ATI comprehensive predictor STUDY THIS ONE _A+ Guide_ 2026, Exams of Nursing

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ATI comprehensive predictor STUDY THIS ONE _A+

Guide_ 202 6

A nurse on a med surge unit has recieved change of shift report and will care for 4 clients. Which of the following clients needs will the nurse assign to an AP? A. Feeding a client who was admitted 24 hours ago with aspiration pneumonia B. Reinforcing teaching with a client who is learning to walk with a quad cane C. Reapplying a condom catheter for a client who has urinary incontinence D. Applying a sterile dressing to a pressure ulcer - C A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago to an AP. Which of the following info should the nurse share with the AP? Select all: A. the roommate is up independently B. The client ambulates with his slippers on over his antiembolic stockings C. The client uses a front wheeled walker when ambulating D. The client had pain meds 30 minutes ago E. The client is allergic to codeine F. the client ate 50 % of his breakfast this morning

• B C D An RN is making assignments for client care to an LPN at the beginning of the shift. Which of the following assignments should the LPN question? A. Assisting a client who is 24 hr postop to use an incentive spirometer B. Collecting a clean catch urine specimen from a client who was admitted on the previous shift C. providing nasopharyngeal suctioning for a client who has pneumonia D. Replacing the cartridge and tubing on a PCA pump - D A nurse is preparing an inservice program about delegation. Which of the following elements should she identify when presenting the 5 rights of delegation. Select all: A. Right client B. Right supervision/evaluation C. Right direction/communication D. Right time E. Right circumstances
• B C E

ATI comprehensive predictor STUDY

THIS ONE A+ Guide 2022.

D. Nonmaleficence - C A nurse questions a med prescription as too extreme and light of the clients advanced age and unstable status. The nurse understands that this action is an example of which ethical principle A. Fidelity B. Autonomy C. Justice D. Nonmalificence - D Which of the following situations can be identified as an ethical dilemma? A. A nurse on a med surge unit demonstrates signs of chemical impairment B. A nurse over hears another nurse telling an older adult client that if he doesnt stay in bed she will restrain him C. A family has conflicting feelings about the initiation of enteral tube feedings of their father who is terminally ill D. A client who is terminally ill hesitates to name her spouse on her durable power of attorney form - C Most managers can be categorized as - authoritative, democratic, and laissez faire makes decisions of the group motivates by coercion communication occurs down the chain of command Work output by the staff is usually high-good for crisis situations and bureaucratic settings - Authoritative includes the group when decisions are made Motivates by supporting star achievements Communication occurs up and down the chain of command Work output by staff is usually of good quality-good when cooperation and collaboration is necessary - Democratic makes very few decisions and does little planning motivation is largely the responsibility of individuals staff members Communication occurs up and down the chain of command and between group members Work output is low unless an informal leader evolves from the group *the use of any of these styles may be appropriate depending on the situation - Laissez faire The nurse should consider the hierarchy of human needs when prioritizing interventions, which are?

• • Physiological needs first (oxygen, shelter, food)
• Safety & security needs (physical safety)
• Love and belonging

• Self esteem
• Self actualization The ABC framework identifies, in order, the three basic needs for sustaining life
• Airway Breathing Circulation Nurses must follow what code of standards in delegating and assigning tasks
  • ANA codes of standards What values would a nurse possess to be a client advocate? - - caring
• autonomy
• respect
• empowerment What do the nurse need to keep in mind about the client when being their advocate? - Client's religion & culture When should planning discharge process begin? a. at time of admission b. 2 days after client is admitted c. whenever the nurse has the time to do planning d. when the physician has the discharge order - A What is an interdisciplinary team? - A group of health care professionals from different disciplines Fill in the blank: 1 ________ is used by interdisciplinary team to make health care decisions about clients with multiple problems. 2 ________ , which may take place at team meetings, allows the achievement of results that the participants would be incapable of accomplishing if working alone. - 1 & 2 = collaboration What is the nurse's contribution to an interdisciplinary team? - - knowledge of nursing care & its management
• a holistic understanding of the client, her/his healthcare needs & healthcare systems. A four-month-old infant is admitted to the pediatric intensive care unit with a temperature of 105°F (40.5 °C). The infant is irritable, and the nurse observes nuchal rigidity. Which assessment finding would indicate an increase in intracranial pressure?

