ATI Comprehensive Predictor Exam Test Bank
| Complete Practice Exam Questions with
100% Verified Correct Answers and Detailed
Rationales | Latest Update- 2026/2027 Newest
Edition- Graded A+ (100% Success Rate!!)
Question 1
A client returns to his room following a myelogram. The nursing care plan should include
which of the following?
A. Encourage oral fluid intake
B. Maintain the prone position for 12 hours
C. Encourage the client to ambulate after the procedure
D. Evaluate the client's distal pulses on the affected side
Answer: A
Rationale: Following a myelogram, the client should be encouraged to increase oral fluid
intake to help eliminate the contrast dye. The client should remain flat (not prone, B) for
several hours. Ambulation (C) is not encouraged immediately. Distal pulses (D) are not
specifically indicated for a myelogram.
Question 2
A nurse is obtaining a medication history from a client who is to start a new prescription for
warfarin (Coumadin). Which of the following over-the-counter medications should the nurse
instruct the client to avoid?
A. NSAIDs
B. Albuterol
C. Penicillin
D. Aspirin
Answer: A
Rationale: NSAIDs and aspirin both increase the risk of bleeding when taken with warfarin.
While aspirin (D) should also be avoided, NSAIDs is the broader category that includes
ibuprofen, naproxen, and others. Albuterol (B) and penicillin (C) do not interact with warfarin.
1
,Question 3
What are good sources of folic acid?
A. Moderate sources of folate include carrots, potatoes, corn, and onions
B. Limited sources of folate include rice, pasta, bread, and dairy products
C. Poor sources of folate include bananas, apples, oranges, and pears
D. Excellent sources of folate include romaine lettuce, spinach, asparagus, turnip greens,
mustard greens, calf's liver, parsley, collard greens, broccoli, cauliflower, beets, chicken liver
and lentils
Answer: D
Rationale: Dark green leafy vegetables, liver, and legumes are excellent sources of folic acid.
Carrots, potatoes, corn, and onions (A) are moderate sources. Rice, pasta, bread, and dairy
products (B) are limited sources. Bananas, apples, oranges, and pears (C) are poor sources of
folate.
Question 4
How should you respond when a client wants to discontinue dialysis?
A. "You can't stop treatment, it's against medical advice"
B. "What has changed to make you decide this?"
C. "I'll call the doctor to come talk to you"
D. "You need to think about your family before making this decision"
Answer: B
Rationale: "What has changed to make you decide this?" seeks clarification from the client to
establish mutual understanding while remaining therapeutic and non-judgmental. Options A,
C, and D are directive or dismissive of the client's feelings.
Question 5
A nurse on a med-surg unit has received change of shift report and will care for 4 clients.
Which of the following clients' needs will the nurse assign to an AP?
A. Feeding a client who was admitted 24 hours ago with aspiration pneumonia
B. Reinforcing teaching with a client who is learning to walk with a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
Answer: C
Rationale: Reapplying a condom catheter is within the AP's scope of practice. Feeding a
client with aspiration pneumonia (A) requires special precautions and nursing judgment.
Teaching (B) and sterile dressing application (D) cannot be delegated to APs.
2
,Question 6
The nurse is assessing a client with a bleeding gastric ulcer. When examining the client's stool,
which of the following characteristics would the nurse be most likely to find?
A. Green color and texture
B. Black and tarry appearance
C. Clay-like quality
D. Bright red blood in stool
Answer: B
Rationale: A bleeding gastric ulcer causes upper GI bleeding, resulting in black, tarry stools
(melena) due to digested blood. Bright red blood (D) indicates lower GI bleeding. Green
stools (A) may indicate bile or infection. Clay-colored stools (C) indicate biliary obstruction.
Question 7
The nurse should consider the hierarchy of human needs when prioritizing interventions.
Which of the following is the correct order?
A. Self-actualization, Self-esteem, Love and belonging, Safety and security, Physiological
needs
B. Physiological needs, Safety and security, Love and belonging, Self-esteem, Self-
actualization
C. Safety and security, Physiological needs, Love and belonging, Self-esteem, Self-
actualization
D. Love and belonging, Safety and security, Physiological needs, Self-esteem, Self-
actualization
Answer: B
Rationale: Maslow's hierarchy of needs prioritizes physiological needs first (oxygen, shelter,
food), followed by safety and security, love and belonging, self-esteem, and self-actualization.
