ATI RN Comprehensive Predictor 2026
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Free ATI RN Comprehensive Predictor 2026 Questions
A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate intravenously. The nurse discontinues the magnesium sulfate after the client displays toxicity. Which of the following actions should the nurse take?
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Prepare an IV bolus of dextrose 5% in water.
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Administer calcium gluconate IV.
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Position the client supine.
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Administer methylergonovine IM.
Explanation
Calcium gluconate is the antidote for magnesium sulfate toxicity. It works by reversing the effects of magnesium on the neuromuscular and cardiac systems, helping to restore normal reflexes, respirations, and heart rate. Signs of magnesium toxicity include loss of deep tendon reflexes, respiratory depression, and decreased urine output. The nurse should stop the infusion immediately, maintain airway support, and administer calcium gluconate as prescribed. Dextrose 5% in water does not counteract magnesium toxicity. Supine positioning can compromise venous return and worsen symptoms. Methylergonovine is contraindicated in preeclampsia due to its hypertensive effects.
A charge nurse in a newborn nursery is providing information to a group of nurses about risk factors for hypoglycemia. Which of the following risk factors should the charge nurse include? (Select all that apply.)
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Maternal diabetes
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Anemia
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Thrombocytopenia
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Hypothermia
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Prematurity
Explanation
Infants born to mothers with diabetes are at risk for hypoglycemia due to fetal hyperinsulinemia in response to elevated maternal glucose levels, which continues after birth once the maternal glucose supply is removed. Hypothermia increases metabolic demand and glucose consumption as the newborn attempts to generate heat, depleting glucose stores. Premature infants have immature glycogen stores and glucose regulation mechanisms, placing them at increased risk for hypoglycemia.
Why the other options are incorrect:
B. Anemia: Anemia (low red blood cell count) is not a direct risk factor for neonatal hypoglycemia; it relates to oxygen-carrying capacity rather than glucose metabolism.
C. Thrombocytopenia: Thrombocytopenia (low platelet count) is a coagulation-related finding and is not associated with an increased risk for neonatal hypoglycemia.
A nurse is caring for a client who was prescribed metformin 6 months ago. Which of the following findings indicates a positive response to the medication?
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The client's iron level has increased.
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The client's high-density lipoprotein level has increased.
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The client's HbA1c has decreased.
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The client's frequency of incontinence has decreased.
Explanation
Metformin is an antidiabetic medication used to lower blood glucose levels; a decreased HbA1c indicates improved long-term blood glucose control, demonstrating a positive therapeutic response to the medication.
Why the other options are incorrect:
A. The client's iron level has increased. — Metformin does not affect iron levels; in fact, long-term use has been associated with vitamin B12 deficiency, not changes in iron status.
B. The client's high-density lipoprotein level has increased. — While metformin may have some modest effects on lipid profiles, an increase in HDL is not the primary or expected therapeutic indicator used to evaluate metformin's effectiveness.
D. The client's frequency of incontinence has decreased. — Metformin is not indicated for and has no therapeutic effect on urinary incontinence.
A newly licensed nurse is caring for a client who requires tracheal suctioning, which is a procedure the nurse has not performed in practice. Which of the following actions should the nurse take?
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Refuse to take the assignment.
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Delegate the task to an assistive personnel.
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Identify that the task is in the scope of RN practice and perform the suctioning.
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Ask an experienced nurse to assist with the procedure.
Explanation
Tracheal suctioning is within the RN scope of practice, but a newly licensed nurse who has never performed the skill must ensure safety by seeking supervision. Asking an experienced nurse to assist provides appropriate guidance, reduces risk of complications such as hypoxia or mucosal trauma, and supports skill development. This action aligns with safe practice, professional responsibility, and facility policy for new nurses learning high-risk procedures.
A home health nurse is providing teaching to the parents of a newborn about reducing the risk of sudden unexpected infant death (SUID). Which of the following parent statements indicates an understanding of the teaching?
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"I will keep my newborn away from secondhand smoke."
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"I will place my newborn on a soft sleep surface."
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"I will avoid offering my newborn a pacifier during naps."
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"I will make sure my newborn wears a cardiopulmonary monitor."
Explanation
Exposure to secondhand smoke is a known risk factor for SUID, so avoiding smoke exposure is an important, evidence-based strategy to help reduce the newborn's risk.
Why the other options are incorrect:
B. "I will place my newborn on a soft sleep surface." — Infants should be placed on a firm, flat sleep surface, not a soft one, as soft surfaces increase the risk of suffocation and SUID.
C. "I will avoid offering my newborn a pacifier during naps." — Offering a pacifier during naps and at bedtime has actually been shown to decrease the risk of SUID, so this statement indicates a misunderstanding of the teaching.
D. "I will make sure my newborn wears a cardiopulmonary monitor." — Routine use of home cardiorespiratory monitors has not been shown to reduce the risk of SUID and is not a recommended prevention strategy for healthy infants.
A nurse is reviewing a community health report card. Which of the following findings should the nurse expect to find in the report card?
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Care maps
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Needs assessments
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Geographic boundaries
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Ecomaps
Explanation
Explanation:
Correct Answer: B) Needs assessments A community health report card is a tool used to evaluate and communicate the health status and needs of a community. It typically includes data from needs assessments, which identify health priorities, gaps in services, and areas requiring intervention. Needs assessments are a foundational component of community health planning and reporting.
