Download ATI Comprehensive Predictor Exam Questions With Solutions and more Exams Nutrition in PDF only on Docsity!
ATI Comprehensive Predictor Exam
Questions With Solutions
A nurse in an emergency department completes an assessment on an adolescent client that has conduct disorder. The client threatened suicide to teacher at school. Which of the following statements should the nurse include in the assessment? a) Tell me about your siblings b) Tell me what kind of music you like c) Tell me how often do you drink alcohol d) Tell me about your school schedule - ANSWER>>c) Tell me how often do you drink alcohol
A nurse is observing bonding to the client her newborn. Which of following actions by the client requires the nurse to intervene? a) Holding the newborn in face position b) Asking the father to change the newborn's diaper c) Requesting the nurse take the newborn nursery so she can rest d) Viewing the newborn's actions to be uncooperative - ANSWER>>d) Viewing the newborn's actions to be uncooperative
A nurse is caring for client who is taking levothyroxin. Which of the following findings should indicate that the medication is effective? a) Weight loss b) Decreased blood pressure c) Absence of seizures d) Decrease inflammation - ANSWER>>a) Weight loss
A nurse is planning discharge teaching for cord care for the parent of a newborn. Which instructions would you include in the teaching? a) Contact provider if the cord still turns black b) Clean the base of the cord with hydrogen peroxide daily c) Keep the cord dry until it falls off d) The cord stump will fall off in five days - ANSWER>>c) Keep the cord dry until it falls off
A nurse is assessing a client in the PACU. Which of the following findings indicates decreased cardiac output?
a) Shivering b) Oliguria c) Bradypnea d) Constricted pupils - ANSWER>>b) Oliguria
A nurse is assisting with mass casualty triage: explosion at a local factory. Which of the following client should the nurse identify as the priority? a) A client that has massive head trauma b) A client has full thickness burns to face and trunk c) A client with indications of hypovolemic shock d) A client with open fracture of the lower extremity - ANSWER>>c) A client with indications of hypovolemic shock
A nurse is a receiving report on four clients. Which of the following clients should the nurse assess first? a) A client who has illeal conduit and mucus in the pouch b) Client pleasant arteriovenous additional vibration palpated c) A client whose chronic kidney disease with cloudy diasylate outflow d) A client was transurethral resection of the prostate with a red tinged urine in the bag - ANSWER>>c) A client whose chronic kidney disease with cloudy diasylate outflow
A nurse is caring for a client just received the first dose of lisinopril. The following is an appropriate nursing intervention? a) Place's cardiac monitoring b) Monitor the clients oxygen saturation level c) Provide standby assist with the client from bed d) Encourage foods high in potassium - ANSWER>>c) Provide standby assist with the client from bed
A nurse is caring for a client who is in labor and his seat is receiving electronic fetal monitoring. The nurse is reviewing the monitor tracing and notes early decelerations. Which the following should the nurse expect? a) Feta hypoxia b) Abrupto placentae c) Post maturity d) Head Compression - ANSWER>>d) Head Compression
d) I think that people just you're just lazy and should earn money honestly - ANSWER>>d) I think that people just you're just lazy and should earn money honestly
A nurse is obtaining the medical history of a client who has a new prescription for isosorbide monotitrate. Which of the following should the nurse identify as a contraindication to medication? a) Glaucoma b) Hypertension c) Polycythemia d) Migraine headaches - ANSWER>>a) Glaucoma
The nurses is caring for a client recovering from an acute myocardial infarction. Which following intervention should the nurse include in the point of care? a) Draw a troponin level every four hours b) Performance EKG every 12 hours c) Plant oxygen tent fell over minutes via rebreather mask d) Obtain a cardiac rehabilitation consult - ANSWER>>d) Obtain a cardiac rehabilitation consult
