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A.T.I Comprehensive Predictor Exam 2025 Prep Book: Complete Nursing Review with Practice Tests, Answer Rationales, and Proven Strategies to Pass the NCLEX Predictor Exam
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Here are the multi-choice questions with rationales and indicated correct answers: Question 1 A nurse in an emergency department completes an assessment on an adolescent client that has conduct disorder. The client threatened suicide to a teacher at school. Which of the following statements should the nurse include in the assessment? a) Tell me about your siblings. b) Tell me what kind of music you like. c) Tell me how often do you drink alcohol. d) Tell me about your school schedule. Correct Answer: c) Tell me how often do you drink alcohol. Rationale:
potential contributing factors to the suicide threat in the same way as substance use. Question 2 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 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 to be uncooperative. Correct Answer: d) Viewing the newborn's actions to be uncooperative. Rationale:
neurological issues. While it can impact oxygenation, it is not a primary or direct indicator of decreased cardiac output.
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 cardiac monitoring. b) Monitor the client's oxygen saturation level. c) Provide standby assist with the client from bed. d) Encourage foods high in potassium. Correct Answer: c) Provide standby assist with the client from bed. Rationale:
c) Post-maturity. d) Head Compression. Correct Answer: d) Head Compression. Rationale:
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 -
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 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 Nurse is performing dressing change for client was a sacral wound using negative pressure wound therapy. Which The following actions should the nurse take first? a) Apply skin preparation to wound edges. b) Normal saline c) Don sterile gloves d) Determine pain level - - correct ans- - d) Determine pain level A nurses caring for client recovery from the bowel surgery who has nasogastric tube connected to low intermittent suction. Which the following assessment findings should indicate to the nurse that the NG tube may not be functioning properly? a) Drainage fluid is greenish-yellow b) aspirate pH of 3 c) Abdominal rigidity d) air bubbles noted in the NG tube - - correct ans- - c) Abdominal rigidity
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? A nurse is caring for a client who has schizophrenia. Which of the following assessment findings should the nurse expect? a) Decreased level consciousness b) Unable to identify common objects c) Poor problem solving ability d) Preoccupation was somatic disturbances - - correct ans- - c) Poor problem solving ability A nurse is caring for a client who has deep vein thrombosis of the left lower extremity. Which of the following action should nurse take? There are 3 tabs that contain separate categories of data. a) Position the client with the affected extremity lower than the heart b) Administration of acetaminophen c) Massage the affected extremity every 4 hrs. d) Withhold heparin IV infusion - - correct ans- - d) Withhold heparin IV infusion
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 -