ATI RN
COMPREHENSIVE ONLINE PRACTICE
2026 B
(NGN-STYLE QUESTIONS & CASE SCENARIOS)
Answers with detailed Rationale
What You’ll Get:
• 150 ATI-style Practice questions
• quick review
• Printable, easy-to-study PDF
Not affiliated with ATI, VATI or NCLEX. For study purposes only.
,Question 1
A nurse is caring for a client who is receiving positive end-expiratory pressure (PEEP) via
mechanical ventilation. The nurse should monitor the client for which of the following
adverse effects of PEEP?
A. Tension pneumothorax
B. Pulmonary embolism
C. Pleural effusion
D. Atelectasis
Correct Answer: A. Tension pneumothorax
The nurse should identify that tension pneumothorax is a possible adverse effect of
PEEP. PEEP increases intrathoracic pressure, which can cause barotrauma leading to
pneumothorax. The nurse should monitor the client's lung sounds hourly for indications
of a tension pneumothorax, such as:
Tracheal deviation
Absent breath sounds
Distended neck veins
Question 2
A nurse is teaching about adverse effects with a client who is starting to take captopril.
Which of the following findings should the nurse identify as an adverse effect of the
medication to report to the provider?
A. Hyperkalemia
B. Cough
C. Bradycardia
D. Weight gain
,Correct Answer: B. Cough
The client can develop a cough due to a buildup of bradykinin in the lungs. This is a
characteristic adverse effect of ACE inhibitors like captopril. The client should report this
finding to the provider, as it may require discontinuation of the medication.
Question 3
A nurse is providing teaching about improving nutrition for a client who has multiple
sclerosis. Which of the following instructions should the nurse include? (Select all that
apply)
[ ] "A speech pathologist will be performing a swallowing study for you."
[ ] "You should rest before eating a meal."
[ ] "Thicken your beverages before drinking."
[ ] "Eat large meals three times daily."
[ ] "Avoid protein-rich foods."
Correct Answers:
✅ "A speech pathologist will be performing a swallowing study for you."
✅ "You should rest before eating a meal."
✅ "Thicken your beverages before drinking."
Rationale: Clients with multiple sclerosis often experience dysphagia and fatigue. A
swallowing study assesses aspiration risk, resting before meals conserves energy for
eating, and thickening beverages reduces aspiration risk. Large meals and avoiding
protein are not appropriate recommendations.
Question 4
A nurse is assessing a client who has a chest tube. Which of the following findings
should the nurse expect?
, A. Bubbling in the water seal chamber during expiration
B. Occlusive dressing on the insertion site
C. Continuous bubbling in the suction control chamber
D. Subcutaneous emphysema around the insertion site
Correct Answer: B. Occlusive dressing on the insertion site
An occlusive dressing on the insertion site prevents air from leaking and is an expected
finding. This creates an airtight seal to maintain negative pressure in the pleural space.
Question 5
A community health nurse is reviewing the medical records of four newly diagnosed
clients. The nurse should identify which of the following clients as having a nationally
notifiable infectious condition?
A. An older adult client who has shingles
B. An adolescent client who has foodborne botulism
C. A young adult client who has infectious mononucleosis
D. A school-age child who has fifth disease
Correct Answer: B. An adolescent client who has foodborne botulism
The nurse should report botulism to the CDC because this information is necessary for
the prevention and control of this disease. Clients who ingest the botulism toxin can
develop:
Dysphagia
Drooping eyelids
Vision changes
In 12-36 hours: symmetric, flaccid paralysis and cranial nerve impairment
COMPREHENSIVE ONLINE PRACTICE
2026 B
(NGN-STYLE QUESTIONS & CASE SCENARIOS)
Answers with detailed Rationale
What You’ll Get:
• 150 ATI-style Practice questions
• quick review
• Printable, easy-to-study PDF
Not affiliated with ATI, VATI or NCLEX. For study purposes only.
,Question 1
A nurse is caring for a client who is receiving positive end-expiratory pressure (PEEP) via
mechanical ventilation. The nurse should monitor the client for which of the following
adverse effects of PEEP?
A. Tension pneumothorax
B. Pulmonary embolism
C. Pleural effusion
D. Atelectasis
Correct Answer: A. Tension pneumothorax
The nurse should identify that tension pneumothorax is a possible adverse effect of
PEEP. PEEP increases intrathoracic pressure, which can cause barotrauma leading to
pneumothorax. The nurse should monitor the client's lung sounds hourly for indications
of a tension pneumothorax, such as:
Tracheal deviation
Absent breath sounds
Distended neck veins
Question 2
A nurse is teaching about adverse effects with a client who is starting to take captopril.
Which of the following findings should the nurse identify as an adverse effect of the
medication to report to the provider?
A. Hyperkalemia
B. Cough
C. Bradycardia
D. Weight gain
,Correct Answer: B. Cough
The client can develop a cough due to a buildup of bradykinin in the lungs. This is a
characteristic adverse effect of ACE inhibitors like captopril. The client should report this
finding to the provider, as it may require discontinuation of the medication.
Question 3
A nurse is providing teaching about improving nutrition for a client who has multiple
sclerosis. Which of the following instructions should the nurse include? (Select all that
apply)
[ ] "A speech pathologist will be performing a swallowing study for you."
[ ] "You should rest before eating a meal."
[ ] "Thicken your beverages before drinking."
[ ] "Eat large meals three times daily."
[ ] "Avoid protein-rich foods."
Correct Answers:
✅ "A speech pathologist will be performing a swallowing study for you."
✅ "You should rest before eating a meal."
✅ "Thicken your beverages before drinking."
Rationale: Clients with multiple sclerosis often experience dysphagia and fatigue. A
swallowing study assesses aspiration risk, resting before meals conserves energy for
eating, and thickening beverages reduces aspiration risk. Large meals and avoiding
protein are not appropriate recommendations.
Question 4
A nurse is assessing a client who has a chest tube. Which of the following findings
should the nurse expect?
, A. Bubbling in the water seal chamber during expiration
B. Occlusive dressing on the insertion site
C. Continuous bubbling in the suction control chamber
D. Subcutaneous emphysema around the insertion site
Correct Answer: B. Occlusive dressing on the insertion site
An occlusive dressing on the insertion site prevents air from leaking and is an expected
finding. This creates an airtight seal to maintain negative pressure in the pleural space.
Question 5
A community health nurse is reviewing the medical records of four newly diagnosed
clients. The nurse should identify which of the following clients as having a nationally
notifiable infectious condition?
A. An older adult client who has shingles
B. An adolescent client who has foodborne botulism
C. A young adult client who has infectious mononucleosis
D. A school-age child who has fifth disease
Correct Answer: B. An adolescent client who has foodborne botulism
The nurse should report botulism to the CDC because this information is necessary for
the prevention and control of this disease. Clients who ingest the botulism toxin can
develop:
Dysphagia
Drooping eyelids
Vision changes
In 12-36 hours: symmetric, flaccid paralysis and cranial nerve impairment
