ATI RN Comprehensive Predictor RETAKE 2025/2026
ACTUAL EXAM TEST BANK 300 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES +
100 MOST TESTED QUESTIONS (VERIFIED ANSWERS)
|ALREADY GRADED A+||NEWEST VERSION
1.
A nurse is monitoring a client who has recently initiated a new pharmacological
therapy. Which of the following clinical findings should alert the nurse to the
possibility that the client is experiencing an allergic reaction to the medication?
a. Mild nausea occurring shortly after the administration of the medication
b. New-onset joint pain and stiffness
c. A resting heart rate of 90 beats per minute
d. Localized warmth and erythema at the site of a parenteral injection
CORRECT ANS: b
EXPERT RATIONALE
An allergic reaction is an immunologic hypersensitivity response to a foreign
substance (antigen). While many adverse drug effects are predictable and dose-
related, allergic reactions are idiosyncratic. Joint pain and stiffness (arthralgia and
arthritis) can be a manifestation of a serum sickness-like reaction or a drug-
induced lupus-like syndrome, both of which are forms of hypersensitivity. Mild
nausea (a) is a common, non-specific gastrointestinal side effect. A heart rate of 90
(c) is within the normal range and is not a specific indicator of allergy; tachycardia
could be seen in anaphylaxis, but bradycardia or hypotension are more specific.
Warmth at an injection site (d) is a local inflammatory response, not a systemic
allergic reaction, though it could be a sign of irritation or infection.
,DIF: Cognitive Level: Analyze (Application)
REF: Medication Safety / Adverse Reactions
OBJ: Identify signs of an allergic response
TOP: Assessment / Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity – Pharmacological and Parenteral Therapies
2.
A client diagnosed with schizophrenia reports to the nurse that they are hearing
voices which are commanding them to cause harm to others. The nurse correctly
identifies this symptom as which of the following?
a. Visual hallucinations
b. Paranoid delusions
c. Auditory hallucinations
d. Thought blocking
CORRECT ANS: c
EXPERT RATIONALE
Auditory hallucinations are false sensory perceptions that involve the sense of
hearing. They are a hallmark positive symptom of schizophrenia. The client's
report of hearing voices, especially command hallucinations that direct behavior, is
a classic example of this phenomenon. Visual hallucinations (a) involve seeing
things that are not present. Paranoid delusions (b) are fixed, false beliefs, such as
the belief that one is being persecuted. Thought blocking (d) is a thought disorder
where the client suddenly stops speaking mid-sentence, as if their train of thought
has been interrupted.
DIF: Cognitive Level: Understand (Comprehension)
REF: Mental Health / Psychotic Disorders
OBJ: Recognize manifestations of schizophrenia
TOP: Assessment / Nursing Process Step: Assessment
MSC: NCLEX: Psychosocial Integrity – Psychological Adaptation
,3.
A nurse is preparing a client with severe, treatment-resistant depression for
electroconvulsive therapy (ECT). Which pre-existing condition significantly
increases the client's risk for complications during the procedure?
a. Hypothyroidism
b. Hyperthyroidism
c. Osteoarthritis
d. Chronic back pain
CORRECT ANS: b
EXPERT RATIONALE
Electroconvulsive therapy (ECT) induces a generalized seizure and places significant
stress on the cardiovascular system. Hyperthyroidism is a state of excess thyroid
hormone that increases the body's metabolic rate and sensitivity to
catecholamines. This can lead to tachycardia, hypertension, and cardiac
arrhythmias, which are exacerbated by the physiological demands of the ECT
procedure, making the client at higher risk for complications. Hypothyroidism (a),
osteoarthritis (c), and chronic back pain (d) are not direct contraindications or
significant risk factors for ECT.
DIF: Cognitive Level: Analyze (Application)
REF: Mental Health / Electroconvulsive Therapy
OBJ: Identify contraindications and risks associated with ECT
TOP: Safety / Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity – Pharmacological and Parenteral Therapies
4.
A nurse is reviewing the laboratory results of a client diagnosed with rheumatoid
arthritis (RA). Which finding should the nurse recognize as a priority to report to
the healthcare provider?
, a. Erythrocyte sedimentation rate (ESR) of 15 mm/hr
b. Erythrocyte sedimentation rate (ESR) of 30 mm/hr
c. Erythrocyte sedimentation rate (ESR) of 75 mm/hr
d. Erythrocyte sedimentation rate (ESR) of 10 mm/hr
CORRECT ANS: c
EXPERT RATIONALE
The erythrocyte sedimentation rate (ESR) is a non-specific marker of systemic
inflammation. In rheumatoid arthritis, an elevated ESR is used to monitor disease
activity and response to therapy. The normal reference range for ESR is typically 0-
20 mm/hr (varying by age and gender). A value of 75 mm/hr is significantly
elevated and indicates a high level of active inflammation, suggesting a possible
disease exacerbation or poor response to treatment. This finding requires prompt
reporting and further evaluation. Options 'a', 'b', and 'd' are within or closer to
normal limits.
DIF: Cognitive Level: Analyze (Analysis)
REF: Musculoskeletal Disorders / Rheumatoid Arthritis
OBJ: Identify abnormal lab values in RA
TOP: Assessment / Nursing Process Step: Analysis
MSC: NCLEX: Physiological Integrity – Physiological Adaptation
5.
A nurse is evaluating a mechanically ventilated client immediately after performing
endotracheal suctioning. Which finding indicates that the intervention was
effective in clearing the airway?
a. An increase in the client's respiratory rate
b. An increase in the measured peak inspiratory pressure (PIP)
c. A decrease in the measured peak inspiratory pressure (PIP)
d. A decrease in the delivered tidal volume
CORRECT ANS: c
ACTUAL EXAM TEST BANK 300 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES +
100 MOST TESTED QUESTIONS (VERIFIED ANSWERS)
|ALREADY GRADED A+||NEWEST VERSION
1.
