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ATI RN COMPREHENSIVE PREDICTOR
EXAM QUESTIONS WITH SOLVED
SOLUTIONS
A nurse overhears two assistive personnel (AP) discussing care for a client while in the elevator. Which of the following actions should the nurse take? A. Contact the client's family about the incident.
B. Notify the client's provider about the incident.'C. File a complaint with the facility's ethics committee.
D. Report the incident to the AP's charge nurse. - ANSWER>>D. Report the incident to the AP's charge nurse.
A nurse is planning care for a client who is receiving hemodialysis. Which of the following actions should the nurse include in the plan of care?
A. Withhold all medications until after dialysis
B. Rehydrate with dextrose 5% in water for orthostatic hypotension.
C. Check the vascular access site for bleeding after dialysis.
D. Give an antibiotic 30 min before dialysis. - ANSWER>>C. Check the vascular access site for bleeding after dialysis.
A nurse in the emergency department is caring for a client who reports intimate partner violence. Which of the following interventions is the nurse's priority?
A. Develop a safety plan with the client
B. (Unable) options for reporting the incident. C. Refer the client to a community support group.
D. Determine if the client has any injuries. - ANSWER>>D. Determine if the client has any injuries.
A nurse is caring for a client who is in active labor and note the FHR baseline has been 100/min for the past 15 min. The nurse should identify which of the following conditions as a possible cause of fetal bradycardia?
A. Maternal fever
B. Fetal anemia
C. Maternal hypoglycemia
D. Chorioamnionitis - ANSWER>>C. Maternal hypoglycemia
a nurse manager is updating protocols for the use of belt restraints. Which of the
following guidelines should the nurse include? Remove the client's restraint every 4hr
Document the client's condition every 15 min
Attach the restrain to the bed's side rails
Request a PRN restrain prescription for clients who are aggressive -
ANSWER>>Document the client's condition every 15 min
A nurse is teaching an in-service about nursing leadership. Which of the following information should the nurse include about an effective leader?
Acts as an advocate for the nursing unit.
(Unable to read) for the unit
Priorities staff request over client needs.
Provides routine client care and documentation. - ANSWER>>Acts as an advocate for the nursing unit.
A nurse is reviewing the laboratory findings of a client who has diabetes mellitus and reports that she has been following her (unable to read) care. The nurse should identify which of the following findings indicates a need to revise the client's plan of care.
Serum sodium 144 mEq/
(Unable to read)
Hba1c10%
Random serum glucose 190 mg/dl. - ANSWER>>Hba1c10%
A nurse in a provider's office is reviewing the laboratory results of a group of clients. The nurse should identify that which of the following sexually transmitted infections is a nationally notifiable infectious disease that should be reported to the state health department? Chlamydia
Human papillomavirus
Candidiasis
Herps simplex virus - ANSWER>>Chlamydia
A nurse is teaching a newly licensed nurse about therapeutic techniques to use when leading a group on a mental health unit. Which of the following group facilitation techniques should the nurse include in the teaching? a. Share personal opinions to help influence the group's values
b. Measure the accomplishments of the group against a previous group
c. Yield in situations of conflicts to maintain group harmony d. Use modeling to help the clients improve their interpersonal skills -
securing the client's airway and initiating an IV, which of the following actions should the nurse do next.
Monitor the client's IV site for thrombophlebitis.
Administer flumazenil to the client. Evaluate the client for further suicidal behavior.
Initiate seizure precautions for the client. - ANSWER>>Administer flumazenil to the client.
A nurse in an emergency department is caring for a client who reports cocaine use 1hr ago. Which of the following findings should the nurse expect?
Hypotension
Memory loss Slurred speech
Elevated temperature - ANSWER>>Elevated temperature
A nurse is assessing a newborn who has a blood glucose level of 30 mg/dl. Which of the following manifestations should the nurse expect?
A. Loose stools
B. Jitteriness
C. Hypertonia
D. Abdominal distention - ANSWER>>B. Jitteriness
A nurse in a pediatric clinic is reviewing the laboratory test results of a school age child. Which of the following findings should the nurse report to the provider?
Hgb 12.5 g/dl
Platelets 250,000/mm
Hct 40%
WBC 14,000/mm3 - ANSWER>>WBC 14,000/mm
A charge nurse is teaching a newly licensed nurse about clients designating a health care proxy in situations that require a durable power of attorney for heal care (DPSHC). Which of the following information should the charge nurse include? "The proxy should make health care decisions for the client regardless of the client's ability to do so."
"The proxy can make financial decisions if the need arises."
"The proxy can make treatment decisions if the client is under anesthesia." "The proxy should manage legal issues for the client." - ANSWER>>"The proxy can make treatment decisions if the client is under anesthesia."
c. Obtain a prescription for restraint within 4 hr.
d. Document the client's condition every 15 minutes. - ANSWER>>Document the client's condition every 15 minutes.
A nurse is caring for a client who has end-stage of kidney disease. The client adult child asked about becoming a living donor for his father. Which of the following condition - ANSWER>>
A charge nurse on a medical-surgical unit is planning assignments for a licensed practical nurse (LPN) who has been sent from the (Unable to read) unit due to a staffing shortage. Which of the following client should the nurse delegate to the LPN?
A. A client who has an Hgb of 6.3 g/dl and a prescription for packed RBCs.
B. A client who sustained a concussion and has unequal pupils.
C. A client who is postoperative following a bowel resection with an NG tube set to continuous suction. D. A client who fractured his femur yesterday and is experiencing shortness of breath. - ANSWER>>C. A client who is postoperative following a bowel resection with an NG tube set to continuous suction.
