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Emory University Nell Hodgson woodruff School of
Nursing (Atalanta, GA) ATI Comprehensive Predictor
2025 – Ultimate Study Guide with High-Yield Questions
& Answers for Exam Success
1. A nurse is receiving report on four clients. Which of the following clients should the nurse assess first? a) A client who has an ileal conduit with mucus in the pouch b) A client with an arteriovenous fistula with a palpable thrill c) A client with chronic kidney disease who has cloudy dialysate outflow (Correct Answer: c) d) A client who had a transurethral resection of the prostate (TURP) with red-tinged urine in the bag Rationale: Cloudy dialysate outflow may indicate peritonitis, a serious complication of peritoneal dialysis. This client requires immediate assessment to prevent further complications. 2. A nurse is caring for a client who just received the first dose of lisinopril. Which of the following is an appropriate nursing intervention? a) Place the client on cardiac monitoring b) Monitor the client’s oxygen saturation level c) Provide standby assistance when the client gets out of bed (Correct Answer: c) d) Encourage foods high in potassium Rationale: Lisinopril, an ACE inhibitor, can cause first-dose hypotension, increasing the risk of falls. Standby assistance helps prevent injury. Foods high in potassium should be avoided due to the risk of hyperkalemia. 3. A nurse is observing bonding between a client and her newborn. Which of the following actions by the client requires the nurse to intervene? a) Holding the newborn in a face-to-face position b) Asking the father to change the newborn's diaper
c) Requesting the nurse take the newborn to the nursery so she can rest d) Viewing the newborn's actions as uncooperative (Correct Answer: d) Rationale: Viewing the newborn’s actions as uncooperative suggests a lack of understanding of newborn behavior and may indicate difficulty with bonding. Newborns are incapable of intentional defiance, and such a perception may require further assessment and intervention. 4. A nurse is planning discharge teaching for cord care for the parent of a newborn. Which instruction should be included in the teaching? a) Contact the provider if the cord turns black b) Clean the base of the cord with hydrogen peroxide daily c) Keep the cord dry until it falls off (Correct Answer: c) d) The cord stump will fall off in five days Rationale: Keeping the cord dry promotes natural healing and helps prevent infection. The cord typically turns black as it dries, which is a normal finding. Hydrogen peroxide is no longer recommended as it can delay healing. 5. A nurse is assessing a client in the PACU. Which of the following findings indicates decreased cardiac output? a) Shivering b) Oliguria (Correct Answer: b) c) Bradypnea d) Constricted pupils Rationale: Oliguria (low urine output) is a sign of decreased cardiac output because less blood is being perfused to the kidneys. This can indicate hypovolemia or decreased cardiac efficiency, requiring further assessment and intervention.
6. A nurse is caring for a client in labor who is receiving electronic fetal monitoring. The nurse notes early decelerations on the monitor tracing. Which of the following should the nurse expect? a) Fetal hypoxia b) Abruptio placentae c) Postmaturity
10. A nurse is reviewing laboratory results for a client with heart failure. Which of the following laboratory values should the nurse report to the provider? a) Potassium 3.8 mEq/L b) BNP 900 pg/mL (Correct Answer: b) c) Digoxin level 0.8 ng/mL d) Sodium 137 mEq/L Rationale: BNP (B-type natriuretic peptide) levels above 100 pg/mL indicate heart failure. A level of 900 pg/mL suggests severe heart failure and should be reported to the provider. 11. A nurse is teaching a client with a new ileostomy about dietary modifications. Which of the following foods should the nurse recommend to reduce the risk of blockage? a) Nuts and seeds b) Raw vegetables c) Popcorn d) Cooked carrots (Correct Answer: d) Rationale: Cooked carrots are easier to digest and less likely to cause a blockage. Foods high in fiber, such as nuts, raw vegetables, and popcorn, should be avoided. 12. A nurse is assessing a client who has hypocalcemia. Which of the following findings should the nurse expect? a) Hypoactive deep tendon reflexes b) Positive Chvostek’s sign (Correct Answer: b) c) Decreased muscle tone d) Bradycardia Rationale: A positive Chvostek’s sign (facial twitching when the cheek is tapped) is a classic sign of hypocalcemia. This condition also causes muscle spasms and hyperactive reflexes. 13. A nurse is monitoring a client who is receiving magnesium sulfate for preeclampsia. Which of the following findings indicates magnesium toxicity? a) Hyperreflexia b) Respiratory rate of 10 breaths/min (Correct Answer: b) c) Hypertension
d) Increased urine output Rationale: Magnesium toxicity depresses the central nervous system, leading to respiratory depression (RR <12). Other signs include absent reflexes and decreased urine output.