A nurse is monitoring a client who has recently initiated a new pharmacological
therapy. Which of the following clinical findings should alert the nurse to the
possibility that the client is experiencing an allergic reaction to the medication?
a. Mild nausea occurring shortly after the administration of the medication
b. New-onset joint pain and stiffness
c. A resting heart rate of 90 beats per minute
d. Localized warmth and erythema at the site of a parenteral injection
CORRECT ANS: b
EXPERT RATIONALE
An allergic reaction is an immunologic hypersensitivity response to a foreign
substance (antigen). While many adverse drug effects are predictable and dose-
related, allergic reactions are idiosyncratic. Joint pain and stiffness (arthralgia and
arthritis) can be a manifestation of a serum sickness-like reaction or a drug-
induced lupus-like syndrome, both of which are forms of hypersensitivity. Mild
nausea (a) is a common, non-specific gastrointestinal side effect. A heart rate of 90
(c) is within the normal range and is not a specific indicator of allergy; tachycardia
could be seen in anaphylaxis, but bradycardia or hypotension are more specific.
Warmth at an injection site (d) is a local inflammatory response, not a systemic
allergic reaction, though it could be a sign of irritation or infection.
,DIF: Cognitive Level: Analyze (Application)
REF: Medication Safety / Adverse Reactions
OBJ: Identify signs of an allergic response
TOP: Assessment / Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity – Pharmacological and Parenteral Therapies
2.
A client diagnosed with schizophrenia reports to the nurse that they are hearing
voices which are commanding them to cause harm to others. The nurse correctly
identifies this symptom as which of the following?
a. Visual hallucinations
b. Paranoid delusions
c. Auditory hallucinations
d. Thought blocking
CORRECT ANS: c
EXPERT RATIONALE
Auditory hallucinations are false sensory perceptions that involve the sense of
hearing. They are a hallmark positive symptom of schizophrenia. The client's
report of hearing voices, especially command hallucinations that direct behavior, is
a classic example of this phenomenon. Visual hallucinations (a) involve seeing
things that are not present. Paranoid delusions (b) are fixed, false beliefs, such as
the belief that one is being persecuted. Thought blocking (d) is a thought disorder
where the client suddenly stops speaking mid-sentence, as if their train of thought
has been interrupted.
DIF: Cognitive Level: Understand (Comprehension)
REF: Mental Health / Psychotic Disorders
OBJ: Recognize manifestations of schizophrenia
TOP: Assessment / Nursing Process Step: Assessment
MSC: NCLEX: Psychosocial Integrity – Psychological Adaptation
,3.
A nurse is preparing a client with severe, treatment-resistant depression for
electroconvulsive therapy (ECT). Which pre-existing condition significantly
increases the client's risk for complications during the procedure?
a. Hypothyroidism
b. Hyperthyroidism
c. Osteoarthritis
d. Chronic back pain
CORRECT ANS: b
EXPERT RATIONALE
Electroconvulsive therapy (ECT) induces a generalized seizure and places significant
stress on the cardiovascular system. Hyperthyroidism is a state of excess thyroid
hormone that increases the body's metabolic rate and sensitivity to
catecholamines. This can lead to tachycardia, hypertension, and cardiac
arrhythmias, which are exacerbated by the physiological demands of the ECT
procedure, making the client at higher risk for complications. Hypothyroidism (a),
osteoarthritis (c), and chronic back pain (d) are not direct contraindications or
significant risk factors for ECT.
DIF: Cognitive Level: Analyze (Application)
REF: Mental Health / Electroconvulsive Therapy
OBJ: Identify contraindications and risks associated with ECT
TOP: Safety / Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity – Pharmacological and Parenteral Therapies
4.
A nurse is reviewing the laboratory results of a client diagnosed with rheumatoid
arthritis (RA). Which finding should the nurse recognize as a priority to report to
the healthcare provider?
, a. Erythrocyte sedimentation rate (ESR) of 15 mm/hr
b. Erythrocyte sedimentation rate (ESR) of 30 mm/hr
c. Erythrocyte sedimentation rate (ESR) of 75 mm/hr
d. Erythrocyte sedimentation rate (ESR) of 10 mm/hr
CORRECT ANS: c
EXPERT RATIONALE
The erythrocyte sedimentation rate (ESR) is a non-specific marker of systemic
inflammation. In rheumatoid arthritis, an elevated ESR is used to monitor disease
activity and response to therapy. The normal reference range for ESR is typically 0-
20 mm/hr (varying by age and gender). A value of 75 mm/hr is significantly
elevated and indicates a high level of active inflammation, suggesting a possible
disease exacerbation or poor response to treatment. This finding requires prompt
reporting and further evaluation. Options 'a', 'b', and 'd' are within or closer to
normal limits.
DIF: Cognitive Level: Analyze (Analysis)
REF: Musculoskeletal Disorders / Rheumatoid Arthritis
OBJ: Identify abnormal lab values in RA
TOP: Assessment / Nursing Process Step: Analysis
MSC: NCLEX: Physiological Integrity – Physiological Adaptation
5.
A nurse is evaluating a mechanically ventilated client immediately after performing
endotracheal suctioning. Which finding indicates that the intervention was
effective in clearing the airway?
a. An increase in the client's respiratory rate
b. An increase in the measured peak inspiratory pressure (PIP)
c. A decrease in the measured peak inspiratory pressure (PIP)
d. A decrease in the delivered tidal volume
CORRECT ANS: c
