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ATI RN Comprehensive Predictor 2019–2025 | 180 Verified Real
Questions & Answers | A+ NCLEX Practice | Capstone Exit Exam |
Guaranteed Pass
1. A nurse is caring for a client with a new prescription for lisinopril. Which of the
following should the nurse include in the teaching?
A. “Avoid foods high in potassium.”
B. “Take this medication at bedtime.”
C. “You may experience a persistent cough that is harmless.”
D. “Increase your sodium intake while on this medication.”
Correct Answer: A. “Avoid foods high in potassium.”
Rationale: Lisinopril is an ACE inhibitor that can increase potassium levels.
Clients should be taught to avoid potassium-rich foods to prevent hyperkalemia. A
cough is common but should be reported. Sodium should not be increased.
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2. A nurse is caring for a client in the first stage of labor. The nurse notes the fetal
heart rate is 100 bpm with late decelerations. Which of the following actions
should the nurse take first?
A. Administer oxygen via nonrebreather mask
B. Turn the client onto her side
C. Notify the provider
D. Increase the IV fluids
Correct Answer: B. Turn the client onto her side
Rationale: Late decelerations are a sign of uteroplacental insufficiency.
Repositioning improves placental perfusion. It is the priority intervention, followed
by oxygen and fluid bolus if needed.
3. A client with schizophrenia says, “The government implanted a chip in my
brain.” Which of the following is the most appropriate response?
A. “That’s not true, and you need to stop thinking that way.”
B. “Why do you think the government would do that?”
C. “It must be frightening to feel that way.”
D. “Let’s focus on reality and ignore these thoughts.”
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Correct Answer: C. “It must be frightening to feel that way.”
Rationale: This response demonstrates therapeutic communication and
acknowledges the client's feelings without validating the delusion or confronting it.
4. A nurse is reinforcing teaching with a parent of a toddler about injury
prevention. Which of the following statements by the parent indicates a need for
further teaching?
A. “I keep all cleaning supplies in a locked cabinet.”
B. “I give my child hard candy only when I supervise him.”
C. “I make sure the car seat is secured in the back seat.”
D. “I keep the water heater set to 120°F.”
Correct Answer: B. “I give my child hard candy only when I supervise him.”
Rationale: Toddlers should not be given hard candy due to the risk of choking,
even with supervision. The other statements reflect safe practices.
5. A nurse is reviewing lab values of a client receiving warfarin therapy. Which of
the following indicates the medication is effective?
A. INR of 1.0
B. INR of 2.5
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C. aPTT of 90 seconds
D. Platelets of 90,000/mm³
Correct Answer: B. INR of 2.5
Rationale: The therapeutic INR for warfarin is typically 2.0–3.0. An INR of 1.0 is
not therapeutic. aPTT is used for heparin, and low platelets could indicate
thrombocytopenia.
6. A nurse is teaching a newly licensed nurse about caring for clients with
tuberculosis (TB). Which of the following precautions should the nurse use?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Standard precautions only
Correct Answer: C. Airborne precautions
Rationale: TB is transmitted via airborne particles, so the nurse should use
airborne precautions, including an N95 respirator and negative pressure room.
7. A client is postoperative following abdominal surgery and reports shortness of
breath. Which action should the nurse take first?
ATI RN Comprehensive Predictor 2019–2025 | 180 Verified Real
Questions & Answers | A+ NCLEX Practice | Capstone Exit Exam |
Guaranteed Pass
1. A nurse is caring for a client with a new prescription for lisinopril. Which of the
following should the nurse include in the teaching?
A. “Avoid foods high in potassium.”
B. “Take this medication at bedtime.”
C. “You may experience a persistent cough that is harmless.”
D. “Increase your sodium intake while on this medication.”
Correct Answer: A. “Avoid foods high in potassium.”
Rationale: Lisinopril is an ACE inhibitor that can increase potassium levels.
Clients should be taught to avoid potassium-rich foods to prevent hyperkalemia. A
cough is common but should be reported. Sodium should not be increased.
, 2
2. A nurse is caring for a client in the first stage of labor. The nurse notes the fetal
heart rate is 100 bpm with late decelerations. Which of the following actions
should the nurse take first?
A. Administer oxygen via nonrebreather mask
B. Turn the client onto her side
C. Notify the provider
D. Increase the IV fluids
Correct Answer: B. Turn the client onto her side
Rationale: Late decelerations are a sign of uteroplacental insufficiency.
Repositioning improves placental perfusion. It is the priority intervention, followed
by oxygen and fluid bolus if needed.
3. A client with schizophrenia says, “The government implanted a chip in my
brain.” Which of the following is the most appropriate response?
A. “That’s not true, and you need to stop thinking that way.”
B. “Why do you think the government would do that?”
C. “It must be frightening to feel that way.”
D. “Let’s focus on reality and ignore these thoughts.”
, 3
Correct Answer: C. “It must be frightening to feel that way.”
Rationale: This response demonstrates therapeutic communication and
acknowledges the client's feelings without validating the delusion or confronting it.
4. A nurse is reinforcing teaching with a parent of a toddler about injury
prevention. Which of the following statements by the parent indicates a need for
further teaching?
A. “I keep all cleaning supplies in a locked cabinet.”
B. “I give my child hard candy only when I supervise him.”
C. “I make sure the car seat is secured in the back seat.”
D. “I keep the water heater set to 120°F.”
Correct Answer: B. “I give my child hard candy only when I supervise him.”
Rationale: Toddlers should not be given hard candy due to the risk of choking,
even with supervision. The other statements reflect safe practices.
5. A nurse is reviewing lab values of a client receiving warfarin therapy. Which of
the following indicates the medication is effective?
A. INR of 1.0
B. INR of 2.5
, 4
C. aPTT of 90 seconds
D. Platelets of 90,000/mm³
Correct Answer: B. INR of 2.5
Rationale: The therapeutic INR for warfarin is typically 2.0–3.0. An INR of 1.0 is
not therapeutic. aPTT is used for heparin, and low platelets could indicate
thrombocytopenia.
6. A nurse is teaching a newly licensed nurse about caring for clients with
tuberculosis (TB). Which of the following precautions should the nurse use?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Standard precautions only
Correct Answer: C. Airborne precautions
Rationale: TB is transmitted via airborne particles, so the nurse should use
airborne precautions, including an N95 respirator and negative pressure room.
7. A client is postoperative following abdominal surgery and reports shortness of
breath. Which action should the nurse take first?
