ATI Comprehensive Predictor Exam 2019 (180 Q & A, Verified and 100% Correct Answers)
A nurse is caring for a client who had a partial laryngectomy and is
... [Show More] receiving continuous enteral feedings at 65 mL/hr through a gastrostomy tube. Which of the following findings requires immediate intervention by the nurse?
Correct Ans - The infusion pump for administering contimuous feeding is turned off.
A nurse is assessing a client who has a magnesium level of 4.4 mEq/L. Which of the following findings should the nurse expect?
Correct Ans - Hypotension
A nurse is providing dietary teaching to a client who has an increased cholesterol level. Which of the following foods should the nurse recommend?
Correct Ans - Egg whites
A nurse is caring for a toddler who has respiratory syncytial virus. Which of the following actions should the nurse plan to take?
Correct Ans - Use a designated stethoscope when caring for the toddler.
A nurse is assessing a client who has a chest tube following a thoracotomy. Which of the following findings requires intervention by the nurse?
Correct Ans - 1 cm of water present in the water seal
A nurse is reviewing the medical history of a client who is taking garlic supplement. The nurse should identify that which of the following findings is a contraindication for taking this supplement?
Correct Ans - The client takes aspirin daily.
A nurse is planning to provide community education about viral hepatitis. Which of
the following should the nurse plan to include in the teaching?
Correct Ans -
series of four hepatitis vaccines is recommended to prevent viral hepatitis.
A nurse is reviewing the history and physical of a client who has right ventricular
Heart failure. Which of the following is an expected finding?
Correct Ans -
Elevated pulmonary artery pressure
9. A home health nurse is conducting an initial home visit for a client who has terminal breast cancer. The client has two school-age children and a limited support system.
Which of the following is the priority nursing action?
Correct Ans -
Inform the
Client of available community resources.
A nurse is providing postoperative teaching to a client who has a newly-inserted pacemaker. Which of the following statements by the client indicates that the teaching has been effective? Correct Ans - "I will use my cell phone on the ear opposite of my pacemaker."
A nurse is caring for a client who has heart failure and has started taking a loop diuretic. Which of the following findings indicates the client is experiencing an adverse effect of the medication?
Correct Ans - Decreased reflexes
A nurse is caring for a client who has neutropenia due to HIV. Which of the following
precautions should the nurse take while caring for this client?
Correct Ans - Wear
an N95 respirator.
13. A nurse manager is presenting information to the nursing staff regarding the appropriate use of client restraints. Which of the following should the nurse include?
(Select all that apply.)
Correct Ans - The nurse should pad the bony prominences. The nurse should remove the restraints every 2 hr. The provider’s prescription should include the
14.A nurse is providing discharge teaching about disease prevention to a client who has active tuberculosis. Which of the following should the nurse include?
Correct Ans - Educating the client how to cover nose and mouth with tissues when coughing
15. A nurse is caring for a client who reports difficulty falling asleep at night. Which of the following actions should the nurse take?
Correct Ans - Schedule routine care tasks during hours when the client is awake.
16. A nurse is preparing a client for surgery and has just administered the preoperative
injection. Which of the following actions should the nurse take?
Correct Ans -
Review deep breathing and coughing exercises.
17. A nurse suspects another nurse is chemically impaired during their shift. Which of the following is an appropriate action for the nurse to take?
Correct Ans - Report to the nurse manager.
18. A nurse in the recovery room is assessing a client who has a new chest tube. The nurse finds that the water seal is no longer tidaling. The nurse should identify the finding as resulting from which of the following?
Correct Ans - The tubing may be kinked.
19. A nurse delegates tasks to a licensed practical nurse (LPN) and an assistive personnel (AP). When admitting a client who is experiencing acute liver failure and who has ascites and an NG tube, which of the following tasks is most appropriate for the nurse to delegate to the LPN? [Show Less]