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2022-2023 ATI RN Comp Comprehensive, Predictor Exam With Answers (173 Solved Questions)
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NEW 2023ATI RNCOMPREHENSIVEPREDICTORRETAKE WITH NGNComprehensivepredictorretakewith ngn•Anurseiscaringforaclientwhohasatensionpneumothorax.Whichofthefollowingmanifestationsshould thenurseexpect?A.ParadoxicalchestmovementB.BilateralcracklesC.AsymmetryofthechestD.Blood-tingedsputum•Anurseiscaringforaclientwhoisat11weeksofgestation.Whichofthefollowingimmunizationsshouldthenurserecommend?A.HumanpapillomavirusB.InfluenzaC.Measles,mumpsandrubellaD.Varicella•Anurseinapediatricclinicisreviewingthelaboratorytestresultsofaschool-agechild.Whichofthefollowingfindingsshould thenursereporttotheprovider?A.Hct40%B.Hgb12.5g/dLC.Platelets250,000/mmD.WBC14,000/mm•AnurseisassessingaclientwhoisreceivingpackedRBCs.Whichofthefollowingindicatesfluidoverload?A.Low-backpainB.ThreadypulseC.HypotensionD.DyspneaPage 2

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•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.UterinecontractionsC.ProteinuriaD.Hypotension•Anurseisassessingaclientwhohasreceivedanantibiotic.Thenurseshouldidentifywhichofthefollowingfindings asanindicationofapossibleallergicreactiontothemedication?A.BradycardiaB.HeadacheC.JointpainD.Hypotension•Anurseonamentalhealthunitiscaringforaclientwhohasschizophreniaandisexperiencingauditory hallucinations telling them to hurt others. The client is refusing totake anti-psychoticmedication.Whichofthefollowingresponsesshould the nursemake?A.“Youshouldplantotakethismedicationforafewweeks.”B.“Youwillregretitifyoudonottakethismedication.”C.“Thismedicationwillhelpyourespondtothevoices.D.“Thismedicationwillhelpyoustopthevoicesyouarehearing.”•Anurseisprovidingcareforapatientwhohasdepressionandistohaveelectroconvulsivetherapy.Which of the following conditions should the nurse identify as increasing the client’s risk forcomplications?A.HyperthyroidismB.RenalcalculiC.DiabetesmellitusD.Cardiacdysrhythmias•Anurseisreviewingthelaboratoryresultsofaclientwhohasrheumatoidarthritis.Whichofthefollowingfindingsshouldthenursereportto theprovider?Page 4
A.WBCcount8,000/mmB.Platelets150,000/mmC.Aspartate aminotransferase 10 units/LD. Erythrocytesedimentation75mm/hrPage 5
A.Applyatourniquetabovethecatheterinsertionsite.C.Aspirateforbloodreturntoaccesscatheterpatency.D.Flushthecatheterwith0.9%sodiumchloride.•Anurseispreparingtoobtainabloodsamplefromaclientwhohasacentralvenouscatheter.Whichofthefollowingactionsshould thenursetake?(SATA)B.Accessthecatheterusingalargeboreneedle.E.Applyforcewhenresistanceismetwhileflushingthecatheter.•Anurseispreparingtoperformadressingchangeonapreschooler.Whichofthefollowingactionsshouldthenursetake topreparethechildforthe procedure?A.Explaininsimpletermshowtheprocedurewillaffectthechild.B.Asktheparentstowaitoutsidetheroomduringtheprocedure.C.Limitteachingsessionsabouttheprocedureto20min.D.Instructthechildindeep-breathingmethodspriortotheprocedure.•Anurseisperformingwoundcareforaclientwhohasanabdominalincision.Whichofthefollowingtechniquesshouldthenurseimplement?A.Irrigatethewoundusinga10-mLsyringe.B.Cleansethewoundstartingatthebottomandmovingupward.C.Cleansetheinsertionsiteofthedrainusingacircularmotiontowardsthecenter.D.Irrigatethewoundwithalow-pressureflowofsolution.•Anurseonanantepartumunitisprioritizingcareformultipleclients.Whichofthefollowingclientsshouldthenursesee first?A.Aclientwhoisat36weeksofgestationandhasabiophysicalprofilescoreof8.B.Aclientwho haspreeclampsiaandreportsapersistentheadache.Page 6
