RN ATI COMPREHENSIVE PREDICTOR 2025
Version 2 Questions Bank and Correct Answers
Guaranteed Pass Latest Version 2025 with
Rationales
| 1 | A nurse is assessing a client who is 12 hr postpartum. The client’s
fundus is 3 fingerbreadths above the umbilicus and deviated to the
right. First action? | A. Massage the fundus<br>B. Have the client
void<br>C. Administer methylergonovine<br>D. Place ice pack on
fundus | Answer. Full bladder displaces uterus → have client
void first before any other intervention.
|
| 2 | A client with a new tracheostomy attempts to speak. Which
action allows the client to communicate most effectively?
| A. Provide a communication board<br>B. Deflate the cuff and use a
speaking valve<br>C. Offer a dry-erase board<br>D. Teach esophageal
speech | Answer. Passy-Muir speaking valve on deflated cuff is the gold
standard for early verbal communication.
|
| 3 | A client with heart failure is prescribed lisinopril. Which lab value
requires immediate notification of the provider? | A.
Potassium 5.6 mEq/L<br>B. Sodium 132 mEq/L<br>C. Creatinine 2.8
mg/dL<br>D. BUN 32 mg/dL | Answer. ACE
inhibitors → risk of acute kidney injury. Creatinine rise >0.3–0.5 or
doubling is critical. |
| 4 | A client post-hip replacement day 1 has sudden severe pain in
calf with swelling and positive Homan sign. Priority action? | A.
,Apply warm compresses<br>B. Notify provider for stat Doppler
ultrasound<br>C. Administer PRN morphine<br>D. Elevate leg 45
degrees | Answer. Classic DVT signs → immediate diagnostic
confirmation needed; do NOT massage or heat.
|
| 5 | A nurse is teaching a client with new colostomy. Which
statement indicates understanding? | A. “I’ll
change the pouch every morning.”<br>B. “I can eat popcorn and
nuts.”<br>C. “I’ll irrigate daily.”<br>D. “The stoma should be pink and
moist.” | answer. Pink, moist stoma = healthy perfusion. Colostomy
irrigation is only for descending/sigmoid (not all).
|
| 6 | A client with COPD on home oxygen asks about safety. Which
statement requires immediate correction? | A. “I
keep my tank away from the fireplace.”<br>B. “I can use Vaseline on
my dry nose.”<br>C. “I keep a fire extinguisher nearby.”<br>D. “I store
extra tanks upright.” | Answer. Petroleum-based products + oxygen =
fire hazard. Use water-based lubricant only.
|
| 7 | A client with type 2 diabetes is started on metformin. Which
finding indicates a serious adverse effect requiring discontinuation?
| A. Diarrhea<br>B. Lactic acidosis symptoms (muscle pain,
dyspnea)<br>C. Weight loss<br>D. Flatulence | Answer.
Rare but life-threatening lactic acidosis (especially if renal impairment).
|
| 8 | A client is receiving a unit of packed RBCs. 10 minutes into
transfusion: fever 101.8°F, chills, back pain. First action? | A.
Stop transfusion<br>B. Slow rate and give acetaminophen<br>C.
Administer diphenhydramine<br>D. Continue and monitor | answer.
, Acute hemolytic reaction → STOP transfusion immediately, keep line
open with NS, notify blood bank. |
| 9 | A client with schizophrenia is prescribed risperidone. Which lab
must be monitored weekly for the first 4–6 weeks? | A.
CBC with differential<br>B. Fasting glucose<br>C. Lipid panel<br>D.
LFTs | answer. Risperidone has low
agranulocytosis risk, but all atypicals require metabolic monitoring;
weekly CBC is not routine unless clozapine. (Correct answer is
metabolic labs long-term.) Wait – trick question: NONE require weekly
CBC except clozapine. Most common correct answer in ATI = fasting
glucose/lipids. |
| 10 | A newborn is 4 hours old and has not voided yet. Which action is
priority? | A. Notify provider<br>B.
Assess for bladder distention<br>C. Increase feeding frequency<br>D.
Document as normal | Answer. Newborns should void within 24
hr; assess first before escalating.
|
| 11 | A client with Guillain-Barré is in the progressive phase. Which
finding requires immediate intubation? | A.
Negative inspiratory force (NIF) –18 cm H₂O<br>B. FVC 18 mL/kg<br>C.
PaCO₂ 48 mmHg<br>D. Weak hand grip | Answer. FVC
<20 mL/kg or NIF worse than –20 to –30 = impending respiratory failure
→ prepare for intubation. |
| 12 | A client post-liver biopsy is positioned on the right side for 2–4
hr. Purpose of this position? | A. Prevent
bleeding by applying pressure to site<br>B. Promote bile
drainage<br>C. Reduce nausea<br>D. Prevent pneumonia | answer.
