ATI RN Comprehensive Predictor 2024
A nurse is preparing to initiate intravenous fluids via an infusion pump for a client. Which of the
following actions should the nurse take?
A. Check the expiration date of the safety inspection sticker of the pump.
B. Verify the medication order.
C. Conduct a blood pressure check.
D. Educate the client about the procedure.
A nurse is caring for a patient with congestive heart failure. Which dietary change should the
nurse recommend?
A. Increase sodium intake.
B. Limit fluid intake.
C. Increase saturated fats.
D. Eat more processed foods.
Answer: B. Limit fluid intake.
A nurse is caring for a patient diagnosed with diabetes insipidus. What assessment finding is
most characteristic of this condition?
A. Oliguria
B. Polyuria
C. Weight gain
D. Edema
Answer: B. Polyuria.
A patient with a history of hypertension is prescribed a diuretic. What is the most important
assessment for the nurse to monitor?
A. Weight
B. Blood pressure
C. Serum potassium levels
D. Fluid intake
Answer: C. Serum potassium levels.
A nurse identifies that a patient is experiencing dysphagia. Which action should the nurse take
first?
A. Offer the patient thickened fluids.
B. Discuss dietary modifications with the patient.
C. Assess the patient’s swallowing ability.
D. Consult a speech therapist.
Answer: C. Assess the patient’s swallowing ability.
,A patient is receiving chemotherapy and reports nausea. Which of the following medications
should the nurse anticipate administering?
A. Laxative
B. Antiemetic
C. Antihistamine
D. Pain reliever
Answer: B. Antiemetic.
A nurse is preparing a sterile dressing for a wound. Which principle should guide the nurse's
actions?
A. Sterile objects can be placed on a clean surface.
B. A one-inch border around the dressing is not considered sterile.
C. The nurse can reach over a sterile field.
D. Items below waist level are considered sterile.
Answer: B. A one-inch border around the dressing is not considered sterile.
A nurse is caring for a patient with a chest tube. What is the most important nursing action for
the nurse to take?
A. Keep the drainage system below the level of the patient’s chest.
B. Clamp the chest tube periodically to assess lung function.
C. Change the dressing daily.
D. Tape the chest tube to the bedside.
Answer: A. Keep the drainage system below the level of the patient’s chest.
A nurse is monitoring a patient who has just been administered an opiate. Which observation
warrants immediate intervention?
A. Drowsiness
B. Respiratory rate of 8 breaths per minute
C. Blood pressure 110/70 mmHg
D. Heart rate of 70 beats per minute
Answer: B. Respiratory rate of 8 breaths per minute.
A nurse assesses a patient with a fresh surgical incision. Which finding would be most
concerning?
A. Redness at the incision site
B. Clear drainage from the incision
C. Increased edema around the incision
D. Pain at the incision site
Answer: C. Increased edema around the incision.
Which type of drainage system is used to help prevent air from entering the chest cavity?
A. Hemovac
B. Jackson-Pratt
C. Thoracostomy
, D. Penrose
Answer: C. Thoracostomy.
A patient with chronic kidney disease is receiving erythropoietin. What is the primary goal of
this medication?
A. Increase blood pressure
B. Decrease potassium levels
C. Stimulate red blood cell production
D. Promote calcium absorption
Answer: C. Stimulate red blood cell production.
A nurse is caring for a patient diagnosed with pneumonia. Which finding would indicate a need
for further intervention?
A. Productive cough with green sputum
B. Oxygen saturation of 92%
C. Respiratory rate of 20 breaths per minute
D. Clear lung sounds after treatment
Answer: A. Productive cough with green sputum.
A nurse is providing discharge education to a patient with a new colostomy. Which statement
indicates the need for further teaching?
A. "I need to empty my bag when it is one-third full."
B. "I can swim and bathe with my colostomy."
C. "I should eat a low-fiber diet to avoid blockages."
D. "I should avoid all fruits and vegetables."
Answer: D. "I should avoid all fruits and vegetables."
A nurse is caring for a patient with a history of seizures. Which is the most important nursing
intervention?
A. Keep the patient in a calm environment.
B. Pad the side rails of the bed.
C. Administer anticonvulsant medication as prescribed.
D. Keep a suction machine at the bedside.
Answer: C. Administer anticonvulsant medication as prescribed.
A nurse is assessing a patient in shock. Which finding is most indicative of hypovolemic shock?
A. Increased heart rate
B. Warm, flushed skin
C. Increased blood pressure
D. Decreased respiratory rate
Answer: A. Increased heart rate.
A nurse is preparing to administer an intravenous medication. Which action should be taken
first?
