ATI COMPREHESIVE
PREDICTOR NEW 2023 EXAM
1.A nurse is providing teaching to a client who is 14 weeks of gestation about findings to report
to the
... [Show More] provider. Which of the following findings should the nurse include in the teaching?
A.Bleeding gums
B.Faintness upon rising
C.Swelling of the face
D.Urinary frequency
2.A nurse is caring for a client who has a diagnosis of stage IV metastatic cancer. Which of
the following responses should the nurse make?
A."I would recommend sharing your feelings with a psychologist".
B."I can give you information about making end of life decisions".
C."You should discuss your end life decisions with your family"
D."Everyone feels this way at first. You will start feeling better soon".
3.A nurse is caring for a client wo has severe hypertension and is to receive nitroprusside
via continuous IV infusion. Which of the following actions should the nurse plan to take?
A.Keep client's calcium gluconate at the client's bedside
B.Monitor blood pressure every 2 hr.
C.(Limit or remove?) IV bag from exposure to light.
D.Attach tan inline filter to the IV tubing.
4.A nurse is caring for a client who is experiencing mild anxiety. Which of the following
findings should the nurse expect?
A.Feelings of dread
B.Heightened perceptual field
C.Rapid speech
D.Purposeless activity
6.A nurse is reviewing the laboratory report of a client who has been having lithium carbonate
for the past 12 months. The nurse notes a lithium level of 0.8 mEq/L. Which of the following
orders from the provider should the nurse expect?
A.Withhold the next dose.
B.Increase the dosage.
C.Discontinue the medication.
D.Administer the medication.
7.A nurse is providing teaching to an older adult client about methods to promote
nighttime sleep. Which of the following instructions should the nurse include?
A.Stay in bed at least 1hr if unable to fall asleep
B.Take 1 hr nap during the day
C.Perform exercise prior to bed
D.Eat a light snack before bedtime
8.A nurse is caring for a client who has fibromyalgia and requests pain medication. Which of
the following medications should the nurse administer?
A.Pregabalin
B.Lorazepam
C.Colchicine
D.Codeine.
9.Pregabalin is used to treat epilepsy and anxiety. It's also taken to treat nerve pain. Nerve pain
can be caused by different conditions including diabetes and shingles, or an injury.
10..A nurse is caring for a client following insertion of a chest tube 12 hr. ago. The (Unable to
read) following actions should the nurse take?
A.Assess the amount of drainage in the collection chamber.
B.Clamp the chest tube during ambulation.
C.Report continuous bubbling in the water seal chamber.
D.Strip the chest tube every 4 hr. to maintain patency.
11.A nurse is caring for a client who is receiving morphine 4 mg via IV bolus every 4 hr. PRN.
The nurse should monitor for which of the following adverse effects?
A.Productive cough.
B.Urinary retention.
C.Rhinitis
D.Fever.
12.A nurse is interviewing the partner of a client who was admitted in the manic phase of bipolar
disorder. The partner states "I don't know what to do. Everything has been happening so
quickly." Which of the following by the nurse is therapeutic?
A."Can you talk about what happens with your partner at home?"
B."Why do you think your partner's symptoms are progressing so quickly?"
C."You should make sure your partner takes the prescribed medication."
D."You did the right thing by bringing your partner in for treatment."
13A nurse is providing dietary teaching to a guardian of a preschooler who has a new diagnosis
of celiac disease. Which of the following statements by the guardian indicates an understanding
of the teaching?
A."I will put my child on a gluten-free diet".
B."I will administer digestive enzymes with meals and snacks".
C."Provide my child with some high fiber foods."
D."I will give my child whole wheat toast and milk for breakfast".
14.A nurse is caring for a client who is to receive a transfusion of packed RBCs. Which of the
following actions should the nurse take?
A.Prime IV tubing with 0.9% sodium chloride.
B.Use a 24-gauge IV catheter
C.Obtain filter less IV tubing.
D.Place blood in the warmer for 1 hr.
15.A nurse is admitting a client who has diabetic ketoacidosis. Which of the following
types of continuous infusions should the nurse initiate?
A.0.9% normal saline.
B.NPH insulin.
C.Glargine insulin.
D.0.45% saline.
16.A nurse is teaching who has chronic pain about avoiding constipation from
opioid medications. Which of the following should the nurse include in the
teaching?
A.Drink 1.5L fluids each day.
B.Take mineral oil at bedtime.
C.Increase exercise activity
D.Decrease insoluble fiber.