A Nurses caring for client who has breast cancer and has been covering receiving chemotherapy. Which of the following laboratory values should nurse report to provider? a) WBC 3,000/mm b) Hemoglobin 14 g/dl c) Platelet 250,000/mm d) aPTT 30 seconds - ANSWER>>a) WBC 3,000/mm
Home health nurse is carefully planned for Alzheimer's disease. To the following action should the nurse include in the plan of care a) Place a daily calendar in the kitchen b) Replace button clothing with zippered items c) Replace the carpet with hardwood floors d) Create variation in daily routine - ANSWER>>a) Place a daily calendar in the kitchen
Nurse is performing change of shift assessments on 4 clients. Which of the following findings should the nurse report to provider first? a) The client was cystic fibrosis and has a thick productive clock and reports thirst
b) Client who has gastroenteritis and is lethargic and confused c) The Client has diabetes mellitus has morning fasting Legal cost of 185 mg over deal d) The client was sick of signing it reports pain 15 minutes after receiving oral analgesic - ANSWER>>b) Client who has gastroenteritis and is lethargic and confused
A nurse is caring for a client was in the second trimester of pregnancy and asks how to treat constipation. Which of the following statements by the nurse is appropriate? a) Decrease taking vitamins and supplements to every other day b) Eat 15 g of fiber per day c) Consume 48 ounces of water each day d) Drink hot water with lemon juice each morning when you wake up - ANSWER>>d) Drink hot water with lemon juice each morning when you wake up
A nurse is caring for a client who is preparing his advance directives. Which is the following statements by the client indicates an understanding of advanced directives? select all that apply a) I can't change my instructions once a minute b) My doctor will need to approve my advance directives c) I need an attorney to witness my signature on the advance directives d) I have the right to refuse treatment e) My health care proxy can make medical decisions for me - ANSWER>>d) I have the right to refuse treatment e) My health care proxy can make medical decisions for me
A nurse is caring for a client who is at 32 weeks gestation and has a history of cardiac disease. Which of the following positions should the nurse place the client to best promote optimal cardiac output? a) The chest b) Standing c) Supine d) Left lateral - ANSWER>>d) Left lateral
A nurse is caring for a group of clients. Which of the following clients should the nurse assign to an AP? a) Client who has chronic obstructive pulmonary disease and needs guidance on incentive spirometry
c) Substance intoxication d) Depression - ANSWER>>b) Schizophrenia
A nurse is caring for a child who has infectious mononucleosis.. Which of the following findings are associated with this diagnosis? Select all that apply a) splenomegaly b) Koplik spots c) Malaise d) Vertigo e) Sore throat - ANSWER>>a) splenomegaly c) Malaise e) Sore throat
Nurse is performing dressing change for client was a sacral wound using negative pressure wound therapy. Which The following actions should the nurse take first? a) Apply skin preparation to wound edges. b) Normal saline c) Don sterile gloves d) Determine pain level - ANSWER>>d) Determine pain level
A nurses caring for client recovery from the bowel surgery who has nasogastric tube connected to low intermittent suction. Which the following assessment findings should indicate to the nurse that the NG tube may not be functioning properly? a) Drainage fluid is greenish-yellow b) aspirate pH of 3 c) Abdominal rigidity d) air bubbles noted in the NG tube - ANSWER>>c) Abdominal rigidity
A nurse is preparing to administer TPN with added fat supplements to a client who has malnutrition. Which of the following action should the nurse take? a) Piggyback 0.9 sodium chloride with TPN solution b) Check for an allergy to eggs c) Discuss the TPS solution for 12 hours
d) Monitor for hypoglycemia - ANSWER>>b) Check for an allergy to eggs
A charge nurse is discussing the use of applying ice to a client's injured knee with a newly licensed nurse. Which of the following should the nurse identify as a benefit? (A/C?) a) Systemic analgesic effect b) increase in your metabolism c) Decreased capillary permeability d) Vasodilation - ANSWER>>c) Decreased capillary permeability
