ATI RN Comprehensive Predictor Practice Exam
(2026/2027)
Exam Questions
1. A nurse is caring for a client who is 24 hours postoperative following a total
hip arthroplasty. Which of the following actions should the nurse take?
A. Maintain the affected leg in an adducted position.
B. Place a pillow between the client's legs when turning.
C. Elevate the knee gatch on the bed 45 degrees.
D. Instruct the client to bend forward at the waist to put on socks.
2. A nurse in the emergency department is assessing a client who has a femur
fracture. Which of the following findings should the nurse identify as an early
manifestation of fat embolism syndrome (FES)?
A. Dyspnea and tachypnea
B. Petechiae on the chest and neck
C. Bradycardia and hypertension
D. Decreased deep tendon reflexes
3. A nurse is planning care for a client who is prescribed continuous inside-the-
vein (IV) heparin therapy for a deep vein thrombosis (DVT). Which of the
following laboratory values should the nurse monitor to adjust the medication
dosage?
A. Prothrombin time (PT)
B. International normalized ratio (INR)
C. Activated partial thromboplastin time (aPTT)
D. Platelet count
4. A nurse is caring for a client who is in active labor and notes late
decelerations on the fetal monitor strip. Which of the following actions should
the nurse take first?
A. Administer oxygen via a nonrebreather mask.
B. Turn the client onto her left side.
C. Increase the rate of the maintenance IV fluids.
D. Notify the primary care provider.
5. A nurse is assessing a child who has suspected bacterial meningitis. Which
of the following clinical findings should the nurse expect?
A. Negative Kernig's sign
B. Flaccid paralysis
C. Photophobia and neck stiffness
D. Increased orientation to time and place
6. A nurse is admitting a client who has a history of schizophrenia and is
experiencing auditory hallucinations. Which of the following responses by the
nurse is appropriate?
A. "I don't hear the voices, but I understand that they are real to you."
B. "Why do you think the voices are talking to you right now?"
C. "The voices are not real; you need to try to ignore them."
D. "What are the voices telling you to do?"
, 7. A charge nurse is reviewing the assignment of a licensed practical nurse
(LPN) on the medical-surgical unit. Which of the following tasks is appropriate
for the charge nurse to delegate to the LPN?
A. Performing the initial admission assessment for a new client
B. Developing the plan of care for a client who has diabetes mellitus
C. Providing discharge teaching to a client who had a laparoscopic
cholecystectomy
D. Administering a scheduled subcutaneous insulin injection
8. A nurse is preparing to administer digoxin 0.25 mg PO daily to a client who
has heart failure. Which of the following parameters should the nurse evaluate
prior to administration?
A. Apical pulse rate for 1 full minute
B. Blood pressure in both arms
C. Serum potassium level from three days ago
D. Respiratory rate and oxygen saturation
9. A nurse is teaching a client who has a new prescription for lithium carbonate
to treat bipolar disorder. Which of the following instructions should the nurse
include?
A. Limit sodium intake to less than 1,500 mg per day.
B. Maintain a fluid intake of 2 to 3 liters per day.
C. Take the medication on an empty stomach.
D. Stop taking the medication if fine hand tremors develop.
10. A nurse is assessing a client who is 12 hours postpartum. The nurse notes
the fundus is boggy and displaced to the right of the midline. Which of the
following actions should the nurse take first?
A. Administer oxytocin IV.
B. Massage the client's fundus.
C. Assist the client to the bathroom to void.
D. Notify the provider immediately.
Answer Key & Explanations
1. Correct Option: B
🟢 B is correct because placing an abduction pillow or a regular pillow between
the legs prevents adduction and subluxation/dislocation of the new prosthetic
hip joint.
(2026/2027)
Exam Questions
1. A nurse is caring for a client who is 24 hours postoperative following a total
hip arthroplasty. Which of the following actions should the nurse take?
A. Maintain the affected leg in an adducted position.
B. Place a pillow between the client's legs when turning.
C. Elevate the knee gatch on the bed 45 degrees.
D. Instruct the client to bend forward at the waist to put on socks.
2. A nurse in the emergency department is assessing a client who has a femur
fracture. Which of the following findings should the nurse identify as an early
manifestation of fat embolism syndrome (FES)?
A. Dyspnea and tachypnea
B. Petechiae on the chest and neck
C. Bradycardia and hypertension
D. Decreased deep tendon reflexes
3. A nurse is planning care for a client who is prescribed continuous inside-the-
vein (IV) heparin therapy for a deep vein thrombosis (DVT). Which of the
following laboratory values should the nurse monitor to adjust the medication
dosage?
A. Prothrombin time (PT)
B. International normalized ratio (INR)
C. Activated partial thromboplastin time (aPTT)
D. Platelet count
4. A nurse is caring for a client who is in active labor and notes late
decelerations on the fetal monitor strip. Which of the following actions should
the nurse take first?
A. Administer oxygen via a nonrebreather mask.
B. Turn the client onto her left side.
C. Increase the rate of the maintenance IV fluids.
D. Notify the primary care provider.
5. A nurse is assessing a child who has suspected bacterial meningitis. Which
of the following clinical findings should the nurse expect?
A. Negative Kernig's sign
B. Flaccid paralysis
C. Photophobia and neck stiffness
D. Increased orientation to time and place
6. A nurse is admitting a client who has a history of schizophrenia and is
experiencing auditory hallucinations. Which of the following responses by the
nurse is appropriate?
A. "I don't hear the voices, but I understand that they are real to you."
B. "Why do you think the voices are talking to you right now?"
C. "The voices are not real; you need to try to ignore them."
D. "What are the voices telling you to do?"
, 7. A charge nurse is reviewing the assignment of a licensed practical nurse
(LPN) on the medical-surgical unit. Which of the following tasks is appropriate
for the charge nurse to delegate to the LPN?
A. Performing the initial admission assessment for a new client
B. Developing the plan of care for a client who has diabetes mellitus
C. Providing discharge teaching to a client who had a laparoscopic
cholecystectomy
D. Administering a scheduled subcutaneous insulin injection
8. A nurse is preparing to administer digoxin 0.25 mg PO daily to a client who
has heart failure. Which of the following parameters should the nurse evaluate
prior to administration?
A. Apical pulse rate for 1 full minute
B. Blood pressure in both arms
C. Serum potassium level from three days ago
D. Respiratory rate and oxygen saturation
9. A nurse is teaching a client who has a new prescription for lithium carbonate
to treat bipolar disorder. Which of the following instructions should the nurse
include?
A. Limit sodium intake to less than 1,500 mg per day.
B. Maintain a fluid intake of 2 to 3 liters per day.
C. Take the medication on an empty stomach.
D. Stop taking the medication if fine hand tremors develop.
10. A nurse is assessing a client who is 12 hours postpartum. The nurse notes
the fundus is boggy and displaced to the right of the midline. Which of the
following actions should the nurse take first?
A. Administer oxytocin IV.
B. Massage the client's fundus.
C. Assist the client to the bathroom to void.
D. Notify the provider immediately.
Answer Key & Explanations
1. Correct Option: B
🟢 B is correct because placing an abduction pillow or a regular pillow between
the legs prevents adduction and subluxation/dislocation of the new prosthetic
hip joint.
