ATI RN Comprehensive Predictor 2025 Full 180
+ Most Tested Questions From 2023 Past
papers with| Verified Answers and Rationale
Questions with Correct Answers | 100% Accurate
Rated A+ Q&A Study Resource
2026/2027 UPDATED REVIEW
Contents
ATI RN Comprehensive Predictor full 180 Q&A with Rationale ................ 1
MOST TESTED QUESTIONS FROM 2023 ................................................ 212
ATI RN Comprehensive Predictor full 180 Q&A with Rationale
1. A nurse in a pediatric unit is preparing to insert an IV catheter for 7-year-old.
Which of the following actions should the nurse take?
A. (Unable to read)
B. Tell the child they will feel discomfort during the catheter insertion.
C. Use a mummy restraint to hold the child during the catheter insertion.
D. Require the parents to leave the room during the procedure.
Answer: B. Tell the child they will feel discomfort during the catheter insertion.
,Expert Rationale
When performing a painful procedure on a child, it is essential to use developmentally
appropriate communication. Telling the child they will feel discomfort is honest and
prepares the child for the sensation, which helps build trust. Option C (Use a mummy
restraint) should only be used as a last resort for safety and is not the first action.
Option D (Require the parents to leave) is inappropriate; parental presence often
provides comfort and support. Option A is unreadable. The nurse should use
therapeutic communication, distraction techniques, and appropriate pain
management to minimize distress during the procedure.
DIF: Cognitive Level: Apply (Application) TOP: Pediatric Nursing/IV Insertion MSC:
NCLEX: Safe and Effective Care Environment
2. A nurse is caring for a client who has arteriovenous fistula. Which of the following
findings should the nurse report?
A. Thrill upon palpation.
B. Absence of a bruit.
C. Distended blood vessels
D. Swishing sound upon auscultation
Answer: B. Absence of a bruit.
Expert Rationale
An arteriovenous (AV) fistula is a surgically created connection between an artery and
a vein, used for hemodialysis access. A thrill (palpable vibration) and a bruit (swishing
sound upon auscultation) are expected findings indicating patency and adequate
blood flow through the fistula. The absence of a bruit is an abnormal finding that
suggests occlusion or thrombosis of the fistula, which is a medical emergency
requiring immediate intervention. Option A (Thrill upon palpation) is a normal finding.
Option C (Distended blood vessels) may be normal but should be monitored. Option D
(Swishing sound upon auscultation) is a normal finding (bruit). The nurse should
report the absence of a bruit to the provider immediately to prevent loss of vascular
,access.
DIF: Cognitive Level: Apply (Application) TOP: Vascular Access/AV Fistula MSC: NCLEX:
Physiological Integrity
3. A nurse is providing discharge teaching for a client who has an implantable
cardioverter defibrillator which of the following statements demonstrates
understanding of the teaching?
A. "I will soak in the tub rather than showering"
B. "I will wear loose clothing around my ICD"
C. "I will stop using my microwave oven at home because of my ICD"
D. "I can hold my cellphone on the same side of my body as the ICD"
Answer: B. "I will wear loose clothing around my ICD"
Expert Rationale
An implantable cardioverter defibrillator (ICD) is a device that monitors heart rhythms
and delivers shocks to terminate life-threatening arrhythmias. Wearing loose clothing
around the ICD site prevents irritation and pressure over the device. Option A (Soak in
the tub) is incorrect; patients should shower rather than bathe to prevent infection at
the insertion site. Option C (Stop using microwave) is incorrect; modern ICDs are
shielded from microwave interference. Option D (Hold cellphone on same side) is
incorrect; patients should hold cellphones on the opposite side of the body from the
ICD to prevent electromagnetic interference. The nurse should reinforce these
teaching points to ensure patient safety and device longevity.
DIF: Cognitive Level: Apply (Application) TOP: ICD Teaching MSC: NCLEX: Health
Promotion and Maintenance
4. A nurse is caring for a client who is at 14 weeks gestation and reports feelings of
ambivalence about being pregnant. Which of the following responses should the
nurse make?
, A. "Describe your feelings to me about being pregnant"
B. "You should discuss your feelings about being pregnant with your provider"
C. "Have you discussed these feelings with your partner?"
D. "When did you start having these feelings?"
Answer: A. "Describe your feelings to me about being pregnant"
Expert Rationale
Ambivalence about pregnancy is a normal and common experience during the first
trimester. The nurse's role is to facilitate open communication and provide a
nonjudgmental space for the client to express their feelings. The most therapeutic
response is the open-ended question, "Describe your feelings to me about being
pregnant," which encourages the client to explore and verbalize their emotions.
Option B (discuss with provider) dismisses the client's feelings and does not address
the immediate need for emotional support. Option C (discuss with partner) may be
appropriate but does not validate the client's feelings. Option D (When did you start)
is closed-ended and less therapeutic. The nurse should use therapeutic
communication to support the client through this normal developmental task.
DIF: Cognitive Level: Apply (Application) TOP: Prenatal Care/Therapeutic
Communication MSC: NCLEX: Psychosocial Integrity
5. A nurse is planning care for a client who has a prescription for a bowel-training
program following a spinal cord injury. Which of the following actions should the
nurse include in the plan of care?
A. Encourage a maximum fluid intake of 1,500 ml per day.
B. Increase the amount of refined grains in the client's diet.
C. Provide the client with a cold drink prior to defecation.
D. Administer a rectal suppository 30 minutes prior to scheduled defecation times.
Answer: D. Administer a rectal suppository 30 minutes prior to scheduled defecation
times.
