ATI PN comprehensive predictor 2021_ 2022
exam reviewed exam questions and answers
GUARANTEED SUCCESS
1. A nurse is preparing to administer digoxin to a client. Which of the following findings should
cause the nurse to withhold the medication?
A. Heart rate 62 bpm
B. Potassium level 4.1 mEq/L
C. Digoxin level 0.8 ng/mL
D. Apical pulse 55 bpm
Correct Answer: D
Rationale: Digoxin should be withheld if the apical pulse is below 60 bpm due to the risk of
bradycardia.
2. A nurse is reinforcing teaching to a client with iron-deficiency anemia. Which meal choice
indicates understanding?
A. Oatmeal and milk
B. Spinach salad with oranges
C. Chicken sandwich with lettuce
D. Toast with jelly and tea
,Correct Answer: B
Rationale: Spinach and oranges are rich in iron and vitamin C, which enhances iron absorption.
3. A client receiving furosemide reports muscle cramps. What should the nurse suspect?
A. Hypernatremia
B. Hypokalemia
C. Hyperkalemia
D. Hyponatremia
Correct Answer: B
Rationale: Furosemide is a loop diuretic that causes potassium loss, leading to muscle cramps.
4. Which action should the nurse take first when caring for a client having a seizure?
A. Restrain the client
B. Insert an oral airway
C. Move objects away from the client
D. Take vital signs
Correct Answer: C
Rationale: The priority is to prevent injury by moving objects away.
5. A nurse is caring for a client with COPD. Which finding requires immediate attention?
A. Productive cough
B. Oxygen saturation of 88%
C. Clubbing of fingers
D. Respiratory rate of 10/min
Correct Answer: D
Rationale: A respiratory rate of 10/min may indicate respiratory depression and requires
immediate intervention.
,6. A nurse is reinforcing teaching about insulin administration. What indicates understanding?
A. "I will inject insulin into the same site each time."
B. "I’ll shake the vial before use."
C. "I will rotate injection sites to prevent lipodystrophy."
D. "I’ll use the deltoid muscle for injections."
Correct Answer: C
Rationale: Rotating injection sites helps prevent tissue damage and absorption issues.
7. A client on warfarin has an INR of 5.0. What action should the nurse take?
A. Administer the dose as prescribed
B. Prepare to administer vitamin K
C. Encourage intake of green leafy vegetables
D. Repeat the test in 8 hours
Correct Answer: B
Rationale: An INR of 5.0 is above therapeutic range; vitamin K is the antidote to reduce
bleeding risk.
8. A nurse is reviewing dietary choices with a client taking lithium. Which food should the client
avoid excessive intake of?
A. Bananas
B. Salt
C. Oranges
D. Dairy
Correct Answer: B
Rationale: Lithium levels can be affected by sodium intake; excessive changes in salt intake can
lead to toxicity or subtherapeutic levels.
, 9. What is the priority nursing action for a client with newly inserted tracheostomy who begins
coughing and expels the trach tube?
A. Call the provider
B. Cover stoma with sterile gauze
C. Use a resuscitation bag over the stoma
D. Insert a new sterile tracheostomy tube
Correct Answer: D
Rationale: Reinserting a new sterile tube maintains airway patency.
10. Which finding should the nurse report immediately in a pregnant client at 34 weeks?
A. Hemoglobin 11 g/dL
B. Heartburn
C. Visual disturbances
D. Frequent urination
Correct Answer: C
Rationale: Visual disturbances may indicate preeclampsia and require urgent evaluation.
11. A nurse is reinforcing teaching to a client with GERD. Which statement indicates a need for
further instruction?
A. "I will eat small frequent meals."
B. "I should avoid chocolate and peppermint."
C. "I’ll lie down right after eating to help digestion."
D. "I’ll elevate the head of my bed."
Correct Answer: C
Rationale: Lying down after meals increases reflux. Clients should remain upright.
