ATI RN Comprehensive Predictor Version 1 Exam Complete Graded A 2024

The nurse cares for a client diagnosed with superficial partial thickness burn. The nurse should assign the client to a room with which client? - A client diagnosed with Cushing's Syndrome. The nurse observes client care on a geriatric unit. The nurse should intervene in which situation? - A student nurse assists the client to stand from a sitting position by grasping the client's elbows. The nurse evaluates the results of the client's purified protein derivative (PPD) 2 1⁄2 days after the injection. The nurse noted the induration is 4 mm. which action by the nurse is most appropriate? - Inform the client the results are negative The nurse cores for the client with a history of schizophrenia. The nurse expects to note which speech pattern? - Repetition of the words used by the nurse. The nurse cares for a 6-month-old infant. The parents report that the infant had severe diarrhea for twelve hours. The nurse anticipates which finding? - Depresses anterior fontanel. The nurse cares for a client receiving hydrocodone every 6 hours prn for pain. The client reports pain at 1600. The nurse notes that the hydrocodone was last administered at 1200, and the nurse proceeds to administer hydromorphone at 1615. After discovering the error, how should the nurse record the occurrence? - "Hydromorphone given at 1615; health care provider notified. B/P 122/80, RR 16." The male client asks the nurse, "Why am I experiencing erectile dysfunction (ED)?" The nurse reviews the client's medications. The nurse recognizes that which classification increases the risk for ED? - Antihypertensive medications. ATI RN Comprehensive Predictor Version 1 Exam Complete Graded A 2024 The nurse in the hospital cafeteria overhears two nursing assistive personnel (NAP) discuss the client's condition. What is the PRIORITY action for the nurse to take? - Inform the employees about patient confidentiality and the client's right to privacy. The nurse cares for a client diagnosed with dehydration. The plan of care indicates the client is to drink two ounces of fluid every hour. The nurse determines the goal is met if which is recorded on the intake and output (I&O) sheet for an eight- hour shift? - 480 ml The nurse and LPN/LVN care for clients on a medical-surgical unit. The RN should delegate which activity to the LPN/LVN? - Take the blood pressure and heart rate before administration of enalapril. The nurses care for the client diagnosed with tuberculosis. Before discontinuing airborne precautions, the nurse must confirm which? - No acid-fast bacteria are in the sputum. The nurse cares for the client at 28 weeks gestation diagnosed with a complete placenta previa. The nurse determines discharge teaching is effective if the client makes which statement to her husband? - I'm sorry to tell you we can't have sexual relations The nurse prepares the client diagnosed with myxedema for discharge. Which action should the nurse teach related to body temperature? - "Put on multiple layers of clothes until you fell comfortably warm." The nurse cares for clients in the labor and delivery unit. The nurse anticipates which client is a candidate for induction of labor? - The client diagnosed with preeclampsia. The nurse cares for the client diagnosed with HIV. The nurse determines which goal is MOST important? - Prevent infections. The nurse educator presents an in-service on acyanotic heart disease. Which is the most common symptom of this disorder that the nurse educator should include? - Presence of an audible heart murmur. The nurse provides care for the client diagnosed with pneumonia who has postural drainage twice a day. Which client response indicates to the nurse that treatment is effective? - "I am coughing up more sputum." The risk management department plans a program to reduce errors. Which is the most common cause of errors in medication administration? - Failure to follow routine policy and procedures. The nurse cares for the school-aged child newly diagnosed with type 1 diabetes. The nurse instructs the family that the child's insulin needs will decrease during which situation? - Active exercise The nurse cares for the client receiving lactulose. The nurse determines the medication is effective if which is observed? - The client is alert and oriented to person, place and time. The nurse cares for the three-year-old prior to a surgical procedure. Which behavior indicates that the child is coping with preoperative preparation? - The child talks about the picture of a nurse and client while coloring the picture using a number of bright colored crayons. The nurse instructs the client after a total hip arthroplasty. The client will utilize which assistive devices in the home? – A long-handled shoehorn. A reaching device. A raised toilet seat. A shower bench. The client reports vomiting and diarrhea for three days. Which assessment finding does the nurse anticipate? - Decreased blood pressure. The nurse cares for the client in active labor. The health care provider orders an oxytocin infusion. Which action should the nurse take FIRST after initiating the infusion? - Time and record the length and strength of the contractions. The intensive care nurse cares for the client two hours after a myocardial infarction is diagnosed. The nurse's PRIORITY is to focus on which action? - Relieve pain. The home health nurse instructs the family how to "allergy-proof" their preschooler's bedroom. The nurse determines teaching is successful if which of the following is observed? - There are no pictures hung on the walls. The nurse cares for infants