ATI RN Comprehensive Predictor 2024 UPDATED GUARANTEED PASS
1. 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. - ANSWER-B. Tell the child they will feel
discomfort during the catheter insertion.
2. A nurse is caring for a client 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. - ANSWER-B. Absence of a bruit.
3. A nurse is providing discharge teaching for a client 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" - ANSWER-B. "I will wear loose
clothing around my ICD"
3.A home health nurse is caring for a child who has Lyme disease. Which of the following is an
appropriate action for the nurse to take?
A. Ensure the state health department has been notified.
B. Administer antitoxin
,C. Educate the family to avoid sharing personal belongings.
D. Assess for skin necrosis - ANSWER-A. Ensure the state health department has been notified.
4.The nurse should ensure the state health department has been notified of the child's Lyme disease, as
it is a reportable disease in most states.
5.A nurse is caring for a client who has a vented NG tube set to low intermittent suction and has
vomited. Which of the following actions should the nurse perform first? - ANSWER-Evaluate functioning
of the suction device.
6.While performing a routine assessment, a nurse notices fraying onto the electrical cord of a client's
continuous passive motion (CPM)device. Which of the following actions should the nurse take first? -
ANSWER-Remove the device from the room.
7.A nurse is setting up a sterile field to perform wound irrigation for a client. Which of the following
actions should the nurse take when pouring the sterile solution?
A. Place sterile gauze over areas of spilled solution within the sterile field.
B. Hold the irrigation solution bottle with the label facing away from the palm of the hand.
C. Remove the cap and place it sterile-side up on a clean surface.
D. Hold the bottle in the center of the sterile field when pouring the solution. - ANSWER-D. Hold the
bottle in the center of the sterile field when pouring the solution.
This ensures that the bottle is within the sterile field and minimizes the risk of contamination. It's
essential to keep the bottle in the sterile field throughout the pouring process.
A nurse is creating a plan of care for a female client who has recurrent urinary tract infections. Which of
the following interventions should the nurse include in the plan? - ANSWER-Wear loose fitting
underwear.
A nurse is caring for an infant who has gastroenteritis. Which of the following assessments findings
should the nurse report to the provider? - ANSWER-Sunken fontanels and dry mucous membranes.
,A nurse is conducting health promotion education regarding contraindications to combination oral
contraceptive use to a group of women. Which of the following conditions should the nurse include in
the teaching? - ANSWER-Hypertension
A nurse is providing teaching to a client who has a depressive disorder and a new prescription for
amitriptyline. Which of the following statements by the client indicates understanding of the teaching? -
ANSWER-"I know it will be a couple of weeks before the medication helps me feel better."
A nurse is caring for a client who is immobile. Which of the following interventions is appropriate to
prevent contracture? - ANSWER-Align a trochanter wedge between the client's legs.
A nurse is assessing a client who is postoperative following abdominal surgery and has an indwelling
urinary catheter that is draining dark yellow urine at 25 mL/hr. Which of the following interventions
should the nurse anticipate? - ANSWER-Obtain a urine specimen for culture and sensitivity
A nurse is reporting a client's laboratory tests to the provider to obtain a prescription for the client's daily
warfarin. Which of the following laboratory tests should the nurse plan to report to obtain the
prescription for the warfarin? - ANSWER-INR
A nurse is assessing a client who is taking haloperidol and is experiencing pseudoparkinsonism. Which of
the following findings should the nurse document as a manifestation of pseudoparkinsonism? -
ANSWER-Shuffling gait
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 staff caring for
the client? - ANSWER-Having interdisciplinary team meetings for the client on a regular basis.
A nurse is caring for a 2-year-old toddler. Which of the following food choices should the nurse
recommend to promote independence in eating? - ANSWER-Banana slices
A nurse on a medical-surgical unit is notified that a mass casualty event has occurred in the community.
Which of the following actions should the nurse plan to take? - ANSWER-Recommend to the provider
specific acute care clients for discharge.
, A nurse is receiving change-of-shift report for four clients. Which of the following clients should the
nurse assess first? - ANSWER-A client who was just given a glass of orange juice for low blood glucose
level.
A nurse is performing postmortem care for a recently deceased client prior to the client's family visit.
Which of the following actions should the nurse plan to take? - ANSWER-Hold the client's eyes shut for a
few seconds.
A nurse is admitting a client who has schizophrenia. The client states, "I'm hearing voices." Which of the
following responses is the priority for the nurse to state? - ANSWER-"What are the voices telling you?"
A nurse is administering furosemide IV bolus to a client who has fluid volume excess. The nurse should
recognize which of the following as an indication that the medication has been effective? - ANSWER-
Weight loss
A nurse is caring for a client who requires nasotracheal suctioning. Identify the sequence the nurse
should follow to perform suctioning. - ANSWER-1. Turn on the suction and set the pressure.
2. Don sterile gloves.
3. Insert the catheter during the client's inspiration.
4. Apply suction while rotating the catheter.
5. Rinse the catheter to remove secretions.
A nurse is caring for a client who is in a coma and is scheduled for a surgical procedure. Which of the
following actions should the nurse take? - ANSWER-Determine if the client's health care surrogate is
aware of the risks and benefits of the procedure.
A nurse is preparing to administer vancomycin IV to an adult client. The client asks the nurse if the
medication can be given 2 hours earlier. Which of the following statements should the nurse make? -
ANSWER-"I can start the medication 30 minutes earlier."
A nurse is caring for a client who requires seclusion to prevent harm to others on the unit. Which of the
following is an appropriate action for the nurse to take? - ANSWER-Offer fluids every 2 hours.
