Page 1 of 173
Revised Study Guide with ATI Questions and
Answers | 2026 Update | 100% Correct -
Eastwick College
Q1. A nurse is caring for four clients. Which client should be
seen first?
A. Client with COPD and SpO₂ 89% on 2 L nasal cannula
B. Client post-appendectomy day 2 with temperature 38.3°C
(101°F)
C. Client with heart failure and 3+ pitting edema
D. Client with new-onset confusion and bounding pulse
Answer: D
Rationale: New-onset confusion with a bounding pulse suggests
hypercapnia or fluid overload affecting cerebral perfusion. A
change in neurological status is always the priority. The client
with COPD has a SpO₂ of 89% which is expected for that
,Page 2 of 173
population, the post-op fever is likely inflammatory, and chronic
edema does not take precedence over an acute mental status
change.
Q2. A charge nurse is assigning staff. Which client should be
assigned to the LPN?
A. Client 1 hour post-cardiac catheterization with bleeding
B. Client with stable diabetes requiring insulin and foot care
C. Client newly admitted with stroke and altered mental status
D. Client receiving IV heparin with PTT of 98 seconds
Answer: B
Rationale: LPNs can administer insulin, perform stable wound
care, and monitor stable clients. Options A, C, and D require RN
assessment (bleeding, neurological changes, critical lab
monitoring).
,Page 3 of 173
Q3. A nurse is observing a client interacting with her newborn.
Which action requires the nurse to intervene?
A. Holding the newborn in the en face position
B. Asking the father to change the newborn’s diaper
C. Requesting the nurse take the newborn to the nursery so she
can rest
D. Viewing the newborn’s actions as uncooperative
Answer: D
Rationale: Viewing the newborn as “uncooperative” indicates the
mother is interpreting the newborn’s behavior negatively, which
can interfere with healthy bonding. The nurse should explore the
mother’s feelings and provide teaching about normal newborn
behavior. En face positioning, paternal involvement, and
requesting a break are all adaptive behaviors.
, Page 4 of 173
Q4. A nurse is assessing a client in the PACU. Which finding
indicates decreased cardiac output?
A. Shivering
B. Oliguria
C. Bradypnea
D. Constricted pupils
Answer: B
Rationale: Oliguria (urine output less than 0.5 mL/kg/hour) is a
late sign of decreased cardiac output due to reduced renal
perfusion. Shivering is a response to hypothermia, bradypnea
may be opioid-induced, and constricted pupils are also
opioid-related. None of these directly point to low cardiac
output.
Q5. A nurse is caring for a client who just received the first dose
of lisinopril. Which intervention is most appropriate?
Revised Study Guide with ATI Questions and
Answers | 2026 Update | 100% Correct -
Eastwick College
Q1. A nurse is caring for four clients. Which client should be
seen first?
A. Client with COPD and SpO₂ 89% on 2 L nasal cannula
B. Client post-appendectomy day 2 with temperature 38.3°C
(101°F)
C. Client with heart failure and 3+ pitting edema
D. Client with new-onset confusion and bounding pulse
Answer: D
Rationale: New-onset confusion with a bounding pulse suggests
hypercapnia or fluid overload affecting cerebral perfusion. A
change in neurological status is always the priority. The client
with COPD has a SpO₂ of 89% which is expected for that
,Page 2 of 173
population, the post-op fever is likely inflammatory, and chronic
edema does not take precedence over an acute mental status
change.
Q2. A charge nurse is assigning staff. Which client should be
assigned to the LPN?
A. Client 1 hour post-cardiac catheterization with bleeding
B. Client with stable diabetes requiring insulin and foot care
C. Client newly admitted with stroke and altered mental status
D. Client receiving IV heparin with PTT of 98 seconds
Answer: B
Rationale: LPNs can administer insulin, perform stable wound
care, and monitor stable clients. Options A, C, and D require RN
assessment (bleeding, neurological changes, critical lab
monitoring).
,Page 3 of 173
Q3. A nurse is observing a client interacting with her newborn.
Which action requires the nurse to intervene?
A. Holding the newborn in the en face position
B. Asking the father to change the newborn’s diaper
C. Requesting the nurse take the newborn to the nursery so she
can rest
D. Viewing the newborn’s actions as uncooperative
Answer: D
Rationale: Viewing the newborn as “uncooperative” indicates the
mother is interpreting the newborn’s behavior negatively, which
can interfere with healthy bonding. The nurse should explore the
mother’s feelings and provide teaching about normal newborn
behavior. En face positioning, paternal involvement, and
requesting a break are all adaptive behaviors.
, Page 4 of 173
Q4. A nurse is assessing a client in the PACU. Which finding
indicates decreased cardiac output?
A. Shivering
B. Oliguria
C. Bradypnea
D. Constricted pupils
Answer: B
Rationale: Oliguria (urine output less than 0.5 mL/kg/hour) is a
late sign of decreased cardiac output due to reduced renal
perfusion. Shivering is a response to hypothermia, bradypnea
may be opioid-induced, and constricted pupils are also
opioid-related. None of these directly point to low cardiac
output.
Q5. A nurse is caring for a client who just received the first dose
of lisinopril. Which intervention is most appropriate?
