1|Page
ATI RN COMPREHENSIVE PREDICTOR 2025–2026 | 100
QUESTIONS, ANSWERS & RATIONALES,ALREADY
GRADED A+
1. A nurse is caring for a client who has heart failure and is receiving
furosemide. Which finding indicates the medication is effective?
A. Blood pressure 90/50 mm Hg
B. Decrease in peripheral edema
C. Potassium level 2.9 mEq/L
D. Weight gain of 1.5 kg in 24 hr
Answer: B
Rationale: Diuretics reduce fluid overload, evidenced by decreased edema.
2. A nurse is reinforcing teaching about digoxin with a client. Which
statement indicates understanding?
A. “I should take my pulse before each dose.”
B. “I will take an antacid if I feel nauseated.”
C. “If my vision becomes blurred, I will continue taking the medication.”
D. “I should take the medication with a high-fiber meal.”
Answer: A
Rationale: Clients should check pulse before digoxin due to risk of
bradycardia.
3. A nurse is teaching about diet for a client who has celiac disease. Which
food is appropriate?
,2|Page
A. Barley soup
B. Rye bread
C. Rice noodles
D. Wheat crackers
Answer: C
Rationale: Rice is gluten-free; barley, rye, and wheat contain gluten.
4. A nurse is caring for a client with a chest tube. Which finding requires
immediate intervention?
A. Gentle bubbling in the suction chamber
B. Continuous bubbling in the water-seal chamber
C. Tidaling in the water-seal chamber
D. Drainage of 60 mL/hr
Answer: B
Rationale: Continuous bubbling indicates an air leak and requires
intervention.
5. A nurse is preparing to administer blood. Which action should be taken?
A. Use a 24-gauge IV catheter
B. Hang the blood with normal saline
C. Begin the infusion within 6 hr of receiving the blood
D. Store blood at room temperature before administration
Answer: B
Rationale: Only 0.9% sodium chloride should be used with blood
transfusions.
6. A client receiving chemotherapy reports mouth sores. Which intervention is
appropriate?
,3|Page
A. Rinse with alcohol-based mouthwash
B. Eat acidic foods to promote healing
C. Use a soft-bristled toothbrush
D. Brush teeth vigorously after meals
Answer: C
Rationale: Soft toothbrushes minimize trauma and infection risk in oral
mucositis.
7. A nurse is caring for a client with a newly placed colostomy. Which action
promotes positive body image?
A. Provide frequent stoma care for the client
B. Encourage the client to participate in ostomy care
C. Place a covering over the stoma at all times
D. Limit discussion about the ostomy
Answer: B
Rationale: Involving clients in self-care improves self-esteem and body
image.
8. A nurse is providing discharge teaching to a client prescribed warfarin.
Which instruction should be included?
A. “Eat more green leafy vegetables.”
B. “Use an electric razor for shaving.”
C. “Take aspirin for headaches.”
D. “If you miss a dose, double up the next day.”
Answer: B
Rationale: Warfarin increases bleeding risk; safety precautions like electric
razors are essential.
, 4|Page
9. A nurse is teaching a client who has tuberculosis about infection control.
Which statement indicates understanding?
A. “I should wear a mask when in public.”
B. “I can stop taking my medications once symptoms disappear.”
C. “I don’t need to cover my mouth when coughing.”
D. “I should have only my family tested for TB.”
Answer: A
Rationale: Clients with TB should wear masks in public to reduce
transmission.
10. A nurse is reviewing lab values of a client receiving total parenteral
nutrition (TPN). Which finding should be reported immediately?
A. Sodium 138 mEq/L
B. Glucose 285 mg/dL
C. Potassium 4.0 mEq/L
D. Albumin 3.7 g/dL
Answer: B
Rationale: Hyperglycemia is a complication of TPN and requires
intervention.
11. A client who is postoperative following hip surgery reports sudden
shortness of breath. Which action is priority?
A. Administer prescribed analgesic
B. Place client in high Fowler’s position
C. Apply oxygen via nonrebreather mask
D. Check pedal pulses
Answer: C
Rationale: Priority = administer oxygen to treat suspected pulmonary
embolism.
