ATI PN COMPREHENSIVE PREDICTOR FROM TEST
(2024 UPDATE) BANK (FORM A, B, & C)
RATED A+
ATI PN Comprehensive Predictor Form A
1. A nurse is reviewing
... [Show More] the techniques for transferring a client from a bed to a chair with a group of
assistive personnel (AP). Which of the following instructions should the nurse include?
ANS: Use lower-body strength
RATIONALE: The nurse should instruct the AP to use lower-body strength when lifting a client to reduce stress
on the back
2. A nurse is participating in a quality improvement study about the effectiveness of client pain
management in the unit. Which of the following strategies should the nurse use to collect data?
ANS: Review clients' charts for their rating of pain before pain medication was administered and 1 hr.
after administration
RATIONALE: The nurse should collect data from clients' charts about pain ratings before and after pain
management interventions
3. A nurse is reinforcing teaching about confidentiality with a client who has a new diagnosis of
HIV.
Which of the following information should the nurse include in the teaching?
ANS: "Your HIV status will be shared with members of your health care team."
RATIONALE: The diagnosis of HIV or AIDS is shared with every member of the healthcare team who provides
direct care for the client, just like any other diagnoses
4. A nurse is planning care for a client who has a history of seizures. Which of the following pieces
of equipment should the nurse place in the client's room?
ANS: Suction catheter
RATIONALE: The nurse should place suction equipment in the room of a client who has a history of seizures.
During a seizure, the client might have excessive oral secretions or might vomit. If the client's airway becomes
occluded, then the nurse will need to suction the oral cavity to maintain a patent airway
5. A nurse in a provider's office is reviewing the medical record of a client who requests a
prescription for an oral contraceptive. Which of the following findings should the nurse identify
as a contraindication for oral contraceptive use? ANS: Coronary artery disease RATIONALE:
Coronary artery disease is a contraindication to oral contraceptive use because it increases the client's
risk for myocardial infarction. Other contraindications for receiving oral contraceptives include
gallbladder disease, breast cancer, and hypertension
6. Nurse is assisting with the care of a school-age child immediately following surgery. The child
weighs 21.8 kg (48 lbs.) and has a chest tube applied to suction. Which of the following findings
should the nurse report to the provider?
ANS: 250 mL of sanguineous drainage over the last 3 hrs.
RATIONALE: The nurse should recognize that if more than 3 mL/kg/her of sanguineous drainage occurs
for more than 3 consecutive hours following surgery, it can indicate active hemorrhaging. Therefore, 250
mL of sanguineous drainage from the child's chest tube is excessive and the nurse should report this
finding to the provider immediately
7. A nurse is collecting data from a client who is at 30 weeks of gestation and has gestational
diabetes. Which of the following findings should the nurse report to the provider as an indication
of hyperglycemia? ANS: Polyuria
RATIONALE: The nurse should identify polyuria as an expected finding of hyperglycemia and report this finding
to the provider
8. A nurse is discussing home safety with a group of clients who have type 1 diabetes mellitus.
Which of the following client statements indicates an understanding of the teaching?
ANS: "I will dispose of my needles in a plastic laundry detergent container."
RATIONALE: The nurse should instruct the client to dispose of needles in a puncture-proof container, such as
a plastic laundry detergent container.
9. A nurse is caring for a client who has Alzheimer's disease. Which of the following actions should
the nurse take?
ANS: Encourage the client to reminisce about the past
RATIONALE: The client who has Alzheimer's disease has progressive loss of short-term memory and might
not be able to recall recent happenings and events. This can lead to increased frustration. However, remote
memory remains in place for a longer period of time and can elicit feelings of happiness
10. A nurse is monitoring a client who is receiving telemetry. Which of the following ECG findings
should the nurse report to the provider? ANS: PR interval 0.24 seconds
RATIONALE: An expected PR interval is 0.12 to 0.20 seconds. A prolonged PR interval indicates a heart block;
therefore, the nurse should report this finding provider
11. A nurse on a medical unit is reviewing a client's medical record. Which of the following
procedures should the nurse identify requires the client to sign a separate informed consent
form? ANS: Lumbar puncture
RATIONALE: The nurse should identify that a client needs to provide consent for general treatment, as well as
a separate written, informed consent for any treatment that has an element of risk, such as a lumbar puncture
12. A licensed practical nurse (LPN) is reviewing client assignments for the upcoming shift. Which
of the following clients should the LPN ask the charge nurse to reassign to a registered nurse
(RN)?
ANS: A client who has a new colostomy and requires the development of a teaching plan RATIONALE:
Developing a client teaching plan is not within the scope of practice for an LPN. The nurse should contact the
nursing supervisor to inform them of the client's need for a teaching plan regarding the new colostomy and
request that this client is reassigned to an RN. The scope of practice of an LPN does allow the nurse to
reinforce teaching once the plan has been established. [Show Less]