The Ultimate ATI RN Comprehensive
Predictor & NCLEX-RN Exam Cram:
200 High-Yield Practice Questions
with Detailed Rationales,
Prioritization Frameworks, and
Integrated Content Review Covering
Management of Care, Pharmacology,
Medical-Surgical, OB/Pediatrics,
Psychiatric Nursing, Critical Care, and
Clinical Judgment for Guaranteed
Success on the Proctored ATI and
Board Exams
,
,Q1. A nurse in the ED is assessing four clients. Which client
should the nurse prioritize?
A. Client with COPD and SpO₂ of 88%
B. Client with chest pain rated 4/10 awaiting ECG
C. Client with abdominal pain and temperature of 38.3°C (101°F)
D. Client with a leg fracture requesting pain medication
A1. A
R: SpO₂ of 88% indicates severe hypoxemia requiring immediate
intervention. Airway/Breathing/Circulation (ABCs) always takes
priority over pain, mild fever, or stable chest pain.
Q2. A charge nurse is teaching a new graduate about
restraints. Which statement is correct?
A. Apply a waist restraint to a school-age child with seizures
B. Secure wrist restraints to the bed frame for an adolescent
C. Use elbow immobilizers for an infant after cleft lip repair
D. Keep the side rails up for a toddler
C2. C
R: Elbow immobilizers prevent the infant from touching the
surgical site. Restraints should never be tied to the bed frame (risk
of entrapment); waist restraints are contraindicated in seizures;
side rails are a standard safety measure, not a restraint.
, Q3. A nurse is caring for four clients. Which should the nurse
see first?
A. COPD client with SpO₂ 89% on 2L NC
B. Post-op day 2 appendectomy with temp 38.3°C
C. Heart failure client with 3+ pitting edema
D. Client with new-onset confusion and bounding pulse
D3. D
R: New confusion + bounding pulse indicates hypercapnia or fluid
overload affecting cerebral perfusion. Acute mental status
changes are a priority. Option A is expected for COPD, B is
inflammatory, C is chronic.
Q4. A charge nurse is assigning staff. Which client should be
assigned to the LPN?
A. Client 1-hour post-cardiac catheterization with bleeding
B. Stable diabetic client needing insulin and foot care
C. New stroke admission with altered LOC
D. Client on IV heparin with PTT of 98 seconds
B4. B
R: LPNs can administer insulin, perform stable wound care, and
monitor stable clients. Options A, C, and D require RN assessment
(bleeding, neuro changes, critical lab monitoring).
Predictor & NCLEX-RN Exam Cram:
200 High-Yield Practice Questions
with Detailed Rationales,
Prioritization Frameworks, and
Integrated Content Review Covering
Management of Care, Pharmacology,
Medical-Surgical, OB/Pediatrics,
Psychiatric Nursing, Critical Care, and
Clinical Judgment for Guaranteed
Success on the Proctored ATI and
Board Exams
,
,Q1. A nurse in the ED is assessing four clients. Which client
should the nurse prioritize?
A. Client with COPD and SpO₂ of 88%
B. Client with chest pain rated 4/10 awaiting ECG
C. Client with abdominal pain and temperature of 38.3°C (101°F)
D. Client with a leg fracture requesting pain medication
A1. A
R: SpO₂ of 88% indicates severe hypoxemia requiring immediate
intervention. Airway/Breathing/Circulation (ABCs) always takes
priority over pain, mild fever, or stable chest pain.
Q2. A charge nurse is teaching a new graduate about
restraints. Which statement is correct?
A. Apply a waist restraint to a school-age child with seizures
B. Secure wrist restraints to the bed frame for an adolescent
C. Use elbow immobilizers for an infant after cleft lip repair
D. Keep the side rails up for a toddler
C2. C
R: Elbow immobilizers prevent the infant from touching the
surgical site. Restraints should never be tied to the bed frame (risk
of entrapment); waist restraints are contraindicated in seizures;
side rails are a standard safety measure, not a restraint.
, Q3. A nurse is caring for four clients. Which should the nurse
see first?
A. COPD client with SpO₂ 89% on 2L NC
B. Post-op day 2 appendectomy with temp 38.3°C
C. Heart failure client with 3+ pitting edema
D. Client with new-onset confusion and bounding pulse
D3. D
R: New confusion + bounding pulse indicates hypercapnia or fluid
overload affecting cerebral perfusion. Acute mental status
changes are a priority. Option A is expected for COPD, B is
inflammatory, C is chronic.
Q4. A charge nurse is assigning staff. Which client should be
assigned to the LPN?
A. Client 1-hour post-cardiac catheterization with bleeding
B. Stable diabetic client needing insulin and foot care
C. New stroke admission with altered LOC
D. Client on IV heparin with PTT of 98 seconds
B4. B
R: LPNs can administer insulin, perform stable wound care, and
monitor stable clients. Options A, C, and D require RN assessment
(bleeding, neuro changes, critical lab monitoring).
