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ATI RN COMPREHENSIVE PREDICTOR
2025 UPDATED ACTUAL EXAM.
A nurse is providing teaching about the gastrostomy tube feedings to the parents of a school age child. Which of the following instructions should the nurse take? A. Administer the feeding over 30 min. B. Place the child in as supine position after the feeding. C. Charge the feeding bag and tubing every 3 days. D. Warm the formula in the microwave prior to administration. - correct answer- A. Administer the feeding over 30 min.
- A nurse is administering digoxin 0.125 mg Po to an adult client. For which of the following findings should the nurse report to the provider? A. Potassium level 4.2 mEq/L. B. Apical pulse 58/min. C. Digoxin level 1 ng/ml. D.Constipation for 2 days. - correct answer- B. Apical pulse 58/min A nurse is caring for a client who is comatose and has advance directives that indicate the client does not want life-sustaining measures. The client's family want the client to have life-
sustaining measures. Which of the following action should the nurse take? A.Arrange for an ethics committee meeting to address the family's concerns. B. Support the family's decision and initiate life-sustaining measures. C. Complete an incident report. D.Encourage the family to contact an attorney. - correct answer- A. Arrange for an ethics committee meeting to address the family's concerns. A nurse is caring for a client who wears glasses. Which of the following actions should the nurse take? A. Store the glasses in a labeled case. B. Clean the glasses with hot water. C. Clean the glasses with a paper towel. D. Store the glasses on the bedside table. - correct answer- A. Store the glasses in a labeled case. A nurse is teaching a group of newly licensed nurses about measures to take when caring for a client who is on contact precautions. Which of the following should the nurse include in the teaching? A. Remove the protective gown after the client's room. B. Place the client in a room with negative pressure. C. Wear gloves when providing care to the client.
A. Schedule a meeting between the hospital ethics committee and the client. B. Evaluate the client's understanding of life-sustaining measures. C. Determine the client's preferences about post mortem care. D. Request a conference with the client's family. - correct answer- B. Evaluate the client's understanding of life-sustaining measures. A nurse is caring for an adolescent who has sickle-cell anemia. Which of the following manifestations indicates acute chest syndrome and should be immediately reported to the provider? A. Substernal retractions. B. Hematuria. C. Temperature 37.9 C (100.2 F). D. Sneezing. - correct answer- A. Substernal retractions. A nurse is preforming a gastric lavage for a client who has upper gastrointestinal bleeding. Which of the .following action should the nurse take? A. Instill 500 ml of solution through the NG tube. B. Insert a large-bore NG tube. C. Use a cold irrigation solution. D. Instruct the client to lie on his right side. - correct answer- B. Insert a large-bore NG tube.
A nurse is providing care for a client who is in the advance stage of amyotrophic lateral sclerosis. (ALS). Which of the following referrals is the nurse's priority? A. Psychologist. B. Social worker. C. Occupational therapist. D. Speech-language pathologist. - correct answer- D. Speech- language pathologist. A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis. Which of the following findings should the nurse report to the provider? A. WBC count 8,000/mm3. B. Platelets 150,000/mm3. C. Aspartate aminotransferase 10 units/L. D. Erythrocyte sedimentation rate 75 mm/hr - correct answer- D. Erythrocyte sedimentation rate 75 mm/hr A nurse is caring for a client who has generalized petechiae and ecchymoses. The nurse should expect a prescription for which of the following laboratory tests? A. Platelet count. B. Potassium level.
A nurse is caring for a client who is newly diagnosed with pancreatic cancer and has questions about the disease. To research the nurse should identify that which of the following electronic database has the most comprehensive collection of nursing (Unable to read) articles? A. MEDLINE B. CINAHL. C. ProQuest. D. Health Source. - correct answer- B. CINAHL. A nurse in an emergency department is assessing newly admitted client who is experiencing drooling and hoarseness following a burn injury. Which of the following should actions should the nurse take first? A. Obtain a baseline ECG. B. Obtain a blood specimen for ABG analysis. C. Insert an 18-gauge IV catheter. D. Administer 100% humidified oxygen. - correct answer- D. Administer 100% humidified oxygen. A nurse is planning care for a client who has unilateral paralysis and dysphagia following a right hemispheric stroke. Which of the following interventions should the nurse include in the plan? A. Place food on the left side of the client's mouth when he is ready to eat. B. Provide total care in performing the client's ADLs.
C. Maintain the client on bed rest. D. Place the client's left arm on a pillow while he is sitting. - correct answer- D. Place the client's left arm on a pillow while he is sitting. A nurse is caring for a client who is in a seclusion room following violent behavior. The client continues to display aggressive behavior. Which of the following actions should the nurse take? A. Confront the client about this behavior. B. Express sympathy for the client's situation. C. Speak assertively to the client. D. Stand within 30 cm (1 ft) of the client when speaking with them. - correct answer- A. Confront the client about this behavior. A nurse is caring for a client who is receiving brachytherapy for treatment of prostate cancer. Which of the following actions should the nurse take? A. Cleanse equipment before removal from the client's room. B. Limit the client's visitors to 30 min per day. C. Discard the client's linens in a double bag. D. Discard the radioactive source in a biohazard bag - correct answer- B. Limit the client's visitors to 30 min per day.
C. "Your baby needs an IV because she is breathing slower than normal" D. "Your baby needs an IV because her heart rate is decreasing" - correct answer- A. "Your baby needs an IV because she is not producing any tears" A nurse is providing teaching to a client who has heart failure and a new prescription for furosemide. Which of the following statements should the nurse make? A. "Taking furosemide can cause your potassium levels to be high" B. "Eat foods that are high in sodium" C. "Rise slowly when getting out of bed" D. "Taking furosemide can cause you to be over hydrated" - correct answer- C. "Rise slowly when getting out of bed" A nurse is creating a plan of care for a newly admitted client who has obsessive-compulsive disorder. Which of the following interventions should the nurse take? A. Allow the client enough time to perform rituals. B. Give the client autonomy in scheduling activities. C. Discourage the client from exploring irrational fears. D. Provide negative reinforcement for ritualistic behaviors. - correct answer- A. Allow the client enough time to perform rituals.
