ATI Comprehensive Predictor Masterclass Proctored
Exam – Premium Review Questions with Correct
Answers and Expert Rationales for Guaranteed
Success
Instructions
The following 80 multiple-choice questions are designed to assess your knowledge across
Pharmacology, Medical-Surgical, Obstetrics, Pediatrics, Psychiatric Nursing, and Lead-
ership for the ATI Comprehensive Predictor. Each question includes four answer options
(A–D), with the correct answer marked and a detailed rationale provided. Select the best
answer for each question.
Question 1: A nurse is caring for a client with atrial fibrillation prescribed warfarin.
Which dietary instruction should the nurse provide?
A. Increase intake of green leafy vegetables.
B. Maintain consistent intake of vitamin K-rich foods.
C. Avoid all fruits and vegetables.
D. Consume high doses of vitamin C supplements.
Correct Answer: B. Maintain consistent intake of vitamin K-rich foods.
Rationale: Warfarin’s anticoagulant effect is influenced by vitamin K.
Consistent intake of vitamin K-rich foods (e.g., spinach, kale) prevents
fluctuations in INR levels, ensuring therapeutic anticoagulation.
Question 2: A nurse is assessing a client with suspected pulmonary edema. Which
finding is most indicative of this condition?
A. Dry, non-productive cough
B. Pink, frothy sputum
C. Clear lung sounds bilaterally
D. Blood pressure of 130/85 mmHg
Correct Answer: B. Pink, frothy sputum
Rationale: Pink, frothy sputum is a classic sign of pulmonary edema,
indicating fluid accumulation in the alveoli due to left-sided heart failure.
Question 3: A nurse is teaching a postpartum client about lochia progression. Which
sequence is correct?
A. Alba, serosa, rubra
B. Rubra, alba, serosa
C. Rubra, serosa, alba
1
, D. Serosa, rubra, alba
Correct Answer: C. Rubra, serosa, alba
Rationale: Lochia progresses from rubra (bright red, days 1–3), to serosa
(pinkish-brown, days 4–10), to alba (white, up to 6 weeks), reflecting nor-
mal uterine involution.
Question 4: A nurse is caring for a 3-year-old with dehydration due to gastroenteritis.
Which finding requires immediate action?
A. Capillary refill of 2 seconds
B. Sunken fontanelles and dry mucous membranes
C. Heart rate of 100 beats per minute
D. Urine output of 1 mL/kg/hour
Correct Answer: B. Sunken fontanelles and dry mucous membranes
Rationale: Sunken fontanelles and dry mucous membranes indicate severe
dehydration in a toddler, necessitating urgent fluid replacement to prevent
hypovolemic shock.
Question 5: A nurse is administering haloperidol to a client with schizophrenia. Which
side effect should the nurse monitor?
A. Hypoglycemia
B. Extrapyramidal symptoms
C. Hypernatremia
D. Increased appetite
Correct Answer: B. Extrapyramidal symptoms
Rationale: Haloperidol, an antipsychotic, commonly causes extrapyrami-
dal symptoms (e.g., dystonia, akathisia) due to dopamine receptor blockade
in the basal ganglia.
Question 6: A nurse manager is resolving a conflict between two staff members. Which
approach is most effective?
A. Avoiding discussion to prevent escalation
B. Holding a private, mediated meeting
C. Publicly addressing the issue in a staff meeting
D. Reassigning one staff member to another unit
Correct Answer: B. Holding a private, mediated meeting
Rationale: A private, mediated meeting fosters open communication, re-
spects confidentiality, and promotes collaborative resolution, maintaining
team morale.
Question 7: A nurse is caring for a client with a new diagnosis of type 2 diabetes
mellitus. Which medication is most likely prescribed initially?
A. Regular insulin
B. Metformin
C. Glipizide
D. Pioglitazone
Correct Answer: B. Metformin
Rationale: Metformin is the first-line oral therapy for type 2 diabetes, as
it reduces hepatic glucose production and improves insulin sensitivity with
a low risk of hypoglycemia.
