1|Page
ATI RN COMPREHENSIVE PREDICTOR ALREADY
GRADED A+ GUARANTEED PASS
1) Nurse is performing dressing change for client was a sacral wound using negative
pressure wound therapy. Which The following actions should the nurse take first?
a) Apply skin preparation to wound edges.
b) Normal saline
c) Don sterile gloves
d) Determine pain level
2) A nurses caring for client recovery from the bowel surgery who has nasogastric tube
connected to low intermittent suction. Which the following assessment findings should
indicate to the nurse that the NG tube may not be functioning properly?
a) Drainage fluid is greenish-yellow
b) aspirate pH of 3
c) Abdominal rigidity
d) air bubbles noted in the NG tube
3) A nurse is preparing to administer TPN with added fat supplements to a client who
has malnutrition. Which of the following action should the nurse take?
a) Piggyback 0.9 sodium chloride with TPN solution
b) Check for an allergy to eggs
c) Discuss the TPS solution for 12 hours
d) Monitor for hypoglycemia
4) A charge nurse is discussing the use of applying ice to a client’s injured knee with a newly
licensed nurse. Which of the following should the nurse identify as a benefit? (A/C?)
a) Systemic analgesic effect
b) increase in your metabolism
c) Decreased capillary permeability
d) Vasodilation
5) Nurse is developing discharge care plans for client has osteoporosis. To prevent injury
the nurse should instruct the client to
a) Perform weight bearing exercises
2 of 28
b) Avoid crossing the legs beyond the midline
c) Avoid sitting in one position for prolonged periods
d) Split affected area
,2|Page
6) A nurse on acute med-surgical unit is performing assessments on a group of clients.
Which is highest priority?
a) The client has surgical hypoparathyroidism and positive Trousseau’s sign
b) A client who was Clostridium difficile with acute diarrhea
c) A client who is acute kidney injury and urine with a low specific gravity
d) The client who has oral cancer and reports a sore on his gums
7) Nurses caring for a client was congestive heart failure. Which of the following
prescriptions for the provider should the nurse anticipate?
a) Call the provider to clients respiratory rate is less 18/min
b) Give the client 500 mL IV bolus of 0.9 sodium chloride over 1 hr
c) Give the client enalapril 2.5 mg PO twice daily
d) Call the provider if the clients pulse rate is less than 80/min
8) A nurse is caring for a client who has a prescription for sertraline to treat
depression. Which of the following statements by the client indicates an
understanding of the medication treatment plan? a) I will be able starting this
medication with feel better
b) I can expect to urinate frequently while on this medication
c) I understand I may experience difficulty sleeping on this medication
d) I should decrease my sodium intake while on this medication
9) A nurse has been caring for a female client who has bruises on her arms that she explains
are a result of physical abuse by her husband. The client states, “I don’t know how much
longer I can take this, but I’m afraid he’ll really hurt me if I leave. “Which of the
following is an appropriate nursing intervention?” a) Offer to speak to the client’s
husband regarding his abuse behavior.
b) Help the client to recognize the signs of escalation of abuse behavior
c) Assist the client to identify personal behaviors that trigger abusive behavior
d) Assist the client to Reports abusive behavior to the proper authority
10) A client was having suicidal thoughts tells the nurse “It just does not seem worth it
anymore. Why not end my misery?” Which of the following responses for the nurses
appropriate?
a) Why do you think your life is not worth it anymore?
b) Do you have a plan to end your life?
c) I need to know what you mean my misery
d) You can trust me and tell me what you’re thinking
11) A nurse is caring for a client who has schizophrenia. Which of the following assessment
findings should the nurse expect?
a) Decreased level consciousness
b) Unable to identify common objects
c) Poor problem solving ability
d) Preoccupation was somatic disturbances
,3|Page
A nurse is caring for a client who has deep vein thrombosis of the left lower extremity.
Which of the following action should nurse take? There are 3 tabs that contain separate
categories of data. a) Position the client with the affected extremity
lower than the heart
b) Administration of acetaminophen
c) Massage the affected extremity every 4 hrs.
d) Withhold heparin IV infusion
12) Is caring for clients was a new prescription for enoxaparin for the prevention of
DVT. Which of the following is an appropriate action by the nurse?
a) Expel air bubble at the top of the prefilled syringe
b) Massage the injection site to evenly distribute the medication
c) Inject the medication the lateral abdominal wall
d) Administer an NSAID for injection site discomfort
13) Nurses caring for four clients. Which of the following client data should the nurse report
to the provider? a) A client who has a pleurisy and reports pain of 6 on a scale of 0 to 10
when coughing b) Client was a total of 110 mL of serosanguineous fluid from the Jackson
Pratt drain within the first 24 hour following surgery
c) Client who is 4 hrs postoperative and has a heart rate of 98 per minute
d) The client was a prescription for chemotherapy and an absolute neutrophil count of
75/mm3
14) Nurses caring for client was in end-stage osteoporosis and is reporting severe pain.