A nurse is working on a surgical unit is developing a care plan for a client who has paraplegia. The client has an area of nonblanchable erythema over his ischium.
Which of the following interventions should the nurse include in the care plan? a.
Place the client upright on a donut-shaped cushion
b. Teach the client to shift his weight every 15 min while sitting
c. Turn and reposition the client every 3 hr while in bed
d. Assess pressure points every 24 hr - ANSWER>>a. Place the client upright on a donut-shaped cushion
A nurse is caring for a client who is dilated to 10 cm and pushing. Which of the following pain-management (Unable to read) a safe option for the client?
Naloxone hydrochloride. Spinal anesthesia.
Pudendal block.
Butorphanol tartrate. - ANSWER>>Pudendal block.
A nurse is caring for a client who has left homonymous hemianopsia. Which of the following is an appropriate nursing intervention? a. Teach the client to scan the right to see objects on the right side of her body.
Inactivated influenza vaccine. - ANSWER>>Tetanus diphtheria and acellular pertussis vaccine
Inactivated influenza vaccine.
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 her father. Which of the following condition in the child's medical history should the nurse identify as a contraindication to the procedure?
A. Amputation
B. Osteoarthritis
C. Hypertension
D. Primary glaucoma - ANSWER>>C. Hypertension
A nurse is providing discharge teaching for a group of clients. The nurse should recommend a referral to a dietitian
A. A client who has a prescription for warfarin and states "I will need to limit how much spinach I eat".
B. A client who has gout and states, "I can continue to eat anchovies on my pizza." C. A client who has a prescription for spironolactone and states "I will reduce my intake of foods that contain potassium". D. A client who has (Unable to read) and states "I'll plan to take my calcium carbonate with
a full glass of water". - ANSWER>>B. A client who has gout and states, "I can
continue to eat anchovies on my pizza."
A hospice nurse is visiting with the 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?
"I can give you information about respite care if you are interested."
"You should consider taking a sleeping pill before bed each night"
"It must be difficult taking care of someone who is terminally ill"
"You are doing a great job taking care of your mother" - ANSWER>>"I can give you information about respite care if you are interested."
A. Social relationship with peers
.B. Plans for attending school while pregnant.
C. (Unable to read) (Picked this one) Medicaid?
D. Understanding of infant care. - ANSWER>>C. (Unable to read) (Picked this one) Medicaid?
A nurse manager is planning to teach staff about critical pathways. Which of the following information should the nurse include?
A. Critical pathways have unlimited timeframe for completion B. (Unable to read) decrease health care costs.
C. (Unable to read) critical pathway if variances (Unable to read) D. (Unable to read) are used to create the critical pathway. - ANSWER>>B.
(Unable to read) decrease health care costs.
A nurse is reviewing the medical record of a client who has schizophrenia. Which of the following should the nurse report to the provider?
Exhibit 1: Blood pressure: 102/56 mm Hg. Heart rate: 95/min Respiratory rate:
18/min Temperature: 37.4C (99.3F)
Exhibit 2: Medication Administration RecordClozapine 150 mg PO twice daily Benztropine 0.5 mg PO twice daily as needed for tremors.
Exhibit 3 Nurse's notes:
Client reports feeling dizzy when changing positions, Reports weight gain of 1kg (2.2 lb.) in the past month. Also reports a sore throat for the past 3 days and dry mouth. Client ate 75% of breakfast and reports slightly nauseous.
Dietary intake Heart rate.
Sore throat. Blood pressure - ANSWER>>Sore throat.
A charge nurse is educating a group of unit nurses about delegating client tasks to assistive personnel
A. "The nurse is legally responsible for the actions of the AP".
B. "An AP can perform tasks outside of his range if he has been trained".
C. "An experienced AP can delegate to another AP".
D. "An RN evaluates the client needs to determine tasks to delegate" - ANSWER>>D. "An RN evaluates the client needs to determine tasks to delegate"
c. A client who has depressive disorder and reports feeling hopeless.
d. A client who has bipolar disorder and impaired social interactions. -
ANSWER>>A client who has depressive disorder and reports feeling hopeless.
A nurse is preparing to measure a temperature of an infant. Which of the following action should the nurse take?
a. Place the tip of the thermometer under the center of the infant's axilla.
b. Pull the pinna of the infant's ear forward before inserting the probe. c. Insert the probe 3.8 cm (1.5in) into the infant's rectum.
d. Insert the thermometer in front of the infant's tongue. - ANSWER>>a. Place the tip of the thermometer under the center of the infant's axilla.
A nurse is planning care for a client who has bipolar disorder and is experiencing mania. Which of the following interventions should the nurse include in the plan?
a. Encourage the client to spend time in the day room
b. Withdraw the client's TV privileges is the does not attend group therapy
c. Encourage the client to take frequent rest periods
d. Place the cline in seclusion when he exhibits signs of anxiety - ANSWER>>c. Encourage the client to take frequent rest periods
A nurse is admitting medications to a group of clients. Which of the following occurrences requires the completion of an incident report?
A client receives his antibiotics 2hr late
A client vomits within 20min of taking his morning medications
A client requests his statin to be administered at 2100
A client asks for pain medication 1hr early - ANSWER>>A client receives his antibiotics 2hr late
A nurse is caring for a client who is 24 hr. postpartum and is breast feeding her newborns. The client asks the nurse to warm up seaweed soup that the client's partner brought for her. Which of the following responses should the nurse make?
"Does the doctor know you are eating that?" "Why are you eating seaweed soup?" "Of course I will heat that up for you"
"The hospital good is more nutritious" - ANSWER>>"Does the doctor know you are eating that?"
