{NGN} ATI Comprehensive predictor retake 2023/2024, Exams of Nursing

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{NGN} ATI Comprehensive predictor retake

1. A nurse is caring for a client who is recovering from an amputation of her right arm above the elbow. Which of the following information should the nurse report the occupational therapist? A. The client’s parent is in a skilled nursing facility. B. The client has two small children at home. C. The client is allergic to penicillin. D. The client lives in a two-story home.
2. A nurse is caring for a client who has major depressive disorder. The client tells the nurse, “No one cares about me. I’m completely alone.” Which of the following responses should the nurse make? A. “You should join a community support group.” B. “What makes you think that?” C. “Don’t worry. You should be feeling better in a couple weeks.” D. “Can you give me an example of how others are making you feel this way?”
3. A nurse is caring for a client who has sustained a severe head trauma and has significant bleeding from the nose. Which of the following actions should the nurse take first? A. Prepare for a CT scan. B. Insert a peripheral IV line. C. Establish a patent airway. D. Apply direct pressure to the nose.
4. A nurse is reviewing the rhythm strip of a client who is experiencing sinus arrhythmia. Which of the following findings should the nurse expect? A. Inconsistent P wave formation. B. Ventricular and atrial rates 120/min C. P-R intervals of 0.30 seconds D. P to QRS ratio 1:1 page 720 Med surg book
5. A nurse is admitting a client who has dementia to a long-term care facility. The client tells the nurse that she lived in this facility years ago and took care of all the residents by herself. The nurse should document this as which of the following findings? A. Confabulation B. Agnosia C. Projection D. Perseveration

6. A nurse is reviewing home recommendations with a client who is postoperative following knee surgery. Which of the following recommendations should the nurse make? A. Place a handrail in the entryway of the house. B. Place a towel on the floor outside of the shower. C. Ensure that all area rugs are rubber-backed. D. Wear slippers with cloth soles.
7. A nurse is caring for a client who is postoperative following total hip arthroplasty. Which of the following actions should the nurse take to prevent dislocation of the prosthesis? A. Raise the head of the client’s bed to a high-fowler’s position. B. Elevate the client’s effected leg on a pillow when in bed. C. Position the client’s knees slightly higher than the hips when up in a chair. D. Keep an abduction pillow between the client’s legs.
8. A nurse in a pediatric clinic is teaching a newly hired nurse about the varicella zoster virus. Which of the following information should the nurse include? A. Children who have varicella should be placed on droplet precautions. B. Children who have varicella are contagious 4 days before the first vesicle eruption. C. Children who have varicella are contagious until the vesicles are crusted. D. Children who have varicella should receive the herpes zoster vaccine.
9. A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the nurse take? A. Teach the client how to meditate B. Sit with the client to provide a sense of security. C. Encourage the client to watch television. D. Administer a dose of atomoxetine to decrease anxiety.
10. A nurse is teaching a newly licensed nurse about ergonomic principles. Which of the following actions by the newly licensed nurse indicates an understanding of the teaching? A. Stands with feet together when lifting a client up in bed. B. Places a gait belt around the client’s upper chest before assisting a client to stand. C. Uses a mechanical lif t device to move a client from the bed to the chair. D. Raises the client’s head of the bed before pulling the client up.
11. A nurse is teaching a client about condom use. Which of the following client statements should the nurse identify as an understanding of the teaching?

B. Remove the client’s dentures. C. Remove the client’s identification tags. D. Place the client’s arms across their chest.

17. A nurse is reviewing annual education requirements for fire safety. Identify the sequence that the nurse should use when operating a fire extinguisher.
    1. Unlock the handle by pulling on the pin.
    2. Point the hose at the base of the fire.
    3. Squeeze the handles together.
    4. Sweep the extinguisher from side to side.
18. A nurse is reviewing legal issues in health care with a group of newly licensed nurses. Which of the following recommendations should the nurse make? A. Ensure that the client has a living will on file prior to treatment. B. Place copies of incident reports in the clients’ medical records. C. Obtain personal professional liability insurance coverage. D. Overestimate the clients’ acuity to prevent short staffing.
19. A nurse is caring for a client who speaks a language different than the nurse. Which of the following actions should the nurse make? A. Review the facility policy about the use of an interpreter. B. Direct attention toward the interpreter when speaking to the client. C. Request a family member or friend to interpret information to the client. D. Request an interpreter of a different sex from the client.
20. A nurse in the emergency department is caring for a client following a motor-vehicle crash. Which of the following findings should the nurse identify as a manifestation of hypovolemic shock? A. Decreased respiratory rate B. Change in level of consciousness C. Increased urine output D. Hyperactive deep-tendon reflexes
21. A nurse is caring for a client following application of a cast. Which of the following actions should the nurse take first? A. Position the casted extremity on a pillow. B. Place an ice pack over the cast. C. Teach the client to keep the cast clean and dry. D. Palpate the pulse distal to the cast.

