ASSESSMENT TECHNOLOGIES INSTITUTE (ATI) COMPREHENSIVE
PREDICTOR EXAMINATION 2025/2026| INTEGRATED NURSING
KNOWLEDGE, CLINICAL JUDGMENT, AND PATIENT CARE
MANAGEMENT ASSESSMENT |OFFICIAL PRACTICE EXAMINATION
PAPER
COMPREHENSIVE NCLEX-LEVEL REVIEW ACROSS ALL NURSING DISCIPLINES
ALIGNED COMPREHENSIVE NURSING REVIEW
for cataract extraction surgery, what are the protocols?
-avoid taking aspirin
-use cool compress on eye before calling MD if itchy
-avoid bending at the waist b/c it can raise intraoccular pressure (BEND AT THE KNEES)
-don't lift anything over 10 lbs
If a patient 24 hours p/o refuses to ambulate, what should you do first?
-assess pain
-THEN you can educate, turn patient, give PRN analgesic
What happens during true labor?
-cervix transitions to anterior position
-contractions felt in low ab and back
-increases w/ ambulation
-cervix thins
1|Page
,What are common side effects of amitryptiline (antidepressant)?
-dry mouth and constipation (eat fiber and chew gum) and BLURRED VISION
-take a night to minimize drowsiness
-lack of ability to sweat->avoid overheating
What should you do for diabetes insipidus?
-monitor increase urine output (polyuria->over 4 L/day)
-monitor tachycardia
-orthostatic hypotension
-increased BUN
-monitor for hyperthermia d/t dehydration
What should you do to minimize risk of increased ICP?
degrees-place client in quiet environment
-spread out nursing activities throughout the day
-keep head of bed no more than 25 degrees
What should you do for a client who recently got a stoma and can't afford it d/t lack of
insurance?
-arrange for social services
-refer to american cancer society
2|Page
, -refer to support groups
-refer to enterostomal therapist
-DO NOT delay discharge
What should you teach for myasthenia gravis patients?
-cut food into small bites and eat slowly (SEMI-SOLID)
-keep HOB elevated 30-60 mins after meal
-weigh self daily
-take anticholinesterase meds 45-60 mins before meals (NOT anticholinergics)
-choose snacks high in calories
-ANNUAL FLU VACCINE->avoid pulmonary disorders b/c compromised resp muscles
What should you do for clients who have rheumatoid arthritis and are in pain?
-allow frequent rest periods throughout the day
-recommend warm showers, not baths to prevent falls
-apply ice to reduce inflammation
-don't do morning ADLs until pain meds are given
-don't take more than 4 g of acetaminophen/day
-encourage high iron, protein and vitamins
What should you give a toddler who has infectious gastroenteritis?
-initiate oral rehydration therapy
-DONT give BRAT (bananas, rice, applesauce, toast) diet because it doesn't have electrolytes
3|Page
PREDICTOR EXAMINATION 2025/2026| INTEGRATED NURSING
KNOWLEDGE, CLINICAL JUDGMENT, AND PATIENT CARE
MANAGEMENT ASSESSMENT |OFFICIAL PRACTICE EXAMINATION
PAPER
COMPREHENSIVE NCLEX-LEVEL REVIEW ACROSS ALL NURSING DISCIPLINES
ALIGNED COMPREHENSIVE NURSING REVIEW
for cataract extraction surgery, what are the protocols?
-avoid taking aspirin
-use cool compress on eye before calling MD if itchy
-avoid bending at the waist b/c it can raise intraoccular pressure (BEND AT THE KNEES)
-don't lift anything over 10 lbs
If a patient 24 hours p/o refuses to ambulate, what should you do first?
-assess pain
-THEN you can educate, turn patient, give PRN analgesic
What happens during true labor?
-cervix transitions to anterior position
-contractions felt in low ab and back
-increases w/ ambulation
-cervix thins
1|Page
,What are common side effects of amitryptiline (antidepressant)?
-dry mouth and constipation (eat fiber and chew gum) and BLURRED VISION
-take a night to minimize drowsiness
-lack of ability to sweat->avoid overheating
What should you do for diabetes insipidus?
-monitor increase urine output (polyuria->over 4 L/day)
-monitor tachycardia
-orthostatic hypotension
-increased BUN
-monitor for hyperthermia d/t dehydration
What should you do to minimize risk of increased ICP?
degrees-place client in quiet environment
-spread out nursing activities throughout the day
-keep head of bed no more than 25 degrees
What should you do for a client who recently got a stoma and can't afford it d/t lack of
insurance?
-arrange for social services
-refer to american cancer society
2|Page
, -refer to support groups
-refer to enterostomal therapist
-DO NOT delay discharge
What should you teach for myasthenia gravis patients?
-cut food into small bites and eat slowly (SEMI-SOLID)
-keep HOB elevated 30-60 mins after meal
-weigh self daily
-take anticholinesterase meds 45-60 mins before meals (NOT anticholinergics)
-choose snacks high in calories
-ANNUAL FLU VACCINE->avoid pulmonary disorders b/c compromised resp muscles
What should you do for clients who have rheumatoid arthritis and are in pain?
-allow frequent rest periods throughout the day
-recommend warm showers, not baths to prevent falls
-apply ice to reduce inflammation
-don't do morning ADLs until pain meds are given
-don't take more than 4 g of acetaminophen/day
-encourage high iron, protein and vitamins
What should you give a toddler who has infectious gastroenteritis?
-initiate oral rehydration therapy
-DONT give BRAT (bananas, rice, applesauce, toast) diet because it doesn't have electrolytes
3|Page