1. 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. - ANSWER-B. Tell the child they will feel
discomfort during the catheter insertion.
2. A nurse is caring for a client 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. - ANSWER-B. Absence of a bruit.
3. A nurse is providing discharge teaching for a client 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" - ANSWER-B. "I will wear loose
clothing around my ICD"
3.A home health nurse is caring for a child who has Lyme disease. Which of the following is an
appropriate action for the nurse to take?
A. Ensure the state health department has been notified.
B. Administer antitoxin
,C. Educate the family to avoid sharing personal belongings.
D. Assess for skin necrosis - ANSWER-A. Ensure the state health department has been notified.
4.The nurse should ensure the state health department has been notified of the child's Lyme disease, as
it is a reportable disease in most states.
5.A nurse is caring for a client who has a vented NG tube set to low intermittent suction and has
vomited. Which of the following actions should the nurse perform first? - ANSWER-Evaluate functioning
of the suction device.
6.While performing a routine assessment, a nurse notices fraying onto the electrical cord of a client's
continuous passive motion (CPM)device. Which of the following actions should the nurse take first? -
ANSWER-Remove the device from the room.
7.A nurse is setting up a sterile field to perform wound irrigation for a client. Which of the following
actions should the nurse take when pouring the sterile solution?
A. Place sterile gauze over areas of spilled solution within the sterile field.
B. Hold the irrigation solution bottle with the label facing away from the palm of the hand.
C. Remove the cap and place it sterile-side up on a clean surface.
D. Hold the bottle in the center of the sterile field when pouring the solution. - ANSWER-D. Hold the
bottle in the center of the sterile field when pouring the solution.
This ensures that the bottle is within the sterile field and minimizes the risk of contamination. It's
essential to keep the bottle in the sterile field throughout the pouring process.
A nurse is creating a plan of care for a female client who has recurrent urinary tract infections. Which of
the following interventions should the nurse include in the plan? - ANSWER-Wear loose fitting
underwear.
A nurse is caring for an infant who has gastroenteritis. Which of the following assessments findings
should the nurse report to the provider? - ANSWER-Sunken fontanels and dry mucous membranes.
,A nurse is conducting health promotion education regarding contraindications to combination oral
contraceptive use to a group of women. Which of the following conditions should the nurse include in
the teaching? - ANSWER-Hypertension
A nurse is providing teaching to a client who has a depressive disorder and a new prescription for
amitriptyline. Which of the following statements by the client indicates understanding of the teaching? -
ANSWER-"I know it will be a couple of weeks before the medication helps me feel better."
A nurse is caring for a client who is immobile. Which of the following interventions is appropriate to
prevent contracture? - ANSWER-Align a trochanter wedge between the client's legs.
A nurse is assessing a client who is postoperative following abdominal surgery and has an indwelling
urinary catheter that is draining dark yellow urine at 25 mL/hr. Which of the following interventions
should the nurse anticipate? - ANSWER-Obtain a urine specimen for culture and sensitivity
A nurse is reporting a client's laboratory tests to the provider to obtain a prescription for the client's daily
warfarin. Which of the following laboratory tests should the nurse plan to report to obtain the
prescription for the warfarin? - ANSWER-INR
A nurse is assessing a client who is taking haloperidol and is experiencing pseudoparkinsonism. Which of
the following findings should the nurse document as a manifestation of pseudoparkinsonism? -
ANSWER-Shuffling gait
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 staff caring for
the client? - ANSWER-Having interdisciplinary team meetings for the client on a regular basis.
A nurse is caring for a 2-year-old toddler. Which of the following food choices should the nurse
recommend to promote independence in eating? - ANSWER-Banana slices
A nurse on a medical-surgical unit is notified that a mass casualty event has occurred in the community.
Which of the following actions should the nurse plan to take? - ANSWER-Recommend to the provider
specific acute care clients for discharge.
, A nurse is receiving change-of-shift report for four clients. Which of the following clients should the
nurse assess first? - ANSWER-A client who was just given a glass of orange juice for low blood glucose
level.
A nurse is performing postmortem care for a recently deceased client prior to the client's family visit.
Which of the following actions should the nurse plan to take? - ANSWER-Hold the client's eyes shut for a
few seconds.
A nurse is admitting a client who has schizophrenia. The client states, "I'm hearing voices." Which of the
following responses is the priority for the nurse to state? - ANSWER-"What are the voices telling you?"
A nurse is administering furosemide IV bolus to a client who has fluid volume excess. The nurse should
recognize which of the following as an indication that the medication has been effective? - ANSWER-
Weight loss
A nurse is caring for a client who requires nasotracheal suctioning. Identify the sequence the nurse
should follow to perform suctioning. - ANSWER-1. Turn on the suction and set the pressure.
2. Don sterile gloves.
3. Insert the catheter during the client's inspiration.
4. Apply suction while rotating the catheter.
5. Rinse the catheter to remove secretions.
A nurse is caring for a client who is in a coma and is scheduled for a surgical procedure. Which of the
following actions should the nurse take? - ANSWER-Determine if the client's health care surrogate is
aware of the risks and benefits of the procedure.
A nurse is preparing to administer vancomycin IV to an adult client. The client asks the nurse if the
medication can be given 2 hours earlier. Which of the following statements should the nurse make? -
ANSWER-"I can start the medication 30 minutes earlier."
A nurse is caring for a client who requires seclusion to prevent harm to others on the unit. Which of the
following is an appropriate action for the nurse to take? - ANSWER-Offer fluids every 2 hours.
