Exam PN ATI Comprehensive
Predictor Exam 2025 Excel in PN ATI
Comprehensive Predictor Exam 2025
EXAM
Question 1: A client with MRSA is admitted to a medical-surgical
unit. Which precautions should the nurse implement? (Select All
That Apply)
a) Wear a gown
b) Use standard precautions only
c) Wear gloves
d) Wear a surgical mask
e) Place the client in a private room
Correct Answer: a) Wear a gown, c) Wear gloves, e) Place the
client in a private room
Rationale: MRSA requires contact precautions, which include
wearing a gown and gloves, and placing the client in a private
room. Standard precautions alone are insufficient, and a surgical
mask is not required unless droplet precautions are also
indicated .
Question 2: A fire breaks out in a hospital unit. What is the
nurse's priority action?
a) Activate the fire alarm
b) Extinguish the fire
,c) Evacuate ambulatory clients first
d) Close all doors
Correct Answer: c) Evacuate ambulatory clients first
Rationale: The RACE protocol prioritizes Rescue (evacuation) as
the first step. Ambulatory clients should be evacuated first for
their safety. Activating the alarm comes second, and extinguishing
the fire is for trained personnel after evacuation .
Question 3: A client is prescribed digoxin 0.25 mg PO daily for
heart failure. What should the nurse check before administering?
a) Blood pressure
b) Apical pulse
c) Respiratory rate
d) Temperature
Correct Answer: b) Apical pulse
Rationale: Digoxin requires checking the apical pulse for one full
minute before administration. The dose should be withheld if the
pulse is below 60 bpm in adults to prevent digoxin toxicity. Other
vital signs are not specifically indicated for this medication .
Question 4: A client with type 1 diabetes is prescribed insulin
lispro 10 units SC before meals. When should the nurse
administer this insulin?
a) 30 minutes before meals
b) Immediately before meals
c) 1 hour after meals
d) At bedtime
Correct Answer: b) Immediately before meals
,Rationale: Insulin lispro is a rapid-acting insulin with an onset of
action of approximately 15 minutes. It should be given
immediately before meals (or immediately after meals in some
protocols) to match mealtime glucose elevation and prevent
hypoglycemia .
Question 5: A nurse is reinforcing teaching with a client who has
a new prescription for lithium carbonate for bipolar disorder.
Which statements indicate understanding? (Select All That Apply)
a) "I will drink 2 to 3 liters of water daily while taking this
medication"
b) "I should avoid low-sodium diets while on this medication"
c) "I will notify my provider if I experience diarrhea or excessive
sweating"
d) "I should expect regular blood tests to check my lithium levels"
Correct Answer: a, b, c, d
Rationale: Lithium has a narrow therapeutic range. Adequate
fluid intake (2-3L/day) and consistent sodium intake are essential
to prevent toxicity. Diarrhea and excessive sweating can cause
dehydration and sodium loss, elevating lithium levels dangerously.
Regular serum monitoring ensures therapeutic levels (0.6-1.2
mEq/L) .
Question 6: A client is prescribed phenytoin for a seizure
disorder. Which instructions should the nurse reinforce? (Select All
That Apply)
a) "Brush and floss regularly to prevent gum overgrowth"
b) "Do not stop this medication suddenly"
c) "Report any rash to your provider immediately"
, d) "This medication may decrease the effectiveness of oral
contraceptives"
Correct Answer: a, b, c, d
Rationale: Phenytoin has several important teaching points:
gingival hyperplasia can be minimized with good oral hygiene;
abrupt withdrawal may precipitate seizure activity; rash may
indicate a serious hypersensitivity reaction; and phenytoin induces
hepatic metabolism of oral contraceptives, reducing their
effectiveness .
Question 7: A nurse is reinforcing teaching with a client who has
peptic ulcer disease and a new prescription for omeprazole.
Which statement indicates understanding?
a) "I should take this medication before meals"
b) "This medication decreases acid production in my stomach"
c) "I may need to take this medication for several weeks"
d) "I will notify my provider if I develop diarrhea or abdominal
pain"
Correct Answer: a, b, c, d
Rationale: Omeprazole is a proton pump inhibitor (PPI) most
effective when taken before meals. It reduces gastric acid
secretion, promoting ulcer healing. Healing requires several weeks
of consistent therapy. Diarrhea or abdominal pain should be
reported as these may indicate Clostridium difficile infection with
long-term use .
Question 8: A client is recovering from a hip replacement surgery.
