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A.T.I RN Comprehensive Predictor 2025 Exam Prep: Full-Length Practice Tests, Detailed Ans, Exams of Nursing

Emory University Nursing

A.T.I RN Comprehensive Predictor 2025 Exam Prep: Full-Length Practice Tests, Detailed Answer Rationales, and Expert Strategies to Pass Your Final Nursing Exam with Confidence

Typology: Exams

2024/2025

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ATI RN Comprehensive Predictor 2025 Exam Prep:

Full-Length Practice Tests, Detailed Answer

Rationales, and Expert Strategies to Pass Your

Final Nursing Exam with Confidence

Here are the multi-choice questions with rationales and indicated correct answers for

the provided list.

Question 1

A nurse is caring for a child who has cystic fibrosis and requires postural drainage.

Which of the following actions should the nurse take?

A. Perform the procedure twice each day.

B. Hold the hand flat to perform percussions on the child.

C. Administer a bronchodilator after the procedure.

D. Perform the procedure prior to meals.

Correct Answer: D. Perform the procedure prior to meals.

Rationale:

• A. Perform the procedure twice each day: While postural drainage is often

done more than once a day, the frequency depends on the child's condition and

provider orders (e.g., 2-4 times a day). Twice daily is a common frequency, but

it's not the most critical action among the choices or universally applicable for

all CF patients at all times.

• B. Hold the hand flat to perform percussions on the child: Percussions should

be performed with cupped hands, not flat hands. Cupping the hands traps air

and creates vibrations that help dislodge mucus more effectively and are less

painful than flat-hand percussion.

• C. Administer a bronchodilator after the procedure: Bronchodilators are

typically administered before postural drainage to open the airways and make it

easier for mucus to be mobilized and cleared during and after the procedure.

Partial preview of the text

Download A.T.I RN Comprehensive Predictor 2025 Exam Prep: Full-Length Practice Tests, Detailed Ans and more Exams Nursing in PDF only on Docsity!

ATI RN Comprehensive Predictor 2025 Exam Prep:

Full-Length Practice Tests, Detailed Answer

Rationales, and Expert Strategies to Pass Your

Final Nursing Exam with Confidence

Here are the multi-choice questions with rationales and indicated correct answers for the provided list. Question 1 A nurse is caring for a child who has cystic fibrosis and requires postural drainage. Which of the following actions should the nurse take? A. Perform the procedure twice each day. B. Hold the hand flat to perform percussions on the child. C. Administer a bronchodilator after the procedure. D. Perform the procedure prior to meals. Correct Answer: D. Perform the procedure prior to meals. Rationale:

A. Perform the procedure twice each day: While postural drainage is often done more than once a day, the frequency depends on the child's condition and provider orders (e.g., 2-4 times a day). Twice daily is a common frequency, but it's not the most critical action among the choices or universally applicable for all CF patients at all times.
B. Hold the hand flat to perform percussions on the child: Percussions should be performed with cupped hands, not flat hands. Cupping the hands traps air and creates vibrations that help dislodge mucus more effectively and are less painful than flat-hand percussion.
C. Administer a bronchodilator after the procedure: Bronchodilators are typically administered before postural drainage to open the airways and make it easier for mucus to be mobilized and cleared during and after the procedure.

D. Perform the procedure prior to meals: Performing postural drainage after meals can induce vomiting due to the vigorous nature of the percussions and vibrations. It's best to perform the procedure before meals or at least 1 hour after meals to prevent discomfort and emesis. Question 2 A nurse is developing a plan of care for a newborn whose mother tested positive for heroin during pregnancy. The newborn is experiencing neonatal abstinence syndrome. Which of the following actions should the nurse include in the plan? A. Maintain eye contact with the newborn during feedings. B. Swaddle the newborn with his legs extended. C. Minimize noise in the newborn's environment. D. Administer naloxone to the newborn. Correct Answer: C. Minimize noise in the newborn's environment. Rationale:
A. Maintain eye contact with the newborn during feedings: Newborns with neonatal abstinence syndrome (NAS) are often irritable, hypersensitive to stimuli, and may have difficulty organizing their feeding behaviors. Direct eye contact can be overstimulating and increase their distress.
B. Swaddle the newborn with his legs extended: Swaddling is an important intervention for NAS newborns as it provides comfort and reduces self- stimulation and tremors. However, swaddling should be done with the newborn's hips and knees flexed (like a frog-leg position), rather than legs extended, to promote healthy hip development.
C. Minimize noise in the newborn's environment: Newborns with NAS are extremely sensitive to external stimuli and can become easily agitated and overstimulated by noise, light, and touch. Minimizing environmental stimuli by providing a quiet, dimly lit environment helps to reduce their irritability and conserve energy.
D. Administer naloxone to the newborn: Naloxone is an opioid antagonist. Administering naloxone to a newborn with NAS is contraindicated because it can precipitate acute and severe withdrawal symptoms, which can be life- threatening. The goal of NAS management is to gradually wean the newborn off the opioid.

