ATI RN Comprehensive Predictor Forms A, B,
C with Complete Solutions
Question 1: Pharmacology
A patient with atrial fibrillation is prescribed warfarin. Which statement by the
patient indicates a need for further teaching?
A. “I will avoid foods high in vitamin K.”
B. “I will have my INR checked regularly.”
C. “I can take aspirin for headaches.”
D. “I should report any unusual bleeding.”
Rationale: Aspirin increases bleeding risk when combined with warfarin. Patients
should avoid NSAIDs unless approved by their provider.
Question 2: Medical-Surgical
A nurse is caring for a patient with COPD. Which intervention is most appropriate?
A. Encourage fluid intake of 500 mL/day
B. Administer oxygen at 2 L/min via nasal cannula
C. Position the patient supine to promote lung expansion
D. Restrict protein intake to reduce CO₂ production
Rationale: COPD patients benefit from low-flow oxygen (1–2 L/min). Supine
positioning worsens breathing, and fluid restriction/protein restriction are not
appropriate.
Question 3: Pediatrics
A child with sickle cell anemia is admitted with vaso-occlusive crisis. Which nursing
action is priority?
A. Apply cold compresses to affected joints
B. Administer IV opioids for pain
C. Restrict fluids to prevent overload
D. Encourage ambulation to improve circulation
Rationale: Pain management with opioids is the priority. Warm compresses and
hydration are also important, but cold compresses and fluid restriction are
contraindicated.
Question 4: Mental Health
A patient with major depressive disorder states, “I don’t see the point in living
anymore.” What is the nurse’s best response?
A. “You should focus on the positive things in your life.”
B. “Are you thinking about harming yourself?”
C. “Try not to think that way; things will get better.”
D. “Let’s talk about your hobbies to distract you.”
Rationale: Directly assessing suicidal ideation is the priority. Avoid minimizing or
deflecting the patient’s feelings.
Question 5: Leadership & Management
,The charge nurse is delegating tasks. Which assignment is appropriate for a UAP
(unlicensed assistive personnel)?
A. Administering oral medications to stable patients
B. Performing wound dressing changes
C. Assisting a patient with ambulation after surgery
D. Teaching a patient about insulin administration
Rationale: UAPs can assist with ambulation and ADLs. Medication administration,
wound care, and teaching require licensed nursing staff.
Question 6: Maternity
A nurse is caring for a postpartum patient who is experiencing heavy lochia and a
boggy uterus. What is the priority nursing action?
A. Encourage ambulation to promote uterine contraction
B. Administer oxytocin as prescribed
C. Massage the fundus firmly
D. Increase IV fluids
Rationale: Fundal massage is the first-line intervention for uterine atony.
Medications like oxytocin may follow if massage is ineffective.
Question 7: Nutrition
Which food choice is most appropriate for a patient with celiac disease?
A. Whole wheat pasta
B. Barley soup
C. Rice noodles
D. Rye bread
Rationale: Rice is gluten-free. Wheat, barley, and rye contain gluten and must be
avoided.
Question 8: Fundamentals
A nurse is inserting a urinary catheter. Which action demonstrates correct sterile
technique?
A. Place the catheter on the bed while donning gloves
B. Maintain the sterile field until catheter insertion is complete
C. Use clean gloves to insert the catheter
D. Ask the patient to hold the catheter tip
Rationale: Maintaining sterility throughout the procedure prevents infection. The
catheter must remain sterile until insertion.
Question 9: Pharmacology – NGN Case
A patient with hypertension is prescribed lisinopril. The nurse notes the patient has
developed a persistent dry cough. What is the best action?
A. Document the finding and continue medication
B. Encourage the patient to use cough syrup
C. Notify the provider about the adverse effect
D. Increase fluid intake to reduce irritation
Rationale: ACE inhibitors like lisinopril can cause a dry cough. The provider should
be notified to consider switching to another class (e.g., ARBs).
