ATI RN Comprehensive Predictor Actual
Exam 2026 | RN Predictor | Questions with
Verified Answers | 100% Correct | Pass
Guaranteed
Q001: A 68-year-old client with a history of COPD and heart failure is admitted with shortness of breath
and bilateral ankle edema. The client is on 4 L oxygen via nasal cannula, and his SpO2 is 89%. He is
receiving furosemide 40 mg IV every 8 hours. Which assessment finding should the nurse report
immediately?
A. Oxygen saturation increased to 92% after nebulizer treatment
B. Urine output of 150 mL in 4 hours
C. Respiratory rate of 32 breaths per minute and accessory muscle use
D. Bilateral crackles at the bases, unchanged from admission
ANSWER: C
Q002: A 5-year-old child is admitted with suspected acute epiglottitis. The nurse enters the room and
finds the child sitting upright, drooling, and with muffled voice. Which action should the nurse take first?
A. Attempt to visualize the epiglottis with a tongue depressor
B. Obtain a throat culture immediately
C. Prepare for emergency intubation and stay with the child
D. Administer PO antibiotics as ordered
ANSWER: C
Q003: A client receiving morphine via PCA after abdominal surgery is found difficult to arouse. His
respiratory rate is 6 breaths per minute and SpO2 is 85%. Which medication should the nurse prepare to
administer?
A. Naloxone (Narcan)
B. Flumazenil (Romazicon)
C. Atropine
D. Epinephrine
ANSWER: A
Q004: A 32-week pregnant client reports sudden, severe abdominal pain and vaginal bleeding. Her blood
pressure is 90/60 mm Hg, heart rate is 120 bpm, and fetal heart rate is 160 bpm with late decelerations.
Which condition should the nurse suspect?
A. Placenta previa
B. Abruptio placentae
C. Preterm labor
D. Uterine rupture
ANSWER: B
,Q005: A client with type 1 diabetes is admitted with a blood glucose of 45 mg/dL. He is awake but
diaphoretic and tremulous. Which action should the nurse take first?
A. Administer 1 mg glucagon IM
B. Give 15 g of oral glucose tablets
C. Start D5W IV infusion
D. Obtain a stat BMP
ANSWER: B
Q006: A client with major depressive disorder who started sertraline one week ago tells the nurse, “I feel
more energetic and I’ve made a plan to end my life.” Which is the nurse’s priority intervention?
A. Ask if the client has a suicide plan
B. Place the client on one-to-one observation
C. Administer PRN lorazepam
D. Notify the provider immediately
ANSWER: B
Q007: A 4-day-old newborn is brought to the clinic. Parents report poor feeding and lethargy. Assessment
reveals jaundice extending to the knees and a bilirubin level of 24 mg/dL. Which intervention should the
nurse anticipate?
A. Initiate phototherapy
B. Prepare for exchange transfusion
C. Encourage frequent formula feeding
D. Administer phenobarbital
ANSWER: B
Q008: A client with chronic kidney disease (CKD) stage 4 is receiving epoetin alfa. Which lab value
should the nurse monitor to evaluate the effectiveness of this therapy?
A. Platelet count
B. Hemoglobin
C. Serum creatinine
D. BUN
ANSWER: B
Q009: A postoperative client has a prescription for morphine 10 mg IV every 4 hours PRN. The nurse
administers the dose and 15 minutes later finds the client unresponsive with pinpoint pupils. Which is the
priority nursing action?
A. Call the rapid response team
B. Administer naloxone 0.4 mg IV push
C. Start oxygen at 6 L/min via nasal cannula
D. Increase IV fluid rate
ANSWER: B
Q010: A client with hepatic encephalopathy is receiving lactulose. The nurse notes that the client has had
three loose stools today. Which finding indicates the medication is effective?
A. Decreased ammonia level
B. Increased serum potassium
C. Decreased bilirubin
D. Increased ALT
ANSWER: A
, Q011: A 6-year-old child with asthma is receiving albuterol via nebulizer. The nurse notes a heart rate of
180 bpm during the treatment. Which action should the nurse take?