A. "The child usually has an aura prior to onset." B. "This type of seizure can be mistaken for daydreaming." C. "This type of seizure lasts 30 to 60 seconds." D. "This type of seizure has a gradual onset." Correct Answer: B. "This type of seizure can be mistaken for daydreaming." Rationale:

A. "The child usually has an aura prior to onset." Auras are common with focal aware (formerly simple partial) or focal impaired awareness (formerly complex partial) seizures, but they are not characteristic of absence seizures.
B. "This type of seizure can be mistaken for daydreaming." Absence seizures (formerly petit mal seizures) are characterized by brief, sudden lapses of consciousness that may involve staring, subtle eye fluttering, or lip smacking. They are often very brief (5-10 seconds) and can easily be misinterpreted as the child simply daydreaming or not paying attention.
C. "This type of seizure lasts 30 to 60 seconds." Absence seizures are typically very brief, usually lasting only a few seconds (5-10 seconds), rarely exceeding 20- 30 seconds.
D. "This type of seizure has a gradual onset." Absence seizures have a sudden onset and abrupt cessation, not a gradual onset. Question 5 A nurse is planning care for an older adult client who has dementia. Which of the following interventions should the nurse include in the plan of care? (Select all that apply) A. Reinforce orientation to time, place, and person. B. Allow the client to choose among a variety of activities each day. C. Give the client one simple direction at a time. D. Establish eye contact when communicating with the client. E. Refute the client's delusions using logic. Correct Answers: A, C, D Rationale:

A. Reinforce orientation to time, place, and person: While dementia causes cognitive decline, consistent reorientation to reality (time, place, person) helps to reduce confusion and anxiety, especially in early to moderate stages. This is a common and helpful intervention.
B. Allow the client to choose among a variety of activities each day: Offering too many choices can be overwhelming and frustrating for a client with dementia, leading to increased agitation or withdrawal. Simple, limited choices are better.
C. Give the client one simple direction at a time: Clients with dementia have difficulty processing multiple pieces of information or complex instructions. Providing one clear, simple direction at a time improves comprehension and the likelihood of successful task completion.
D. Establish eye contact when communicating with the client: Establishing eye contact conveys respect, helps to gain the client's attention, and facilitates communication, especially important when cognitive abilities are impaired.
E. Refute the client's delusions using logic: Attempting to logically refute a client's delusions is generally ineffective and can increase agitation, distress, and distrust in clients with dementia. Validation and redirection are more therapeutic approaches. Question 6 A nurse is providing teaching to a client who is at 14 weeks of gestation about findings to report to the provider. Which of the following findings should the nurse include in the teaching? A. Bleeding gums B. Faintness upon rising C. Swelling of the face D. Urinary frequency Correct Answer: C. Swelling of the face. Rationale:
A. Bleeding gums: Bleeding gums (gingivitis) are common during pregnancy due to hormonal changes and increased blood flow to the gums. While important for oral hygiene, it's typically a minor discomfort and not a warning sign that needs immediate reporting.