Nurse is developing discharge care plans for client has osteoporosis. To prevent injury the nurse should instruct the client to a) Perform weight bearing exercises b) Avoid crossing the legs beyond the midline c) Avoid sitting in one position for prolonged periods d) Split affected area - ANSWER>>a) Perform weight bearing exercises
A nurse on acute med-surgical unit is performing assessments on a group of clients. Which is highest priority? a) The client has surgical hypoparathyroidism and positive Trousseau's sign b) A client who was Clostridium difficile with acute diarrhea c) A client who is acute kidney injury and urine with a low specific gravity d) The client who has oral cancer and reports a sore on his gums - ANSWER>>a) The client has surgical hypoparathyroidism and positive Trousseau's sign
Nurses caring for a client was congestive heart failure. Which of the following prescriptions for the provider should the nurse anticipate? a) Call the provider to clients respiratory rate is less 18/min b) Give the client 500 mL IV bolus of 0.9 sodium chloride over 1 hr c) Give the client enalapril 2.5 mg PO twice daily d) Call the provider if the clients pulse rate is less than 80/min - ANSWER>>c) Give the client enalapril 2.5 mg PO twice daily
A nurse is caring for a client who has a prescription for sertraline to treat depression. Which of the
A nurse is caring for a client who has deep vein thrombosis of the left lower extremity. Which of the following action should nurse take? There are 3 tabs that contain separate categories of data. a) Position the client with the affected extremity lower than the heart b) Administration of acetaminophen c) Massage the affected extremity every 4 hrs. d) Withhold heparin IV infusion - ANSWER>>d) Withhold heparin IV infusion
Is caring for clients was a new prescription for enoxaparin for the prevention of DVT. Which of the following is an appropriate action by the nurse? a) Expel air bubble at the top of the prefilled syringe b) Massage the injection site to evenly distribute the medication c) Inject the medication the lateral abdominal wall d) Administer an NSAID for injection site discomfort - ANSWER>>c) Inject the medication the lateral abdominal wall
Nurses caring for four clients. Which of the following client data should the nurse report to the provider? a) A client who has a pleurisy and reports pain of 6 on a scale of 0 to 10 when coughing b) Client was a total of 110 mL of serosanguineous fluid from the Jackson Pratt drain within the first 24 hour following surgery c) Client who is 4 hrs postoperative and has a heart rate of 98 per minute d) The client was a prescription for chemotherapy and an absolute neutrophil count of 75/mm
- ANSWER>>d) The client was a prescription for chemotherapy and an absolute neutrophil count of 75/mm
Nurses caring for client was in end-stage osteoporosis and is reporting severe pain. Clients respiratory rate is 14 per minute. Which of the following medications should the nurse expect to be the highest priority to administer to the client? a) Promethazine b) Hydromorphone c) Ketorolac d) Amitriptyline - ANSWER>>b) Hydromorphone
A nurse is caring for a client who has DVT. Which of the following instructions the nurse include in the plan of care? a) Live with the clients fluid intake to 1500 mL per day b) Massage place affected extremity to relieve pain c) Apply cold packs of clients affected extremity d) Elevate the client's affected extremity when in bed - ANSWER>>d) Elevate the client's affected extremity when in bed
A nurse is caring for a client who is receiving oxytocin IV for augmentation of labor. The client's contractions are occurring every 45 seconds with a nine seconds duration in the fetal heart rate is 170 to 180/minute. Which of the following actions should nurse take? a) Discontinue oxytocin infusion b) Increased oxytocin infusion c) Decreased oxytocin infusion d) Maintain oxytocin infusion - ANSWER>>a) Discontinue oxytocin infusion
A nurse is admitting a client who is in labor and at 38 wks of gestation to the maternal newborn unit. The client has a history of herpes simplex virus 2. Which of the following questions is most appropriate for the nurse to ask the client? a) Have your membranes ruptured? b) How far apart are your contractions? c) Do you have any active lesions? d) Are you positive for beta strap? - ANSWER>>c) Do you have any active lesions?
