STUDY GUIDE FOR ATI RN COMPREHENSIVE PREDICTOR
EXAM 2025 REVIEW
1. Lyme Disease - Home Health Nurse Action
• Question: What action should the nurse take for a child with Lyme disease?
• Correct Answer: Notify the state health department.
• Rationale: Lyme disease is reportable to the state health department in many states.
2. Alcohol Use Disorder - Client Symptoms
• Question: Which actions should the nurse take for a client with alcohol use disorder?
• Correct Answers:
o Provide frequent rest periods.
o Restrict sodium intake.
o Avoid soap and alcohol-based lotions.
o Assess the client’s orientation.
o Place the client under contact isolation.
• Rationale: These interventions address complications related to liver disease and prevent
infections.
3. NG Tube Malfunction
• Question: What should the nurse do first when a client with a vented NG tube vomits?
• Correct Answer: Evaluate the functioning of the suction device.
• Rationale: Ensuring the NG tube works properly is the first priority to resolve vomiting.
4. CPM Device Electrical Safety
• Question: What is the first step when a nurse notices a frayed electrical cord on a CPM
device?
, • Correct Answer: Remove the device from the room.
• Rationale: Frayed cords pose an immediate safety risk and must be removed to prevent
injury.
5. Sterile Field and Pouring Sterile Solution
• Question: How should the nurse pour a sterile solution?
• Correct Answer: Hold the irrigation solution bottle with the label facing away from the
palm of the hand.
• Rationale: This prevents contamination of the bottle's label.
6. Seizure Precautions
• Question: Which action is essential when a client is in seclusion for safety due to risk of
harm to others?
• Correct Answer: Document the client’s behavior prior to seclusion.
• Rationale: Seclusion is carefully regulated and should be accompanied by thorough
documentation to ensure safety and appropriateness of the intervention.
7. Vancomycin IV Administration
• Question: A client asks to receive vancomycin 2 hours early. What should the nurse do?
• Correct Answer: I have up to 2 hours after the usual schedule time to administer the
medication.
• Rationale: Vancomycin has a specific administration schedule, but there is a grace
period within which it can be given, as long as it’s within the specified timeframe.
8. NG Tube Functionality
• Question: What should the nurse check first when a client with a vented NG tube
vomits?
, • Correct Answer: Check the functioning of the suction device.
• Rationale: Ensuring proper function of the NG tube is critical to avoid complications like
aspiration and to manage vomiting.
9. Glasgow Coma Scale (GCS) Rating
• Question: A client has a GCS score of 15 following a motor vehicle crash. What should
the nurse expect?
• Correct Answer: The client is oriented times three.
• Rationale: A GCS score of 15 represents full consciousness, with the client oriented and
responsive.
10. Kidney Donation Contraindications
• Question: A client asks about kidney donation. What condition should be a
contraindication for donation?
• Correct Answer: Hypertension.
• Rationale: Hypertension can affect long-term kidney function and thus disqualifies a
person from donating.
11. Skin Assessment in Dark-Skinned Clients
• Question: Where should a nurse assess for cyanosis in a client with dark skin?
• Correct Answer: Palms of the hands.
• Rationale: Cyanosis is best assessed in areas of thinner skin, such as palms and soles,
where pigmentation is lighter.
12. First Action for Tachypnea in a Client with a Hip Fracture
• Question: A client with a hip fracture develops tachypnea. What should the nurse do
first?
• Correct Answer: Assess the client for a pulmonary embolism.
• Rationale: Tachypnea in the context of immobility or fracture could signal a pulmonary
embolism, a life-threatening condition requiring immediate intervention.
EXAM 2025 REVIEW
1. Lyme Disease - Home Health Nurse Action
• Question: What action should the nurse take for a child with Lyme disease?
• Correct Answer: Notify the state health department.
• Rationale: Lyme disease is reportable to the state health department in many states.
2. Alcohol Use Disorder - Client Symptoms
• Question: Which actions should the nurse take for a client with alcohol use disorder?
• Correct Answers:
o Provide frequent rest periods.
o Restrict sodium intake.
o Avoid soap and alcohol-based lotions.
o Assess the client’s orientation.
o Place the client under contact isolation.
• Rationale: These interventions address complications related to liver disease and prevent
infections.
3. NG Tube Malfunction
• Question: What should the nurse do first when a client with a vented NG tube vomits?
• Correct Answer: Evaluate the functioning of the suction device.
• Rationale: Ensuring the NG tube works properly is the first priority to resolve vomiting.
4. CPM Device Electrical Safety
• Question: What is the first step when a nurse notices a frayed electrical cord on a CPM
device?
, • Correct Answer: Remove the device from the room.
• Rationale: Frayed cords pose an immediate safety risk and must be removed to prevent
injury.
5. Sterile Field and Pouring Sterile Solution
• Question: How should the nurse pour a sterile solution?
• Correct Answer: Hold the irrigation solution bottle with the label facing away from the
palm of the hand.
• Rationale: This prevents contamination of the bottle's label.
6. Seizure Precautions
• Question: Which action is essential when a client is in seclusion for safety due to risk of
harm to others?
• Correct Answer: Document the client’s behavior prior to seclusion.
• Rationale: Seclusion is carefully regulated and should be accompanied by thorough
documentation to ensure safety and appropriateness of the intervention.
7. Vancomycin IV Administration
• Question: A client asks to receive vancomycin 2 hours early. What should the nurse do?
• Correct Answer: I have up to 2 hours after the usual schedule time to administer the
medication.
• Rationale: Vancomycin has a specific administration schedule, but there is a grace
period within which it can be given, as long as it’s within the specified timeframe.
8. NG Tube Functionality
• Question: What should the nurse check first when a client with a vented NG tube
vomits?
, • Correct Answer: Check the functioning of the suction device.
• Rationale: Ensuring proper function of the NG tube is critical to avoid complications like
aspiration and to manage vomiting.
9. Glasgow Coma Scale (GCS) Rating
• Question: A client has a GCS score of 15 following a motor vehicle crash. What should
the nurse expect?
• Correct Answer: The client is oriented times three.
• Rationale: A GCS score of 15 represents full consciousness, with the client oriented and
responsive.
10. Kidney Donation Contraindications
• Question: A client asks about kidney donation. What condition should be a
contraindication for donation?
• Correct Answer: Hypertension.
• Rationale: Hypertension can affect long-term kidney function and thus disqualifies a
person from donating.
11. Skin Assessment in Dark-Skinned Clients
• Question: Where should a nurse assess for cyanosis in a client with dark skin?
• Correct Answer: Palms of the hands.
• Rationale: Cyanosis is best assessed in areas of thinner skin, such as palms and soles,
where pigmentation is lighter.
12. First Action for Tachypnea in a Client with a Hip Fracture
• Question: A client with a hip fracture develops tachypnea. What should the nurse do
first?
• Correct Answer: Assess the client for a pulmonary embolism.
• Rationale: Tachypnea in the context of immobility or fracture could signal a pulmonary
embolism, a life-threatening condition requiring immediate intervention.
