ATI Comprehensive Predictor Exam Retake
Verified 100% Correct Answers & Full Solution Guide, A+ Certified Review
Instructions
This exam contains 80 challenging questions integrating concepts from Medical-Surgical,
Obstetrics, Pharmacology, Psychiatric Nursing, and Leadership. Each question includes
four multiple-choice options, one correct answer, and a concise rationale. Solve each
question carefully.
Questions
1. A patient with heart failure is prescribed furosemide 40 mg IV. The nurse notes a
potassium level of 3.2 mEq/L. What is the priority action?
A Administer the furosemide as ordered
B Hold the dose and notify the provider
C Administer potassium chloride IV
D Monitor the patient’s urine output
Rationale: Hypokalemia (3.2 mEq/L) increases the risk of toxicity with furosemide.
The nurse should hold the dose and notify the provider.
Answer: B
2. A postpartum patient reports severe perineal pain. The nurse observes a hematoma.
What is the priority intervention?
A Apply a warm compress
B Notify the provider immediately
C Administer acetaminophen
D Encourage ambulation
Rationale: A perineal hematoma is a medical emergency requiring immediate
provider notification for evaluation and possible surgical intervention.
Answer: B
3. A patient with schizophrenia is prescribed risperidone. Which side effect should
the nurse monitor for?
1
, A Extrapyramidal symptoms
B Hypoglycemia
C Hypertension
D Hyperkalemia
Rationale: Risperidone, an atypical antipsychotic, can cause extrapyramidal symp-
toms such as tremors or rigidity.
Answer: A
4. A patient with COPD has a respiratory rate of 28 breaths/min and oxygen satu-
ration of 88
A Administer oxygen at 2 L/min via nasal cannula
B Place the patient in a supine position
C Administer albuterol nebulizer
D Obtain an arterial blood gas
Rationale: Oxygen saturation of 88Answer: A
5. A nurse is delegating tasks. Which task can be assigned to a licensed practical
nurse (LPN)?
A Developing a patient’s care plan
B Administering oral medications
C Performing a central line dressing change
D Evaluating patient outcomes
Rationale: LPNs can administer oral medications within their scope of practice,
but tasks like care planning or central line care require RN expertise.
Answer: B
6. A patient is receiving heparin 5,000 units IV. The nurse notes a PTT of 100 seconds.
What is the appropriate action?
A Continue the infusion
B Hold the infusion and notify the provider
C Increase the infusion rate
D Administer protamine sulfate
Rationale: A PTT of 100 seconds indicates over-anticoagulation. The nurse should
hold the infusion and notify the provider.
Answer: B
7. A newborn is jaundiced with a bilirubin level of 15 mg/dL at 48 hours. What is
the nurse’s priority action?
A Initiate phototherapy
2
, B Increase formula feedings
C Monitor the newborn’s temperature
D Obtain a complete blood count
Rationale: A bilirubin level of 15 mg/dL at 48 hours indicates hyperbilirubinemia,
requiring phototherapy to prevent complications.
Answer: A
8. A patient with major depressive disorder is prescribed fluoxetine. What should the
nurse teach the patient?
A Avoid tyramine-rich foods
B Expect therapeutic effects in 2–4 weeks
C Take the medication at bedtime
D Report weight loss immediately
Rationale: Fluoxetine, an SSRI, takes 2–4 weeks to achieve therapeutic effects.
This is key patient education.
Answer: B
9. A patient with a chest tube reports sudden shortness of breath. The nurse notes
no drainage and absent breath sounds on the affected side. What is the priority
action?
A Check for tube disconnection
B Notify the provider immediately
C Increase suction pressure
D Reposition the patient
Rationale: Absent breath sounds and no drainage suggest a pneumothorax or tube
obstruction, requiring immediate provider notification.
Answer: B
10. A nurse is caring for a patient receiving total parenteral nutrition (TPN). Which
laboratory value should be monitored closely?
A Serum glucose
B Serum potassium
C Serum sodium
D Serum calcium
Rationale: TPN contains high glucose concentrations, requiring close monitoring
of serum glucose to prevent hyperglycemia.
Answer: A
11. A patient in labor has a fetal heart rate of 100 bpm with variable decelerations.
What is the nurse’s priority action?
