Past Exams
2023-2024 ATI RN Clinical Analysis Comprehensive Predictor Exam With Answers (173 Solved Questions)
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- 94 pages
- Shared May 2025
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ATIRNCOMPREHENSIVEPREDICTORRETAKEQ&AsLATESTRETAKEEXAMGUARANTEEDSUCCESS2023/2024HIGHLYRATEDA+SCORE(NGN)ComprehensivepredictorretakeAnurseisassessingapatientwhohasreceivedanantibiotic.Thenurseshouldidentifywhichofthefollowingfindingsasanindicationofapossibleallergicreactiontothemedication?•Bradycardia•Headache•Jointpain•HypotensionAnurseonamentalhealthunitiscaringforapatientwhohasschizophreniaandisexperiencingauditoryhallucinations telling them to hurt others. The patientis refusing to take anti-psychoticmedication.Whichofthefollowingresponsesshould thenursemake?•“Youshouldplantotakethismedicationforafewweeks.”Page 2
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•“Youwillregretitifyoudonottakethismedication.”•“Thismedicationwillhelpyourespondtothevoices.•“Thismedicationwillhelpyoustopthevoicesyouarehearing.”Anurseisprovidingcareforapatientwhohasdepressionandistohaveelectroconvulsivetherapy.Which of thefollowing conditions should the nurse identify asincreasing the patient’s risk forcomplications?•Hyperthyroidism•Renalcalculi•Diabetesmellitus•CardiacdysrhythmiasAnurseisreviewingthelaboratoryresultsofapatientwhohasrheumatoidarthritis.Whichofthefollowingfindingsshould thenursereporttotheprovider?•WBCcount8,000/mm•Platelets150,000/mmPage 4
•Aspartate aminotransferase 10units/L•D. Erythrocytesedimentation75mm/hrAnurseiscaringforapatientwhohasatensionpneumothorax.Whichofthefollowingmanifestationsshould thenurseexpect?•Paradoxicalchestmovement•Bilateralcrackles•Asymmetryofthechest•Blood-tingedsputumAnurseiscaringforapatientwhoisat11weeksofgestation.Whichofthefollowingimmunizationsshouldthenurserecommend?A.HumanpapillomavirusB.Influenza•Measles,mumpsandrubella•VaricellaPage 5
Anurseinapediatricclinicisreviewingthelaboratorytestresultsofaschool-agechild.Whichofthefollowingfindingsshould thenursereporttotheprovider?•Hct40%•Hgb12.5g/dL•Platelets250,000/mm•D.WBC14,000/mmAnurseisassessingapatientwhoisreceivingpackedRBCs.Whichofthefollowingindicatesfluidoverload?•Low-backpain•Threadypulse•Hypotension•D.DyspneaA nurse is preparing to administer betamethasone to a patientwho is 25 weeks of gestation and haspreterm labor. Which ofthe following findings should the nurse identify as an adverseeffect of thismedication?Page 6
•Hyperglycemia•Uterinecontractions•Proteinuria•HypotensionAnurseispreparingtoperformadressingchangeonapreschooler.Whichofthefollowingactionsshould thenursetaketopreparethechildfortheprocedure?•Explaininsimpletermshowtheprocedurewillaffectthechild.•Asktheparentstowaitoutsidetheroomduringtheprocedure.•Limitteachingsessionsabouttheprocedureto20min.•Instructthechildindeep-breathingmethodspriortotheprocedure.Anurseisperformingwoundcareforapatientwhohasanabdominalincision.Whichofthefollowingtechniquesshouldthenurseimplement?•Irrigatethewoundusinga10-mLsyringe.•Cleansethewoundstartingatthebottomandmovingupward.Page 7
•Cleansetheinsertionsiteofthedrainusingacircularmotiontowardsthecenter.•D.Irrigatethewoundwithalow-pressureflowofsolution.Anurseonanantepartumunitisprioritizingcareformultiplepatients.Whichofthefollowingpatientsshouldthenurseseefirst?A.Apatientwhoisat36weeksofgestationandhasabiophysicalprofilescoreof8.B.Apatientwhohaspreeclampsiaandreportsapersistentheadache.•ApatientwhohaspregestationaldiabetesmellitusandanHbA1cof6.2%.•Apatientwhoisat28weeksofgestationandreportsleukorrhea.Anurseiscaringforapatientwhoisrecoveringfromanamputationofherrightarmabovetheelbow.WhichofthePage 8
followinginformationshouldthenursereporttheoccupationaltherapist?A. The patient’s parent is in askilled nursing facility.B. The patient has twosmallchildrenathome.•Thepatientisallergictopenicillin.•Thepatientlivesinatwo-storyhome.Anurseiscaringforapatientwhohasmajordepressivedisorder.Thepatienttellsthenurse,“Noonecaresaboutme.I’mcompletelyalone.”Whichofthefollowingresponsesshouldthenursemake?•“Youshouldjoinacommunitysupportgroup.”•“Whatmakesyouthinkthat?”•“Don’tworry.Youshouldbefeelingbetterinacoupleweeks.”•“Canyougivemeanexampleofhowothersaremakingyoufeelthisway?”Page 9
