ATI RN Comprehensive Predictor Retake 2026 • Chamberlain Nursing |
200 Questions with Verified Answers
ATI RN COMPREHENSIVE PREDICTOR RETAKE
Chamberlain Nursing • 2026 Edition
250+ NGN-Style Q&A with Verified Answers & Detailed Rationales | High-
Yield A+ Study Guide
EXAM DETAILS STUDY INSTRUCTIONS
Questions: 250+ NGN-Style • Read each question carefully before
Format: Multiple Choice & SATA answering
Level: RN (Chamberlain) • Review all rationales after each block
• Focus on priority & safety concepts
Q1 A nurse is assessing a client who has received an antibiotic. The nurse should
identify which of the following findings as an indication of a possible allergic reaction
to the medication?
A. Bradycardia
B. Headache
C. Joint pain
D. Hypotension ✓ CORRECT
▸ Rationale: Hypotension is a systemic sign of anaphylactic reaction. Bradycardia,
headache, and joint pain are not typical allergic indicators. | Concept:
Pharmacology / Immune Response
Q2 A nurse on a mental health unit is caring for a client who has schizophrenia and is
experiencing auditory hallucinations telling them to hurt others. The client is refusing
to take anti-psychotic medication. Which of the following responses should the nurse
make?
A. "You should plan to take this medication for a few weeks."
B. "You will regret it if you do not take this medication."
C. "This medication will help you respond to the voices."
D. "This medication will help you stop the voices you are hearing." ✓ CORRECT
2026 | ATI RN COMPREHENSIVE PREDICTOR RETAKE|High-Yield Study Guide
,ATI RN Comprehensive Predictor Retake 2026 • Chamberlain Nursing |
200 Questions with Verified Answers
▸ Rationale: Explaining that the medication will help stop the voices addresses the
client's direct experience and promotes therapeutic alliance without coercion. |
Concept: Mental Health / Therapeutic Communication
Q3 A nurse is providing care for a patient who has depression and is to have
electroconvulsive therapy. Which of the following conditions should the nurse identify
as increasing the client's risk for complications?
A. Hyperthyroidism
B. Renal calculi
C. Diabetes mellitus
D. Cardiac dysrhythmias ✓ CORRECT
▸ Rationale: Cardiac dysrhythmias are a contraindication to ECT because the
procedure causes transient cardiovascular stress, increasing the risk of serious
arrhythmias. | Concept: Mental Health / ECT
Q4 A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis.
Which of the following findings should the nurse report to the provider?
A. WBC count 8,000/mm³
B. Platelets 150,000/mm³
C. Aspartate aminotransferase 10 units/L
D. Erythrocyte sedimentation rate 75 mm/hr ✓ CORRECT
▸ Rationale: An elevated ESR of 75 mm/hr indicates significant systemic
inflammation and requires reporting; it may guide medication adjustments in RA
management. | Concept: Musculoskeletal / Lab Values
Q5 A nurse is suctioning the airway of a client who is receiving mechanical ventilation
via an endotracheal tube. Which of the following findings should the nurse identify as
an indication that suctioning has been effective?
A. Presence of a productive cough
B. Decreased peak inspiratory pressure ✓ CORRECT
C. Thinning of mucous secretions
D. Flattening of the artificial airway cuff
2026 | ATI RN COMPREHENSIVE PREDICTOR RETAKE|High-Yield Study Guide
,ATI RN Comprehensive Predictor Retake 2026 • Chamberlain Nursing |
200 Questions with Verified Answers
▸ Rationale: Decreased peak inspiratory pressure indicates improved airway
patency, confirming that secretions have been cleared and airway resistance has
decreased. | Concept: Respiratory / Airway Management
Q6 A nurse is caring for a client who is in a seclusion room following violent behavior.
The client continues to display aggressive behavior. Which of the following actions
should the nurse take?
A. Stand within 30cm (1 ft) of the client when speaking with them.
B. Express sympathy for the client's situation.
C. Confront the client about his behavior.
D. Speak assertively to the client. ✓ CORRECT
▸ Rationale: Speaking assertively — using a calm, clear, firm tone — sets safe limits
without provoking escalation. Standing too close or confronting increases risk. |
Concept: Mental Health / De-escalation
Q7 A nurse is caring for a client who is immediately postoperative following an
adrenalectomy to treat Cushing's disease. Which of the following actions is the nurse's
priority?
A. Reposition the client for comfort every 2 hours
B. Observe for any indications of infection
C. Document amount and color of the incisional drainage.
D. Monitor the client's fluid and electrolyte status ✓ CORRECT
▸ Rationale: Following adrenalectomy, cortisol production drops sharply. Fluid and
electrolyte imbalances (especially hypotension and hyponatremia) are life-
threatening priorities. | Concept: Endocrine / Post-operative Care
Q8 A nurse is caring for a client who is scheduled for a surgical procedure and states,
"I don't want to have this surgery anymore." Which of the following responses should
the nurse make?
