2023 ATI PN COMPREHENSIVE PREDICTOR FORM B QUESTIONS WITH CORRECT ANSWERS, Exams of Nursing

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2023 ATI PN COMPREHENSIVE PREDICTOR FORM

B QUESTIONS WITH CORRECT ANSWERS

 A nurse in a long-term care facility is assisting with an in- service for newly hired assistive personnel about legal issues within the facility. Which of the following should the nurse include as an example of assault? ANS: Informing a client the nurse is going to administer an injection even though the client refuses.  A nurse is collecting data from who is severe pain. Which of the following questions should the nurse ask first? ANS: "Where is your pain located?"  A nurse is reviewing the laboratory results for a client who is at 29 weeks gestation. For which of the following results should the nurse notify the provider? ANS: Platelet count 95,000 mm  A nurse is performing a dressing change for a client who had abdominal surgery 5 day s ago. The nurse notes organs protruding from the incision. Which of the following act ions should the nurse take? ANS: Cover the exposed area with sterile, saline-soaked dressings.  A nurse is speaking with the adult daughter of a client who has Alzheimer's disease. The daughter states, "I love my dad, but caring for him is wearing me out." Which of the following response should the nurse make? ANS: "Let's discuss how caring for your father is affecting your health.

 A nurse is contributing to the plan of care for a care for a client who has chest tube co nnected to a closed drainage system. Which of the following actions should the nurse i nclude in the plan of care? ANS: Maintain the drainage system below the level ofIthe client's chest.  A nurse in an acute mental health facility is caring for a client who has borderline personality disorder and reports. "I am going to kill my girlfriend when I get out of here." Which of the following actions should the nurse take? ANS: Notify the client's care team of the threats against the partner  A nurse is admitting a client who is at high risk for suicide. Which of the following actions is the nurse's priority? ANS: Search the client's personal belongings  A nurse is caring for a client who is 1 day postoperative and is unable to ambulate. W hich of the following actions should the nurse take to promote the client's venous return? ANS: Maintain the sequential compression device.  A nurse on an acute care unity is collecting data from a school- age Child who has cystic fibrosis. Which of the following findings is the priority for the nurse? ANS: Reports lack of appetite

 A nurse working in a provider's ofollowingice receives a phone call from the parent of a school- age child who has varicella. The parent asked the nurse when the child can return to school. Which of the following responses should the nurse make? ANS: "When the lesions have scabbed over."  A nurse in a pediatric clinic is collecting the data from a school- age child whose injuries are inconsistent with the parent's stated cause. Which of the following actions should the nurse take? ANS: Report the suspected abuse to an appropriate agency.  A nurse is collecting data from a middle adult female client who is taking melatonin.Which of the following responses to the med should the nurse expect? ANS: Improved sleep  A nurse on a pediatric unit is collecting data from four newly admitted clients. Which of the following clients should the nurse identify as being at risk for urinary retention? ANS: A school- age child who has allergic rhinitis and is taking diphenhydramine.  A nurse is preparing to administer purified protein derivative (PPD) to a client who ha s suspected TB. Which of the following actions should the nurse plan to take? ANS: Ensure the injection produces a wheal on the skin

 A nurse in a pediatric clinic is collecting the data from a school- age child whose injuries are inconsistent with the parent's stated cause. Which of the following actions should the nurse take? ANS: Report the suspected abuse to a appropriate agency.  A nurse is collecting data from a middle adult female client who is taking melatonin.Which of the following responses to the med should the nurse expect? ANS: Improved sleep  A nurse on a pediatric unit is collecting data from four newly admitted clients. Which of the following clients should the nurse identify as being at risk for urinary retention? ANS: A school- age child who has allergic rhinitis and is taking diphenhydramine.  A nurse is preparing to administer purified protein derivative (PPD) to a client who ha s suspected TB. Which of the following actions should the nurse plan to take? ANS: Ensure the injection produces a wheal on the skin  A client who is diagnosed with Parkinson's disease verbalizes frustration due to increas e difollowingiculty with ambulation. Which of the following responses should the nurs e take? ANS: Perform active ROM with your arms and legs two times a day.

