ATI RN VATI COMPREHENSIVE
PREDICTOR FINAL PAPER 2026
QUESTIONS WITH VERIFIED ANSWERS
AND RATIONALES
⩥ 177. A nurse enters a client's room and finds the client lying on the
floor in a puddle of water. Which of the following statements should the
nurse document in an incident report?
A. Client fell out of bed because an assistive personnel left the rails of
the bed down
B. Client's roommate thinks the client is confused and fell when getting
out of bed
C. Client appears to have slipped in water but reports no injuries
D. Client found lying on the floor near the bedside table. Answer: Client
found lying on the floor near the bedside table
⩥ 178. A charge nurse on a pediatric unit is making assignments for a
float nurse from the medical unit. Which of the following clients is
appropriate to assign to the float nurse?
A. A 10-year-old client who has pneumonia and is receiving respiratory
treatments
B. A 4-year-old client who has a Wilms tumor and is receiving
chemotherapy
,C. An 8-month-old client who is scheduled for a surgical repair of a
ventricular septal defect tomorrow
D. A 14-year-old client who is scheduled for discharge today following
placement of a Herrington rod. Answer: A 10-year-old client who has
pneumonia and is receiving respiratory treatments
⩥ 179. A nurse is preparing to administer vancomycin to a client who
has an infected wound. The nurse should plan to monitor for which of
the following adverse reactions?
A. Hepatotoxicity
B. Ototoxicity
C. Hypercalcemia
D. Hypertension. Answer: Ototoxicity
⩥ 180. A nurse is assessing an infant who has water intoxication. Which
of the following findings should the nurse expect?
A. Generalized edema
B. Elevated urine specific gravity
C. Thready pulse
D. Increased hematocrit. Answer: Thready pulse
⩥ 1. A home health nurse is conducting an initial home visit for a client
who has terminal breast cancer. The client has two school-age children
,and a limited support system. Which of the following is the priority
nursing action?
A. Inform the client of available community resources
B. Assist the client in finding child care options
C. Agree upon short-term goals for the client
D. Ask the client about their understanding of the diagnosis. Answer:
Inform the client of available community resources
⩥ 2. A nurse in an emergency department is assessing a client who has a
nasal fracture. Which of the following findings should cause the nurse to
suspect a skull fracture?
A. Clear fluid drainage from the nares
B. Report of pain around the eyes
C. Dried blood in the mouth
D. Mandibular asymmetry. Answer: Clear fluid drainage from the nares
⩥ 3. A nurse in an urgent care clinic is collecting admission history from
a client who is at 16 weeks of gestation and has bacterial vaginosis. The
nurse should recognize that which of the following clinical findings are
associated with this infection?
A. Profuse milky white discharge
B. Frequency and dysuria
C. Low-grade fever
D. Hematuria. Answer: Profuse milky white discharge
, ⩥ 4. A nurse is discussing the z-track administration of hydroxyzine with
a newly licensed nurse. Which of the following statements indicates the
newly licensed nurse understands the purpose of the technique?
A. This technique prevents injury to the sciatic nerve
B. This technique decreases the risk of subcutaneous infiltration
C. This technique allows a larger amount of medication to be injected
D. This technique increases the absorption rate of the drug. Answer: This
technique decreases the risk of subcutaneous infiltration
⩥ 10. A nurse is caring for a full-term newborn immediately following
birth. Which of the following actions should the nurse take first?
A. Instill erythromycin ophthalmic ointment in the newborn's eyes
B. Weigh the newborn
C. Place identification bracelets on the newborn
D. Dry the newborn. Answer: Dry the newborn
⩥ 11. A nurse is planning to provide community education about viral
hepatitis. Which of the following should the nurse plan to include in the
teaching?