17.A nurse is teaching about preventative measures to a female client who has chronic urinary
tract infections. Which of the following interventions should the nurse include in the
teaching?
A."Drink 2 liters of warm water per day".
B."Empty your bladder every 6 weeks.".
C."Soak in a warm bath everyday".
D."Take an oral estrogen tablet".
18.A nurse is receiving change-of-shift report for a group of clients. Which of the following
clients should the nurse plan to assess first?
A.A client who has sinus arrhythmia and is receiving monitoring
B.A client who has a hip fracture and a new onset of tachypnea
C.A client who has epidural analgesia and weakness in the lower extremities
D.A client who has diabetes and a hemoglobin A1C of 6.8%
19.A nurse is providing dietary teaching to a client who has a new diagnosis of irritable bowel
syndrome. Which of the following recommendations should the nurse include?
A.Consume food high in bran fiber
B.Increase intake of milk products
C.Sweeten foods with fructose corn syrup
D.Increase foods high in gluten
20.A nurse is caring for a 1-day-old newborns who has jaundice and is receiving phototherapy.
Which of the following actions should the nurse take?
A.the infant 30 ml (1 oz) glucose water every 2 hr.
B.Keep the infants head covered with a cap.
C.Ensure that the newborn wears a diaper.
D.Apply lotion to the newborn every 4 hr.
21.A nurse is teaching a group of newly licensed nurses about client advocacy. Which of
the following statements by a newly licensed nurse indicates an understanding of the
teaching?
A."(Unable to read) I feel to be in his best health care decision"
B."I will intervene if there is conflict between a client and his provider"
C."I should not advocate for a client unless he is able to ask me himself"
D."I will inform a client that his family should help make his health care decisions."
22.A nurse is preparing to reposition a client who had a stroke. Which of the following
actions should the nurse take?
A.Raise the side rails on both sides of the client's bed during repositioning.
B.Reposition the client without assistive devices.
C.Discuss the client's preferences for determining a reposition schedule.
D.Evaluate the client's ability to help with repositioning.
23.A nurse is caring for an infant who has coaction of the aorta. Which of the following should
the nurse identify as an expected finding?
A.Weak femoral pulses
B.Frequent nosebleeds
C.Upper extremity hypotension
D.Increased intracranial pressure
24.A nurse is assisting with the development of an informed document for participation in a
research study. Which of the following information should the nurse include?
A.A statement that participants can leave the study at will.
B.An assignment of the participant to either the experimental or control group.
C.A list of the clients participating in the study.
D.A description of the framework the researchers will use to evaluate the data.
25.A nurse is providing teaching to a client about the adverse effects of sertraline. Which of
the following adverse effects should the nurse include?
A.Excessive sweating
B.Increased urinary frequency
C.Dry cough
D.Metallic taste in mouth
26.A nurse is caring for a client who has a new temporary synchronous pacemaker. Which of
the following should the nurse report to the provider? A.The client's pulse oximetry level is
96%.
B.(Unable to read)
C.The client develops hiccups.
D.The ECG shows pacing spikes after the QRS complex.
A nurse is preparing discharge information for a client who has type 2 diabetes mellitus. Which
of the following resources should the nurse provide to the client?
Personal blogs about managing the adverse effects of diabetes medications
Food label recommendations from the Institute of Medicine
Diabetes medication information from the Physicians' Desk Reference
Food exchange list for meal planning from the American Diabetes Association. - answerD
A nurse is providing teaching about patient-controlled analgesia (PCA) to a client. Which of the
following statements should the nurse include in the teaching?
"The PCA will deliver a double dose of medication when you push the button twice."
"You can adjust the amount of pain medication you receive by pushing on the keypad."
"Continuous PCA infusion is designed to allow fluctuating plasma medication levels."
You should push the button before physical activity to allow maximum pain control." - answerD
A nurse is caring for a client who has diabetes mellitus and is receiving long-acting insulin for
blood glucose management. The nurse should anticipate administering which of the following
types of insulin?
Glargine insulin.
Regular insulin.
NPH insulin.
Insulin aspart. - answerA
Insulin glargine
Insulin glargine, a long-acting insulin, does not have a peak effect time, but is fairly stable in
effect after metabolized
NPH
NPH insulin has a peak effect around 6 to 14 hr following administration.
Regular insulin
Regular insulin has a peak effect around 1 to 5 hr following administration
Insulin lispro
Insulin lispro has a peak effect around 30 min to 2.5 hr following administration
A nurse is caring for a toddler who has acute lymphocytic leukemia. In which of the following [Show Less]