2023 ATI RN Comprehensive Predictor 2023-
2026
Form A B C Questions and answers
UPDATED IN 2026 GRADED
A+
1. A nurse is assessing a client who is receiving a continuous IV infusion of heparin.
Which of the following laboratory values should the nurse monitor to evaluate
therapeutic effectiveness?
A. INR
B. aPTT
C. Platelet count
D. Bleeding time
Correct Answer: B
EXAMINER'S NOTE: aPTT is used to monitor heparin therapy. Therapeutic range is 1.5 to
2.5 times the normal control value. INR monitors warfarin. Platelet count monitors for HIT.
Bleeding time is not routinely used.
2. A nurse is providing discharge teaching to a client who has a new prescription for
furosemide (Lasix). Which of the following statements by the client indicates an
understanding of the teaching?
A. "I will take this medication at bedtime."
B. "I will eat foods high in potassium."
C. "I will limit my fluid intake to 1 liter per day."
D. "I will weigh myself once a week."
,Correct Answer: B
EXAMINER'S NOTE: Furosemide causes hypokalemia; increase potassium-rich foods
(bananas, oranges, potatoes). Take in morning to avoid nocturia. Weigh daily to monitor
fluid status. No routine fluid restriction without specific order.
3. A nurse is caring for a client who has a chest tube following a thoracotomy. Which of
the following findings should the nurse report to the provider?
A. Tidaling in the water seal chamber
B. Continuous bubbling in the water seal chamber
C. 200 mL of drainage in the first 8 hours
D. Pain at the insertion site
Correct Answer: B
EXAMINER'S NOTE: Continuous bubbling indicates an air leak requiring intervention.
Tidaling is normal with respirations. Up to 500 mL drainage in first 24 hours is expected.
Some pain is normal.
4. A nurse is assessing a newborn who is 24 hours old. Which of the following findings
should the nurse report to the provider?
A. Acrocyanosis of the hands and feet
B. Respiratory rate of 68/min
C. Apical pulse of 150/min
D. Blood glucose of 55 mg/dL
Correct Answer: B
EXAMINER'S NOTE: *Respiratory rate 68/min is tachypnea (normal 30-60).
,Acrocyanosis is normal in first 24 hours. HR 110-160 is normal. Glucose >40 is
acceptable.*
5. A nurse is providing teaching to a client who has a new prescription for insulin
glargine (Lantus). Which of the following statements by the client indicates an
understanding of the teaching?
A. "I will take this insulin 30 minutes before meals."
B. "I will mix this insulin with regular insulin in the same syringe."
C. "I will inject this insulin at the same time every day."
D. "I will store the opened vial in the freezer."
Correct Answer: C
EXAMINER'S NOTE: Insulin glargine is long-acting, given once daily at the same time.
Do not mix with other insulins. Do not give before meals (that's rapid-acting). Store
opened vial at room temperature, not frozen.
6. A nurse is caring for a client who is in the active phase of labor and has an epidural
analgesic infusion. The client's blood pressure is 88/50 mm Hg. Which of the following
actions should the nurse take first?
A. Increase the rate of the maintenance IV infusion.
B. Place the client in the left lateral position.
C. Administer oxygen via face mask at 10 L/min.
D. Notify the anesthesia provider.
Correct Answer: B
EXAMINER'S NOTE: First, position client on left side to displace the uterus off the vena
, cava, improving venous return and blood pressure. Then increase IV fluids, give oxygen,
and notify provider.
7. A nurse is assessing a client who has a new diagnosis of appendicitis. Which of the
following findings should the nurse expect?
A. Rebound tenderness at McBurney's point
B. Right upper quadrant pain radiating to the shoulder
C. Pain relieved by bending the knees
D. Constipation followed by diarrhea
Correct Answer: A
EXAMINER'S NOTE: Appendicitis presents with periumbilical pain migrating to RLQ,
rebound tenderness at McBurney's point, nausea, vomiting, low-grade fever. Pain worsens
with movement. Shoulder pain suggests cholecystitis.
8. A nurse is providing discharge teaching to a client who has a new prescription for
warfarin (Coumadin). Which of the following over-the-counter medications should the
nurse instruct the client to avoid?
A. Acetaminophen (Tylenol)
B. Ibuprofen (Advil)
C. Diphenhydramine (Benadryl)
D. Loratadine (Claritin)
Correct Answer: B
EXAMINER'S NOTE: NSAIDs (ibuprofen, naproxen, aspirin) increase bleeding risk with
warfarin. Acetaminophen is safer but limit dose. Antihistamines are not contraindicated.