+ Most Tested Questions From 2023 Past
papers with| Verified Answers and Rationale
Questions with Correct Answers | 100% Accurate
Rated A+ Q&A Study Resource
2026/2027 UPDATED REVIEW
Contents
ATI RN Comprehensive Predictor full 180 Q&A with Rationale ................ 1
MOST TESTED QUESTIONS FROM 2023 ................................................ 212
ATI RN Comprehensive Predictor full 180 Q&A with Rationale
1. A nurse in a pediatric unit is preparing to insert an IV catheter for 7-year-old.
Which of the following actions should the nurse take?
A. (Unable to read)
B. Tell the child they will feel discomfort during the catheter insertion.
C. Use a mummy restraint to hold the child during the catheter insertion.
D. Require the parents to leave the room during the procedure.
Answer: B. Tell the child they will feel discomfort during the catheter insertion.
,Expert Rationale
When performing a painful procedure on a child, it is essential to use developmentally
appropriate communication. Telling the child they will feel discomfort is honest and
prepares the child for the sensation, which helps build trust. Option C (Use a mummy
restraint) should only be used as a last resort for safety and is not the first action.
Option D (Require the parents to leave) is inappropriate; parental presence often
provides comfort and support. Option A is unreadable. The nurse should use
therapeutic communication, distraction techniques, and appropriate pain
management to minimize distress during the procedure.
DIF: Cognitive Level: Apply (Application) TOP: Pediatric Nursing/IV Insertion MSC:
NCLEX: Safe and Effective Care Environment
2. A nurse is caring for a client who has arteriovenous fistula. Which of the following
findings should the nurse report?
A. Thrill upon palpation.
B. Absence of a bruit.
C. Distended blood vessels
D. Swishing sound upon auscultation
Answer: B. Absence of a bruit.
Expert Rationale
An arteriovenous (AV) fistula is a surgically created connection between an artery and
a vein, used for hemodialysis access. A thrill (palpable vibration) and a bruit (swishing
sound upon auscultation) are expected findings indicating patency and adequate
blood flow through the fistula. The absence of a bruit is an abnormal finding that
suggests occlusion or thrombosis of the fistula, which is a medical emergency
requiring immediate intervention. Option A (Thrill upon palpation) is a normal finding.
Option C (Distended blood vessels) may be normal but should be monitored. Option D
(Swishing sound upon auscultation) is a normal finding (bruit). The nurse should
report the absence of a bruit to the provider immediately to prevent loss of vascular
,access.
DIF: Cognitive Level: Apply (Application) TOP: Vascular Access/AV Fistula MSC: NCLEX:
Physiological Integrity
3. A nurse is providing discharge teaching for a client who has an implantable
cardioverter defibrillator which of the following statements demonstrates
understanding of the teaching?
A. "I will soak in the tub rather than showering"
B. "I will wear loose clothing around my ICD"
C. "I will stop using my microwave oven at home because of my ICD"
D. "I can hold my cellphone on the same side of my body as the ICD"
Answer: B. "I will wear loose clothing around my ICD"
Expert Rationale
An implantable cardioverter defibrillator (ICD) is a device that monitors heart rhythms
and delivers shocks to terminate life-threatening arrhythmias. Wearing loose clothing
around the ICD site prevents irritation and pressure over the device. Option A (Soak in
the tub) is incorrect; patients should shower rather than bathe to prevent infection at
the insertion site. Option C (Stop using microwave) is incorrect; modern ICDs are
shielded from microwave interference. Option D (Hold cellphone on same side) is
incorrect; patients should hold cellphones on the opposite side of the body from the
ICD to prevent electromagnetic interference. The nurse should reinforce these
teaching points to ensure patient safety and device longevity.
DIF: Cognitive Level: Apply (Application) TOP: ICD Teaching MSC: NCLEX: Health
Promotion and Maintenance
4. A nurse is caring for a client who is at 14 weeks gestation and reports feelings of
ambivalence about being pregnant. Which of the following responses should the
nurse make?
, A. "Describe your feelings to me about being pregnant"
B. "You should discuss your feelings about being pregnant with your provider"
C. "Have you discussed these feelings with your partner?"
D. "When did you start having these feelings?"
Answer: A. "Describe your feelings to me about being pregnant"
Expert Rationale
Ambivalence about pregnancy is a normal and common experience during the first
trimester. The nurse's role is to facilitate open communication and provide a
nonjudgmental space for the client to express their feelings. The most therapeutic
response is the open-ended question, "Describe your feelings to me about being
pregnant," which encourages the client to explore and verbalize their emotions.
Option B (discuss with provider) dismisses the client's feelings and does not address
the immediate need for emotional support. Option C (discuss with partner) may be
appropriate but does not validate the client's feelings. Option D (When did you start)
is closed-ended and less therapeutic. The nurse should use therapeutic
communication to support the client through this normal developmental task.
DIF: Cognitive Level: Apply (Application) TOP: Prenatal Care/Therapeutic
Communication MSC: NCLEX: Psychosocial Integrity
5. A nurse is planning care for a client who has a prescription for a bowel-training
program following a spinal cord injury. Which of the following actions should the
nurse include in the plan of care?
A. Encourage a maximum fluid intake of 1,500 ml per day.
B. Increase the amount of refined grains in the client's diet.
C. Provide the client with a cold drink prior to defecation.
D. Administer a rectal suppository 30 minutes prior to scheduled defecation times.
Answer: D. Administer a rectal suppository 30 minutes prior to scheduled defecation
times.