14. A nurse is caring for a client with type 1 diabetes who is experiencing confusion and diaphoresis. Which of the following actions should the nurse take first? a) Administer IV dextrose b) Check the client’s blood glucose (Correct Answer: b) c) Give subcutaneous insulin d) Encourage water intake Rationale: Checking blood glucose first is essential to confirm hypoglycemia before treatment. Confusion and diaphoresis are common signs of low blood sugar. 15. A nurse is caring for a client with a head injury who has a Glasgow Coma Scale (GCS) score of 6. Which of the following is the priority nursing action? a) Monitor for increased intracranial pressure b) Initiate seizure precautions c) Maintain a patent airway (Correct Answer: c) d) Perform neurological assessments every hour Rationale: A GCS score of 6 indicates severe neurological impairment, and airway protection is the highest priority due to the risk of respiratory failure. A nurse is caring for an infant who has a prescription for continuous pulse oximetry. The following is an appropriate action for the nurse to take? a) Placed infant under radiant warmer b) Move the probe site every 3 hours c) Heat the skin one minute prior to placing the program d) Placed a sensor on the index finger - - correct ans- - c) Heat the skin one minute prior to placing the program
b) I can't believe I was accused of something I didn't do c) I don't want talk about my feelings right now. We will talk more next time d) I think that people just you're just lazy and should earn money honestly - - correct ans- - d) I think that people just you're just lazy and should earn money honestly A nurse is obtaining the medical history of a client who has a new prescription for isosorbide monotitrate. Which of the following should the nurse identify as a contraindication to medication? a) Glaucoma b) Hypertension c) Polycythemia d) Migraine headaches - - correct ans- - a) Glaucoma The nurses is caring for a client recovering from an acute myocardial infarction. Which following intervention should the nurse include in the point of care? a) Draw a troponin level every four hours b) Performance EKG every 12 hours c) Plant oxygen tent fell over minutes via rebreather mask d) Obtain a cardiac rehabilitation consult - - correct ans- - d) Obtain a cardiac rehabilitation consult A Nurses caring for client who has breast cancer and has been covering receiving chemotherapy. Which of the following laboratory values should nurse report to provider? a) WBC 3,000/mm b) Hemoglobin 14 g/dl c) Platelet 250,000/mm d) aPTT 30 seconds - - correct ans- - a) WBC 3,000/mm
Home health nurse is carefully planned for Alzheimer's disease. To the following action should the nurse include in the plan of care a) Place a daily calendar in the kitchen b) Replace button clothing with zippered items c) Replace the carpet with hardwood floors d) Create variation in daily routine - - correct ans- - a) Place a daily calendar in the kitchen Nurse is performing change of shift assessments on 4 clients. Which of the following findings should the nurse report to provider first? a) The client was cystic fibrosis and has a thick productive clock and reports thirst b) Client who has gastroenteritis and is lethargic and confused c) The Client has diabetes mellitus has morning fasting Legal cost of 185 mg over deal d) The client was sick of signing it reports pain 15 minutes after receiving oral analgesic - - correct ans- - b) Client who has gastroenteritis and is lethargic and confused A nurse is caring for a client was in the second trimester of pregnancy and asks how to treat constipation. Which of the following statements by the nurse is appropriate? a) Decrease taking vitamins and supplements to every other day b) Eat 15 g of fiber per day c) Consume 48 ounces of water each day d) Drink hot water with lemon juice each morning when you wake up - - correct ans- - d) Drink hot water with lemon juice each morning when you wake up A nurse is caring for a client who is preparing his advance directives. Which is the following statements by the client indicates an understanding of advanced directives? select all that apply a) I can't change my instructions once a minute
d) Client who had a cerebrovascular accident two days ago and needs help toileting - - correct ans- - d) Client who had a cerebrovascular accident two days ago and needs help toileting A nurse is assisting with mass casualty triage: explosion at a local factory. Which of the following client should the nurse identify as the priority? a) A client that has massive head trauma b) A client has full thickness burns to face and trunk c) A client with indications of hypovolemic shock d) A client with open fracture of the lower extremity - - correct ans- - c) A client with indications of hypovolemic shock Nurse providing discharge teaching to the client who has schizophrenia and is starting therapy with clozapine. Which of the following is the highest priority for the client to report to the provider? a) Constipation b) blurred vision c) Fever d) Dry Mouth - - correct ans- - c) Fever A nurse observes an AP providing care to a child who is in skeletal traction. Which of the following action requires intervention? a) Providing a high protein snack b) Assisting the child to reposition c) Placing weights as a child's bed d) Massaging pressure points-causes skin breakdown - - correct ans- - c) Placing weights as a child's bed