A nurse is preparing to initiate intravenous fluids via an infusion pump for a client. Which of the
following actions should the nurse take?
A. Check the expiration date of the safety inspection sticker of the pump.
B. Verify the medication order.
C. Conduct a blood pressure check.
D. Educate the client about the procedure.
A nurse is caring for a patient with congestive heart failure. Which dietary change should the
nurse recommend?
A. Increase sodium intake.
B. Limit fluid intake.
C. Increase saturated fats.
D. Eat more processed foods.
Answer: B. Limit fluid intake.
A nurse is caring for a patient diagnosed with diabetes insipidus. What assessment finding is
most characteristic of this condition?
A. Oliguria
B. Polyuria
C. Weight gain
D. Edema
Answer: B. Polyuria.
A patient with a history of hypertension is prescribed a diuretic. What is the most important
assessment for the nurse to monitor?
A. Weight
B. Blood pressure
C. Serum potassium levels
D. Fluid intake
Answer: C. Serum potassium levels.
A nurse identifies that a patient is experiencing dysphagia. Which action should the nurse take
first?
A. Offer the patient thickened fluids.
B. Discuss dietary modifications with the patient.
C. Assess the patient’s swallowing ability.
D. Consult a speech therapist.
Answer: C. Assess the patient’s swallowing ability.
,A patient is receiving chemotherapy and reports nausea. Which of the following medications
should the nurse anticipate administering?
A. Laxative
B. Antiemetic
C. Antihistamine
D. Pain reliever
Answer: B. Antiemetic.
A nurse is preparing a sterile dressing for a wound. Which principle should guide the nurse's
actions?
A. Sterile objects can be placed on a clean surface.
B. A one-inch border around the dressing is not considered sterile.
C. The nurse can reach over a sterile field.
D. Items below waist level are considered sterile.
Answer: B. A one-inch border around the dressing is not considered sterile.
A nurse is caring for a patient with a chest tube. What is the most important nursing action for
the nurse to take?
A. Keep the drainage system below the level of the patient’s chest.
B. Clamp the chest tube periodically to assess lung function.
C. Change the dressing daily.
D. Tape the chest tube to the bedside.
Answer: A. Keep the drainage system below the level of the patient’s chest.
A nurse is monitoring a patient who has just been administered an opiate. Which observation
warrants immediate intervention?
A. Drowsiness
B. Respiratory rate of 8 breaths per minute
C. Blood pressure 110/70 mmHg
D. Heart rate of 70 beats per minute
Answer: B. Respiratory rate of 8 breaths per minute.
A nurse assesses a patient with a fresh surgical incision. Which finding would be most
concerning?
A. Redness at the incision site
B. Clear drainage from the incision
C. Increased edema around the incision
D. Pain at the incision site
Answer: C. Increased edema around the incision.
Which type of drainage system is used to help prevent air from entering the chest cavity?
A. Hemovac
B. Jackson-Pratt
C. Thoracostomy
, D. Penrose
Answer: C. Thoracostomy.
A patient with chronic kidney disease is receiving erythropoietin. What is the primary goal of
this medication?
A. Increase blood pressure
B. Decrease potassium levels
C. Stimulate red blood cell production
D. Promote calcium absorption
Answer: C. Stimulate red blood cell production.
A nurse is caring for a patient diagnosed with pneumonia. Which finding would indicate a need
for further intervention?
A. Productive cough with green sputum
B. Oxygen saturation of 92%
C. Respiratory rate of 20 breaths per minute
D. Clear lung sounds after treatment
Answer: A. Productive cough with green sputum.
A nurse is providing discharge education to a patient with a new colostomy. Which statement
indicates the need for further teaching?
A. "I need to empty my bag when it is one-third full."
B. "I can swim and bathe with my colostomy."
C. "I should eat a low-fiber diet to avoid blockages."
D. "I should avoid all fruits and vegetables."
Answer: D. "I should avoid all fruits and vegetables."
A nurse is caring for a patient with a history of seizures. Which is the most important nursing
intervention?
A. Keep the patient in a calm environment.
B. Pad the side rails of the bed.
C. Administer anticonvulsant medication as prescribed.
D. Keep a suction machine at the bedside.
Answer: C. Administer anticonvulsant medication as prescribed.
A nurse is assessing a patient in shock. Which finding is most indicative of hypovolemic shock?
A. Increased heart rate
B. Warm, flushed skin
C. Increased blood pressure
D. Decreased respiratory rate
Answer: A. Increased heart rate.
A nurse is preparing to administer an intravenous medication. Which action should be taken
first?