Question 8
During a home visit to an elderly client with mild dementia, the client's daughter reports that
she has one major problem with her mother. She says, "She sleeps most of the day and is up
most of the night. I can't get a decent night's sleep anymore." Which suggestions should the
nurse make to the daughter? (Select all that apply)
A. Ask the client's physician for a strong sleep medicine
B. Establish a set routine for rising, hygiene, meals, short rest periods, and bedtime
C. Engage the client in simple, brief exercises or a short walk when she gets drowsy during
the day
D. Promote relaxation before bedtime with a warm bath or relaxing music
3
, E. Have the daughter encourage the use of caffeinated beverages during the day to keep her
mother awake
Answer: B, C, D
Rationale: Establishing a routine (B), engaging in daytime exercise (C), and promoting
bedtime relaxation (D) are appropriate interventions for sleep-wake cycle disturbances. Strong
sleep medicine (A) can increase confusion in elderly clients. Caffeine (E) is not recommended.
Question 9
A client is receiving total parenteral nutrition (TPN). To determine the client's tolerance of
this treatment, the nurse should assess for which of the following?
A. A significant increase in pulse rate
B. A decrease in diastolic blood pressure
C. Temperature in excess of 98.6°F (37°C)
D. Urine output of at least 30 cc per hour
Answer: A
Rationale: A significant increase in pulse rate may indicate fluid overload or sepsis,
complications of TPN. Urine output of at least 30 cc/hr (D) indicates adequate hydration but
does not specifically indicate TPN tolerance. Temperature elevation (C) is a sign of infection
but pulse rate is more indicative of fluid status.
Question 10
A nurse is caring for a client who is having difficulty voiding following the removal of an
indwelling urinary catheter. Which of the following interventions should the nurse take?
A. Assess for bladder distention after 6 hr
B. Encourage the client to use a bed pan in the supine position
C. Restrict the client's intake of oral fluids
D. Pour warm water over the client's perineum
Answer: D
Rationale: Pouring warm water over the perineum stimulates the voiding reflex and may help
the client urinate. Assessment for distention should occur more frequently than 6 hours (A).
The client should be in a sitting or Fowler's position (not supine, B). Fluids should be
encouraged (not restricted, C) to promote voiding.
4
| Complete Practice Exam Questions with
100% Verified Correct Answers and Detailed
Rationales | Latest Update- 2026/2027 Newest
Edition- Graded A+ (100% Success Rate!!)
Question 1
A client returns to his room following a myelogram. The nursing care plan should include
which of the following?
A. Encourage oral fluid intake
B. Maintain the prone position for 12 hours
C. Encourage the client to ambulate after the procedure
D. Evaluate the client's distal pulses on the affected side
Answer: A
Rationale: Following a myelogram, the client should be encouraged to increase oral fluid
intake to help eliminate the contrast dye. The client should remain flat (not prone, B) for
several hours. Ambulation (C) is not encouraged immediately. Distal pulses (D) are not
specifically indicated for a myelogram.
Question 2
A nurse is obtaining a medication history from a client who is to start a new prescription for
warfarin (Coumadin). Which of the following over-the-counter medications should the nurse
instruct the client to avoid?
A. NSAIDs
B. Albuterol
C. Penicillin
D. Aspirin
Answer: A
Rationale: NSAIDs and aspirin both increase the risk of bleeding when taken with warfarin.
While aspirin (D) should also be avoided, NSAIDs is the broader category that includes
ibuprofen, naproxen, and others. Albuterol (B) and penicillin (C) do not interact with warfarin.
1
,Question 3
What are good sources of folic acid?
A. Moderate sources of folate include carrots, potatoes, corn, and onions
B. Limited sources of folate include rice, pasta, bread, and dairy products
C. Poor sources of folate include bananas, apples, oranges, and pears
D. Excellent sources of folate include romaine lettuce, spinach, asparagus, turnip greens,
mustard greens, calf's liver, parsley, collard greens, broccoli, cauliflower, beets, chicken liver
and lentils
Answer: D
Rationale: Dark green leafy vegetables, liver, and legumes are excellent sources of folic acid.
Carrots, potatoes, corn, and onions (A) are moderate sources. Rice, pasta, bread, and dairy
products (B) are limited sources. Bananas, apples, oranges, and pears (C) are poor sources of
folate.
Question 4
How should you respond when a client wants to discontinue dialysis?