A nurse is planning to delegate to an AP the fasting blood glucose testing for a client who has diabetes mellitus. Which of the following action should the nurse take? a) Determine if the AP is qualified to perform the test. b) Help the AP performed the blood glucose test c) Assign the AP to ask the client is taking his diabetic medication today d) Have AP check the medical record for prior blood glucose test results - - correct ans- - a) Determine if the AP is qualified to perform the test. A nurse is assessing client brought to the hospital psychiatric emergency services by a law enforcement officer. The client has disorganized, incoherent speech with loose associations and religious content. You should recognize the signs and symptoms as being consistent with which of the following? a) Alzheimer's disease b) Schizophrenia c) Substance intoxication d) Depression - - correct ans- - b) Schizophrenia A nurse is caring for a child who has infectious mononucleosis.. Which of the following findings are associated with this diagnosis? Select all that apply a) splenomegaly b) Koplik spots c) Malaise d) Vertigo e) Sore throat - - correct ans- - a) splenomegaly c) Malaise e) Sore throat
b) increase in your metabolism c) Decreased capillary permeability d) Vasodilation - - correct ans- - c) Decreased capillary permeability Nurse is developing discharge care plans for client has osteoporosis. To prevent injury the nurse should instruct the client to a) Perform weight bearing exercises b) Avoid crossing the legs beyond the midline c) Avoid sitting in one position for prolonged periods d) Split affected area - - correct ans- - a) Perform weight bearing exercises A nurse on acute med-surgical unit is performing assessments on a group of clients. Which is highest priority? a) The client has surgical hypoparathyroidism and positive Trousseau's sign b) A client who was Clostridium difficile with acute diarrhea c) A client who is acute kidney injury and urine with a low specific gravity d) The client who has oral cancer and reports a sore on his gums - - correct ans- - a) The client has surgical hypoparathyroidism and positive Trousseau's sign Nurses caring for a client was congestive heart failure. Which of the following prescriptions for the provider should the nurse anticipate? a) Call the provider to clients respiratory rate is less 18/min b) Give the client 500 mL IV bolus of 0.9 sodium chloride over 1 hr c) Give the client enalapril 2.5 mg PO twice daily d) Call the provider if the clients pulse rate is less than 80/min - - correct ans- - c) Give the client enalapril 2.5 mg PO twice daily
A nurse is caring for a client who has a prescription for sertraline to treat depression. Which of the following statements by the client indicates an understanding of the medication treatment plan? a) I will be able starting this medication with feel better b) I can expect to urinate frequently while on this medication c) I understand I may experience difficulty sleeping on this medication d) I should decrease my sodium intake while on this medication - - correct ans- - c) I understand I may experience difficulty sleeping on this medication A nurse has been caring for a female client who has bruises on her arms that she explains are a result of physical abuse by her husband. The client states, "I don't know how much longer I can take this, but I'm afraid he'll really hurt me if I leave. "Which of the following is an appropriate nursing intervention?" a) Offer to speak to the client's husband regarding his abuse behavior. b) Help the client to recognize the signs of escalation of abuse behavior c) Assist the client to identify personal behaviors that trigger abusive behavior d) Assist the client to Reports abusive behavior to the proper authority - - correct ans- - b) Help the client to recognize the signs of escalation of abuse behavior A client was having suicidal thoughts tells the nurse "It just does not seem worth it anymore. Why not end my misery?" Which of the following responses for the nurses appropriate? a) Why do you think your life is not worth it anymore? b) Do you have a plan to end your life? c) I need to know what you mean my misery d) You can trust me and tell me what you're thinking - - correct ans- - b) Do you have a plan to end your life?