 A Nurse is collecting data from a client who has multiple fractures following a motor-vehicle crash. For which of the following client statements ANS: "I am so frustrated. I cannot even open my milk carton for breakfast."  A nurse is caring for a client who is 4 hr postoperative following a total thyroidectomy

. Which of the following manifestations should the nurse report to the provider as indicating possible hypocalcemia? ANS: Tingling of fingers  A nurse is caring for a client who has a Penrose drain. To ensure proper placement an d functioning of the drain, which of the following should the nurse expect to observe? ANS: The safety pin is present at the distal end of the drain.  A community health nurse is helping to reinforce teaching about hepatitis A with a group of employees at a childcare facility. Which of the following characteristics should t he nurse identify as an external factor that can impede learning for the participants? ANS: Poor lighting in the learning setting

 A nurse is observing newly licensed nurse who is providing tracheostomy care for a client. The nurse identifies proper performance of the procedure when the newly licensed nurse selects which of the following solutions to clean the inner cannula? ANS: Hydrogen peroxide  A nurse is caring for a client who has right sided heart failure. The client's partner exp resses concern the the client will die. Which of the following responses should the nurse make? ANS: "It is difficult to see someone so sick. Whathave you been told about your partner's prognosis?"  A nurse is reinforcing discharge instructions with the parent of an infant who has rotav irus. which of the following statements by the parent indicates an understanding of the teaching? ANS: "I will apply diaper cream to my baby's skin during each diaper change."

 A nurse is caring for a client who is scheduled for surgery in the morning. The nurse l earns that the client has decided not to have surgery even though he has already signedthe informed consent form. Which of the following actions should the nurse take? ANS: Report the situation to the provider who obtained the informed consent.  A nurse has to administer medications to a group of clients. For which of the following client situations should the nurse complete and incident report? ANS: The nurse administered insulin lispro to a client who has diabetes mellitusand is NPO.  a nurse is collecting data from a client who is experiencing a situational crisis followin g the loss of a job. The client states, I don't think I can go through this again. Which o f the following actions is the nurse's priority? ANS: Determine ifIthe client is experiencing psychotic thinking.  A nurse is reinforcing discharge teaching with a client who is 48 hr post op from a ma stectomy. Which of the following statements by the client indicates an understanding o f the teaching? ANS: "I will wear rubber gloves whenever I wash dishes or do yard work."  a Nurse is reinforcing teaching about home care for conjunctivitis with the parent of a school age child. which of the following

ANS:Separatethechild'susedwashclothfromthose information should the nurse include? of others.  A Nurse prescribes levothyroxine 0.3 PO daily for a client. Available is levothyroxine 1 50mcg/tablet. How many tablets should the nurse administer? ANS: 2  a nurse is collecting data from an older adult client during aroutine physical exam. Which of the following client statements should the nurse identify as a possible indication of abuse? ANS: "My son took my wallet so he can keep track of what I'm spending."  A nurse is assisting with a presentation at a community center about personal disaster preparedness. which of the following strategies should the nurse recommend for preparing a home disaster supply kit? ANS: Have a supply of prescribed medications.  A nurse is reinforcing teaching on food selection with a client who has a moderate burn injury. Which of the following foods should the nurse recommend as being high in Vitamin C. ANS: Tomatoes  A nurse on a medical surgical unit is delegating tasks to an assistant. Which of the following tasks should the nurse delegate to the Assistant? ANS: Obtaining a client's vital signs prior to discharge

 A Nurse is caring for a client in Buck's Traction. Which of the following actions should the nurse take? ANS: Allow the weights to hang freely.  A nurse in a long term care facility is contributing to the plan of care for a client whohas a new ostomy. Which of the following actions should the nurse plan include?  ANS: Change the appliance two times each week. A nurse is receiving report on 4 clients Which of the followingclients should the nurse plan to see first. ANS: A client who has pneumonia and a new onset of confusion  A nurse is reinforcing discharge teaching with a client who has a t Tube in place follo wing a cholecystectomy. Which of the following instructions should the nurse include in the teaching? ANS: Empty the drainage bag each day at the same time.  A nurse is assisting with monitoring a client who is in labor and has spontaneous rupture of membranes following a vaginal examination. The provider reports the client's cer vix is dilated to 1 cm with an unengaged presenting part. Which of the following actions should the nurse take? ANS: Apply the external fetal heart rate monitor.

 A Nurse is collecting data from a client who has bipolar disorder and is experiencing acute mania. Which of the following findings is the nurse's priority? ANS: lack of sleep  A nurse is reinforcing teaching with a client who has a type 2 diabetes mellitus and re ports waking during the night with tremors and anxiety. which of the following inform ation should the nurse provide to help the client manage his symptoms? ANS: Eat a bedtime snack  a Nurse is reinforcing teaching for a client who has a coronary artery disease and is taking low- dose aspirin daily. The nurse should include that this medication has which of the following therapeutic efollowingects for CAD? ANS: Antiplatelet  A nurse is collecting data from a client who has an unprepared femur fracture and rate s his pain as 8 on a scale of 0 to 10. The client is talking and caught with a visitor. W hich of the following of the prescribed medication should the nurse administer? ANS: Hydromorphone 5 mg orally.