C.AclientwhohaspregestationaldiabetesmellitusandanHbA1cof6.2%.D.Aclientwhoisat28weeksofgestationandreportsleukorrhea.•Anurseiscaringforaclientwhoisrecoveringfromanamputationofherrightarmabovetheelbow.Whichofthe followinginformationshouldthenursereporttheoccupationaltherapist?A. The client’s parent is in a skilled nursing facility.B. The client has twosmallchildrenat home.C.Theclientisallergictopenicillin.D.Theclientlivesinatwo-storyhome.•Anurseiscaringforaclientwhohasmajordepressivedisorder.Theclienttellsthenurse,“Noonecaresaboutme.I’mcompletelyalone.”Whichofthefollowingresponsesshouldthenursemake?A.“Youshouldjoinacommunitysupportgroup.”B.“Whatmakesyouthinkthat?”C.“Don’tworry.Youshouldbefeelingbetterinacoupleweeks.”D.“Canyougivemeanexampleofhowothersaremakingyoufeelthisway?”•Anurseiscaringforaclientwhohassustainedasevereheadtraumaandhassignificantbleedingfromthe nose.Whichofthefollowing actionsshouldthenursetakefirst?A.PrepareforaCTscan.B.InsertaperipheralIVline.C.Establishapatentairway.D.Applydirectpressuretothenose.•Anurseisreviewingtherhythmstripofaclientwhoisexperiencingsinusarrhythmia.Whichofthefollowingfindingsshouldthenurseexpect?A.InconsistentPwaveformation.B.Ventricularandatrialrates120/minC.P-Rintervalsof0.30secondsD.PtoQRSratio1:1page720MedsurgbookPage 7
•Anurseisadmittingaclientwhohasdementiatoalong-termcarefacility.TheclienttellsthenursethatPage 8
shelivedinthisfacilityyearsagoandtookcareofalltheresidentsbyherself.Thenurseshoulddocumentthisaswhichofthe followingfindings?A.ConfabulationB.AgnosiaC.ProjectionD.PerseverationPage 9
•Anurseisreviewinghomerecommendationswithaclientwhoispostoperativefollowingkneesurgery.Whichofthefollowing recommendationsshouldthenursemake?A.Placeahandrailintheentrywayofthehouse.B.Placeatowelontheflooroutsideoftheshower.C.Ensurethatallarearugsarerubber-backed.D.Wearslipperswithclothsoles.•AnurseiscaringforanadultclientwhoasksaboutriskfactorsforAlzheimer’sdisease.Whichofthefollowingresponses shouldthenursetake?A.“TherearenoknowngeneticmutationsthatcauseAlzheimer’sdisease.”B.“AdietlowincarbohydratesincreasestheriskforAlzheimer’sdisease.”C.“AsthmahasbeenidentifiedasariskfactorforAlzheimer’sdisease.”D.“RepeatedconcussionsincreasetheriskforAlzheimer’sdisease.”•A community health nurse is developing a plan to improve the community’s environmentalhealth.Whichofthefollowingactionsshouldthenursetakefirst?A.Collectinformationaboutthecommunity’s environmentalstatus.B.Requestfundingfromcommunityorganizations.C.Establishatimeframeforenvironmentalimprovements.D.Encouragecommunityinvolvementintheenvironmentalimprovement.Page 10
•Anurseisadministeringamedicationtoaclient.Theclientreportsthemedicationappearsdifferentthenwhattheytakeathome.Whichofthefollowingresponsesshouldthenursemake?A.“Irecommendthatyoutakethismedicationasprescribed.”B.“Iwillcallthepharmacistnowtocheckonthismedication.”C.“Didthedoctordiscusswithyouthattherewasachangeinthismedication?”D.“Doyouknowwhythismedicationisbeingprescribedforyou?”•Anurseisadmittinganadolescentwhohasrubella.Whichofthefollowingactionsshouldthenursetake?A.Isolatetheclientfromstaffwhoarepregnant.B.Administeraspirintotheclient.C.Initiateairborneprecautions.D.MonitorforthedevelopmentofKoplikspots.•PICTUREOFGUYSFACE–ANSWER:(C,UNDEREYE)Page 11
•Anurseisteachingtheparentsofaschool-agechildwhoisnewlydiagnosedwithjuvenileidiopathicarthritis.Whichofthefollowinginterventionsshouldthenurseincludeintheteaching?A.Havethechildtakeatubbatheachmorning.B.Applysplintstothechild’sextremitiesduringtheday.C.Encouragethechildtotakenapsduringtheday.D.Keepthechildonbedrestaslongaspainpersists.•Anurseiscaringforaclientwhois1hrpostoperativefollowingathoracentesis.Whichofthefollowingalterations in the client’s condition should the nurse identify as an indication of the development of apneumothorax?A.PallorB.TrachealdeviationC.SlowrespirationsD.Bradycardia•Anurseiscaringforaclientwhoisexperiencingcerebraledema.Whichofthefollowingactionsshouldthenursetake?A.AdministercorticosteroidsB.Performmultiplenursingactivitiesatonetime.C.Placetheclientinaproneposition.D.AssesstheclientforapositiveTrousseausign.•Anurseiscaringforaschool-agechildwhohassickle-cellanemiaandisexperiencingavaso-occlusivecrisis.Whichofthefollowingactionsshouldthenursetake?A.Placethechildonbedrest.B.Decrease the child’s oral fluid intake.C. Administer meperidinetothechild.D.Applycoldcompressestothechild’sjoints.•Anurseisprovidingteachingabouttheadministrationofgastronomytubefeedingstotheparentsofaschool-agechild.Whichofthefollowing instructionsshould thenurseinclude?A.Administerthefeedingover30min.Page 12