A nurse is caring for a client who has depression and reports taking ST. John's wort along with citalopram. The nurse should monitor the client for which of the following conditions as a result of an interaction between these substances? A. Serotonin syndrome B. Tardive dyskinesia C.Pseudo parkinsonism. D. Acute dystonia. - correct answer- A. Serotonin syndrome A nurse is assessing a client who is receiving packed RBCs. Which of the following findings indicate fluid overload? A. Low back pain. B. Dyspnea. C. Hypotension. D. Thready pulse. - correct answer- B. Dyspnea. A nurse is calculating a client's expected date of delivery. The client's last menstrual period began on April 12. Using Nagele's rule, what date should the nurse determine to be the client's expected delivery date? (Use mmdd format.) - correct answer- 0119 date
- Pull the lower eyelid downward.
- Instill the drops of medication.
- Place the child in a sitting position. - correct answer- 5. Place the child in a sitting position.
- Ask the child to look upward.
- Pull the lower eyelid downward.
- Instill the drops of medication.
- Apply pressure to the lacrimal punctum. A nurse is caring for a client who speaks a language different from the nurse. Which of the following should the nurse take? A. Request an interpreter of a different sex from the client. B. Request a family member or friend to interpret information for the client. C. Direct attention toward the interpreter when speaking to the client. D. Review the facility policy about the use of an interpreter. - correct answer- D. Review the facility policy about the use of an interpreter. A nurse is caring for a client who is in labor and is receiving oxytocin. Which of the following findings indicates that the nurse should increase the rate of infusion? A. Urine output 20 ml/hr. B. Montevideo units constantly 300 mm Hg.
C. FHR pattern with absent variability. D. Contractions every 5 min that last 30 seconds. - correct answer- B. Montevideo units constantly 300 mm Hg. A public health nurse is managing several projects for the community. Which of the following interventions should the nurse identify as a primary prevention strategy? A. Teaching parenting skills to expectant mothers and their partners. B. Conducting mental health screenings at the local community center. C. Referring client who have obesity to community exercise programs. D. Providing crisis intervention through a mobile counseling unit. - correct answer- A. Teaching parenting skills to expectant mothers and their partners. A nurse is preparing to administer an autologous blood product to a client. Which of the following actions should the nurse take to identify the client? A. Match the client's blood type with the type and cross match specimens. B. Confirm the provider's prescription matches the number on the blood component. C. Ask the client to state the blood type and the date of their last blood donation.
A nurse is administering a scheduled medication to a client. The client reports that the medication appears different than what they take at home. Which of the following responses should the nurse take? A. "Did the doctor discuss with you that there was a change in this medication?" B. "I recommend that you take this medication as prescribed" C. "Do you know why this medication is being prescribed to you?" D. "I will call the pharmacist now to check on this medication" - correct answer- D. "I will call the pharmacist now to check on this medication" A nurse is teaching at a community health fair about electrical fire prevention. Which of the following information should the nurse include in the teaching? A. Use three pronged grounded plugs. B. Cover extension cords with a rug. C. Check the tingling sensations around the cord to ensure the electricity is working. D. Remove the plug from the socket by pulling the cord. - correct answer- A. Use three pronged grounded plugs. A charge nurse is recommending postpartum client discharge following a local disaster. Which of the following should the nurse recommend for discharge?
A. A 42-year-old client who has preeclampsia and a BP of 166/110 mm Hg. B. A 15-year-old client who delivered via emergency cesarean birth 1 day ago. C. A client who received 2 units of packed RBCs 6 hr. ago for a postpartum hemorrhage. D. A client who delivered precipitously 36 hr. ago and has a second-degree perineal laceration. - correct answer- D. A client who delivered precipitously 36 hr. ago and has a second- degree perineal laceration. A nurse is providing discharge teaching for a group of clients. The nurse should recommend a referral to a dietitian A. A client who has a prescription for warfarin and states "I will need to limit how much spinach I eat". B. A client who has gout and states, "I can continue to eat anchovies on my pizza." C. A client who has a prescription for spironolactone and states "I will reduce my intake of foods that contain potassium". D. A client who has (Unable to read) and states "I'll plan to take my calcium carbonate with a full glass of water". - correct answer- B. A client who has gout and states, "I can continue to eat anchovies on my pizza."
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. - correct answer- D. Administer the medication. 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. - correct answer- A. Pregabalin 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. - correct answer- A. Prime IV tubing with 0.9% sodium chloride.
A nurse is caring for a toddler who has acute lymphocytic leukemia. In which of the following should the toddler participate? A. Looking at alphabet flashcards. B. Playing with a large plastic truck. C. Use scissors cut out paper shapes. D. Watching a cartoon in the dayroom. - correct answer- B. Playing with a large plastic truck. A nurse is caring for a client who has chronic pancreatitis. Which of the following dietary recommendations should the nurse make? A. Coffee with creamer. B. Lettuce with sliced avocados. C. Broiled skinless chicken breast with brown rice. D. Warm toast with margarine. - correct answer- C. Broiled skinless chicken breast with brown rice. A nurse is preparing to assess a 2-week-old newborn. Which of the following actions should the nurse plan to take? A. Obtain the newborn's body temperature using a tympanic thermometer. B. FACES pain scale. C. Auscultate the newborn's apical pulse for 60 seconds.