, Question 10: Community Health
During a home visit, a nurse observes medications scattered on the counter in an
elderly patient’s home. What is the priority intervention?
A. Organize medications into a pillbox
B. Educate the patient about medication safety
C. Contact the provider to simplify the regimen
D. Assess the patient’s ability to self-administer medications
Rationale: Assessment comes first. Determining the patient’s ability to manage
medications safely guides further interventions.
Question 11: Cardiac
A patient with heart failure is prescribed furosemide. Which finding requires
immediate intervention?
A. Potassium 3.0 mEq/L
B. Weight loss of 2 lbs in 24 hours
C. Blood pressure 110/70 mmHg
D. Urine output 1,200 mL in 24 hours
Rationale: Hypokalemia (K+ <3.5) is a dangerous side effect of loop diuretics and
increases risk of arrhythmias.
Question 12: Respiratory
A patient with pneumonia is receiving IV antibiotics. Which assessment finding
indicates improvement?
A. Respiratory rate 28/min
B. Oxygen saturation 95% on room air
C. Productive cough with green sputum
D. Temperature 38.5°C (101.3°F)
Rationale: Improved oxygenation shows effective treatment. Tachypnea, fever, and
purulent sputum indicate ongoing infection.
Question 13: Endocrine
A patient with type 1 diabetes reports shakiness and sweating. Blood glucose is 55
mg/dL. What is the nurse’s priority action?
A. Administer IV insulin
B. Provide 4 oz of orange juice
C. Encourage ambulation
D. Document the finding
Rationale: Hypoglycemia requires immediate treatment with fast-acting
carbohydrates.
Question 14: GI
A patient with a new colostomy is anxious about odor. Which teaching is most
appropriate?
A. “Avoid foods like onions and garlic.”
B. “Empty the pouch once daily.”
C. “Use baby powder inside the pouch.”
D. “Change the pouch every 2 weeks.”
Rationale: Certain foods increase odor. Pouches should be emptied when one-third
C with Complete Solutions
Question 1: Pharmacology
A patient with atrial fibrillation is prescribed warfarin. Which statement by the
patient indicates a need for further teaching?
A. “I will avoid foods high in vitamin K.”
B. “I will have my INR checked regularly.”
C. “I can take aspirin for headaches.”
D. “I should report any unusual bleeding.”
Rationale: Aspirin increases bleeding risk when combined with warfarin. Patients
should avoid NSAIDs unless approved by their provider.
Question 2: Medical-Surgical
A nurse is caring for a patient with COPD. Which intervention is most appropriate?
A. Encourage fluid intake of 500 mL/day
B. Administer oxygen at 2 L/min via nasal cannula
C. Position the patient supine to promote lung expansion
D. Restrict protein intake to reduce CO₂ production
Rationale: COPD patients benefit from low-flow oxygen (1–2 L/min). Supine
positioning worsens breathing, and fluid restriction/protein restriction are not
appropriate.
Question 3: Pediatrics
A child with sickle cell anemia is admitted with vaso-occlusive crisis. Which nursing
action is priority?
A. Apply cold compresses to affected joints
B. Administer IV opioids for pain
C. Restrict fluids to prevent overload
D. Encourage ambulation to improve circulation
Rationale: Pain management with opioids is the priority. Warm compresses and
hydration are also important, but cold compresses and fluid restriction are
contraindicated.
Question 4: Mental Health
A patient with major depressive disorder states, “I don’t see the point in living
anymore.” What is the nurse’s best response?
A. “You should focus on the positive things in your life.”
B. “Are you thinking about harming yourself?”
C. “Try not to think that way; things will get better.”
D. “Let’s talk about your hobbies to distract you.”
Rationale: Directly assessing suicidal ideation is the priority. Avoid minimizing or
deflecting the patient’s feelings.
Question 5: Leadership & Management
,The charge nurse is delegating tasks. Which assignment is appropriate for a UAP
(unlicensed assistive personnel)?
