ATI PN COMPREHENSIVE PREDICTOR EXAM –LATEST EXAM
QUESTIONS AND ANSWERS | VERIFIED ANSWERS PLUS
RATIONALES | GUARANTEED PASS | LATEST EXAM UPDATE |
EXAM PREP | STUDY GUIDE | PRACTICE TEST
1. A licensed practical nurse is caring for a client admitted with acute exacerbation of
chronic obstructive pulmonary disease (COPD). The client reports increasing dyspnea.
Which of the following actions should the nurse take first?
A. Administer the prescribed oral corticosteroid
B. Assist the client into a high-Fowler's position
C. Draw blood for arterial blood gas analysis
D. Obtain an order for a continuous positive airway pressure machine
Assisting the client into a high-Fowler's position or an orthopneic position is the immediate
non-pharmacological intervention to maximize chest expansion and relieve dyspnea. While
medications and diagnostics are important, positioning addresses the immediate airway and
breathing priority.
2. A nurse is reinforcing discharge teaching to a client who has a new prescription for
digoxin. Which of the following statements by the client indicates an understanding of the
teaching?
A. "I will take my pulse every day before taking the medication."
B. "I should stop taking this medication if my heart rate drops below 70 beats per minute."
C. "I will increase my intake of black licorice to help the medication work better."
D. "I can skip doses if I feel my heart rhythm is completely normal."
Clients taking digoxin must monitor their apical pulse daily prior to administration and
withhold the dose if the pulse falls below the predetermined safe threshold, typically 60 beats
per minute for an adult. Black licorice can cause hypokalemia, increasing digoxin toxicity
risk.
3. A nurse is reviewing the laboratory results of a client who is receiving heparin therapy
for deep vein thrombosis. Which of the following values should the nurse monitor to
evaluate the effectiveness of this therapy?
A. Prothrombin time (PT)
B. International normalized ratio (INR)
C. Activated partial thromboplastin time (aPTT)
D. Serum creatinine level
,Activated partial thromboplastin time is the standard laboratory test used to monitor the
therapeutic effectiveness of unfractionated heparin therapy. PT and INR are used to monitor
warfarin therapy.
4. A nurse is caring for an older adult client who is confused and repeatedly attempts to
climb out of bed. Which of the following interventions should the nurse implement first?
A. Apply a vest restraint to keep the client safe in bed
B. Obtain an immediate prescription for chemical sedation
C. Place the client in a room close to the nurses' station for frequent observation
D. Raise all four side rails on the client's bed to prevent falls
Placing a confused client near the nurses' station allows for frequent observation and early
intervention while utilizing the least restrictive measure. Restraints and raising all four side
rails are restrictive measures that increase injury risk and require specific clinical indications.
5. A nurse is preparing to administer a subcutaneous injection of regular insulin to a client
with type 1 diabetes mellitus. Which of the following sites is the most appropriate for rapid
absorption?
A. The anterior thigh
B. The upper outer arm
C. The abdomen, avoiding the umbilicus
D. The ventrogluteal muscle
Subcutaneous insulin absorption is fastest in the abdominal site due to consistent blood flow
and large surface area. The thighs and arms exhibit slower absorption rates respectively. The
ventrogluteal site is an intramuscular injection site.
6. A nurse is contributing to the plan of care for a client who has a prescription for a clear
liquid diet. Which of the following food items should the nurse include on the meal tray?
A. Vanilla ice cream
B. Apple juice
C. Cream of wheat cereal
D. Plain low-fat yogurt
Apple juice is transparent at room and body temperature and leaves minimal residue in the
gastrointestinal tract, making it appropriate for a clear liquid diet. Ice cream, cream of wheat,
and yogurt are components of a full liquid diet.
7. A nurse is collecting data from a client who has hyperthyroidism. Which of the following
clinical manifestations should the nurse expect to find?
A. Intolerance to cold temperatures
B. Weight gain despite a decreased appetite
, C. Fine tremors of the hands
D. Lethargy and slow speech
Hyperthyroidism causes an accelerated metabolic state, leading to manifestations such as fine
tremors, weight loss despite increased appetite, heat intolerance, and nervousness. Cold
intolerance, weight gain, and lethargy are classic signs of hypothyroidism.
8. A nurse is assisting with the admission of a client who has tuberculosis and a productive
cough. Which of the following types of transmission-based precautions should the nurse
implement?
A. Standard precautions only
B. Airborne precautions
C. Droplet precautions
D. Contact precautions
Tuberculosis is transmitted via airborne droplet nuclei that remain suspended in the air.
Therefore, clients require placement in a negative pressure room and healthcare personnel
must wear N95 or PAPR respirators.
9. A nurse is reinforcing teaching about foot care for a client who has diabetes mellitus.
Which of the following statements by the client indicates a need for further teaching?
A. "I will inspect my feet every day using a mirror to check the soles."
B. "I will wash my feet daily with warm water and mild soap."
C. "I will apply lotion between my toes to keep the skin soft and moist."
D. "I will wear well-fitting leather shoes that protect my feet."
Applying lotion between the toes creates a moist environment that encourages fungal growth
and skin breakdown. Clients with diabetes should apply lotion to the top and bottom of their
feet but avoid the interdigital spaces.
10. A nurse is preparing to administer an intramuscular injection to a young adult client.
Which of the following needle lengths is generally appropriate for an average-weight adult
via the ventrogluteal site?
A. 0.5 inch
B. 1.0 inch
C. 1.5 inches
D. 2.5 inches
A 1.5-inch needle is typically required to penetrate subcutaneous tissue and reach the muscle
tissue in an average-weight adult when using the ventrogluteal injection site. Shorter needles
may result in subcutaneous deposition of medication.