22. A nurse is performing a gait assessment on a client to evaluate the client’s ability to perform ADLs. Which of the following findings indicates a standard gait? A. The client looks at the floor when walking. B. The client’s shoulders are rounded slightly forward. C. The client’s heels touch the ground before their toes. D. The client’s dominant foot bears more weight.
23. A nurse on a mental health unit is caring for a client who has suicidal ideation. Which of the following actions should the nurse take? A. Place the client in a group therapy session. B. Avoid discussing suicidal thoughts with the client. C. Give the client a radio to listen to in his room. D. Establish a no-suicide contract with the client.
24. A nurse is providing teaching about nutrition therapy to a client who is experiencing anorexia due to chemotherapy treatment. Which of the following statements should the nurse make? A. “Snack frequently on fresh fruit.” B. “Add water to soups to increase volume.” C. “Avoid adding butter to foods.” D. “Add grated cheese to vegetable dishes.”
25. A nurse is providing teaching to a client who has a new diagnosis of type 1 diabetes mellitus about administering NPH and regular insulin together in one injection. Which of the following instructions should the nurse include? A. Inject into the vastus lateralis. B. Draw up the regular insulin prior to NPH. C. Use a 15 - degree angle for the injection. D. Roll the syringe gently to ensure mixture of the insulins.
26. A nurse is caring for a client who has a calcium level of 8 mg/dL. Which of the following actions should the nurse take? A. Request a prescription for magnesium citrate. B. Request a prescription for furosemide. C. Place the client on a low-calcium diet. D. Place the client on seizure precautions.

C. The client exhibits sympathy to the partner. D. The client ignores the partner when they are using alcohol.

33. A nurse is caring for a client who has Graves’ disease and is experiencing a thyroid storm. Which of the following actions is the nurse’s priority? A. Obtain the client’s blood glucose. B. Administer 0.9% sodium chloride IV. C. Provide a cooling blanket. D. Monitor the client’s cardiac rhythm. This has more priority
34. A nurse is providing preoperative teaching to a client about promoting circulation during the postoperative period. Which of the following instructions should the nurse include? A. “Remain on bed rest for 24 hours following the procedure.” B. “Use an incentive spirometer every 4 hours.” C. “Participate in range-of-motion exercises.” D. “Place a pillow under your knees while in bed.”
35. A nurse is setting up a sterile field to perform wound irrigation for a client. Which of the following actions should the nurse when pouring the sterile solution? A. Hold the bottle in the center of the sterile field when pouring the solution. B. Hold the irrigation solution bottle with the label facing away from the palm of the hand. C. Place the sterile gauze over areas of spilled solution within the sterile field. D. Remove the cap and place it sterile-side up on a clean surface.
36. A nurse is conducting a home visit for a family who has two young children. The nurse notes several welts across the back of the legs of one of the children. Which of the following actions should the nurse take first? A. Contact child protective services. B. Refer the parents to a self-help group. C. Instruct the parents about methods of discipline. D. Document clinical findings.
37. A nurse is teaching a client who is to undergo placement of a non-tunneled percutaneous central venous access device. Which of the following statements should the nurse include in the teaching? A. “The provider will wear a mask while performing the procedure.” B. “You should not eat or drink for 4 hours prior to the procedure.” C. “Your head will be elevated as high as possible while the catheter is inserted.” D. “The provider will give you pain medication before inserting the catheter.”

