ATI RN COMPREHENSIVE PREDICTOR
2027. 50 QUESTIONS AND 100%
CORRECT ANSWERS
1. A nurse is assessing a client who has a chest tube in place for a pneumothorax. The nurse
observes continuous bubbling in the water seal chamber. Which of the following actions
should the nurse take?
A. Check for a leak in the system.
B. Decrease the suction pressure.
C. Document this as a normal finding.
D. Milk the chest tube to remove clots.
Answer: A
Conceptual Explanation: Continuous bubbling in the water seal chamber indicates an air
leak in the system. The nurse should check all connections and the insertion site.
Intermittent bubbling is expected in a client with a pneumothorax.
,2. A nurse is caring for a client who is in the active phase of labor and has a fetal heart rate
(FHR) of 110/min with late decelerations. Which of the following actions should the nurse
take first?
A. Turn the client onto her left side.
B. Increase the IV fluid rate.
C. Notify the provider.
D. Administer oxygen via nonrebreather mask.
Answer: A
Conceptual Explanation: The first action the nurse should take using the ABC/Safety
priority-setting framework is to reposition the client to her side to improve placental
perfusion and fetal oxygenation.
3. A nurse is providing teaching to a client who has a new prescription for lithium carbonate
for the treatment of bipolar disorder. Which of the following instructions should the nurse
include?
A. Limit sodium intake to 1 gram per day.
B. Drink 2 to 3 liters of fluid daily.
C. Take the medication on an empty stomach.
D. Stop taking the medication if you experience fine hand tremors.
Answer: B
, Conceptual Explanation: Clients taking lithium should maintain adequate fluid intake (2-3
L/day) and consistent sodium intake to prevent lithium toxicity. Fine hand tremors are a
common side effect and not a reason to stop the medication immediately.
4. A nurse is assessing a client who is 4 hours postoperative following a subtotal
thyroidectomy. Which of the following findings is the priority?
A. Small amount of drainage on the dressing
B. Pain at the incision site
C. Hoarseness of the voice
D. Laryngeal stridor
Answer: D
Conceptual Explanation: Laryngeal stridor indicates airway obstruction, which is an
emergency. This is the highest priority finding using the ABC framework.
5. A nurse is caring for a client who has chronic renal failure and is receiving hemodialysis.
Which of the following laboratory values should the nurse report to the provider prior to the
procedure?
A. Potassium 6.8 mEq/L
B. Hemoglobin 10.2 g/dL
C. Creatinine 5.0 mg/dL
D. BUN 45 mg/dL
2027. 50 QUESTIONS AND 100%
CORRECT ANSWERS
1. A nurse is assessing a client who has a chest tube in place for a pneumothorax. The nurse
observes continuous bubbling in the water seal chamber. Which of the following actions
should the nurse take?
A. Check for a leak in the system.
B. Decrease the suction pressure.
C. Document this as a normal finding.
D. Milk the chest tube to remove clots.
Answer: A
Conceptual Explanation: Continuous bubbling in the water seal chamber indicates an air
leak in the system. The nurse should check all connections and the insertion site.
Intermittent bubbling is expected in a client with a pneumothorax.
,2. A nurse is caring for a client who is in the active phase of labor and has a fetal heart rate
(FHR) of 110/min with late decelerations. Which of the following actions should the nurse
take first?
A. Turn the client onto her left side.
B. Increase the IV fluid rate.
C. Notify the provider.
D. Administer oxygen via nonrebreather mask.
Answer: A
Conceptual Explanation: The first action the nurse should take using the ABC/Safety
priority-setting framework is to reposition the client to her side to improve placental
perfusion and fetal oxygenation.
3. A nurse is providing teaching to a client who has a new prescription for lithium carbonate
for the treatment of bipolar disorder. Which of the following instructions should the nurse
include?
A. Limit sodium intake to 1 gram per day.
B. Drink 2 to 3 liters of fluid daily.
C. Take the medication on an empty stomach.
D. Stop taking the medication if you experience fine hand tremors.
Answer: B
, Conceptual Explanation: Clients taking lithium should maintain adequate fluid intake (2-3
L/day) and consistent sodium intake to prevent lithium toxicity. Fine hand tremors are a
common side effect and not a reason to stop the medication immediately.
4. A nurse is assessing a client who is 4 hours postoperative following a subtotal
thyroidectomy. Which of the following findings is the priority?
A. Small amount of drainage on the dressing
B. Pain at the incision site
C. Hoarseness of the voice
D. Laryngeal stridor
Answer: D
Conceptual Explanation: Laryngeal stridor indicates airway obstruction, which is an
emergency. This is the highest priority finding using the ABC framework.
5. A nurse is caring for a client who has chronic renal failure and is receiving hemodialysis.
Which of the following laboratory values should the nurse report to the provider prior to the
procedure?
A. Potassium 6.8 mEq/L
B. Hemoglobin 10.2 g/dL
C. Creatinine 5.0 mg/dL
D. BUN 45 mg/dL
