ATI COMPREHENSIVE PREDICTOR EXAM 2024 ATI NCLEX
PREDICTOR 180 QUESTIONS AND CORRECT ANSWERS (90%
PROBABILITY OF PASSING THE NCLEX)
A nurse in an emergency department completes an assessment on an adolescent client that has conduct
disorder. The client threatened suicide to a teacher at school. Which of the following statements should
the nurse include in the assessment?
a)Tell me about your siblings?
B)Tell me what kind of music you like?
c) Tell me how often do you drink alcohol?
d) Tell me about your school schedule? Tell me how often do you drink
alcohol
A nurse is observing bonding to the client her newborn. Which of the following actions by the client
requires the nurse to intervene?
A- Holding the new born in an en face position b-
asking the father to change the newborns diaper
c- requesting the nurse to take the newborn nursery so she can rest d-
Viewing the newborns actions to be uncooperative
Viewing the newborns actions to be uncooperative
A nurse is caring for a client who is taking levothyroxine. Which of the following findings should indicate
that the medication is effective? A- Weight loss
b- Asking the father to change the newborns diaper
c- absence of seizures d- Decrease inflammation
Weightloss this drug acts as T4 and will normalize the effects of hypothyroidism
A nurse is planning discharge teaching for cord care for the parent of a newborn. Which instructions
would you include in the teaching?
A- contact the provider if the cord still turns black b- clean
the base of the cord with hydrogen peroxide daily
c- Keep the cord dry unitl it falls off d-
The cord stump will fall off in five days
Keep the cord dry until it falls off (cord
,should be kept clean and dry to prevent
infection, it will turn black, clean with
neutral ph cleanser, cord falls off in 10-
14 days)
A nurse is assessing a client in PACU. Which of the following findings indicates decreased cardiac
output? A- Shivering b- oliguria c- Bradypnea d- Constricted pupils
Oliguria
A nurse is assisting with mass casualty triage, explosion at a local factory. Which of the following client
should the nurse identify as the priority? A- A client that has massive head trauma
B- A client has full thickness burns to face and trunk
C- A client with indications of hypovolemic shock
D- A client with open fracture of the lower extremity
A client with indications of hypovolemic shock
A nurse is receiving report on four clients. Which of the following clients should the nurse asses first?
A- a client who has illegal conduit and mucus in the pouch b- Client pleasant arteriovenous
additional vibration palpated c- Client whose chronic kidney disease with cloudy diasylate outflow
D- A client was transurethral resection of the prostate with red tinged urine in the bag
A client whose chronic kidney disease with cloudy diasylate outflow
A nurse is caring for a client just received the first dose of lisinopril. The following is an appropriate
nursing intervention?
a- place's cardiac monitoring b- monitor the
clients oxygen saturation level c- provide standby
assist with the client from bed d- encourage
foods high in potassium
Provide standby assist with the client from bed
A nurse is caring for a client who is in labor and his seat is recieving electronic fetal monitoring. The
nurse is reviewing the monitor tracing and notes early decelerations. Which of the following should the
nurse expect?
a-Feta hypoxia b-
abrupto placentae c-
post maturity d- head
compressions head
compressions
A nurse is caring for a client who has chronic kidney disease. The nurse should identify which of the
following laboratory values as an indication for hemodialysis?
a- Glomerular filtration rate of 14 ml/minute b-
BUN 16 ml/dl
,c- serum magnesium 1.8 mg mg/dl d-
serum phosphorus 4.0 m mg/dl
glomerular filtraion rate of 14 ml/minute
A nurse is caring for an infant who has a prescription for continuous pulse oximetry. The following is an
appropriate action for the nurse to take?
a- placed infant under radiant warmer b- move the
probe site every 3 hrs c- heat the skin one minute prior
to placing the program d- placed a sensor on the index
finger
Heat the skin one minute prior to placing the program.
A nurse in a mental health facility receives a change to shift report on for clients. Which of the following
clients should the nurse plan to asses first?
a- A client placed in restraints to the aggressive behavior
b- a new limited client pleasures history 4.5 kg weight loss in the past two months c- client is
receiving prn dose of health heard all two hours ago for increased anxiety d- Applied he'll
be receiving his first ect treatment today
Cliet placed in restraints to the aggressive behavior
A nurse is working at the clinic is teaching a group of clients who are pregnant on the use of
nonpharmacological pain management. Which of the following statements by the nurse is an
appropriate description of the use of hypnosis during labor?
a- Hypnosis focuses on biofeedback as a relaxation technique b- hypnosis
promoted increased control of her pain perception during contractions c- hypnosis
uses therpeutic touch to reduce anxiety during labor d- hynosis provides
instructions to minimize pain
Hypnosis promotes increased control of her pain perception during contractions.