A. Administering oral medications to stable patients
B. Performing wound dressing changes
C. Assisting a patient with ambulation after surgery
D. Teaching a patient about insulin administration
Rationale: UAPs can assist with ambulation and ADLs. Medication administration,
wound care, and teaching require licensed nursing staff.
Question 6: Maternity
A nurse is caring for a postpartum patient who is experiencing heavy lochia and a
boggy uterus. What is the priority nursing action?
A. Encourage ambulation to promote uterine contraction
B. Administer oxytocin as prescribed
C. Massage the fundus firmly
D. Increase IV fluids
Rationale: Fundal massage is the first-line intervention for uterine atony.
Medications like oxytocin may follow if massage is ineffective.
Question 7: Nutrition
Which food choice is most appropriate for a patient with celiac disease?
A. Whole wheat pasta
B. Barley soup
C. Rice noodles
D. Rye bread
Rationale: Rice is gluten-free. Wheat, barley, and rye contain gluten and must be
avoided.
Question 8: Fundamentals
A nurse is inserting a urinary catheter. Which action demonstrates correct sterile
technique?
A. Place the catheter on the bed while donning gloves
B. Maintain the sterile field until catheter insertion is complete
C. Use clean gloves to insert the catheter
D. Ask the patient to hold the catheter tip
Rationale: Maintaining sterility throughout the procedure prevents infection. The
catheter must remain sterile until insertion.
Question 9: Pharmacology – NGN Case
A patient with hypertension is prescribed lisinopril. The nurse notes the patient has
developed a persistent dry cough. What is the best action?
A. Document the finding and continue medication
B. Encourage the patient to use cough syrup
C. Notify the provider about the adverse effect
D. Increase fluid intake to reduce irritation
Rationale: ACE inhibitors like lisinopril can cause a dry cough. The provider should
be notified to consider switching to another class (e.g., ARBs).
, Question 10: Community Health
During a home visit, a nurse observes medications scattered on the counter in an
elderly patient’s home. What is the priority intervention?
A. Organize medications into a pillbox
B. Educate the patient about medication safety
C. Contact the provider to simplify the regimen
D. Assess the patient’s ability to self-administer medications
Rationale: Assessment comes first. Determining the patient’s ability to manage
medications safely guides further interventions.
Question 11: Cardiac
A patient with heart failure is prescribed furosemide. Which finding requires
immediate intervention?
A. Potassium 3.0 mEq/L
B. Weight loss of 2 lbs in 24 hours
C. Blood pressure 110/70 mmHg
D. Urine output 1,200 mL in 24 hours
Rationale: Hypokalemia (K+ <3.5) is a dangerous side effect of loop diuretics and
increases risk of arrhythmias.
Question 12: Respiratory
A patient with pneumonia is receiving IV antibiotics. Which assessment finding
indicates improvement?
A. Respiratory rate 28/min
B. Oxygen saturation 95% on room air
C. Productive cough with green sputum
D. Temperature 38.5°C (101.3°F)
Rationale: Improved oxygenation shows effective treatment. Tachypnea, fever, and
purulent sputum indicate ongoing infection.
Question 13: Endocrine
A patient with type 1 diabetes reports shakiness and sweating. Blood glucose is 55
mg/dL. What is the nurse’s priority action?
A. Administer IV insulin
B. Provide 4 oz of orange juice
C. Encourage ambulation
D. Document the finding
Rationale: Hypoglycemia requires immediate treatment with fast-acting
carbohydrates.
Question 14: GI
A patient with a new colostomy is anxious about odor. Which teaching is most
appropriate?
A. “Avoid foods like onions and garlic.”
B. “Empty the pouch once daily.”
C. “Use baby powder inside the pouch.”
D. “Change the pouch every 2 weeks.”
Rationale: Certain foods increase odor. Pouches should be emptied when one-third
