2019, 2023-2024 ATI RN Comp Predictor With Answers (177 Solved Questions)

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2023-2024 ATI RN COMPREHENSIVEPREDICTOR RETAKE 2019(GRADED A+) WITHNGN 180+ QUESTION 100% CORRECTANSWERS1.A nurse is assessing a client who has received an antibiotic. The nurse should identify which of thefollowing findings as an indication of a possible allergic reaction to the medication?A.BradycardiaB.HeadacheC.Joint painD.Hypotension2.A nurse on a mental health unit is caring for a client who has schizophrenia and is experiencingauditory hallucinations telling them to hurt others. The client is refusing to take anti-psychoticmedication. Which of the following responses should the nurse make?A.“Youshould plan to take this medication for a fewweeks.”B.“Youwill regret it if you do not take thismedication.”C.“Thismedication will help you respond to the voices.D.“Thismedication will help you stop the voices you arehearing.”3.A nurse is providing care for a patient who has depression and is to have electroconvulsive therapy.Which of the following conditions should the nurse identify as increasing the client’s risk forcomplications?A.HyperthyroidismB.Renal calculiC.Diabetes mellitusD.Cardiac dysrhythmias4.A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis. Which of thefollowing findings should the nurse report to the provider?A.WBC count 8,000/mmB.Platelets 150,000/mmC.Aspartate aminotransferase 10 units/LD. Erythrocyte sedimentation 75 mm/hr5.A nurse is suctioning the airway of a client who is receiving mechanical ventilation via anendotracheal tube. Which of the following findings should the nurse identify as an indication thatlOMoARcPSD|13778330

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suctioning has been effective?A.Presence of a productive coughB.Decreased peak inspiratory pressureC.Thinning of mucous secretionsD.Flattening of the artificial airway cufflOMoARcPSD|13778330

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6.A nurse is caring for a client who is in a seclusion room following violent behavior. The clientcontinues to display aggressive behavior. Which of the following actions should the nurse take?A.Stand within 30cm (1 ft) of the client when speaking with them.B.Express sympathy for theclient’ssituation.C.Confront the client about his behavior.D. Speak assertively to the client.7.A nurse is caring for a client who is immediately postoperative following an adrenalectomy to treatCushing’sdisease. Which of the following actions is thenurse’spriority?A.Reposition the client for comfort every 2 hoursB.Observe for any indications of infectionC.Document amount and color of the incisional drainage.D. Monitor theclient’sfluid and electrolyte status.8.A nurse is caring for a client who is scheduled for a surgical procedure and states,“Idon’twant tohave this surgeryanymore.”Which of the following responses should the nurse make?A.“Wecan manage your care following the procedure withoutcomplications.”B.“Youhave the right to refuse theprocedure.”C.“Yourdoctor thinks the surgery isnecessary.”D.“Letme review the procedure so you can understand what is going tohappen.”9.A nurse is evaluating a client who has borderline personality disorder. Which of the followingbehaviors indicates an improvement in theclient’scondition?A.Impulsive behaviorsB.Decreased clinging behaviorC.Liability of moodD.Dependent behavior10.A nurse is teaching a group of school-age children about healthy snack options. Which of thefollowing snacks should the nurse include?A.Air-popped popcornB.Milkshake made with whole milk.C.Baked potato chipsD.Cheesecake11.A nurse is providing teaching to a client who has a new prescription for enoxaparin. Which of thefollowing medications for pain relief should the nurse include in the teaching that can be takenconcurrently with enoxaparin?A.Naproxen sodiumlOMoARcPSD|13778330

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B.IbuprofenC.AcetaminophenD.Aspirin12.A nurse is caring for a client who has fibromyalgia and requests pain medication. Which of thefollowing medications should the nurse plan to administer?A.ColchicineB.LorazepamC. PregabalinD. Codeine13.A nurse is caring for a client who has congestive heart failure and is receiving furosemide anddigoxin. Which of the following laboratory values indicates that the client is at risk for developingdigoxin toxicity?A.Glucose 150 mg/dLB.Magnesium 1.3 mEq/LC. Potassium 3.1 mEq/LD. Sodium 134 mEq/L14.A nurse is caring for a client who had an embolic stroke and has a prescription for alteplase. Which ofthe following in the client’s history should the nurse identify as a contraindication for receivingalteplase?A.Hip arthroplasty 1 week agocorrectB.Obstructive lungs diseaseC.Retinal detachmentD.Acute kidney failure 6 months ago15.A nurse is providing discharge teaching for a client who has a new implantable cardioverterdefibrillator (ICD). Which of the following client statements demonstrates understanding of theteaching?A.“Iwill soak in the tub rather thanshowering.”B.“Ican hold my cellphone on the same side of my body as theICD.”C.“Iwill wear loose clothing over myICD.”D.“Iwill avoid using my microwave oven at home because of myICD.”16.A nurse is assessing a client who is postoperative following abdominal surgery and has an indwellingurinary catheter that is draining dark yellow urine at 25ml/hr. Which of the following interventionsshould the nurse anticipate?lOMoARcPSD|13778330

