Download ATI Comprehensive Predictor Exam 2025-2026 Summer- Fall | 100% Real Questions & Answers | and more Exams Nursing in PDF only on Docsity!
ATI Comprehensive Predictor Exam 2025-
Summer- Fall | 100% Real Questions & Answers |
Latest Updated
The nurse is observing care given to a client experiencing severe to panic levels of anxiety. The nurse would intervene in which of the following situations?
- The staff maintains a calm manner when interacting with the client.
- The staff attends to client's physical needs as necessary.
- The staff helps the client identify thoughts or feelings that occurred prior to the
onset of the anxiety.
- The staff assesses the client's need for medication or seclusion if other
interventions have failed to reduce anxiety.
3
A 69-year-old client is undergoing his second exchange of intermittent peritoneal dialysis (IPD). Which of the following would require an intervention by the nurse?
- The client complains of pain during the inflow of the dialysate.
- The client complains of constipation.
- The dialysate outflow is cloudy.
- There is blood-tinged fluid around the intra-abdominal catheter.
3
A 38-year-old woman is returned to her room after a subtotal thyroidectomy for treatment of hyperthyroidism. Which of the following, if found by the nurse at the patient's bedside, is nonessential?
- Potassium chloride for IV administration.
- Calcium gluconate for IV administration.
- Tracheostomy set-up.
- Suction equipment.
1
A nurse recognizes that an initial positive outcome of treatment for a victim of sexual abuse by one parent would be that the client
- acknowledges willing participation in an incestuous relationship.
- reestablishes a trusting relationship with his/her other parent.
- verbalizes that s/he is not responsible for the sexual abuse.
- describes feelings of anxiety when speaking about sexual abuse.
3
An adolescent client is ordered to take tetracycline HCL (Achromycin) 250 mg PO bid. Which of the following instructions should be given to this
client by the nurse?
- "Take the medication on a full stomach, or with a glass of milk."
The nurse is teaching a 40-year-old man diagnosed with a lower motor neuron disorder to perform intermittent self-catheterization at home. The nurse should instruct the client to
- use a new sterile catheter each time he performs a catheterization.
- perform the Valsalva maneuver(holding breath and bearing down) before doing the catheterization.
- perform the catheterization procedure every 8 hours.
- limit his fluid intake to reduce the number of times a catheterization is needed.
2
A client is being discharged with sublingual nitroglycerin (Nitrostat).
The client should be cautioned by the nurse to
- take the medication five minutes after the pain has started.
- stop taking the medication if a stinging sensation is absent.
- take the medication on an empty stomach.
- avoid abrupt changes in posture.
4
A client has a history of oliguria, hypertension, and peripheral edema. Current lab values are: BUN -25, K+ -4.0 mEq/L. Which nutrient should be restricted in the client's diet?
- Protein.
- Fats.
- Carbohydrates.
- Magnesium.
1
An extremely agitated client is receiving haloperidol (Haldol) IM every 30 minutes while in the psychiatric emergency room. The MOST important nursing intervention is to
- monitor vital signs, especially blood pressure, every 30 minutes.
- remain at the client's side to provide reassurance.
- tell the client the name of the medication and its effects.
- monitor the anticholinergic effects of the medication.
1
The nurse is caring for clients in the skilled nursing facility. Which of the following clients require the nurse's IMMEDIATE attention?
- A client admitted for a cerebral vascular accident (CVA) whose prescription for
warfarin (Coumadin) expired two days ago.
- A client in pain who was receiving morphine in an acute care institution and was
transferred with a prescription for acetaminophen with codeine.
- A client who has dysuria and foul-smelling, cloudy, dark amber urine.
A 59-year-old woman with bipolar disorder is receiving haloperidol
(Haldol) 2 mg PO tid. She tells the nurse, "Milk is coming out of my
breasts." Which of the following responses by the nurse is BEST?
- "You are seeing things that aren't real."
- "Why don't we go make some fudge."
- "You are experiencing a side effect of Haldol."
- "I'll contact your physician to change your medication."
3
The physician orders ranitidine hydrochloride (Zantac) 150 mg PO qd for
a client. The nurse should advise the client the BEST time to take this
medication is
- before breakfast.
- with dinner.
- with food.
- at hs.
4
. If a client develops cor pulmonale (right-sided heart failure), the nurse
would expect to observe
- increasing respiratory difficulty seen with exertion.
- cough productive of a large amount of thick, yellow mucus.
- peripheral edema and anorexia.
- twitching of extremities.
3
The nurse is performing triage on a group of clients in the emergency
department. Which of the following clients should the nurse see FIRST?
- A 12-year-old oozing blood from a laceration of the left thumb due to cut on a
rusty metal can.
- A 19-year-old with a fever of 103.8°F (39.8°C) who is able to identify her sister
but not the place
and time.