ATI RN COMPREHENSIVE PREDICTOR 2025–2026 | 100
QUESTIONS, ANSWERS & RATIONALES,ALREADY
GRADED A+
1. A nurse is caring for a client who has heart failure and is receiving
furosemide. Which finding indicates the medication is effective?
A. Blood pressure 90/50 mm Hg
B. Decrease in peripheral edema
C. Potassium level 2.9 mEq/L
D. Weight gain of 1.5 kg in 24 hr
Answer: B
Rationale: Diuretics reduce fluid overload, evidenced by decreased edema.
2. A nurse is reinforcing teaching about digoxin with a client. Which
statement indicates understanding?
A. “I should take my pulse before each dose.”
B. “I will take an antacid if I feel nauseated.”
C. “If my vision becomes blurred, I will continue taking the medication.”
D. “I should take the medication with a high-fiber meal.”
Answer: A
Rationale: Clients should check pulse before digoxin due to risk of
bradycardia.
3. A nurse is teaching about diet for a client who has celiac disease. Which
food is appropriate?
,2|Page
A. Barley soup
B. Rye bread
C. Rice noodles
D. Wheat crackers
Answer: C
Rationale: Rice is gluten-free; barley, rye, and wheat contain gluten.
4. A nurse is caring for a client with a chest tube. Which finding requires
immediate intervention?
A. Gentle bubbling in the suction chamber
B. Continuous bubbling in the water-seal chamber
C. Tidaling in the water-seal chamber
D. Drainage of 60 mL/hr
Answer: B
Rationale: Continuous bubbling indicates an air leak and requires
intervention.
5. A nurse is preparing to administer blood. Which action should be taken?
A. Use a 24-gauge IV catheter
B. Hang the blood with normal saline
C. Begin the infusion within 6 hr of receiving the blood
D. Store blood at room temperature before administration
Answer: B
Rationale: Only 0.9% sodium chloride should be used with blood
transfusions.
6. A client receiving chemotherapy reports mouth sores. Which intervention is
appropriate?
,3|Page
A. Rinse with alcohol-based mouthwash
B. Eat acidic foods to promote healing
C. Use a soft-bristled toothbrush
D. Brush teeth vigorously after meals
Answer: C
Rationale: Soft toothbrushes minimize trauma and infection risk in oral
mucositis.
7. A nurse is caring for a client with a newly placed colostomy. Which action
promotes positive body image?
A. Provide frequent stoma care for the client
B. Encourage the client to participate in ostomy care
C. Place a covering over the stoma at all times
D. Limit discussion about the ostomy
Answer: B
Rationale: Involving clients in self-care improves self-esteem and body
image.
8. A nurse is providing discharge teaching to a client prescribed warfarin.
Which instruction should be included?
A. “Eat more green leafy vegetables.”
B. “Use an electric razor for shaving.”
C. “Take aspirin for headaches.”
D. “If you miss a dose, double up the next day.”
Answer: B
Rationale: Warfarin increases bleeding risk; safety precautions like electric
razors are essential.
, 4|Page
9. A nurse is teaching a client who has tuberculosis about infection control.
Which statement indicates understanding?
A. “I should wear a mask when in public.”
B. “I can stop taking my medications once symptoms disappear.”
C. “I don’t need to cover my mouth when coughing.”
D. “I should have only my family tested for TB.”
Answer: A
Rationale: Clients with TB should wear masks in public to reduce
transmission.
10. A nurse is reviewing lab values of a client receiving total parenteral
nutrition (TPN). Which finding should be reported immediately?
A. Sodium 138 mEq/L
B. Glucose 285 mg/dL
C. Potassium 4.0 mEq/L
D. Albumin 3.7 g/dL
Answer: B
Rationale: Hyperglycemia is a complication of TPN and requires
intervention.
11. A client who is postoperative following hip surgery reports sudden
shortness of breath. Which action is priority?
A. Administer prescribed analgesic
B. Place client in high Fowler’s position
C. Apply oxygen via nonrebreather mask
D. Check pedal pulses
Answer: C
Rationale: Priority = administer oxygen to treat suspected pulmonary
embolism.
