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ATI RN COMPREHENSIVE PREDICTOR
EXAM LATEST REAL QUESTIONS AND
CORRECT ANSWERS GRADE A
A nurse is preparing to initiate intravenous fluids via an infusion
pump for a client. Which of the following actions should the nurse
take? - CORRECT ANSWER Check the expiration date of the
safety inspection sticker of the pump.
A nurse is caring for a client who is one hour postpartum and
unable to urinate. Which of the following actions should the nurse
take? - CORRECT ANSWER Perform a fundal massage
A nurse is assessing a child who has bacterial pneumonia. Which
of the following manifestations should the nurse expect? -
CORRECT ANSWER Fever
A nurse is caring for a client who speaks in a different language
than the nurse and is using an interpreter. Which of the following
actions should the nurse take when working with the interpreter? -
CORRECT ANSWER Speak in a normal voice at a natural pace
A charge nurse is teaching new staff members about factors that
increase a client's risk to become violent. Which of the following
risk factors should the nurse include as the best predictor of future
violence? - CORRECT ANSWER Previous violent behavior
An occupational health nurse is providing teaching to a group of
factory workers about proper lifting techniques. Which of the
following statements should the nurse make? - CORRECT
ANSWER Tighten abdominal muscles to improve balance
A nurse is caring for a client who has diabetes mellitus and is
receiving long acting daily insulin for blood glucose management.
The nurse should anticipate administering which of the following
types of insulin? - CORRECT ANSWER Glargine insulin
A nurse in an emergency department is caring for a client who is
actively bleeding from a stab wound to the thigh. Which of the
following actions should the nurse take? - CORRECT
ANSWER
Applied direct pressure to the wound with thick dressing material
The nurse is caring for a client who experienced a traumatic brain
injury 72 hours ago. Which of the following findings should the
l nurse identify as a potential indication of increased intracrania
pressure? - CORRECT ANSWER Increasingly severe
headache
A nurse is assessing a 5 year old child who has diabetes insipidus
and is receiving desmopressin. Which of the following findings
should the nurse identify as an indication that the medication is
effective? - CORRECT ANSWER Cessation of nocturnal
enuresis
A nurse is caring for an infant who has coarctation of the aorta.
Which of the following should the nurse identify as an expected
finding? - CORRECT ANSWER Weak femoral pulse
A nurse is caring for a client who is at 33 weeks of gestation
following an amniocentesis. The nurse should monitor the client
for which of the following complications? - CORRECT ANSWER
Contractions
care? - CORRECT ANSWER Flush the tubing with 30ml of
water every 4 hr
A nurse is caring for a client who asks for information regarding
organ donation. Which of the following responses should the
nurse make? - CORRECT ANSWER Your desire to be an organ
donor must be documented in writing
In nurses caring for a client who has placenta previa. Which of the
following findings should the nurse expect? - CORRECT
ANSWER Spotting
A charge nurse is concerned about a recent increase in facility
acquired catheter infections. Which of the following actions should
the nurse take first? - CORRECT ANSWER Identify possible
precipitating factors related to infection
A nurse is assessing the grief response of a client whose child
died 6 months ago. Which of the following client statements
should the nurse report to the provider as an indication of major
depressive disorder? - CORRECT ANSWER I am unable to feel
any joy since my child died
A nurse is caring for a client who has respiratory depression from
an opioid administration. After administering naloxone to the client,
which of the following findings should the nurse expect? -
CORRECT ANSWER Hypoventilation (Respiratory depression
is a decreased effort to breathe or a decreased rate of ventilation,
which can result from opioid administration. Hypoventilation is the
medical term for breathing at an abnormally slow rate, which
results in an increased amount of carbon dioxide in the blood)
The nurse in a parental clinic is teaching a client about
nonpharmacological pain management during labor. Which of the
following statements by the client indicates an understanding of
the teaching? - CORRECT ANSWER I can use my ultrasound
pictures as a focal point during contractions
A nurse is developing a nutritional care plan for a client who has
COPD and severe dyspnea. To promote intake, which of the
following actions should the nurse include in the plan of care? -
CORRECT ANSWER Limit fluid intake with meals
A nurse is caring for a client who is in the active phase of labor
and has decided to have a natural childbirth. Which is the
following pain management technique should the nurse suggest?