Nurse is providing teaching for child prescribed ferrous sulfate. Which of the following instructions should the nurse include? a) Take with meals b) Take at bedtime c) Take with a glass of milk d) Take with a glass of orange juice - ANSWER>>d) Take with a glass of orange juice
Four clients present to the emergency department. The nurse should plan to see which of the following clients first? a) A 6 year old client whose left shoulder is dislocated
a) I understand the methadone tends to slow my breathing b) I understand the methadone may cause me to have difficulty sleeping c) I will avoid alcohol while I'm taking this medication d) I'll change positions gradually especially from lying down to standing - ANSWER>>b) I understand the methadone may cause me to have difficulty sleeping
Which of the following client is appropriate for the nurse to refer to speech therapy for swallowing evaluation? a) Premature infant with a poor suck reflex and failure to thrive b) An older adults who has difficulty taking in fluids c) Adolescent who anorexia who is cachectic d) A middle aged adults was gastroesophageal reflux disease - ANSWER>>b) An older adults who has difficulty taking in fluids
A nurse is caring for a group of clients. Which of the following client should nurse assess first? a) A client whose benign prostatic hyperplasia and is unable to urinate b) The client was heart failure and report shortness of breath while ambulating c) A client who is open cholecystectomy and has green drainage from the T-tube d) A client whose abdominal pain and is vomiting coffee ground emesis - ANSWER>>d) A client whose abdominal pain and is vomiting coffee ground emesis
A nurse is taking a medication history from client was type II diabetes mellitus is scheduled for an arteriogram. Which of the following medications to the nurses instruct the client to discontinue 48 hrs prior to the procedure? a) Atorvastatin b) Digoxin c) Nifedipine d) Metformin - ANSWER>>d) Metformin
The nurses assessing client with posttraumatic stress disorder. Which of the following findings to the nurse expect to find? a) Dependence on family and friends b) Loss of interest in usual activities c) Ritualistic behavior
d) Passive aggressive behavior - ANSWER>>b) Loss of interest in usual activities
A nurse working in a long-term care facility is caring for an older adult client has dementia. The clients often agitated and frequently wanders the halls. Which of the following intervention should the nurse include in the plan of care? a) Give the client several choices when scheduling activities. b) Confront the client regarding unacceptable behavior c) Maintain Nutritional requirements by offering finger foods d) Stimulate the client by leaving the television on throughout the day - ANSWER>>c) Maintain Nutritional requirements by offering finger foods
A nurse on a mental health unit receives report on four clients. Which of the following client should the nurse attend to first? a) A client who has begun to demonstrate catatonic behavior b) The client was compulsive behavior and is frequently drinking from the water fountain c) Client was having auditory hallucinations is becoming agitated d) A client was making sexual comments to clients of the opposite sex - ANSWER>>c) Client was having auditory hallucinations is becoming agitated
A nurse is caring for the full term newborn immediately following birth. Which of the following actions should the nurse take first? a) Instill erythromycin ophthalmic ointment and the newborn's eyes. b) Place identification bracelets on the newborn. c) Weigh the newborn. d) Dry the newborn - ANSWER>>d) Dry the newborn
A nurse receives report on a group of clients. Which of the following client should the nurse attend to first? a) A client who was admitted with asthma and has an SaO2 of 92% long receiving oxygen at 1 L per minute via nasal cannula b) A client was admitted with angina and reports left arm pain of 4 on a scale of 0 to 10 c) The client was type II diabetes mellitus in his blood with glucose level is at 80 mg/dL
a) Offer the child a cup of chicken broth. b) Encourage the child's intake of gelatin. c) Administer oral rehydration solutions. d) Institute a banana, Rice, applesauce, and toast diet. - ANSWER>>c) Administer oral rehydration solutions.
The nurses caring for a client whose taking allopurinol. The nurse should monitor which of the following laboratory findings to determine the effectiveness of the medication? a) Serum chloride b) Uric acid level c) Serum albumin d) Magnesium level - ANSWER>>b) Uric acid level
A nurse is caring for a client on the cardiac care unit who is hemodynamically unstable. Which of the following dysrhythmias should the nurse plan for cardioversion? a) Ventricular asystole b) Third-degree AV block c) Atrial fibrillation d) Ventricular fibrillation - ANSWER>>c) Atrial fibrillation
Nurse managers preparing an educational program on infection control measures. Which of the following should the nurse include when discussing contact precautions? a) Scarlet fever b) Herpes simplex c) Varicella d) Streptococcal pharyngitis - ANSWER>>b) Herpes simplex
A nurse assesses an older adult client with the decrease caloric intake and weight loss. Which of the following findings should the nurse report to the provider immediately? a) The clinic experiences coughing and wheezing after eating. b) The client reports abdominal pain at a five on a scale of 0 to 10. c) The client experience is a drop in oxygen saturation to 91% while eating. d) The client reports a burning sensation in epigastric area. - ANSWER>>a) The clinic experiences coughing and wheezing after eating.