1. Positive Babinski.
2. High-pitched cry.
3. Bulging posterior fontanelle.
4. Pinpoint pupils. - 2

1. limit his fluid intake to reduce the number of times a catheterization is needed. - 2 A client is being discharged with sublingual nitroglycerin (Nitrostat). The client should be cautioned by the nurse to
2. take the medication five minutes after the pain has started.
3. stop taking the medication if a stinging sensation is absent.
4. take the medication on an empty stomach.
5. avoid abrupt changes in posture. - 4 A 38-year-old woman is returned to her room after a subtotal thyroidectomy for treatment of hyperthyroidism. Which of the following, if found by the nurse at the patient's bedside, is nonessential?
6. Potassium chloride for IV administration.
7. Calcium gluconate for IV administration.
8. Tracheostomy set-up.
9. Suction equipment. - 1 A nurse recognizes that an initial positive outcome of treatment for a victim of sexual abuse by one parent would be that the client
10. acknowledges willing participation in an incestuous relationship.
11. reestablishes a trusting relationship with his/her other parent.
12. verbalizes that s/he is not responsible for the sexual abuse.
13. describes feelings of anxiety when speaking about sexual abuse. - 3 An adolescent client is ordered to take tetracycline HCL (Achromycin) 250 mg PO bid. Which of the following instructions should be given to this client by the nurse?
14. "Take the medication on a full stomach, or with a glass of milk."
15. "Wear sunscreen and a hat when outdoors."
16. "Continue taking the medication until you feel better."
17. "Avoid the use of soaps or detergents for two weeks." - 2 After a client develops left-sided hemiparesis from a cerebral vascular accident (CVA), there is a decrease in muscle tone. Which of the following nursing diagnoses would be a priority to include in his care plan?
18. Alteration in mobility related to paralysis.
19. Alteration in skin integrity related to decrease in tissue oxygenation.
20. Alteration in skin integrity related to immobility.
21. Alteration in communication related to decrease in thought processes - 2 A client has a history of oliguria, hypertension, and peripheral edema. Current lab values are: BUN - 25, K+ - 4.0 mEq/L. Which nutrient should be restricted in the client's diet?
22. Protein.
23. Fats.
24. Carbohydrates.

1. Magnesium. - 1 An extremely agitated client is receiving haloperidol (Haldol) IM every 30 minutes while in the psychiatric emergency room. The MOST important nursing intervention is to
2. monitor vital signs, especially blood pressure, every 30 minutes.
3. remain at the client's side to provide reassurance.
4. tell the client the name of the medication and its effects.
5. monitor the anticholinergic effects of the medication. - 1 The nurse is caring for clients in the skilled nursing facility. Which of the following clients require the nurse's IMMEDIATE attention?
6. A client admitted for a cerebral vascular accident (CVA) whose prescription for warfarin (Coumadin) expired two days ago.
7. A client in pain who was receiving morphine in an acute care institution and was transferred with a prescription for acetaminophen with codeine.
8. A client who has dysuria and foul-smelling, cloudy, dark amber urine.
9. An immunosuppressed client who has not received an influenza immunization. - 1 The nurse is observing care given to a client experiencing severe to panic levels of anxiety. The nurse would intervene in which of the following situations?
10. The staff maintains a calm manner when interacting with the client.
11. The staff attends to client's physical needs as necessary.
12. The staff helps the client identify thoughts or feelings that occurred prior to the onset of the anxiety.
13. The staff assesses the client's need for medication or seclusion if other interventions have failed to reduce anxiety. - 3 A 69 - year-old client is undergoing his second exchange of intermittent peritoneal dialysis (IPD). Which of the following would require an intervention by the nurse?
14. The client complains of pain during the inflow of the dialysate.
15. The client complains of constipation.
16. The dialysate outflow is cloudy.
17. There is blood-tinged fluid around the intra-abdominal catheter. - 3 The clinic nurse is performing diet teaching with a 67-year-old client with acute gout. The nurse should teach the client to limit his intake of
18. red meat and shellfish.
19. cottage cheese and ice cream.
20. fruit juices and milk.
21. fresh fruits and uncooked vegetables. - 1 A client is scheduled for a left lower lobectomy. The physician has ordered diazepam (Valium) 2 mg IM for anxiety. The nurse would determine