- CORRECT ANSWER Provide information about the use of
hydrotherapy during labor
A nurse is assessing a client who has bipolar disorder and is
experiencing a depressive episode. Which of the following
findings should the nurse expect? - CORRECT ANSWER
Inability to carry out simple tasks
A nurse is reporting a client's laboratory test to the provider to
obtain a prescription for the clients daily warfarin. Which of the
following laboratory tests should the nurse plan to report to obtain
the prescription for the warfarin? - CORRECT ANSWER INR
A nurse is preparing a client for transfer to a long term
rehabilitation facility following a below the knee amputation of the
right leg. Which of the following actions should the
A nurse is caring for a client who has an implanted venous access
port. Which of the following should the nurse use to access the
port? - CORRECT ANSWER A non-coring needle
A nurse is caring for a client who is near the end of life and is on
complete bed rest. The client states that he needs to have a
client who is aggressive pacing and speaking loudly? -
CORRECT ANSWER Tell the client, "you seem to be very
upset"
A nurse is teaching a client about family planning using the basal
body temperature method. Which of the following instructions
should the nurse include in the teaching? - CORRECT ANSWER
Take your temperature immediately after waking and before
getting out of bed
A nurse is reading a tuberculin skin test for a client who received
a purified protein derivative test 72 hr ago. Which of the following
findings indicate a positive test? - CORRECT ANSWER An
induration measuring 10 mm
A nurse is caring for a client who has heart failure. Which of the
following manifestations should the nurse expect? - CORRECT
ANSWER Crackles in lungs
A nurse is assessing a client who received hydromorphone 4 mg
IV 15 minutes ago. The client has a respiratory rate of 10 b/m.
The nurse should prepare to administer which of the following
medications? - CORRECT ANSWER Naloxone
A nurse is planning care for a school aged child who is 4 hours
postoperative following appendicitis. Which of the following
actions should the nurse include in the plan of care? - CORRECT
ANSWER Administer analgesics on scheduled basis for 24
hours
A nurse is caring for a client whose child died from cancer. The
client states it's hard to go on without him. Which of the following
questions should the nurse ask the client first? - CORRECT
ANSWER "Are you thinking about ending your life?"
A nurse is teaching a client about advanced directives. Which of
the following statements by the client indicates an understanding
of the teaching? - CORRECT ANSWER A living will is a
document that includes my wishes about healthcare decisions
A nurse is providing teaching to a client who is 14 weeks of
gestation about findings to report to the provider. Which of the
following findings should the nurse include in the teaching? -
CORRECT ANSWER Swelling of the face
The nurse is providing discharge instructions to a client who has a
new prescription of haloperidol. Which of the following adverse
effects should the nurse instruct the client to report to the
provider? - CORRECT ANSWER Shuffling gait
A charged nurse is monitoring a newly licensed nurse who was
caring for a client who was receiving total parenteral nutrition
(TPN). Which of the following assessments by the newly licensed
nurse indicate an understanding of the procedure? - CORRECT
ANSWER "I will hang a new bag of TPN and IV tubing every 24
hrs"
A nurse is caring for a client who is in active labor and notes the
FHR baseline has been 100 b/m for the past 15 minutes. The
nurse should identify which of the following conditions as a
possible cause of fetal bradycardia? - CORRECT ANSWER
Maternal Hypoglycemia
A nurse is planning care for a group of clients and is working with
one licensed practical nurse (LPN) and one assistive personnel
(AP). Which of the following actions should the nurse take first to
manage her time effectively? - CORRECT ANSWER Determine
goals for the day
A nurse is inserting an indwelling catheter for a male client. Which
of the following actions should the nurse take? - CORRECT
ANSWER Lift the penis so that it is perpendicular to the client's
body
A nurse is caring for a client who has severe hypertension and is
to receive Nitroprusside via continuous IV infusion. Which of the
following actions should the nurse plan to take? - CORRECT
ANSWER Protect the IV bag from exposure to light
A Hospice nurse is visiting with a 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? - CORRECT ANSWER I can give you
information about respite care if you are interested.
A nurse is speaking with a caregiver of a client who has
Alzheimer's disease. The caregiver states providing constant care
is very stressful and is affecting all areas of my life. Which of the
following actions should the nurse take? - CORRECT ANSWER
Assist the caregiver to arrange for day care program for the client.
