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ATI RN Comprehensive Predictor Exam Review (NEW UPDATED
VERSION) LATEST ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED QUESTIONS AND ANSWERS)- GUARANTEED
PASS A+ UPDATED
ATI RN Comprehensive Predictor
Q1: A patient with heart failure has crackles in both lungs and dyspnea at rest. Priority
intervention?
A: Administer oxygen and assess vital signs
Rationale: Ensures oxygenation and identifies pulmonary congestion; oxygen and monitoring
are critical first actions.
Q2: A nurse is preparing to administer a new IV medication. First action?
A: Check the MAR against the provider’s order and verify patient identity
Rationale: Ensures the right patient receives the right medication, preventing errors.
Q3: A pediatric patient with asthma is wheezing and using accessory muscles. Immediate
intervention?
A: Administer a prescribed bronchodilator
Rationale: Relieves bronchospasm and improves airway patency.
Q4: A patient taking digoxin reports nausea, vomiting, and visual disturbances. Likely cause?
A: Digoxin toxicity
Rationale: Early signs include GI upset and visual changes; serum levels should be checked.
Q5: A postpartum patient has heavy lochia and a boggy uterus. Priority action?
A: Massage the fundus and monitor vital signs
Rationale: Prevents postpartum hemorrhage and maintains hemodynamic stability.
practice exam 2026
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Q6: A patient with schizophrenia refuses medication and appears agitated. Nursing priority?
A: Ensure safety for patient and staff
Rationale: Safety is always the first priority in acute psychiatric episodes.
Q7: A patient on furosemide develops muscle cramps. Likely cause?
A: Hypokalemia
Rationale: Loop diuretics cause potassium loss, leading to neuromuscular symptoms.
Q8: A nurse notices a sterile dressing is saturated with drainage. Best action?
A: Reinforce or change dressing and document
Rationale: Maintains wound integrity and prevents infection.
Q9: A patient with type 1 diabetes has blood glucose 58 mg/dL and is confused. Next action?
A: Give 15 g fast-acting carbohydrate (juice or glucose gel)
Rationale: Treats hypoglycemia immediately to prevent further neurologic compromise.
Q10: A patient is experiencing chest pain and shortness of breath. What is the first nursing
assessment?
A: ABCs – airway, breathing, circulation
Rationale: Ensures immediate life-threatening issues are addressed before interventions.
Q11: A nurse preparing to administer insulin notes the patient has eaten breakfast. Best action?
A: Administer insulin as ordered
Rationale: Timing insulin with meals prevents postprandial hyperglycemia and hypoglycemia.
Q12: A patient with COPD is on oxygen 2 L/min via nasal cannula and becomes drowsy.
Nursing action?
A: Assess for hypercapnia and titrate O₂ per order
Rationale: High O₂ can reduce respiratory drive in CO₂ retainers; monitor ABGs.
Q13: A nurse is caring for a client with chest tube drainage. Drainage suddenly stops. First
action?
practice exam 2026
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A: Check tubing for kinks and ensure system patency
Rationale: Obstruction can compromise lung expansion; assess before notifying provider.
Q14: A patient reports sudden severe headache and blurred vision. Vital signs show 200/120
mmHg. Likely complication?
A: Hypertensive crisis
Rationale: Immediate intervention required to prevent stroke or organ damage.
Q15: A nurse observes a patient post-op with a sudden drop in BP and increased heart rate. First
action?
A: Assess for internal bleeding
Rationale: Hypotension and tachycardia indicate possible hemorrhagic shock; rapid intervention
is critical.
Q16: A patient with deep vein thrombosis is receiving heparin. What lab should be monitored?
A: aPTT
Rationale: Ensures therapeutic anticoagulation without excessive bleeding risk.
Q17: A patient receiving opioid analgesics reports respiratory rate of 8/min. Best action?
A: Administer naloxone as prescribed and monitor airway
Rationale: Opioid-induced respiratory depression is life-threatening; reversal is indicated.
