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ATI Comprehensive Predictor 2023 Real Exam

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ATI Comprehensive Predictor 2023 1) A nurse is providing teaching to an adolescent who has peptic ulcer disease. Which of the following statements by the client indicates an understanding of the teaching? A. “I will take sucralfate with meals three times per day” B. “I will avoid fo...

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  • July 17, 2023
  • 22
  • 2022/2023
  • Exam (elaborations)
  • Questions & answers

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ATI Comprehensive Predictor
1) A nurse is providing teaching to an adolescent who has peptic ulcer disease. Which of the following statements by the
client indicates an understanding of the teaching? A. “I will take sucralfate with meals three times per day” B. “I will avoid food and beverages that contain caffeine” C. “I will decrease my daily protein intake to 15 grams per day” D. “I will use ibuprofen as needed to control abdominal pain”
2) A nurse is preforming a gastric lavage for a client who has upper gastrointestinal bleeding. Which of the following action should the nurse take? A. Instill 500 ml of solution through the NG tube. B. Insert a large-bore NG tube. C. Use a cold irrigation solution. D. Instruct the client to lie on his right side. 3) A nurse is teaching participants at a community center about advanced directive. Which of the following information should the nurse include in the teaching?
A. A client must create a do-not-resuscitate order when completing advance directives . B. Advance directives cannot be changed once implemented.
C. Assigning a health care surrogate requires legal consultation
D. A health care surrogate makes health care decisions when the client is no longer able
4) A nurse is providing teaching about home safety to the adult client of an older adult male who is postoperative following a knee replacement surgery. Which of the following instructions should the nurse include?
A. Ensure the area rugs have rubber backs
B. Mark the edges of the doorway to the house with tape
C. Encourage the client to avoid wearing shoes at home
D. Place a throw rug over electrical cords
5) A nurse in a community clinic is caring for a client who requests assistance with smoking cessation. The nurse should expect a prescription for which of the following medications?
A. Bupropion
B. Naltrexone
C. Clonidine
D. Chlordiazepoxide
6) A nurse is performing a skin assessment on a client who has dark skin. Which of the following locations on the clients body should the nurse observe for jaundice?
A. Area of trauma
B. Sacrum
C. Shoulders
D. Sclera
7) A nurse is providing teaching to a client who is at 14 weeks gestation about the findings to report to the provider. Which of the following findings should the nurse include in the teaching?
A. Swelling of the face
B. Bleeding gums
C. Faintness upon rising
D. Urinary frequency
8) A nurse is providing teaching to a client who in in the third trimester of pregnancy. Which of the following should the nurse instruct the client to expect during this trimester?
A. Blurred vision
B. Vaginal bleeding C. Supine hypotension
D. Facial edema
9) A nurse is assessing a client who has left-sided heart failure. Which of the following should the nurse identify as a manifestation of pulmonary congestion? A. Frothy, pink sputum. B. Jugular vein distention. C. Weight gain. D. Bradypnea
10) A nurse is caring for a client who has hypertension and a new prescription for chlorthalidone. The nurse should monitor for which of the following adverse effects?
A. Hypokalemia
B. Euphoria
C. Hypoglycemia
D. Intraocular pressure
11) A nurse in an emergency department is caring for a client following a motor-vehicle crash. The client's Glasgow coma
scale is 15. Which of the following findings should the nurse expect?
A. The client is orientated times 3
B. The client is unable to obey commands
C. The client withdraws from pain
D. The client opens eyes to sound
12) A newly licensed nurse is unsure if an assigned task is withing their scope of practice. Which of the following resources should the nurse consult?
A. State nurse practice Act
B. Institutional policies and procedures
C. Written prescription from provider
D. Verbal direction from the nurse manager
13) A nurse is preparing to assess a 2-week-old newborn. Which of the following actions should the nurse plan to take?
A. Obtain the newborn's body temperature using a tympanic thermometer.
B. Assess the newborns pain level using the FACES pain scale.
C. Auscultate the newborn's apical pulse for 60 seconds