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A.Clamp the catheter tubing for 30 minB.Initiate continuous bladder irrigationC.Obtain a urine specimen for culture and sensitivityD.Administer a fluid bolus17.A nurse is caring for a client who has experienced a stillbirth. Which of the following actions shouldthe nurse take during the initial grieving process?A.Avoid talking to the client about the newbornB.Discourage the client from allowing friends to see the newbornC. Offer to take pictures of the newborn for the clientD. Assure the client that she can have additional children18.A nurse is caring for a client who has a major burn injury. Which of the following actions is thenurse’spriority to prevent wound infection?A.Use sterile dressings for wound careB.Apply topical antibiotics to theclient’swounds.C.Place the client in protective isolation.D.Maintain consistent hand washing by staff.19.A nurse is speaking with the caregiver of a client who hasAlzheimer’sdisease. The caregiver states,“Providingconstant care is very stressful and is affecting all areas of mylife.”Which of the followingactions should the nurse take?A.Discuss methods of how to communicate with the client about problem solving behaviors.B.Suggest that the caregiver seek a prescription for an antipsychotic medication for the client.C. Assist the caregiver to arrange a daycare program for the client.D. Recommend allowing the client to have time alone in their room throughout the day.20.A nurse is caring for a client who is 1 hr postpartum and unable to urinate. Which of the followingactions should the nurse take?A.Administer a benzodiazepineB.Perform a fundal massageC.Place an ice pack on theclient’sperineumD. Place theclient’shand in warm water21.A nurse on a medical-surgical unit is performing medication reconciliation for a newly admittedclient. Which of the following actions should the nurse take?A.Compare a list of common medications to treat a condition to the actual prescriptionsB.Compare the prescription to the allergy history of the clientlOMoARcPSD|13778330

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C.Compare the medication label to theprovider’sprescription on three occasions beforeadministrationD.Compare theclient’slist of home medications to the admission prescriptions written for theclient.22.A nurse is preparing to administer betamethasone to a client who is 25 weeks of gestation and haspreterm labor. Which of the following findings should the nurse identify as an adverse effect of thismedication?A.HyperglycemiaB.Uterine contractionsC.ProteinuriaD.Hypotension23.A nurse is preparing to obtain a blood sample from a client who has a central venous catheter. Whichof the following actions should the nurse take? (SATA)A.Apply a tourniquet above the catheter insertion site.B.Access the catheter using a large bore needle.C.Aspirate for blood return to access catheter patency.D.Flush the catheter with 0.9% sodium chloride.E.Apply force when resistance is met while flushing the catheter.24.A nurse is preparing to perform a dressing change on a preschooler. Which of the following actionsshould the nurse take to prepare the child for the procedure?A.Explain in simple terms how the procedure will affect the child.B.Ask the parents to wait outside the room during the procedure.C.Limit teaching sessions about the procedure to 20 min.D.Instruct the child in deep-breathing methods prior to the procedure.25.A nurse is performing wound care for a client who has an abdominal incision. Which of the followingtechniques should the nurse implement?A.Irrigate the wound using a 10-mL syringe.B.Cleanse the wound starting at the bottom and moving upward.C.Cleanse the insertion site of the drain using a circular motion towards the center.D. Irrigate the wound with a low-pressure flow of solution.26.A nurse on an antepartum unit is prioritizing care for multiple clients. Which of the following clientsshould the nurse see first?A.A client who is at 36 weeks of gestation and has a biophysical profile score of 8.B. A client who has preeclampsia and reports a persistent headache.lOMoARcPSD|13778330

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C.A client who has pregestational diabetes mellitus and an HbA1c of 6.2%.D.A client who is at 28 weeks of gestation and reports leukorrhea.27.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.Theclient’sparent 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.28.A nurse is caring for a client who has major depressive disorder. The client tells the nurse,“Noonecares about me.I’mcompletelyalone.”Which of the following responses should the nurse make?A.“Youshould join a community supportgroup.”B.“Whatmakes you thinkthat?”C.“Don’tworry. You should be feeling better in a coupleweeks.”D.“Canyou give me an example of how others are making you feel thisway?”29.A nurse is caring for a client who has sustained a severe head trauma and has significant bleedingfrom 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.30.A nurse is reviewing the rhythm strip of a client who is experiencing sinus arrhythmia. Which of thefollowing findings should the nurse expect?A.Inconsistent P wave formation.B.Ventricular and atrial rates 120/minC.P-R intervals of 0.30 secondsD.P to QRS ratio 1:1 page 720 Med surg book31.A nurse is admitting a client who has dementia to a long-term care facility. The client tells the nursethat she lived in this facility years ago and took care of all the residents by herself. The nurse shoulddocument this as which of the following findings?A.ConfabulationB.AgnosiaC.ProjectionD.PerseverationlOMoARcPSD|13778330

