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ATI RN Comprehensive Predictor Retake 1 Newest Exam
Preparation With Complete Questions And Correct Answers
With Rationales Already Graded A+ Brand New Version!!
1. A nurse is caring for a client who has a new diagnosis of
hypertension. Which of the following dietary modifications should the
nurse recommend?
A. Increase intake of red meat
B. Decrease intake of potassium-rich foods
C. Limit sodium intake to less than 2,300 mg per day
D. Increase intake of processed foods
Answer: C. Limit sodium intake to less than 2,300 mg per day.
Rationale: The Dietary Approaches to Stop Hypertension (DASH) diet
recommends limiting sodium to reduce blood pressure. Reducing
sodium helps decrease fluid retention and vascular resistance.
Increasing potassium-rich foods is encouraged, not decreased.
Processed foods and red meat are high in sodium and saturated fats,
which are not advised.
2. A nurse is preparing to administer an intramuscular injection to an
adult client. Which of the following sites is most appropriate for a
volume of 3 mL?
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A. Deltoid
B. Dorsogluteal
C. Ventrogluteal
D. Vastus lateralis
Answer: C. Ventrogluteal.
Rationale: The ventrogluteal site is preferred for volumes up to 3 mL in
adults because it avoids major nerves and blood vessels. The deltoid is
limited to 1–2 mL. The dorsogluteal site is avoided due to sciatic nerve
injury risk. The vastus lateralis can accept up to 3 mL but is more
commonly used in infants and children.
3. A client with heart failure is prescribed furosemide. Which of the
following laboratory values should the nurse monitor closely?
A. Serum sodium
B. Serum potassium
C. Serum calcium
D. Serum glucose
Answer: B. Serum potassium.
Rationale: Furosemide is a loop diuretic that causes potassium loss
through urine, leading to hypokalemia. Hypokalemia can precipitate
cardiac arrhythmias, especially in clients on digitalis. Sodium, calcium,
and glucose may be affected but potassium is the primary concern.
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4. A nurse is assessing a client who has chronic obstructive pulmonary
disease (COPD). Which of the following findings is most indicative of cor
pulmonale?
A. Jugular venous distention
B. Barrel-shaped chest
C. Clubbing of the fingers
D. Productive cough
Answer: A. Jugular venous distention.
Rationale: Cor pulmonale is right-sided heart failure due to pulmonary
hypertension. Jugular venous distention reflects elevated right atrial
pressure. Barrel chest, clubbing, and productive cough are signs of
COPD itself, not specifically cor pulmonale.
5. A nurse is caring for a client receiving morphine sulfate for severe
pain. Which of the following adverse effects requires immediate
intervention?
A. Nausea
B. Constipation
C. Respiratory rate of 8/min
D. Pruritus
Answer: C. Respiratory rate of 8/min.
Rationale: Morphine is a potent opioid that depresses the respiratory
center. A rate of 8/min indicates severe respiratory depression, which is
life-threatening and requires naloxone administration. Nausea,
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constipation, and pruritus are common but not immediately life-
threatening.
6. A nurse is teaching a client with type 1 diabetes mellitus about sick-
day management. Which of the following instructions should the nurse
include?
A. Stop taking insulin if unable to eat
B. Check blood glucose every 4 hours
C. Drink sugar-free liquids only
D. Continue insulin and test urine for ketones
Answer: D. Continue insulin and test urine for ketones.
Rationale: During illness, insulin should never be stopped because stress
hormones increase glucose levels, raising ketone risk. Urine ketone
testing detects ketoacidosis. Blood glucose should be checked more
frequently, every 2–4 hours. Caloric liquids with sugar may be needed to
prevent hypoglycemia.
7. A nurse is inserting a nasogastric tube for gastric decompression.
Which of the following actions is appropriate to confirm correct
placement?
A. Auscultate for air bolus over the epigastrium
B. Aspirate gastric contents and check pH
C. Observe for bubbling at the tube end when submerged in water
D. Measure tube length from nose to earlobe to xiphoid
Answer: B. Aspirate gastric contents and check pH.