A nurse is a county jail health clinic is leading group therapy sessions. A client who has incarcerated for
theft is addressing the group. Which of the following is an example of reaction formation? (reaction
formation is when using opposite feelings, being super nice to someone you dislike)
a- I steal things because it is the only way i can keep my mind off my bad marriage b-
i can't believe i was accused of something i didn't do
c- i don't want to talk about my feelings right now, we will talk more next time d-
i think that people are just lazy and should earn extra money
I think that your people are just lazy and should earn money honestly
, A nurse is obtaining medical history of a client who has a new prescription for isosorbide mononitrate.
Which of the following should the nurse identify as a contraindication to medication?
a- Glaucoma b-
hypertension c-
polycythemia d-
migraine headaches
Glaucoma NA
n/a
The nurse is caring for a client recovering from an acute myocardial infarction. Which of the following
intervention should the nurse include in the point of care?
a- Draw a troponin level every four hours b-
performance EKG every 12 hrs
c- plant oxygen tent fell over minutes via rebreather mask d-
obtain a cardiac rehabilitation consult
Obtain cardiac rehabilitation consult
A nurse is caring for a client who has breast cancer and has been covering receiving chemotherapy.
Which of the following laboratory values should the nurse report to the provider ?
a- WBC 3,000 /mm3 b-
Hemoglobin 12 g/dl c-
Platelet 250,000/mm3
d- aPTT 30 seconds
WBC 3,000/mm3
Home health nurse is carefully planned for alzheimer's disease. To the following actions should the
nurse include in the plan of care?
a- Place a daily calendar in the kitchen b- replace
the button clothing with zippered items c- replace
the carpet with hardwood floors d- create
variation in daily routine
Place a daily calendar in the kitchen
Nurse is performing change of shift assessment on 4 clients. Which of the following findings should the
nurse report to the providers first?
a- The client was cystic fibrosis and has a thick productive clock and report thirst b-
client who has gastroenteritis and is lethargic and confused
PREDICTOR 180 QUESTIONS AND CORRECT ANSWERS (90%
PROBABILITY OF PASSING THE NCLEX)
A nurse in an emergency department completes an assessment on an adolescent client that has conduct
disorder. The client threatened suicide to a teacher at school. Which of the following statements should
the nurse include in the assessment?
a)Tell me about your siblings?
B)Tell me what kind of music you like?
c) Tell me how often do you drink alcohol?
d) Tell me about your school schedule? Tell me how often do you drink
alcohol
A nurse is observing bonding to the client her newborn. Which of the following actions by the client
requires the nurse to intervene?
A- Holding the new born in an en face position b-
asking the father to change the newborns diaper
c- requesting the nurse to take the newborn nursery so she can rest d-
Viewing the newborns actions to be uncooperative
Viewing the newborns actions to be uncooperative
A nurse is caring for a client who is taking levothyroxine. Which of the following findings should indicate
that the medication is effective? A- Weight loss
b- Asking the father to change the newborns diaper
c- absence of seizures d- Decrease inflammation
Weightloss this drug acts as T4 and will normalize the effects of hypothyroidism
A nurse is planning discharge teaching for cord care for the parent of a newborn. Which instructions
would you include in the teaching?
A- contact the provider if the cord still turns black b- clean
the base of the cord with hydrogen peroxide daily
c- Keep the cord dry unitl it falls off d-
The cord stump will fall off in five days
Keep the cord dry until it falls off (cord
,should be kept clean and dry to prevent
infection, it will turn black, clean with
neutral ph cleanser, cord falls off in 10-
14 days)
A nurse is assessing a client in PACU. Which of the following findings indicates decreased cardiac
output? A- Shivering b- oliguria c- Bradypnea d- Constricted pupils
Oliguria
A nurse is assisting with mass casualty triage, explosion at a local factory. Which of the following client
should the nurse identify as the priority? A- A client that has massive head trauma
B- A client has full thickness burns to face and trunk
C- A client with indications of hypovolemic shock
D- A client with open fracture of the lower extremity
A client with indications of hypovolemic shock
A nurse is receiving report on four clients. Which of the following clients should the nurse asses first?