A. Stop the treatment immediately and notify the provider
B. Continue the treatment as planned
C. Reduce the dosage and continue
D. Switch to ipratropium bromide
ANSWER: A
Q012: A client is receiving total parenteral nutrition (TPN) via a central line. The nurse notes the bag is
empty and new TPN is not ready. Which is the most appropriate immediate action?
A. Hang D5W at the same rate
B. Hang normal saline at 50 mL/hr
C. Hang 10% dextrose at the same rate
D. Discontinue the line until new TPN arrives
ANSWER: C
Q013: A client with heart failure is prescribed digoxin 0.25 mg daily. The nurse notes the apical pulse is
52 bpm. Which is the nurse’s best action?
A. Give the medication as ordered
B. Hold the dose and notify the provider
C. Check the radial pulse for 30 seconds
D. Administer half the dose
ANSWER: B
Q014: A pregnant client at 38 weeks gestation reports no fetal movement for the past 4 hours. Which
nursing action is most appropriate?
A. Tell the mother to drink cold juice and lie on her left side
B. Immediately perform a nonstress test
C. Schedule an ultrasound for next week
D. Check maternal glucose level
ANSWER: A
Q015: A client with pneumonia is receiving IV antibiotics. The nurse notes a temperature of 39.2°C
(102.5°F), BP 88/50 mm Hg, HR 120 bpm, and RR 28. Which intervention is priority?
A. Increase IV fluids
B. Obtain blood cultures
C. Administer antipyretic
D. Start oxygen therapy
ANSWER: B
Q016: A client with a spinal cord injury at T4 reports a severe headache and nasal congestion. His BP is
220/110 mm Hg. Which condition should the nurse suspect?
A. Autonomic dysreflexia
B. Increased intracranial pressure
C. Migraine
D. Malignant hypertension
ANSWER: A
Q017: A client is admitted with acute pancreatitis. Which lab value should the nurse monitor as a
priority?
Exam 2026 | RN Predictor | Questions with
Verified Answers | 100% Correct | Pass
Guaranteed
Q001: A 68-year-old client with a history of COPD and heart failure is admitted with shortness of breath
and bilateral ankle edema. The client is on 4 L oxygen via nasal cannula, and his SpO2 is 89%. He is
receiving furosemide 40 mg IV every 8 hours. Which assessment finding should the nurse report
immediately?
A. Oxygen saturation increased to 92% after nebulizer treatment
B. Urine output of 150 mL in 4 hours
C. Respiratory rate of 32 breaths per minute and accessory muscle use
D. Bilateral crackles at the bases, unchanged from admission
ANSWER: C
Q002: A 5-year-old child is admitted with suspected acute epiglottitis. The nurse enters the room and
finds the child sitting upright, drooling, and with muffled voice. Which action should the nurse take first?
A. Attempt to visualize the epiglottis with a tongue depressor
B. Obtain a throat culture immediately
C. Prepare for emergency intubation and stay with the child
D. Administer PO antibiotics as ordered
ANSWER: C
Q003: A client receiving morphine via PCA after abdominal surgery is found difficult to arouse. His
respiratory rate is 6 breaths per minute and SpO2 is 85%. Which medication should the nurse prepare to
administer?
A. Naloxone (Narcan)
B. Flumazenil (Romazicon)
C. Atropine
D. Epinephrine
ANSWER: A
Q004: A 32-week pregnant client reports sudden, severe abdominal pain and vaginal bleeding. Her blood
pressure is 90/60 mm Hg, heart rate is 120 bpm, and fetal heart rate is 160 bpm with late decelerations.
Which condition should the nurse suspect?
A. Placenta previa
B. Abruptio placentae
C. Preterm labor
D. Uterine rupture
ANSWER: B
,Q005: A client with type 1 diabetes is admitted with a blood glucose of 45 mg/dL. He is awake but
diaphoretic and tremulous. Which action should the nurse take first?
