ATI Comprehensive Predictor & SATA Mastery Practice
Pack (U.S. Nursing 2026/2027) UPDATED ACTUAL Exam
Questions and CORRECT Answers
1. A nurse is caring for a client who is in the active phase of labor and reports
severe back pain. Which of the following non-pharmacological interventions
should the nurse perform?
A. Perform effleurage on the abdomen
B. Administer a warm sitz bath
C. Encourage the client to maintain a supine position
D. Apply counterpressure to the sacral area
Answer: D
Rationale: Counterpressure is a lifting or pushing motion applied to the sacrum to relieve
back pain caused by the fetal head in an occiput posterior position.
2. A nurse is assessing a client who has a prescription for lithium carbonate to
treat bipolar disorder. Which of the following findings should the nurse identify
as an early sign of lithium toxicity?
A. Constipation and weight gain
B. Blurred vision and ataxia
C. Fine hand tremors and nausea
D. Severe hypotension and seizures
Answer: C
Rationale: Early signs of lithium toxicity include gastrointestinal upset (nausea, vomiting),
fine hand tremors, and polyuria. Blurred vision and ataxia occur with advanced toxicity.
,3. A nurse is preparing to administer a unit of packed RBCs to a client. Which of
the following actions should the nurse take first?
A. Verify the client’s identity using two identifiers
B. Ensure the client has a 20-gauge or larger IV catheter
C. Assess the client’s vital signs and breath sounds
D. Prime the tubing with 0.9% sodium chloride
Answer: C
Rationale: The first action the nurse should take according to the nursing process is
assessment. Obtaining baseline vital signs is critical to detect future transfusion reactions.
4. A nurse is reviewing the laboratory results of a client who is taking warfarin.
Which of the following INR results indicates that the client’s dosage is within the
therapeutic range?
A. 0.8
B. 2.5
C. 1.2
D. 4.5
Answer: B
Rationale: For most conditions, such as atrial fibrillation or DVT, the therapeutic INR range
for a client taking warfarin is 2.0 to 3.0.
5. A nurse is caring for a client who has a prescription for buck’s traction. Which
of the following actions should the nurse take?
A. Remove the weights to reposition the client
B. Place the client in a high-Fowler’s position
C. Allow the weights to hang freely off the floor
D. Ensure the knots in the rope touch the pulley
Answer: C
, Rationale: Weights must hang freely at all times to maintain effective traction and prevent
injury. Removing them or letting them touch the floor disrupts the traction.
6. A nurse in the emergency department is triaging clients following a mass
casualty event. Which of the following clients should the nurse prioritize for
immediate treatment?
A. A client who has a simple fracture of the radius
B. A client who has a large head wound and fixed, dilated pupils
C. A client who is in the third trimester of pregnancy and is in labor
D. A client who has a sucking chest wound
Answer: D
Rationale: Using the triage system, the sucking chest wound is a Class I (Emergent)
priority because it is life-threatening but treatable. Fixed pupils (Class IV) indicate a low
chance of survival.
7. A nurse is teaching 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 should increase my intake of black licorice.’
B. ‘I will call my doctor if I see yellow halos around lights.’
C. ‘I will take my dose at the same time I take my antacids.’
D. ‘If I miss a dose, I will take two doses the next day.’
Answer: B
Rationale: Yellow/green vision or halos are classic signs of digoxin toxicity. Antacids
decrease absorption, and black licorice can increase the risk of hypokalemia.
Pack (U.S. Nursing 2026/2027) UPDATED ACTUAL Exam
Questions and CORRECT Answers
1. A nurse is caring for a client who is in the active phase of labor and reports
severe back pain. Which of the following non-pharmacological interventions
should the nurse perform?
A. Perform effleurage on the abdomen
B. Administer a warm sitz bath
C. Encourage the client to maintain a supine position
D. Apply counterpressure to the sacral area
Answer: D
Rationale: Counterpressure is a lifting or pushing motion applied to the sacrum to relieve
back pain caused by the fetal head in an occiput posterior position.
2. A nurse is assessing a client who has a prescription for lithium carbonate to
treat bipolar disorder. Which of the following findings should the nurse identify
as an early sign of lithium toxicity?
A. Constipation and weight gain
B. Blurred vision and ataxia
C. Fine hand tremors and nausea
D. Severe hypotension and seizures
Answer: C
Rationale: Early signs of lithium toxicity include gastrointestinal upset (nausea, vomiting),
fine hand tremors, and polyuria. Blurred vision and ataxia occur with advanced toxicity.
,3. A nurse is preparing to administer a unit of packed RBCs to a client. Which of
the following actions should the nurse take first?
A. Verify the client’s identity using two identifiers
B. Ensure the client has a 20-gauge or larger IV catheter
C. Assess the client’s vital signs and breath sounds
D. Prime the tubing with 0.9% sodium chloride
Answer: C
Rationale: The first action the nurse should take according to the nursing process is
assessment. Obtaining baseline vital signs is critical to detect future transfusion reactions.
4. A nurse is reviewing the laboratory results of a client who is taking warfarin.
Which of the following INR results indicates that the client’s dosage is within the
therapeutic range?
A. 0.8
B. 2.5
C. 1.2
D. 4.5
Answer: B
Rationale: For most conditions, such as atrial fibrillation or DVT, the therapeutic INR range
for a client taking warfarin is 2.0 to 3.0.
5. A nurse is caring for a client who has a prescription for buck’s traction. Which
of the following actions should the nurse take?
A. Remove the weights to reposition the client
B. Place the client in a high-Fowler’s position
C. Allow the weights to hang freely off the floor
D. Ensure the knots in the rope touch the pulley
Answer: C
, Rationale: Weights must hang freely at all times to maintain effective traction and prevent
injury. Removing them or letting them touch the floor disrupts the traction.
6. A nurse in the emergency department is triaging clients following a mass
casualty event. Which of the following clients should the nurse prioritize for
immediate treatment?
A. A client who has a simple fracture of the radius
B. A client who has a large head wound and fixed, dilated pupils
C. A client who is in the third trimester of pregnancy and is in labor
D. A client who has a sucking chest wound
Answer: D
Rationale: Using the triage system, the sucking chest wound is a Class I (Emergent)
priority because it is life-threatening but treatable. Fixed pupils (Class IV) indicate a low
chance of survival.
7. A nurse is teaching 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 should increase my intake of black licorice.’
B. ‘I will call my doctor if I see yellow halos around lights.’
C. ‘I will take my dose at the same time I take my antacids.’
D. ‘If I miss a dose, I will take two doses the next day.’
Answer: B
Rationale: Yellow/green vision or halos are classic signs of digoxin toxicity. Antacids
decrease absorption, and black licorice can increase the risk of hypokalemia.