1. The client holds the cane in her left hand.
2. The client advances her right leg, then her left leg, and then the cane.
3. The client holds the cane with her elbow flexed 60°. - 2 A client returns to his room following a myelogram. The nursing care plan should include which of the following?
4. Encourage oral fluid intake.
5. Maintain the prone position for 12 hours.
6. Encourage the client to ambulate after the procedure.
7. Evaluate the client's distal pulses on the affected side. - 1 The nurse is caring for a patient following an appendectomy. The patient takes a deep breath, coughs, and then winces in pain. Which of the following statements, if made by the nurse to the patient, is BEST?
8. "Take three deep breaths, hold your incision, and then cough."
9. "That was good. Do that again and soon it won't hurt as much."
10. "It won't hurt as much if you hold your incision when you cough."
11. "Take another deep breath, hold it, and then cough deeply - 1 A young woman is transferred to a psychiatric crisis unit with a diagnosis of a dissociative disorder. The nurse knows which of the following comments by the client is MOST indicative of this disorder?
12. "I keep having recurring nightmares."
13. "I have a headache and my stomach has bothered me for a week."
14. "I always check the door locks three times before I leave home."
15. "I don't know who I am and I don't know where I live." - 4 A 23-year-old man is admitted with a subdural hematoma and cerebral edema after a motorcycle accident. Which of the following symptoms should the nurse expect to see INITIALLY?
16. Unequal and dilated pupils.
17. Decerebrate posturing.
18. Grand mal seizures.
19. Decreased level of consciousness. - 4 . The nursing team includes two RNs, one LPN/LVN, and one nursing assistant. The nurse should consider the assignments appropriate if the nursing assistant is assigned to care for
20. a client with Alzheimer's requiring assistance with feeding.
21. a client with osteoporosis complaining of burning on urination.
22. a client with scleroderma receiving a tube feeding.
23. a client with cancer who has Cheyne-Stokes respirations. - 1 An elderly client is returned to her room after an open reduction and internal fixation of the left femoral head after a fracture. It is MOST important for the nursing care plan to include that the client

1. eat a high-protein, low-residue diet.
2. lie on her unoperated side.
3. exercise her arms and legs.
4. cough and deep breathe. - 4 Which of the following is a correctly stated nursing diagnosis for a client with abruptio placentae?
5. Infection related to obstetrical trauma.
6. Potential for fetal injury related to abruptio placentae.
7. Potential alteration in tissue perfusion related to depletion of fibrinogen.
8. Fluid volume deficit related to bleeding. - 4 An 8 - year-old client is returned to the recovery room after a bronchoscopy. The nurse should position the client
9. in semi-Fowler's position.
10. prone, with the head turned to the side.
11. with the head of the bed elevated 45° and the neck extended.
12. supine, with the head in the midline position. - 1 Which of the following assessment findings would indicate to the nurse the need for more sedation in a client who is withdrawing from alcohol dependence?
13. Steadily increasing vital signs.
14. Mild tremors and irritability.
15. Decreased respirations and disorientation.
16. Stomach distress and inability to sleep. - 1 The home care nurse is instructing a client recently diagnosed with tuberculosis. It is MOST important for the nurse to include which of the following as a part of the teaching plan?
17. During the first two weeks of treatment, the client should cover his mouth and nose when he coughs or sneezes.
18. It is necessary for the client to wear a mask at all times to prevent transmission of the disease.
19. The family should support the client to help reduce feeling of low self-esteem and isolation.
20. The client will be required to take prescribed medication for a duration of 6 - 9 months. - 4 The nurse's INITIAL priority when managing a physically assaultive client is to
21. restrict the client to the room.
22. place the client under one-to-one supervision.
23. restore the client's self-control and prevent further loss of control.
24. clear the immediate area of other clients to prevent harm. - 3

parenteral nutrition (TPN), a nutritional consult, and diet recall. Which of the following is the BEST indication that the patient's nutritional status has improved after 4 days?

1. The patient eats most of the food served to her.
2. The patient has gained 1 pound since admission.
3. The patient's albumin level is 4.0mg/dL.
4. The patient's hemoglobin is 8.5g/dL. - 3 A 23-year-old woman at 32-weeks gestation is seen in the outpatient clinic. Which of the following findings, if assessed by the nurse, would indicate a possible complication?
5. The client's urine test is positive for glucose and acetone.
6. The client has 1+ pedal edema in both feet at the end of the day.
7. The client complains of an increase in vaginal discharge.
8. The client says she feels pressure against her diaphragm when the baby moves. - 1 After abdominal surgery, a client has a nasogastric tube attached to low suctioning. The client becomes nauseated, and the nurse observes a decrease in the flow of gastric secretions. Which of the following nursing interventions would be MOST appropriate?
9. Irrigate the nasogastric tube with distilled water.
10. Aspirate the gastric contents with a syringe.
11. Administer an antiemetic medicine.
12. Insert a new nasogastric tube. - 2 After sustaining a closed head injury and numerous lacerations and abrasions to the face and neck, a five-year-old child is admitted to the emergency room. The client is unconscious and has minimal response to noxious stimuli. Which of the following assessments, if observed by the nurse three hours after admission, should be reported to the physician?
13. The client has slight edema of the eyelids.
14. There is clear fluid draining from the client's right ear.
15. There is some bleeding from the child's lacerations.
16. The client withdraws in response to painful stimuli. - 2 The nurse is caring for a manic client in the seclusion room, and it is time for lunch. It is MOST appropriate for the nurse to take which of the following actions?
17. Take the client to the dining room with 1:1 supervision.
18. Inform the client he may go to the dining room when he controls his behavior.
19. Hold the meal until the client is able to come out of seclusion.
20. Serve the meal to the client in the seclusion room. - 4 A client is given morphine 6 mg IV push for postoperative pain. Following administration of this drug, the nurse observes the following: pulse 68, respirations 8, BP 100/68, client sleeping quietly. Which of the

