ATI RN COMPREHENSIVE PREDICTOR EXAM TEST BANK 2024-2025 ACTUAL EXAM QUESTIONS, Exams of Nursing

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ATI RN COMPREHENSIVE PREDICTOR

EXAM TEST BANK 2024-2025 ACTUAL

EXAM QUESTIONS AND CORRECT

DETAILED ANSWERS WITH

RATIONALES

A nurse overhears two assistive personnel (AP) discussing care for a client while in the elevator. Which of the following actions should the nurse take? A. Contact the client's family about the incident. B. Notify the client's provider about the incident.'C. File a complaint with the facility's ethics committee. D. Report the incident to the AP's charge nurse. - ANSWER>>D. Report the incident to the AP's charge nurse. A nurse is planning care for a client who is receiving hemodialysis. Which of the following actions should the nurse include in the plan of care? A. Withhold all medications until after dialysis B. Rehydrate with dextrose 5% in water for orthostatic hypotension. C. Check the vascular access site for bleeding after dialysis. D. Give an antibiotic 30 min before dialysis. - ANSWER>>C. Check the vascular access site for bleeding after dialysis. A nurse in the emergency department is caring for a client who reports intimate partner violence. Which of the following interventions is the nurse's priority? A. Develop a safety plan with the client B. (Unable) options for reporting the incident. C. Refer the client to a community support group. D. Determine if the client has any injuries. - ANSWER>>D. Determine if the client has any injuries.

A nurse is caring for a client who is in active labor and note the FHR baseline has been 100/min for the past 15 min. The nurse should identify which of the following conditions as a possible cause of fetal bradycardia? A. Maternal fever B. Fetal anemia C. Maternal hypoglycemia D. Chorioamnionitis - ANSWER>>C. Maternal hypoglycemia A nurse is assessing a school-age child who has a urinary tract infection. Which of the following findings should the nurse expect? A. Periorbital edema. B. Decreased frequency of urination. C. Enuresis. D. Diarrhea. - ANSWER>>C. Enuresis. A nurse is caring for a client who is in active labor and requests pain management. Which of the following actions should the nurse take? A. Administer ondansetron. B. Place the client in a warm shower. C. Apply fundal pressure during contractions. D. Assist the client to a supine position. - ANSWER>>B. Place the client in a warm shower. A nurse in an emergency department is performing triage for multiple clients following a disaster in the community. To which of the following types of injuries should the nurse assign the highest priority? Below-the knee amputation Fractured tibia 95% full-thickness body burn 10cm (4in) laceration to the forearm - ANSWER>>Below-the knee amputation a nurse manager is updating protocols for the use of belt restraints. Which of the following guidelines should the nurse include? Remove the client's restraint every 4hr Document the client's condition every 15 min

c. Yield in situations of conflicts to maintain group harmony d. Use modeling to help the clients improve their interpersonal skills - ANSWER>>d. Use modeling to help the clients improve their interpersonal skills A nurse is planning for a client who practices Orthodox Judaism. The client tells the nurse that (Unable to read) Passover holiday. Which of the following action should the nurse include in the plan of care? a. Provide chicken with cream sauce. b. Avoid serving fish with fins and scales. c. Provide unleavened bread. d. Avoid serving foods containing lamb. - ANSWER>>c. Provide unleavened bread. A nurse is caring for a client who has a pulmonary embolism. The nurse should identify the effectiveness of the treatment A chest x-ray reveals increased density in all fields. The client reports feeling less anxious. Diminished breath sounds are auscultated bilaterally ABG results include Ph 7.48 PaO2 77 mm Hg and PaCO2 47 mm Hg. - ANSWER>>The client reports feeling less anxious. A nurse in an emergency department is assessing a client who reports ingesting thirty diazepam tablets (Unable to read) a respiratory rate of 10/min. After securing the client's airway and initiating an IV, which of the following actions should the nurse do next. Monitor the client's IV site for thrombophlebitis. Administer flumazenil to the client. Evaluate the client for further suicidal behavior. Initiate seizure precautions for the client. - ANSWER>>Administer flumazenil to the client. A nurse in an emergency department is caring for a client who reports cocaine use 1hr ago. Which of the following findings should the nurse expect?

