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ATI RN VATI COMPREHENSIVE PREDICTOR
FORM A – 300+ EXAM QUESTIONS WITH
DETAILED RATIONALES | NCLEX PASS
GUARANTEED | CURRENTLY TESTING |
VERIFIED BY NCLEX
───────────────────────────────────────────────
,Carefully read each exam study question and choose the best possible answer. All correct
answers are clearly indicated in bold to help you learn, review, and master the content
efficiently. Every Answer has a Rationale.
───────────────────────────────────────────────
1. A client who has a diagnosis of complete placenta previa is admitted to the labor and
delivery suite at 36 weeks gestation with contractions 5 min in frequency and 1 min in
duration. Which of the following actions should the nurse take?
• A. Rupture the amniotic sac
• B. Medicate the client for pain
• C. Prepare the client for a cesarean section
• D. Perform a vaginal exam
Rationale: Complete placenta previa, where the placenta covers the cervical os, is an absolute
contraindication to vaginal delivery due to the high risk of life-threatening hemorrhage. Any
labor activity requires immediate preparation for a cesarean section. Vaginal exams are
contraindicated as they can disrupt the placenta.
2. A nurse enters a client's room and finds the client lying on the floor in a puddle of water.
Which of the following statements should the nurse document in an incident report?
• A. Client fell out of bed because an assistive personnel left the rails of the bed down
• B. Client's roommate thinks the client is confused and fell when getting out of bed
• C. Client appears to have slipped in water but reports no injuries
• D. Client found lying on the floor near the bedside table
Rationale: An incident report should contain objective, factual data without blame, assumptions,
or opinions. "Client found lying on the floor near the bedside table" is a clear, objective
statement.
3. A charge nurse on a pediatric unit is making assignments for a float nurse from the
medical unit. Which of the following clients is appropriate to assign to the float nurse?
• A. A 10-year-old client who has pneumonia and is receiving respiratory treatments
• B. A 4-year-old client who has a Wilms tumor and is receiving chemotherapy
• C. An 8-month-old client who is scheduled for a surgical repair of a ventricular septal
defect tomorrow
, • D. A 14-year-old client who is scheduled for discharge today following placement of a
Herrington rod
Rationale: A client with pneumonia receiving respiratory treatments is a stable, medically
complex client that aligns well with the skills of a nurse floating from an adult medical unit. The
other clients require specialized pediatric oncology, cardiac, or orthopedic knowledge.
4. A nurse is preparing to administer vancomycin to a client who has an infected wound.
The nurse should plan to monitor for which of the following adverse reactions?
• A. Hepatotoxicity
• B. Ototoxicity
• C. Hypercalcemia
• D. Hypertension
Rationale: Vancomycin is well-known for causing nephrotoxicity and ototoxicity. Monitoring
for hearing loss and tinnitus is essential.
5. A nurse is assessing an infant who has water intoxication. Which of the following findings
should the nurse expect?
• A. Generalized edema
• B. Elevated urine specific gravity
• C. Thready pulse
• D. Increased hematocrit
Rationale: Water intoxication results from hyponatremia, causing fluid to shift into the cells and
leading to edema. Urine specific gravity would be low, and hematocrit would be decreased due
to hemodilution.
6. A home health nurse is conducting an initial home visit for a client who has terminal
breast cancer. The client has two school-age children and a limited support system. Which
of the following is the priority nursing action?
• A. Inform the client of available community resources
• B. Assist the client in finding childcare options
• C. Agree upon short-term goals for the client
• D. Ask the client about their understanding of the diagnosis
, Rationale: According to Maslow's Hierarchy, physiological and safety needs are priority. A
limited support system threatens the client's safety and ability to manage care. Connecting her
with resources (e.g., hospice, respite care) addresses this fundamental need first.
7. A nurse in an emergency department is assessing a client who has a nasal fracture.
Which of the following findings should cause the nurse to suspect a skull fracture?
• A. Clear fluid drainage from the nares
• B. Report of pain around the eyes
• C. Dried blood in the mouth
• D. Mandibular asymmetry
Rationale: Clear fluid drainage (rhinorrhea) could be cerebrospinal fluid (CSF), indicating a
basilar skull fracture. This is a priority finding.
8. A nurse in an urgent care clinic is collecting admission history from a client who is at 16
weeks of gestation and has bacterial vaginosis. The nurse should recognize that which of
the following clinical findings are associated with this infection?
• A. Profuse milky white discharge
• B. Frequency and dysuria
• C. Low-grade fever
• D. Hematuria
Rationale: A characteristic finding of bacterial vaginosis is a thin, grayish-white, homogenous
discharge with a foul, "fishy" odor. Fever and urinary symptoms are not typical.
9. A nurse is discussing the z-track administration of hydroxyzine with a newly licensed
nurse. Which of the following statements indicates the newly licensed nurse understands
the purpose of the technique?
• A. This technique prevents injury to the sciatic nerve
• B. This technique decreases the risk of subcutaneous infiltration
• C. This technique allows a larger amount of medication to be injected
• D. This technique increases the absorption rate of the drug
Rationale: The Z-track technique seals the medication deep within the muscle tissue by
displacing the skin and subcutaneous tissues before the injection, preventing the medication from
leaking back into the subcutaneous layer and causing irritation.
