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ATI RN COMPREHENSIVE 2025-2026 PREDICTOR EXAM
ACTUAL EXAM 180 QUESTIONS AND CORRECT ANSWERS
(PROFESSOR VERIFIED) | ALREADY GRADED A+
1.
A nurse is reviewing laboratory results for a client receiving warfarin
therapy. Which value indicates the medication is effective?
A. aPTT 35 seconds
B. Platelets 200,000/mm³
C. INR 2.5
D. Hematocrit 42%
Rationale: Warfarin effectiveness is measured by INR, which should be 2–
3 for therapeutic anticoagulation. aPTT monitors heparin, platelets
monitor clotting risk, and hematocrit assesses anemia but not anticoagulant
effectiveness.
2.
A nurse is caring for a client with COPD. Which oxygen delivery device
provides the most precise oxygen concentration?
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A. Nasal cannula
B. Non-rebreather mask
C. Venturi mask
D. Simple face mask
Rationale: The Venturi mask delivers precise, controlled concentrations
of oxygen, making it the best option for COPD clients at risk of CO₂
retention.
3.
A nurse is reinforcing teaching for a client prescribed furosemide. Which
statement indicates understanding?
A. “I will increase foods high in sodium.”
B. “I should expect my urine to turn orange.”
C. “I will eat bananas and potatoes daily.”
D. “I should limit my fluid intake to 1 liter per day.”
Rationale: Furosemide is a potassium-wasting diuretic; clients should
consume potassium-rich foods (bananas, potatoes) to prevent hypokalemia.
4.
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A client with type 1 diabetes reports shakiness, diaphoresis, and palpitations.
Which action should the nurse take first?
A. Administer insulin
B. Notify the provider
C. Give 4 oz orange juice
D. Check urine ketones
Rationale: These are symptoms of hypoglycemia. The immediate priority is
to give a fast-acting carbohydrate such as orange juice.
5.
Which finding requires immediate intervention in a client receiving a blood
transfusion?
A. Back pain
B. Shortness of breath and anxiety
C. Mild headache
D. Flushed skin
Rationale: Dyspnea and anxiety suggest a transfusion reaction (acute
hemolysis or anaphylaxis), requiring the nurse to stop the transfusion
immediately.
6.
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A nurse is caring for a client with heart failure taking digoxin. Which
finding indicates digoxin toxicity?
A. Hypertension
B. Nausea and blurred vision
C. Polyuria
D. Increased appetite
Rationale: Classic signs of digoxin toxicity include GI upset, vision
changes (yellow/green halos), and bradycardia.
7.
A client with depression states, “I have no reason to live.” What is the
nurse’s priority response?
A. “You should think about your family.”
B. “Are you thinking about harming yourself?”
C. “Many people feel this way when depressed.”
D. “You will feel better once the medication starts working.”
Rationale: Assessing for suicidal ideation directly is priority in order to
ensure client safety and guide interventions.
8.
ATI RN COMPREHENSIVE 2025-2026 PREDICTOR EXAM
ACTUAL EXAM 180 QUESTIONS AND CORRECT ANSWERS
(PROFESSOR VERIFIED) | ALREADY GRADED A+
1.
A nurse is reviewing laboratory results for a client receiving warfarin
therapy. Which value indicates the medication is effective?
A. aPTT 35 seconds
B. Platelets 200,000/mm³
C. INR 2.5
D. Hematocrit 42%
Rationale: Warfarin effectiveness is measured by INR, which should be 2–
3 for therapeutic anticoagulation. aPTT monitors heparin, platelets
monitor clotting risk, and hematocrit assesses anemia but not anticoagulant
effectiveness.
2.
A nurse is caring for a client with COPD. Which oxygen delivery device
provides the most precise oxygen concentration?
,2|Page
A. Nasal cannula
B. Non-rebreather mask
C. Venturi mask
D. Simple face mask
Rationale: The Venturi mask delivers precise, controlled concentrations
of oxygen, making it the best option for COPD clients at risk of CO₂
retention.
3.
A nurse is reinforcing teaching for a client prescribed furosemide. Which
statement indicates understanding?
A. “I will increase foods high in sodium.”
B. “I should expect my urine to turn orange.”
C. “I will eat bananas and potatoes daily.”
D. “I should limit my fluid intake to 1 liter per day.”
Rationale: Furosemide is a potassium-wasting diuretic; clients should
consume potassium-rich foods (bananas, potatoes) to prevent hypokalemia.
4.
,3|Page
A client with type 1 diabetes reports shakiness, diaphoresis, and palpitations.
Which action should the nurse take first?
A. Administer insulin
B. Notify the provider
C. Give 4 oz orange juice
D. Check urine ketones
Rationale: These are symptoms of hypoglycemia. The immediate priority is
to give a fast-acting carbohydrate such as orange juice.
5.
Which finding requires immediate intervention in a client receiving a blood
transfusion?
A. Back pain
B. Shortness of breath and anxiety
C. Mild headache
D. Flushed skin
Rationale: Dyspnea and anxiety suggest a transfusion reaction (acute
hemolysis or anaphylaxis), requiring the nurse to stop the transfusion
immediately.
6.
, 4|Page
A nurse is caring for a client with heart failure taking digoxin. Which
finding indicates digoxin toxicity?
A. Hypertension
B. Nausea and blurred vision
C. Polyuria
D. Increased appetite
Rationale: Classic signs of digoxin toxicity include GI upset, vision
changes (yellow/green halos), and bradycardia.
7.
A client with depression states, “I have no reason to live.” What is the
nurse’s priority response?
A. “You should think about your family.”
B. “Are you thinking about harming yourself?”
C. “Many people feel this way when depressed.”
D. “You will feel better once the medication starts working.”
Rationale: Assessing for suicidal ideation directly is priority in order to
ensure client safety and guide interventions.
8.
