ATI RN COMPREHENSIVE
PREDICTOR LATEST UPDATED
2026-2027 ACTUAL FINAL
EXAM WITH COMPLETE
DETAILED QUESTIONS AND
CORRECT VERIFIED ANSWERS
WITH RATIONALES ALREADY A+
GRADED MOST RECENT!!!
1. A nurse is assessing a client who has heart
failure. Which finding is the earliest indicator of
fluid overload?
a) Jugular vein distention
b) Weight gain of 1 kg in 24 hours
c) Crackles in lung bases
d) Dyspnea on exertion
Explanation: Weight gain is the earliest sign of
, fluid retention (1 kg = 1 L fluid); crackles and
JVD occur later.
2. A client with diabetes mellitus type 2 has a
blood glucose of 48 mg/dL and is conscious.
What should the nurse administer first?
a) Glucagon 1 mg IM
b) 15 g of fast-acting carbohydrate (e.g., 4 oz
orange juice)
c) 50% dextrose IV push
d) Regular insulin IV
Explanation: Conscious client can swallow oral
glucose; rule of 15 – recheck in 15 minutes.
3. A nurse is delegating to a licensed practical
nurse (LPN). Which task is appropriate?
a) Administering a stable client’s scheduled
subcutaneous insulin
b) Performing the initial admission assessment
c) Creating the nursing care plan
d) Teaching a client about insulin self-
administration
Explanation: LPN can administer stable, routine
, medications; initial assessment, care plan, and
teaching are RN responsibilities.
4. A nurse is caring for a client with increased
intracranial pressure (ICP). Which intervention
should the nurse implement?
a) Keep the head of the bed flat
b) Maintain the head in a midline position
c) Cluster all nursing activities
d) Suction the client every 2 hours
Explanation: Midline position promotes venous
drainage; HOB elevate 30 degrees; avoid
clustering care (increases ICP).
5. A client with chronic obstructive pulmonary
disease (COPD) has an oxygen saturation of 86%
on room air. The nurse should:
a) Apply a non-rebreather mask at 15 L/min
b) Initiate nasal cannula at 2 L/min
c) Encourage pursed-lip breathing only
d) Document as normal for COPD
Explanation: Oxygen titrated to 88-92% in
, COPD; 2 L/min nasal cannula is safe; high
oxygen may depress respiratory drive.
6. A nurse is providing discharge teaching to a
client with a new prescription for warfarin.
Which statement indicates understanding?
a) “I will take ibuprofen if I have a headache.”
b) “I will eat the same amount of green leafy
vegetables each week.”
c) “I will stop taking warfarin if I see bruising.”
d) “I will use a straight razor to shave.”
Explanation: Consistent vitamin K intake
maintains stable INR; avoid NSAIDs, abrupt
discontinuation, and straight razors.
7. A client reports a sulfa allergy. Which
medication should the nurse question?
a) Metformin
b) Lisinopril
c) Trimethoprim-sulfamethoxazole (Bactrim)
d) Metoprolol
Explanation: Bactrim contains sulfonamide;
cross-reaction possible in sulfa-allergic patients.
PREDICTOR LATEST UPDATED
2026-2027 ACTUAL FINAL
EXAM WITH COMPLETE
DETAILED QUESTIONS AND
CORRECT VERIFIED ANSWERS
WITH RATIONALES ALREADY A+
GRADED MOST RECENT!!!
1. A nurse is assessing a client who has heart
failure. Which finding is the earliest indicator of
fluid overload?
a) Jugular vein distention
b) Weight gain of 1 kg in 24 hours
c) Crackles in lung bases
d) Dyspnea on exertion
Explanation: Weight gain is the earliest sign of
, fluid retention (1 kg = 1 L fluid); crackles and
JVD occur later.
2. A client with diabetes mellitus type 2 has a
blood glucose of 48 mg/dL and is conscious.
What should the nurse administer first?
a) Glucagon 1 mg IM
b) 15 g of fast-acting carbohydrate (e.g., 4 oz
orange juice)
c) 50% dextrose IV push
d) Regular insulin IV
Explanation: Conscious client can swallow oral
glucose; rule of 15 – recheck in 15 minutes.
3. A nurse is delegating to a licensed practical
nurse (LPN). Which task is appropriate?
a) Administering a stable client’s scheduled
subcutaneous insulin
b) Performing the initial admission assessment
c) Creating the nursing care plan
d) Teaching a client about insulin self-
administration
Explanation: LPN can administer stable, routine
, medications; initial assessment, care plan, and
teaching are RN responsibilities.
4. A nurse is caring for a client with increased
intracranial pressure (ICP). Which intervention
should the nurse implement?
a) Keep the head of the bed flat
b) Maintain the head in a midline position
c) Cluster all nursing activities
d) Suction the client every 2 hours
Explanation: Midline position promotes venous
drainage; HOB elevate 30 degrees; avoid
clustering care (increases ICP).
5. A client with chronic obstructive pulmonary
disease (COPD) has an oxygen saturation of 86%
on room air. The nurse should:
a) Apply a non-rebreather mask at 15 L/min
b) Initiate nasal cannula at 2 L/min
c) Encourage pursed-lip breathing only
d) Document as normal for COPD
Explanation: Oxygen titrated to 88-92% in
, COPD; 2 L/min nasal cannula is safe; high
oxygen may depress respiratory drive.
6. A nurse is providing discharge teaching to a
client with a new prescription for warfarin.
Which statement indicates understanding?
a) “I will take ibuprofen if I have a headache.”
b) “I will eat the same amount of green leafy
vegetables each week.”
c) “I will stop taking warfarin if I see bruising.”
d) “I will use a straight razor to shave.”
Explanation: Consistent vitamin K intake
maintains stable INR; avoid NSAIDs, abrupt
discontinuation, and straight razors.
7. A client reports a sulfa allergy. Which
medication should the nurse question?
a) Metformin
b) Lisinopril
c) Trimethoprim-sulfamethoxazole (Bactrim)
d) Metoprolol
Explanation: Bactrim contains sulfonamide;
cross-reaction possible in sulfa-allergic patients.