C. Perform an admission assessment for a client who is scheduled for surgery: Admission assessments require comprehensive data collection, analysis, and the formulation of a nursing diagnosis and initial plan of care, which falls within the scope of practice of a registered nurse (RN). LPNs may collect data but typically do not perform the full admission assessment.
D. Complete the Glasgow Coma Scale for a client who has an evolving stroke: Assessing and interpreting the Glasgow Coma Scale (GCS) for a client with an evolving stroke requires critical thinking, ongoing assessment of neurological status changes, and the ability to identify subtle changes that indicate worsening conditions. This is a complex assessment that requires the critical thinking and judgment of an RN. While an LPN might document GCS scores if stable, the ongoing assessment and interpretation in an evolving situation is an RN responsibility. Question 8 A nurse is caring for a client who has a vented NG tube set to low intermittent suction and has vomited. Which of the following actions should the nurse perform first? A. Provide oral hygiene care. B. Administer an antiemetic medication. C. Replace the NG tube. D. Evaluate the functioning of the suction device. Correct Answer: D. Evaluate the functioning of the suction device. Rationale:
A. Provide oral hygiene care: Oral hygiene is important for client comfort and preventing aspiration, but it's not the first action if the client has vomited with a suctioning NG tube. The immediate priority is to address the cause of the vomiting related to the NG tube.
B. Administer an antiemetic medication: While an antiemetic might be indicated, the nurse must first determine why the client vomited. If the NG tube is not functioning properly, an antiemetic might not resolve the underlying issue.
C. Replace the NG tube: Replacing the NG tube should only be considered after assessing if the current tube is indeed non-functional or displaced. It's an invasive procedure and not the first step.

D. Evaluate the functioning of the suction device: If a client with a vented NG tube on suction vomits, the most immediate concern is that the tube or the suction setup is not functioning correctly, leading to gastric distension and vomiting. The nurse should first check for kinks in the tubing, proper suction setting, patency of the vent, and correct placement of the tube. This action directly addresses the potential cause of the vomiting related to the equipment. A nurse is obtaining a client's manual blood pressure and is having difficulty auscultating sounds. Which of the following actions should the nurse take? A. Apply the largest cuff available. B. Place the arm above the level of the client's heart. C. Deflate the cuff quickly. D. Use the palpatory method to determine blood pressure. - - correct ans- - D. Use the palpatory method to determine blood pressure. A nurse is providing discharge teaching about home care of a surgical incision to a client who speaks a different language from the nurse. The nurse is communicating with the client using an interpreter. Which of the following actions should the nurse take? A. Use gestures to convey meaning. B. Speak slowly when talking to the interpreter. C. Speak directly to the client. D. Pause in the middle of sentences. - - correct ans- - C. Speak directly to the client. A public health nurse working in a rural area is developing a program to improve health for the local population. Which of the following actions should the nurse plan to take? A. Encourage rural residents to focus health spending on tertiary health interventions. B. Launch a media campaign to increase awareness about industrial pollution. C. Have a nurse from outside the community provide health lectures at the county

C. Determine the client's knowledge about diaphragm use. D. Supervise return demonstration of diaphragm use - - correct ans- - C. Determine the client's knowledge about diaphragm use. A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the nurse take? A. Encourage the client to watch television. B. Sit with the client to provide a sense of security. C. Administer a dose of atomoxetine to decrease anxiety. D. Teach the client how to meditate. - - correct ans- - B. Sit with the client to provide a sense of security. A nurse inadvertently administered 160 mg of valsartan PO to a client who was scheduled to receive 80 mg. Which of the following actions is the priority for the nurse to take? A. Evaluate the client for orthostatic hypotension. B. Check the client for nasal congestion. C. Obtain the client's laboratory results. D. Monitor the client's urine output. - - correct ans- - A. Evaluate the client for orthostatic hypotension. A charge nurse is teaching a newly licensed nurse about the facility's computerized documentation system. Which of the following information should the nurse include? A. "Documentation of sensitive material is performed by the charge nurse." B. You will be given access to the medical records of every client in the facility. C. You will be asked to change your password once per year. D. "Information Technology will install a firewall to secure client information." - - correct ans- - C. You will be asked to change your password once per year.