ATI RN Comprehensive Predictor Retake 1 Newest Exam
Preparation With Complete Questions And Correct Answers
With Rationales Already Graded A+ Brand New Version!!
1. A nurse is caring for a client who has a new diagnosis of
hypertension. Which of the following dietary modifications should the
nurse recommend?
A. Increase intake of red meat
B. Decrease intake of potassium-rich foods
C. Limit sodium intake to less than 2,300 mg per day
D. Increase intake of processed foods
Answer: C. Limit sodium intake to less than 2,300 mg per day.
Rationale: The Dietary Approaches to Stop Hypertension (DASH) diet
recommends limiting sodium to reduce blood pressure. Reducing
sodium helps decrease fluid retention and vascular resistance.
Increasing potassium-rich foods is encouraged, not decreased.
Processed foods and red meat are high in sodium and saturated fats,
which are not advised.
2. A nurse is preparing to administer an intramuscular injection to an
adult client. Which of the following sites is most appropriate for a
volume of 3 mL?
,2|Page
A. Deltoid
B. Dorsogluteal
C. Ventrogluteal
D. Vastus lateralis
Answer: C. Ventrogluteal.
Rationale: The ventrogluteal site is preferred for volumes up to 3 mL in
adults because it avoids major nerves and blood vessels. The deltoid is
limited to 1–2 mL. The dorsogluteal site is avoided due to sciatic nerve
injury risk. The vastus lateralis can accept up to 3 mL but is more
commonly used in infants and children.
3. A client with heart failure is prescribed furosemide. Which of the
following laboratory values should the nurse monitor closely?
A. Serum sodium
B. Serum potassium
C. Serum calcium
D. Serum glucose
Answer: B. Serum potassium.
Rationale: Furosemide is a loop diuretic that causes potassium loss
through urine, leading to hypokalemia. Hypokalemia can precipitate
cardiac arrhythmias, especially in clients on digitalis. Sodium, calcium,
and glucose may be affected but potassium is the primary concern.
,3|Page
4. A nurse is assessing a client who has chronic obstructive pulmonary
disease (COPD). Which of the following findings is most indicative of cor
pulmonale?
A. Jugular venous distention
B. Barrel-shaped chest
C. Clubbing of the fingers
D. Productive cough
Answer: A. Jugular venous distention.
Rationale: Cor pulmonale is right-sided heart failure due to pulmonary
hypertension. Jugular venous distention reflects elevated right atrial
pressure. Barrel chest, clubbing, and productive cough are signs of
COPD itself, not specifically cor pulmonale.
5. A nurse is caring for a client receiving morphine sulfate for severe
pain. Which of the following adverse effects requires immediate
intervention?
A. Nausea
B. Constipation
C. Respiratory rate of 8/min
D. Pruritus
Answer: C. Respiratory rate of 8/min.
Rationale: Morphine is a potent opioid that depresses the respiratory
center. A rate of 8/min indicates severe respiratory depression, which is
life-threatening and requires naloxone administration. Nausea,
, 4|Page
constipation, and pruritus are common but not immediately life-
threatening.
6. A nurse is teaching a client with type 1 diabetes mellitus about sick-
day management. Which of the following instructions should the nurse
include?
A. Stop taking insulin if unable to eat
B. Check blood glucose every 4 hours
C. Drink sugar-free liquids only
D. Continue insulin and test urine for ketones
Answer: D. Continue insulin and test urine for ketones.
Rationale: During illness, insulin should never be stopped because stress
hormones increase glucose levels, raising ketone risk. Urine ketone
testing detects ketoacidosis. Blood glucose should be checked more
frequently, every 2–4 hours. Caloric liquids with sugar may be needed to
prevent hypoglycemia.
7. A nurse is inserting a nasogastric tube for gastric decompression.
Which of the following actions is appropriate to confirm correct
placement?
A. Auscultate for air bolus over the epigastrium
B. Aspirate gastric contents and check pH
C. Observe for bubbling at the tube end when submerged in water
D. Measure tube length from nose to earlobe to xiphoid
Answer: B. Aspirate gastric contents and check pH.
