2019 ATI RN Comprehensive Exam with Answers (132 Solved Questions)

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ATI RN Comprehensive Predictor 2019 Form BIndependent Study-Nursing (Nassau Community College)ATI RN Comprehensive Predictor 2019 Form BIndependent Study-Nursing (Nassau Community College)lOMoARcPSD|13445102

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RN Comprehensive Predictor 2019 Form B1. A nurse is assessing a newborn who has a blood glucose level of 30 mg/dl. Which of the followingmanifestations should the nurse expect?A.Loose stoolsB. JitterinessC. HypertoniaD. Abdominal distention2. A nurse is assessing a client who is immediately post-operative following total hip arthroplasty, whichof the following considerations should the nurse take when positioning the client?A.Place the client’s heels directly against the bed mattressB.Ensure that the client’s hips remain in an abducted position.C.Maintain the client in a supine position for the first 24 hr. after surgery.D.Flex the client’s hip up to 120° when sitting in a chair.3. A nurse is assessing a client who is immediately postoperative following a subtotal thyroidectomy. Which ofthe following should the nurse expect to administer?A.Calcium gluconate.B.Sodium bicarbonate.C.Potassium chloride.D.Sodium phosphate.4. A nurse is caring for an adult client who has prescriptions for multiple medications. Which of the following(Unable to read) as an age-related change that increases the risk for adverse effects from this medication?A.Rapid gastric emptying.B.Prolonged medication half-life.C.Increased medication elimination.D.Decreased medication sensitivity.

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5. A nurse manager is planning to promote client advocacy among staff in a medical unit. Which of thefollowing actions should the nurse take?A.Encourage staff to implement the principle of paternalism when a client is having difficulty making a choice.B.Tell staff explain procedures to clients before obtaining informed consent.C.Instruct unit staff to share personal experiences to help clients make decisions.D.Develop a system for staff members to report safety concerns in the client care environment.6. A nurse is preparing an in-service for a group of nurses about malpractice issues in nursing. Which of thefollowing examples should the nurse include in the teaching?A.Leaving a nasogastric tube clamped after administering oral medicationB.Documenting communication with a provider in the progress notes of the client’s medical recordC.Administering potassium via IV bolusD.Placing a yellow bracelet on a client who is at risk for falls7. A nurse is providing teaching about the gastrostomy tube feedings to the parents of a school age child. Whichof 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.8. A nurse is administering digoxin 0.125 mg Po to an adult client. For which of the following findings shouldthe 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.9.A nurse is providing discharge teaching to a client who has a new prescription for phenelzine. The nurse should instruct theclient that it is safe to eat which of the following foods while taking this medication?A. Whole grain breadB. AvocadosC. Smoked salmonD. Pepperoni pizzalOMoARcPSD|13445102

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10.A nurse is caring for an adolescent who has sickle-cell anemia. Which of the followingmanifestations 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.11.A nurse manager is updating protocols for the use of belt restraints. Which of the following guidelines shouldthe nurse include?A.Attach the restraint to the bed’s side rails.B.Attach a PRN restraint prescription for clients who are aggressiveC.Document the client’s condition every 15 minD.Remove the client’s restraints every 4 hr12. A nurse is preforming a gastric lavage for a client who has upper gastrointestinal bleeding. Which ofthe following action should the nurse take?A.Instill 500 ml of solution through the NGtube. B. Insert a large-bore NG tube.C. Use a cold irrigation solution.D. Instruct the client to lie on his right side.lOMoARcPSD|13445102

