ATI RN COMPREHENSIVE PREDICTOR EXAM
|NEWEST 2026\2027 FINAL EXAM WITH – 200 EXAM
TYPE HIGH YIELD QUESTIONS AND CORRECT
ANSWERS WITH NURSING RATIONALES | STUDY
GUIDE REVIEW | CURRENTLY UPDATED 2026 | KEY
ANSWERS|
1. A nurse is assessing a client who has fluid volume deficit. Which of
the following findings should the nurse expect?
A. Bounding pulse
B. Decreased urine specific gravity
C. Tachycardia
D. Hypertension
C. Tachycardia
*Rationale: Tachycardia is an expected finding in a client who has
fluid volume deficit due to the body's compensatory mechanism to
maintain cardiac output. A bounding pulse and hypertension are
manifestations of fluid volume excess. Decreased urine specific
gravity is a manifestation of fluid volume excess. *
,2. A nurse is caring for a client who is prescribed furosemide. Which of
the following findings indicates a therapeutic effect of the
medication?
A. Weight gain
B. Decreased blood pressure
C. Increased urine output
D. Decreased heart rate
C. Increased urine output
*Rationale: Furosemide is a loop diuretic that works on the ascending
loop of Henle to promote the excretion of sodium and water.
Therefore, an increase in urine output is a therapeutic effect. Weight
loss, not gain, would be expected. Decreased blood pressure can be a
therapeutic effect for hypertension, but increased urine output is the
primary indicator of the medication's diuretic action. Decreased heart
rate is not a direct effect. *
3. A nurse is teaching a client about a low-sodium diet. Which of the
following statements by the client indicates an understanding of the
teaching?
A. "I will use soy sauce for flavoring my food."
B. "I can eat canned soups as long as I drain the liquid."
,C. "I will limit my intake of processed meats like bacon and hot dogs."
D. "I should add salt to my food at the table instead of during cooking."
C. "I will limit my intake of processed meats like bacon and hot dogs."
*Rationale: Processed meats such as bacon, hot dogs, and deli meats
are high in sodium and should be limited on a low-sodium diet. Soy
sauce and canned soups are also high in sodium. Adding salt at the
table is not recommended. *
4. A nurse is preparing to administer digoxin to a client. Which of the
following findings should the nurse report to the provider before
administering the medication?
A. Heart rate of 58/min
B. Potassium level of 4.0 mEq/L
C. Blood pressure of 110/70 mm Hg
D. Digoxin level of 1.0 ng/mL
A. Heart rate of 58/min
*Rationale: Digoxin is a cardiac glycoside that slows the heart rate.
The nurse should withhold the medication and notify the provider if
the client's apical pulse is less than 60/min in an adult. A potassium
level of 4.0 mEq/L is within the expected reference range. A digoxin
level of 1.0 ng/mL is within the therapeutic range (0.5 to 2.0 ng/mL). *
, 5. A nurse is caring for a client who has a new prescription for
warfarin. Which of the following laboratory values should the nurse
monitor to evaluate the effectiveness of the medication?
A. aPTT
B. INR
C. Platelet count
D. Hemoglobin
B. INR
*Rationale: Warfarin is an anticoagulant that affects the extrinsic
pathway of the coagulation cascade. The INR (International
Normalized Ratio) is the laboratory value used to monitor the
effectiveness of warfarin therapy. The aPTT is used to monitor
heparin therapy. Platelet count and hemoglobin are not used to
monitor the effectiveness of warfarin. *
6. A nurse is assessing a client who is 24 hours postoperative following
abdominal surgery. Which of the following findings should the nurse
report to the provider immediately?
A. Serosanguineous drainage on the dressing
B. A temperature of 37.8° C (100° F)
C. Absent bowel sounds
D. A sudden gush of clear, pale yellow fluid from the incision
|NEWEST 2026\2027 FINAL EXAM WITH – 200 EXAM
TYPE HIGH YIELD QUESTIONS AND CORRECT
ANSWERS WITH NURSING RATIONALES | STUDY
GUIDE REVIEW | CURRENTLY UPDATED 2026 | KEY
ANSWERS|
1. A nurse is assessing a client who has fluid volume deficit. Which of
the following findings should the nurse expect?
A. Bounding pulse
B. Decreased urine specific gravity
C. Tachycardia
D. Hypertension
C. Tachycardia
*Rationale: Tachycardia is an expected finding in a client who has
fluid volume deficit due to the body's compensatory mechanism to
maintain cardiac output. A bounding pulse and hypertension are
manifestations of fluid volume excess. Decreased urine specific
gravity is a manifestation of fluid volume excess. *
,2. A nurse is caring for a client who is prescribed furosemide. Which of
the following findings indicates a therapeutic effect of the
medication?
A. Weight gain
B. Decreased blood pressure
C. Increased urine output
D. Decreased heart rate
C. Increased urine output
*Rationale: Furosemide is a loop diuretic that works on the ascending
loop of Henle to promote the excretion of sodium and water.
Therefore, an increase in urine output is a therapeutic effect. Weight
loss, not gain, would be expected. Decreased blood pressure can be a
therapeutic effect for hypertension, but increased urine output is the
primary indicator of the medication's diuretic action. Decreased heart
rate is not a direct effect. *
3. A nurse is teaching a client about a low-sodium diet. Which of the
following statements by the client indicates an understanding of the
teaching?
A. "I will use soy sauce for flavoring my food."
B. "I can eat canned soups as long as I drain the liquid."
,C. "I will limit my intake of processed meats like bacon and hot dogs."
D. "I should add salt to my food at the table instead of during cooking."
C. "I will limit my intake of processed meats like bacon and hot dogs."
*Rationale: Processed meats such as bacon, hot dogs, and deli meats
are high in sodium and should be limited on a low-sodium diet. Soy
sauce and canned soups are also high in sodium. Adding salt at the
table is not recommended. *
4. A nurse is preparing to administer digoxin to a client. Which of the
following findings should the nurse report to the provider before
administering the medication?
A. Heart rate of 58/min
B. Potassium level of 4.0 mEq/L
C. Blood pressure of 110/70 mm Hg
D. Digoxin level of 1.0 ng/mL
A. Heart rate of 58/min
*Rationale: Digoxin is a cardiac glycoside that slows the heart rate.
The nurse should withhold the medication and notify the provider if
the client's apical pulse is less than 60/min in an adult. A potassium
level of 4.0 mEq/L is within the expected reference range. A digoxin
level of 1.0 ng/mL is within the therapeutic range (0.5 to 2.0 ng/mL). *
, 5. A nurse is caring for a client who has a new prescription for
warfarin. Which of the following laboratory values should the nurse
monitor to evaluate the effectiveness of the medication?
A. aPTT
B. INR
C. Platelet count
D. Hemoglobin
B. INR
*Rationale: Warfarin is an anticoagulant that affects the extrinsic
pathway of the coagulation cascade. The INR (International
Normalized Ratio) is the laboratory value used to monitor the
effectiveness of warfarin therapy. The aPTT is used to monitor
heparin therapy. Platelet count and hemoglobin are not used to
monitor the effectiveness of warfarin. *
6. A nurse is assessing a client who is 24 hours postoperative following
abdominal surgery. Which of the following findings should the nurse
report to the provider immediately?
A. Serosanguineous drainage on the dressing
B. A temperature of 37.8° C (100° F)
C. Absent bowel sounds
D. A sudden gush of clear, pale yellow fluid from the incision
