ATI Comprehensive Predictor with NGN ACCURATE TESTED VERSIONS OF THE EXAM FROM 2025 TO 2026 | ACCURATE AND VERIFIED ANSWERS | NEXT GEN FORMAT | GUARANTEED PASS

A nurse is caring for a client whose partner recently died. The nurse sits with the client to provide comfort. Which of the following ethical principles is the nurse demonstrating? A. Autonomy B. Justice C. Beneficence D. Fidelity Correct Answer: C. Beneficence Rationale: Beneficence refers to actions that promote the well-being and comfort of clients. Sitting with the client provides emotional support. A nurse in an emergency department is caring for a child who reports being sexually assaulted by a family member. Which of the following actions should the nurse take? A. Delay reporting until the child consents B. Tell the child it must stay confidential C. Explain to the child what will happen when the abuse is reported D. Call the family member for clarification Correct Answer: C. Explain to the child what will happen when the abuse is reported Rationale: The nurse is a mandatory reporter and must explain the reporting process to the child to reduce fear and anxiety. A newly licensed nurse working at an HIV clinic is reviewing the responsibilities of her position. Which of the following tasks should the nurse identify as tertiary prevention? A. Offering HIV screening B. Counseling on safer sex practices C. Using an electronic messaging system to remind clients when to take medications D. Providing pre-exposure prophylaxis Correct Answer: C. Using an electronic messaging system to remind clients when to take medications Rationale: Tertiary prevention focuses on minimizing complications and managing disease after diagnosis. Medication reminders help prevent HIV progression. A nurse is caring for a client who has given informed consent for electroconvulsive therapy. Just before the procedure, the client says she is reconsidering. Which of the following statements by the nurse is appropriate? A. “You already signed consent, so you must continue.” B. “The doctor will not be happy if you refuse.” C. “You don’t have to go through with the treatment.” D. “I’ll call your family to convince you.” Correct Answer: C. “You don’t have to go through with the treatment.” Rationale: Clients have the right to withdraw consent at any time before a procedure begins. A nurse is teaching a new parent about breastfeeding her 2-week-old infant. Which of the following statements by the parent indicates an understanding of the teaching? A. “I should limit the time my baby feeds to avoid overfeeding.” B. “The more my baby is at the breast sucking, the more milk I will produce.” C. “I need to give water between feedings.” D. “I should use a pacifier if the baby wants to suck after feeding.” Correct Answer: B. “The more my baby is at the breast sucking, the more milk I will produce.” Rationale: Breastfeeding works on supply and demand—the more frequently the baby nurses, the more milk is produced. A nurse is preparing to reposition a client who has had a stroke. Which of the following actions should the nurse take? A. Reposition without asking the client to participate B. Evaluate the client’s ability to help with repositioning C. Request another staff member regardless of client ability D. Avoid movement to prevent injury Correct Answer: B. Evaluate the client’s ability to help with repositioning Rationale: Assessing the client’s ability to participate promotes safety and independence. A nurse is providing discharge teaching to a client who is postoperative following the surgical repair of a detached retina. Which of the following statements by the client indicates an understanding of the teaching? A. “I should bend at the waist when putting on my shoes.” B. “I should avoid sneezing or coughing forcefully.” C. “I will increase physical activity right away.” D. “I can lift up to 25 pounds.” Correct Answer: B. “I should avoid sneezing or coughing forcefully.” Rationale: Clients should avoid activities that increase intraocular pressure. Bending at the waist is unsafe, so avoiding straining is correct teaching. A nurse is providing discharge teaching about home care of a surgical incision to a client who speaks a different language. The nurse is using an interpreter. Which of the following actions should the nurse take? A. Speak directly to the interpreter B. Speak directly to the client C. Use medical jargon D. Give written instructions only Correct Answer: B. Speak directly to the client Rationale: When using an interpreter, the nurse must maintain direct communication with the client to build trust. A nurse is providing teaching to a client who has a new prescription for enoxaparin. Which of the following medications for pain relief should the nurse include in the teaching that can be taken concurrently with enoxaparin? A. Aspirin B. Ibuprofen C. Acetaminophen D. Naproxen Correct Answer: C. Acetaminophen Rationale: Acetaminophen is safe with enoxaparin. NSAIDs and aspirin increase bleeding risk. A nurse is receiving change-of-shift report for a group of clients. Which of the following clients should the nurse plan to assess first? A. A client with a hip fracture and a new onset of tachypnea B. A client scheduled for a dressing change C. A client with chronic back pain D. A client with stable vital signs waiting for discharge Correct Answer: A. A client with a hip fracture and a new onset of tachypnea Rationale: New onset tachypnea indicates possible pulmonary embolism or respiratory compromise—priority according to ABCs. A nurse is performing a skin assessment on a client who has dark skin. Which of the following locations on the client’s body should the nurse observe to assess cyanosis? A. Lips B. Nail beds C. Palms of the hands D. Cheeks Correct Answer: C. Palms of the hands Rationale: In dark-skinned clients, cyanosis is best assessed in areas with less pigmentation, such as the palms, soles, and mucous membranes. A charge nurse is teaching staff members about factors that increase a client’s risk to become violent. Which of the following risk factors should the nurse include as the best predictor for future violence? A. Current diagnosis of schizophrenia B. Past substance abuse C. Previous violent behavior D. Stressful family situation Correct Answer: C. Previous violent behavior Rationale: The strongest predictor of future violence is a history of violent acts. A nurse is assessing a client who is in active labor. Which of the following findings should the nurse report to the provider? A. FHR baseline 120 bpm B. FHR baseline 170 bpm C. Contractions every 5 minutes D. Variable decelerations Correct Answer: B. FHR baseline 170 bpm Rationale: A fetal heart rate above 160 bpm indicates fetal tachycardia, which requires provider notification. A quality control nurse is reviewing medication prescriptions for a group of clients. Which of the following prescriptions should the nurse identify as being complete? A. Digoxin 0.25 mg PO daily B. Metoprolol PO daily C. Acetaminophen PRN D. Insulin 10 units Correct Answer: A. Digoxin 0.25 mg PO daily Rationale: A complete prescription includes medication name, dose, route, and frequency. A nurse is providing an in-service about client evacuation during a fire. Which of the following clients should the nurse instruct staff to evacuate first? A. A client who is non-ambulatory with a fracture B. A client who is ambulatory and receiving oxygen C. A client who is ventilator-dependent D. A client who is bedridden and restrained Correct Answer: B. A client who is ambulatory and receiving oxygen Rationale: During fire evacuation, ambulatory clients are moved first to ensure rapid removal and free staff for dependent clients. A nurse is planning care for a client who has dementia. Which of the following interventions should the nurse include? (Select all that apply.) A. Give the client one simple direction at a time B. Reinforce orientation to time, place, and person C. Provide detailed written instructions D. Establish eye contact when communicating with the client E. Use complex explanations Correct Answers: A, B, D Rationale: Simple directions, orientation reinforcement, and eye contact promote understanding in clients with dementia.