ATI RN COMPREHENSIVE 2025/2026 PREDICTOR EXAM
ACTUAL EXAM 300 QUESTIONS AND CORRECT ANSWERS
(PROFESSOR VERIFIED) | ALREADY GRADED A+
1. Question 1
A nurse is caring for a client who is 2 days postoperative following an
abdominal hysterectomy. The client reports severe incisional pain rated 8 on
a 0-10 scale. Which action should the nurse take first?
A) Document the pain assessment in the client's chart.
B) Reposition the client for comfort.
C) Administer the prescribed opioid analgesic.
D) Offer a warm pack to the abdomen.
E) Ask the client to describe the quality of the pain.
Correct Answer: C) Administer the prescribed opioid analgesic.
Rationale: According to the pain management hierarchy, severe pain
requires immediate pharmacological intervention as the priority.
While other actions are important, pain relief is the most urgent
need.
Question 2
A nurse is assessing a 4-year-old child who has a fever, is drooling, and has
inspiratory stridor. The child is sitting in a tripod position. The nurse should
suspect which condition?
A) Croup (laryngotracheobronchitis)
B) Bronchiolitis
C) Epiglottitis
D) Bacterial tracheitis
E) Retropharyngeal abscess
Correct Answer: C) Epiglottitis
Rationale: The classic signs of epiglottitis (fever, drooling, stridor,
and tripod position) indicate an emergency due to severe airway
obstruction. The nurse should not attempt to visualize the throat.
Question 3
A nurse is caring for a client who has a prescription for a clear liquid diet.
,Which food item should the nurse offer?
A) Cream of mushroom soup
B) Apple juice
C) Sherbet
D) Plain yogurt
E) Gelatin with fruit pieces
Correct Answer: B) Apple juice.
Rationale: Clear liquid diets consist of foods that are transparent and
liquid at room temperature. Apple juice meets this criterion. Cream
soups, sherbet, yogurt, and gelatin with fruit are not considered
clear liquids.
Question 4
A nurse is providing discharge teaching to a client who has a new
prescription for warfarin. Which statement by the client indicates an
understanding of the teaching?
A) "I will take aspirin for headaches."
B) "I will increase my intake of green leafy vegetables."
C) "I will have my blood tested regularly."
D) "I will stop taking this medication if I feel lightheaded."
E) "I can drink alcohol in moderation."
Correct Answer: C) "I will have my blood tested regularly."
Rationale: Warfarin therapy requires regular monitoring of the
International Normalized Ratio (INR) to ensure the medication is
within a therapeutic range and to adjust the dose as needed. Aspirin
and green leafy vegetables (Vitamin K) can interfere, and alcohol
should be avoided.
Question 5
A nurse is caring for a client who has a prescription for a 24-hour urine
collection. Which instruction should the nurse include in the teaching?
A) "Discard the first voiding of the collection."
, B) "Collect all subsequent voidings in the designated container."
C) "You do not need to keep the urine refrigerated."
D) "You may add the urine from a bowel movement to the collection."
E) "Stop the collection exactly 12 hours after the first void."
Correct Answer: A) "Discard the first voiding of the collection."
Rationale: The 24-hour urine collection typically starts after the first
morning void, discarding that first sample. All subsequent urine
over the next 24 hours (including the next morning's first void) is
then collected.
Question 6
A nurse is assessing an older adult client who has pneumonia. Which finding
is an early manifestation of hypoxemia in older adults?
A) Bradypnea
B) Cyanosis
C) Confusion
D) Hypotension
E) Decreased heart rate
Correct Answer: C) Confusion.
Rationale: Older adults often present with atypical symptoms.
Confusion or altered mental status can be an early and prominent
sign of hypoxemia in older adults, rather than classic respiratory
distress symptoms.
Question 7
A nurse is planning care for a client who has obsessive-compulsive disorder
(OCD) and performs compulsive handwashing. Which intervention should the
nurse include in the plan?
A) Prevent the client from performing handwashing rituals.
B) Allow the client to perform rituals, then gradually decrease the time
allowed.
