ATI Comprehensive Predictor 2026 Exam Questions &
Answers with Rationales (1–100) | Latest RN Practice Test |
Verified Study Guide | A+ Graded Questions | 2026 Update
Question 1
A nurse is caring for a client with heart failure. Which finding should the nurse report to the
provider immediately?
A. Weight gain of 2.3 kg (5 lb) in 24 hr
B. Heart rate of 78/min
C. Blood pressure of 128/76 mm Hg
D. Respiratory rate of 18/min
Answer: A. Weight gain of 2.3 kg (5 lb) in 24 hr
Rationale: Rapid weight gain indicates fluid retention and worsening heart failure requiring
immediate intervention.
Question 2
A nurse is teaching a client about insulin administration. Which injection angle should be
used for a subcutaneous injection?
A. 15°
B. 45°
C. 90°
D. 120°
Answer: C. 90°
Rationale: Most insulin injections are administered subcutaneously at a 90-degree angle
when adequate tissue is present.
Question 3
A nurse is assessing a newborn. Which finding requires immediate intervention?
A. Respiratory rate 65/min with nasal flaring
B. Heart rate 140/min
,C. Acrocyanosis
D. Vernix present
Answer: A. Respiratory rate 65/min with nasal flaring
Rationale: Respiratory distress signs require prompt assessment and intervention to
prevent hypoxia.
Question 4
A nurse is caring for a client receiving warfarin. Which laboratory value should the nurse
monitor?
A. Hemoglobin
B. Platelets
C. INR
D. WBC count
Answer: C. INR
Rationale: INR measures anticoagulation effectiveness and guides warfarin dosing.
Question 5
A nurse is caring for a client who has hypokalemia. Which manifestation should the nurse
expect?
A. Hyperactive reflexes
B. Muscle weakness
C. Bradypnea
D. Hypertension
Answer: B. Muscle weakness
Rationale: Low potassium impairs muscle contraction and commonly causes weakness.
Question 6
A nurse is preparing to administer a blood transfusion. Which action is the priority?
A. Obtain vital signs after transfusion
B. Verify blood product with another nurse
,C. Warm the blood
D. Start infusion rapidly
Answer: B. Verify blood product with another nurse
Rationale: Proper identification prevents life-threatening transfusion reactions.
Question 7
A nurse is teaching a client with asthma about rescue medications. Which medication
should the nurse identify?
A. Fluticasone
B. Prednisone
C. Albuterol
D. Montelukast
Answer: C. Albuterol
Rationale: Albuterol is a short-acting bronchodilator used for acute symptom relief.
Question 8
A nurse is caring for a client experiencing hypoglycemia. Which finding is expected?
A. Polyuria
B. Fruity breath odor
C. Diaphoresis
D. Kussmaul respirations
Answer: C. Diaphoresis
Rationale: Sweating is a common manifestation of low blood glucose.
Question 9
A nurse is assessing a client following a thyroidectomy. Which finding indicates airway
obstruction?
A. Hoarseness
B. Restlessness
C. Neck pain
, D. Bradycardia
Answer: B. Restlessness
Rationale: Restlessness is an early sign of hypoxia and possible airway compromise.
Question 10
A nurse is caring for a client with meningitis. Which precaution should be implemented?
A. Contact precautions
B. Airborne precautions
C. Droplet precautions
D. Protective isolation
Answer: C. Droplet precautions
Rationale: Bacterial meningitis is spread through respiratory droplets.
Question 11
A nurse is teaching a pregnant client about danger signs to report. Which finding should be
reported immediately?
A. Mild ankle edema
B. Fetal movement
C. Vaginal bleeding
D. Increased appetite
Answer: C. Vaginal bleeding
Rationale: Vaginal bleeding may indicate placental complications and requires urgent
evaluation.
Question 12
A nurse is caring for a client who has a chest tube. Which finding requires intervention?