Hypotension Memory loss Slurred speech Elevated temperature - ANSWER>>Elevated temperature A nurse is assessing a newborn who has a blood glucose level of 30 mg/dl. Which of the following manifestations should the nurse expect? A. Loose stools B. Jitteriness C. Hypertonia D. Abdominal distention - ANSWER>>B. Jitteriness A nurse in a pediatric clinic is reviewing the laboratory test results of a school age child. Which of the following findings should the nurse report to the provider? Hgb 12.5 g/dl Platelets 250,000/mm Hct 40% WBC 14,000/mm3 - ANSWER>>WBC 14,000/mm A charge nurse is teaching a newly licensed nurse about clients designating a health care proxy in situations that require a durable power of attorney for heal care (DPSHC). Which of the following information should the charge nurse include? "The proxy should make health care decisions for the client regardless of the client's ability to do so." "The proxy can make financial decisions if the need arises." "The proxy can make treatment decisions if the client is under anesthesia." "The proxy should manage legal issues for the client." - ANSWER>>"The proxy can make treatment decisions if the client is under anesthesia." A nurse in the PACU is caring for a client who reports nausea. Which of the following actions should the nurse take first? Turn the client on their side. Administer an analgesic

D. A client who fractured his femur yesterday and is experiencing shortness of breath. - ANSWER>>C. A client who is postoperative following a bowel resection with an NG tube set to continuous suction. A nurse is working on a surgical unit is developing a care plan for a client who has paraplegia. The client has an area of nonblanchable erythema over his ischium. Which of the following interventions should the nurse include in the care plan? a. Place the client upright on a donut-shaped cushion b. Teach the client to shift his weight every 15 min while sitting c. Turn and reposition the client every 3 hr while in bed d. Assess pressure points every 24 hr - ANSWER>>a. Place the client upright on a donut-shaped cushion A nurse is caring for a client who is dilated to 10 cm and pushing. Which of the following pain-management (Unable to read) a safe option for the client? Naloxone hydrochloride. Spinal anesthesia. Pudendal block. Butorphanol tartrate. - ANSWER>>Pudendal block. A nurse is caring for a client who has left homonymous hemianopsia. Which of the following is an appropriate nursing intervention? a. Teach the client to scan the right to see objects on the right side of her body. b. Place the bedside table on the right side of the bed. c. Orient the client to the food on her plate using the clock method. d. Place the wheelchair on the client's left side. - ANSWER>>b. Place the bedside table on the right side of the bed. A nurse is assessing a client who has major depressive disorder. Which of the following findings should the nurse identify as the (Unable to read) (Most important?)

a. The client changes the subject when future plans are mentioned. b. The client talks about being in pain constantly. c. The client sleeping over 12 hr. each day. d. The client reports giving away personal items. - ANSWER>>d. The client reports giving away personal items. A nurse is providing teaching about immunizations to a client who is pregnant. The nurse should inform the client that she can receive which of the following immunizations during pregnancy? (Select all that apply) Varicella vaccine. Inactivated polio vaccine. Tetanus diphtheria and acellular pertussis vaccine Rubella vaccine. Inactivated influenza vaccine. - ANSWER>>Tetanus diphtheria and acellular pertussis vaccine Inactivated influenza vaccine. A nurse is caring for a client who has end-stage kidney disease. The client's adult child asks the nurse about becoming a living kidney donor for her father. Which of the following condition in the child's medical history should the nurse identify as a contraindication to the procedure? A. Amputation B. Osteoarthritis C. Hypertension D. Primary glaucoma - ANSWER>>C. Hypertension 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

"You can expect your urine to appear red-tingled while taking folic acid supplements". - ANSWER>>"You can increase your dietary intake of folic acid by eating cereals and citrus fruits". A community health nurse is assessing an adolescent who is pregnant. Which of the following assessments is the nurse's priority? A. Social relationship with peers .B. Plans for attending school while pregnant. C. (Unable to read) (Picked this one) Medicaid? D. Understanding of infant care. - ANSWER>>C. (Unable to read) (Picked this one) Medicaid? A nurse manager is planning to teach staff about critical pathways. Which of the following information should the nurse include? A. Critical pathways have unlimited timeframe for completion B. (Unable to read) decrease health care costs. C. (Unable to read) critical pathway if variances (Unable to read) D. (Unable to read) are used to create the critical pathway. - ANSWER>>B. (Unable to read) decrease health care costs. A nurse is reviewing the medical record of a client who has schizophrenia. Which of the following should the nurse report to the provider? Exhibit 1: Blood pressure: 102/56 mm Hg. Heart rate: 95/min Respiratory rate: 18/min Temperature: 37.4C (99.3F) Exhibit 2: Medication Administration RecordClozapine 150 mg PO twice daily Benztropine 0.5 mg PO twice daily as needed for tremors. Exhibit 3 Nurse's notes: Client reports feeling dizzy when changing positions, Reports weight gain of 1kg (2.2 lb.) in the past month. Also reports a sore throat for the past 3 days and dry mouth. Client ate 75% of breakfast and reports slightly nauseous.

