ATI Proctored Comprehensive Predictor Exam

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Sample questions from ATI Proctored Comprehensive Predictor Exam

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.A 72-year-old client on a medical unit has sudden confusion, temperature 38.8 C (101.8 F), heart rate 124/min, blood pressure 86/48 mm Hg, and urine output 15 mL/hr. Which action should the nurse take first?

   • A.Obtain a clean-catch urine specimen before taking further action
   • B.Administer the prescribed acetaminophen
   • C.Notify the rapid response team and initiate the facility's sepsis protocol
   • D.Reorient the client and reassess in 30 minutes

   Rationale: The client has signs of sepsis with hypotension and impaired perfusion, so immediate escalation and initiation of the sepsis response are priorities. A urine specimen may be needed but must not delay stabilization. Acetaminophen may reduce fever but does not treat shock. Reorientation and delayed reassessment are unsafe given the acute deterioration.

2. 2.A charge nurse is assigning clients to an RN and an LPN on a medical-surgical unit. Which task is appropriate for the nurse to assign to the LPN?

   • A.Develop the plan of care for a client with a new stroke
   • B.Reinforce teaching about a newly prescribed oral antibiotic for a stable client
   • C.Complete the initial assessment of a client admitted with chest pain
   • D.Evaluate a client's response to IV morphine

   Rationale: An LPN may reinforce previously provided teaching for a stable client with predictable needs. Initial assessment and care planning require RN-level judgment. Evaluating the response to IV morphine also requires assessment and clinical judgment by the RN. Delegation should match the task, client stability, and staff scope of practice.

3. 3.A 68-year-old client with heart failure is being discharged from a telemetry unit after treatment for fluid overload. The client has a prescription for furosemide and reports limited understanding of the home plan. Which instructions should the nurse include? Select all that apply.

   • A.Stop the medication when your ankle swelling resolves
   • B.Take the furosemide at bedtime to avoid daytime urination
   • C.Weigh yourself each morning after urinating and before eating
   • D.Limit sodium intake as directed in your discharge plan
   • E.Call the provider for a weight gain of 2 lb (0.9 kg) in 24 hours

   Rationale: Daily weights under consistent conditions help detect fluid retention early, and a rapid gain of 2 lb (0.9 kg) in a day should be reported according to common heart-failure plans. Sodium restriction should follow the individualized discharge instructions. Bedtime furosemide can disrupt sleep because of diuresis, so it is generally taken earlier in the day. The client should not stop the medication without discussing the change with the prescriber.

4. 4.A nurse receives report on four clients at the start of a shift. Which client should the nurse assess first?

   • A.A 29-year-old client with a fractured wrist requesting help to the bathroom
   • B.A 76-year-old client with diabetes whose premeal glucose is 198 mg/dL
   • C.A 45-year-old client with pancreatitis reporting pain of 8 on a 0-to-10 scale
   • D.A 61-year-old client with pneumonia whose oxygen saturation has fallen from 95% to 88% on 2 L/min

   Answer and rationale are in the full material.

5. 5.A 34-year-old client scheduled for an elective procedure tells the nurse, 'I signed the consent, but I do not understand the risks.' The client is alert and the procedure is scheduled in 20 minutes. What should the nurse do?

   • A.Notify the procedural provider that the client needs further explanation
   • B.Witness the signature again so the provider can begin on time
   • C.Explain the risks using the consent form and ask the client to proceed
   • D.Ask the client's family member to explain the procedure

   Answer and rationale are in the full material.