38. A nurse in a clinic is reviewing the health history of a client during her first prenatal visit. Which of the following findings indicates a risk for gestational diabetes mellitus? A. 1 - hr glucose tolerance test if 128 mg/dL B. Previous miscarriage C. Delivery of a low birth-weight infant D. BMI of 31
39. A nurse is caring for a client who is incontinent and has a stage II pressure injury on their coccyx. Which of the following interventions should the nurse implement? A. Apply lotion to the skin every 4 hr. B. Reposition the client every 3 hr. C. Position the client laterally at 30 degrees. D. Have two facility personnel help to slide the client up in bed.
40. A nurse manager is developing a protocol for an urgent care clinic that often cares for clients who do not speak the same language as the clinic staff. Which of the following instructions should the nurse include? A. Offer clients translation services for a nominal fee. B. Use clients’ children to provide interpretation. C. Evaluate clients’ understanding at regular intervals. D. Direct questions to a medical interpreter.
41. A nurse is caring for an infant who is in contact isolation and received a blood transfusion. Which of the following actions is appropriate for the nurse to provide cost-effective care? A. Leave the unused infusion pump in the room until discharge. B. Bring in formula as needed. C. Return unopened equipment to the supply center. D. Stock the room with a 2 - day supply of disposable diapers.
42. A nurse is caring for a client who has acute exacerbation of multiple sclerosis. Which of the following prescriptions should the nurse expect the provider to prescribe? A. Interferon beta-1a B. Enoxaparin C. Atorvastatin D. Amoxicillin
43. A nurse is speaking with the partner of a client who is in the early stage of Alzheimer’s disease. The partner tells the nurse that she is able to manage the client’s physical care, but she doesn’t want to

48. A nurse is assessing a client who has a stage IV pressure ulcer and is undergoing treatment prescribed by a wound care consultant. For which of the following findings should the nurse contact the consultant to revise the plan of care? A. Hgb 15 g/dL. B. Appearance of pink tissue under eschar. C. Albumin level 4.0 g/dL D. Weight loss of 5% in 10 days.
49. A nurse is performing an abdominal assessment as part of a client’s comprehensive physical examination. Which of the following is the final step the nurse should perform? A. Inspection B. Palpation C. Auscultation D. Percussion
50. A nurse is caring for a client who has an NG tube in place for gastric decompression and notes that the tube is not draining. Which of the following steps should the nurse take first? A. Check the functioning of the suction equipment. B. Reposition the NG tube. C. Instill an irrigation solution slowly. D. Inject 20 mL of air and aspirate in the NG tube.
51. A nurse is caring for a client who has major depressive disorder. Which of the following findings should indicate to the nurse that the client’s condition is improving? A. The client avoids eye contact with others. B. The client exhibits a flat affect. C. The client participates in self-care. D. The client experiences self-doubt when making decisions.
52. A nurse is supervising an assistive personnel (AP) who is feeding a client. The nurse observes that the client coughs after each bite. After asking the AP to stop feeding the client, which of the following actions should the nurse take next? A. Provide the client with an instructional handout about swallowing exercises. B. Ask a speech therapist to evaluate the client’s ability to swallow. C. Discuss the manifestations of impaired swallowing with the AP.

D. Listen to the client’s lung sounds.

53. A nurse in an acute mental health facility is prioritizing care for multiple clients. Which of the following clients should the nurse see first? A. A client who has obsessive-compulsive disorder and is upset about change in daily routine B. A client who has depressive disorder and requires assistance with ADLs C. A client who has narcissistic personality disorder and is mocking others during group therapy D. A client who is taking clozapine to treat schizophrenia and reports a sore throat
54. A charge nurse is educating a group of unit nurses about delegating client tasks to assistive personnel (AP). Which of the following statements should the nurse include in the teaching? A. “The RN evaluates client needs to determine tasks to delegate.” B. “An AP can perform tasks outside of his range of function if he has been trained.” C. “An experienced AP can delegate tasks to another AP.” D. “The RN is legally responsible for the actions of the AP.”
55. A nurse in an emergency department is caring for a client who reports cocaine use 1 hr ago. Which of the following findings should the nurse expect? A. Memory loss B. Hypotension C. Elevated temperature D. Slurred speech
56. A nurse administered 400mg of ibuprofen to a client 2 hr ago to treat pain following a biopsy. The client is crying and states, “It really still hurts a lot.” Which of the following actions should the nurse take? A. Administer an additional dose of ibuprofen to the client. B. Request a prescription for an opioid pain medication for the client. C. Report this client finding to the provider. D. Ask the client to rate their pain on a scale of 0 to 10.
57. A nurse is planning care for an older adult client who has dementia. Which of the following interventions should the nurse include in the plan of care? (SATA) A. Allow the client to choose among a variety of activities each day.