A. Tidaling in water seal chamber
B. Continuous bubbling in water seal chamber
C. Drainage of 50 mL in 8 hr
D. Occlusive dressing intact
Answers with Rationales (1–100) | Latest RN Practice Test |
Verified Study Guide | A+ Graded Questions | 2026 Update
Question 1
A nurse is caring for a client with heart failure. Which finding should the nurse report to the
provider immediately?
A. Weight gain of 2.3 kg (5 lb) in 24 hr
B. Heart rate of 78/min
C. Blood pressure of 128/76 mm Hg
D. Respiratory rate of 18/min
Answer: A. Weight gain of 2.3 kg (5 lb) in 24 hr
Rationale: Rapid weight gain indicates fluid retention and worsening heart failure requiring
immediate intervention.
Question 2
A nurse is teaching a client about insulin administration. Which injection angle should be
used for a subcutaneous injection?
A. 15°
B. 45°
C. 90°
D. 120°
Answer: C. 90°
Rationale: Most insulin injections are administered subcutaneously at a 90-degree angle
when adequate tissue is present.
Question 3
A nurse is assessing a newborn. Which finding requires immediate intervention?
A. Respiratory rate 65/min with nasal flaring
B. Heart rate 140/min
,C. Acrocyanosis
D. Vernix present
Answer: A. Respiratory rate 65/min with nasal flaring
Rationale: Respiratory distress signs require prompt assessment and intervention to
prevent hypoxia.
Question 4
A nurse is caring for a client receiving warfarin. Which laboratory value should the nurse
monitor?
A. Hemoglobin
B. Platelets
C. INR
D. WBC count
Answer: C. INR
Rationale: INR measures anticoagulation effectiveness and guides warfarin dosing.
Question 5
A nurse is caring for a client who has hypokalemia. Which manifestation should the nurse
expect?
A. Hyperactive reflexes
B. Muscle weakness
C. Bradypnea
D. Hypertension
Answer: B. Muscle weakness
Rationale: Low potassium impairs muscle contraction and commonly causes weakness.
Question 6
A nurse is preparing to administer a blood transfusion. Which action is the priority?
A. Obtain vital signs after transfusion
B. Verify blood product with another nurse
,C. Warm the blood
D. Start infusion rapidly
Answer: B. Verify blood product with another nurse
Rationale: Proper identification prevents life-threatening transfusion reactions.
Question 7
A nurse is teaching a client with asthma about rescue medications. Which medication
should the nurse identify?
A. Fluticasone
B. Prednisone
C. Albuterol
D. Montelukast
Answer: C. Albuterol
Rationale: Albuterol is a short-acting bronchodilator used for acute symptom relief.
Question 8
A nurse is caring for a client experiencing hypoglycemia. Which finding is expected?
A. Polyuria
B. Fruity breath odor
C. Diaphoresis
D. Kussmaul respirations
Answer: C. Diaphoresis
Rationale: Sweating is a common manifestation of low blood glucose.
Question 9
A nurse is assessing a client following a thyroidectomy. Which finding indicates airway
obstruction?
A. Hoarseness
B. Restlessness
C. Neck pain
, D. Bradycardia
Answer: B. Restlessness
Rationale: Restlessness is an early sign of hypoxia and possible airway compromise.
Question 10
A nurse is caring for a client with meningitis. Which precaution should be implemented?
A. Contact precautions
B. Airborne precautions
C. Droplet precautions
D. Protective isolation
Answer: C. Droplet precautions
Rationale: Bacterial meningitis is spread through respiratory droplets.
Question 11
A nurse is teaching a pregnant client about danger signs to report. Which finding should be
reported immediately?
A. Mild ankle edema
B. Fetal movement
C. Vaginal bleeding
D. Increased appetite
Answer: C. Vaginal bleeding
Rationale: Vaginal bleeding may indicate placental complications and requires urgent
evaluation.
Question 12
A nurse is caring for a client who has a chest tube. Which finding requires intervention?
A. Tidaling in water seal chamber
B. Continuous bubbling in water seal chamber
C. Drainage of 50 mL in 8 hr
D. Occlusive dressing intact