A. "You can't stop treatment, it's against medical advice"
B. "What has changed to make you decide this?"
C. "I'll call the doctor to come talk to you"
D. "You need to think about your family before making this decision"
Answer: B
Rationale: "What has changed to make you decide this?" seeks clarification from the client to
establish mutual understanding while remaining therapeutic and non-judgmental. Options A,
C, and D are directive or dismissive of the client's feelings.
Question 5
A nurse on a med-surg unit has received change of shift report and will care for 4 clients.
Which of the following clients' needs will the nurse assign to an AP?
A. Feeding a client who was admitted 24 hours ago with aspiration pneumonia
B. Reinforcing teaching with a client who is learning to walk with a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
Answer: C
Rationale: Reapplying a condom catheter is within the AP's scope of practice. Feeding a
client with aspiration pneumonia (A) requires special precautions and nursing judgment.
Teaching (B) and sterile dressing application (D) cannot be delegated to APs.
2
,Question 6
The nurse is assessing a client with a bleeding gastric ulcer. When examining the client's stool,
which of the following characteristics would the nurse be most likely to find?
A. Green color and texture
B. Black and tarry appearance
C. Clay-like quality
D. Bright red blood in stool
Answer: B
Rationale: A bleeding gastric ulcer causes upper GI bleeding, resulting in black, tarry stools
(melena) due to digested blood. Bright red blood (D) indicates lower GI bleeding. Green
stools (A) may indicate bile or infection. Clay-colored stools (C) indicate biliary obstruction.
Question 7
The nurse should consider the hierarchy of human needs when prioritizing interventions.
Which of the following is the correct order?
A. Self-actualization, Self-esteem, Love and belonging, Safety and security, Physiological
needs
B. Physiological needs, Safety and security, Love and belonging, Self-esteem, Self-
actualization
C. Safety and security, Physiological needs, Love and belonging, Self-esteem, Self-
actualization
D. Love and belonging, Safety and security, Physiological needs, Self-esteem, Self-
actualization
Answer: B
Rationale: Maslow's hierarchy of needs prioritizes physiological needs first (oxygen, shelter,
food), followed by safety and security, love and belonging, self-esteem, and self-actualization.
Question 8
During a home visit to an elderly client with mild dementia, the client's daughter reports that
she has one major problem with her mother. She says, "She sleeps most of the day and is up
most of the night. I can't get a decent night's sleep anymore." Which suggestions should the
nurse make to the daughter? (Select all that apply)
A. Ask the client's physician for a strong sleep medicine
B. Establish a set routine for rising, hygiene, meals, short rest periods, and bedtime
C. Engage the client in simple, brief exercises or a short walk when she gets drowsy during
the day
D. Promote relaxation before bedtime with a warm bath or relaxing music
3
, E. Have the daughter encourage the use of caffeinated beverages during the day to keep her
mother awake
Answer: B, C, D
Rationale: Establishing a routine (B), engaging in daytime exercise (C), and promoting
bedtime relaxation (D) are appropriate interventions for sleep-wake cycle disturbances. Strong
sleep medicine (A) can increase confusion in elderly clients. Caffeine (E) is not recommended.
Question 9
A client is receiving total parenteral nutrition (TPN). To determine the client's tolerance of
this treatment, the nurse should assess for which of the following?
A. A significant increase in pulse rate
B. A decrease in diastolic blood pressure
C. Temperature in excess of 98.6°F (37°C)
D. Urine output of at least 30 cc per hour
Answer: A
Rationale: A significant increase in pulse rate may indicate fluid overload or sepsis,
complications of TPN. Urine output of at least 30 cc/hr (D) indicates adequate hydration but
does not specifically indicate TPN tolerance. Temperature elevation (C) is a sign of infection
but pulse rate is more indicative of fluid status.
Question 10
A nurse is caring for a client who is having difficulty voiding following the removal of an
indwelling urinary catheter. Which of the following interventions should the nurse take?
A. Assess for bladder distention after 6 hr
B. Encourage the client to use a bed pan in the supine position
C. Restrict the client's intake of oral fluids
D. Pour warm water over the client's perineum
Answer: D
Rationale: Pouring warm water over the perineum stimulates the voiding reflex and may help
the client urinate. Assessment for distention should occur more frequently than 6 hours (A).
The client should be in a sitting or Fowler's position (not supine, B). Fluids should be
encouraged (not restricted, C) to promote voiding.
4