in the newborn nursery. Which observation requires the nurse to contact the physician? - Uneven skin folds are noted on a the upper legs of a Mexican-American female born 6 hours ago. The nurse cares for the client diagnosed with partial thickness burns to the entirety of both arms. Using the Rule-of-Nines, the nurse estimates the injury is which percentage? - 18% The home care nurse visits the client diagnosed with late stage Parkinson's disease. The client sits in a wheelchair. Which statement, if made by the caretaker, indicates to the home care nurse teaching is effective? - "My Client should push the hips up from the wheelchair for about 10 seconds every hour or so." The home care nurse makes a visit to the client diagnosed with heart failure. The client reports having difficulty sleeping at times. The nurse should take which action FIRST? - Obtain a thorough sleep assessment history. The nurse cares for the client admitted to the critical care unit. The nurse observes splinter hemorrhages in the nails, painful nodules on the fingertips and splenomegaly. It is MOST important for the nurse to take which action? - Auscultate the precordium for murmurs (ENDOCARDITIS) The nurse instructs the client about stable angina. The nurse determines teaching is effective if the client makes which statement? - My chest pain can occur if I overexert myself. The nurse cares for the client in pain. Which factor is MOST important to determine if the client is a candidate for patient controlled analgesia? - The client is mentally alert. The nurse received report from the previous shift. Which client should the nurse see FIRST? - The client scheduled for discharge later in the day and is reporting increased shortness of breath. The nurse reviews the arterial blood gas (ABG) report. The PH is 7.50; CO2 is 40mm; HCO3 is 30 mm. Which is the MOST important question to ask the client? - How long have you been vomiting? The nurse prepares a list of delegated tasks for the nursing assistive personnel (NAP). Which task would be APPROPRIATE? - Turn and reposition the client diagnosed with quadriplegia. The nurse cares for the client diagnosed with anorexia nervosa. The nurse should include which in the client's plan of care? - Observe client during and one hour after each meal. The nurse cares for the client diagnosed with obsessive-compulsive personality disorder (OCD). Which does the nurse expect the client to demonstrate? - Doubts, fears, and indecisiveness The nurse prepares to administer medications. Which medication cannot be given directly intravenously? - Potassium chloride (KCI) The nurse cares for a client diagnosed with pancreatic cancer. When talking to the client about the diagnosis, the nurse anticipates the client will make which statement? - I've been feeling fine and didn't go to the doctor until my skin was kind of yellow. The parent of an adolescent diagnosed with hemophilia calls the nurse to discuss the adolescent's desire to participate in sports. Which activity should the nurse recommend? - Swimming The nurse provides discharge instructions to the client with a tube after traditional cholecystectomy. The nurse determines teaching is effective if the client makes which statement? - This tube will stay in for 1-2 weeks and drainage will decrease. The nurse prepares to administer medications to the following clients. Which medication should the nurse pass FIRST? - Ipratropium to the newly-admitted client diagnosed with chronic obstructive pulmonary disease. The nurse prepares to administer digoxin for the 5-year-old child. The nurse should withhold the drug and contact the physician for which finding? - A apical heart rate of 88 assessed. (60 or less adult, 90 or less children) The nurse cares for the client with a chest tube. Immediately after the tube is removed, it is MOST important for the nurse to take which action? - Request a STAT portable chest X-ray. The home care nurse cares for the client diagnosed with benign prostatic hyperplasia. The client reports not voiding since the previous evening. Assessment reveals a distended bladder. Which action should the nurse take NEXT? - Obtain an order for a straight catheter. The nurse assigns the nursing assistive personnel (NAP) to the mother who is first day postpartum following a vaginal birth. Which tasks are appropriate for the nurse to delegate to the NAP? - Help the mother to ambulate shortly after delivery. Assist the mother with changing the perineal pad. Two days after a short leg cast was applied for a fractured tibia, the client reports new, severe pain over the calf area. Which action should the nurse take FIRST? - Contact the health care provider. The nurse counsels the client diagnosed with herpes simplex virus (HSV) infection. Which suggestion by the nurse BEST meet the client's needs to cope with this diagnosis? - Contact information for a local support group. The nurse prepares the 3 year old for discharge after a tonsillectomy. The nurse recommends the parents offer the child which food during the first 24 hours? - Lemon-lime soft drink The client receives enteral nutrition at 50 ml/hour due to dysphagia. Which nursing action diagnosis would be the priority? - Risk for aspiration. The charge nurse has received change-of-shift report on a medical-surgical unit. Which activity can be delegated to an LPN/LVN? - Change a dressing on a client with a stage IV pressure ulcer. Obtain vital signs on a client whose BP was 88/64 an hour ago. Irrigate an urinary catheter. Administer water through a gastrostomy tube. The nurse presents information about misuse of medications to the senior citizen