b) Client was a total of 110 mL of serosanguineous fluid from the Jackson Pratt drain within the first 24 hour following surgery c) Client who is 4 hrs postoperative and has a heart rate of 98 per minute d) The client was a prescription for chemotherapy and an absolute neutrophil count of 75/mm
- correct ans- - d) The client was a prescription for chemotherapy and an absolute neutrophil count of 75/mm Nurses caring for client was in end-stage osteoporosis and is reporting severe pain. Clients respiratory rate is 14 per minute. Which of the following medications should the nurse expect to be the highest priority to administer to the client? a) Promethazine b) Hydromorphone c) Ketorolac d) Amitriptyline - - correct ans- - b) Hydromorphone A nurse is caring for a client who has DVT. Which of the following instructions the nurse include in the plan of care? a) Live with the clients fluid intake to 1500 mL per day b) Massage place affected extremity to relieve pain c) Apply cold packs of clients affected extremity d) Elevate the client's affected extremity when in bed - - correct ans- - d) Elevate the client's affected extremity when in bed A nurse is caring for a client who is receiving oxytocin IV for augmentation of labor. The client's contractions are occurring every 45 seconds with a nine seconds duration in the fetal heart rate is 170 to 180/minute. Which of the following actions should nurse take? a) Discontinue oxytocin infusion b) Increased oxytocin infusion
c) Decreased oxytocin infusion d) Maintain oxytocin infusion - - correct ans- - a) Discontinue oxytocin infusion A nurse is admitting a client who is in labor and at 38 wks of gestation to the maternal newborn unit. The client has a history of herpes simplex virus 2. Which of the following questions is most appropriate for the nurse to ask the client? a) Have your membranes ruptured? b) How far apart are your contractions? c) Do you have any active lesions? d) Are you positive for beta strap? - - correct ans- - c) Do you have any active lesions? Nurse is providing teaching for child prescribed ferrous sulfate. Which of the following instructions should the nurse include? a) Take with meals b) Take at bedtime c) Take with a glass of milk d) Take with a glass of orange juice - - correct ans- - d) Take with a glass of orange juice Four clients present to the emergency department. The nurse should plan to see which of the following clients first? a) A 6 year old client whose left shoulder is dislocated b) A 26 year old client for sickle cell disease and a severe joint pain c) A 76 year old client was confused, febrile and has foul smelling urine d) A 50- year old client who has slurred speech, is disoriented, and reports a headache - - correct ans- - d) A 50- year old client who has slurred speech, is disoriented, and reports a headache
A nurse is providing teaching for a client has a new prescription for methadone. Which of the phone following client statements indicates need for further teaching? a) I understand the methadone tends to slow my breathing b) I understand the methadone may cause me to have difficulty sleeping c) I will avoid alcohol while I'm taking this medication d) I'll change positions gradually especially from lying down to standing - - correct ans- - b) I understand the methadone may cause me to have difficulty sleeping Which of the following client is appropriate for the nurse to refer to speech therapy for swallowing evaluation? a) Premature infant with a poor suck reflex and failure to thrive b) An older adults who has difficulty taking in fluids c) Adolescent who anorexia who is cachectic d) A middle aged adults was gastroesophageal reflux disease - - correct ans- - b) An older adults who has difficulty taking in fluids A nurse is caring for a group of clients. Which of the following client should nurse assess first? a) A client whose benign prostatic hyperplasia and is unable to urinate b) The client was heart failure and report shortness of breath while ambulating c) A client who is open cholecystectomy and has green drainage from the T-tube d) A client whose abdominal pain and is vomiting coffee ground emesis - - correct ans- - d) A client whose abdominal pain and is vomiting coffee ground emesis A nurse is taking a medication history from client was type II diabetes mellitus is scheduled for an arteriogram. Which of the following medications to the nurses instruct the client to discontinue 48 hrs prior to the procedure? a) Atorvastatin b) Digoxin
c) Nifedipine d) Metformin - - correct ans- - d) Metformin The nurses assessing client with posttraumatic stress disorder. Which of the following findings to the nurse expect to find? a) Dependence on family and friends b) Loss of interest in usual activities c) Ritualistic behavior d) Passive aggressive behavior - - correct ans- - b) Loss of interest in usual activities A nurse working in a long-term care facility is caring for an older adult client has dementia. The clients often agitated and frequently wanders the halls. Which of the following intervention should the nurse include in the plan of care? a) Give the client several choices when scheduling activities. b) Confront the client regarding unacceptable behavior c) Maintain Nutritional requirements by offering finger foods d) Stimulate the client by leaving the television on throughout the day - - correct ans- - c) Maintain Nutritional requirements by offering finger foods A nurse on a mental health unit receives report on four clients. Which of the following client should the nurse attend to first? a) A client who has begun to demonstrate catatonic behavior b) The client was compulsive behavior and is frequently drinking from the water fountain c) Client was having auditory hallucinations is becoming agitated d) A client was making sexual comments to clients of the opposite sex - - correct ans- - c) Client was having auditory hallucinations is becoming agitated
