ATI COMPREHENSIVE PREDICTOR
1) A nurse in an emergency department completes an assessment on an adolescent client that has
conduct disorder. The client threatened suicide to teacher at school. Which of the following
statements should the nurse include in the assessment?
A. Tell me about your siblings
B. Tell me what kind of music you like
C. Tell me how often do you drink alcohol
D. Tell me about your school schedule
ANSWER = c) Tell me how often do you drink alcohol
2) A nurse is observing bonding to the client her newborn. Which of following actions by the client
requires the nurse to intervene?
A. Holding the newborn in face position
B. Asking the father to change the newborn's diaper
C. Requesting the nurse take the newborn nursery so she can rest
D. Viewing the newborn's actions to be uncooperative
ANSWER = d) Viewing the newborn's actions to be uncooperative
3) A nurse is caring for client who is taking levothyroxine. Which of the following findings should
indicate that the medication is effective?
A. Weight loss
B. Decreased blood pressure
C. Absence of seizures
D. Decrease inflammation
ANSWER = a) Weight loss
4) A nurse is planning discharge teaching for cord care for the parent of a newborn. Which
instructions would you include in the teaching?
A. Contact provider if the cord still turns black
B. Clean the base of the cord with hydrogen peroxide daily
C. Keep the cord dry until it falls off
D. The cord stump will fall off in five days
ANSWER = c) Keep the cord dry until it falls off
5) A nurse is assessing a client in the PACU. Which of the following findings indicates decreased
cardiac output?
A. Shivering
B. Oliguria
C. Bradypnea
D. Constricted pupils
ANSWER = b) Oliguria
, 6) A nurse is assisting with mass casualty triage: explosion at a local factory. Which of the following
client should the nurse identify as the priority?
A. A client that has massive head trauma
B. A client has full thickness burns to face and trunk
C. A client with indications of hypovolemic shock
D. A client with open fracture of the lower extremity
ANSWER = c) A client with indications of hypovolemic shock
7) A nurse is a receiving report on four clients. Which of the following clients should the nurse
assess first?
A. A client who has ilea conduit and mucus in the pouch
B. Client pleasant arteriovenous additional vibration palpated
C. A client whose chronic kidney disease with cloudy dialysate outflow
D. A client was transurethral resection of the prostate with a red tinged urine in the bag
ANSWER = c) A client whose chronic kidney disease with cloudy dialysate outflow
8) A nurse is caring for a client just received the first dose of lisinopril. The following is an
appropriate nursing intervention?
A. Place's cardiac monitoring
B. Monitor the client’s oxygen saturation level
C. Provide standby assist with the client from bed
D. Encourage foods high in potassium
ANSWER = c) Provide standby assist with the client from bed
9) A nurse is caring for a client who is in labor and his seat is receiving electronic fetal monitoring.
The nurse is reviewing the monitor tracing and notes early decelerations. Which the following
should the nurse expect?
A. Feta hypoxia
B. Abrupto placentae
C. Post maturity
D. Head Compression
ANSWER = d) Head Compression
10) A nurse is caring for a client who has chronic kidney disease. The nurse should identify which of
the following laboratory values as in an indication for hemodialysis?
A. glomerular filtration rate of 14 mL/ minute
B. BUN 16 mg/DL
C. serum magnesium 1.8 mg mg/dl
D. Serum phosphorus 4.0 mg/dL
ANSWER = a) glomerular filtration rate of 14 mL/ minute
, 11) A nurse is caring for an infant who has a prescription for continuous pulse oximetry. The
following is an appropriate action for the nurse to take?
A. Placed infant under radiant warmer
B. Move the probe site every 3 hours
C. Heat the skin one minute prior to placing the program
D. Placed a sensor on the index finger
ANSWER = c) Heat the skin one minute prior to placing the program
12) A nurse in a mental health facility receives a change of shift report on for clients. Which of the
following clients should the nurse plan to assess first?
A. Client placed in restraints to the aggressive behavior
B. A new limited client pleasures history of 4.5 kg weight loss in the past two months
C. Client is receiving a PRN dose of health heard all two hours ago for increased anxiety
D. Applied he'll be receiving his first ECT treatment today
ANSWER = a) Client placed in restraints to the aggressive behavior
13) A nurse working at the clinic is teaching a group of clients who are pregnant on the use of non-
pharmacological pain management. Which of the following statements by the nurse is an
appropriate description of the use of hypnosis during labor?
A. Hypnosis focuses on the biofeedback as a relaxation technique
B. Hypnosis promotes increased control of her pain perception during contractions
C. Hypnosis uses therapeutic touch to reduce anxiety during labor
D. Hypnosis provides instruction to minimize pain
ANSWER = b) Hypnosis promotes increased control of her pain perception during contractions
14) A nurse in a County Jail health clinic is leading group therapy session. A client who was
incarcerated for theft is addressing the group. Which of the following is an example of reaction
formation?
A. I steal things because it's the only way I can keep my mind off my bad marriage
B. I can't believe I was accused of something I didn't do
C. I don't want talk about my feelings right now. We will talk more next time
D. I think that people just you're just lazy and should earn money honestly
ANSWER = d) I think that people just you're just lazy and should earn money honestly
15) A nurse is obtaining the medical history of a client who has a new prescription for isosorbide
mononitrate. Which of the following should the nurse identify as a contraindication to
medication?
A. Glaucoma
B. Hypertension
C. Polycythemia
D. Migraine headaches
ANSWER = a) Glaucoma
, 16) The nurse is caring for a client recovering from an acute myocardial infarction. Which following
intervention should the nurse include in the point of care?
A. Draw a troponin level every four hours
B. Performance EKG every 12 hours
C. Plant oxygen tent fell over minutes via rebreather mask
D. Obtain a cardiac rehabilitation consult
ANSWER = d) Obtain a cardiac rehabilitation consult
17) A Nurses caring for client who has breast cancer and has been covering receiving chemotherapy.
Which of the following laboratory values should nurse report to provider?
A. WBC 3,000/mm3
B. Hemoglobin 14 g/dl
C. Platelet 250,000/mm3
D. aPTT 30 seconds
ANSWER = a) WBC 3,000/mm3
18) Home health nurse is carefully planned for Alzheimer's disease. To the following action should
the nurse include in the plan of care
A. Place a daily calendar in the kitchen
B. Replace button clothing with zippered items
C. Replace the carpet with hardwood floors
D. Create variation in daily routine
ANSWER = a) Place a daily calendar in the kitchen
19) Nurse is performing change of shift assessments on 4 clients. Which of the following findings
should the nurse report to provider first?
A. The client was cystic fibrosis and has a thick productive clock and reports thirst
B. Client who has gastroenteritis and is lethargic and confused
C. The Client has diabetes mellitus has morning fasting Legal cost of 185 mg over deal
D. The client was sick of signing it reports pain 15 minutes after receiving oral analgesic
ANSWER = b) Client who has gastroenteritis and is lethargic and confused
20) A nurse is caring for a client was in the second trimester of pregnancy and asks how to treat
constipation. Which of the following statements by the nurse is appropriate?
A. Decrease taking vitamins and supplements to every other day
B. Eat 15 g of fiber per day
C. Consume 48 ounces of water each day
D. Drink hot water with lemon juice each morning when you wake up
ANSWER = d) Drink hot water with lemon juice each morning when you wake up
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