A nurse and assistive personnel AP are assigned to a group of
clients on the unit. Which of the following clients should the nurse
instruct the AP to report to the nurse? - CORRECT ANSWER A
client who has a prescription for compression stockings and did
not receive them
A nurse planning care for a client who sustained a major burn
over 20% of the body. Which of the following interventions should
the nurse include to support the clients nutritional requirements? -
CORRECT ANSWER Keep a calorie count for foods and
beverages
A nurse is caring for a client who is receiving radiation therapy
and is experiencing anorexia. Which of the following actions
should the nurse take? - CORRECT ANSWER Provided the
client with cold foods rather than hot foods
A nurse is teaching dietary guidelines to the client who has celiac
disease. Which of the following food choices is appropriate for this
client? - CORRECT ANSWER Potato pancakes
A nurse is collecting a sputum specimen from a client who has
tuberculosis. Which of the following actions should the nurse
take? - CORRECT ANSWER Obtain the specimen immediately
upon the client waking up
A nurse is planning teaching for a client who has a newly
implanted implantable cardioverter/defibrillator. Which of the
following information should the nurse include? - CORRECT
ANSWER Wear loose fitting clothing
A nurse is planning care for a client who has acute appendicitis.
Which of the following actions should the nurse plan to take? -
CORRECT ANSWER Keep the client on NPO status
A community health nurse is working with a family that is
A nurse is discussing discharge plans with an older adult client
who lives alone and has left sided weakness following a stroke.
Which of the following information is a priority for the nurse to
discuss? - CORRECT ANSWER Obtain an alert system to get
help in case of a fall
A nurse in a family health clinic is caring for a client who requests
information regarding the correct use of condoms. Which of the
following statements should the nurse make? - CORRECT
ANSWER When using implanted contraceptive methods
condom should also be used to protect against STDs.
A nurse is assessing the fontanelles of an 8 month old infant.
Which of the following findings should the nurse recognize as an
expected finding? - CORRECT ANSWER The anterior
fontanelle is open
A nurse is obtaining the temperature of a newborn. Which of the
following sites should the nurse use? - CORRECT ANSWER
Axillary
A nurse is providing care for a client who has esophageal cancer
and has received radiation therapy. Which of the following
findings should the nurse identify as the priority? - CORRECT
ANSWER Dysphagia
A nurse is assessing a client who has type one diabetes mellitus
and was administered insulin lispro one hour ago. Which of the
following manifestations indicates that the client might be
experiencing hypoglycemia? - CORRECT ANSWER Confusion
A nurse is preparing an in service for a group of nurses about
malpractice insurance and nursing. Which of the following
examples should the nurse include in the teaching as an example
of malpractice? - CORRECT ANSWER Administering
potassium via IV bolus
A nurse is admitting a client to a medical surgical unit. When
performing medication reconciliation for the client, which of the
following actions should the nurse take? - CORRECT ANSWER
Compare new prescriptions with the list of medications the client
reports
A nurse is caring for an adolescent client who has cystic fibrosis.
Which of the following actions should the nurse instruct the client
to take prior to initiating postural drainage? - CORRECT
ANSWER Use an albuterol inhaler
A nurse is working with a client who has an anxiety disorder and
is in the orientation phase of the therapeutic relationship. Which of
the following statements should the nurse make during this
phase? - CORRECT ANSWER We should establish our roles in
the initial session
A nurse manager is planning a staff in service to address
advocacy in client care. The nurse should promote which of the
following practices during the in service? SATA - CORRECT
ANSWER Encouraging clients to seek further information from
the provider
Addressing client needs when providing resources
Promoting health care access
A nurse is implementing seizure precautions for a client who has
had a tonic clonic seizure. Which of the following interventions
should the nurse include in the plan of care? - CORRECT
A nurse is receiving a change of shift report for a group of clients.
Which of the following clients should the nurse plan to assist first?