QUESTIONS AND ANSWERS | VERIFIED ANSWERS PLUS
RATIONALES | GUARANTEED PASS | LATEST EXAM UPDATE |
EXAM PREP | STUDY GUIDE | PRACTICE TEST
1. A licensed practical nurse is caring for a client admitted with acute exacerbation of
chronic obstructive pulmonary disease (COPD). The client reports increasing dyspnea.
Which of the following actions should the nurse take first?
A. Administer the prescribed oral corticosteroid
B. Assist the client into a high-Fowler's position
C. Draw blood for arterial blood gas analysis
D. Obtain an order for a continuous positive airway pressure machine
Assisting the client into a high-Fowler's position or an orthopneic position is the immediate
non-pharmacological intervention to maximize chest expansion and relieve dyspnea. While
medications and diagnostics are important, positioning addresses the immediate airway and
breathing priority.
2. A nurse is reinforcing discharge teaching to a client who has a new prescription for
digoxin. Which of the following statements by the client indicates an understanding of the
teaching?
A. "I will take my pulse every day before taking the medication."
B. "I should stop taking this medication if my heart rate drops below 70 beats per minute."
C. "I will increase my intake of black licorice to help the medication work better."
D. "I can skip doses if I feel my heart rhythm is completely normal."
Clients taking digoxin must monitor their apical pulse daily prior to administration and
withhold the dose if the pulse falls below the predetermined safe threshold, typically 60 beats
per minute for an adult. Black licorice can cause hypokalemia, increasing digoxin toxicity
risk.
3. A nurse is reviewing the laboratory results of a client who is receiving heparin therapy
for deep vein thrombosis. Which of the following values should the nurse monitor to
evaluate the effectiveness of this therapy?
A. Prothrombin time (PT)
B. International normalized ratio (INR)
C. Activated partial thromboplastin time (aPTT)
D. Serum creatinine level
,Activated partial thromboplastin time is the standard laboratory test used to monitor the
therapeutic effectiveness of unfractionated heparin therapy. PT and INR are used to monitor
warfarin therapy.
4. A nurse is caring for an older adult client who is confused and repeatedly attempts to
climb out of bed. Which of the following interventions should the nurse implement first?
A. Apply a vest restraint to keep the client safe in bed
B. Obtain an immediate prescription for chemical sedation
C. Place the client in a room close to the nurses' station for frequent observation
D. Raise all four side rails on the client's bed to prevent falls
Placing a confused client near the nurses' station allows for frequent observation and early
intervention while utilizing the least restrictive measure. Restraints and raising all four side
rails are restrictive measures that increase injury risk and require specific clinical indications.
5. A nurse is preparing to administer a subcutaneous injection of regular insulin to a client
with type 1 diabetes mellitus. Which of the following sites is the most appropriate for rapid
absorption?
A. The anterior thigh
B. The upper outer arm
C. The abdomen, avoiding the umbilicus
D. The ventrogluteal muscle
Subcutaneous insulin absorption is fastest in the abdominal site due to consistent blood flow
and large surface area. The thighs and arms exhibit slower absorption rates respectively. The
ventrogluteal site is an intramuscular injection site.
6. A nurse is contributing to the plan of care for a client who has a prescription for a clear
liquid diet. Which of the following food items should the nurse include on the meal tray?
A. Vanilla ice cream
B. Apple juice
C. Cream of wheat cereal
D. Plain low-fat yogurt
Apple juice is transparent at room and body temperature and leaves minimal residue in the
gastrointestinal tract, making it appropriate for a clear liquid diet. Ice cream, cream of wheat,
and yogurt are components of a full liquid diet.
7. A nurse is collecting data from a client who has hyperthyroidism. Which of the following
clinical manifestations should the nurse expect to find?
A. Intolerance to cold temperatures
B. Weight gain despite a decreased appetite
, C. Fine tremors of the hands
D. Lethargy and slow speech
Hyperthyroidism causes an accelerated metabolic state, leading to manifestations such as fine
tremors, weight loss despite increased appetite, heat intolerance, and nervousness. Cold
intolerance, weight gain, and lethargy are classic signs of hypothyroidism.
8. A nurse is assisting with the admission of a client who has tuberculosis and a productive
cough. Which of the following types of transmission-based precautions should the nurse
implement?
A. Standard precautions only
B. Airborne precautions
C. Droplet precautions
D. Contact precautions
Tuberculosis is transmitted via airborne droplet nuclei that remain suspended in the air.
Therefore, clients require placement in a negative pressure room and healthcare personnel
must wear N95 or PAPR respirators.
9. A nurse is reinforcing teaching about foot care for a client who has diabetes mellitus.
Which of the following statements by the client indicates a need for further teaching?
A. "I will inspect my feet every day using a mirror to check the soles."
B. "I will wash my feet daily with warm water and mild soap."
C. "I will apply lotion between my toes to keep the skin soft and moist."
D. "I will wear well-fitting leather shoes that protect my feet."
Applying lotion between the toes creates a moist environment that encourages fungal growth
and skin breakdown. Clients with diabetes should apply lotion to the top and bottom of their
feet but avoid the interdigital spaces.
10. A nurse is preparing to administer an intramuscular injection to a young adult client.
Which of the following needle lengths is generally appropriate for an average-weight adult
via the ventrogluteal site?
A. 0.5 inch
B. 1.0 inch
C. 1.5 inches
D. 2.5 inches
A 1.5-inch needle is typically required to penetrate subcutaneous tissue and reach the muscle
tissue in an average-weight adult when using the ventrogluteal injection site. Shorter needles
may result in subcutaneous deposition of medication.