A. Administer 1 mg glucagon IM
B. Give 15 g of oral glucose tablets
C. Start D5W IV infusion
D. Obtain a stat BMP
ANSWER: B
Q006: A client with major depressive disorder who started sertraline one week ago tells the nurse, “I feel
more energetic and I’ve made a plan to end my life.” Which is the nurse’s priority intervention?
A. Ask if the client has a suicide plan
B. Place the client on one-to-one observation
C. Administer PRN lorazepam
D. Notify the provider immediately
ANSWER: B
Q007: A 4-day-old newborn is brought to the clinic. Parents report poor feeding and lethargy. Assessment
reveals jaundice extending to the knees and a bilirubin level of 24 mg/dL. Which intervention should the
nurse anticipate?
A. Initiate phototherapy
B. Prepare for exchange transfusion
C. Encourage frequent formula feeding
D. Administer phenobarbital
ANSWER: B
Q008: A client with chronic kidney disease (CKD) stage 4 is receiving epoetin alfa. Which lab value
should the nurse monitor to evaluate the effectiveness of this therapy?
A. Platelet count
B. Hemoglobin
C. Serum creatinine
D. BUN
ANSWER: B
Q009: A postoperative client has a prescription for morphine 10 mg IV every 4 hours PRN. The nurse
administers the dose and 15 minutes later finds the client unresponsive with pinpoint pupils. Which is the
priority nursing action?
A. Call the rapid response team
B. Administer naloxone 0.4 mg IV push
C. Start oxygen at 6 L/min via nasal cannula
D. Increase IV fluid rate
ANSWER: B
Q010: A client with hepatic encephalopathy is receiving lactulose. The nurse notes that the client has had
three loose stools today. Which finding indicates the medication is effective?
A. Decreased ammonia level
B. Increased serum potassium
C. Decreased bilirubin
D. Increased ALT
ANSWER: A
, Q011: A 6-year-old child with asthma is receiving albuterol via nebulizer. The nurse notes a heart rate of
180 bpm during the treatment. Which action should the nurse take?
A. Stop the treatment immediately and notify the provider
B. Continue the treatment as planned
C. Reduce the dosage and continue
D. Switch to ipratropium bromide
ANSWER: A
Q012: A client is receiving total parenteral nutrition (TPN) via a central line. The nurse notes the bag is
empty and new TPN is not ready. Which is the most appropriate immediate action?
A. Hang D5W at the same rate
B. Hang normal saline at 50 mL/hr
C. Hang 10% dextrose at the same rate
D. Discontinue the line until new TPN arrives
ANSWER: C
Q013: A client with heart failure is prescribed digoxin 0.25 mg daily. The nurse notes the apical pulse is
52 bpm. Which is the nurse’s best action?
A. Give the medication as ordered
B. Hold the dose and notify the provider
C. Check the radial pulse for 30 seconds
D. Administer half the dose
ANSWER: B
Q014: A pregnant client at 38 weeks gestation reports no fetal movement for the past 4 hours. Which
nursing action is most appropriate?
A. Tell the mother to drink cold juice and lie on her left side
B. Immediately perform a nonstress test
C. Schedule an ultrasound for next week
D. Check maternal glucose level
ANSWER: A
Q015: A client with pneumonia is receiving IV antibiotics. The nurse notes a temperature of 39.2°C
(102.5°F), BP 88/50 mm Hg, HR 120 bpm, and RR 28. Which intervention is priority?
A. Increase IV fluids
B. Obtain blood cultures
C. Administer antipyretic
D. Start oxygen therapy
ANSWER: B
Q016: A client with a spinal cord injury at T4 reports a severe headache and nasal congestion. His BP is
220/110 mm Hg. Which condition should the nurse suspect?
A. Autonomic dysreflexia
B. Increased intracranial pressure
C. Migraine
D. Malignant hypertension
ANSWER: A
Q017: A client is admitted with acute pancreatitis. Which lab value should the nurse monitor as a
priority?