Right-side lying compresses the liver against the chest wall to
tamponade the biopsy site. |
Version 2 Questions Bank and Correct Answers
Guaranteed Pass Latest Version 2025 with
Rationales
| 1 | A nurse is assessing a client who is 12 hr postpartum. The client’s
fundus is 3 fingerbreadths above the umbilicus and deviated to the
right. First action? | A. Massage the fundus<br>B. Have the client
void<br>C. Administer methylergonovine<br>D. Place ice pack on
fundus | Answer. Full bladder displaces uterus → have client
void first before any other intervention.
|
| 2 | A client with a new tracheostomy attempts to speak. Which
action allows the client to communicate most effectively?
| A. Provide a communication board<br>B. Deflate the cuff and use a
speaking valve<br>C. Offer a dry-erase board<br>D. Teach esophageal
speech | Answer. Passy-Muir speaking valve on deflated cuff is the gold
standard for early verbal communication.
|
| 3 | A client with heart failure is prescribed lisinopril. Which lab value
requires immediate notification of the provider? | A.
Potassium 5.6 mEq/L<br>B. Sodium 132 mEq/L<br>C. Creatinine 2.8
mg/dL<br>D. BUN 32 mg/dL | Answer. ACE
inhibitors → risk of acute kidney injury. Creatinine rise >0.3–0.5 or
doubling is critical. |
| 4 | A client post-hip replacement day 1 has sudden severe pain in
calf with swelling and positive Homan sign. Priority action? | A.
,Apply warm compresses<br>B. Notify provider for stat Doppler
ultrasound<br>C. Administer PRN morphine<br>D. Elevate leg 45
degrees | Answer. Classic DVT signs → immediate diagnostic
confirmation needed; do NOT massage or heat.
|
| 5 | A nurse is teaching a client with new colostomy. Which
statement indicates understanding? | A. “I’ll
change the pouch every morning.”<br>B. “I can eat popcorn and
nuts.”<br>C. “I’ll irrigate daily.”<br>D. “The stoma should be pink and
moist.” | answer. Pink, moist stoma = healthy perfusion. Colostomy
irrigation is only for descending/sigmoid (not all).
|
| 6 | A client with COPD on home oxygen asks about safety. Which
statement requires immediate correction? | A. “I
keep my tank away from the fireplace.”<br>B. “I can use Vaseline on
my dry nose.”<br>C. “I keep a fire extinguisher nearby.”<br>D. “I store
extra tanks upright.” | Answer. Petroleum-based products + oxygen =
fire hazard. Use water-based lubricant only.
|
| 7 | A client with type 2 diabetes is started on metformin. Which
finding indicates a serious adverse effect requiring discontinuation?
| A. Diarrhea<br>B. Lactic acidosis symptoms (muscle pain,
dyspnea)<br>C. Weight loss<br>D. Flatulence | Answer.
Rare but life-threatening lactic acidosis (especially if renal impairment).
|
| 8 | A client is receiving a unit of packed RBCs. 10 minutes into
transfusion: fever 101.8°F, chills, back pain. First action? | A.
Stop transfusion<br>B. Slow rate and give acetaminophen<br>C.
Administer diphenhydramine<br>D. Continue and monitor | answer.
, Acute hemolytic reaction → STOP transfusion immediately, keep line
open with NS, notify blood bank. |
| 9 | A client with schizophrenia is prescribed risperidone. Which lab
must be monitored weekly for the first 4–6 weeks? | A.
CBC with differential<br>B. Fasting glucose<br>C. Lipid panel<br>D.
LFTs | answer. Risperidone has low
agranulocytosis risk, but all atypicals require metabolic monitoring;
weekly CBC is not routine unless clozapine. (Correct answer is
metabolic labs long-term.) Wait – trick question: NONE require weekly
CBC except clozapine. Most common correct answer in ATI = fasting
glucose/lipids. |
| 10 | A newborn is 4 hours old and has not voided yet. Which action is
priority? | A. Notify provider<br>B.
Assess for bladder distention<br>C. Increase feeding frequency<br>D.
Document as normal | Answer. Newborns should void within 24
hr; assess first before escalating.
|
| 11 | A client with Guillain-Barré is in the progressive phase. Which
finding requires immediate intubation? | A.
Negative inspiratory force (NIF) –18 cm H₂O<br>B. FVC 18 mL/kg<br>C.
PaCO₂ 48 mmHg<br>D. Weak hand grip | Answer. FVC
<20 mL/kg or NIF worse than –20 to –30 = impending respiratory failure
→ prepare for intubation. |
| 12 | A client post-liver biopsy is positioned on the right side for 2–4
hr. Purpose of this position? | A. Prevent
bleeding by applying pressure to site<br>B. Promote bile
drainage<br>C. Reduce nausea<br>D. Prevent pneumonia | answer.
Right-side lying compresses the liver against the chest wall to
tamponade the biopsy site. |
