ATI PN COMPREHENSIVE PREDICTOR
2026/2027 QUESTIONS AND ANSWERS
1. A nurse is reviewing the medical record of a client who has a prescription for a living will.
Which of the following actions should the nurse take?
A. Instruct the client that a lawyer must be present to sign the document.
B. Inform the client that a living will cannot be changed once it is signed.
C. Suggest that the client assign a family member as the primary decision-maker.
D. Verify that the living will is documented in the client’s medical record.
Answer: D
Conceptual Explanation: The nurse’s responsibility is to ensure that the client’s advance
directives, such as a living will, are present in the medical record so that the healthcare
team is aware of the client’s end-of-life preferences.
2. A nurse is caring for a client who is 24 hours postoperative following an abdominal
hysterectomy. Which of the following findings is the priority to report to the provider?
A. Pain level of 6 on a scale of 0 to 10.
B. Urinary output of 20 mL/hr over the last 2 hours.
C. Decreased bowel sounds in all four quadrants.
,D. Serosanguineous drainage on the abdominal dressing.
Answer: B
Conceptual Explanation: Using the ABC (Airway, Breathing, Circulation) or systemic
vs. local priority setting, a urinary output of less than 30 mL/hr indicates a potential
circulation issue or renal failure and requires immediate intervention.
3. A nurse is providing discharge teaching for a client who has a new prescription for warfarin.
Which of the following instructions should the nurse include?
A. ‘Report any black, tarry stools to your provider immediately.’
B. ‘Use a firm-bristled toothbrush for oral hygiene.’
C. ‘Increase your intake of dark green leafy vegetables.’
D. ‘Take aspirin for minor headaches.’
Answer: A
Conceptual Explanation: Warfarin is an anticoagulant; black, tarry stools (melena) are a
sign of internal gastrointestinal bleeding and must be reported immediately.
4. A nurse is preparing to administer digoxin to a client who has heart failure. Which of the
following assessments should the nurse complete prior to administration?
A. Check the client’s apical pulse for 1 full minute.
B. Measure the client’s blood pressure in both arms.
C. Auscultate the client’s breath sounds.
, D. Monitor the client’s oxygen saturation.
Answer: A
Conceptual Explanation: Digoxin can cause bradycardia. The nurse must assess the apical
pulse for 60 seconds and withhold the medication if the heart rate is below 60/min (adults)
or as specified by the provider.
5. A nurse is caring for a client who is in the manic phase of bipolar disorder. Which of the
following interventions is appropriate for the nurse to include in the plan of care?
A. Engage the client in competitive group activities.
B. Offer the client long, detailed explanations for treatments.
C. Provide high-calorie finger foods.
D. Place the client in a high-stimulation environment.
Answer: C
Conceptual Explanation: Clients in a manic phase are often unable to sit still for meals.
High-calorie finger foods allow them to maintain nutrition while on the move. Stimulation
should be decreased, not increased.
6. A nurse is teaching a parent of a toddler about safety precautions. Which of the following
statements by the parent indicates an understanding of the teaching?
A. ‘I will keep the water heater temperature set at 130 degrees Fahrenheit.’
B. ‘I will store household cleaners in a locked cabinet.’
2026/2027 QUESTIONS AND ANSWERS
1. A nurse is reviewing the medical record of a client who has a prescription for a living will.
Which of the following actions should the nurse take?
A. Instruct the client that a lawyer must be present to sign the document.
B. Inform the client that a living will cannot be changed once it is signed.
C. Suggest that the client assign a family member as the primary decision-maker.
D. Verify that the living will is documented in the client’s medical record.
Answer: D
Conceptual Explanation: The nurse’s responsibility is to ensure that the client’s advance
directives, such as a living will, are present in the medical record so that the healthcare
team is aware of the client’s end-of-life preferences.
2. A nurse is caring for a client who is 24 hours postoperative following an abdominal
hysterectomy. Which of the following findings is the priority to report to the provider?
A. Pain level of 6 on a scale of 0 to 10.
B. Urinary output of 20 mL/hr over the last 2 hours.
C. Decreased bowel sounds in all four quadrants.
,D. Serosanguineous drainage on the abdominal dressing.
Answer: B
Conceptual Explanation: Using the ABC (Airway, Breathing, Circulation) or systemic
vs. local priority setting, a urinary output of less than 30 mL/hr indicates a potential
circulation issue or renal failure and requires immediate intervention.
3. A nurse is providing discharge teaching for a client who has a new prescription for warfarin.
Which of the following instructions should the nurse include?
A. ‘Report any black, tarry stools to your provider immediately.’
B. ‘Use a firm-bristled toothbrush for oral hygiene.’
C. ‘Increase your intake of dark green leafy vegetables.’
D. ‘Take aspirin for minor headaches.’
Answer: A
Conceptual Explanation: Warfarin is an anticoagulant; black, tarry stools (melena) are a
sign of internal gastrointestinal bleeding and must be reported immediately.
4. A nurse is preparing to administer digoxin to a client who has heart failure. Which of the
following assessments should the nurse complete prior to administration?
A. Check the client’s apical pulse for 1 full minute.
B. Measure the client’s blood pressure in both arms.
C. Auscultate the client’s breath sounds.
, D. Monitor the client’s oxygen saturation.
Answer: A
Conceptual Explanation: Digoxin can cause bradycardia. The nurse must assess the apical
pulse for 60 seconds and withhold the medication if the heart rate is below 60/min (adults)
or as specified by the provider.
5. A nurse is caring for a client who is in the manic phase of bipolar disorder. Which of the
following interventions is appropriate for the nurse to include in the plan of care?
A. Engage the client in competitive group activities.
B. Offer the client long, detailed explanations for treatments.
C. Provide high-calorie finger foods.
D. Place the client in a high-stimulation environment.
Answer: C
Conceptual Explanation: Clients in a manic phase are often unable to sit still for meals.
High-calorie finger foods allow them to maintain nutrition while on the move. Stimulation
should be decreased, not increased.
6. A nurse is teaching a parent of a toddler about safety precautions. Which of the following
statements by the parent indicates an understanding of the teaching?
A. ‘I will keep the water heater temperature set at 130 degrees Fahrenheit.’
B. ‘I will store household cleaners in a locked cabinet.’