12. A nurse is preparing to administer ear drops to a 3-year-old child. How should the nurse
position the ear?
exam reviewed exam questions and answers
GUARANTEED SUCCESS
1. A nurse is preparing to administer digoxin to a client. Which of the following findings should
cause the nurse to withhold the medication?
A. Heart rate 62 bpm
B. Potassium level 4.1 mEq/L
C. Digoxin level 0.8 ng/mL
D. Apical pulse 55 bpm
Correct Answer: D
Rationale: Digoxin should be withheld if the apical pulse is below 60 bpm due to the risk of
bradycardia.
2. A nurse is reinforcing teaching to a client with iron-deficiency anemia. Which meal choice
indicates understanding?
A. Oatmeal and milk
B. Spinach salad with oranges
C. Chicken sandwich with lettuce
D. Toast with jelly and tea
,Correct Answer: B
Rationale: Spinach and oranges are rich in iron and vitamin C, which enhances iron absorption.
3. A client receiving furosemide reports muscle cramps. What should the nurse suspect?
A. Hypernatremia
B. Hypokalemia
C. Hyperkalemia
D. Hyponatremia
Correct Answer: B
Rationale: Furosemide is a loop diuretic that causes potassium loss, leading to muscle cramps.
4. Which action should the nurse take first when caring for a client having a seizure?
A. Restrain the client
B. Insert an oral airway
C. Move objects away from the client
D. Take vital signs
Correct Answer: C
Rationale: The priority is to prevent injury by moving objects away.
5. A nurse is caring for a client with COPD. Which finding requires immediate attention?
A. Productive cough
B. Oxygen saturation of 88%
C. Clubbing of fingers
D. Respiratory rate of 10/min
Correct Answer: D
Rationale: A respiratory rate of 10/min may indicate respiratory depression and requires
immediate intervention.
,6. A nurse is reinforcing teaching about insulin administration. What indicates understanding?
A. "I will inject insulin into the same site each time."
B. "I’ll shake the vial before use."
C. "I will rotate injection sites to prevent lipodystrophy."
D. "I’ll use the deltoid muscle for injections."
Correct Answer: C
Rationale: Rotating injection sites helps prevent tissue damage and absorption issues.
7. A client on warfarin has an INR of 5.0. What action should the nurse take?
A. Administer the dose as prescribed
B. Prepare to administer vitamin K
C. Encourage intake of green leafy vegetables
D. Repeat the test in 8 hours
Correct Answer: B
Rationale: An INR of 5.0 is above therapeutic range; vitamin K is the antidote to reduce
bleeding risk.
8. A nurse is reviewing dietary choices with a client taking lithium. Which food should the client
avoid excessive intake of?
A. Bananas
B. Salt
C. Oranges
D. Dairy
Correct Answer: B
Rationale: Lithium levels can be affected by sodium intake; excessive changes in salt intake can
lead to toxicity or subtherapeutic levels.
, 9. What is the priority nursing action for a client with newly inserted tracheostomy who begins
coughing and expels the trach tube?
A. Call the provider
B. Cover stoma with sterile gauze
C. Use a resuscitation bag over the stoma
D. Insert a new sterile tracheostomy tube
Correct Answer: D
Rationale: Reinserting a new sterile tube maintains airway patency.
10. Which finding should the nurse report immediately in a pregnant client at 34 weeks?
A. Hemoglobin 11 g/dL
B. Heartburn
C. Visual disturbances
D. Frequent urination
Correct Answer: C
Rationale: Visual disturbances may indicate preeclampsia and require urgent evaluation.
11. A nurse is reinforcing teaching to a client with GERD. Which statement indicates a need for
further instruction?
A. "I will eat small frequent meals."
B. "I should avoid chocolate and peppermint."
C. "I’ll lie down right after eating to help digestion."
D. "I’ll elevate the head of my bed."
Correct Answer: C
Rationale: Lying down after meals increases reflux. Clients should remain upright.
12. A nurse is preparing to administer ear drops to a 3-year-old child. How should the nurse
position the ear?
