lOMoAR cPSD| 22896205
NUR 441 ATI RN PROCTORED COMPREHENSIVE PREDICTOR FORM
A QUESTIONS AND VERIFIED ANSWERS 2026 UPDATE
1. A nurse is caring for a client who is at 33 weeks of gestation following an
amniocentesis. The nurse should monitor the client for which of the
following complications?
a. Vomiting
b. Hypertension
c. Epigastric pain
d. Contractions
2. A nurse is providing teaching to an older adult client about methods to
promote nighttime sleep. Which of the following instructions should the
nurse include?
a. Stay in bed at least 1 hr if unable to fall asleep
b. Take a 1 hr nap during the day
c. Perform exercises prior to bedtime
d. Eat a light snack before bedtime
3. A nurse on a telemetry unit is caring for a client who becomes unconscious
and whose monitor displays ventricular tachycardia. Which of the
following actions should the nurse take first after determining the client
does not have a palpable pulse?
a. Assess heart sounds
b. Defibrillate
c. Establish IV access
d. Administer epinephrine
, lOMoAR cPSD| 22896205
4. A nurse is admitting a client who 1 week postpartum and reports excessive
vaginal bleeding. The nurse does not speak the same language as the client.
The client’s partner and 10-year-old child are accompanying her. Which of
the following actions should the nurse take to gather the client’s admission
data?
a. Have the client’s child translate
b. Allow the client’s partner to translate
c. Request a female interpreter through the facility
d. Ask a nursing student who speaks the same language as the client to
translate
5. A nurse is caring for a client who is febrile (High fever). To reduce the
client’s fever, the nurse applies a cooling blanket. Which of the following
findings indicates the client is having an adverse reaction to the cooling?
a. Flushing
b. Tachycardia
c. Restlessness
d. Shivering (Hypothermic)
6. A nurse is caring for a client who has deep-vein-thrombosis of the left
lower extremity. Which of the following actions should the nurse take?
(Exhibit)
, lOMoAR cPSD| 22896205
a. Position the client with the affected extremity lower than the heart
b. Withhold heparin IV infusion PTT- 30-40 seconds; x2 if on
heparin
c. Administer acetaminophen
d. Massage the affected extremity every 4 hr
7. A nurse is reviewing assessment data from several clients. For which of
the following clients should the nurse recommend referral to a dietitian?
a. An older adult client who has a BMI of 24 (18.5-24.9)
b. A client who has a nonhealing leg ulcer (diet isn’t good)
c. An older adult client who has presbyopia (age related far-sightness)
d. A client who has an albumin level of 3.7 g/dL (normal 3.4-5.4)
8. A nurse is providing discharge teaching to a client who has a chronic kidney
disease and is receiving hemodialysis. Which of the following instructions
should the nurse include in the teaching?
a. Eat 1 g/kg of protein per day
b. Take magnesium hydroxide for indigestion
c. Drink at least 3 L of fluid daily-
d. Consume foods high in potassium- restrict
9. A nurse is caring for a client who is receiving intermittent enteral tube
feedings. Which of the following places the client at risk for aspiration?
a. Sitting in a high-Fowler’s position during the feeding
b. A history of gastroesophageal reflux disease
c. Receiving a high osmolarity formula
d. A residual of 65 mL 1 hr postprandial?
, lOMoAR cPSD| 22896205
10. ?A nurse is providing prenatal teaching to a client who is at 12 weeks of
gestation. The nurse should tell the client that she will undergo which of
the following screening tests at 16 weeks of gestation?
a. Chorionic villus sampling- as early as 8 weeks
b. Cervical cultures for chlamydia- 1st appointment.
c. Nonstress test -28 weeks
d. Maternal serum alpha-fetoprotein- 16 to 18 weeks
11. A nurse is caring for a client who is on bed rest. The nurse should recognize
that which of the following findings is a complication of immobility?
a. Decreased serum calcium levels- increased serum calcium
b. Increased blood pressure- hypotension
c. Swollen area on calf
d. Urinary frequency-
12. A nurse in acute care mental health facility is participating in a medication-
education group. The leader of the group uses a laissez-faire leadership style.