3
Verified 100% Correct Answers & Full Solution Guide, A+ Certified Review
Instructions
This exam contains 80 challenging questions integrating concepts from Medical-Surgical,
Obstetrics, Pharmacology, Psychiatric Nursing, and Leadership. Each question includes
four multiple-choice options, one correct answer, and a concise rationale. Solve each
question carefully.
Questions
1. A patient with heart failure is prescribed furosemide 40 mg IV. The nurse notes a
potassium level of 3.2 mEq/L. What is the priority action?
A Administer the furosemide as ordered
B Hold the dose and notify the provider
C Administer potassium chloride IV
D Monitor the patient’s urine output
Rationale: Hypokalemia (3.2 mEq/L) increases the risk of toxicity with furosemide.
The nurse should hold the dose and notify the provider.
Answer: B
2. A postpartum patient reports severe perineal pain. The nurse observes a hematoma.
What is the priority intervention?
A Apply a warm compress
B Notify the provider immediately
C Administer acetaminophen
D Encourage ambulation
Rationale: A perineal hematoma is a medical emergency requiring immediate
provider notification for evaluation and possible surgical intervention.
Answer: B
3. A patient with schizophrenia is prescribed risperidone. Which side effect should
the nurse monitor for?
1
, A Extrapyramidal symptoms
B Hypoglycemia
C Hypertension
D Hyperkalemia
Rationale: Risperidone, an atypical antipsychotic, can cause extrapyramidal symp-
toms such as tremors or rigidity.
Answer: A
4. A patient with COPD has a respiratory rate of 28 breaths/min and oxygen satu-
ration of 88
A Administer oxygen at 2 L/min via nasal cannula
B Place the patient in a supine position
C Administer albuterol nebulizer
D Obtain an arterial blood gas
Rationale: Oxygen saturation of 88Answer: A
5. A nurse is delegating tasks. Which task can be assigned to a licensed practical
nurse (LPN)?
A Developing a patient’s care plan
B Administering oral medications
C Performing a central line dressing change
D Evaluating patient outcomes
Rationale: LPNs can administer oral medications within their scope of practice,
but tasks like care planning or central line care require RN expertise.
Answer: B
6. A patient is receiving heparin 5,000 units IV. The nurse notes a PTT of 100 seconds.
What is the appropriate action?
A Continue the infusion
B Hold the infusion and notify the provider
C Increase the infusion rate
D Administer protamine sulfate
Rationale: A PTT of 100 seconds indicates over-anticoagulation. The nurse should
hold the infusion and notify the provider.
Answer: B
7. A newborn is jaundiced with a bilirubin level of 15 mg/dL at 48 hours. What is
the nurse’s priority action?
A Initiate phototherapy
2
, B Increase formula feedings
C Monitor the newborn’s temperature
D Obtain a complete blood count
Rationale: A bilirubin level of 15 mg/dL at 48 hours indicates hyperbilirubinemia,
requiring phototherapy to prevent complications.
Answer: A
8. A patient with major depressive disorder is prescribed fluoxetine. What should the
nurse teach the patient?
A Avoid tyramine-rich foods
B Expect therapeutic effects in 2–4 weeks
C Take the medication at bedtime
D Report weight loss immediately
Rationale: Fluoxetine, an SSRI, takes 2–4 weeks to achieve therapeutic effects.
This is key patient education.
Answer: B
9. A patient with a chest tube reports sudden shortness of breath. The nurse notes
no drainage and absent breath sounds on the affected side. What is the priority
action?
A Check for tube disconnection
B Notify the provider immediately
C Increase suction pressure
D Reposition the patient
Rationale: Absent breath sounds and no drainage suggest a pneumothorax or tube
obstruction, requiring immediate provider notification.
Answer: B
10. A nurse is caring for a patient receiving total parenteral nutrition (TPN). Which
laboratory value should be monitored closely?
A Serum glucose
B Serum potassium
C Serum sodium
D Serum calcium
Rationale: TPN contains high glucose concentrations, requiring close monitoring
of serum glucose to prevent hyperglycemia.
Answer: A
11. A patient in labor has a fetal heart rate of 100 bpm with variable decelerations.
What is the nurse’s priority action?
3