- A 49-year-old with a compound fracture of the right leg who is complaining of
severe pain.
- A 65-year-old with a flushed face, dry mucous membranes, and a blood sugar of
470 mg/dL.
2
The nurse in the outpatient clinic teaches a client with a sprained right
- "It won't hurt as much if you hold your incision when you cough."
- "Take another deep breath, hold it, and then cough deeply
1
What can be delegated to Assistive personnel (AP)?
- ADLs - bathing - grooming - dressing - ambulating - feeding (w/o swallow precautions) - positioning - bed making - specimen collection - I&O - VS (stable clients
A nurse on a med surge unit has recieved change of shift report and will care for 4 clients. Which of the following clients needs will the nurse assign to an AP?
A. Feeding a client who was admitted 24 hours ago with aspiration pneumonia
B. Reinforcing teaching with a client who is learning to walk with a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
C
A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago to an AP. Which of the following info should the nurse share with the AP?
Select all:
A. the roommate is up independently
B. The client ambulates with his slippers on over his antiembolic stockings
C. The client uses a front wheeled walker when ambulating
D. The client had pain meds 30 minutes ago
E. The client is allergic to codeine
F. the client ate 50 % of his breakfast this morning
B
C
D
An RN is making assignments for client care to an LPN at the beginning of the shift. Which of the following assignments should the LPN question?
A. Assisting a client who is 24 hr postop to use an incentive spirometer
B. Collecting a clean catch urine specimen from a client who was admitted on the previous shift
C. providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump
D
A nurse is preparing an inservice program about delegation. Which of the following elements should she identify when presenting the 5 rights of delegation. Select all:
A. Right client
B. Right supervision/evaluation
Morals
What is the right to make ones own personal decisions, even tho those decisions might not be in the persons best interest
Autonomy
What are positive actions to help others
Beneficience
What is an agreement to keep promises
Fidelity
What is fairness in care delivery and use of resources
Justice
What is avoidance of harm or injury
Non-maleficence
A nurse is caring for a client who decides not to have surgery despite significant blockages in his coronary arteries. The nurse understands that this clients choice is an example of what principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmalificience
A
A nurse offers pain meds to a client who is postop prior to ambulation. The nurse understands that this aspect of care delivery is an example of which of the following ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Beneficience
D
A nurse is instructing a group of nursing students about the responsibilities involved with organ donation and procurement. When the nurse explains that all clients waiting for a kidney transplant have to meet the same qualifications, the
C. A family has conflicting feelings about the initiation of enteral tube feedings of their father who is terminally ill
D. A client who is terminally ill hesitates to name her spouse on her durable power of attorney form
C
Most managers can be categorized as
authoritative, democratic, and laissez faire
makes decisions of the group
motivates by coercion
communication occurs down the chain of command
Work output by the staff is usually high-good for crisis situations and bureaucratic settings
Authoritative
includes the group when decisions are made
Motivates by supporting star achievements
Communication occurs up and down the chain of command
Work output by staff is usually of good quality-good when cooperation and collaboration is necessary
Democratic
makes very few decisions and does little planning
motivation is largely the responsibility of individuals staff members
Communication occurs up and down the chain of command and between group members
Work output is low unless an informal leader evolves from the group
*the use of any of these styles may be appropriate depending on the situation
Laissez faire
The nurse should consider the hierarchy of human needs when prioritizing interventions, which are?
- Physiological needs first (oxygen, shelter, food)
- Safety & security needs (physical safety)
- Love and belonging
- Self esteem
- Self actualization
The ABC framework identifies, in order, the three basic needs for sustaining life
a. at time of admission
b. 2 days after client is admitted
c. whenever the nurse has the time to do planning
d. when the physician has the discharge order
A
What is an interdisciplinary team?
A group of health care professionals from different disciplines
Fill in the blank:
- _______ is used by interdisciplinary team to make health care decisions about clients with multiple problems. 2. ________, which may take place at team meetings, allows the achievement of results that the participants would be incapable of accomplishing if working alone.
1 & 2 = collaboration
What is the nurse's contribution to an interdisciplinary team?
- knowledge of nursing care & its management
- a holistic understanding of the client, her/his healthcare needs & healthcare systems.
A four-month-old infant is admitted to the pediatric intensive care unit
with a temperature of 105°F (40.5 °C). The infant is irritable, and the nurse
observes nuchal rigidity. Which assessment finding would indicate an
increase in intracranial pressure?
- Positive Babinski.
- High-pitched cry.
- Bulging posterior fontanelle.
- Pinpoint pupils.
2
A client is receiving total parenteral nutrition (TPN). To determine the
client's tolerance of this treatment, the nurse should assess for which of the
following?
- A significant increase in pulse rate.
- A decrease in diastolic blood pressure.
- Temperature in excess of 98.6°F (37°C).
- Urine output of at least 30 cc per hour.
4
