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ATI RN COMPREHENSIVE PREDICTOR
EXAM LATEST REAL QUESTIONS AND
CORRECT ANSWERS GRADE A
A nurse in an emergency department is assessing a client who
reports ingesting 30 diazepam tablets 20 minutes ago. The client
is lethargic and has a respiratory rate of 10/min. After securing the
client's airway and initiating an IV, which of the following actions
should the nurse take next? - CORRECT ANSWER Administer
Flumazenil to the client-> it reverses the effects of diazepam
A nurse is assessing a client following an
esophagogastroduodenoscopy. Which of the following findings
should the nurse report to the provider? - CORRECT ANSWER
Abdominal pain
A nurse is reviewing the medication administration record of a
client. Which of the following prescriptions should the nurse
clarify? - CORRECT ANSWER Digoxin
.250 PO daily- yes, does not have a leading zero and has a
trailing one.
A nurse is creating a plan of care for a client who has paranoid
personality disorder and refuses to take their medication. Which
of the following interventions should the nurse include in the plan?
- CORRECT ANSWER Limit the clients opportunities to
socialize with others
A nurse is preparing to insert an IV catheter for a client. Which of
the following actions should the nurse plan to take? - CORRECT
ANSWER Choose vein that is palpable and straight
A nurse and outpatient mental health clinic is assessing
an
adolescent client. The nurse should expect the adolescent to
be
in which of the following of Erikson's stages of
psychosocial
development? - CORRECT ANSWER Identity vs role
confusion
A nurse is teaching a client about a variety of stress management
techniques. Which of the following instructions by the nurse is
appropriate? - CORRECT ANSWER Tighten your muscles
before relaxing them when using muscle relaxation techniques
A nurse is caring for a client who repeatedly refuses meals. The
nurse overhears and assistive personnel AP telling the client if
you don't eat I'll put restraints on your wrist and feed you. The
nurse should intervene and explain to the AP that this statement
constitutes which of the following torts? - CORRECT ANSWER
Assault
A nurse is preparing to remove an IV catheter from an arm of a
client who has phlebitis at a peripheral IV site. Which of the
following actions should the nurse plan to take? - CORRECT
ANSWER Place a warm moist compress on the site
A nurse is planning to delegate the fasting blood glucose testing
for a client who has diabetes mellitus chew and assistive
personnel ASAP. Which of the following actions should the nurse
take? - CORRECT ANSWER Determine if the AP has the skills
to perform the test
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
Nurse is providing teaching to the parents of a newborn about
newborn genetic screening. Which of the following statements
should the nurse include in the teaching? - CORRECT ANSWER
This test should be performed after your baby is 24 hours old
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? -
CORRECT ANSWER Minimize noise in the newborns
environment
A nurse is caring for a child who has cystic fibrosis and requires
postural drain. Which of the following actions should the nurse
take? - CORRECT ANSWER Perform the procedure prior to
meals
A school nurse is teaching a parent about absence seizures.
Which of the following information should the nurse include? -
CORRECT ANSWER This type of seizure can be mistaken by
daydreaming
A community health nurse is working with a group of clients. The
nurse practices the ethical principle of distributive justice by
performing which of the following tasks? - CORRECT ANSWER
Ensuring that a clients who is homeless receives preventative
medical care
A nurse is planning care for a client who is receiving continuous
enteral tube feeding through an open system. Which of the
following interventions should the nurse include in the plan of f
care? - CORRECT ANSWER Flush the tubing with 30ml o
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
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 nurse take to
protect the clients confidentiality? - CORRECT ANSWER
Provide a verbal report of the client's condition to the paramedic
performing the transfer
A nurse is admitting an older adult client who is transferring from
another facility. The nurse notes pressure ulcers on the clients
coccyx and abrasions around both wrists. Which of the following
actions should the nurse take to address suspicions of elderly
abuse? - CORRECT ANSWER Privately interviewed the client
about the injuries
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 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
bowel movement, and the nurse offers a bedpan. The client
states, "I've always used the bathroom." Which of the following
responses should the nurse make? - CORRECT ANSWER
"Tell me what concerns you have about using a bedpan."