A. A series of four hepatitis vaccines is recommended to prevent viral
hepatitis
B. Hepatitis B is transmitted by contaminated food
C. Chronic hepatitis can lead to renal cell cancer
PREDICTOR FINAL PAPER 2026
QUESTIONS WITH VERIFIED ANSWERS
AND RATIONALES
⩥ 177. A nurse enters a client's room and finds the client lying on the
floor in a puddle of water. Which of the following statements should the
nurse document in an incident report?
A. Client fell out of bed because an assistive personnel left the rails of
the bed down
B. Client's roommate thinks the client is confused and fell when getting
out of bed
C. Client appears to have slipped in water but reports no injuries
D. Client found lying on the floor near the bedside table. Answer: Client
found lying on the floor near the bedside table
⩥ 178. A charge nurse on a pediatric unit is making assignments for a
float nurse from the medical unit. Which of the following clients is
appropriate to assign to the float nurse?
A. A 10-year-old client who has pneumonia and is receiving respiratory
treatments
B. A 4-year-old client who has a Wilms tumor and is receiving
chemotherapy
,C. An 8-month-old client who is scheduled for a surgical repair of a
ventricular septal defect tomorrow
D. A 14-year-old client who is scheduled for discharge today following
placement of a Herrington rod. Answer: A 10-year-old client who has
pneumonia and is receiving respiratory treatments
⩥ 179. A nurse is preparing to administer vancomycin to a client who
has an infected wound. The nurse should plan to monitor for which of
the following adverse reactions?
A. Hepatotoxicity
B. Ototoxicity
C. Hypercalcemia
D. Hypertension. Answer: Ototoxicity
⩥ 180. A nurse is assessing an infant who has water intoxication. Which
of the following findings should the nurse expect?
A. Generalized edema
B. Elevated urine specific gravity
C. Thready pulse
D. Increased hematocrit. Answer: Thready pulse
⩥ 1. A home health nurse is conducting an initial home visit for a client
who has terminal breast cancer. The client has two school-age children
,and a limited support system. Which of the following is the priority
nursing action?
A. Inform the client of available community resources
B. Assist the client in finding child care options
C. Agree upon short-term goals for the client
D. Ask the client about their understanding of the diagnosis. Answer:
Inform the client of available community resources
⩥ 2. A nurse in an emergency department is assessing a client who has a
nasal fracture. Which of the following findings should cause the nurse to
suspect a skull fracture?
A. Clear fluid drainage from the nares
B. Report of pain around the eyes
C. Dried blood in the mouth
D. Mandibular asymmetry. Answer: Clear fluid drainage from the nares
⩥ 3. A nurse in an urgent care clinic is collecting admission history from
a client who is at 16 weeks of gestation and has bacterial vaginosis. The
nurse should recognize that which of the following clinical findings are
associated with this infection?
A. Profuse milky white discharge
B. Frequency and dysuria
C. Low-grade fever
D. Hematuria. Answer: Profuse milky white discharge
, ⩥ 4. A nurse is discussing the z-track administration of hydroxyzine with
a newly licensed nurse. Which of the following statements indicates the
newly licensed nurse understands the purpose of the technique?
A. This technique prevents injury to the sciatic nerve
B. This technique decreases the risk of subcutaneous infiltration
C. This technique allows a larger amount of medication to be injected
D. This technique increases the absorption rate of the drug. Answer: This
technique decreases the risk of subcutaneous infiltration
⩥ 10. A nurse is caring for a full-term newborn immediately following
birth. Which of the following actions should the nurse take first?
A. Instill erythromycin ophthalmic ointment in the newborn's eyes
B. Weigh the newborn
C. Place identification bracelets on the newborn
D. Dry the newborn. Answer: Dry the newborn
⩥ 11. A nurse is planning to provide community education about viral
hepatitis. Which of the following should the nurse plan to include in the
teaching?
A. A series of four hepatitis vaccines is recommended to prevent viral
hepatitis
B. Hepatitis B is transmitted by contaminated food
C. Chronic hepatitis can lead to renal cell cancer