Why Other Options are Incorrect:
- A) Care maps (also called clinical pathways) are tools used in individual client care management within healthcare facilities to outline expected steps in treatment. They are not components of a community health report card.
- C) Geographic boundaries define the physical limits of a community or service area and are used in community assessment planning, but they are not a specific finding reported within a community health report card itself.
- D) Ecomaps are visual tools used in family nursing and social work to illustrate a family's relationships and interactions with their environment and community. They are used in individual or family assessments, not in community health report cards.
A nurse is caring for a client who is at 32 weeks of gestation. (Nurses' Notes, 2030: Client is alert and oriented to person, place, time, and situation. Denies abdominal pain. Reports bright red vaginal bleeding on perineal pad. Skin warm and dry and intact. Respirations even and nonlabored. Lungs clear to auscultation anterior and posterior. Deep tendon reflexes 3+ bilateral. +2 pitting edema to bilateral lower extremities. Fetal heart rate 150/min. Category I with moderate variability via external fetal monitor. 2050: Assisted client to bathroom. No bleeding noted on perineal pad.) After reviewing the client's health record, which of the following actions should the nurse take? Select all that apply.
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Administer betamethasone IM.
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Prepare client for an immediate cesarean birth.
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Perform vaginal examinations every shift.
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Provide continuous external fetal heart monitoring.
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Provide the client with instructions about limiting activity.
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Monitor intake and output.
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Prepare and transfuse A-positive blood products.
Explanation
This presentation (painless bright red vaginal bleeding at 32 weeks) is consistent with placenta previa. Betamethasone is administered to accelerate fetal lung maturity in case preterm delivery becomes necessary; continuous fetal heart monitoring is essential to detect signs of fetal compromise; activity restriction (pelvic/bed rest, avoiding intercourse) helps reduce the risk of further bleeding; and monitoring intake and output helps assess fluid status and detect early signs of hemorrhage or hypovolemia.
Why the other options are incorrect:
B. Prepare client for an immediate cesarean birth — This is not currently indicated, as the client is stable, denies pain, and bleeding has stopped; a cesarean birth would only be indicated with active hemorrhage or fetal distress.
C. Perform vaginal examinations every shift — Vaginal examinations are contraindicated in suspected placenta previa, as they can dislodge the placenta and trigger severe hemorrhage.
G. Prepare and transfuse A-positive blood products — There is no current indication of significant blood loss, hemodynamic instability, or a specific order for transfusion; this is not warranted based on the current stable presentation.
A nurse is teaching a client who has multiple sclerosis. Which of the following instructions should the nurse include in the teaching?
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"Perform aerobic activities three times per week."
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"Soak in a hot bath."
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"Have your partner complete activities of daily living for you."
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"Schedule rest periods during the day."
Explanation
Clients with multiple sclerosis (MS) often experience fatigue, one of the most common and disabling symptoms of the disease. Scheduling rest periods throughout the day helps manage fatigue, conserve energy, and maintain independence in performing activities of daily living. Balancing activity with adequate rest helps prevent exacerbations triggered by overexertion.
A nurse at a community health clinic is planning care for an adolescent who recently learned that they are pregnant and is concerned about their ability to afford and care for the baby. Which of the following actions should the nurse take?
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Advise the adolescent to place the newborn for adoption.
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Refer the adolescent to a local mental health clinic.
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Assist the adolescent in applying for Medicaid.
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Contact the adolescent's guardian for assistance.
Explanation
The adolescent has expressed a specific, concrete concern about affording care for the baby. Assisting with a Medicaid application directly addresses this stated financial concern by connecting the client with a resource that can help cover healthcare costs for both the client and the newborn.
Why the other options are incorrect:
A. Advise the adolescent to place the newborn for adoption: This imposes the nurse's own judgment on a deeply personal decision rather than supporting the client's autonomy and does not address the client's stated concern about affordability.
B. Refer the adolescent to a local mental health clinic: The client has not expressed symptoms of a mental health crisis, only concern and worry about practical financial matters; this referral does not directly address the client's stated need.
D. Contact the adolescent's guardian for assistance: Contacting a guardian without the client's consent may violate confidentiality and does not directly address the specific financial resource need the client has identified.
A nurse is planning care for a client who wants to quit smoking. Which of the following actions should the nurse plan to take first?
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Determine the client's coping methods.
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Provide education about the dangers of smoking.
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Implement activities that promote the client's self-esteem.
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Offer a list of smoking cessation support groups.
Explanation
Correct Answer: (A) Determine the client's coping methods.
Before implementing any intervention, the nurse must first assess the client. Determining the client's coping methods is an assessment action and follows the nursing process (ADPIE), where Assessment comes before Planning and Implementation. Understanding how the client currently copes helps the nurse tailor an individualized and effective smoking cessation plan.
Why Other Options are Incorrect:
B. Provide education about the dangers of smoking — Education is an intervention and should come after a thorough assessment of the client's needs and readiness to learn.
C. Implement activities that promote the client's self-esteem — This is also an intervention that requires prior assessment to determine if self-esteem issues are even a contributing factor.
D. Offer a list of smoking cessation support groups — While helpful, this is an intervention and should not be done before assessing the client's current coping strategies and support needs.
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