following nursing actions is MOST appropriate?

1. Allow the client to sleep undisturbed.
2. Administer oxygen via facemask or nasal prongs.
3. Administer naloxone (Narcan).
4. Place epinephrine 1:1,000 at the bedside. - 3 What type of infectious diseases are required to be reported to the health department? -

• severe cases of Staphylococcus aureus infections including methicillin-resistant Staphylococcus aureus (MRSA) What is the process of taking a telephone order from a provider? - Patient name, drug, dose, route, frequency read back for accuracy A nurse is caring for a client who has tuberculosis. Which of the following actions should the nurse take? SATA a) Place the client in a negative pressure room b) wear gloves when assisting the client with oral care c) limit each visitor to 2 hr increments d) wear a surgical mask when providing care e) Use antimicrobial sanitizer for hand hygiene - A B E A charge nurse is discussing the responsibility of nurses carig for clients who have C. difficile. Which of the following information should the nurse include in the teaching? a) Assign the client to a room with a negative air-flow system b) Use alcohol-based hand sanitizer when leaving the clients room c) clean contaminated surfaces in the clients room with a phenol solution d) have family members wear a gown and gloves when visiting - D A nurse is caring for a client receiving IV fluids. During a routine check, the nurse determines that the client has developed phlebitis and removes the IV catheter. Which of the following actions should the nurse take next? a) place a warm compress over the IV site b) record the findings in the client's chart c) notify the client's primary care provider d) prepare to insert a new IV catheter - A A nurse is caring for a client who has dementia. Which of the following interventions should the nurse take to minimize the risk for injury for this client? a) use a bed exit alarm system

A nurse is caring for a client who has an NG tube that is to be irrigated every 8 hr. Which of the following should be used to irrigate the tube in order to maintain fluid and electrolyte balance? a) tap water b) sterile water c) 0.9% sodium chloride d) 0.45% sodium chloride - C A nurse is reinforcing teaching regarding the use of a cane to a client who has left-leg weakness. Which of the following should the nurse include in the teaching? a) use the cane on the weak side of the body b) advance the cane and the atrong leg simultaneously c) maintain two points of support on the floor d) advance the cane 30 to 45 cm (12- 18 in) with each step - C Which of the following should indicate to a nurse the need to suction a client's tracheostomy? a) irritability b) hypotension c) flushing d) bradycardia - A A nurse is caring for a client who has a prescription for wound irrigation. Which of the following actions should the nurse take? a) wear sterile gloves when removing the old dressing b) warm the irrigation solution to 40.5C (105F) c) cleanse the wound from the center outwards d) use a 20 mL syringe to irrigate the wound - C A nurse is providing teaching about a clear liquid diet. Which of the following should the nurse instruct the client to avoid? a) lemon-lime sports drinks b) ginger ale c) black coffee d) orange sherbet - D A nurse is caring for a client who is having difficulty voiding following the removal in an indwelling urinary catheter. Which of the following interventions should the nurse take? a) assess for bladder distention after 6 hr b) encourage the client to use a bed pan in the supine position

c) restrict the clients intake of oral fluids d) pour warm water over the clients perineum - D When caring for the client diagnosed with delirium, which condition is the most important for the nurse to investigate?

