ATI RN COMPREHENSIVE PREDICTOR
2023 FORM E VERIFIED AND RATED
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1. A nurse is caring for a patient who has arteriovenous fistula Which of the following findings should
the nurse report?
A. Thrill upon palpation.
B. Absence of a bruit.
C. Distended blood vessels
D. Swishing sound upon auscultation. Correct Answer: B
2. A nurse in a pediatric unit is preparing to insert an IV catheter for 7-year- old. Which of the following
actions should the nurse take?
A. (Unable to read)
B. Tell the child they will feel discomfort during the catheter insertion.
C. Use a mummy restraint to hold the child during the catheter insertion.
D. Require the parents to leave the room during the procedure. Correct Answer: B
3. A nurse is providing discharge teaching for a patient who has an implantable cardioverter defibrillator
which of the following statements demonstrates understanding of the teaching?
A. "I will soak in the tub rather and showering"
B. "I will wear loose clothing around my ICD"
C. "I will stop using my microwave oven at home because of my ICD"
D. "I can hold my cellphone on the same side of my body as the ICD" Correct Answer: B
4. A nurse is caring for a patient who is at 14 weeks gestation and reports feelings of ambivalence about
being pregnant. Which of the following responses should the nurse make?
A. "Describe your feelings to me about being pregnant"
B. "You should discuss your feelings about being pregnant with your
provider"
C. "Have you discussed these feelings with your partner?"
D. "When did you start having these feelings?" Correct Answer: A
5. A nurse is planning care for a patient who has a prescription for a bowel- training program following a
spinal cord injury. Which of the following actions should the nurse include in the plan of care?
A. Encourage a maximum fluid intake of 1,500 ml per day. B. Increase the amount of refined grains in
the patient's diet.
C. Provide the patient with a cold drink prior to defecation.
D. Administer a rectal suppository 30 minutes prior to scheduled defecation times. Correct Answer: D
6. A nurse is caring for a patient who is in active labor and requests pain management. Which of the
following actions should the nurse take?
A. Administer ondansetron.
B. Place the patient in a warm shower.
C. Apply fundal pressure during contractions.
,D. Assist the patient to a supine position. Correct Answer: B
7. a nurse in an emergency department is performing triage for multiple patients following a disaster in
the community. To which of the following types of injuries should the nurse assign the highest priority?
A. Below-the knee amputation
B. Fractured tibia
C. 95% full-thickness body burn
D. 10cm (4in) laceration to the forearm Correct Answer: A
8. a nurse manager is updating protocols for the use of belt restraints. Which of the following guidelines
should the nurse include?
A. Remove the patient's restraint every 4hr
B. Document the patient's condition every 15 min
C. Attach the restrain to the bed's side rails
D. Request a PRN restrain prescription for patients who are aggressive Correct Answer: B
9. A nurse is teaching an in-service about nursing leadership. Which of the following information should
the nurse include about an effective leader?
A. Acts as an advocate for the nursing unit.
B. (Unable to read) for the unit
C. Priorities staff request over patient needs.
D. Provides routine patient care and documentation. Correct Answer: A
10. A nurse is reviewing the laboratory findings of a patient 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 patient's plan of care.
A. Serum sodium 144 mEq/
B. (Unable to read)
C. Hba1c 10 %
D. Random serum glucose 190 mg/dl. Correct Answer: C
11. A nurse in a provider's office is reviewing the laboratory results of a group of patients. 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?
A. Chlamydia
B. Human papillomavirus
C. Candidiasis
D. Herps simplex virus Correct Answer: A
12. 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 patients improve their interpersonal skills Correct Answer: D
,13. A nurse is planning for a patient who practices Orthodox Judaism. The patient tells the nurse that
(Unable to read) Passover holiday. Which of the following action should the nurse include in the plan of
care?
A. Provide chicken with cream sauce.
B. Avoid serving fish with fins and scales.
C. Provide unleavened bread.
D. Avoid serving foods containing lamb. Correct Answer: C
14. A nurse is caring for a patient who has a pulmonary embolism. The nurse should identify the
effectiveness of the treatment
A. A chest x-ray reveals increased density in all fields.
B. The patient reports feeling less anxious.
C. Diminished breath sounds are auscultated bilaterally
D. ABG results include Ph 7.48 PaO2 77 mm Hg and PaCO2 47 mm Hg. Correct Answer: B
15. A nurse in an emergency department is assessing a patient who reports ingesting thirty diazepam
tablets (Unable to read) a respiratory rate of 10/min. After securing the patient's airway and initiating an
IV, which of the following actions should the nurse do next.
A. Monitor the patient's IV site for thrombophlebitis.
B. Administer flumazenil to the patient.
C. Evaluate the patient for further suicidal behavior.
D. Initiate seizure precautions for the patient. Correct Answer: B
16. A nurse in an emergency department is caring for a patient who reports cocaine use 1hr ago. Which
of the following findings should the nurse expect?
A. Hypotension
B. Memory loss
C. Slurred speech
D. Elevated temperature Correct Answer: D
17. 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 Correct Answer: B
18. 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?
A. Hgb 12.5 g/dl
B. Platelets 250,000/mm3
C. Hct 40%
D. WBC 14,000/mm3 Correct Answer: D
19. A charge nurse is teaching a newly licensed nurse about patients 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?
, A. "The proxy should make health care decisions for the patient regardless of the patient's ability to do
so."
B. "The proxy can make financial decisions if the need arises."
C. The proxy can make treatment decisions if the patient is under
anesthesia."
D. "The proxy should manage legal issues for the patient." Correct Answer: C
20. A nurse in the PACU is caring for a patient who reports nausea. Which of the following actions
should the nurse take first?
A. Turn the patient on their side.
B. Administer an analgesic
C. Administer antiemetic
D. Monitor the patient's vital signs. Correct Answer: A
21. A nurse is caring for a patient who has a history of depression and is experiencing a situational crisis.
Which of the following actions should the nurse take first?
A. Confirm the patient's perception of the event
B. Notify the patient's support system
C. Help the patient identify personal strengths
D. Teach the patient relaxation techniques Correct Answer: A
22. A nurse is caring for a patient who has bipolar disorder and is experiencing acute mania. The nurse
obtained a verbal prescription for restraints. Which of the following should the actions should the nurse
take?
A. Request a renewal of the prescription every 8 hr.
B. Check the patient's peripheral pulse rate every 30 min
C. Obtain a prescription for restraint within 4 hr.
D. Document the patient's condition every 15 minutes. Correct Answer: D
24. 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
patient should the nurse delegate to the LPN?
A patient who has an Hgb of 6.3 g/dl and a prescription for packed RBCs.
A patient who sustained a concussion and has unequal pupils.
C. A patient who is postoperative following a bowel resection with an NG tube set to continuous suction.
D. A patient who fractured his femur yesterday and is experiencing shortness of breath. Correct Answer:
C
25. A nurse is working on a surgical unit is developing a care plan for a patient who has paraplegia. The
patient 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 patient upright on a donut-shaped cushion
B. Teach the patient to shift his weight every 15 min while sitting
C. Turn and reposition the patient every 3 hr while in bed
D. Assess pressure points every 24 hr Correct Answer: A
25. A nurse is caring for a patient who is dilated to 10 cm and pushing. Which of the following pain-
management (Unable to read) a safe option for the patient?
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