A- a client who has illegal conduit and mucus in the pouch b- Client pleasant arteriovenous
additional vibration palpated c- Client whose chronic kidney disease with cloudy diasylate outflow
D- A client was transurethral resection of the prostate with red tinged urine in the bag
A client whose chronic kidney disease with cloudy diasylate outflow
A nurse is caring for a client just received the first dose of lisinopril. The following is an appropriate
nursing intervention?
a- place's cardiac monitoring b- monitor the
clients oxygen saturation level c- provide standby
assist with the client from bed d- encourage
foods high in potassium
Provide standby assist with the client from bed
A nurse is caring for a client who is in labor and his seat is recieving electronic fetal monitoring. The
nurse is reviewing the monitor tracing and notes early decelerations. Which of the following should the
nurse expect?
a-Feta hypoxia b-
abrupto placentae c-
post maturity d- head
compressions head
compressions
A nurse is caring for a client who has chronic kidney disease. The nurse should identify which of the
following laboratory values as an indication for hemodialysis?
a- Glomerular filtration rate of 14 ml/minute b-
BUN 16 ml/dl
,c- serum magnesium 1.8 mg mg/dl d-
serum phosphorus 4.0 m mg/dl
glomerular filtraion rate of 14 ml/minute
A nurse is caring for an infant who has a prescription for continuous pulse oximetry. The following is an
appropriate action for the nurse to take?
a- placed infant under radiant warmer b- move the
probe site every 3 hrs c- heat the skin one minute prior
to placing the program d- placed a sensor on the index
finger
Heat the skin one minute prior to placing the program.
A nurse in a mental health facility receives a change to shift report on for clients. Which of the following
clients should the nurse plan to asses first?
a- A client placed in restraints to the aggressive behavior
b- a new limited client pleasures history 4.5 kg weight loss in the past two months c- client is
receiving prn dose of health heard all two hours ago for increased anxiety d- Applied he'll
be receiving his first ect treatment today
Cliet placed in restraints to the aggressive behavior
A nurse is working at the clinic is teaching a group of clients who are pregnant on the use of
nonpharmacological pain management. Which of the following statements by the nurse is an
appropriate description of the use of hypnosis during labor?
a- Hypnosis focuses on biofeedback as a relaxation technique b- hypnosis
promoted increased control of her pain perception during contractions c- hypnosis
uses therpeutic touch to reduce anxiety during labor d- hynosis provides
instructions to minimize pain
Hypnosis promotes increased control of her pain perception during contractions.
A nurse is a county jail health clinic is leading group therapy sessions. A client who has incarcerated for
theft is addressing the group. Which of the following is an example of reaction formation? (reaction
formation is when using opposite feelings, being super nice to someone you dislike)
a- I steal things because it is the only way i can keep my mind off my bad marriage b-
i can't believe i was accused of something i didn't do
c- i don't want to talk about my feelings right now, we will talk more next time d-
i think that people are just lazy and should earn extra money
I think that your people are just lazy and should earn money honestly
, A nurse is obtaining medical history of a client who has a new prescription for isosorbide mononitrate.
Which of the following should the nurse identify as a contraindication to medication?
a- Glaucoma b-
hypertension c-
polycythemia d-
migraine headaches
Glaucoma NA
n/a
The nurse is caring for a client recovering from an acute myocardial infarction. Which of the following
intervention should the nurse include in the point of care?
a- Draw a troponin level every four hours b-
performance EKG every 12 hrs
c- plant oxygen tent fell over minutes via rebreather mask d-
obtain a cardiac rehabilitation consult
Obtain cardiac rehabilitation consult
A nurse is caring for a client who has breast cancer and has been covering receiving chemotherapy.
Which of the following laboratory values should the nurse report to the provider ?
a- WBC 3,000 /mm3 b-
Hemoglobin 12 g/dl c-
Platelet 250,000/mm3
d- aPTT 30 seconds
WBC 3,000/mm3
Home health nurse is carefully planned for alzheimer's disease. To the following actions should the
nurse include in the plan of care?
a- Place a daily calendar in the kitchen b- replace
the button clothing with zippered items c- replace
the carpet with hardwood floors d- create
variation in daily routine
Place a daily calendar in the kitchen
Nurse is performing change of shift assessment on 4 clients. Which of the following findings should the
nurse report to the providers first?
a- The client was cystic fibrosis and has a thick productive clock and report thirst b-
client who has gastroenteritis and is lethargic and confused