2
Exam – Premium Review Questions with Correct
Answers and Expert Rationales for Guaranteed
Success
Instructions
The following 80 multiple-choice questions are designed to assess your knowledge across
Pharmacology, Medical-Surgical, Obstetrics, Pediatrics, Psychiatric Nursing, and Lead-
ership for the ATI Comprehensive Predictor. Each question includes four answer options
(A–D), with the correct answer marked and a detailed rationale provided. Select the best
answer for each question.
Question 1: A nurse is caring for a client with atrial fibrillation prescribed warfarin.
Which dietary instruction should the nurse provide?
A. Increase intake of green leafy vegetables.
B. Maintain consistent intake of vitamin K-rich foods.
C. Avoid all fruits and vegetables.
D. Consume high doses of vitamin C supplements.
Correct Answer: B. Maintain consistent intake of vitamin K-rich foods.
Rationale: Warfarin’s anticoagulant effect is influenced by vitamin K.
Consistent intake of vitamin K-rich foods (e.g., spinach, kale) prevents
fluctuations in INR levels, ensuring therapeutic anticoagulation.
Question 2: A nurse is assessing a client with suspected pulmonary edema. Which
finding is most indicative of this condition?
A. Dry, non-productive cough
B. Pink, frothy sputum
C. Clear lung sounds bilaterally
D. Blood pressure of 130/85 mmHg
Correct Answer: B. Pink, frothy sputum
Rationale: Pink, frothy sputum is a classic sign of pulmonary edema,
indicating fluid accumulation in the alveoli due to left-sided heart failure.
Question 3: A nurse is teaching a postpartum client about lochia progression. Which
sequence is correct?
A. Alba, serosa, rubra
B. Rubra, alba, serosa
C. Rubra, serosa, alba
1
, D. Serosa, rubra, alba
Correct Answer: C. Rubra, serosa, alba
Rationale: Lochia progresses from rubra (bright red, days 1–3), to serosa
(pinkish-brown, days 4–10), to alba (white, up to 6 weeks), reflecting nor-
mal uterine involution.
Question 4: A nurse is caring for a 3-year-old with dehydration due to gastroenteritis.
Which finding requires immediate action?
A. Capillary refill of 2 seconds
B. Sunken fontanelles and dry mucous membranes
C. Heart rate of 100 beats per minute
D. Urine output of 1 mL/kg/hour
Correct Answer: B. Sunken fontanelles and dry mucous membranes
Rationale: Sunken fontanelles and dry mucous membranes indicate severe
dehydration in a toddler, necessitating urgent fluid replacement to prevent
hypovolemic shock.
Question 5: A nurse is administering haloperidol to a client with schizophrenia. Which
side effect should the nurse monitor?
A. Hypoglycemia
B. Extrapyramidal symptoms
C. Hypernatremia
D. Increased appetite
Correct Answer: B. Extrapyramidal symptoms
Rationale: Haloperidol, an antipsychotic, commonly causes extrapyrami-
dal symptoms (e.g., dystonia, akathisia) due to dopamine receptor blockade
in the basal ganglia.
Question 6: A nurse manager is resolving a conflict between two staff members. Which
approach is most effective?
A. Avoiding discussion to prevent escalation
B. Holding a private, mediated meeting
C. Publicly addressing the issue in a staff meeting
D. Reassigning one staff member to another unit
Correct Answer: B. Holding a private, mediated meeting
Rationale: A private, mediated meeting fosters open communication, re-
spects confidentiality, and promotes collaborative resolution, maintaining
team morale.
Question 7: A nurse is caring for a client with a new diagnosis of type 2 diabetes
mellitus. Which medication is most likely prescribed initially?
A. Regular insulin
B. Metformin
C. Glipizide
D. Pioglitazone
Correct Answer: B. Metformin
Rationale: Metformin is the first-line oral therapy for type 2 diabetes, as
it reduces hepatic glucose production and improves insulin sensitivity with
a low risk of hypoglycemia.
2