62. A nurse is assessing a client immediately following a cardiac catheterization. The nurse should notify the provider for which of the following findings? A. Report of discomfort at the insertion site. B. Hematoma over the insertion site. C. D. Bounding pulses in the affected extremity. E. Heart rate 90/min
63. A home care nurse is making a follow-up visit with a client who has COPD and is using a compressed oxygen system in his home. Which of the following actions should the nurse take? A. Have the client store smaller tanks under his bed. B. Place the oxygen tank away from curtains or drapes. C. Ensure that the client checks the gauge weekly. D. Store the oxygen tank wrench in a locked cabinet.
64. A nurse is providing discharge teaching to a client following a total hip arthroplasty. Which of the following statements by the client indicates an understanding of the teaching. A. “I don’t need to use a walker when walking around my house.” B. “I will start my leg exercises 3 days after returning home.” C. “I won’t cross my legs when sitting in a chair.” D. “I will bend at the hips when tying my shoes.”
65. A nurse is teaching a client about the oral administration of chlorpromazine. Which of the following information should the nurse include? A. Move slowly when standing from a sitting position. B. Expect loose stools as an adverse effect. C. Anticipate an increase in saliva production. D. Monitor for an increase in the occurrence of hiccups.
66. A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate. The client reports that she is experiencing difficulty breathing. Which of the following actions should the nurse take first? A. Assess the fetal heart rate. B. Discontinue the infusion. C. Administer calcium gluconate.

D. Obtain the client’s magnesium level.

67. A nurse is reviewing the laboratory results of a client who is taking cyclosporine following a kidney transplant. Which of the following findings should the nurse report to the provider? A. BUN mg/dL B. Urine specific gravity 1. C. Serum creatinine 1.6 mg/dL D. Urine pH 6.
68. A nurse is caring for a client who is on fall precautions. Which of the following actions should the nurse take? A. Allow the client to walk unassisted near the nursing station. B. Establish an elimination schedule for the client. C. Silence the bed alarm when visitors are at the client’s bedside. D. Raise all four bed rails on the client’s bed.
69. A nurse on a medical-surgical unit is caring for a client who states that she plans to leave the facility against medical advice. For which of the following actions by the nurse should the charge nurse intervene? A. Asks security to detain the client until the provider is notified. B. Asks the client what her plans are for follow-up care. C. Shows the client her abnormal laboratory results. D. Asks the client to sign a form releasing the hospital from legal responsibility.
70. A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following nursing interventions should the nurse include in the plan of care for this client? A. Flush IV tubing with hypotonic solution. B. Encourage oral hydration of 1,800mL daily C. Perform neurologic checks. D. Weigh the client weekly.
71. A nurse is using an IV pump for a newly admitted client. Which of the following actions should the nurse take? A. Check the cords of the IV pump for fraying.

76. A nurse is planning care for a client who has an L4 spinal cord injury. Which of the following interventions to prevent skin breakdown should the nurse include in the plan of care? A. Ask the client to shift his weight every 20 min while sitting in a chair. B. Massage reddened areas over bony prominences. C. Maintain the head of the bed at a 45 - degree angle. D. Provide a high-fiber diet for the client.
77. A nurse in a provider’s office is reviewing the laboratory results of group clients. The nurse should identify that which of the following sexually transmitted infections is a nationally notifiable infectious disease that should be reported to the state health department? A. Chlamydia B. Candidiasis C. Herpes simplex virus D. Human papillomavirus.
78. A nurse is caring for a client who is postpartum and requests information about contraception. Which of the following instructions should the nurse include? A. “You should avoid vaginal spermicides while breastfeeding.” B. “The lactation amenorrhea method is effective for your first year postpartum.” C. “Place the transdermal birth control patch on your upper outer arm.” D. “You can continue to use the diaphragm you used before your pregnancy.”
79. A nurse is caring for a client who is 12 hr postoperative following a transurethral resection of the prostate. Which of the following findings should the nurse report to the provider? A. Burgundy-colored urine B. Report of pain level 5 on a scale of 0 to 10. C. Passage of small clots. D. Urgency to void.
80. A nurse is caring for a client who is receiving enteral feedings through a nasoenteric tubeand has aspirated fluid prior to feeding. Which of the following findings should indicate to the nurse that the tube is positioned in the client’s lung? A. Residual fluid with a pH of 1 B. Residual fluid with a pH of 8