C) Confront the client about the irrationality of the rituals.
ACTUAL EXAM 300 QUESTIONS AND CORRECT ANSWERS
(PROFESSOR VERIFIED) | ALREADY GRADED A+
1. Question 1
A nurse is caring for a client who is 2 days postoperative following an
abdominal hysterectomy. The client reports severe incisional pain rated 8 on
a 0-10 scale. Which action should the nurse take first?
A) Document the pain assessment in the client's chart.
B) Reposition the client for comfort.
C) Administer the prescribed opioid analgesic.
D) Offer a warm pack to the abdomen.
E) Ask the client to describe the quality of the pain.
Correct Answer: C) Administer the prescribed opioid analgesic.
Rationale: According to the pain management hierarchy, severe pain
requires immediate pharmacological intervention as the priority.
While other actions are important, pain relief is the most urgent
need.
Question 2
A nurse is assessing a 4-year-old child who has a fever, is drooling, and has
inspiratory stridor. The child is sitting in a tripod position. The nurse should
suspect which condition?
A) Croup (laryngotracheobronchitis)
B) Bronchiolitis
C) Epiglottitis
D) Bacterial tracheitis
E) Retropharyngeal abscess
Correct Answer: C) Epiglottitis
Rationale: The classic signs of epiglottitis (fever, drooling, stridor,
and tripod position) indicate an emergency due to severe airway
obstruction. The nurse should not attempt to visualize the throat.
Question 3
A nurse is caring for a client who has a prescription for a clear liquid diet.
,Which food item should the nurse offer?
A) Cream of mushroom soup
B) Apple juice
C) Sherbet
D) Plain yogurt
E) Gelatin with fruit pieces
Correct Answer: B) Apple juice.
Rationale: Clear liquid diets consist of foods that are transparent and
liquid at room temperature. Apple juice meets this criterion. Cream
soups, sherbet, yogurt, and gelatin with fruit are not considered
clear liquids.
Question 4
A nurse is providing discharge teaching to a client who has a new
prescription for warfarin. Which statement by the client indicates an
understanding of the teaching?
A) "I will take aspirin for headaches."
B) "I will increase my intake of green leafy vegetables."
C) "I will have my blood tested regularly."
D) "I will stop taking this medication if I feel lightheaded."
E) "I can drink alcohol in moderation."
Correct Answer: C) "I will have my blood tested regularly."
Rationale: Warfarin therapy requires regular monitoring of the
International Normalized Ratio (INR) to ensure the medication is
within a therapeutic range and to adjust the dose as needed. Aspirin
and green leafy vegetables (Vitamin K) can interfere, and alcohol
should be avoided.
Question 5
A nurse is caring for a client who has a prescription for a 24-hour urine
collection. Which instruction should the nurse include in the teaching?
A) "Discard the first voiding of the collection."
, B) "Collect all subsequent voidings in the designated container."
C) "You do not need to keep the urine refrigerated."
D) "You may add the urine from a bowel movement to the collection."
E) "Stop the collection exactly 12 hours after the first void."
Correct Answer: A) "Discard the first voiding of the collection."
Rationale: The 24-hour urine collection typically starts after the first
morning void, discarding that first sample. All subsequent urine
over the next 24 hours (including the next morning's first void) is
then collected.
Question 6
A nurse is assessing an older adult client who has pneumonia. Which finding
is an early manifestation of hypoxemia in older adults?
A) Bradypnea
B) Cyanosis
C) Confusion
D) Hypotension
E) Decreased heart rate
Correct Answer: C) Confusion.
Rationale: Older adults often present with atypical symptoms.
Confusion or altered mental status can be an early and prominent
sign of hypoxemia in older adults, rather than classic respiratory
distress symptoms.
Question 7
A nurse is planning care for a client who has obsessive-compulsive disorder
(OCD) and performs compulsive handwashing. Which intervention should the
nurse include in the plan?
A) Prevent the client from performing handwashing rituals.
B) Allow the client to perform rituals, then gradually decrease the time
allowed.
C) Confront the client about the irrationality of the rituals.