Dietary intake Heart rate. Sore throat. Blood pressure - ANSWER>>Sore throat. A charge nurse is educating a group of unit nurses about delegating client tasks to assistive personnel A. "The nurse is legally responsible for the actions of the AP". B. "An AP can perform tasks outside of his range if he has been trained". C. "An experienced AP can delegate to another AP". D. "An RN evaluates the client needs to determine tasks to delegate" - ANSWER>>D. "An RN evaluates the client needs to determine tasks to delegate" A nurse is assessing a client who is in active labor. Which of the following findings should the nurse report to the provider? Contractions lasting 80 seconds FHR baseline 170/min Early decelerations in the FHR Temperature 37.4C (99.3) - ANSWER>>FHR baseline 170/min A nurse working in a rehabilitation facility is developing a discharge plan for a client who has left-sided hemiplegia the following actions is the nurse's priority? Consult with a case manager about insurance coverage. Counsel caregivers about respite care options. Ensure that the client has a referral for physical therapy. Refer the client to a local stroke support group. - ANSWER>>Ensure that the client has a referral for physical therapy. A nurse in a mental health unit is planning room assignments for four clients. Which of the following client should be closest to the nurse's station?

client's partner brought for her. Which of the following responses should the nurse make? "Does the doctor know you are eating that?" "Why are you eating seaweed soup?" "Of course I will heat that up for you" "The hospital good is more nutritious" - ANSWER>>"Does the doctor know you are eating that?" a nurse is preparing an in-service for a group of nurses about malpractice issues in nursing. Which of the following examples should the nurse include in the teaching? a. Leaving a nasogastric tube clamped after administering oral medication b. Documenting communication with a provider in the progress notes of the client's medical records c. Administering potassium via IV bolus d. Placing a yellow bracelet on a client who is at risk for falls - ANSWER>>c. Administering potassium via IV bolus a nurse is providing teaching to family members of a client who has dementia. Which of the following instructions should the nurse include in the teaching? Establish a toileting schedule for the client Use clothing with buttons and sippers Discourage physical activity during the day Engage the client in activities that increase sensory stimulation - ANSWER>>Establish a toileting schedule for the client The nurse is reviewing the medical record of a client who is requesting combination oral contraceptives. Which of the following conditions in the client's history is a contradiction to the use of oral contraceptives? A. Hyperthyroidism. B. Thrombophlebitis. C. Diverticulosis. D. Hypocalcemia. - ANSWER>>B. Thrombophlebitis.

A nurse is admitting a client who has schizophrenia and experiences auditory hallucinations. The client states, "It's hard not to listen to the voices." Which of the following questions should the nurse ask the client? "Do you understand that the voices are not real?" "Why do you think the voices are talking to you?" "Have you tried going to a private place when this occurs?" "What helps you ignore what you are hearing?" - ANSWER>>"What helps you ignore what you are hearing?" A charge nurse is teaching a group of newly licensed nurses about the correct use of restraints. Which of the following should the nurse include in the teaching? a. Placing a belt restraint on a school-age child who has seizures. b. Securing wrist restraints to the bed rails for an adolescent. c. Applying elbow immobilizers of an infant receiving cleft lip injury d. Keeping the side rails of a toddler's crib elevated. - ANSWER>>c. Applying elbow immobilizers of an infant receiving cleft lip injury A nurse is reviewing ABG laboratory results of a client who is in respiratory distress. The results are pH 7.47, PaCo2 32 mm Hg. HCO3 22 mm Hg. The nurse should recognize that the client is experiencing which of the following acid-base imbalances? Respiratory acidosis Respiratory alkalosis Metabolic acidosis Metabolic alkalosis - ANSWER>>Respiratory alkalosis A nurse is preparing to mix NPH and regular insulin in the same syringe. Which of the following Inject air into the NPH insulin vial. Withdraw the prescribed dose of regular insulin Withdraw the prescribed dose of NPH insulin - ANSWER>>Inject air into the NPH insulin vial.