C. Residual fluid with a pH of 6 D. Residual fluid with a pH of 3

81. A nurse is caring for a client who is postoperative following a liver biopsy. In which of the following positions should the nurse place the client immediately following the procedure? A. Trendelenburg B. Prone C. Right lateral D. High-fowler’s
82. A nurse is caring for a client who is receiving brachytherapy for endometrial cancer. Which of the following actions should the nurse take? A. Keep visitors at least 6 feet (1.8 m) away from the client. B. Place the client’s soiled bed linens in a biohazard bag outside the client’s room. C. Wear an isolation gown when caring for the client. D. Discard the radioactive source in the client’s trash can.
83. A nurse is updating the plan of care for a client who has amyotrophic lateral sclerosis with dysphagia. Which of the following interprofessional team members should the nurse identify as the priority consult? A. Speech-language pathologist B. Dietitian C. Occupational therapist D. Physical therapist
84. A nurse is receiving a telephone prescription from a provider for a client who requires additional medication for pain control. Which of the entries should the nurse make in the medical record? A. “Morphine 3 mg SC q 4 hr PRN for pain.” B. “Morphine 3 mg SQ every 4 hr PRN for pain.” C. “Morphine 3 mg subcutaneous every 4 hr PRN for pain.” D. “Morphine 3.0 mg sub q every 4 hr PRN for pain.”
85. A nurse is collecting a sputum specimen from a client who has tuberculosis. Which of the following actions should the nurse take? A. Wear sterile gloves to collect the specimen from the client.

A. Cervical cultures for chlamydia B. Chorionic villus sampling C. Maternal serum alpha-fetoprotein D. Nonstress test

91. A nurse is providing nutritional teaching about appropriate food choices to a client whohas a new diagnosis of uric acid calculi. Which of the following foods should the nurse include in the teaching? A. Liver B. Roast beef C. Chicken D. Lima beans
92. A nurse in a mental health facility is caring for a client who is experiencing a panic levelof anxiety. Which of the following actions should the nurse take? A. Use short sentences when communicating with the client. B. Have the client journal about what is happening to him. C. Tell the client to sit alone in a private place and reflect on the situation. D. Encourage the client to talk about his feelings.
93. A nurse is teaching a client about advance directives. Which of the following statements should the nurse make? A. “A family member will need to cosign the advance directives document.” B. “An attorney will need to review your advance directives.” C. “Advance directives can include a do-not-resuscitate order signed by the provider.” D. “A health care surrogate will handle your medical bills.”
94. 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. Sneezing B. Substernal retractions C. Temperature 37.9 degrees (100.2 F) D. Hematuria

95. A nurse is caring for a client who has a tension pneumothorax. Which of the following manifestations should the nurse expect? A. Paradoxical chest movement B. Bilateral crackles C. Asymmetry of the chest D. Blood-tinged sputum
96. A nurse is caring for a client who is at 11 weeks of gestation. Which of the following immunizations should the nurse recommend? A. Human papillomavirus B. Influenza C. Measles, mumps and rubella D. Varicella
97. 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? A. Hct 40% B. Hgb 12.5 g/dL C. Platelets 250,000/mm D. WBC 14,000/mm
98. A nurse is assessing a client who is receiving packed RBCs. Which of the following indicates fluid overload? A. Low-back pain B. Thready pulse C. Hypotension D. Dyspnea
99. A nurse is caring for an adult client who asks about risk factors for Alzheimer’s disease. Which of the following responses should the nurse take? A. “There are no known genetic mutations that cause Alzheimer’s disease.” B. “A diet low in carbohydrates increases the risk for Alzheimer’s disease.” C. “Asthma has been identified as a risk factor for Alzheimer’s disease.” D. “Repeated concussions increase the risk for Alzheimer’s disease.”