2026
Form A B C Questions and answers
UPDATED IN 2026 GRADED
A+
1. A nurse is assessing a client who is receiving a continuous IV infusion of heparin.
Which of the following laboratory values should the nurse monitor to evaluate
therapeutic effectiveness?
A. INR
B. aPTT
C. Platelet count
D. Bleeding time
Correct Answer: B
EXAMINER'S NOTE: aPTT is used to monitor heparin therapy. Therapeutic range is 1.5 to
2.5 times the normal control value. INR monitors warfarin. Platelet count monitors for HIT.
Bleeding time is not routinely used.
2. A nurse is providing discharge teaching to a client who has a new prescription for
furosemide (Lasix). Which of the following statements by the client indicates an
understanding of the teaching?
A. "I will take this medication at bedtime."
B. "I will eat foods high in potassium."
C. "I will limit my fluid intake to 1 liter per day."
D. "I will weigh myself once a week."
,Correct Answer: B
EXAMINER'S NOTE: Furosemide causes hypokalemia; increase potassium-rich foods
(bananas, oranges, potatoes). Take in morning to avoid nocturia. Weigh daily to monitor
fluid status. No routine fluid restriction without specific order.
3. A nurse is caring for a client who has a chest tube following a thoracotomy. Which of
the following findings should the nurse report to the provider?
A. Tidaling in the water seal chamber
B. Continuous bubbling in the water seal chamber
C. 200 mL of drainage in the first 8 hours
D. Pain at the insertion site
Correct Answer: B
EXAMINER'S NOTE: Continuous bubbling indicates an air leak requiring intervention.
Tidaling is normal with respirations. Up to 500 mL drainage in first 24 hours is expected.
Some pain is normal.
4. A nurse is assessing a newborn who is 24 hours old. Which of the following findings
should the nurse report to the provider?
A. Acrocyanosis of the hands and feet
B. Respiratory rate of 68/min
C. Apical pulse of 150/min
D. Blood glucose of 55 mg/dL
Correct Answer: B
EXAMINER'S NOTE: *Respiratory rate 68/min is tachypnea (normal 30-60).
,Acrocyanosis is normal in first 24 hours. HR 110-160 is normal. Glucose >40 is
acceptable.*
5. A nurse is providing teaching to a client who has a new prescription for insulin
glargine (Lantus). Which of the following statements by the client indicates an
understanding of the teaching?
A. "I will take this insulin 30 minutes before meals."
B. "I will mix this insulin with regular insulin in the same syringe."
C. "I will inject this insulin at the same time every day."
D. "I will store the opened vial in the freezer."
Correct Answer: C
EXAMINER'S NOTE: Insulin glargine is long-acting, given once daily at the same time.
Do not mix with other insulins. Do not give before meals (that's rapid-acting). Store
opened vial at room temperature, not frozen.
6. A nurse is caring for a client who is in the active phase of labor and has an epidural
analgesic infusion. The client's blood pressure is 88/50 mm Hg. Which of the following
actions should the nurse take first?
A. Increase the rate of the maintenance IV infusion.
B. Place the client in the left lateral position.
C. Administer oxygen via face mask at 10 L/min.
D. Notify the anesthesia provider.
Correct Answer: B
EXAMINER'S NOTE: First, position client on left side to displace the uterus off the vena
, cava, improving venous return and blood pressure. Then increase IV fluids, give oxygen,
and notify provider.
7. A nurse is assessing a client who has a new diagnosis of appendicitis. Which of the
following findings should the nurse expect?
A. Rebound tenderness at McBurney's point
B. Right upper quadrant pain radiating to the shoulder
C. Pain relieved by bending the knees
D. Constipation followed by diarrhea
Correct Answer: A
EXAMINER'S NOTE: Appendicitis presents with periumbilical pain migrating to RLQ,
rebound tenderness at McBurney's point, nausea, vomiting, low-grade fever. Pain worsens
with movement. Shoulder pain suggests cholecystitis.
8. A nurse is providing discharge teaching to a client who has a new prescription for
warfarin (Coumadin). Which of the following over-the-counter medications should the
nurse instruct the client to avoid?
A. Acetaminophen (Tylenol)
B. Ibuprofen (Advil)
C. Diphenhydramine (Benadryl)
D. Loratadine (Claritin)
Correct Answer: B
EXAMINER'S NOTE: NSAIDs (ibuprofen, naproxen, aspirin) increase bleeding risk with
warfarin. Acetaminophen is safer but limit dose. Antihistamines are not contraindicated.
