ATI COMPREHENSIVE PREDICTOR – QUESTIONS AND
ANSWERS | VERIFIED AND WELL DETAILED ANSWERS | PLUS
RATIONALES MUST BE IN ITALICS| GUARANTEED PASS |
LATEST EXAM UPDATE
• CORE DOMAINS*
- Adult Medical-Surgical Nursing
- Pharmacology and Medication Administration
- Maternal-Newborn Nursing
- Pediatric Nursing
- Mental Health Nursing
- Leadership and Management
- Fundamentals of Nursing Practice
- Safety and Infection Control
- Health Assessment
- Ethical and Legal Nursing Practice
• INTRODUCTION*
The ATI Comprehensive Predictor assesses a nursing student's readiness for professional practice by
evaluating knowledge, clinical judgment, prioritization, patient safety, and evidence-based care. The
examination includes multiple-choice and scenario-based questions that reflect realistic healthcare
situations encountered in various clinical settings. Candidates are expected to apply foundational
nursing concepts, therapeutic communication skills, pharmacological knowledge, and critical thinking
abilities. Emphasis is placed on decision-making, prioritization of care, delegation, ethical
responsibilities, and patient-centered interventions. Success on this assessment demonstrates the
ability to integrate theoretical knowledge with practical clinical application in preparation for
licensure and professional nursing practice.
SECTION ONE: QUESTIONS 1–20
Question 1
A nurse is caring for a client experiencing hypoglycemia. Which finding requires immediate
intervention?
A. Blood glucose of 68 mg/dL
B. Tremors and diaphoresis
C. Confusion and inability to follow commands
D. Hunger and irritability
Correct Answer: C. Confusion and inability to follow commands
Explanation: Confusion and inability to follow commands indicate significant neuroglycopenia
and require immediate treatment to prevent seizures, coma, or permanent neurological injury.
Question 2
,A nurse is preparing to administer a medication. Which action follows the rights of medication
administration?
A. Verify the medication after administration
B. Compare the medication label with the prescription three times
C. Ask another nurse to administer the medication
D. Document before giving the medication
Correct Answer: B. Compare the medication label with the prescription three times
Explanation: Medication safety standards require comparing the medication label with the
prescription when obtaining, preparing, and administering the medication.
Question 3
A nurse is caring for a client who has heart failure. Which assessment finding indicates fluid volume
excess?
A. Dry mucous membranes
B. Hypotension
C. Bradycardia
D. Crackles in the lungs
Correct Answer: D. Crackles in the lungs
Explanation: Crackles suggest pulmonary congestion resulting from fluid accumulation, a
common manifestation of heart failure.
Question 4
A nurse is reinforcing teaching about infection prevention. Which statement by the client indicates
understanding?
A. "I should wash my hands before eating."
B. "Gloves replace hand hygiene."
C. "Antibiotics prevent all infections."
D. "Handwashing is only needed when hands look dirty."
Correct Answer: A. "I should wash my hands before eating."
Explanation: Hand hygiene is the most effective method of reducing transmission of
microorganisms and preventing infection.
Question 5
A nurse is caring for a postoperative client. Which finding should be reported immediately?
A. Pain rating of 4/10
B. Respiratory rate of 8/min
, C. Temperature of 99°F (37.2°C)
D. Blood pressure of 128/76 mm Hg
Correct Answer: B. Respiratory rate of 8/min
Explanation: A respiratory rate below 12/min may indicate respiratory depression, particularly
after anesthesia or opioid administration.
Question 6
A nurse is caring for a client with suspected stroke symptoms. What is the priority action?
A. Obtain a dietary history
B. Measure urine output
C. Assess airway and oxygenation
D. Administer oral fluids
Correct Answer: C. Assess airway and oxygenation
Explanation: Airway, breathing, and circulation always take priority. Oxygenation must be
ensured before other interventions.
Question 7
A nurse is teaching a client about hypertension. Which statement indicates understanding?
A. "I can stop my medication when I feel better."
B. "Reducing sodium intake may help lower my blood pressure."
C. "Exercise increases blood pressure permanently."
D. "Smoking has no effect on hypertension."
Correct Answer: B. "Reducing sodium intake may help lower my blood pressure."
Explanation: Reducing sodium intake helps decrease fluid retention and can contribute to blood
pressure control.
Question 8
A nurse is caring for a client receiving heparin therapy. Which laboratory value should be monitored?
A. INR
B. Hemoglobin A1C
C. aPTT
D. Potassium
Correct Answer: C. aPTT
Explanation: Activated partial thromboplastin time (aPTT) is used to evaluate therapeutic
effectiveness and safety of heparin therapy.