Check the tingling sensations around the cord to ensure the electricity is working. Remove the plug from the socket by pulling the cord. - ANSWER>>Use three pronged grounded plugs. A nurse is providing care for a group of clients. Which of the following client's should the nurse identify as having the highest risk for developing a pressure injury? a. A client who has a T-tube following an open cholecystectomy. b. A client who had a knee 2 days ago following a sports injury. c. A client who has dementia and is incontinent of urine and feces d. A client who has a myocardial infarction and is receiving thrombolytic therapy. - ANSWER>>a. A client who has a T-tube following an open cholecystectomy. A nurse is teaching a client who has glaucoma and a new prescription for timolol eyedrops. Which of the following statements indicates an understanding of the teaching? "I will place the eye drops in the center of my eye" "I will place pressure on the corner of my eye after using he eye drops" "I should expect my tears to turn a red color after using the eye drops."' "I should expect the eye drops to appear cloudy." - ANSWER>>"I will place pressure on the corner of my eye after using he eye drops" A nurse is providing teaching to a client who is 14 weeks of gestation about findings to report to the provider. Which of the following findings should the nurse include in the teaching? Bleeding gums Faintness upon rising Swelling of the face Urinary frequency - ANSWER>>Swelling of the face A nurse is caring for a client who has a diagnosis of stage IV metastatic cancer. Which of the following responses should the nurse make? "I would recommend sharing your feelings with a psychologist".

"I can give you information about making end of life decisions". "You should discuss your end life decisions with your family" "Everyone feels this way at first. You will start feeling better soon". - ANSWER>>"I can give you information about making end of life decisions". A nurse is caring for a client wo has severe hypertension and is to receive nitroprusside via continuous IV infusion. Which of the following actions should the nurse plan to take? Keep client's calcium gluconate at the client's bedside Monitor blood pressure every 2 hr. (Limit or remove?) IV bag from exposure to light. Attach tan inline filter to the IV tubing. - ANSWER>>(Limit or remove?) IV bag from exposure to light. A nurse is caring for a client who is experiencing mild anxiety. Which of the following findings should the nurse expect? Feelings of dread Heightened perceptual field Rapid speech Purposeless activity - ANSWER>>Heightened perceptual field A nurse is reviewing the laboratory report of a client who has been having lithium carbonate for the past 12 months. The 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. Increase the dosage. Discontinue the medication. Administer the medication. - ANSWER>>Administer the medication. A nurse is providing teaching to an older adult client about methods to promote nighttime sleep. Which of the following instructions should the nurse include? Stay in bed at least 1hr if unable to fall asleep Take 1 hr nap during the day

D. "You did the right thing by bringing your partner in for treatment." - ANSWER>>A. "Can you talk about what happens with your partner at home?" A nurse is providing dietary teaching to a guardian of a preschooler who has a new diagnosis of celiac disease. Which of the following statements by the guardian indicates an understanding of the teaching? "I will put my child on a gluten-free diet". "I will administer digestive enzymes with meals and snacks". "Provide my child with some high fiber foods." "I will give my child whole wheat toast and milk for breakfast". - ANSWER>>"I will put my child on a gluten-free diet". 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? Prime IV tubing with 0.9% sodium chloride. Usea24-gaugeIVcatheter Obtain filter less IV tubing. Place blood in the warmer for 1 hr. - ANSWER>>Prime IV tubing with 0.9% sodium chloride. A nurse is admitting a client who has diabetic ketoacidosis. Which of the following types of continuous infusions should the nurse initiate? 0.9% normal saline. NPH insulin. Glargineinsulin. 0.45% saline - ANSWER>>0.9% normal saline. A nurse is teaching who has chronic pain about avoiding constipation from opioid medications. Which of the following should the nurse include in the teaching? A. Drink 1.5L fluids each day. B. Take mineral oil at bedtime. C. Increase exercise activity D. Decrease insoluble fiber. - ANSWER>>C. Increase exercise activity

A nurse is teaching about preventative measures to a female client who has chronic urinary tract infections. Which of the following interventions should the nurse include in the teaching? "Drink 2 liters of warm water per day". "Empty your bladder every 6 weeks.". "Soak in a warm bath everyday". "Take an oral estrogen tablet" - ANSWER>>"Drink 2 liters of warm water per day".

. A nurse is receiving change-of-shift report for a group of clients. Which of the following clients should the nurse plan to assess first? A client who has sinus arrhythmia and is receiving monitoring A client who has a hip fracture and a new onset of tachypnea A client who has epidural analgesia and weakness in the lower extremities A client who has diabetes and a hemoglobin A1C of 6.8% - ANSWER>>A client who has a hip fracture and a new onset of tachypnea A nurse is providing dietary teaching to a client who has a new diagnosis of irritable bowel syndrome. Which of the following recommendations should the nurse include? Consume food high in bran fiber Increase intake of milk products Sweeten foods with fructose corn syrup Increase foods high in gluten - ANSWER>>Consume food high in bran fiber A nurse is caring for a 1-day-old newborns who has jaundice and is receiving phototherapy. Which of the following actions should the nurse take? the infant 30 ml (1 oz) glucose water every 2 hr. Keep the infants head covered with a cap. Ensure that the newborn wears a diaper. Apply lotion to the newborn every 4 hr. - ANSWER>>Ensure that the newborn wears a diaper.