PREDICTOR 2025
(LATEST UPDATE) ACTUAL EXAM/TEST
QUESTIONS AND 100% VERIFIED ANSWERS| A+ GRADE
FORM C - ATI RN VATI COMPREHENSIVE PREDICTOR 2025
Case Study 1: Heart Failure Exacerbation
Client Profile:
Mr. James, 68 y/o, admitted with acute decompensated heart failure.
Findings: Dyspnea, orthopnea, pink frothy sputum, BP 152/94, HR 112, RR 28,
SpO₂ 85% on room air, crackles bilaterally.
Orders: Oxygen, furosemide IV, telemetry monitoring, strict I&O.
Q1. Which intervention should the nurse perform first?
A. Place client in high-Fowler’s position
B. Insert urinary catheter
C. Administer IV furosemide
D. Apply telemetry monitor
✅ Answer: A. Place client in high-Fowler’s position
Rationale: Priority is improving oxygenation and reducing preload.
Q2. Which lab value would the nurse expect in this client?
A. BNP 1,200 pg/mL
B. Potassium 2.8 mEq/L
C. WBC 18,000/mm³
D. Hgb 18 g/dL
,✅ Answer: A. BNP 1,200 pg/mL
Rationale: BNP is elevated in heart failure.
Q3. The client is prescribed IV furosemide. Which finding requires immediate
intervention?
A. Potassium 3.0 mEq/L
B. Sodium 136 mEq/L
C. BP 118/76
D. Urine output 60 mL/hr
✅ Answer: A. Potassium 3.0
Rationale: Hypokalemia can cause dysrhythmias.
Q4. Bow-Tie Item
Select the three actions the nurse should take:
Insert indwelling catheter
Restrict fluids as prescribed
Monitor daily weights
Give high-sodium diet
Encourage 2 L fluids daily
Monitor lung sounds
,✅ Answers: Restrict fluids, Monitor daily weights, Monitor lung sounds
Rationale: All help evaluate/manage fluid overload.
Q5. Which statement from the client indicates correct understanding of heart
failure management?
A. “I will weigh myself once a week.”
B. “I’ll report if I gain 3 pounds in 2 days.”
C. “I should avoid foods high in potassium.”
D. “I will stop taking my beta-blocker if my heart rate is low.”
✅ Answer: B.
Rationale: Daily weights; rapid gain → fluid retention.
Q6. Matrix Response
Match each medication to expected effect:
Furosemide → (↓ preload / ↓ K⁺ / ↓ fluid overload)
Lisinopril → (↓ afterload / prevents remodeling / monitor for cough)
Metoprolol → (↓ HR / ↓ BP / ↓ workload)
✅ Correctly matched as above.
, Case Study 2 : Pediatric Asthma
Client Profile:
Maria, 9 y/o, admitted for acute asthma exacerbation.
Findings: Wheezing, use of accessory muscles, SpO₂ 89% RA, RR 34, anxiety.
Q7. Which intervention is priority?
A. Administer albuterol nebulizer
B. Start IV fluids
C. Draw ABGs
D. Teach pursed-lip breathing
✅ Answer: A. Administer albuterol
Rationale: Relieves bronchospasm immediately.
Q8. Expected ABG result?
A. pH 7.30, CO₂ 50
B. pH 7.48, CO₂ 30
C. pH 7.40, CO₂ 40
D. pH 7.28, HCO₃ 18
✅ Answer: B.
Rationale: Asthma early = hyperventilation → respiratory alkalosis.
(LATEST UPDATE) ACTUAL EXAM/TEST
QUESTIONS AND 100% VERIFIED ANSWERS| A+ GRADE
FORM C - ATI RN VATI COMPREHENSIVE PREDICTOR 2025
Case Study 1: Heart Failure Exacerbation
Client Profile:
Mr. James, 68 y/o, admitted with acute decompensated heart failure.
Findings: Dyspnea, orthopnea, pink frothy sputum, BP 152/94, HR 112, RR 28,
SpO₂ 85% on room air, crackles bilaterally.
Orders: Oxygen, furosemide IV, telemetry monitoring, strict I&O.
Q1. Which intervention should the nurse perform first?
A. Place client in high-Fowler’s position
B. Insert urinary catheter
C. Administer IV furosemide
D. Apply telemetry monitor
✅ Answer: A. Place client in high-Fowler’s position
Rationale: Priority is improving oxygenation and reducing preload.
Q2. Which lab value would the nurse expect in this client?
A. BNP 1,200 pg/mL
B. Potassium 2.8 mEq/L
C. WBC 18,000/mm³
D. Hgb 18 g/dL
,✅ Answer: A. BNP 1,200 pg/mL
Rationale: BNP is elevated in heart failure.
Q3. The client is prescribed IV furosemide. Which finding requires immediate
intervention?
A. Potassium 3.0 mEq/L
B. Sodium 136 mEq/L
C. BP 118/76
D. Urine output 60 mL/hr
✅ Answer: A. Potassium 3.0
Rationale: Hypokalemia can cause dysrhythmias.
Q4. Bow-Tie Item
Select the three actions the nurse should take:
Insert indwelling catheter
Restrict fluids as prescribed
Monitor daily weights
Give high-sodium diet
Encourage 2 L fluids daily
Monitor lung sounds
,✅ Answers: Restrict fluids, Monitor daily weights, Monitor lung sounds
Rationale: All help evaluate/manage fluid overload.
Q5. Which statement from the client indicates correct understanding of heart
failure management?
A. “I will weigh myself once a week.”
B. “I’ll report if I gain 3 pounds in 2 days.”
C. “I should avoid foods high in potassium.”
D. “I will stop taking my beta-blocker if my heart rate is low.”
✅ Answer: B.
Rationale: Daily weights; rapid gain → fluid retention.
Q6. Matrix Response
Match each medication to expected effect:
Furosemide → (↓ preload / ↓ K⁺ / ↓ fluid overload)
Lisinopril → (↓ afterload / prevents remodeling / monitor for cough)
Metoprolol → (↓ HR / ↓ BP / ↓ workload)
✅ Correctly matched as above.
, Case Study 2 : Pediatric Asthma
Client Profile:
Maria, 9 y/o, admitted for acute asthma exacerbation.
Findings: Wheezing, use of accessory muscles, SpO₂ 89% RA, RR 34, anxiety.
Q7. Which intervention is priority?
A. Administer albuterol nebulizer
B. Start IV fluids
C. Draw ABGs
D. Teach pursed-lip breathing
✅ Answer: A. Administer albuterol
Rationale: Relieves bronchospasm immediately.
Q8. Expected ABG result?
A. pH 7.30, CO₂ 50
B. pH 7.48, CO₂ 30
C. pH 7.40, CO₂ 40
D. pH 7.28, HCO₃ 18
✅ Answer: B.
Rationale: Asthma early = hyperventilation → respiratory alkalosis.