Question 18: A home health nurse is caring for a child who has Lyme disease. Which of the following is an appropriate action for the nurse to take? A. Educate the family to avoid sharing personal belongings. B. Ensure the state health department has been notified. C. Administer antitoxin. D. Assess for skin necrosis - - correct ans- - A. Educate the family to avoid sharing personal belongings. A nurse is caring for a client who has experienced a stroke and is moving in with their adult child. Which of the following actions should the nurse encourage the client and family to take as they adjust to their new roles? A. Minimize open discussion regarding the changes to avoid embarrassment. B. Decrease socialization with extended relatives until roles are identified. C. Encourage authoritative communication from the adult child. D. Implement firm but flexible boundaries in their relationship - - correct ans- - D. Implement firm but flexible boundaries in their relationship A nurse is planning care for a client who has a prescription for a bowel-training program following a spinal cord injury. Which of the following actions should the nurse include in the plan of care? A. Administer a cathartic suppository 30 min prior to scheduled defecation times. B. Encourage a maximum fluid intake of 1,500 mL per day. C. Increase the amount of refined grains in the client's diet. D. Provide the client with a cold drink prior to defecation. - - correct ans- - A. Administer a cathartic suppository 30 min prior to scheduled defecation times. A nurse is caring for a client who has acute glomerulonephritis. Which of the

C. Administer aspirin to the client. D. Isolate the client from staff who are pregnant. - - correct ans- - D. Isolate the client from staff who are pregnant. A nurse is planning care for a school-age child who is 4 hr postoperative following appendicitis. Which of the following actions should the nurse include in the plan of care? A. Offer small amounts of clear liquids 6 hr following surgery. B. Give cromolyn nebulized solution every 8 hr. C. Apply a warm compress to the operative site once daily. D. Administer analgesics on a scheduled basis for the first 24 hr - - correct ans- - D. Administer analgesics on a scheduled basis for the first 24 hr A nurse is providing teaching to a client who has a new prescription for enoxaparin. Which of the following medications for pain relief should the nurse include in the teaching that can be taken concurrently with enoxaparin? A. Acetaminophen B. Ibuprofen C. Naproxen sodium D. Aspirin - - correct ans- - A. Acetaminophen A nurse is providing preoperative teaching to a client about promoting circulation during the postoperative period. Which of the following instructions should the nurse include? A. "Participate in range-of-motion exercises." B. "Place a pillow under your knees while in bed." C. "Remain on bed rest for 24 hours following the procedure." D. "Use an incentive spirometer every 4 hours - - correct ans- - A. "Participate in range- of-motion exercises."

A nurse is setting up a sterile field to perform wound irrigation for a client. Which of the following actions should the nurse take when pouring the sterile solution? A. Hold the bottle in the center of the sterile field when pouring the solution. A. Hold the bottle in the center of the sterile field when pouring the solution. B. Place sterile gauze over areas of spilled solution within the sterile field. C. Hold the irrigation solution bottle with the label facing away from the palm of the hand. D. Remove the cap and place it sterile-side up on a clean surface. - - correct ans- - C. Hold the irrigation solution bottle with the label facing away from the palm of the hand. A nurse is caring for a client who is receiving penicillin G via intermittent IV piggyback. Which of the following actions should the nurse take? A. Infuse the medication over 10 min. B. Check the client for a sulfa allergy. C. Refrigerate the medication after reconstitution. D. Instruct the client to notify the provider if diarrhea develops. - - correct ans- - A. Infuse the medication over 10 min. ???? C??? Question 30: A nurse is admitting a client who has schizophrenia. The client states, "I'm hearing voices." Which of the following responses is the priority for the nurse to state? A. "What are the voices telling you?" B. "Have you taken your medication today?"

A nurse is providing teaching to a client about the adverse effects of sertraline. Which of the following adverse effects should the nurse include? A. Metallic taste in the mouth B. Excessive sweating C. Increased urinary frequency D. Dry cough - - correct ans- - B. Excessive sweating A nurse in a long-term care facility is providing care for a client who has been receiving donepezil. Which of the following findings indicates that the medication is effective? A. Improved short-term memory B. Increased food intake C. Can perform ADLs independently D. Enhanced mood - - correct ans- - A. Improved short-term memory A nurse is planning to teach a client about taking prednisone. Which of the following instructions should the nurse include? A. Take on an empty stomach. B. Schedule dosage at bedtime. C. Increase dietary calcium. D. Monitor for weight loss. - - correct ans- - D. Monitor for weight loss. A nurse is caring for a client who is receiving intermittent enteral tube feedings. Which of the following factors places the client at risk for aspiration? A. A residual of 65 mL 1 hr postprandial B. Sitting in high-Fowler's position during the feeding C. A history of gastroesophageal reflux disease