Clients respiratory rate is 14 per minute. Which of the following medications should
the nurse expect to be the highest priority to administer to the client?
a) Promethazine
b) Hydromorphone
c) Ketorolac
d) Amitriptyline
15) A nurse is caring for a client who has DVT. Which of the following instructions the
nurse include in the plan of care?
a) Live with the clients fluid intake to 1500 mL per day
b) Massage place affected extremity to relieve pain
c) Apply cold packs of clients affected extremity
d) Elevate the client’s affected extremity when in bed
16) A nurse is caring for a client who is receiving oxytocin IV for augmentation of labor.
The client’s contractions are occurring every 45 seconds with a nine seconds duration in
the fetal heart rate is 170 to 180/minute. Which of the following actions should nurse
take?
a) Discontinue oxytocin infusion
b) Increased oxytocin infusion
, 4|Page
c) Decreased oxytocin infusion
d) Maintain oxytocin infusion
17) A nurse is admitting a client who is in labor and at 38 wks of gestation to the
maternal newborn unit. The client has a history of herpes simplex virus 2. Which of the
following questions is most appropriate for the nurse to ask the client?
a) Have your membranes ruptured?
3 of 28
b) How far apart are your contractions?
c) Do you have any active lesions?
d) Are you positive for beta strap?
18) Nurse is providing teaching for child prescribed ferrous sulfate. Which of the following
instructions should the nurse include?
a) Take with meals
b) Take at bedtime
c) Take with a glass of milk
d) Take with a glass of orange juice
19) Four clients present to the emergency department. The nurse should plan to see which
of the following clients first?
a) A 6 year old client whose left shoulder is dislocated
b) A 26 year old client for sickle cell disease and a severe joint pain
c) A 76 year old client was confused, febrile and has foul smelling urine - uti
d) A 50- year old client who has slurred speech, is disoriented, and reports a headache -
stroke
20) A nurse is completing a dietary assessment for client who is Jewish and observes kosher
dietary practices. Which of the following behaviors should the nurse expect to find?
a) Leavened bread maybe eaten during Passover.
b) Shellfish is commonly consumed in the diet.
c) Meat and dairy products are eaten separately.
d) Fasting from meat occurs during Hanukkah.
21) ?
22) A nurse is in an ER caring for client of multiple wounds due to a motor vehicle
crash. Which of the following interventions are appropriate? Select all that apply
a) Apply direct pressure to bleeding wounds
b) Clean rest last rations and abrasions with hydrogen peroxide
c) Cover wounds with a sterile dressing
d) Administer 650 mg aspirin PO as needed for pain
e) Determine date of last tetanus toxoid vaccination.
23) The nurses reviewing clients admission laboratory results. Which of the findings
required further evaluation?
a) Sodium 138
ATI RN COMPREHENSIVE PREDICTOR ALREADY
GRADED A+ GUARANTEED PASS
1) Nurse is performing dressing change for client was a sacral wound using negative
pressure wound therapy. Which The following actions should the nurse take first?
a) Apply skin preparation to wound edges.
b) Normal saline
c) Don sterile gloves
d) Determine pain level
2) A nurses caring for client recovery from the bowel surgery who has nasogastric tube
connected to low intermittent suction. Which the following assessment findings should
indicate to the nurse that the NG tube may not be functioning properly?
a) Drainage fluid is greenish-yellow
b) aspirate pH of 3
c) Abdominal rigidity
d) air bubbles noted in the NG tube
3) A nurse is preparing to administer TPN with added fat supplements to a client who
has malnutrition. Which of the following action should the nurse take?
a) Piggyback 0.9 sodium chloride with TPN solution
b) Check for an allergy to eggs
c) Discuss the TPS solution for 12 hours
d) Monitor for hypoglycemia
4) A charge nurse is discussing the use of applying ice to a client’s injured knee with a newly
licensed nurse. Which of the following should the nurse identify as a benefit? (A/C?)
a) Systemic analgesic effect
b) increase in your metabolism
c) Decreased capillary permeability
d) Vasodilation
5) Nurse is developing discharge care plans for client has osteoporosis. To prevent injury
the nurse should instruct the client to
a) Perform weight bearing exercises
2 of 28
b) Avoid crossing the legs beyond the midline
c) Avoid sitting in one position for prolonged periods
d) Split affected area
,2|Page
6) A nurse on acute med-surgical unit is performing assessments on a group of clients.
Which is highest priority?
a) The client has surgical hypoparathyroidism and positive Trousseau’s sign
b) A client who was Clostridium difficile with acute diarrhea
c) A client who is acute kidney injury and urine with a low specific gravity
d) The client who has oral cancer and reports a sore on his gums
7) Nurses caring for a client was congestive heart failure. Which of the following
prescriptions for the provider should the nurse anticipate?
a) Call the provider to clients respiratory rate is less 18/min
b) Give the client 500 mL IV bolus of 0.9 sodium chloride over 1 hr
c) Give the client enalapril 2.5 mg PO twice daily
d) Call the provider if the clients pulse rate is less than 80/min
8) A nurse is caring for a client who has a prescription for sertraline to treat
depression. Which of the following statements by the client indicates an
understanding of the medication treatment plan? a) I will be able starting this
medication with feel better
b) I can expect to urinate frequently while on this medication
c) I understand I may experience difficulty sleeping on this medication
d) I should decrease my sodium intake while on this medication
9) A nurse has been caring for a female client who has bruises on her arms that she explains
are a result of physical abuse by her husband. The client states, “I don’t know how much
longer I can take this, but I’m afraid he’ll really hurt me if I leave. “Which of the
following is an appropriate nursing intervention?” a) Offer to speak to the client’s
husband regarding his abuse behavior.
