2022-2023 ATI RN Comp Comprehensive, Predictor Exam With Answers (173 Solved Questions)

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NEW 2023ATI RNCOMPREHENSIVEPREDICTORRETAKE WITH NGNComprehensivepredictorretakewith ngnAnurseiscaringforaclientwhohasatensionpneumothorax.Whichofthefollowingmanifestationsshould thenurseexpect?A.ParadoxicalchestmovementB.BilateralcracklesC.AsymmetryofthechestD.Blood-tingedsputumAnurseiscaringforaclientwhoisat11weeksofgestation.Whichofthefollowingimmunizationsshouldthenurserecommend?A.HumanpapillomavirusB.InfluenzaC.Measles,mumpsandrubellaD.VaricellaAnurseinapediatricclinicisreviewingthelaboratorytestresultsofaschool-agechild.Whichofthefollowingfindingsshould thenursereporttotheprovider?A.Hct40%B.Hgb12.5g/dLC.Platelets250,000/mmD.WBC14,000/mmAnurseisassessingaclientwhoisreceivingpackedRBCs.Whichofthefollowingindicatesfluidoverload?A.Low-backpainB.ThreadypulseC.HypotensionD.Dyspnea

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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.HypotensionAnurseisassessingaclientwhohasreceivedanantibiotic.Thenurseshouldidentifywhichofthefollowingfindings asanindicationofapossibleallergicreactiontothemedication?A.BradycardiaB.HeadacheC.JointpainD.HypotensionAnurseonamentalhealthunitiscaringforaclientwhohasschizophreniaandisexperiencingauditory 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.CardiacdysrhythmiasAnurseisreviewingthelaboratoryresultsofaclientwhohasrheumatoidarthritis.Whichofthefollowingfindingsshouldthenursereportto theprovider?

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A.WBCcount8,000/mmB.Platelets150,000/mmC.Aspartate aminotransferase 10 units/LD. Erythrocytesedimentation75mm/hr

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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.

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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.PtoQRSratio1:1page720Medsurgbook

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Anurseisadmittingaclientwhohasdementiatoalong-termcarefacility.Theclienttellsthenursethat

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shelivedinthisfacilityyearsagoandtookcareofalltheresidentsbyherself.Thenurseshoulddocumentthisaswhichofthe followingfindings?A.ConfabulationB.AgnosiaC.ProjectionD.Perseveration

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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.

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Anurseisadministeringamedicationtoaclient.Theclientreportsthemedicationappearsdifferentthenwhattheytakeathome.Whichofthefollowingresponsesshouldthenursemake?A.“Irecommendthatyoutakethismedicationasprescribed.”B.“Iwillcallthepharmacistnowtocheckonthismedication.”C.“Didthedoctordiscusswithyouthattherewasachangeinthismedication?”D.“Doyouknowwhythismedicationisbeingprescribedforyou?”Anurseisadmittinganadolescentwhohasrubella.Whichofthefollowingactionsshouldthenursetake?A.Isolatetheclientfromstaffwhoarepregnant.B.Administeraspirintotheclient.C.Initiateairborneprecautions.D.MonitorforthedevelopmentofKoplikspots.PICTUREOFGUYSFACEANSWER:(C,UNDEREYE)

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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.BradycardiaAnurseiscaringforaclientwhoisexperiencingcerebraledema.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.

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B.Changethefeedingbagandtubingevery3days.C.Warmtheformulainthemicrowavepriortoadministration

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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.PICTURESECONDBABY(B)Anurseinapediatricclinicisassessinga6-montholdinfant.Whichofthefollowingfindingsshouldthenurseidentifyasapossibleindicationofneglect?A.Inabilitytositwithoutsupport.B.Acapillaryhemangiomaonthebuttocks.

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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.Flatteningoftheartificialairwaycuff

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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.DependentbehaviorAnurseisteachingagroupofschool-agechildrenabouthealthysnackoptions.Whichofthefollowingsnacksshould thenurseinclude?A.Air-poppedpopcornB.Milkshakemadewithwholemilk.C.Bakedpotatochips

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D.CheesecakeAnurseisprovidingteachingtoaclientwhohasanewprescriptionforenoxaparin.Whichofthefollowing medications for pain relief should the nurse include in the teaching that can be takenconcurrentlywithenoxaparin?A.NaproxensodiumB.IbuprofenC.AcetaminophenD.AspirinAnurseiscaringforaclientwhohasfibromyalgiaandrequestspainmedication.Whichofthefollowingmedications shouldthenurseplanto administer?A.ColchicineB.LorazepamC.PregabalinD.CodeineA 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/LAnurseiscaringforaclientwhohadanembolicstrokeandhasaprescriptionforalteplase.Whichofthefollowingintheclient’shistoryshouldthenurseidentifyasacontraindicationforreceivingalteplase?A.Hiparthroplasty1weekagocorrectB.Obstructivelungsdisease
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