ATI RN Comprehensive Predictor – 100
Practice Questions, Answers, and Rationales
Questions And Answers Practice
Questions with Solutions Newest |
Already Graded A+
Question 1
A nurse is caring for a client with heart failure who suddenly develops
shortness of breath and crackles in both lungs. Which action should the
nurse take first?
A. Administer prescribed furosemide B. Raise the head of the bed C.
Restrict oral fluids D. Obtain a daily weight
Answer: B. Raise the head of the bed
Rationale: Positioning the client upright improves lung expansion and
decreases venous return to the heart, helping relieve pulmonary
congestion immediately.
Question 2
A nurse is teaching a client about insulin administration. Which
statement by the client indicates understanding?
,A. “I will shake the insulin vial before drawing it up.” B. “I will inject
insulin into the same site every day.” C. “I will rotate injection sites
within the same area.” D. “I can reuse insulin needles several times.”
Answer: C. “I will rotate injection sites within the same area.”
Rationale: Rotating sites within the same anatomical area promotes
consistent insulin absorption and prevents lipodystrophy.
Question 3
A nurse is assessing a client who has hypokalemia. Which finding
should the nurse expect?
A. Hyperactive bowel sounds B. Muscle weakness C. Bradycardia with
peaked T waves D. Increased deep tendon reflexes
Answer: B. Muscle weakness
Rationale: Hypokalemia commonly causes muscle weakness, fatigue,
and cardiac dysrhythmias.
Question 4
A nurse is caring for a postoperative client. Which finding requires
immediate intervention?
A. Pain rated 6/10 B. Respiratory rate of 8/min C. Temperature of
37.8°C (100°F) D. Blood pressure of 138/84 mm Hg
Answer: B. Respiratory rate of 8/min
Rationale: A respiratory rate below 12/min may indicate opioid-induced
respiratory depression and requires immediate action.
,Question 5
A nurse is teaching a client about a low-sodium diet. Which food should
the nurse instruct the client to avoid?
A. Fresh apples B. Grilled chicken C. Canned soup D. Brown rice
Answer: C. Canned soup
Rationale: Canned soups are typically high in sodium and should be
limited on a low-sodium diet.
Question 6
A nurse is caring for a client receiving a blood transfusion who develops
chills and back pain. What should the nurse do first?
A. Slow the infusion rate B. Stop the transfusion C. Administer
acetaminophen D. Notify the laboratory
Answer: B. Stop the transfusion
Rationale: Chills and back pain may indicate a transfusion reaction. The
transfusion must be stopped immediately.
Question 7
A nurse is assessing a newborn. Which finding should the nurse report to
the provider?
A. Acrocyanosis B. Respiratory rate 62/min with grunting C. Presence
of vernix caseosa D. Positive Babinski reflex
, Answer: B. Respiratory rate 62/min with grunting
Rationale: Grunting and tachypnea may indicate respiratory distress in
the newborn.
Question 8
A nurse is caring for a client with chronic kidney disease. Which
laboratory finding should the nurse expect?
A. Decreased creatinine B. Increased hemoglobin C. Elevated potassium
D. Low phosphorus
Answer: C. Elevated potassium
Rationale: Clients with kidney disease commonly develop
hyperkalemia due to impaired potassium excretion.
Question 9
A nurse is teaching a client who has asthma about using a metered-dose
inhaler. Which instruction should the nurse include?
A. “Exhale immediately after inhaling the medication.” B. “Use the
inhaler without shaking it.” C. “Hold your breath for 10 seconds after
inhalation.” D. “Take rapid shallow breaths while inhaling.”
Answer: C. “Hold your breath for 10 seconds after inhalation.”
Rationale: Holding the breath allows medication to reach deeper into
the airways.
Practice Questions, Answers, and Rationales
Questions And Answers Practice
Questions with Solutions Newest |
Already Graded A+
Question 1
A nurse is caring for a client with heart failure who suddenly develops
shortness of breath and crackles in both lungs. Which action should the
nurse take first?
A. Administer prescribed furosemide B. Raise the head of the bed C.
Restrict oral fluids D. Obtain a daily weight
Answer: B. Raise the head of the bed
Rationale: Positioning the client upright improves lung expansion and
decreases venous return to the heart, helping relieve pulmonary
congestion immediately.
Question 2
A nurse is teaching a client about insulin administration. Which
statement by the client indicates understanding?
,A. “I will shake the insulin vial before drawing it up.” B. “I will inject
insulin into the same site every day.” C. “I will rotate injection sites
within the same area.” D. “I can reuse insulin needles several times.”
Answer: C. “I will rotate injection sites within the same area.”
Rationale: Rotating sites within the same anatomical area promotes
consistent insulin absorption and prevents lipodystrophy.
Question 3
A nurse is assessing a client who has hypokalemia. Which finding
should the nurse expect?
A. Hyperactive bowel sounds B. Muscle weakness C. Bradycardia with
peaked T waves D. Increased deep tendon reflexes
Answer: B. Muscle weakness
Rationale: Hypokalemia commonly causes muscle weakness, fatigue,
and cardiac dysrhythmias.
Question 4
A nurse is caring for a postoperative client. Which finding requires
immediate intervention?
A. Pain rated 6/10 B. Respiratory rate of 8/min C. Temperature of
37.8°C (100°F) D. Blood pressure of 138/84 mm Hg
Answer: B. Respiratory rate of 8/min
Rationale: A respiratory rate below 12/min may indicate opioid-induced
respiratory depression and requires immediate action.
,Question 5
A nurse is teaching a client about a low-sodium diet. Which food should
the nurse instruct the client to avoid?
A. Fresh apples B. Grilled chicken C. Canned soup D. Brown rice
Answer: C. Canned soup
Rationale: Canned soups are typically high in sodium and should be
limited on a low-sodium diet.
Question 6
A nurse is caring for a client receiving a blood transfusion who develops
chills and back pain. What should the nurse do first?
A. Slow the infusion rate B. Stop the transfusion C. Administer
acetaminophen D. Notify the laboratory
Answer: B. Stop the transfusion
Rationale: Chills and back pain may indicate a transfusion reaction. The
transfusion must be stopped immediately.
Question 7
A nurse is assessing a newborn. Which finding should the nurse report to
the provider?
A. Acrocyanosis B. Respiratory rate 62/min with grunting C. Presence
of vernix caseosa D. Positive Babinski reflex
, Answer: B. Respiratory rate 62/min with grunting
Rationale: Grunting and tachypnea may indicate respiratory distress in
the newborn.
Question 8
A nurse is caring for a client with chronic kidney disease. Which
laboratory finding should the nurse expect?
A. Decreased creatinine B. Increased hemoglobin C. Elevated potassium
D. Low phosphorus
Answer: C. Elevated potassium
Rationale: Clients with kidney disease commonly develop
hyperkalemia due to impaired potassium excretion.
Question 9
A nurse is teaching a client who has asthma about using a metered-dose
inhaler. Which instruction should the nurse include?
A. “Exhale immediately after inhaling the medication.” B. “Use the
inhaler without shaking it.” C. “Hold your breath for 10 seconds after
inhalation.” D. “Take rapid shallow breaths while inhaling.”
Answer: C. “Hold your breath for 10 seconds after inhalation.”
Rationale: Holding the breath allows medication to reach deeper into
the airways.