B.Changethefeedingbagandtubingevery3days.C.WarmtheformulainthemicrowavepriortoadministrationPage 13
D.Placethechildinasupinepositionafterthefeeding.•Anurseiscaringforaclientwhohasafractureofthelefthipandisinskeletaltraction.Whichofthefollowingactionsshouldthenursetake?A.Increasetheamountofweightiftheclientexperiencesmusclespasms.B.Removethetractionweightswhenbathingtheclient.C.Ensure there is no space between the traction weights and the bed.D. Provide atrapezefortheclientto aidmovementinbed.•AnurseisplanningteachingforaclientwhohasanewdiagnosisofHIV.Whichofthefollowinginformationshouldthenurseincludeaboutpreventingthespreadofinfection?A.Usecondomswithpetroleum-basedlubricant.B.Buydisposabledishesfordailyuse.C.Cleanblood-contaminatedsurfaceswithbleach.D.Washsoiledclothesincoldwater.•Achargenurseisteachinganewlylicensednurseaboutmedicationadministration.Whichofthefollowinginformationshouldthechargenurseinclude?A.Avoidpreparingmedicationsformorethantwoclientsatonetime.B.Informclientsabouttheactionofthemedicationofthemedicationpriortoadministration.C.Readmedicationlabelsatleasttwotimespriortoadministration.D.Completeanincidentreportifaclientvomitsaftertakingamedication.•PICTURE–SECONDBABY(B)•Anurseinapediatricclinicisassessinga6-montholdinfant.Whichofthefollowingfindingsshouldthenurseidentifyasapossibleindicationofneglect?A.Inabilitytositwithoutsupport.B.Acapillaryhemangiomaonthebuttocks.Page 14
C.Currentweighttwicetheinfantsbirthweight.D.Lackofsocialsmile.•A nurse is suctioning the airway of a client who is receiving mechanical ventilation via anendotrachealtube.Whichofthefollowingfindingsshouldthenurseidentifyasanindicationthatsuctioninghasbeeneffective?A.PresenceofaproductivecoughB.DecreasedpeakinspiratorypressureC.ThinningofmucoussecretionsD.FlatteningoftheartificialairwaycuffPage 15
•A nurse is caring for a client who is in a seclusion room following violent behavior. The clientcontinuestodisplayaggressivebehavior.Whichofthefollowingactionsshouldthenursetake?A.Standwithin30cm(1ft)oftheclientwhenspeakingwiththem.B.Expresssympathyfortheclient’ssituation.C.Confront the client abouthisbehavior.D.Speakassertivelytotheclient.•AnurseiscaringforaclientwhoisimmediatelypostoperativefollowinganadrenalectomytotreatCushing’sdisease.Whichofthefollowingactionsisthenurse’spriority?A.Repositiontheclientforcomfortevery2hoursB.ObserveforanyindicationsofinfectionC.Documentamountandcoloroftheincisionaldrainage.D.Monitortheclient’sfluidandelectrolytestatus.•Anurseiscaringforaclientwhoisscheduledforasurgicalprocedureandstates,“Idon’twanttohavethissurgeryanymore.”Whichofthefollowingresponsesshouldthenursemake?A.“Wecanmanageyourcarefollowingtheprocedurewithoutcomplications.”B.“Youhavetherighttorefusetheprocedure.”C.“Yourdoctorthinksthesurgeryisnecessary.”D.“Letmereviewtheproceduresoyoucanunderstandwhatisgoingtohappen.”•Anurseisevaluatingaclientwhohasborderlinepersonalitydisorder.Whichofthefollowingbehaviorsindicatesanimprovementinthe client’scondition?A.ImpulsivebehaviorsB.DecreasedclingingbehaviorC.LiabilityofmoodD.Dependentbehavior•Anurseisteachingagroupofschool-agechildrenabouthealthysnackoptions.Whichofthefollowingsnacksshould thenurseinclude?A.Air-poppedpopcornB.Milkshakemadewithwholemilk.C.BakedpotatochipsPage 16
D.Cheesecake•Anurseisprovidingteachingtoaclientwhohasanewprescriptionforenoxaparin.Whichofthefollowing medications for pain relief should the nurse include in the teaching that can be takenconcurrentlywithenoxaparin?A.NaproxensodiumB.IbuprofenC.AcetaminophenD.Aspirin•Anurseiscaringforaclientwhohasfibromyalgiaandrequestspainmedication.Whichofthefollowingmedications shouldthenurseplanto administer?A.ColchicineB.LorazepamC.PregabalinD.Codeine•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 developingdigoxintoxicity?A.Glucose150mg/dLB.Magnesium1.3mEq/LC.Potassium3.1mEq/LD.Sodium134mEq/L•Anurseiscaringforaclientwhohadanembolicstrokeandhasaprescriptionforalteplase.Whichofthefollowingintheclient’shistoryshouldthenurseidentifyasacontraindicationforreceivingalteplase?A.Hiparthroplasty1weekagocorrectB.Obstructivelungsdisease
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