ATI Comprehensive Predictor Exam REVIEW 2026/2027 MOST RECENT QUESTIONS AND SOLUTIONS

ATI Comprehensive Predictor Exam REVIEW
2026/2027 MOST RECENT QUESTIONS AND
SOLUTIONS
• RBC . CORRECT ANSWER: females 4.2-5.4 million
males 4.7-6.1 million

• decrease RBC . CORRECT ANSWER: anemia

• WBC . CORRECT ANSWER: 5,000-10,000

• elevated WBC . CORRECT ANSWER: infection

• decreased WBC . CORRECT ANSWER: immunosuppression

• Iron . CORRECT ANSWER: females 60-160 mcg
males 80-180

• elevated iron . CORRECT ANSWER: hemochromatosis, iron excess
liver disorder, magaloblastic anemia

• decreased iron . CORRECT ANSWER: anemia or hemorrhage

• platelets . CORRECT ANSWER: 150,000-4000,000

• increased platelets . CORRECT ANSWER: malignancy or polycythemia vera

• decreased platelets . CORRECT ANSWER: autoimmune disease
bone marrow suppression or enlarged spleen

• Hbg . CORRECT ANSWER: females 12-16
males 14-18

• decrease Hgb and Hct . CORRECT ANSWER: anemia

• Hct . CORRECT ANSWER: females 37%-47%
males 42-52%

• anemia in children
S & SX: . CORRECT ANSWER: pallor, brittle spoon shaped nails
irritability, muscle weakness
systolic heart murmur, enlarged heart, HF

• iron supplements . CORRECT ANSWER: give 1 hr before or 2 hr after antacid to
prevent malabsorpt

,N/D and constipation common at start of therapy
use straw for liquid iron to prevent staining of teeth

• aPTT . CORRECT ANSWER: 1.5-2X control range of 30-40 seconds
test clotting factors and monitor heparin therapy

• increased aPTT . CORRECT ANSWER: hemophilia
disseminated intravascular coagulation DIC
liver disease

• PT . CORRECT ANSWER: 11-12.5 seconds, 85-100%

• increased PT time . CORRECT ANSWER: evidence of deficiency or clotting

• decreaed PT time . CORRECT ANSWER: evidence of vit K excess= bleed out

• acute hemolytic blood transfusion reactions . CORRECT ANSWER: **low back pain,
TACHYcardia, HYPOtension

• febrile reactions . CORRECT ANSWER: 30 min-6 hr after transfusion
-chills, fever, flushing, headache
use WBC filter, administer antipyretics

• mild allergic reactions . CORRECT ANSWER: during or up to 24hr after transfusion
- itching, urticarial, flushing
administer benadryl

• anaphylactic shock . CORRECT ANSWER: wheezing, dyspnea, cyanosis,
hypotension
maintain airway, admin O2, IV fluids, antihistamines, corticosteroids and vasopressor

• fluid overload . CORRECT ANSWER: HYPERtension,
jugular vein distention, peripheral edema
orthopnea, crackles at base of lungs
sudden anxiety

• sepsis and septic shock . CORRECT ANSWER: -fever, N/V, abdominal pain, chills
HYPOtension
administer antibiotics, blood cultures, vasopressor (dopamine)

• if disseminated intravascular coagulation (DIC) . CORRECT ANSWER: admin heparin
in early stage
-blood products and clotting factors in late stage

• PICA . CORRECT ANSWER: eating things like soil, chalk, for at least 1 month

,• parenteral iron . CORRECT ANSWER: given Z track

• erythropoietin - epoetin alfa (epogen, Procrit) . CORRECT ANSWER: used to
increased production of RBC
monitor increase in BP, Hgb, Hct

• folic acid . CORRECT ANSWER: turn urine dark yellow
necessary for new RBC

• hypovolemia causes . CORRECT ANSWER: peritonitis, ascites, burns , NPO

• causes of dehydration . CORRECT ANSWER: hyperventilation
DKA
tube feeding without sufficient water intake

• subjective and objective HYPOvolemia . CORRECT ANSWER: Hyperthermia,
Tachycardia, HYPOtension
decreased central venous pressure
hypoxia
thirst, dizziness, N/V,
-poor skin turgor, tentin

• lab test hypovolemia . CORRECT ANSWER: increased: HCT, specific gravity, NA,
protein, BUN, glucose

• Hypervolemia causes . CORRECT ANSWER: HF, cirrhosis, increased
gluccorticosteroids
hypertonic fluids

• S & SX HYPERvolemia . CORRECT ANSWER: bounding pulse, increased CVP,
HYPERtension, confusion, muscle weakness, ascites, diminished breath sounds,
distended neck veins

• lab test HYPERvolemia . CORRECT ANSWER: Decreased: HCT, BUN, electro
respiratory alkalosis PaCO2 less than 35, increased PH

• notify doctor if . CORRECT ANSWER: weight gain 1-2 lb/24 or 3 lb in a wk

• foods high in potassium . CORRECT ANSWER: avocados, broccoili, dairy products,
dried fruit, cantaloupe, bananas

• HYPOcalcemia . CORRECT ANSWER: positive chvosteks ( facial twitching)
positive trousseau (hand/finger spasm with blood pressure cuff inflation

• excess caffeine causes excretion . CORRECT ANSWER: calcium in urine

, • secondary osteoporosis results from . CORRECT ANSWER: hyperparathyroidism,
long term corticosteroid
long term anticonvulsant (Dilantin)
manifestations: kyphosis

• stages of grief . CORRECT ANSWER: 1. denial 4. depression
2. anger 5. acceptance
3. bargaining

• theophylline . CORRECT ANSWER: relaxation of bronchioles causing bronchodilator
oral used to control asthma or COPD
therapeutic range 5-15
avoid in HTN, liver and kidney dysfunction

• theophylline interactions . CORRECT ANSWER: caffeine

• glucocorticoids:
beclomethasone- inhalation
prednisone- PO . CORRECT ANSWER: prevent inflammation, suppress airway mucus
production

• leukotriene (monelukast) . CORRECT ANSWER: suppressing inflammation,
bronchoconstriction's, airway edema, mucus production

• digoxin . CORRECT ANSWER: makes the heart beat stronger and regular rhythm
therapeutic 0.5-2.0

• S & SX of dig tox . CORRECT ANSWER: fatigue, weakness, vision changes, GI
effects
infuse over 5 min

• hemophilia . CORRECT ANSWER: difficulty controlling bleeding
X linked recessive disorder
joint pain and stiffness, impaired mobility, easy bruising
slurred speech

• lab test indication of hemophilia . CORRECT ANSWER: prolonged aPTT
avoid unnecessary needle sticks, apply pressure for 5 mins after needle sticks
monitor for occult blood

• DDAVP . CORRECT ANSWER: synthetic form of vasopressin increases plasma
factor VIII
not for hemophilia B

• acute hemolytic blood transfusion reactions . CORRECT ANSWER: **low back pain,
TACHYcardia, HYPOtension, hemoglobinuria,