ATI RN Comprehensive Predictor Retake
Exam Newest 2025-2026 Update Practice
Questions Fast Reviewed From Actual
Exams 100 Questions And 100% Verified
Answers With Convenient Explanations
Grade A+ Q&A | Instant Download Pdf
1. A nurse is caring for a client with heart failure who suddenly develops
shortness of breath, crackles in both lungs, and oxygen saturation of 84%.
Which action should the nurse take first?
A. Obtain a stat chest x-ray
B. Place the client in high-Fowler’s position
C. Administer oral furosemide
D. Encourage deep breathing exercises
Answer: B. Place the client in high-Fowler’s position ✔
Rationale: The priority is to improve oxygenation and ventilation. High-Fowler’s
position maximizes lung expansion and is the immediate intervention before
medications or diagnostics.
2. A client with diabetes mellitus reports shakiness, sweating, and confusion.
What is the nurse’s first action?
A. Check blood glucose level
B. Administer insulin
C. Give 15 g of oral glucose
D. Notify the healthcare provider
,Answer: C. Give 15 g of oral glucose ✔
Rationale: The client shows signs of hypoglycemia. Immediate treatment with
fast-acting carbohydrates is priority before confirming labs.
3. A nurse is reviewing laboratory results for a client taking warfarin. Which
value requires immediate intervention?
A. INR 2.5
B. INR 3.0
C. INR 4.8
D. INR 1.8
Answer: C. INR 4.8 ✔
Rationale: An INR above therapeutic range indicates increased bleeding risk and
requires prompt action.
4. A postoperative client reports sudden chest pain and dyspnea. What is the
nurse’s priority action?
A. Encourage coughing and deep breathing
B. Administer analgesics
C. Assess oxygen saturation
D. Ambulate the client
Answer: C. Assess oxygen saturation ✔
Rationale: Symptoms suggest possible pulmonary embolism, so oxygenation
assessment is priority.
5. A nurse is caring for a client receiving IV vancomycin. Which finding requires
immediate action?
A. Mild flushing of the face
B. Blood pressure 120/80 mmHg
, C. Complaints of itching and wheezing
D. Slight fatigue
Answer: C. Complaints of itching and wheezing ✔
Rationale: These are signs of anaphylaxis, requiring immediate discontinuation
and emergency response.
6. A client with hypertension is prescribed lisinopril. Which finding should the
nurse monitor?
A. Hyperkalemia
B. Hypoglycemia
C. Hypocalcemia
D. Hyponatremia
Answer: A. Hyperkalemia ✔
Rationale: ACE inhibitors like lisinopril increase potassium retention, causing
hyperkalemia.
7. A nurse is caring for a client with active tuberculosis. Which precaution is
required?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Standard precautions only
Answer: C. Airborne precautions ✔
Rationale: TB is transmitted via airborne particles requiring negative-pressure
isolation.
8. A postpartum client saturates one pad in 15 minutes. What is the nurse’s
priority action?
, A. Massage the fundus
B. Encourage ambulation
C. Apply ice packs
D. Administer iron supplements
Answer: A. Massage the fundus ✔
Rationale: Excessive bleeding indicates uterine atony, and fundal massage
promotes contraction.
9. A nurse is teaching a client about nitroglycerin. Which instruction is correct?
A. Store in a pill organizer
B. Take every 10 minutes as needed
C. Replace medication every 6 months
D. Take at first sign of chest pain
Answer: D. Take at first sign of chest pain ✔
Rationale: Nitroglycerin should be taken immediately for angina relief.
10.A client is receiving heparin therapy. Which lab value should the nurse
monitor?
A. INR
B. aPTT
C. PT
D. Platelet count only
Answer: B. aPTT ✔
Rationale: Heparin therapy is monitored using activated partial thromboplastin
time.
11.A nurse is caring for a client with stroke symptoms. Which finding is most
concerning?
Exam Newest 2025-2026 Update Practice
Questions Fast Reviewed From Actual
Exams 100 Questions And 100% Verified
Answers With Convenient Explanations
Grade A+ Q&A | Instant Download Pdf
1. A nurse is caring for a client with heart failure who suddenly develops
shortness of breath, crackles in both lungs, and oxygen saturation of 84%.
Which action should the nurse take first?
A. Obtain a stat chest x-ray
B. Place the client in high-Fowler’s position
C. Administer oral furosemide
D. Encourage deep breathing exercises
Answer: B. Place the client in high-Fowler’s position ✔
Rationale: The priority is to improve oxygenation and ventilation. High-Fowler’s
position maximizes lung expansion and is the immediate intervention before
medications or diagnostics.
2. A client with diabetes mellitus reports shakiness, sweating, and confusion.
What is the nurse’s first action?
A. Check blood glucose level
B. Administer insulin
C. Give 15 g of oral glucose
D. Notify the healthcare provider
,Answer: C. Give 15 g of oral glucose ✔
Rationale: The client shows signs of hypoglycemia. Immediate treatment with
fast-acting carbohydrates is priority before confirming labs.
3. A nurse is reviewing laboratory results for a client taking warfarin. Which
value requires immediate intervention?
A. INR 2.5
B. INR 3.0
C. INR 4.8
D. INR 1.8
Answer: C. INR 4.8 ✔
Rationale: An INR above therapeutic range indicates increased bleeding risk and
requires prompt action.
4. A postoperative client reports sudden chest pain and dyspnea. What is the
nurse’s priority action?
A. Encourage coughing and deep breathing
B. Administer analgesics
C. Assess oxygen saturation
D. Ambulate the client
Answer: C. Assess oxygen saturation ✔
Rationale: Symptoms suggest possible pulmonary embolism, so oxygenation
assessment is priority.
5. A nurse is caring for a client receiving IV vancomycin. Which finding requires
immediate action?
A. Mild flushing of the face
B. Blood pressure 120/80 mmHg
, C. Complaints of itching and wheezing
D. Slight fatigue
Answer: C. Complaints of itching and wheezing ✔
Rationale: These are signs of anaphylaxis, requiring immediate discontinuation
and emergency response.
6. A client with hypertension is prescribed lisinopril. Which finding should the
nurse monitor?
A. Hyperkalemia
B. Hypoglycemia
C. Hypocalcemia
D. Hyponatremia
Answer: A. Hyperkalemia ✔
Rationale: ACE inhibitors like lisinopril increase potassium retention, causing
hyperkalemia.
7. A nurse is caring for a client with active tuberculosis. Which precaution is
required?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Standard precautions only
Answer: C. Airborne precautions ✔
Rationale: TB is transmitted via airborne particles requiring negative-pressure
isolation.
8. A postpartum client saturates one pad in 15 minutes. What is the nurse’s
priority action?
, A. Massage the fundus
B. Encourage ambulation
C. Apply ice packs
D. Administer iron supplements
Answer: A. Massage the fundus ✔
Rationale: Excessive bleeding indicates uterine atony, and fundal massage
promotes contraction.
9. A nurse is teaching a client about nitroglycerin. Which instruction is correct?
A. Store in a pill organizer
B. Take every 10 minutes as needed
C. Replace medication every 6 months
D. Take at first sign of chest pain
Answer: D. Take at first sign of chest pain ✔
Rationale: Nitroglycerin should be taken immediately for angina relief.
10.A client is receiving heparin therapy. Which lab value should the nurse
monitor?
A. INR
B. aPTT
C. PT
D. Platelet count only
Answer: B. aPTT ✔
Rationale: Heparin therapy is monitored using activated partial thromboplastin
time.
11.A nurse is caring for a client with stroke symptoms. Which finding is most
concerning?