D. Receiving a high-osmolarity formula - - correct ans- - A. A residual of 65 mL 1 hr postprandial A nurse is planning care for a client who has a prescription for continuous enteral feedings through an NG tube. Which of the following actions should the nurse plan to take? A. Measure gastric residual volumes every 4 hr. B. Flush the NG tube with 30 mL 0.9% sodium chloride before and after medication. C. Maintain the head of the bed at a 20° angle. D. Advance the rate of the feeding every 2 hr. - - correct ans- - B. Flush the NG tube with 30 mL 0.9% sodium chloride before and after medication. Question 39: A nurse is caring for a 2-year-old toddler. Which of the following food choices should the nurse recommend to promote independence in eating? A. Banana slices B. Hot dog C. Grapes D. Popcorn - - correct ans- - A. Banana slices A nurse is caring for an infant who has gastroenteritis. Which of the following assessment findings should the nurse report to the provider? A. Pale and a 24-hr fluid deficit of 30 mL B. Sunken fontanels and dry mucous membranes C. Temperature 38°C (100.4°F) and pulse rate 124/min D. Decreased appetite and irritability - - correct ans- - B. Sunken fontanels and dry mucous membranes A nurse is caring for a client who is immobile. Which of the following

B. Bacon and cheese quiche with milk C. Ham sandwich with milk D. Shrimp salad and tomato soup with milk - - correct ans- - A. Scrambled eggs and toast with milk A nurse is caring for a client who has given informed consent for electroconvulsive therapy. Just before the procedure, the client tells the nurse she is considering not going forward with the treatment. Which of the following statements by the nurse is appropriate? A. "You don't have to go through with the treatment." B. "Your doctor wouldn't have ordered this treatment unless it was necessary." C. "Most people who have this procedure feel better following the treatment." D. "It's okay to be nervous before this treatment." - - correct ans- - A. "You don't have to go through with the treatment." A hospice nurse is visiting with the son of a client who has terminal cancer. The A hospice nurse is visiting with the son of a client who has terminal cancer. The son reports sleeping very little during the past week due to caring for his mother. Which of the following responses should the nurse make? A. "I can give you information about respite care if you are interested." B. "I am sure you're doing a great job taking care of your mother." C. "You should consider taking a sleeping pill before bed each night." D. "It is always difficult caring for someone who is terminally ill." - - correct ans- - A. "I can give you information about respite care if you are interested." A nurse is reviewing the medical records of four clients. The nurse should identify which of the following client findings that requires follow-up care. A. A client who received a Mantoux test 48 hr ago and has an induration

B. A client who is taking bumetanide and has a potassium level of 3.6 mEq/L C. A client who is scheduled for a colonoscopy and is taking sodium phosphate D. A client who is taking warfarin and has an INR of 1.8 - - correct ans- - A or D A nurse is providing nutrition teaching for a client who has hypertension. Which of the following foods should the nurse suggest the client include in their diet? A. Canned black beans B. Cheese C. Fish D. Red meat - - correct ans- - C. Fish A nurse is reporting a client's laboratory tests to the provider to obtain a prescription for the client's daily warfarin. Which of the following laboratory tests should the nurse plan to report to obtain the prescription for the warfarin? A. INR B. Fibrinogen level C. aPTT D. Platelet count - - correct ans- - A. INR A nurse has just received change-of-shift report for four clients. Which of the following clients should the nurse assess first? A. A client who is scheduled for a procedure in 1 hr B. A client who received a pain medication 30 min ago for postoperative pain C. A client who has 100 mL of fluid remaining in his IV bag D. A client who was just given a glass of orange juice for a low blood glucose level - - correct ans- - D. A client who was just given a glass of orange juice for a low blood glucose level A nurse is assessing a child who has bacterial pneumonia. Which of the following

A.T.I RN Comprehensive Predictor 2025 Exam Prep: Full-Length Practice Tests, Detailed Ans, Exams of Nursing

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Download A.T.I RN Comprehensive Predictor 2025 Exam Prep: Full-Length Practice Tests, Detailed Ans and more Exams Nursing in PDF only on Docsity!

ATI RN Comprehensive Predictor 2025 Exam Prep:

Full-Length Practice Tests, Detailed Answer

Rationales, and Expert Strategies to Pass Your

Final Nursing Exam with Confidence