Which of the following actions should the nurse expect from the leader
during the session?
a. The leader encourages group members to remain silent until questions
are called for
The leader allows the group to discuss whatever they would
like to regarding their
medications
b. The leader lecture about medication adverse effects to the group
members c.
d. The leader has group members vote on what they would like to learn
about during the session
NUR 441 ATI RN PROCTORED COMPREHENSIVE PREDICTOR FORM
A QUESTIONS AND VERIFIED ANSWERS 2026 UPDATE
1. A nurse is caring for a client who is at 33 weeks of gestation following an
amniocentesis. The nurse should monitor the client for which of the
following complications?
a. Vomiting
b. Hypertension
c. Epigastric pain
d. Contractions
2. A nurse is providing teaching to an older adult client about methods to
promote nighttime sleep. Which of the following instructions should the
nurse include?
a. Stay in bed at least 1 hr if unable to fall asleep
b. Take a 1 hr nap during the day
c. Perform exercises prior to bedtime
d. Eat a light snack before bedtime
3. A nurse on a telemetry unit is caring for a client who becomes unconscious
and whose monitor displays ventricular tachycardia. Which of the
following actions should the nurse take first after determining the client
does not have a palpable pulse?
a. Assess heart sounds
b. Defibrillate
c. Establish IV access
d. Administer epinephrine
, lOMoAR cPSD| 22896205
4. A nurse is admitting a client who 1 week postpartum and reports excessive
vaginal bleeding. The nurse does not speak the same language as the client.
The client’s partner and 10-year-old child are accompanying her. Which of
the following actions should the nurse take to gather the client’s admission
data?
a. Have the client’s child translate
b. Allow the client’s partner to translate
c. Request a female interpreter through the facility
d. Ask a nursing student who speaks the same language as the client to
translate
5. A nurse is caring for a client who is febrile (High fever). To reduce the
client’s fever, the nurse applies a cooling blanket. Which of the following
findings indicates the client is having an adverse reaction to the cooling?
a. Flushing
b. Tachycardia
c. Restlessness
d. Shivering (Hypothermic)
6. A nurse is caring for a client who has deep-vein-thrombosis of the left
lower extremity. Which of the following actions should the nurse take?
(Exhibit)
, lOMoAR cPSD| 22896205
a. Position the client with the affected extremity lower than the heart
b. Withhold heparin IV infusion PTT- 30-40 seconds; x2 if on
heparin
c. Administer acetaminophen
d. Massage the affected extremity every 4 hr
7. A nurse is reviewing assessment data from several clients. For which of
the following clients should the nurse recommend referral to a dietitian?
a. An older adult client who has a BMI of 24 (18.5-24.9)
b. A client who has a nonhealing leg ulcer (diet isn’t good)
c. An older adult client who has presbyopia (age related far-sightness)
d. A client who has an albumin level of 3.7 g/dL (normal 3.4-5.4)
8. A nurse is providing discharge teaching to a client who has a chronic kidney
disease and is receiving hemodialysis. Which of the following instructions
should the nurse include in the teaching?
a. Eat 1 g/kg of protein per day
b. Take magnesium hydroxide for indigestion
c. Drink at least 3 L of fluid daily-
d. Consume foods high in potassium- restrict
9. A nurse is caring for a client who is receiving intermittent enteral tube
feedings. Which of the following places the client at risk for aspiration?
a. Sitting in a high-Fowler’s position during the feeding
b. A history of gastroesophageal reflux disease
c. Receiving a high osmolarity formula
d. A residual of 65 mL 1 hr postprandial?
, lOMoAR cPSD| 22896205
10. ?A nurse is providing prenatal teaching to a client who is at 12 weeks of
gestation. The nurse should tell the client that she will undergo which of
the following screening tests at 16 weeks of gestation?
a. Chorionic villus sampling- as early as 8 weeks
b. Cervical cultures for chlamydia- 1st appointment.
c. Nonstress test -28 weeks
d. Maternal serum alpha-fetoprotein- 16 to 18 weeks
11. A nurse is caring for a client who is on bed rest. The nurse should recognize
that which of the following findings is a complication of immobility?
a. Decreased serum calcium levels- increased serum calcium
b. Increased blood pressure- hypotension
c. Swollen area on calf
d. Urinary frequency-
12. A nurse in acute care mental health facility is participating in a medication-
education group. The leader of the group uses a laissez-faire leadership style.
Which of the following actions should the nurse expect from the leader
during the session?
a. The leader encourages group members to remain silent until questions
are called for
The leader allows the group to discuss whatever they would
like to regarding their
medications
b. The leader lecture about medication adverse effects to the group
members c.
d. The leader has group members vote on what they would like to learn
about during the session