b) Help the client to recognize the signs of escalation of abuse behavior
c) Assist the client to identify personal behaviors that trigger abusive behavior
d) Assist the client to Reports abusive behavior to the proper authority
10) A client was having suicidal thoughts tells the nurse “It just does not seem worth it
anymore. Why not end my misery?” Which of the following responses for the nurses
appropriate?
a) Why do you think your life is not worth it anymore?
b) Do you have a plan to end your life?
c) I need to know what you mean my misery
d) You can trust me and tell me what you’re thinking
11) A nurse is caring for a client who has schizophrenia. Which of the following assessment
findings should the nurse expect?
a) Decreased level consciousness
b) Unable to identify common objects
c) Poor problem solving ability
d) Preoccupation was somatic disturbances
,3|Page
A nurse is caring for a client who has deep vein thrombosis of the left lower extremity.
Which of the following action should nurse take? There are 3 tabs that contain separate
categories of data. a) Position the client with the affected extremity
lower than the heart
b) Administration of acetaminophen
c) Massage the affected extremity every 4 hrs.
d) Withhold heparin IV infusion
12) Is caring for clients was a new prescription for enoxaparin for the prevention of
DVT. Which of the following is an appropriate action by the nurse?
a) Expel air bubble at the top of the prefilled syringe
b) Massage the injection site to evenly distribute the medication
c) Inject the medication the lateral abdominal wall
d) Administer an NSAID for injection site discomfort
13) Nurses caring for four clients. Which of the following client data should the nurse report
to the provider? a) A client who has a pleurisy and reports pain of 6 on a scale of 0 to 10
when coughing b) Client was a total of 110 mL of serosanguineous fluid from the Jackson
Pratt drain within the first 24 hour following surgery
c) Client who is 4 hrs postoperative and has a heart rate of 98 per minute
d) The client was a prescription for chemotherapy and an absolute neutrophil count of
75/mm3
14) Nurses caring for client was in end-stage osteoporosis and is reporting severe pain.
Clients respiratory rate is 14 per minute. Which of the following medications should
the nurse expect to be the highest priority to administer to the client?
a) Promethazine
b) Hydromorphone
c) Ketorolac
d) Amitriptyline
15) A nurse is caring for a client who has DVT. Which of the following instructions the
nurse include in the plan of care?
a) Live with the clients fluid intake to 1500 mL per day
b) Massage place affected extremity to relieve pain
c) Apply cold packs of clients affected extremity
d) Elevate the client’s affected extremity when in bed
16) A nurse is caring for a client who is receiving oxytocin IV for augmentation of labor.
The client’s contractions are occurring every 45 seconds with a nine seconds duration in
the fetal heart rate is 170 to 180/minute. Which of the following actions should nurse
take?
a) Discontinue oxytocin infusion
b) Increased oxytocin infusion
, 4|Page
c) Decreased oxytocin infusion
d) Maintain oxytocin infusion
17) A nurse is admitting a client who is in labor and at 38 wks of gestation to the
maternal newborn unit. The client has a history of herpes simplex virus 2. Which of the
following questions is most appropriate for the nurse to ask the client?
a) Have your membranes ruptured?
3 of 28
b) How far apart are your contractions?
c) Do you have any active lesions?
d) Are you positive for beta strap?
18) Nurse is providing teaching for child prescribed ferrous sulfate. Which of the following
instructions should the nurse include?
a) Take with meals
b) Take at bedtime
c) Take with a glass of milk
d) Take with a glass of orange juice
19) Four clients present to the emergency department. The nurse should plan to see which
of the following clients first?
a) A 6 year old client whose left shoulder is dislocated
b) A 26 year old client for sickle cell disease and a severe joint pain
c) A 76 year old client was confused, febrile and has foul smelling urine - uti
d) A 50- year old client who has slurred speech, is disoriented, and reports a headache -
stroke
20) A nurse is completing a dietary assessment for client who is Jewish and observes kosher
dietary practices. Which of the following behaviors should the nurse expect to find?
a) Leavened bread maybe eaten during Passover.
b) Shellfish is commonly consumed in the diet.
c) Meat and dairy products are eaten separately.
d) Fasting from meat occurs during Hanukkah.
21) ?
22) A nurse is in an ER caring for client of multiple wounds due to a motor vehicle
crash. Which of the following interventions are appropriate? Select all that apply
a) Apply direct pressure to bleeding wounds
b) Clean rest last rations and abrasions with hydrogen peroxide
c) Cover wounds with a sterile dressing
d) Administer 650 mg aspirin PO as needed for pain
e) Determine date of last tetanus toxoid vaccination.
23) The nurses reviewing clients admission laboratory results. Which of the findings
required further evaluation?
a) Sodium 138