- CORRECT ANSWER A client who has a hip fracture and a
new onset of tachypnea
A nurse is assessing the coping strategies of a client who has
recently retired. Which of the following statements by the client
indicates that the client is using compensation as a defense
mechanism? - CORRECT ANSWER Since I retired, i have
entered many gardening competitions
A nurse is assessing the client who has a chest tube with a water
seal drainage system. Upon assessment the nurse notes tidaling
in the water seal. Which of the following is an explanation for the
tidaling? - CORRECT ANSWER The system is working properly
A nurse is teaching a group of school age children about healthy
snack options. Which of the following snacks should the nurse
include? - CORRECT ANSWER Air popped popcorn
The nurse is teaching a client who is pregnant and has genital
herpes simplex virus (HSV). Which of the following statements
should the nurse include in the teaching? - CORRECT ANSWER
You will need to have a cesarean birth if there are any visible
lesions
A nurse is caring for a client who has a stool culture that is
positive for C. Diff. Which of the following infection control
precautions should the nurse take? - CORRECT ANSWER
Remove the protective gown while in the clients room
A nurse is providing preoperative teaching to a client about the
administration of morphine via PCA pump. Which of the following
statements by the client indicates an understanding of the
teaching? - CORRECT ANSWER I will receive a limited amount
of pain medication when i press the button
A nurse is caring for a client who is alert and oriented and is
receiving continuous ECG monitoring. The cardiac rhythm strip
shows a wavy baseline, no distinguishable P waves, and an
increased heart rate. The nurse identified the cardiac rhythm as
which of the following? - CORRECT ANSWER Atrial fibrillation
A nurse is preparing to administer the first dose of cefazolin via
intermittent IV infusion to a client. Which of the following actions
should the nurse take first? - CORRECT ANSWER Review the
clients allergy history
A nurse is caring for a client who is on bed rest. The nurse should
recognize that which of the following findings is a complication of
immobility? - CORRECT ANSWER Swollen area on calf
A nurse is preparing to administer 3 medications to a client who is
receiving continuous enteral feeding through the Ng tube. Which
of the following actions is appropriate for the nurse to take? -
CORRECT ANSWER Use a syringe to allow the medications to
flow by gravity
A nurse is caring for a client who has end stage kidney disease.
The client's adult child asks the nurse about becoming a living
kidney donor for their parents. Which of the following conditions in
the child's medical history should the nurse identify as a
contraindication to the procedure? - CORRECT ANSWER
Hypertension
A nurse is providing preoperative teaching to an older adult client
who is scheduled for surgery. Which of the following actions
should the nurse take to promote learning? - CORRECT
ANSWER Connect new information with the client's past
experiences
A nurse manager is updating protocols for the use of belt
restraints. Which of the following guidelines should the nurse
manager include? - CORRECT ANSWER Document the client's
condition every 15 minutes
A nurse in a PACU is transferring care of a client to a nurse in the
medical surgical unit. Which of the following statements should
the nurse include in the handoff report? - CORRECT ANSWER
The estimated blood loss was 250 milliliters
A nurse in a long term care facility is admitting a client who has
dementia. Which of the following actions should the nurse take to
reduce the risk for client injury? - CORRECT ANSWER Assist
the client to the toilet frequently
A nurse in an acute care mental health facility is placing a client in
seclusion and restraints. Which of the following actions should the
nurse plan to take? - CORRECT ANSWER Document the
client's behavior every 15 minutes
A nurse is reviewing the medical records of four clients. The nurse
should identify which of the following clients' findings require
follow up care? - CORRECT ANSWER A client who is taking
warfarin and has an INR of 1.
A nurse is assessing a client who is receiving continuous bladder
irrigation following a transurethral resection of the prostate 4
hours ago. The nurse notes pink tinged urine in the drain bag.
Which of the following actions should the nurse take? -
CORRECT ANSWER Maintain the irrigation solution rate
A charge nurse on a medical surgical unit is assisting with the
emergency response plan following an external disaster in the
community. In anticipation of multiple client admissions, which of
the following current clients should the nurse recommend for early
discharge? - CORRECT ANSWER A client who is 1 day
postoperative following a vertebroplasty
A nurse is caring for a client who has pneumonia and tells the
nurse I feel like an elephant is sitting on my chest. The client is
weak and unable to walk. After the nurse initiates chest pain
protocol, which of the following is a priority diagnostic test? -
CORRECT ANSWER 12 lead ECG
A nurse is providing care for a client following a thoracentesis. If
the client develops pneumothorax, which of the following
assessment findings should the nurse expect? - CORRECT
ANSWER Pain on inhalation
A nurse is preparing to administer dopamine hydrochloride
4mcg/kg/min via continuous infusion. Available is dopamine
hydrochloride in a solution of 800mg in a 250ml bag. The client
weighs 80kg. The nurse should set the IV infusion to deliver how
many ml/hr. - CORRECT ANSWER 6 ml/hr
A nurse is consulting a pharmacological reference about
medication compatibility prior to administering warfarin to a client.
