Ati Pn Comprehensive Predictor 2026
Retake Guide Grade A+
Unit 1: Fundamentals of Nursing (Questions 1–15)
1. A nurse is caring for a client who has been prescribed bed rest. Which of the
following interventions is most important to prevent atelectasis?
A. Turn the client every 2 hours
B. Encourage the client to use an incentive spirometer every 1 to 2 hours while
awake
C. Maintain the client in a supine position
D. Restrict oral fluids to prevent aspiration
Correct Answer: B
Rationale: Incentive spirometry promotes deep lung expansion and prevents
alveolar collapse (atelectasis). While turning is important, it does not directly
promote deep lung expansion. Supine positioning and fluid restriction do not
prevent atelectasis.
2. A nurse is assessing a client's level of consciousness using the Glasgow Coma
Scale. Which of the following assesses the "best eye response"?
A. Spontaneous opening
B. Opens to painful stimulus
C. Opens to verbal command
D. No eye opening
Correct Answer: A
Rationale: The Glasgow Coma Scale eye response ranges from 1 (no opening)
to 4 (spontaneous opening). Spontaneous eye opening is the highest score (4) and
indicates the best eye response.
,3. A nurse is preparing to administer a cleansing enema. In which position should
the client be placed?
A. Supine
B. Left lateral Sims' position
C. Prone
D. High Fowler's
Correct Answer: B
Rationale: The left lateral Sims' position allows the enema solution to flow by
gravity along the natural curve of the sigmoid colon and descending colon,
promoting instillation and retention.
4. A nurse is performing a sterile dressing change. Which of the following actions
indicates a break in sterile technique?
A. Opening the sterile package away from the body
B. Holding sterile supplies above waist level
C. Reaching over the sterile field with a non-sterile arm
D. Placing sterile gloves on the dominant hand first
Correct Answer: C
Rationale: Reaching over a sterile field with a non-sterile arm contaminates
the field. Sterile supplies should be held above waist level, packages opened away
from the body, and gloves applied without contaminating the field.
5. A nurse is teaching a client about the use of a walker. Which of the following
instructions should the nurse include?
A. "Advance the walker about 12 inches, then step into it."
B. "Hold the walker on your weaker side only."
,C. "Lean forward and place weight on the walker while moving."
D. "Lift the walker and place it far in front of you."
Correct Answer: A
Rationale: The client should advance the walker about 12 inches (arm's
length) and then step into it, maintaining balance. The walker should be placed
directly in front of the client, and weight should be placed on the arms, not by
leaning forward.
6. A nurse is caring for a client who has a new prescription for a potassium-sparing
diuretic. Which of the following foods should the nurse instruct the client to
avoid?
A. Bananas
B. Apples
C. White rice
D. Pasta
Correct Answer: A
Rationale: Potassium-sparing diuretics (e.g., spironolactone) increase
potassium retention. Clients should avoid high-potassium foods such as bananas,
oranges, and potatoes to prevent hyperkalemia.
7. A nurse is assessing a client for dehydration. Which of the following findings
should the nurse expect?
A. Bounding pulse
B. Crackles in the lungs
C. Poor skin turgor
D. Weight gain
, Correct Answer: C
Rationale: Poor skin turgor is a classic sign of dehydration. Bounding pulse,
crackles, and weight gain are signs of fluid overload, not dehydration.
8. A nurse is teaching a client about crutch walking. Which of the following
statements by the client indicates understanding?
A. "I should bear weight on my axillae."
B. "I should keep my elbows flexed at about 30 degrees."
C. "I should move my crutches and affected leg together."
D. "I should use the swing-through gait for non-weight-bearing."
Correct Answer: B
Rationale: Elbows should be flexed at approximately 30 degrees when using
crutches. Bearing weight on the axillae can cause nerve damage (crutch palsy).
The swing-through gait is used for partial weight-bearing.
9. A nurse is caring for a client who is receiving enteral tube feedings. Which of
the following actions should the nurse take to prevent aspiration?
A. Position the client supine during feeding
B. Elevate the head of the bed 30 to 45 degrees
C. Flush the tube with 10 mL of air before feeding
D. Administer the feeding rapidly
Correct Answer: B
Rationale: Elevating the head of the bed 30 to 45 degrees during and after
enteral feedings prevents aspiration. Supine positioning increases aspiration risk.
Flushing with air is not a standard prevention measure.
10. A nurse is preparing to insert a urinary catheter. Which of the following actions
should the nurse take first?