A. "We can manage your care following the procedure without complications."
B. "You have the right to refuse the procedure." ✓ CORRECT
C. "Your doctor thinks the surgery is necessary."
D. "Let me review the procedure so you can understand what is going to happen."
2026 | ATI RN COMPREHENSIVE PREDICTOR RETAKE|High-Yield Study Guide
, ATI RN Comprehensive Predictor Retake 2026 • Chamberlain Nursing |
200 Questions with Verified Answers
▸ Rationale: Informed consent includes the right to withdraw at any time. The
nurse must acknowledge the client's autonomy before the surgery team can
proceed. | Concept: Professional Practice / Ethics
Q9 A nurse is caring for a client who has congestive heart failure and is receiving
furosemide and digoxin. Which of the following laboratory values indicates that the
client is at risk for developing digoxin toxicity?
A. Glucose 150 mg/dL
B. Magnesium 1.3 mEq/L
C. Potassium 3.1 mEq/L ✓ CORRECT
D. Sodium 134 mEq/L
▸ Rationale: Hypokalemia (K⁺ < 3.5 mEq/L) sensitizes the myocardium to digoxin.
Furosemide causes potassium loss, increasing digoxin toxicity risk. | Concept:
Cardiology / Pharmacology
Q10 A nurse is caring for a client who had an embolic stroke and has a prescription for
alteplase. Which of the following in the client's history should the nurse identify as a
contraindication for receiving alteplase?
A. Hip arthroplasty 1 week ago ✓ CORRECT
B. Obstructive lungs disease
C. Retinal detachment
D. Acute kidney failure 6 months ago
▸ Rationale: Major surgery within 14 days is a contraindication to tPA/alteplase due
to high bleeding risk at the surgical site. | Concept: Neurology / Pharmacology
Q11 A nurse is providing teaching to a client who has a new prescription for
enoxaparin. Which of the following medications for pain relief should the nurse
include in the teaching that can be taken concurrently with enoxaparin?
A. Naproxen sodium
B. Ibuprofen
C. Acetaminophen ✓ CORRECT
D. Aspirin
2026 | ATI RN COMPREHENSIVE PREDICTOR RETAKE|High-Yield Study Guide
200 Questions with Verified Answers
ATI RN COMPREHENSIVE PREDICTOR RETAKE
Chamberlain Nursing • 2026 Edition
250+ NGN-Style Q&A with Verified Answers & Detailed Rationales | High-
Yield A+ Study Guide
EXAM DETAILS STUDY INSTRUCTIONS
Questions: 250+ NGN-Style • Read each question carefully before
Format: Multiple Choice & SATA answering
Level: RN (Chamberlain) • Review all rationales after each block
• Focus on priority & safety concepts
Q1 A nurse is assessing a client who has received an antibiotic. The nurse should
identify which of the following findings as an indication of a possible allergic reaction
to the medication?
A. Bradycardia
B. Headache
C. Joint pain
D. Hypotension ✓ CORRECT
▸ Rationale: Hypotension is a systemic sign of anaphylactic reaction. Bradycardia,
headache, and joint pain are not typical allergic indicators. | Concept:
Pharmacology / Immune Response
Q2 A nurse on a mental health unit is caring for a client who has schizophrenia and is
experiencing auditory hallucinations telling them to hurt others. The client is refusing
to take anti-psychotic medication. Which of the following responses should the nurse
make?
A. "You should plan to take this medication for a few weeks."
B. "You will regret it if you do not take this medication."
C. "This medication will help you respond to the voices."
D. "This medication will help you stop the voices you are hearing." ✓ CORRECT
2026 | ATI RN COMPREHENSIVE PREDICTOR RETAKE|High-Yield Study Guide
,ATI RN Comprehensive Predictor Retake 2026 • Chamberlain Nursing |
200 Questions with Verified Answers
▸ Rationale: Explaining that the medication will help stop the voices addresses the
client's direct experience and promotes therapeutic alliance without coercion. |
Concept: Mental Health / Therapeutic Communication
Q3 A nurse is providing care for a patient who has depression and is to have
electroconvulsive therapy. Which of the following conditions should the nurse identify
as increasing the client's risk for complications?
A. Hyperthyroidism
B. Renal calculi
C. Diabetes mellitus
D. Cardiac dysrhythmias ✓ CORRECT
▸ Rationale: Cardiac dysrhythmias are a contraindication to ECT because the
procedure causes transient cardiovascular stress, increasing the risk of serious
arrhythmias. | Concept: Mental Health / ECT
Q4 A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis.
