ATI PN Comprehensive Predictor 2023 – Real
Exam Style 170 Questions + Answers with
Rationales 2026/2027 Version | 100% Verified &
Correct | Pass Guaranteed
Q1 A nurse is reinforcing teaching with a client who has a new prescription for lisinopril. Which
of the following statements by the client indicates understanding of the teaching?
Answer: "I will check my blood pressure daily."
Rationale: Lisinopril is an ACE inhibitor used for hypertension. Daily blood pressure
monitoring helps evaluate effectiveness and detect hypotension early.
Q2 A nurse is caring for a client who has diabetes mellitus and is experiencing hypoglycemia.
Which of the following actions should the nurse take first?
Answer: Give 15 g of fast-acting carbohydrate.
Rationale: The priority action for conscious hypoglycemia is to give 15 g of fast-acting
carbohydrate (juice, glucose tablets, etc.) and recheck blood glucose in 15 minutes (15-15 rule).
Q3 A nurse is preparing to administer insulin to a client. Which of the following actions should
the nurse take first?
Answer: Verify the client’s identity using two identifiers.
Rationale: The first step in the "five rights" of medication administration is to verify the right
patient using two identifiers.
Q4 A nurse is reinforcing discharge teaching with a client who has heart failure. Which of the
following instructions should the nurse include?
Answer: "Weigh yourself daily at the same time."
Rationale: Daily weight monitoring detects fluid retention early (weight gain of >2–3 lb in 1 day
or >5 lb in 1 week should be reported).
Q5 A nurse is caring for a client who has a prescription for enoxaparin. Which of the following
laboratory values should the nurse monitor?
,Answer: Platelet count
Rationale: Low-molecular-weight heparins (enoxaparin) can cause heparin-induced
thrombocytopenia (HIT). Platelet count should be monitored regularly.
Q6 A nurse is reinforcing teaching with a client who has a new prescription for warfarin. Which
of the following foods should the nurse instruct the client to avoid?
Answer: Kale
Rationale: Kale is high in vitamin K, which antagonizes the anticoagulant effect of warfarin.
Consistent vitamin K intake is important, but sudden large amounts should be avoided.
Q7 A nurse is caring for a client who is receiving IV heparin. The aPTT is 90 seconds
(therapeutic range 60–80 seconds). What is the appropriate action?
Answer: Decrease the heparin infusion rate
Rationale: aPTT above therapeutic range indicates increased bleeding risk; the infusion rate
should be decreased per protocol.
Q8 A nurse is caring for a client who has a new prescription for metformin. Which of the
following instructions should the nurse include?
Answer: "Take this medication with meals."
Rationale: Taking metformin with food reduces gastrointestinal side effects (nausea, diarrhea).
Q9 A nurse is caring for a client who has a prescription for digoxin. Which of the following
findings should the nurse report to the provider?
Answer: Serum digoxin level of 2.8 ng/mL
Rationale: Therapeutic digoxin range is 0.5–2.0 ng/mL. A level >2.0 ng/mL indicates toxicity.
Q10 A nurse is caring for a client who has a new prescription for spironolactone. Which of the
following laboratory values should the nurse monitor closely?
Answer: Potassium
Rationale: Spironolactone is potassium-sparing and can cause hyperkalemia.
Q11 A nurse is preparing to administer a blood transfusion. Which of the following actions
should the nurse take first?
Answer: Verify the client’s identity and blood compatibility.
, Rationale: Verifying the correct blood product and patient identity is the priority step to prevent
transfusion reactions.
Q12 A nurse is reinforcing teaching with a client who has a new prescription for furosemide.
Which of the following instructions should the nurse include?
Answer: "You may experience dizziness when standing up."
Rationale: Furosemide causes volume depletion → orthostatic hypotension. Clients should rise
slowly.
Q13 A nurse is caring for a client who has a prescription for clopidogrel. Which of the following
instructions should the nurse include?
Answer: "Do not take omeprazole while taking this medication."
Rationale: Omeprazole inhibits CYP2C19 → reduces clopidogrel activation and antiplatelet
effect.
Q14 A nurse is caring for a client who has a prescription for albuterol inhaler. Which of the
following instructions should the nurse include?
Answer: "Shake the inhaler well before each use."
Rationale: Shaking ensures proper mixing and accurate dosing of the medication.
Q15 A nurse is caring for a client who has a new prescription for lisinopril. Which of the
following adverse effects should the nurse monitor?
Answer: Angioedema
Rationale: Angioedema is a rare but life-threatening adverse effect of ACE inhibitors.
Q16 A nurse is caring for a client who has a prescription for enoxaparin. Which of the following
sites is appropriate for subcutaneous injection?
Answer: Abdomen (at least 2 inches from umbilicus)
Rationale: The abdomen provides consistent absorption and lower risk of bruising for LMWH
injections.
Q17 A nurse is caring for a client who has a prescription for heparin. Which of the following
laboratory values should the nurse monitor?