A nurse and an assistive personnel are caring for a group of clients. Which of the following tasks is appropriate for the nurse to delegate an AP? a) Applying condom catheter for client for spinal cord injury b) Administrative oral fluids to client was dysphasia c) Documenting the report of pain from client who is postoperative d) Reviewing active range of motion exercises with a client who is had a stroke - ANSWER>>b) Administrative oral fluids to client was dysphasia
A nurse from the state health department this is instructing a group nurses regarding reportable infections. Which of the following infections should the nurse report to the CDC? a) Candida albicans b) Herpes simplex virus 2 c) staphylococcus aureus d) Lyme disease - ANSWER>>d) Lyme disease
The nurse is assessing an adolescent client for sickle cell anemia. Which of the following is a priority finding by the nurse? a) A pain score 7 on a scale of 0 to 10 b) Shortness of breath c) New onset of a new enuresis d) Priapism - ANSWER>>b) Shortness of breath
Nurses caring for a client whose 1 day postop following a Hypophysectomy for the removal of the pituitary tumor. Which of the following findings requires further assessment by nurse? a) Glascow scale score a 15 b) Blood drainage on initial dressing measuring 3 cm c) Report of dry mouth d) Urinary output greater than fluid intake - ANSWER>>d) Urinary output greater than fluid intake
A client with the left leg cast is using crutches for ambulation. The nurse recognizes client needs further instruction of the client
d) Take this medication each morning. - ANSWER>>c) Rise slowly when sitting up from bed.
Addresses planning to provide teaching to young adult client who is insomnia. Which of the following should the nurse include in the teaching? a) Exercising an hour before bedtime b) Take a short nap today c) Keep bedroom cool at night d) Consume a high carbohydrate snack at bedtime. - ANSWER>>d) Consume a high carbohydrate snack at bedtime.
A nurse is caring for client who has a stool culture that is positive for Clostridium difficile. Which of the following infection control precautions is appropriate? a) Wear a face shield prior into entering the room. b) Place the client private room. c) Place the client in a negative pressure room. d) Use alcohol based hand rub following client care. - ANSWER>>b) Place the client private room.
A nurse is planning care for a child who has increased intracranial pressure with a decreased level of consciousness. Which of the following intervention should the nurse including the plan of care? a) Perform active range of motion exercises. b) Perform neurological checks every 4 hours. c) Suction the airway frequently. d) Maintain the head at a midline position. - ANSWER>>d) Maintain the head at a midline position.
The nurse is assessing a client is receiving radiation therapy. Which of the following findings should the nurse expect? a) White blood cell count at 12,500 mm b) Excessive salivation c) +3 pitting edema d) Platelets 95,000 mm3 - ANSWER>>d) Platelets 95,000 mm
A nurse is caring for a client who has preeclampsia and is experiencing postpartum hemorrhage. The nurse should identify that which of the following medications is contraindicated? a) Methylergonovine.
b) Misoprostol c) Dinoprostone d) Oxytocin - ANSWER>>a) Methylergonovine.
A nurse is caring for client was GERD. Which of the following assessment findings the nurse expect to find? a) Shortness of breath b) Rebound tenderness c) Atypical chest pain d) Vomiting blood - ANSWER>>c) Atypical chest pain
A nurse is caring for a newborn who is under phototherapy lights. Which of the following is an appropriate nursing action? a) Ensure eye shield is covering the eyes. b) Apply lotion to expose skin. c) Offer glucose water between feedings. d) Discontinue breast-feeding during treatment. - ANSWER>>a) Ensure eye shield is covering the eyes.
This is assessing clients as had a long arm cast. Which of the following findings of the dress moderate and when assessing for acute compartment syndrome? a) Shortness of breath b) Petechiae c) Change in mental status d) Edema - ANSWER>>d) Edema
I Just came from client is receiving IV moderate (Conscious) sedation with midazolam. The client has a respiratory rate of 9/min and is not responding to commands. Which of the following is an appropriate action by the nurse? a) Placed the client in a prone proposition. b) Implement Positive pressure ventilation. c) Perform nasopharyngeal suctioning. d) administer flumazenil - ANSWER>>d) administer flumazenil
A nurses in a hospital cafeteria overhears two assistive personnel (AP) discussing a client. They are