Retake Guide Grade A+
Unit 1: Fundamentals of Nursing (Questions 1–15)
1. A nurse is caring for a client who has been prescribed bed rest. Which of the
following interventions is most important to prevent atelectasis?
A. Turn the client every 2 hours
B. Encourage the client to use an incentive spirometer every 1 to 2 hours while
awake
C. Maintain the client in a supine position
D. Restrict oral fluids to prevent aspiration
Correct Answer: B
Rationale: Incentive spirometry promotes deep lung expansion and prevents
alveolar collapse (atelectasis). While turning is important, it does not directly
promote deep lung expansion. Supine positioning and fluid restriction do not
prevent atelectasis.
2. A nurse is assessing a client's level of consciousness using the Glasgow Coma
Scale. Which of the following assesses the "best eye response"?
A. Spontaneous opening
B. Opens to painful stimulus
C. Opens to verbal command
D. No eye opening
Correct Answer: A
Rationale: The Glasgow Coma Scale eye response ranges from 1 (no opening)
to 4 (spontaneous opening). Spontaneous eye opening is the highest score (4) and
indicates the best eye response.
,3. A nurse is preparing to administer a cleansing enema. In which position should
the client be placed?
A. Supine
B. Left lateral Sims' position
C. Prone
D. High Fowler's
Correct Answer: B
Rationale: The left lateral Sims' position allows the enema solution to flow by
gravity along the natural curve of the sigmoid colon and descending colon,
promoting instillation and retention.
4. A nurse is performing a sterile dressing change. Which of the following actions
indicates a break in sterile technique?
A. Opening the sterile package away from the body
B. Holding sterile supplies above waist level
C. Reaching over the sterile field with a non-sterile arm
D. Placing sterile gloves on the dominant hand first
Correct Answer: C
Rationale: Reaching over a sterile field with a non-sterile arm contaminates
the field. Sterile supplies should be held above waist level, packages opened away
from the body, and gloves applied without contaminating the field.
5. A nurse is teaching a client about the use of a walker. Which of the following
instructions should the nurse include?
A. "Advance the walker about 12 inches, then step into it."
B. "Hold the walker on your weaker side only."
,C. "Lean forward and place weight on the walker while moving."
D. "Lift the walker and place it far in front of you."
Correct Answer: A
Rationale: The client should advance the walker about 12 inches (arm's
length) and then step into it, maintaining balance. The walker should be placed
directly in front of the client, and weight should be placed on the arms, not by
leaning forward.
6. A nurse is caring for a client who has a new prescription for a potassium-sparing
diuretic. Which of the following foods should the nurse instruct the client to
avoid?
A. Bananas
B. Apples
C. White rice
D. Pasta
Correct Answer: A
Rationale: Potassium-sparing diuretics (e.g., spironolactone) increase
potassium retention. Clients should avoid high-potassium foods such as bananas,
oranges, and potatoes to prevent hyperkalemia.
7. A nurse is assessing a client for dehydration. Which of the following findings
should the nurse expect?
A. Bounding pulse
B. Crackles in the lungs
C. Poor skin turgor
D. Weight gain
, Correct Answer: C
Rationale: Poor skin turgor is a classic sign of dehydration. Bounding pulse,
crackles, and weight gain are signs of fluid overload, not dehydration.
8. A nurse is teaching a client about crutch walking. Which of the following
statements by the client indicates understanding?
A. "I should bear weight on my axillae."
B. "I should keep my elbows flexed at about 30 degrees."
C. "I should move my crutches and affected leg together."
D. "I should use the swing-through gait for non-weight-bearing."
Correct Answer: B
Rationale: Elbows should be flexed at approximately 30 degrees when using
crutches. Bearing weight on the axillae can cause nerve damage (crutch palsy).
The swing-through gait is used for partial weight-bearing.
9. A nurse is caring for a client who is receiving enteral tube feedings. Which of
the following actions should the nurse take to prevent aspiration?
A. Position the client supine during feeding
B. Elevate the head of the bed 30 to 45 degrees
C. Flush the tube with 10 mL of air before feeding
D. Administer the feeding rapidly
Correct Answer: B
Rationale: Elevating the head of the bed 30 to 45 degrees during and after
enteral feedings prevents aspiration. Supine positioning increases aspiration risk.
Flushing with air is not a standard prevention measure.
10. A nurse is preparing to insert a urinary catheter. Which of the following actions
should the nurse take first?