1. Cancer of any kind.
2. Impaired hearing.
3. Prescription drug intoxication.
4. Heart failure. - 3 Which of the following is essential when caring for a client who is experiencing delirium?
5. Controlling behavioral symptoms with low-dose psychotropics.
6. Identifying the underlying causative condition or illness. 3. Manipulating the environment to increase orientation.
7. Decreasing or discontinuing all previously prescribed medications. - 2 Which of the following is a realistic short-term goal to be accomplished in 2 to 3 days for a client with delirium?
8. Explain the experience of having delirium.
9. Resume a normal sleep-wake cycle.
10. Regain orientation to time and place.
11. Establish normal bowel and bladder function. - 3 A client diagnosed with dementia wanders the halls of the locked nursing unit during the day. To ensure the client's safety while walking in the halls, the nurse should do which of the following?
12. Administer PRN haloperidol (Haldol) to decrease the need to walk.
13. Assess the client's gait for steadiness.
14. Restrain the client in a geriatric chair.
15. Administer PRN lorazepam (Ativan) to provide sedation. - 2 During a home visit to an elderly client with mild dementia, the client's daughter reports that she has one major problem with her mother. She says, "She sleeps most of the day and is up most of the night. I can't get a decent night's sleep anymore." Which suggestions should the nurse make to the daughter? Select all that apply.
16. Ask the client's physician for a strong sleep medicine. 2. Establish a set routine for rising, hygiene, meals, short rest periods, and bedtime.
17. Engage the client in simple, brief exercises or a short walk when she gets drowsy during the day.
18. Promote relaxation before bedtime with a warm bath or relaxing music.
19. Have the daughter encourage the use of caffeinated beverages during the day to keep her mother awake. - 2 3 4

A. Family members who smoke must be at least 10 ft from the client when oxygen is in use. B. Nail polish should not be used near a client who is receiving oxygen. C. A "No Smoking" sign should be placed on the front door. D. Cotton bedding and clothing should be replaced with items made from wool. E. A fire extinguisher should be readily available in the home. - B C E A nurse is providing home safety instructions to a group of older adult clients. Match the safety risk with the appropriate instruction. ____ Passive smoking ____ Carbon monoxide poisoning ___ Food poisoning A. Have water heaters inspected on an annual basis. B. Cook all meat at an appropriate temperature. C. Avoid enclosed areas with others who may be smoking. - C A B When performing nasotracheal suctioning what technique should be used? - Sterile asepsis bc the trachea is considered sterile and prevents infections A nurse educator is presenting a module on basic first aid for newly licensed home health nurses. The nurse educator evaluates the teaching as effective when the newly licensed nurse states the client who has heat stroke will have which of the following? A. Hypotension B. Bradycardia C. Clammy skin D. Bradypnea - A What do you do when a client has a seizure - - lower to bed/floor

• protect head, move nearby furniture, provide privacy, - - put on side with head flexed slightly forward, and loosen clothing to prevent injury
• in event of seizure, stay with client and call for help
• admin meds as ordered
• note duration of seizure and sequence and type of movement seclusion and restraints - - must be ordered
• should be ordered for the shortest duration necessary and only if less restrictive measures are not sufficient
• a client may voluntarily request temp seclusion
• restraints can be physical or chemical

• if used, frequency of client assessments in regards to food, fluid, comfort, and safety should be performed and documented every 15-30 min What position is good to use for a patient who is at high risk for a pressure ulcer - 30 degree lateral position is recommended for clients at risk for pressure ulcers health promotion (injury prevention-suffocation): infant (birth- 1 yr) - - avoid plastic bags
• keep balloons out of reach
• ensure crib mattress fits snugly
• ensure crib slats are no more than 6 cm (2.4 in) apart
• remove crib mobiles and gyms by 4 - 5 months
• do not use pillows in crib
• place infant on back for sleep
• keep toys with small parts out of reach
• remove drawstrings from jackets and other clothing hypotension is classified with a reading below normal; - systolic < 90 mm Hg; can be a result of fluid depletion, heart failure, or vasodilation What temperature should pork be cooked at - 160 degrees What is the safest way to thaw out frozen foods - In the refrigerator What are the precautions for vancomycin resistant enterococcus - Standard precautions including hand washing and gloving should be followed What does a newborns poop look like - If your baby is exclusively breastfed, her poop will be yellow or slightly green and have a mushy or creamy consistency What is appropriate for an adolescent in the hospital? - Puzzles and books What is the proper nutrition during pregnancy - - Folic acid is important for pregnancy, as it can help to prevent birth defects known as neural tube defects, including spina bifida
• green leafy vegetables and brown rice What should be avoided during pregnancy - Do not take vitamin A supplements, or any supplements containing vitamin A (retinol), as too much could harm your baby What is the most appropriate method for contraception for an adolescent - IUD or implant If a patient has anorexia nervosa and works out constantly - Allow them to workout and continue their regimen