 A nurse is reinforcing preoperative teaching with a clientscheduled for a bowel retenti on with ileostomy. which of the following descriptions should the nurse give of the ex pected output from a mature ileostomy? ANS: liquid with little odor  A nurse is caring for a client who is 16 hr postoperative following a total hip arthropla sty. the client reports numbness, pain, and tingling in the afollowingected leg. Which o f the following actions should the nurse take first? ANS: compare capillary refill in toes bilateraly  A nurse is reinforcing teaching with a client who has acute diverticulitis. Which of the following statements by the client indicates an understanding of the teaching about the acute phase of diverticulitis? ANS: "I will receive the nutrient I need through my IV Fluid"  A nurse in reinforcing teaching with a client about cancer prevention. The nurse shoul d include that frequent consumption of which of the following foods increases the risk of cancer? ANS: Lamb

 A nurse is assisting in teaching a group of stafollowing nurses about hepatitis A. Whic h of the following modes should the nurse include as a method of transmitting hepatitis A? ANS: Consumption ofIcontaminated food.  A nurse is reinforcing teaching with a client who is bottle feeding he full-term newborn with formula. Which of the following instructionsshould the nurse I nclude in the teaching? ANS: Although is is unnecessary to be rigid about feeding times, six to eight feedings every 24 hrs should support a full- term newborn's nutrition adequately. Fewer feedings in the initial weeks could delay the establishment of an adequate weight-gain pattern.  A nurse is assisting with the plan of care for a client following a transurethral resection of the prostate. Which of the following interventions should the nurse include in the plan of care? ANS: The nurse should irrigate the bladder using strict sterile technique and maintain closed catheter drainage system to minimize the risk of infection.

 A nurse is reviewing a client's electronic medical record and finds that an assistive per sonnel recorder the client's temperature as 35.3 degrees Celsius (95.5 degrees F) 2 hrs earlier. Which of the following actions should the nurse take firsT? ANS: Check the client's temperature.  A nurse is receiving change-of- shift report for four clients. Which of the following clients should the nurse see first? ANS: A client whose urinary output was 100mL for the past 12 hrs  A nurse in reinforcing teaching about weight loss with a female older adult client who is overweight. Which of the following statements should the nurse include in teaching? ANS: keep fat intake to no more that 30% of daily caloric intake.  A nurse is collecting data from a client who has iron deficiency anemia. Which of the following findings should the nurse expect? ANS: Difficulty in concentrating.  A Nurse is collecting data from an older adult client who is 48 hr postoperative following abdominal surgery. The provider writes a prescription to advance the client to a re gular Diet. For which of the following findings should the nurse notify the provider? ANS: The client has absent bowel sounds.

 A nurse is reinforcing discharge teaching with a client who is postoperative following transurethral resection of the prostate. Which of the following instructions should the n urse include in the teaching? ANS: perform Kegel exercises daily.  A nurse is reinforcing teaching about ways to reduce solid fat consumption with a clie nt who has an elevate cholesterol level. which of the following strategies should the nurse include in the teaching? ANS: purchase beef that is a loin cut.  A nurse is reinforcing teaching with a client who has a new prescription for prednisonefor the treatment of Addison's disease. which of the following instructions should the nurse include in the teaching? ANS: You will need to schedule a bone density test.  A nurse is collecting data from a client who has type 2 diabetes mellitus and is concer ned about weight gain during pregnancy. Which of the following responses should the nurse make? ANS: You weight gain should be the same as for someone without diabetes.

 A nurse is reinforcing teaching with the parent of a preschooler who has lactose intoler ance. Which of the following statements by the parent indicates an understanding of th e teaching? ANS: I should offer my child yogurt that has a probiotic as a snack.  A parent brings her adolescent son to an urgent care center and states. "He is high on something and needs help" The client is exhibiting agitation and paranoia and reports visual hallucinations. The nurse should suspect intoxication with which of the following substances? ANS: Methamphetamines  A nurse notices an assistive personnel taking a nap in the break room during he meal t ime. The AP appears drowsy while performing routine tasks. Which of the following a ctions should the nurse take? ANS: Report the observations about the ap to the unit's nurse manager.  A nurse is reinforcing teaching with a client who has a fluid volume deficit about selec ting foods that have a high water content. The nurse should include that which of the f ollowing raw foods contains the highest amount of water per 1 cup serving? ANS: Cherry tomatoes