Anurseiscaringforapatientwhohassustainedasevereheadtraumaandhassignificantbleedingfromthenose.Whichofthefollowingactionsshouldthenursetakefirst?•PrepareforaCTscan.•InsertaperipheralIVline.•C.Establishapatentairway.D.Applydirectpressuretothenose.Anurseisreviewingtherhythmstripofapatientwhoisexperiencingsinusarrhythmia.Whichofthefollowingfindingsshouldthenurseexpect?•InconsistentPwaveformation.•Ventricularandatrialrates120/min•P-Rintervalsof0.30seconds•PtoQRSratio1:1page720MedsurgbookAnurse isadmittingapatientwhohasdementiatoalong-termcarefacility.Thepatienttellsthe nursethatPage 10
shelivedinthisfacilityyearsagoandtookcareofalltheresidentsbyherself.Thenurseshoulddocumentthisaswhichofthefollowingfindings?•Confabulation•Agnosia•Projection•PerseverationAnurseisreviewinghomerecommendationswithapatientwhoispostoperativefollowingkneesurgery.Whichofthefollowingrecommendationsshouldthenursemake?•Placeahandrailintheentrywayofthehouse.Page 11
•Placeatowelontheflooroutsideoftheshower.•Ensurethatallarearugsarerubber-backed.•Wearslipperswithclothsoles.AnurseiscaringforanadultpatientwhoasksaboutriskfactorsforAlzheimer’sdisease.Whichofthefollowingresponsesshouldthenursetake?•“TherearenoknowngeneticmutationsthatcauseAlzheimer’sdisease.”•“AdietlowincarbohydratesincreasestheriskforAlzheimer’sdisease.”•“AsthmahasbeenidentifiedasariskfactorforAlzheimer’sdisease.”•“RepeatedconcussionsincreasetheriskforAlzheimer’sdisease.”Page 12
A community health nurse is developing a plan toimprove the community’s environmentalhealth.Whichofthefollowingactionsshouldthenursetakefirst?A.Collectinformationaboutthecommunity’senvironmentalstatus.•Requestfundingfromcommunityorganizations.•Establishatimeframeforenvironmentalimprovements.•Encouragecommunityinvolvementintheenvironmentalimprovement.Page 13
Anurseisadministeringamedicationtoapatient.Thepatientreportsthemedicationappearsdifferentthenwhattheytakeathome.Whichofthefollowingresponsesshouldthenursemake?A.“Irecommendthatyoutakethismedicationasprescribed.”B.“Iwillcallthepharmacistnowtocheckonthismedication.”•“Didthedoctordiscusswithyouthattherewasachangeinthismedication?”•“Doyouknowwhythismedicationisbeingprescribedforyou?”Anurseisadmittinganadolescentwhohasrubella.Whichofthefollowingactionsshouldthenursetake?•Isolatethepatientfromstaffwhoarepregnant.•Administeraspirintothepatient.•Initiateairborneprecautions.•MonitorforthedevelopmentofKoplikspots.Page 14
Anurseisteachingtheparentsofaschool-agechildwhoisnewlydiagnosedwithjuvenileidiopathicarthritis.Whichofthefollowinginterventionsshouldthenurseincludeintheteaching?•Havethechildtakeatubbatheachmorning.•Applysplintstothechild’sextremitiesduringtheday.•Encouragethechildtotakenapsduringtheday.•Keepthechildonbedrestaslongaspainpersists.Page 15
Anurseiscaringforapatientwhois1hrpostoperativefollowingathoracentesis.Whichofthe followingalterations inthe patient’s condition should the nurse identify as anindication of the development of apneumothorax?•Pallor•Trachealdeviation•Slowrespirations•BradycardiaAnurseiscaringforapatientwhoisexperiencingcerebraledema.Whichofthefollowingactionsshouldthenursetake?•Administercorticosteroids•Performmultiplenursingactivitiesatonetime.•Placethepatientinaproneposition.•AssessthepatientforapositiveTrousseausign.Page 16
Anurseiscaringforaschool-agechildwhohassickle-cellanemiaandisexperiencingavaso-occlusivecrisis.Whichofthefollowingactionsshould thenursetake?•Placethechildonbedrest.•Decrease the child’soral fluid intake.•C. Administer meperidinetothechild.D.Applycoldcompressestothechild’sjoints.Anurseisprovidingteachingabouttheadministrationofgastronomytubefeedingstothe parentsofaschool-agechild.Which ofthefollowinginstructionsshould thenurseinclude?•Administerthefeedingover30min.•Changethefeedingbagandtubingevery3days.•Warmtheformulainthemicrowavepriortoadministration
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