D. Measure the newborn's head circumference over the eyebrows and below the occipital prominence. 14) A nurse is reviewing the medical record of a client who has delayed healing of a leg ulcer. Which of the following findings should the nurse identify as a contributing factor?
A. The client takes prednisone for arthritis
B. The client is receiving dextrose 5% in water at 100 mL an hour
C. The client has albumin level of 3.8 g/dl
D. The client has a total cholesterol of 190 mg/dl
15) A nurse is reviewing the laboratory report of a client who has been having lithium carbonate for the past 12 months. The nurse notes a lithium level of 0.8 mEq/L. Which of the following orders from the provider should the nurse expect? A. Withhold the next dose. B. Increase the dosage. C. Discontinue the medication. D. Administer the medication.
16) A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis. Which of the following findings should the nurse report to the provider? A. WBC count 8,000/mm3. B. Platelets 150,000/mm3. C. Aspartate aminotransferase 10 units/L. D. Erythrocyte sedimentation rate 75 mm/hr 17) A nurse is caring for a client who asks for information regarding organ donation. Which of the following responses should the nurse give?
A. You must be 21 years of age to become an organ donor
B. Your desire to be an organ donor must be documented in writing C. Your name cannot be removed once you are listed on the organ donor list
D. I cannot be a witness for your consent to donate
18) A community health nurse is reviewing laboratory reports for a group of clients. The nurse should identify that which
of the following infections should the nurse report to the CDC? a) Candida albicans b) Herpes simplex virus c) staphylococcus aureus d) Lyme disease
19) A client’s partner tells a staff nurse that he overhears laboratory staff discussing the result of the client's biopsy report while on the elevator. Which of the following actions should the nurse take? A. Report the information to the charge nurse B. Review confidentiality policies with laboratory employees
C. Contact the laboratory manager regarding the situation D. Notify the facilities legal department
20) A nurse is caring for a client who is in a seclusion room following violent behavior. The client continues to display aggressive behavior. Which of the following actions should the nurse take? A. Confront the client about this behavior B. Express sympathy for the client’s situation.
C. Speak assertively to the client.
D. Stand within 30 cm (1 ft) of the client when speaking with them.
21) A nurse is caring for a client who has heart failure. The nurse notes the clients 24-hour intake is 1750, and output is 425 mL. Which of the following actions should the nurse take first?
A. Encourage the client to change positions slowly
B. Compare the client's weight to the previous day
C. Administer furosemide to the client D. Reduce the client's sodium intake
22) A nurse is caring for a client who is recovering from an amputation of her right arm below the elbow which of the following information should the nurse report the occupational therapist? A. The client lives in a two-story home B. The client is allergic to penicillin C. The client's parent is in a skilled nursing facility D. The client has two small children at home
23) A nurse manager is planning to promote client advocacy among staff in a medical unit. Which of the following actions should the nurse take?
A. Encourage staff to implement the principle of paternalism when a client is having difficulty making a choice. B. Tell staff explain procedures to clients before obtaining informed consent.
C. Instruct unit staff to share personal experiences to help clients make decisions.
D. Develop a system for staff members to report safety concerns in the client care environment.
24) A nurse is caring for a client who is comatose and has advance directives that indicate the client does not want life-
sustaining measures. The client’s family want the client to have life- sustaining measures. Which of the following action
should the nurse take?
A. Arrange for an ethics committee meeting to address the family’s concern.
B. Support the family’s decision and initiate life-sustaining measures.
C. Complete an incident report.
D. Encourage the family to contact an attorney.
25) A nurse is planning care for four clients who are at risk for fluid imbalance. The nurse should identify that which of the following clients is at risk for fluid volume excess?
A. A client who has an exacerbation of peptic ulcer disease
B. A client who has ulcerative colitis
C. A client who has diabetes insipidus
D. A client who has advanced stage liver cirrhosis 26) A nurse is providing teaching about the gastrostomy tube feedings to the parents of a school age child. Which of the following instructions should the nurse take?

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