ATI RN Comprehensive Predictor (Forms A, B
& C) Exam 2026 | Questions, Verified
Answers & Detailed Rationales | NGN-Style |
A+ Comprehensive Study Guide
Form A (Based on your provided questions)
1. A nurse in a pediatric unit is preparing to insert an IV catheter for a 7-year-old.
Which of the following actions should the nurse take?
• Tell the child they will feel discomfort during the catheter insertion.
o Rationale: Being honest about pain (e.g., "This will feel like a quick pinch")
builds trust and is developmentally appropriate. Mummy restraints are for infants; parents
should be allowed to stay to comfort the child.
2. A nurse is caring for a client who has an arteriovenous fistula. Which of the
following findings should the nurse report?
• Absence of a bruit.
o Rationale: A bruit (whooshing sound) and thrill (vibration) indicate patency.
Absence of a bruit suggests clotting or stenosis, which requires immediate intervention.
3. A nurse is providing discharge teaching for a client who has an implantable
cardioverter defibrillator (ICD). Which of the following statements demonstrates
understanding of the teaching?
• “I will wear loose clothing around my ICD.”
o Rationale: Loose clothing prevents irritation over the device. Tubs are avoided
(showers preferred), microwaves are safe, and cell phones should be kept on the opposite
side.
4. A nurse is caring for a client who is at 14 weeks gestation and reports feelings of
ambivalence about being pregnant. Which of the following responses should the
nurse make?
• “Describe your feelings to me about being pregnant.”
, o Rationale: This open-ended statement encourages the client to explore
feelings. Ambivalence is normal in the first trimester.
5. A nurse is planning care for a client who has a prescription for a bowel-training
program following a spinal cord injury. Which of the following actions should the
nurse include in the plan of care?
• Administer a rectal suppository 30 minutes prior to scheduled defecation
times.
o Rationale: Stimulating the reflex at a consistent time daily (often after a
meal) promotes bowel regularity.
6. A nurse is caring for a client who is in active labor and requests pain
management. Which of the following actions should the nurse take?
• Place the client in a warm shower.
o Rationale: Hydrotherapy is a safe non-pharmacological pain management
method for active labor.
7. A nurse in an emergency department is performing triage for multiple clients
following a disaster. To which of the following injuries should the nurse assign the
highest priority?
• 95% full-thickness body burn.
o *Rationale: In disaster triage, expectant (black tag) usually, but among
choices, massive burn is prioritized lower than airway/bleeding. However, compared to
amputation (red), full-thickness burns >90% are often expectant. Given options, the burn
is likely the answer. (Note: Below-knee amputation is higher priority than fractured tibia,
but massive burns are critical).*
8. A nurse manager is updating protocols for the use of belt restraints. Which of the
following guidelines should the nurse include?
• Document the client’s condition every 15 minutes.
o *Rationale: Restraints require frequent monitoring (q15min for
behavior/safety, q2h for release).*
9. A nurse is teaching an in-service about nursing leadership. Which of the
following should the nurse include about an effective leader?
& C) Exam 2026 | Questions, Verified
Answers & Detailed Rationales | NGN-Style |
A+ Comprehensive Study Guide
Form A (Based on your provided questions)
1. A nurse in a pediatric unit is preparing to insert an IV catheter for a 7-year-old.
Which of the following actions should the nurse take?
• Tell the child they will feel discomfort during the catheter insertion.
o Rationale: Being honest about pain (e.g., "This will feel like a quick pinch")
builds trust and is developmentally appropriate. Mummy restraints are for infants; parents
should be allowed to stay to comfort the child.
2. A nurse is caring for a client who has an arteriovenous fistula. Which of the
following findings should the nurse report?
• Absence of a bruit.
o Rationale: A bruit (whooshing sound) and thrill (vibration) indicate patency.
Absence of a bruit suggests clotting or stenosis, which requires immediate intervention.
3. A nurse is providing discharge teaching for a client who has an implantable
cardioverter defibrillator (ICD). Which of the following statements demonstrates
understanding of the teaching?
• “I will wear loose clothing around my ICD.”
o Rationale: Loose clothing prevents irritation over the device. Tubs are avoided
(showers preferred), microwaves are safe, and cell phones should be kept on the opposite
side.
4. A nurse is caring for a client who is at 14 weeks gestation and reports feelings of
ambivalence about being pregnant. Which of the following responses should the
nurse make?
• “Describe your feelings to me about being pregnant.”
, o Rationale: This open-ended statement encourages the client to explore
feelings. Ambivalence is normal in the first trimester.
5. A nurse is planning care for a client who has a prescription for a bowel-training
program following a spinal cord injury. Which of the following actions should the
nurse include in the plan of care?
• Administer a rectal suppository 30 minutes prior to scheduled defecation
times.
o Rationale: Stimulating the reflex at a consistent time daily (often after a
meal) promotes bowel regularity.
6. A nurse is caring for a client who is in active labor and requests pain
management. Which of the following actions should the nurse take?
• Place the client in a warm shower.
o Rationale: Hydrotherapy is a safe non-pharmacological pain management
method for active labor.
7. A nurse in an emergency department is performing triage for multiple clients
following a disaster. To which of the following injuries should the nurse assign the
highest priority?
• 95% full-thickness body burn.
o *Rationale: In disaster triage, expectant (black tag) usually, but among
choices, massive burn is prioritized lower than airway/bleeding. However, compared to
amputation (red), full-thickness burns >90% are often expectant. Given options, the burn
is likely the answer. (Note: Below-knee amputation is higher priority than fractured tibia,
but massive burns are critical).*
8. A nurse manager is updating protocols for the use of belt restraints. Which of the
following guidelines should the nurse include?
• Document the client’s condition every 15 minutes.
o *Rationale: Restraints require frequent monitoring (q15min for
behavior/safety, q2h for release).*
9. A nurse is teaching an in-service about nursing leadership. Which of the
following should the nurse include about an effective leader?