Which position should the nurse avoid?
a) Supine with legs abducted
Predictor Exam 2025 Excel in PN ATI
Comprehensive Predictor Exam 2025
EXAM
Question 1: A client with MRSA is admitted to a medical-surgical
unit. Which precautions should the nurse implement? (Select All
That Apply)
a) Wear a gown
b) Use standard precautions only
c) Wear gloves
d) Wear a surgical mask
e) Place the client in a private room
Correct Answer: a) Wear a gown, c) Wear gloves, e) Place the
client in a private room
Rationale: MRSA requires contact precautions, which include
wearing a gown and gloves, and placing the client in a private
room. Standard precautions alone are insufficient, and a surgical
mask is not required unless droplet precautions are also
indicated .
Question 2: A fire breaks out in a hospital unit. What is the
nurse's priority action?
a) Activate the fire alarm
b) Extinguish the fire
,c) Evacuate ambulatory clients first
d) Close all doors
Correct Answer: c) Evacuate ambulatory clients first
Rationale: The RACE protocol prioritizes Rescue (evacuation) as
the first step. Ambulatory clients should be evacuated first for
their safety. Activating the alarm comes second, and extinguishing
the fire is for trained personnel after evacuation .
Question 3: A client is prescribed digoxin 0.25 mg PO daily for
heart failure. What should the nurse check before administering?
a) Blood pressure
b) Apical pulse
c) Respiratory rate
d) Temperature
Correct Answer: b) Apical pulse
Rationale: Digoxin requires checking the apical pulse for one full
minute before administration. The dose should be withheld if the
pulse is below 60 bpm in adults to prevent digoxin toxicity. Other
vital signs are not specifically indicated for this medication .
Question 4: A client with type 1 diabetes is prescribed insulin
lispro 10 units SC before meals. When should the nurse
administer this insulin?
a) 30 minutes before meals
b) Immediately before meals
c) 1 hour after meals
d) At bedtime
Correct Answer: b) Immediately before meals
,Rationale: Insulin lispro is a rapid-acting insulin with an onset of
action of approximately 15 minutes. It should be given
immediately before meals (or immediately after meals in some
protocols) to match mealtime glucose elevation and prevent
hypoglycemia .
Question 5: A nurse is reinforcing teaching with a client who has
a new prescription for lithium carbonate for bipolar disorder.
Which statements indicate understanding? (Select All That Apply)
a) "I will drink 2 to 3 liters of water daily while taking this
medication"
b) "I should avoid low-sodium diets while on this medication"
c) "I will notify my provider if I experience diarrhea or excessive
sweating"
d) "I should expect regular blood tests to check my lithium levels"
Correct Answer: a, b, c, d
Rationale: Lithium has a narrow therapeutic range. Adequate
fluid intake (2-3L/day) and consistent sodium intake are essential
to prevent toxicity. Diarrhea and excessive sweating can cause
dehydration and sodium loss, elevating lithium levels dangerously.
Regular serum monitoring ensures therapeutic levels (0.6-1.2
mEq/L) .
Question 6: A client is prescribed phenytoin for a seizure
disorder. Which instructions should the nurse reinforce? (Select All
That Apply)
a) "Brush and floss regularly to prevent gum overgrowth"
b) "Do not stop this medication suddenly"
c) "Report any rash to your provider immediately"
, d) "This medication may decrease the effectiveness of oral
contraceptives"
Correct Answer: a, b, c, d
Rationale: Phenytoin has several important teaching points:
gingival hyperplasia can be minimized with good oral hygiene;
abrupt withdrawal may precipitate seizure activity; rash may
indicate a serious hypersensitivity reaction; and phenytoin induces
hepatic metabolism of oral contraceptives, reducing their
effectiveness .
Question 7: A nurse is reinforcing teaching with a client who has
peptic ulcer disease and a new prescription for omeprazole.
Which statement indicates understanding?
a) "I should take this medication before meals"
b) "This medication decreases acid production in my stomach"
c) "I may need to take this medication for several weeks"
d) "I will notify my provider if I develop diarrhea or abdominal
pain"
Correct Answer: a, b, c, d
Rationale: Omeprazole is a proton pump inhibitor (PPI) most
effective when taken before meals. It reduces gastric acid
secretion, promoting ulcer healing. Healing requires several weeks
of consistent therapy. Diarrhea or abdominal pain should be
reported as these may indicate Clostridium difficile infection with
long-term use .
Question 8: A client is recovering from a hip replacement surgery.
Which position should the nurse avoid?
a) Supine with legs abducted