A nurse is providing an in service about client evacuation during a
fire. Which of the following clients should the nurse instruct the
staff to evacuate first? - CORRECT ANSWER A client who is
ambulatory and receiving oxygen.
A nurse is assessing a client who has a possible right
pneumothorax. Which of the following findings should the nurse
expect? - CORRECT ANSWER Reduced right-side breath
sounds
A nurse is caring for a client who is postoperative following a liver
biopsy. In which of the following positions should the nurse place
the client immediately following the procedure? - CORRECT
ANSWER Right lateral
A nurse is caring for a client who states he recently purchased
lavender oil to use when he gets the flu. The nurse should
recognize which of the following findings as a potential
contraindication for using lavender? - CORRECT ANSWER
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 assessing a client who has histrionic personality
disorder. Which of the following manifestations should the nurse
expect? - CORRECT ANSWER Self-centered behaviors
A nurse in an emergency department is caring for a three-year old
child who has suspected epiglottitis. Which of the following
actions should the nurse take? - CORRECT ANSWER Prepare
to assist in intubation
In nurses teaching a client who is trying to conceive. Which of the
following should the nurse instruct the client to increase in her diet
to prevent a neural tube defect? - CORRECT ANSWER Folate
A nurse is assessing a client who is postoperative and has a
history of pulmonary embolism. Which of the following findings is
a priority for the nurse to report to the provider? - CORRECT
ANSWER Dyspnea
A nurse is performing a neurological examination on the client as
a part of a complete physical assessment. The nurse should
identify the cranial nerve XI is intact when the client performs
which of the following actions? - CORRECT ANSWER Shrugs
his shoulders
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
struggling to adapt following the loss of a family member. Which
of the following actions should the nurse take first? - CORRECT
ANSWER Determine the roles of individual family members
A nurse in a clinic is planning care for a child who has ADHD and
is taking atomoxetine. Which of the following laboratory values
should the nurse monitor? - CORRECT ANSWER Liver
function test
A nurse is teaching a prenatal class about infection prevention at
the Community Center. Which of the following statements by a
client indicates an understanding of the teaching? - CORRECT
ANSWER I can visit my nephew who has chicken pox five days
after the sores have crusted
My home health nurse is planning care for a client who has
Alzheimer's Disease. Which of the following actions should the
nurse include in the plan of care? - CORRECT ANSWER Place
locks at the top of exterior doors
A nurse is caring for a client who is receiving brachytherapy for
endometrial cancer. Which of the following actions should the
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
ANSWER Insert an IV saline lock
A nurse is caring for a male client who has a spinal cord injury.
Which of the following techniques should the nurse use when
providing perineal care? - CORRECT ANSWER Use water with
no soap to prevent skin irritation
A nurse is reviewing the medical history of a client who asks
about the use of warfarin. The nurse should identify which of the
following findings as a contraindication for administration of this
medication? - CORRECT ANSWER Recent eye surgery
A nurse is caring for a client who is experiencing expressive
aphasia and right hemiparesis following a stroke. Which of the
following actions by the nurse best promotes communication
among the staff caring for the client? - CORRECT ANSWER
Having interdisciplinary team meetings for the client on a regular
basis
The nurse is preparing a client to undergo a cardiac
catheterization. Which of the following tasks should the nurse
perform prior to the procedure? - CORRECT ANSWER Obtain
a CBC with differential
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 teaching about preventative measures to a female
client who has chronic urinary tract infections. Which of the
following instructions should the nurse include in the teaching? -
CORRECT ANSWER Drink 2 liters of water per day
A nurse is caring for a client who is postoperative following total
hip arthroplasty. Which of the following actions should the nurse
take to prevent dislocation of the prosthesis? - CORRECT
ANSWER Keep an abduction pillow between the client's legs
A nurse is planning care for a client who is to receive alteplase
recombinant for a thrombus in the coronary artery. Which of the
following actions should the nurse include in the plan of care? -
CORRECT ANSWER Monitor vital signs every hour for the first
4 hours
A home care nurse is making a follow-up visit with a client who
has COPD and is using a compressed oxygen system in his
home. Which of the following actions should the nurse take? -
CORRECT ANSWER Place the oxygen tank away from
curtains or drapes
A nurse manager is addressing reports of conflict within a nursing