Answer: aPTT
Exam Style 170 Questions + Answers with
Rationales 2026/2027 Version | 100% Verified &
Correct | Pass Guaranteed
Q1 A nurse is reinforcing teaching with a client who has a new prescription for lisinopril. Which
of the following statements by the client indicates understanding of the teaching?
Answer: "I will check my blood pressure daily."
Rationale: Lisinopril is an ACE inhibitor used for hypertension. Daily blood pressure
monitoring helps evaluate effectiveness and detect hypotension early.
Q2 A nurse is caring for a client who has diabetes mellitus and is experiencing hypoglycemia.
Which of the following actions should the nurse take first?
Answer: Give 15 g of fast-acting carbohydrate.
Rationale: The priority action for conscious hypoglycemia is to give 15 g of fast-acting
carbohydrate (juice, glucose tablets, etc.) and recheck blood glucose in 15 minutes (15-15 rule).
Q3 A nurse is preparing to administer insulin to a client. Which of the following actions should
the nurse take first?
Answer: Verify the client’s identity using two identifiers.
Rationale: The first step in the "five rights" of medication administration is to verify the right
patient using two identifiers.
Q4 A nurse is reinforcing discharge teaching with a client who has heart failure. Which of the
following instructions should the nurse include?
Answer: "Weigh yourself daily at the same time."
Rationale: Daily weight monitoring detects fluid retention early (weight gain of >2–3 lb in 1 day
or >5 lb in 1 week should be reported).
Q5 A nurse is caring for a client who has a prescription for enoxaparin. Which of the following
laboratory values should the nurse monitor?
,Answer: Platelet count
Rationale: Low-molecular-weight heparins (enoxaparin) can cause heparin-induced
thrombocytopenia (HIT). Platelet count should be monitored regularly.
Q6 A nurse is reinforcing teaching with a client who has a new prescription for warfarin. Which
of the following foods should the nurse instruct the client to avoid?
Answer: Kale
Rationale: Kale is high in vitamin K, which antagonizes the anticoagulant effect of warfarin.
Consistent vitamin K intake is important, but sudden large amounts should be avoided.
Q7 A nurse is caring for a client who is receiving IV heparin. The aPTT is 90 seconds
(therapeutic range 60–80 seconds). What is the appropriate action?
Answer: Decrease the heparin infusion rate
Rationale: aPTT above therapeutic range indicates increased bleeding risk; the infusion rate
should be decreased per protocol.
Q8 A nurse is caring for a client who has a new prescription for metformin. Which of the
following instructions should the nurse include?
Answer: "Take this medication with meals."
Rationale: Taking metformin with food reduces gastrointestinal side effects (nausea, diarrhea).
Q9 A nurse is caring for a client who has a prescription for digoxin. Which of the following
findings should the nurse report to the provider?
Answer: Serum digoxin level of 2.8 ng/mL
Rationale: Therapeutic digoxin range is 0.5–2.0 ng/mL. A level >2.0 ng/mL indicates toxicity.
Q10 A nurse is caring for a client who has a new prescription for spironolactone. Which of the
following laboratory values should the nurse monitor closely?
Answer: Potassium
Rationale: Spironolactone is potassium-sparing and can cause hyperkalemia.
Q11 A nurse is preparing to administer a blood transfusion. Which of the following actions
should the nurse take first?
Answer: Verify the client’s identity and blood compatibility.
, Rationale: Verifying the correct blood product and patient identity is the priority step to prevent
transfusion reactions.
Q12 A nurse is reinforcing teaching with a client who has a new prescription for furosemide.
Which of the following instructions should the nurse include?
Answer: "You may experience dizziness when standing up."
Rationale: Furosemide causes volume depletion → orthostatic hypotension. Clients should rise
slowly.
Q13 A nurse is caring for a client who has a prescription for clopidogrel. Which of the following
instructions should the nurse include?
Answer: "Do not take omeprazole while taking this medication."
Rationale: Omeprazole inhibits CYP2C19 → reduces clopidogrel activation and antiplatelet
effect.
Q14 A nurse is caring for a client who has a prescription for albuterol inhaler. Which of the
following instructions should the nurse include?
Answer: "Shake the inhaler well before each use."
Rationale: Shaking ensures proper mixing and accurate dosing of the medication.
Q15 A nurse is caring for a client who has a new prescription for lisinopril. Which of the
following adverse effects should the nurse monitor?
Answer: Angioedema
Rationale: Angioedema is a rare but life-threatening adverse effect of ACE inhibitors.
Q16 A nurse is caring for a client who has a prescription for enoxaparin. Which of the following
sites is appropriate for subcutaneous injection?
Answer: Abdomen (at least 2 inches from umbilicus)
Rationale: The abdomen provides consistent absorption and lower risk of bruising for LMWH
injections.
Q17 A nurse is caring for a client who has a prescription for heparin. Which of the following
laboratory values should the nurse monitor?
Answer: aPTT