 The nurse is position a client who is scheduled for a lumbar puncture. The nurse should assist the client into which of the following positions? ANS: Lateral Recumbent.  A nurse is talking with a client whose son died in a motor- vehicle crash 2 weeks ago. The client states "I really thought I;d beback to my usual r outines by now, but I can't think of anythingelse except my son is gone" Which of the following responsesshould the nurse make? ANS: Grieving for your son is hard work. It will take as much time as you need to come to terms with your loss.  A nurse is instructing an assistive personnel on the use of proper body mechanics whe n moving a client. which of the following statements by the assistive personnel should the nurse identify as an understanding of the teaching? ANS: I will use a pull sheet to help slide the client toward me.  a Nurse in maintaining droplet precautions for a client who has meningitis. Which of t he following actions should the nurse take? ANS: Wear a surgical mask within 3 feet of the client.  A nurse is collecting data from a female client who has a new diagnosis of genital her pes. Which of the following findings should the nurse expect? ANS: Painful erythematous vesicles.

 a school nurse is having a conversation with the parents of an adolescent. The nurse should identify which of the following situations as an ethical dilemma for the parents? ANS: "We can't decide whether to try to homeschool our child or move her to a private school."  A nurse is preparing to administer prednisone 1mg/kg PO to a preschooler who weight s 20kg (44lb). Available is prednisone oral solution 5mg/1mL. How many mL should t he nurse administer? ANS: Round 4 mL  A nurse is preparing to administer a rectal suppository to a school- age child. Which of the following action should the nurse plan to take? ANS: Use one finger to insert the suppository past the anal sphincters.  A nurse is assisting with monitoring a client who is at 40 weeks of gestation and is in active labor. The nurse recognizes late deceleration on the fetal monitor tracing. Whichof the following actions should the nurse take? ANS: Place the client in the lateral position.  A nurse manager is providing an in- service on hand hygiene to assistive personnel. which of the following information should the nurse manager include in the in-service?

ANS: Remove reigns when washing hand with soap and water.  A nurse is reinforcing home safety instructions with the parent of a newborn. Which of the following statements should the nurse include in the instructions? ANS: Place your baby's crib away from heat vents.  A nurse is preparing to administer a client's morning medications. Which of the follow ing actions should the nurse take to verify the client's identity? ANS: Scan the facility identification board.  A nurse is caring for a client following a bronchoscopy procedure. Which of the follo wing actions should the nurse perform first? ANS: Check for a gag reflex.  While administering a medication to a client, a nurse notices a frayed electrical cord c onnecting the client's continuous passive motion machine to the electrical outlet. Whic h of the following actions should the nurse take? ANS: Remove the device from the client's room.

 A nurse is caring for a client who requests information bout advance directives. Which of the following responses should the nurse make? ANS: "Advance directives are written instructions regarding end-of- life care."  A nurse is contributing to the plan of care for a client who is at risk of developing pressure ulcers. Which of the following actions should the nurse include in the plan of care? ANS: Place the client in a 30° lateral position.  A nurse is assisting with performing a non stress test for a client who is at 39 weeks o f gestation which of the followinginstructions should the nurse reinforce with the client? ANS: "You should depress the button on the handheld when you feel your baby move."  A nurse is reinforcing discharge teaching with a client following cataract surgery. Whi ch of the following instructions should the nurse include in the teaching marker? ANS: Sleep on the non-operative side for 2 weeks.

 A nurse manager is preparing to complete a performance analysis for a group of assistive personnel. The manager asks a stafollowing nurse for feedback on each assistants a bilities. Which of the following actions should the stafollowing nurse take? ANS: Discuss how each AP's actions measure against the job description.  A nurse is preparing to administer a medication to a client when the client states " I'm sick of all there medication. I'm not taking any more today!" Which of the following a ctions should thenurse take? ANS: Inform the client of the possible consequences of the medication refusal.  a nurse is contributing to the plan of care for a client who is on suicide precautions. W hich of the following interventions should the recommend? ANS: Encourage the client to sign a no-harm contract.  A nurse is reinforcing reaching for a preoperative client on how to use an incentive spi rometer. Which of the following actions by the client indicates an understanding of the teaching? ANS: The client attempts to elevate the cylinder by inhaling deeply.  A nurse at a long term care facility is part of a team preparing a report on the quality of care at the facility. Which of the

