ATI Comprehensive Predictor NCLEX Readiness Practice
Exam 2026 UPDATED ACTUAL Questions and CORRECT
Answers
1. A nurse is delegating tasks to an assistive personnel (AP). Which of the
following tasks is appropriate for the nurse to delegate?
A. Evaluating a client’s response to pain medication
B. Performing a sterile dressing change for a surgical wound
C. Teaching a client how to use an incentive spirometer
D. Collecting a stool specimen for a client who has diarrhea
Answer: D
Rationale: Collecting specimens is within the scope of practice for an AP. Evaluation,
sterile procedures, and teaching require the judgment and skill of a licensed nurse.
2. A nurse is caring for a client who is taking digoxin 0.25 mg daily. For which of
the following manifestations should the nurse monitor for digoxin toxicity?
A. Increased appetite
B. Visual disturbances such as yellow halos
C. Tachycardia
D. Hypotension
Answer: B
Rationale: Yellow or green halos and other visual disturbances are classic signs of digoxin
toxicity, along with anorexia, nausea, and bradycardia.
,3. A nurse is caring for a client who has a prescription for lithium carbonate to
treat bipolar disorder. Which of the following findings should the nurse identify
as a sign of lithium toxicity?
A. Coarse tremors and diarrhea
B. Fine hand tremors
C. Weight gain
D. Polyuria
Answer: A
Rationale: While fine tremors are a common side effect, coarse tremors, diarrhea, and
vomiting are indicators of lithium toxicity.
4. A nurse is providing teaching to a client who has a new prescription for
warfarin. Which of the following statements by the client indicates an
understanding of the teaching?
A. I will increase my intake of dark green leafy vegetables.
B. I will take aspirin for headaches.
C. I will use a soft-bristled toothbrush.
D. I do not need to have my blood tested regularly.
Answer: C
Rationale: Warfarin increases the risk of bleeding; using a soft toothbrush helps prevent
gum trauma. Green leafy vegetables contain Vitamin K, which is the antidote, so intake
should remain consistent, not increase.
, 5. A nurse is assessing a client who is 2 hours postpartum. Which of the
following findings should the nurse report to the provider?
A. Lochia rubra with small clots
B. Fundus firm at the umbilicus
C. Urine output of 100 mL over 2 hours
D. Saturated perineal pad in 15 minutes
Answer: D
Rationale: A saturated pad in 15 minutes or less indicates excessive bleeding or
postpartum hemorrhage and must be reported immediately.
6. A nurse is caring for a client who has a new prescription for phenelzine, an
MAOI. Which of the following foods should the nurse instruct the client to
avoid?
A. Cottage cheese
B. Pepperoni pizza
C. Grilled chicken
D. Fresh apples
Answer: B
Rationale: MAOIs interact with tyramine-rich foods, such as aged meats (pepperoni) and
aged cheeses, which can cause a hypertensive crisis.
7. A nurse is preparing to administer an intramuscular injection to an infant.
Which of the following sites should the nurse use?
A. Dorsogluteal
B. Ventrogluteal
C. Deltoid
D. Vastus lateralis
Answer: D
Exam 2026 UPDATED ACTUAL Questions and CORRECT
Answers
1. A nurse is delegating tasks to an assistive personnel (AP). Which of the
following tasks is appropriate for the nurse to delegate?
A. Evaluating a client’s response to pain medication
B. Performing a sterile dressing change for a surgical wound
C. Teaching a client how to use an incentive spirometer
D. Collecting a stool specimen for a client who has diarrhea
Answer: D
Rationale: Collecting specimens is within the scope of practice for an AP. Evaluation,
sterile procedures, and teaching require the judgment and skill of a licensed nurse.
2. A nurse is caring for a client who is taking digoxin 0.25 mg daily. For which of
the following manifestations should the nurse monitor for digoxin toxicity?
A. Increased appetite
B. Visual disturbances such as yellow halos
C. Tachycardia
D. Hypotension
Answer: B
Rationale: Yellow or green halos and other visual disturbances are classic signs of digoxin
toxicity, along with anorexia, nausea, and bradycardia.
,3. A nurse is caring for a client who has a prescription for lithium carbonate to
treat bipolar disorder. Which of the following findings should the nurse identify
as a sign of lithium toxicity?
A. Coarse tremors and diarrhea
B. Fine hand tremors
C. Weight gain
D. Polyuria
Answer: A
Rationale: While fine tremors are a common side effect, coarse tremors, diarrhea, and
vomiting are indicators of lithium toxicity.
4. A nurse is providing teaching to a client who has a new prescription for
warfarin. Which of the following statements by the client indicates an
understanding of the teaching?
A. I will increase my intake of dark green leafy vegetables.
B. I will take aspirin for headaches.
C. I will use a soft-bristled toothbrush.
D. I do not need to have my blood tested regularly.
Answer: C
Rationale: Warfarin increases the risk of bleeding; using a soft toothbrush helps prevent
gum trauma. Green leafy vegetables contain Vitamin K, which is the antidote, so intake
should remain consistent, not increase.
, 5. A nurse is assessing a client who is 2 hours postpartum. Which of the
following findings should the nurse report to the provider?
A. Lochia rubra with small clots
B. Fundus firm at the umbilicus
C. Urine output of 100 mL over 2 hours
D. Saturated perineal pad in 15 minutes
Answer: D
Rationale: A saturated pad in 15 minutes or less indicates excessive bleeding or
postpartum hemorrhage and must be reported immediately.
6. A nurse is caring for a client who has a new prescription for phenelzine, an
MAOI. Which of the following foods should the nurse instruct the client to
avoid?
A. Cottage cheese
B. Pepperoni pizza
C. Grilled chicken
D. Fresh apples
Answer: B
Rationale: MAOIs interact with tyramine-rich foods, such as aged meats (pepperoni) and
aged cheeses, which can cause a hypertensive crisis.
7. A nurse is preparing to administer an intramuscular injection to an infant.
Which of the following sites should the nurse use?
A. Dorsogluteal
B. Ventrogluteal
C. Deltoid
D. Vastus lateralis
Answer: D
