ATI ADULT HEALTH (MED-SURG) COMPREHENSIVE
PREDICTOR PRACTICE EXAM 2025-2026 COMPLETE
100 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
1. A nurse is caring for a client with heart failure who is receiving furosemide.
Which finding indicates the medication is effective?
A. Decreased urine output
B. Weight gain of 1 kg in 24 hr
C. Crackles in lung bases
D. ✓ Increased urine output
Rationale: Furosemide is a loop diuretic that promotes diuresis, reducing
fluid overload as evidenced by increased urine output.
2. A client with COPD is receiving oxygen via nasal cannula at 2 L/min. Which
finding requires immediate intervention?
A. Respiratory rate of 20/min
B. Oxygen saturation of 88%
C. ✓ Increasing somnolence
D. Barrel-shaped chest
Rationale: Increasing somnolence may indicate CO₂ retention and
respiratory depression in a client with COPD.
3. A nurse is assessing a client with a suspected deep vein thrombosis (DVT).
Which finding supports this diagnosis?
A. Bilateral leg edema
B. ✓ Unilateral calf swelling and warmth
C. Decreased pedal pulses
D. Cool extremity
Rationale: DVT typically presents with unilateral swelling, warmth, and pain.
,4. A client with type 1 diabetes has a blood glucose of 52 mg/dL. Which action
should the nurse take first?
A. Administer regular insulin
B. Start IV fluids
C. ✓ Give 15 g of fast-acting carbohydrate
D. Notify the provider
Rationale: Hypoglycemia is treated first with a fast-acting carbohydrate if
the client is conscious.
5. A nurse is caring for a client after a thyroidectomy. Which assessment
finding indicates hypocalcemia?
A. Bradycardia
B. ✓ Tingling around the mouth
C. Hypertension
D. Heat intolerance
Rationale: Tingling and numbness are early signs of hypocalcemia due to
decreased parathyroid hormone.
6. A client with chronic kidney disease is prescribed erythropoietin. Which
outcome indicates effectiveness?
A. Decreased potassium level
B. ✓ Increased hemoglobin
C. Decreased creatinine
D. Increased urine output
Rationale: Erythropoietin stimulates red blood cell production, increasing
hemoglobin.
7. A nurse is teaching a client with GERD about lifestyle modifications. Which
statement indicates understanding?
A. “I will eat late evening meals.”
B. “I will lie down after eating.”
C. ✓ “I will avoid caffeine and chocolate.”
D. “I will increase spicy foods.”
, Rationale: Caffeine and chocolate decrease lower esophageal sphincter tone
and worsen GERD.
8. A client with a new colostomy asks about stool consistency. The nurse
should state that stool will be most formed with which ostomy?
A. Ileostomy
B. Ascending colostomy
C. Transverse colostomy
D. ✓ Sigmoid colostomy
Rationale: The sigmoid colon allows the most water reabsorption, producing
formed stool.
9. A nurse is caring for a client receiving heparin. Which lab value should be
monitored?
A. INR
B. Platelet count only
C. ✓ aPTT
D. Hemoglobin A1c
Rationale: aPTT is used to monitor therapeutic levels of heparin.
10.A client with pneumonia is prescribed incentive spirometry. Which
instruction is appropriate?
A. Exhale quickly into the device
B. Use once per shift
C. ✓ Inhale slowly and deeply
D. Perform after meals only
Rationale: Slow, deep inhalation promotes alveolar expansion.
11.A nurse is caring for a client with acute pancreatitis. Which intervention is
priority?
A. Encourage oral fluids
B. ✓ Keep the client NPO
C. Administer antacids
PREDICTOR PRACTICE EXAM 2025-2026 COMPLETE
100 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
1. A nurse is caring for a client with heart failure who is receiving furosemide.
Which finding indicates the medication is effective?
A. Decreased urine output
B. Weight gain of 1 kg in 24 hr
C. Crackles in lung bases
D. ✓ Increased urine output
Rationale: Furosemide is a loop diuretic that promotes diuresis, reducing
fluid overload as evidenced by increased urine output.
2. A client with COPD is receiving oxygen via nasal cannula at 2 L/min. Which
finding requires immediate intervention?
A. Respiratory rate of 20/min
B. Oxygen saturation of 88%
C. ✓ Increasing somnolence
D. Barrel-shaped chest
Rationale: Increasing somnolence may indicate CO₂ retention and
respiratory depression in a client with COPD.
3. A nurse is assessing a client with a suspected deep vein thrombosis (DVT).
Which finding supports this diagnosis?
A. Bilateral leg edema
B. ✓ Unilateral calf swelling and warmth
C. Decreased pedal pulses
D. Cool extremity
Rationale: DVT typically presents with unilateral swelling, warmth, and pain.
,4. A client with type 1 diabetes has a blood glucose of 52 mg/dL. Which action
should the nurse take first?
A. Administer regular insulin
B. Start IV fluids
C. ✓ Give 15 g of fast-acting carbohydrate
D. Notify the provider
Rationale: Hypoglycemia is treated first with a fast-acting carbohydrate if
the client is conscious.
5. A nurse is caring for a client after a thyroidectomy. Which assessment
finding indicates hypocalcemia?
A. Bradycardia
B. ✓ Tingling around the mouth
C. Hypertension
D. Heat intolerance
Rationale: Tingling and numbness are early signs of hypocalcemia due to
decreased parathyroid hormone.
6. A client with chronic kidney disease is prescribed erythropoietin. Which
outcome indicates effectiveness?
A. Decreased potassium level
B. ✓ Increased hemoglobin
C. Decreased creatinine
D. Increased urine output
Rationale: Erythropoietin stimulates red blood cell production, increasing
hemoglobin.
7. A nurse is teaching a client with GERD about lifestyle modifications. Which
statement indicates understanding?
A. “I will eat late evening meals.”
B. “I will lie down after eating.”
C. ✓ “I will avoid caffeine and chocolate.”
D. “I will increase spicy foods.”
, Rationale: Caffeine and chocolate decrease lower esophageal sphincter tone
and worsen GERD.
8. A client with a new colostomy asks about stool consistency. The nurse
should state that stool will be most formed with which ostomy?
A. Ileostomy
B. Ascending colostomy
C. Transverse colostomy
D. ✓ Sigmoid colostomy
Rationale: The sigmoid colon allows the most water reabsorption, producing
formed stool.
9. A nurse is caring for a client receiving heparin. Which lab value should be
monitored?
A. INR
B. Platelet count only
C. ✓ aPTT
D. Hemoglobin A1c
Rationale: aPTT is used to monitor therapeutic levels of heparin.
10.A client with pneumonia is prescribed incentive spirometry. Which
instruction is appropriate?
A. Exhale quickly into the device
B. Use once per shift
C. ✓ Inhale slowly and deeply
D. Perform after meals only
Rationale: Slow, deep inhalation promotes alveolar expansion.
11.A nurse is caring for a client with acute pancreatitis. Which intervention is
priority?
A. Encourage oral fluids
B. ✓ Keep the client NPO
C. Administer antacids