following information should the nurse recommendincluding in the report to demonstrate improvement in care quality? ANS: The facility had 12% fewer urinary tract infections over the past 6 months.  A nurse is reviewing laboratory reports for a client who has an Escherichia Coli infection and is receiving gentamicin. Which of the following results should the nurse report to the provider before administering the next dose? ANS: Creatinine 2.5 mg/dL  A nurse working in a community clinic is caring for an adolescent who has infectious mononucleosis. The client asks thenurse to explain how the disease was acquired. The nurse should explain that an individual acquires this disease by which of the following ANS: Sharing eating utensils with an infected person  A nurse is reinforcing teaching with a client who has hypothyroidism and a prescriptio n for levothyroxine. Which of the following instructions should the nurse include in th e teaching? ANS: "You will need to take the medication for the rest of your life."

 A nurse is collecting data from a postpartum client who had a vaginal birth 2 days ago

. Which of the following findings is the nurse's priority to report to the provider? ANS: Client reports during with urination.  A nurse is reinforcing reaching with a client about a planned thoracentesis. Which of t he following information should the nurse include in the teaching? ANS: You will need to be monitored for 1 hour after the procedure."  A nurse is contributing to the plan of care for an older adult client who has difficulty in sleeping. Which of the following interventions should the nurse include in the plan? ANS: Establish a regular exercise routine 2 hr or more before bedtime.  A nurse in a provider's ofollowingice is reinforcing teaching witha client who has a ne w prescription for ferrous sulfate elixir.Which of the following statements by the clien t should indicateto the nurse an understanding of the teaching? ANS: I will rinse my mouth after taking this medication.

 A licensed practical nurse on a medical surgical unit is working with an RN and an As sistive personnel. Which of the following assignments should the LPN expect to receive? ANS: Administering an NG tube feeding to a client who had a stroke  A nurse is caring for a client who has schizophrenia and is experiencing auditory hallu cinations. Which of the following actions should the nurse take? ANS: Offer the client headphones to listen to music.  A nurse is reinforcing teaching with a client about taking warfarin to treat atrial fibrillation. Which of the following statements by the client indicates an understanding of the teaching? ANS: If I forget to take a dose, I can take it later on the same day."  A nurse is working with an interpreter to explain a diagnostic procedure to a client wh o doesn't speak the same language as the nurse. Which of the following actions should the nurse take? ANS: Ensure the interpreter is culturally compatible with the client.  A nurse is reinforcing discharge teaching with a client who has dependent personality disorder. Which of the following instructions should the nurse include in the dischargeteaching? ANS: Demonstrate assertiveness.

 A nurse is contributing to the discharge plan for a client who had a knee arthroplasty.Which of the following actions should the nurse identify as the priority? ANS: Check the client's mobility  A nurse in a long- term care facility is assisting with the admission of a client who requires oropharyngeal suctioning. Which of the following supplies does the nurse need to perform this task? ANS: Yankauer catheter  A nurse is collecting data from a client who is 24 hr post op from an open colon resection, has a clamped NG tube, and is resuming a clean liquid diet. Which of the following findings should the nurse report to the provider? ANS: Client reports vomiting green-tinged fluid.  A nurse is caring for a client who took an overdose of acetaminophen. Which of the following medications should the nurse plan to administer to the client? ANS: Acetylcysteine  A nurse delegates the collection of a sputum specimen from a client who has tu berculosis to an assistive personnel. At which of the following times should the nurse instruct the AP to collect the specimen? ANS: As soon as the client wakes up.

 A nurse in a long term care facility is using validation therapy with a client wh o has dementia. The client becomes agitated and asks why his wife who died several y ears ago has not visited him. Which of the following responses should the nurse make? ANS: You must miss your wife. Let's take a walkand you can tell me about her. A nurse is reinforcing teaching with a client who has a prescription for nitrogly cerin sublingual tablets Which of the following instructions should the nurse include in the teaching? ANS: Take up to three tablets during a single angina episode.  A Nurse is caring for a client who is post op following an open reduction with i nternal fixation of the ankle. The client report pain and the nurse notes that the afollow ingected extremity is cool, pale, and has a weak pulse. The nurse calls the surgical assistant who responds "it has always been like that" Which of the following actions shoul d the nurse take first? ANS: Notify the nursing supervisor.  A nurse is collecting data from a client who has Tourette syndrome. The client r eports taking haloperidol 0.5 mL orally 3 times a day at home. Which of the following components of the prescription should the nurse question? ANS: Dosage