ATI RN Comprehensive Predictor Retake 2019– All Versions with Verified Questions and Answers

ATI RN Comprehensive Predictor
Retake 2019– All Versions with
Verified Questions and Answers
This document covers all versions of the ATI RN Comprehensive Predictor Retake Exam 2019,
with verified questions and correct answers. Questions are scenario-based, with the correct
answer in RED, and detailed rationales for comprehensive review.



Question 1 (Version A)
A nurse is assessing a client who is 2 days postoperative following a total hip replacement. The
client reports sudden severe pain in the operative hip and is unable to bear weight. What is the
priority action by the nurse?
Answer: Notify the surgeon immediately.
Rationale: Sudden pain and inability to bear weight indicate hip dislocation. Clinical
Implication: Requires urgent repositioning to prevent avascular necrosis.



Question 2 (Version A)
A client with chronic obstructive pulmonary disease (COPD) is admitted with an acute
exacerbation. The client has a respiratory rate of 32 breaths per minute and an oxygen saturation
of 88%. What is the priority nursing intervention?
Answer: Administer low-flow oxygen via nasal cannula.
Rationale: Target SpO2 88-92% to avoid CO2 retention. Clinical Implication: Prevents
respiratory failure.



Question 3 (Version A)
A client with a history of myocardial infarction is prescribed nitroglycerin sublingual tablets for
chest pain. The client reports taking three tablets with no relief. What is the priority action?
Answer: Call 911 for emergency transport.
Rationale: Persistent pain suggests unstable angina or MI. Clinical Implication: Time-sensitive
reperfusion.



Question 4 (Version A)
A nurse is caring for a client with a new diagnosis of type 1 diabetes mellitus. The client's blood
glucose is 450 mg/dL, and urine ketones are positive. What is the priority intervention?

,Answer: Administer IV fluids and insulin per protocol.
Rationale: Treats dehydration and hyperglycemia in DKA. Clinical Implication: Corrects
acidosis.



Question 5 (Version A)
A client with suspected pulmonary embolism is admitted to the emergency department. What is
the priority diagnostic test?
Answer: CT pulmonary angiography.
Rationale: Gold standard for PE diagnosis. Clinical Implication: Guides anticoagulation.



Question 6 (Version A)
A nurse is assessing a client with heart failure who is on furosemide. The client's potassium level
is 3.0 mEq/L. What is the priority intervention?
Answer: Administer potassium supplement.
Rationale: Hypokalemia risks arrhythmias. Clinical Implication: Cardiac stability.



Question 7 (Version A)
A client with pneumonia has crackles in the lower lobes and a temperature of 101.5°F. What is
the priority nursing action?
Answer: Administer oxygen and notify the provider.
Rationale: Crackles indicate consolidation; fever suggests infection. Clinical Implication:
Treats hypoxia.



Question 8 (Version A)
A client 3 days post-appendectomy reports fever of 102°F and abdominal tenderness. What is the
priority action?
Answer: Obtain a wound culture.
Rationale: Fever and tenderness suggest infection. Clinical Implication: Targeted antibiotics.



Question 9 (Version A)
A client with diabetic ketoacidosis has a blood pH of 7.1. What is the priority intervention?
Answer: Administer IV normal saline bolus.
Rationale: Rehydration corrects dehydration and acidosis. Clinical Implication: Prevents
hypokalemia.

, Question 10 (Version A)
A client with Guillain-Barré syndrome has an FVC of 12 mL/kg. What is the priority
intervention?
Answer: Prepare for intubation.
Rationale: FVC <15 mL/kg indicates respiratory failure risk. Clinical Implication: Airway
protection.



Question 11 (Version B)
A client with a history of myocardial infarction is prescribed aspirin. What is the priority nursing
assessment?
Answer: Monitor for signs of bleeding.
Rationale: Antiplatelet effect increases hemorrhage risk. Clinical Implication: Prevents
complications.



Question 12 (Version B)
A client with a new colostomy is anxious about self-care. What is the priority nursing
intervention?
Answer: Assess the client's readiness to learn.
Rationale: Readiness ensures effective education. Clinical Implication: Improves self-
management.



Question 13 (Version B)
A client with a respiratory rate of 32 breaths per minute and SpO2 of 88% is admitted. What is
the priority intervention?
Answer: Administer oxygen via nasal cannula.
Rationale: Immediate oxygenation addresses hypoxia. Clinical Implication: Prevents organ
damage.



Question 14 (Version B)
A nurse is delegating tasks to a UAP. Which task is appropriate?
Answer: Assist with ambulation.
Rationale: UAPs perform ADLs under supervision. Clinical Implication: Maintains RN
oversight.



Question 15 (Version B)
A client on warfarin has an INR of 5.2 without bleeding. What is the priority action?