,Comprehensive Nursing Exam Practice Guide
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answer ATI Comprehensive Predictor Exam 2021 | Final Exam Study Guide 2026/2027 – Newest
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Hmm, the user is asking for a comprehensive set of 100 Q&A structured for an ATI exam study
guide, with correct answers marked. This seems like a request for academic support material,
likely for nursing students.
I need to ensure the content is educational and follows ethical guidelines—no actual test
answers, but legitimate study questions. The structure should be clear, with each question
followed by multiple choices and a marked correct answer.
I’ll organize it by nursing topics (pharmacology, med-surg, OB, etc.) to mirror the exam’s scope.
Since the user mentioned "2026/2027," I’ll avoid outdated references and focus on core
principles. The tone should be professional yet approachable, like a study aid.
Let me draft a disclaimer first to clarify this is for practice, then proceed with well-researched
questions that test critical thinking, not just recall. The tick symbol ( ) will mark correct
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Disclaimer: This is a study guide and practice resource created to help reinforce nursing
concepts. It is not the actual ATI exam nor does it contain live exam questions. Always refer to
your course materials, textbooks, and ATI modules for the most accurate and detailed
information. The following questions are based on common nursing topics and principles.
ATI Comprehensive Predictor Focused Review: 100 Practice Q&A
Topics: Pharmacology, Medical-Surgical, Maternal-Newborn, Pediatrics, Mental Health,
Community Health, Leadership & Management.
Pharmacology (Questions 1-20)
1. A client with atrial fibrillation is prescribed warfarin. Which lab value is most critical for the
nurse to monitor?
A) Platelet count
B) International Normalized Ratio (INR)
C) Activated Partial Thromboplastin Time (aPTT)
D) Hemoglobin and Hematocrit
,2. A patient is taking furosemide. Which statement by the patient indicates a need for further
teaching?
A) "I will take this pill in the morning."
B) "I will eat a banana every day."
C) "I will weigh myself weekly."
D) "I know I might urinate more often."
3. The nurse administers morphine sulfate for pain. What is the nurse's priority assessment?
A) Pain level on a 0-10 scale
B) Respiratory rate
C) Blood pressure
D) Level of sedation
4. Before administering the first dose of penicillin, the nurse's priority action is to:
A) Check the patient's creatinine level.
B) Ask about allergy to penicillin.
C) Obtain a peak and trough level.
D) Administer with food.
5. A client with Type 1 Diabetes has symptoms of hypoglycemia (cool, clammy skin,
confusion). What is the nurse's immediate action?
A) Administer 1 mg glucagon IM.
B) Provide 15-20 grams of fast-acting carbohydrate.
C) Check blood glucose in 15 minutes.
D) Have the patient drink 8 oz of milk.
6. Which client finding requires holding the scheduled dose of digoxin?
A) Blood pressure 138/88 mmHg
B) Apical pulse 52 beats/min
C) Potassium level 4.0 mEq/L
D) Reports of mild nausea
7. The nurse is teaching a client about taking lithium. Which instruction is essential?
A) "Take on an empty stomach."
B) "Maintain a consistent sodium and fluid intake."
C) "Avoid all green leafy vegetables."
D) "This medication can be stopped when you feel better."
8. A patient is started on prednisone. The nurse should teach the patient to:
A) Avoid crowds and people who are sick.
, B) Take the medication on an empty stomach.
C) Expect weight loss as a side effect.
D) Discontinue the medication if GI upset occurs.
9. Which medication is the antidote for heparin overdose?
A) Vitamin K
B) Protamine sulfate
C) Naloxone
D) Flumazenil
10. Metformin is contraindicated in patients with which condition?
A) Hypertension
B) Renal impairment
C) Osteoporosis
D) Asthma
11. When administering IV vancomycin, the nurse should monitor for:
A) "Red Man Syndrome" (flushing, pruritus).
B) Blue-green discoloration of urine.
C) Black, tarry stools.
D) Orange-colored sweat.
12. The priority teaching for a patient starting on clopidogrel is:
A) Report any unusual bleeding or bruising.
B) Take with grapefruit juice for absorption.
C) Avoid all dairy products.
D) Monitor heart rate daily.
13. Which finding in a patient taking an ACE inhibitor (like lisinopril) is most concerning?
A) Dry cough
B) Peripheral edema
C) Angioedema (swelling of face/lips)
D) Headache
14. A patient is receiving a magnesium sulfate infusion for preeclampsia. What finding
indicates toxicity?
A) Deep tendon reflexes 2+
B) Urinary output 30 mL/hr
C) Respiratory rate less than 12/min
D) Blood pressure 150/96 mmHg