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13. 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?B.Psychologist.C.Social worker.D.Occupational therapist.E.Speech-language pathologist.14.A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis. Which of the followingfindings 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/hr15. A nurse is caring for a client who has generalized petechiae and ecchymoses. The nurse should expecta prescription for which of the following laboratory tests?A. Platelet count.B. Potassium level.C. Creatine clearance.D. Prealbumin.16.A charge nurse on a medical-surgical unit is assisting with the emergency response plan following anexternal disaster in the community. In anticipation of multiple client admissions, which of thefollowing current clients should the nurse recommend for early discharge?A. A client who has COPD and a respiratory rate of 44/minB. A client who has cancer with a sealed implant for radiation therapy.C. A client who is receiving heparin for deep-vein thrombosisD. A client who is 1 day postoperative following a vertebroplastylOMoARcPSD|13445102

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17. A nurse is caring for a client who is comatose and has advance directives that indicate the client does notwant life-sustaining measures. The client’s family want the client to have life-sustaining measures. Which of thefollowing 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.18. A nurse is caring for a client who wears glasses. Which of the following actions should the nursetake? 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.19. A nurse is teaching a group of newly licensed nurses about measures to take when caring for a client who ison 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 negativepressure. C. Wear gloves when providing care tothe client.D. Wear a mask when changing the linens in the client’s room.20.A nurse is planning on care for a client who is recovering from an acute myocardial infarction that occurred3 days ago. Which of the following instructions should the nurse include?A. Perform an ECG every 12 hr.B. Place the client in a supine position while resting.C. Draw a troponin level every 4hr.D. Obtain a cardiac rehabilitation consultation.lOMoARcPSD|13445102

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21. The nurse is reviewing the medical record of a client who is requesting combination oralcontraceptives. Which of the following conditions in the client’s history is a contradiction to the use of oralcontraceptives?A. Hyperthyroidism.B. Thrombophlebitis.C. Diverticulosis.D. Hypocalcemia.22. A nurse is caring for a client who request the creation of a living will. Which of the following actionsshould the nurse take?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.23.A nurse is providing teaching to a client who is at 14 weeks of gestation about findings to report tothe provider. Which of the following findigns should the nurse include in the teaching?A. Bleeding gumsB. Faintness upon risingC. Swelling of the faceD. Urinary frequency24. A nurse is caring for a client following application of a cast. Which of the following actions should thenurse take first?A. Place an ice pack over the cast.B. Palpate the pulse distal to the cast.C. Teach the client to keep the cast clean and dry.D. Position the casted extremity on a pillow.lOMoARcPSD|13445102

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25. A nurse is caring for a client who has vision loss. Which of the following actions should the nursetake? (Select all that apply)A. Keep objects in the client’s room in the same place.B. Ensure there is high-wattage lighting in the client’s room.C. Approach the client from the side.D. Allow extra time for the client to perform tasks.E. Touch the client gently to announce presence.26. A nurse is caring for a client who is newly diagnosed with pancreatic cancer and has questions aboutthe disease. To research the nurse should identify that which of the following electronic database has themost comprehensive collection of nursing (Unable to read) articles?A. MEDLINEB. CINAHL.C. ProQuest.D. Health Source.27. A nurse in an emergency department is assessing newly admitted client who is experiencing droolingand 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.28. A nurse is planning care for a client who has unilateral paralysis and dysphagia following aright 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.lOMoARcPSD|13445102

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29. A nurse is caring for a client who is in a seclusion room following violent behavior. The client continues todisplay 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.30. A nurse is caring for a client who is receiving brachytherapy for treatment of prostate cancer. Which of thefollowing 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.31.A nurse is developing a plan of care for a client who has schizophrenia and is experiencing auditoryhallucinations. Which of the following actions should the nurse include in the plan?A. Ask the client directly what he is hearingB. Encourage the client to lie down in a quiet roomC. Avoid eye contact with the clientD. Refer to the hallucinations as if they are real32. A nurse is caring for a client who is in labor and requires augmentation of labor. Which of the followingconditions should the nurse recognize as a contraindication to the use of oxytocin.A. Diabetes mellitus.B. Shoulder presentation.C. Postterm with oligohydramnios. (I think Maternal Newborn Chapter 15 page 100)D. Chorioamnionitis.lOMoARcPSD|13445102

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