Which of the following findings should the nurse report to the provider?
A. WBC count 8,000/mm³
B. Platelets 150,000/mm³
C. Aspartate aminotransferase 10 units/L
D. Erythrocyte sedimentation rate 75 mm/hr ✓ CORRECT
▸ Rationale: An elevated ESR of 75 mm/hr indicates significant systemic
inflammation and requires reporting; it may guide medication adjustments in RA
management. | Concept: Musculoskeletal / Lab Values
Q5 A nurse is suctioning the airway of a client who is receiving mechanical ventilation
via an endotracheal tube. Which of the following findings should the nurse identify as
an indication that suctioning has been effective?
A. Presence of a productive cough
B. Decreased peak inspiratory pressure ✓ CORRECT
C. Thinning of mucous secretions
D. Flattening of the artificial airway cuff
2026 | ATI RN COMPREHENSIVE PREDICTOR RETAKE|High-Yield Study Guide
,ATI RN Comprehensive Predictor Retake 2026 • Chamberlain Nursing |
200 Questions with Verified Answers
▸ Rationale: Decreased peak inspiratory pressure indicates improved airway
patency, confirming that secretions have been cleared and airway resistance has
decreased. | Concept: Respiratory / Airway Management
Q6 A nurse is caring for a client who is in a seclusion room following violent behavior.
The client continues to display aggressive behavior. Which of the following actions
should the nurse take?
A. Stand within 30cm (1 ft) of the client when speaking with them.
B. Express sympathy for the client's situation.
C. Confront the client about his behavior.
D. Speak assertively to the client. ✓ CORRECT
▸ Rationale: Speaking assertively — using a calm, clear, firm tone — sets safe limits
without provoking escalation. Standing too close or confronting increases risk. |
Concept: Mental Health / De-escalation
Q7 A nurse is caring for a client who is immediately postoperative following an
adrenalectomy to treat Cushing's disease. Which of the following actions is the nurse's
priority?
A. Reposition the client for comfort every 2 hours
B. Observe for any indications of infection
C. Document amount and color of the incisional drainage.
D. Monitor the client's fluid and electrolyte status ✓ CORRECT
▸ Rationale: Following adrenalectomy, cortisol production drops sharply. Fluid and
electrolyte imbalances (especially hypotension and hyponatremia) are life-
threatening priorities. | Concept: Endocrine / Post-operative Care
Q8 A nurse is caring for a client who is scheduled for a surgical procedure and states,
"I don't want to have this surgery anymore." Which of the following responses should
the nurse make?
A. "We can manage your care following the procedure without complications."
B. "You have the right to refuse the procedure." ✓ CORRECT
C. "Your doctor thinks the surgery is necessary."
D. "Let me review the procedure so you can understand what is going to happen."
2026 | ATI RN COMPREHENSIVE PREDICTOR RETAKE|High-Yield Study Guide
, ATI RN Comprehensive Predictor Retake 2026 • Chamberlain Nursing |
200 Questions with Verified Answers
▸ Rationale: Informed consent includes the right to withdraw at any time. The
nurse must acknowledge the client's autonomy before the surgery team can
proceed. | Concept: Professional Practice / Ethics
Q9 A nurse is caring for a client who has congestive heart failure and is receiving
furosemide and digoxin. Which of the following laboratory values indicates that the
client is at risk for developing digoxin toxicity?
A. Glucose 150 mg/dL
B. Magnesium 1.3 mEq/L
C. Potassium 3.1 mEq/L ✓ CORRECT
D. Sodium 134 mEq/L
▸ Rationale: Hypokalemia (K⁺ < 3.5 mEq/L) sensitizes the myocardium to digoxin.
Furosemide causes potassium loss, increasing digoxin toxicity risk. | Concept:
Cardiology / Pharmacology
Q10 A nurse is caring for a client who had an embolic stroke and has a prescription for
alteplase. Which of the following in the client's history should the nurse identify as a
contraindication for receiving alteplase?
A. Hip arthroplasty 1 week ago ✓ CORRECT
B. Obstructive lungs disease
C. Retinal detachment
D. Acute kidney failure 6 months ago
▸ Rationale: Major surgery within 14 days is a contraindication to tPA/alteplase due
to high bleeding risk at the surgical site. | Concept: Neurology / Pharmacology
Q11 A nurse is providing teaching to a client who has a new prescription for
enoxaparin. Which of the following medications for pain relief should the nurse
include in the teaching that can be taken concurrently with enoxaparin?
A. Naproxen sodium
B. Ibuprofen
C. Acetaminophen ✓ CORRECT
D. Aspirin
2026 | ATI RN COMPREHENSIVE PREDICTOR RETAKE|High-Yield Study Guide
