ATI Comprehensive Predictor Exam-(25 Versions.. 1500 Q & A)/ Comprehensive Predictor Exam
1. A nurse is performing tracheostomy care for a client who
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following a laryngectomy. Which of the following actions should the nurse take
when suctioning the client's airway?
Withdraw the catheter if the client begins coughing.
Apply suction for 10 seconds.
Advance the catheter 2 cm (0.8 in) after resistance is met.
Use medical asepsis when performing the procedure.
2. A nurse is preparing to administer a long-acting insulin to a client who has
diabetes mellitus. Which of the following actions should the nurse plan to take
first?
Teach the client reportable adverse effects from the medication.
Check the insulin dose with another licensed nurse
Administer the insulin at a 90° angle.
Clean the insertion site.
3. A nurse is caring for an older adult client in the PACU following general
anesthesia. Which of the following findings should the nurse report to the
provider?
Urine output 120 mL in 4 hr
Systolic blood pressure 12 mm Hg lower than the preoperative level
Audible stridor
Normal sinus rhythm with an occasional premature ventricular contraction
4. A nurse is preparing to administer diazepam 0.3 mg/kg IV bolus to a toddler
who weighs 22 lb and is experiencing a grand mal seizure. Available is diazepam
solution for injection 5 mg/mL. How many mL should the nurse administer?
(Round the answer to the nearest tenth. Use a leading zero if it applies. Do not
use a trailing zero.) 0.6
5. A charge nurse is planning an educational session for staff nurses about working
with parents whose terminally ill children are candidates for donating their
organs. Which of the following information should the nurse plan to include?
Choosing to donate organs can delay the timing of the child's funeral.
The family can have the child an open casket without fearing that the organ donation
might disfigure the childs body
The family should understand that an autopsy is mandatory prior to organ donation.
The nurse should introduce the option of organ donation to the parents when first
discussing the child's impending death.
6. A nurse manager is planning to make changes to the current scheduling system
on the unit. To facilitate the staff 's acceptance of this change, which of the
following actions should the nurse manager take first?
Provide information about scheduling issues to the staff
Ask staff members to participate in a trial of the new scheduling system. Encourage staff
to offer alternate scheduling solutions.
Develop goals to implement the new scheduling system.
7. A nurse is assessing a client who is receiving a blood transfusion. Which of the
following findings should indicate to the nurse that the client is having a
hemolytic transfusion reaction?
Bradycardia
Low back pain
Hypertension
Distended jugular veins
8. A nurse is assessing a client who has macular degeneration. Which of the
following findings should the nurse expect?
Increased intraocular pressure
Floating dark spots
Decreased central vision
Double vision
9. A nurse working in a long-term care facility is assessing an adult client. Which
of the following findings places the client at risk for development of a pressure
injury?
Report of persistent constipation
Hgb 14 g/dL
Albumin 4.2 g/dL
Recent weight loss
10. A nurse is teaching about total parenteral nutrition (TPN) and IV lipid
emulsions with a client who has an extensive burn injury. Which of the following
information should the nurse include?
"This type of nutrition is more effective than eating by mouth."
“You will receive fingersticks for blood glucose testing.
"TPN is a way to provide vitamins and minerals without increased calories."
"Taking TPN can increase the risk of developing a latex allergy."
11. A nurse is caring for a client who has had nausea and vomiting for the past 2
days. The nurse should identify which of the following findings as an indication
the client is experiencing fuid volume de deficit?
Shortness of breath
Visual disturbances
Decreased BUN levels
•Orthostatic hypotension
12. A nurse is caring for a client who is in labor at 39 weeks of gestation. During the
second stage of labor, the nurse observes early decelerations on the monitor
tracing. Which of the following actions should the nurse take?
Continue observing the fetal heart rate
Assist the client to a knee-chest position.
Prepare the client for continuous internal monitoring.
Prepare for an emergency cesarean birth.
13. A nurse is caring for a client who requires physical therapy following discharge.
Which of the following actions should the nurse take?
Initiate the referral at the time of discharge.
Have the client contact a physical therapist when feeling ready to begin therapy.
Verify that insurance will pay for outpatient physical therapy.
•Involve the client in selection of a physical therapy provider.
14. A nurse is assessing a client who has sickle cell anemia. The nurse should
identify which of the following findings as a manifestation of vaso-occlusive
crisis?
Diminished reflexes
Hematuria
Hyperglycemia
Hearing loss
15. A nurse is teaching a group of guardians about child safety measures. Which of
the following statements by a guardian indicates an understanding of the
teaching?
"I will make sure my 4-year-old child wears a helmet when using a skateboard."
"I should have my child avoid sun exposure between 10 am and 2 pm."
"I can give my 2-year-old child a whole hotdog on a bun."
"When my infant is in the carrier, I will place it on a raised, at surface whenever
possible."
