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ATI Comprehensive Predictor 2K20 – Questions 1–100
Questions 1–20 – Fundamentals & Safety
Q1: Which client should the nurse assess first?
a) Postoperative client with BP 88/50 mmHg
b) Client requesting dietary teaching
c) Client ready for discharge
d) Client with mild headache
Answer: a) Postoperative client with BP 88/50 mmHg
Rationale: Hypotension post-surgery may indicate shock; priority is life-threatening
condition.
Q2: What is the correct sequence for donning PPE?
a) Gown → mask → goggles → gloves
b) Gloves → gown → mask → goggles
c) Mask → gloves → gown → goggles
d) Gown → gloves → mask → goggles
Answer: a) Gown → mask → goggles → gloves
Rationale: Ensures sterility and protection.
Q3: Which nursing intervention prevents falls?
a) Keep call light within reach
b) Leave bed in high position
c) Encourage unassisted walking at night
d) Place equipment in walkways
Answer: a) Keep call light within reach
Rationale: Clients can call for assistance, reducing fall risk.
,Q4: A client reports shortness of breath. First assessment:
a) Oxygen saturation
b) BP
c) Temperature
d) Weight
Answer: a) Oxygen saturation
Rationale: Respiratory compromise requires immediate oxygen assessment.
Q5: Which site is correct for adult IM injection?
a) Ventrogluteal
b) Dorsogluteal
c) Forearm
d) Abdomen
Answer: a) Ventrogluteal
Rationale: Safe site avoiding nerves and blood vessels.
Q6: Correct subcutaneous injection angle:
a) 45–90 degrees depending on body fat
b) 15 degrees
c) 30 degrees
d) 90 degrees for all patients
Answer: a) 45–90 degrees depending on body fat
Rationale: Ensures proper medication absorption.
Q7: First action for low SpO₂ (89%):
a) Elevate head of bed and administer oxygen
b) Call provider
c) Document only
d) Remove device
Answer: a) Elevate head of bed and administer oxygen
Rationale: Corrects hypoxia immediately.
Q8: Which client is at highest risk for skin breakdown?
a) Bedridden with limited mobility
b) Ambulating independently
c) Outpatient with cold
d) Postpartum healthy client
Answer: a) Bedridden with limited mobility
Rationale: Immobility increases pressure ulcer risk.
, Q9: Teaching insulin self-administration:
a) Demonstration and return demonstration
b) Written instructions only
c) Verbally explain once
d) Video only
Answer: a) Demonstration and return demonstration
Rationale: Confirms client competence.
Q10: First action for IV infiltration:
a) Stop IV and restart elsewhere
b) Apply heat
c) Flush IV
d) Monitor only
Answer: a) Stop IV and restart elsewhere
Rationale: Prevents tissue damage from infiltration.
Q11: Five rights of medication administration include:
a) Patient, drug, dose, route, time
b) Patient, route, room, dose, time
c) Patient, drug, room, route, diet
d) Patient, medication, family, route, time
Answer: a) Patient, drug, dose, route, time
Rationale: Ensures safe medication administration.
Q12: Early sign of hypoxia:
a) Restlessness
b) Cyanosis
c) Bradycardia
d) Hypotension
Answer: a) Restlessness
Rationale: Neurologic symptoms precede cyanosis.
Q13: A client develops rash and shortness of breath post IV antibiotics. First action:
a) Stop infusion and assess
b) Continue IV
c) Document only
d) Apply cold pack
Answer: a) Stop infusion and assess
Rationale: Allergic reaction may be life-threatening.