Q18: A nurse is teaching a patient with hypertension about low-sodium diet. Best example of
teaching?
A: Encourage avoiding processed and canned foods
Rationale: Reduces sodium intake and supports blood pressure control.
Q19: A patient with post-op ileus is NPO. Next priority?
A: Monitor bowel sounds and abdominal distension
Rationale: Ensures early detection of complications while awaiting return of GI function.
practice exam 2026
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Q20: A patient with acute pancreatitis reports severe abdominal pain. Best nursing intervention?
A: Position in fetal position and administer prescribed pain medication
Rationale: Relieves discomfort and improves patient tolerance.
Q21: A pediatric patient with dehydration has sunken eyes and dry mucous membranes. Best
action?
A: Initiate IV fluids per protocol
Rationale: Corrects fluid deficit and prevents hypovolemic shock.
Q22: A nurse is caring for a patient with heart failure on digoxin and furosemide. What should
be monitored?
A: Potassium levels
Rationale: Hypokalemia increases risk of digoxin toxicity.
Q23: A patient with schizophrenia is hearing voices but is not violent. Appropriate nursing
action?
A: Provide a calm environment and therapeutic communication
Rationale: Supports patient without escalation; ensures safety and trust.
Q24: A patient with severe diarrhea has low potassium 3.0 mEq/L. Nursing priority?
A: Administer potassium per order and monitor ECG
Rationale: Corrects hypokalemia and prevents arrhythmias.
Q25: A nurse observes that a patient’s tracheostomy tube is dislodged. Immediate action?
A: Call for help and maintain airway using a sterile suction catheter or new tube
Rationale: Airway maintenance is top priority.
Q26: A patient on a PCA pump reports pain score 9/10. Best nursing action?
A: Assess for correct pump settings and administer supplemental analgesia per order
Rationale: Ensures adequate pain management safely.
practice exam 2026
ATI RN Comprehensive Predictor Exam Review (NEW UPDATED
VERSION) LATEST ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED QUESTIONS AND ANSWERS)- GUARANTEED
PASS A+ UPDATED
ATI RN Comprehensive Predictor
Q1: A patient with heart failure has crackles in both lungs and dyspnea at rest. Priority
intervention?
A: Administer oxygen and assess vital signs
Rationale: Ensures oxygenation and identifies pulmonary congestion; oxygen and monitoring
are critical first actions.
Q2: A nurse is preparing to administer a new IV medication. First action?
A: Check the MAR against the provider’s order and verify patient identity
Rationale: Ensures the right patient receives the right medication, preventing errors.
Q3: A pediatric patient with asthma is wheezing and using accessory muscles. Immediate
intervention?
A: Administer a prescribed bronchodilator
Rationale: Relieves bronchospasm and improves airway patency.
Q4: A patient taking digoxin reports nausea, vomiting, and visual disturbances. Likely cause?
A: Digoxin toxicity
Rationale: Early signs include GI upset and visual changes; serum levels should be checked.
Q5: A postpartum patient has heavy lochia and a boggy uterus. Priority action?
A: Massage the fundus and monitor vital signs
Rationale: Prevents postpartum hemorrhage and maintains hemodynamic stability.
practice exam 2026
,2|Page
Q6: A patient with schizophrenia refuses medication and appears agitated. Nursing priority?
A: Ensure safety for patient and staff
Rationale: Safety is always the first priority in acute psychiatric episodes.
Q7: A patient on furosemide develops muscle cramps. Likely cause?
A: Hypokalemia
Rationale: Loop diuretics cause potassium loss, leading to neuromuscular symptoms.
Q8: A nurse notices a sterile dressing is saturated with drainage. Best action?
A: Reinforce or change dressing and document
Rationale: Maintains wound integrity and prevents infection.
Q9: A patient with type 1 diabetes has blood glucose 58 mg/dL and is confused. Next action?