ATI RN VATI COMPREHENSIVE PREDICTOR
FORM A – 300+ EXAM QUESTIONS WITH
DETAILED RATIONALES | NCLEX PASS
GUARANTEED | CURRENTLY TESTING |
VERIFIED BY NCLEX
───────────────────────────────────────────────
,Carefully read each exam study question and choose the best possible answer. All correct
answers are clearly indicated in bold to help you learn, review, and master the content
efficiently. Every Answer has a Rationale.
───────────────────────────────────────────────
1. A client who has a diagnosis of complete placenta previa is admitted to the labor and
delivery suite at 36 weeks gestation with contractions 5 min in frequency and 1 min in
duration. Which of the following actions should the nurse take?
• A. Rupture the amniotic sac
• B. Medicate the client for pain
• C. Prepare the client for a cesarean section
• D. Perform a vaginal exam
Rationale: Complete placenta previa, where the placenta covers the cervical os, is an absolute
contraindication to vaginal delivery due to the high risk of life-threatening hemorrhage. Any
labor activity requires immediate preparation for a cesarean section. Vaginal exams are
contraindicated as they can disrupt the placenta.
2. A nurse enters a client's room and finds the client lying on the floor in a puddle of water.
Which of the following statements should the nurse document in an incident report?
• A. Client fell out of bed because an assistive personnel left the rails of the bed down
• B. Client's roommate thinks the client is confused and fell when getting out of bed
• C. Client appears to have slipped in water but reports no injuries
• D. Client found lying on the floor near the bedside table
Rationale: An incident report should contain objective, factual data without blame, assumptions,
or opinions. "Client found lying on the floor near the bedside table" is a clear, objective
statement.
3. A charge nurse on a pediatric unit is making assignments for a float nurse from the
medical unit. Which of the following clients is appropriate to assign to the float nurse?
• A. A 10-year-old client who has pneumonia and is receiving respiratory treatments
• B. A 4-year-old client who has a Wilms tumor and is receiving chemotherapy
• C. An 8-month-old client who is scheduled for a surgical repair of a ventricular septal
defect tomorrow
, • D. A 14-year-old client who is scheduled for discharge today following placement of a
Herrington rod
Rationale: A client with pneumonia receiving respiratory treatments is a stable, medically
complex client that aligns well with the skills of a nurse floating from an adult medical unit. The
other clients require specialized pediatric oncology, cardiac, or orthopedic knowledge.
4. A nurse is preparing to administer vancomycin to a client who has an infected wound.
The nurse should plan to monitor for which of the following adverse reactions?
• A. Hepatotoxicity
• B. Ototoxicity
• C. Hypercalcemia
• D. Hypertension
Rationale: Vancomycin is well-known for causing nephrotoxicity and ototoxicity. Monitoring
for hearing loss and tinnitus is essential.
5. A nurse is assessing an infant who has water intoxication. Which of the following findings
should the nurse expect?
• A. Generalized edema
• B. Elevated urine specific gravity
• C. Thready pulse
• D. Increased hematocrit
Rationale: Water intoxication results from hyponatremia, causing fluid to shift into the cells and
leading to edema. Urine specific gravity would be low, and hematocrit would be decreased due
to hemodilution.
6. A home health nurse is conducting an initial home visit for a client who has terminal
breast cancer. The client has two school-age children and a limited support system. Which
of the following is the priority nursing action?
• A. Inform the client of available community resources
• B. Assist the client in finding childcare options
• C. Agree upon short-term goals for the client
• D. Ask the client about their understanding of the diagnosis
, Rationale: According to Maslow's Hierarchy, physiological and safety needs are priority. A
limited support system threatens the client's safety and ability to manage care. Connecting her
with resources (e.g., hospice, respite care) addresses this fundamental need first.
7. A nurse in an emergency department is assessing a client who has a nasal fracture.
Which of the following findings should cause the nurse to suspect a skull fracture?
• A. Clear fluid drainage from the nares
• B. Report of pain around the eyes
• C. Dried blood in the mouth
• D. Mandibular asymmetry
Rationale: Clear fluid drainage (rhinorrhea) could be cerebrospinal fluid (CSF), indicating a
basilar skull fracture. This is a priority finding.
8. A nurse in an urgent care clinic is collecting admission history from a client who is at 16
weeks of gestation and has bacterial vaginosis. The nurse should recognize that which of
the following clinical findings are associated with this infection?
• A. Profuse milky white discharge
• B. Frequency and dysuria
• C. Low-grade fever
• D. Hematuria
Rationale: A characteristic finding of bacterial vaginosis is a thin, grayish-white, homogenous
discharge with a foul, "fishy" odor. Fever and urinary symptoms are not typical.
9. A nurse is discussing the z-track administration of hydroxyzine with a newly licensed
nurse. Which of the following statements indicates the newly licensed nurse understands
the purpose of the technique?
• A. This technique prevents injury to the sciatic nerve
• B. This technique decreases the risk of subcutaneous infiltration
• C. This technique allows a larger amount of medication to be injected
• D. This technique increases the absorption rate of the drug
Rationale: The Z-track technique seals the medication deep within the muscle tissue by
displacing the skin and subcutaneous tissues before the injection, preventing the medication from
leaking back into the subcutaneous layer and causing irritation.