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32.A nurse is reviewing home recommendations with a client who is postoperative following kneesurgery. 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.33.A nurse is caring for a client who is postoperative following total hip arthroplasty. Which of thefollowing actions should the nurse take to prevent dislocation of the prosthesis?A.Raise the head of theclient’sbed to a high-fowler’sposition.B.Elevate theclient’seffected leg on a pillow when in bed.C.Position theclient’sknees slightly higher than the hips when up in a chair.D. Keep an abduction pillow between theclient’slegs.34.A nurse in a pediatric clinic is teaching a newly hired nurse about the varicella zoster virus. Which ofthe 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.35.A nurse is caring for a client who is experiencing a panic attack. Which of the following actionsshould the nurse take?A.Teach the client how to meditateB.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.36.A nurse is teaching a newly licensed nurse about ergonomic principles. Which of the followingactions 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 theclient’supper 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 theclient’shead of the bed before pulling the client up.37.A nurse is teaching a client about condom use. Which of the following client statements should thenurse identify as an understanding of the teaching?lOMoARcPSD|13778330

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A.“Ican use petroleum jelly as a lubricant with thecondom.”B.“Ican re-use the condom one time after initialuse.”C.“Ican use natural-skin condoms to prevent sexually transmittedinfections.”D.“Ican store the condoms in the drawer of my night-stand.”38.A nurse is planning care for a client who has a chest tube. Which of the following interventionsshould the nurse include in the plan? (SATA)A.Maintain the collection chamber above the level of theclient’swaist.B. Mark the drainage output on the collection chamber hourly.C. Clamp the chest tube every 2 hours to assess the amount of drainage.D. Add water to the water seal chamber as it evaporates.E.Strip the chest tube vigorously to dislodge blood clots.39.The nurse is reviewing a medical record of a client who has a prescription for intermittent heattherapy for a foot injury. Which of the following findings should the nurse identify as acontraindication to heat therapy?A.OsteoarthritisB.Peripheral neuropathyC.Abdominal aortic aneurysmD.Phlebitis40.A charge nurse is recommending postpartum clients for discharge following a local disaster. Which ofthe followingclient’sshould the nurse recommend for discharge first?A.A 15-year-old client who delivered via emergency cesarean birth 1 day agoB.A 42-year-old client who has preeclampsia and a BP of 166/110 mm HgC.A client who delivered precipitously and has a second-degree perineal lacerationD.A client who has received 2 units of RBCs 6 hr ago for a postpartum hemorrhage41.A nurse is providing teaching about crutch safety to a client. Which of the following client actionsindicates an understanding of the teaching?A.The client flexes her elbows 10 degrees when supporting weight by using the handgrips.ATIpage 222 Fundy. IT HAS TO BE 30 DEGREEB.The client places the crutches 30 cm (12 in) to the front and side of each foot while standingC.The client leans on both crutches to support body weight.D. The client keeps her axillae free of pressure.42.A nurse is preparing the body of a client who has died for the family to view. Which of the followingactions should the nurse take?A.Place a pillow under theclient’shead.lOMoARcPSD|13778330

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B.Remove theclient’sdentures.C.Remove theclient’sidentification tags.D.Place theclient’sarms across their chest.43.A nurse is reviewing annual education requirements for fire safety. Identify the sequence that thenurse 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.44.A nurse is reviewing legal issues in health care with a group of newly licensed nurses. Which of thefollowing 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 theclients’medical records.C.Obtain personal professional liability insurance coverage.D.Overestimate theclients’acuity to prevent short staffing.45.A nurse is caring for a client who speaks a language different than the nurse. Which of the followingactions 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.46.A nurse in the emergency department is caring for a client following a motor-vehicle crash. Which ofthe following findings should the nurse identify as a manifestation of hypovolemic shock?A.Decreased respiratory rateB.Change in level of consciousnessC.Increased urine outputD.Hyperactive deep-tendon reflexes47.A nurse is caring for a client following application of a cast. Which of the following actions should thenurse 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.lOMoARcPSD|13778330

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48.A nurse is performing a gait assessment on a client to evaluate theclient’sability 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. Theclient’sheels touch the ground before their toes.D. Theclient’sdominant foot bears more weight.49.A nurse on a mental health unit is caring for a client who has suicidal ideation. Which of thefollowing 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.50.A nurse is providing teaching about nutrition therapy to a client who is experiencing anorexia due tochemotherapy treatment. Which of the following statements should the nurse make?A.“Snackfrequently on freshfruit.”B.“Addwater to soups to increasevolume.”C.“Avoidadding butter tofoods.”D.“Addgrated cheese to vegetabledishes.”51.A nurse is providing teaching to a client who has a new diagnosis of type 1 diabetes mellitus aboutadministering NPH and regular insulin together in one injection. Which of the following instructionsshould 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.52.A nurse is caring for a client who has a calcium level of 8 mg/dL. Which of the following actionsshould 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.lOMoARcPSD|13778330
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