A: Give 15 g fast-acting carbohydrate (juice or glucose gel)
Rationale: Treats hypoglycemia immediately to prevent further neurologic compromise.
Q10: A patient is experiencing chest pain and shortness of breath. What is the first nursing
assessment?
A: ABCs – airway, breathing, circulation
Rationale: Ensures immediate life-threatening issues are addressed before interventions.
Q11: A nurse preparing to administer insulin notes the patient has eaten breakfast. Best action?
A: Administer insulin as ordered
Rationale: Timing insulin with meals prevents postprandial hyperglycemia and hypoglycemia.
Q12: A patient with COPD is on oxygen 2 L/min via nasal cannula and becomes drowsy.
Nursing action?
A: Assess for hypercapnia and titrate O₂ per order
Rationale: High O₂ can reduce respiratory drive in CO₂ retainers; monitor ABGs.
Q13: A nurse is caring for a client with chest tube drainage. Drainage suddenly stops. First
action?
practice exam 2026
,3|Page
A: Check tubing for kinks and ensure system patency
Rationale: Obstruction can compromise lung expansion; assess before notifying provider.
Q14: A patient reports sudden severe headache and blurred vision. Vital signs show 200/120
mmHg. Likely complication?
A: Hypertensive crisis
Rationale: Immediate intervention required to prevent stroke or organ damage.
Q15: A nurse observes a patient post-op with a sudden drop in BP and increased heart rate. First
action?
A: Assess for internal bleeding
Rationale: Hypotension and tachycardia indicate possible hemorrhagic shock; rapid intervention
is critical.
Q16: A patient with deep vein thrombosis is receiving heparin. What lab should be monitored?
A: aPTT
Rationale: Ensures therapeutic anticoagulation without excessive bleeding risk.
Q17: A patient receiving opioid analgesics reports respiratory rate of 8/min. Best action?
A: Administer naloxone as prescribed and monitor airway
Rationale: Opioid-induced respiratory depression is life-threatening; reversal is indicated.
Q18: A nurse is teaching a patient with hypertension about low-sodium diet. Best example of
teaching?
A: Encourage avoiding processed and canned foods
Rationale: Reduces sodium intake and supports blood pressure control.
Q19: A patient with post-op ileus is NPO. Next priority?
A: Monitor bowel sounds and abdominal distension
Rationale: Ensures early detection of complications while awaiting return of GI function.
practice exam 2026
, 4|Page
Q20: A patient with acute pancreatitis reports severe abdominal pain. Best nursing intervention?
A: Position in fetal position and administer prescribed pain medication
Rationale: Relieves discomfort and improves patient tolerance.
Q21: A pediatric patient with dehydration has sunken eyes and dry mucous membranes. Best
action?
A: Initiate IV fluids per protocol
Rationale: Corrects fluid deficit and prevents hypovolemic shock.
Q22: A nurse is caring for a patient with heart failure on digoxin and furosemide. What should
be monitored?
A: Potassium levels
Rationale: Hypokalemia increases risk of digoxin toxicity.
Q23: A patient with schizophrenia is hearing voices but is not violent. Appropriate nursing
action?
A: Provide a calm environment and therapeutic communication
Rationale: Supports patient without escalation; ensures safety and trust.
Q24: A patient with severe diarrhea has low potassium 3.0 mEq/L. Nursing priority?
A: Administer potassium per order and monitor ECG
Rationale: Corrects hypokalemia and prevents arrhythmias.
Q25: A nurse observes that a patient’s tracheostomy tube is dislodged. Immediate action?
A: Call for help and maintain airway using a sterile suction catheter or new tube
Rationale: Airway maintenance is top priority.
Q26: A patient on a PCA pump reports pain score 9/10. Best nursing action?
A: Assess for correct pump settings and administer supplemental analgesia per order
Rationale: Ensures adequate pain management safely.
practice exam 2026