group. Which client response indicates a safe medication practice? - If I miss a dose of medication, I should not double up on the next dose. The nurse cares for the client in the emergency department. The client's friends state the client inhaled varnish remover and passed out. The nurse notices a rash around the client's nose and mouth, axillary temperature 97.8 degrees, pulse 66, respiration 12, blood pressure 168/88, pulse oximetry 98%. Which action should the nurse take FIRST? - Evaluate pupillary response. Which indicates to the nurse that a 41-year-old woman who is 5'5'' tall is obese? - Body mass index is 31 kg/m2 The nurse cares for the client reporting a burning sensation and itching of the right eye. On examination, the eye is red, with watery yellow discharge. The nurse understands which is the MOST likely cause of the client's symptoms? - Conjunctivitis The nurse cares for the infant diagnosed with hydrocephalus immediately after placement of a ventriculoperitoneal (VP) shunt. The nurse should place the infant in which position? - Supine lying on the non-operative side The nurse cares for the teenager recovering from mononucleosis. The teenager is upset and reports feeling too weak to resume normal home and social activates. The friends no longer come visit, and the parent is tired of "doing everything." Which response by the nurse is MOST appropriate? - Convalescence is lengthy and people often report fatigue for several months. The nurse cares for a client after an involuntary admission to a mental health facility due to threatening to harm self. The family asks the nurse if they can take the client home. Which response by the nurse is MOST appropriate? - The courts determine how long the client is hospitalized. The nurse cares for the adolescent diagnosed with Hodgkin's lymphoma. The adolescent receives nitrogen mustard, vincristine, procarbazine and prednisone. Which adverse effect of the drugs requires early preparation of the adolescent? - Alopecia The home care nurse instructs the client receiving long-term prednisone therapy. Which information should the nurse include? - There are changes in fat distribution over several areas of the body. The nurse witnesses a co-worker put one of two narcotic tablets in the co-workers purse twice during the shift. Which action should the nurse take? - Inform the nursing supervisor The nurse cares for the client with a pacemaker. When monitoring pacemaker functions, which should the nurse assess FIRST? - Electrocardiogram (ECG) The adolescent diagnosed with acute mania is started on lithium. Which behavior indicates to the nurse the medication is effective? - Decreased euphoria and slower rate of speech noted. The nurse suspects that the client with severe uterine bleeding is in the early stages of shock. Which is the PRIORITY nursing action? - Administer oxygen per nasal cannula. When providing respiratory care for the client with a tracheostomy, it is MOST important for the nurse to take which action? - Preoxygenate the client prior to suctioning. The nurse provides care to a client diagnosed with cirrhosis. Which is the BEST explanation for the development of edema? - Decreased concentration of plasma albumin. Nurses working in hospital environments should follow which guideline related to effective hand washing? - Wash for at least fifteen seconds covering all surfaces. The nurse cares for the primigravida during the transition phase of labor. Which is MOST important for the nurse to include in the client's plan of care? - Provide comfort measures including position changes. The nurse cares for the client diagnosed with a hearing impairment. Which is a PRIORITY action for the nurse to take? - Speak at a slightly slower pace. The nurse cares for the newborn with a port wine stain covering the face and half the body. The nurse notes that the mother refuses to look at the newborn. Which response by the nurse is MOST appropriate? - Reinforce the health care provider's explanation of the defect and allow time for the mother to discuss her fears. The nurse reviews a diet containing broiled catfish, baked green beans, a roll, a brownie, and tea. The nurse identifies this diet is most appropriate for which condition? - Crohn's disease. The nurse cares for a toddler diagnosed with croup. The nurse notes the toddler's respiratory and heart rates have increased significantly. Sub sternal and intercostal retractions are pronounced, and the child is restless. Which action should the nurse take FIRST? - Contact the health care provider. The client reports dyspnea, sever chest pain, nausea, and increased anxiety. Which lab value would cause the nurse to contact the physician? - Troponin T 0.9 ng/mL. An adolescent undergoing hemodialysis tells the nurse, "My friends are all going on a big trip over spring break and I can't go. I don't think they'll miss me much anyway." Which is the BEST response by the nurse? - You must be disappointed. Describe what you are feeling right now. The nurse cared for clients diagnosed with AIDS. The nurse recognizes which statement is true regarding therapy? - Protease inhibitors affect cell replication and have been successful. The nurse instructs the client about a lumbar puncture. In which position will the client be placed? - Lateral recumbent position. The nurse assists the client to obtain a sputum specimen. Which action should the nurse take first? - The nurse performs hand hygiene and dons clean gloves. The nurse cares for a three-year-old child diagnosed with severe anemia. The nurse observes weakness and fatigue. Which will the nurse expect to observe? - Increased heart rate.