16. A nurse is caring for four clients at the beginning of a shift. After receiving
change-of-shift report, which of the following clients should the nurse attend to
first?
A client who has a temperature of 38.2° C (100.8° F) and requests a cup of ice chips
A client who is postoperative and reports a pain level of 5 on a scale from 0 to 10
A client who has voided and is ready for a bladder scan
A client who is confused and has been attempting to get out of bed
17. A nurse is assessing a client who has been taking lithium carbonate for the past
month to treat bipolar disorder. Which of the following assessment findings
should the nurse identify as the priority?
Lethargy
Confusion
Polyuria
Fine hand tremors
18. A nurse manager is on a planning committee to develop an emergency
preparedness plan. The nurse should recommend that which of the following
actions takes place
Contact the triage officer.
Implement the client tracking system.
Ask the communications officer to release a press statement.
Notify the incident commander.
19. A nurse is planning care for a client who is receiving hemodialysis via an
established arteriovenous (AV) fistula in the right arm. Which of the following
interventions should the nurse include in the client's plan of care?
Notify the provider if a thrill is palpated at the fistula.
Auscultate the affected extremity for a bruit
Discourage range-of-motion exercises in the affected extremity.
Perform venipuncture in the affected extremity.
20. A nurse receives a request from a client to review the information in his medical
record. Which of the following responses should the nurse give?
"There's a protocol for reviewing your medical record, and I can initiate the process."
"The medical record has a lot of medical terminology, and it might be di cult for you to
understand."
"You should really talk to your provider if you have any questions about your treatment."
"Some parts of your medical record are restricted, but I can show you the parts that you are
allowed to see."
21. A nurse is assessing a client who has obstructive sleep apnea. For which of the
following complications should the nurse monitor?
Weight loss
Urinary retention
Hypertension
Hypoglycemia
22. A nurse is preparing to administer heparin 5,000 units subcutaneously.
Available is heparin injection 10,000 units/mL. How many mL should the nurse
administer per dose? (Round the answer to the nearest tenth. Use a leading zero
if it applies. Do not use a trailing zero.) 0.5
23. A nurse in an emergency department is assessing a client who reports taking
methylenedioxymethamphetamine (MDMA). Which of the following findings
should the nurse expect?
Lethargy
Diaphoresis
Bradycardia
Cough
24. A nurse is caring for a client who has a terminal illness and requests no
lifesaving measures if a cardiac arrest occurs. Which of the following statements
should the nurse make?
"You will need to draft a health care proxy so a designee can make this decision for you."
"I will make sure that no one performs any lifesaving measures if your heart stops."
"Your provider determines if you should have lifesaving measures if your heart stops."
"I will provide you with information about medical treatment to include in your living will."
25. A nurse is administering cyclophosphamide orally to a school-age child who has
neuroblastoma. Which of the following actions should the nurse take when
administering this medication?
Give an antiemetic 30 min after medication administration.
Monitor blood glucose levels.
Monitor for tumor lysis syndrome.
Maintain hydration with liberal fluid intake
26. A nurse is reviewing the urinalysis report of a client who has acute
glomerulonephritis. Which of the following findings should the nurse expect?
Uric acid crystals
Protein
WBCs
Nitrites
27. A nurse is providing colostomy care for a client using a two-piece pouching
system. Which of the following actions should the nurse take?
Cleanse the skin at the stoma site with povidone-iodine for 15 seconds.
Dampen the skin before applying the skin barrier and ostomy pouch.
Place the skin barrier over the stoma and hold it for 30 seconds
Cut the skin barrier opening 0.6 cm (0.25 in) larger than the stoma.
28. A nurse is administering medications to a client who has a percutaneous
gastrostomy tube for enteral feedings. Which of the following actions should the
nurse take to prevent clogging of the tube?
Flush the clients gastrostomy tube with 30 ml of water before administering the medication.
Crush the client's medications and mix them in with the tube feeding formula prior to
administration.
Change the client's feeding bag every 72 hr.
Administer multiple prescribed medications at the same time.
29. A night shift nurse is giving change-of-shift report to the day shift nurse on a
client who is ready for discharge. Which of the following information is the
priority for the nurse to communicate to the oncoming nurse?
The client needs assistance when transferring from the bed to a wheelchair.
The client will have a visit by a home health nurse tomorrow.
The client's partner will bring clothes for the client to change into prior to discharge.
The client often needs encouragement to engage in personal hygiene activities.
30. A nurse is planning teaching about allowable foods for a client who has a history
of uric acid-based urinary calculi formation. Which of the following foods
should the nurse include in the teaching?
Liver
Oranges
Chicken
Red wine
31. An RN is planning care for a group of clients and is working with a licensed
practical nurse (LPN) and an assistive personnel (AP). Which of the following
tasks should the RN delegate to the LPN?
Collection of a stool specimen
Preparation of a client's postoperative bed
Preparation of a teaching plan about pneumonia...
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