ANSWERS | VERIFIED AND WELL DETAILED ANSWERS | PLUS
RATIONALES MUST BE IN ITALICS| GUARANTEED PASS |
LATEST EXAM UPDATE
• CORE DOMAINS*
- Adult Medical-Surgical Nursing
- Pharmacology and Medication Administration
- Maternal-Newborn Nursing
- Pediatric Nursing
- Mental Health Nursing
- Leadership and Management
- Fundamentals of Nursing Practice
- Safety and Infection Control
- Health Assessment
- Ethical and Legal Nursing Practice
• INTRODUCTION*
The ATI Comprehensive Predictor assesses a nursing student's readiness for professional practice by
evaluating knowledge, clinical judgment, prioritization, patient safety, and evidence-based care. The
examination includes multiple-choice and scenario-based questions that reflect realistic healthcare
situations encountered in various clinical settings. Candidates are expected to apply foundational
nursing concepts, therapeutic communication skills, pharmacological knowledge, and critical thinking
abilities. Emphasis is placed on decision-making, prioritization of care, delegation, ethical
responsibilities, and patient-centered interventions. Success on this assessment demonstrates the
ability to integrate theoretical knowledge with practical clinical application in preparation for
licensure and professional nursing practice.
SECTION ONE: QUESTIONS 1–20
Question 1
A nurse is caring for a client experiencing hypoglycemia. Which finding requires immediate
intervention?
A. Blood glucose of 68 mg/dL
B. Tremors and diaphoresis
C. Confusion and inability to follow commands
D. Hunger and irritability
Correct Answer: C. Confusion and inability to follow commands
Explanation: Confusion and inability to follow commands indicate significant neuroglycopenia
and require immediate treatment to prevent seizures, coma, or permanent neurological injury.
Question 2
,A nurse is preparing to administer a medication. Which action follows the rights of medication
administration?
A. Verify the medication after administration
B. Compare the medication label with the prescription three times
C. Ask another nurse to administer the medication
D. Document before giving the medication
Correct Answer: B. Compare the medication label with the prescription three times
Explanation: Medication safety standards require comparing the medication label with the
prescription when obtaining, preparing, and administering the medication.
Question 3
A nurse is caring for a client who has heart failure. Which assessment finding indicates fluid volume
excess?
A. Dry mucous membranes
B. Hypotension
C. Bradycardia
D. Crackles in the lungs
Correct Answer: D. Crackles in the lungs
Explanation: Crackles suggest pulmonary congestion resulting from fluid accumulation, a
common manifestation of heart failure.
Question 4
A nurse is reinforcing teaching about infection prevention. Which statement by the client indicates
understanding?
A. "I should wash my hands before eating."
B. "Gloves replace hand hygiene."
C. "Antibiotics prevent all infections."
D. "Handwashing is only needed when hands look dirty."
Correct Answer: A. "I should wash my hands before eating."
Explanation: Hand hygiene is the most effective method of reducing transmission of
microorganisms and preventing infection.
Question 5
A nurse is caring for a postoperative client. Which finding should be reported immediately?
A. Pain rating of 4/10
B. Respiratory rate of 8/min
, C. Temperature of 99°F (37.2°C)
D. Blood pressure of 128/76 mm Hg
Correct Answer: B. Respiratory rate of 8/min
Explanation: A respiratory rate below 12/min may indicate respiratory depression, particularly
after anesthesia or opioid administration.
Question 6
A nurse is caring for a client with suspected stroke symptoms. What is the priority action?
A. Obtain a dietary history
B. Measure urine output
C. Assess airway and oxygenation
D. Administer oral fluids
Correct Answer: C. Assess airway and oxygenation
Explanation: Airway, breathing, and circulation always take priority. Oxygenation must be
ensured before other interventions.
Question 7
A nurse is teaching a client about hypertension. Which statement indicates understanding?
A. "I can stop my medication when I feel better."
B. "Reducing sodium intake may help lower my blood pressure."
C. "Exercise increases blood pressure permanently."
D. "Smoking has no effect on hypertension."
Correct Answer: B. "Reducing sodium intake may help lower my blood pressure."
Explanation: Reducing sodium intake helps decrease fluid retention and can contribute to blood
pressure control.
Question 8
A nurse is caring for a client receiving heparin therapy. Which laboratory value should be monitored?
A. INR
B. Hemoglobin A1C
C. aPTT
D. Potassium
Correct Answer: C. aPTT
Explanation: Activated partial thromboplastin time (aPTT) is used to evaluate therapeutic
effectiveness and safety of heparin therapy.
