ATI RN PREDICTOR EXAM – QUESTIONS AND ANSWERS | VERIFIED AND WELL
DETAILED ANSWERS | PLUS RATIONALES | GUARANTEED PASS | LATEST EXAM
UPDATE 2026/2027
*Core Domains*
*Pharmacology and Parenteral Therapies*
*Medical-Surgical Nursing Care*
*Pediatric and Newborn Nursing*
*Maternal-Newborn Health*
*Mental Health and Psychosocial Integrity*
*Management of Care and Leadership*
*Safety and Infection Control*
*Reduction of Risk Potential*
*Introduction*
*The ATI RN Predictor Exam is a comprehensive assessment designed to eval
Section One: Questions 1–100
1. A nurse is caring for a client who is 24 hours postoperative following a
cholecystectomy. Which of the following findings is the priority to report to the
, provider?
A. Serosanguineous drainage on the dressing
B. Pain level of 6 on a scale of 0 to 10
C. Productive cough with yellow sputum
D. Urinary output of 150 mL over the last 8 hours
🟢 C. Productive cough with yellow sputum
🔴 Explanation: Using the airway, breathing, circulation (ABC) priority framework, a
productive cough with yellow sputum indicates a potential respiratory infection or
pneumonia, which is a significant postoperative complication requiring immediate
intervention.
2. A nurse is reviewing the laboratory results for a client who is receiving heparin via
continuous IV infusion. Which of the following results should the nurse report to the
provider?
A. aPTT of 75 seconds
B. Platelets 95,000/mm3
C. Hgb 14 g/dL
D. INR 1.1
,🟢 B. Platelets 95,000/mm3
🔴 Explanation: A platelet count below 100,000/mm3 while receiving heparin is a sign of
heparin-induced thrombocytopenia (HIT), a life-threatening condition that requires
immediate cessation of heparin.
3. A nurse is providing teaching to a client who has a new prescription for lithium
carbonate. Which of the following instructions should the nurse include?
A. Limit sodium intake to 1,500 mg per day
B. Drink 2 to 3 liters of fluid daily
C. Take the medication on an empty stomach
D. Expect a weight loss of 2 to 3 pounds in the first week
🟢 B. Drink 2 to 3 liters of fluid daily
🔴 Explanation: Lithium is a salt, and adequate fluid intake is essential to prevent lithium
toxicity. Sodium intake should remain consistent, as fluctuations can affect lithium levels.
4. A nurse is assessing a client who has a chest tube connected to a water-seal
drainage system. Which of the following findings should the nurse report to the
provider?
, A. Constant bubbling in the water-seal chamber
B. Fluctuations in the water level with respiration
C. 50 mL of serosanguineous fluid in the collection chamber over 1 hour
D. Crepitus around the insertion site
🟢 A. Constant bubbling in the water-seal chamber
🔴 Explanation: Constant bubbling in the water-seal chamber indicates an air leak in the
system. Tidaling (fluctuations) is a normal finding.
5. A nurse is caring for a client who is in the active phase of labor. The nurse observes
a late deceleration on the fetal monitor strip. Which of the following actions should
the nurse take first?
A. Administer oxygen via nonrebreather mask
B. Increase the rate of the IV maintenance fluids
C. Assist the client into a side-lying position
D. Document the finding in the medical record
🟢 C. Assist the client into a side-lying position
🔴 Explanation: The first action the nurse should take is to turn the client to a side-lying
position to improve placental perfusion and relieve pressure on the vena cava.
DETAILED ANSWERS | PLUS RATIONALES | GUARANTEED PASS | LATEST EXAM
UPDATE 2026/2027
*Core Domains*
*Pharmacology and Parenteral Therapies*
*Medical-Surgical Nursing Care*
*Pediatric and Newborn Nursing*
*Maternal-Newborn Health*
*Mental Health and Psychosocial Integrity*
*Management of Care and Leadership*
*Safety and Infection Control*
*Reduction of Risk Potential*
*Introduction*
*The ATI RN Predictor Exam is a comprehensive assessment designed to eval
Section One: Questions 1–100
1. A nurse is caring for a client who is 24 hours postoperative following a
cholecystectomy. Which of the following findings is the priority to report to the
, provider?
A. Serosanguineous drainage on the dressing
B. Pain level of 6 on a scale of 0 to 10
C. Productive cough with yellow sputum
D. Urinary output of 150 mL over the last 8 hours
🟢 C. Productive cough with yellow sputum
🔴 Explanation: Using the airway, breathing, circulation (ABC) priority framework, a
productive cough with yellow sputum indicates a potential respiratory infection or
pneumonia, which is a significant postoperative complication requiring immediate
intervention.
2. A nurse is reviewing the laboratory results for a client who is receiving heparin via
continuous IV infusion. Which of the following results should the nurse report to the
provider?
A. aPTT of 75 seconds
B. Platelets 95,000/mm3
C. Hgb 14 g/dL
D. INR 1.1
,🟢 B. Platelets 95,000/mm3
🔴 Explanation: A platelet count below 100,000/mm3 while receiving heparin is a sign of
heparin-induced thrombocytopenia (HIT), a life-threatening condition that requires
immediate cessation of heparin.
3. A nurse is providing teaching to a client who has a new prescription for lithium
carbonate. Which of the following instructions should the nurse include?
A. Limit sodium intake to 1,500 mg per day
B. Drink 2 to 3 liters of fluid daily
C. Take the medication on an empty stomach
D. Expect a weight loss of 2 to 3 pounds in the first week
🟢 B. Drink 2 to 3 liters of fluid daily
🔴 Explanation: Lithium is a salt, and adequate fluid intake is essential to prevent lithium
toxicity. Sodium intake should remain consistent, as fluctuations can affect lithium levels.
4. A nurse is assessing a client who has a chest tube connected to a water-seal
drainage system. Which of the following findings should the nurse report to the
provider?
, A. Constant bubbling in the water-seal chamber
B. Fluctuations in the water level with respiration
C. 50 mL of serosanguineous fluid in the collection chamber over 1 hour
D. Crepitus around the insertion site
🟢 A. Constant bubbling in the water-seal chamber
🔴 Explanation: Constant bubbling in the water-seal chamber indicates an air leak in the
system. Tidaling (fluctuations) is a normal finding.
5. A nurse is caring for a client who is in the active phase of labor. The nurse observes
a late deceleration on the fetal monitor strip. Which of the following actions should
the nurse take first?
A. Administer oxygen via nonrebreather mask
B. Increase the rate of the IV maintenance fluids
C. Assist the client into a side-lying position
D. Document the finding in the medical record
🟢 C. Assist the client into a side-lying position
🔴 Explanation: The first action the nurse should take is to turn the client to a side-lying
position to improve placental perfusion and relieve pressure on the vena cava.
