ATI RN Comprehensive Predictor Retake 2019 / Verified & Reliable Exam for Outstanding Score A

ATI RN COMPREHENSIVE PREDICTOR 2019 RETAKE

1. A nurse is assessing a client who hasreceived an antibiotic. The nurse should identify which of the

following findings as an indication of a possible allergic reaction to the medication?

A. Bradycardia

B. Headache

C. Joint pain

D. Hypotension

2. A nurse on a mental health unit is caring for a client who has schizophrenia and is experiencing

auditory hallucinations telling them to hurt others. The client is refusing to take anti-psychotic

medication. Which of the following responses should the nurse make?

A. “You should plan to take this medication for a few weeks.”

B. “You will regret itif you do not take this medication.”

C. “This medication will help you respond to the voices.

D. “This medication will help you stop the voices you are hearing.”

3. A nurse is providing care for a patient who has depression and isto have electroconvulsive therapy.

Which of the following conditions should the nurse identify as increasing the client’s risk for

complications?

A. Hyperthyroidism

B. Renal calculi

C. Diabetes mellitus

D. Cardiac dysrhythmias

4. A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis. Which of the

following findings should the nurse report to the provider?

A. WBC count 8,000/mm

B. Platelets 150,000/mm

C. Aspartate aminotransferase 10 units/L

D. Erythrocyte sedimentation 75 mm/hr

5. A nurse is suctioning the airway of a client who is receiving mechanical ventilation via an

endotracheal tube. Which of the following findings should the nurse identify as an indication that

suctioning has been effective?

A. Presence of a productive cough

B. Decreased peak inspiratory pressure

C. Thinning of mucous secretions

D. Flattening of the artificial airway cuff

6. A nurse is caring for a client who is in a seclusion room following violent behavior. The client

continuesto display aggressive behavior. Which of the following actionsshould the nurse take?

A. Stand within 30cm (1 ft) of the client when speaking with them.

B. Expresssympathy for the client’ssituation.

C. Confrontthe 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 treat

Cushing’s disease. Which of the following actions is the nurse’s priority?

A. Reposition the client for comfort every 2 hours

B. Observe for any indications of infection

C. Document amount and color of the incisional drainage.

D. Monitor the client’s fluid and electrolyte status.

8. A nurse is caring for a client who is scheduled for a surgical procedure and states, “I don’t want to

have this surgery anymore.” Which of the following responses should the nurse make?

A. “We can manage your care following the procedure without complications.”

B. “You have the right to refuse the procedure.”

C. “Your doctor thinksthe surgery is necessary.”

D. “Let me review the procedure so you can understand what is going to happen.”

9. A nurse is evaluating a client who has borderline personality disorder. Which of the following

behaviors indicates an improvement in the client’s condition?

A. Impulsive behaviors

B. Decreased clinging behavior

C. Liability of mood

D. Dependent behavior

10. A nurse is teaching a group ofschool-age children about healthy snack options. Which of the

following snacks should the nurse include?

A. Air-popped popcorn

B. Milkshake made with whole milk.

C. Baked potato chips

D. Cheesecake

11. A nurse is providing teaching to a client who has a new prescription for enoxaparin. Which of the

following medications for pain relief should the nurse include in the teaching that can be taken

concurrently with enoxaparin?

A. Naproxen sodium

B. Ibuprofen

C. Acetaminophen

D. Aspirin

12. A nurse is caring for a client who hasfibromyalgia and requests pain medication. Which of the

following medications should the nurse plan to administer?

A. Colchicine

B. Lorazepam

C. Pregabalin

D. Codeine

13. A nurse is caring for a client who has congestive heart failure and is receiving furosemide and

digoxin. Which of the following laboratory valuesindicates that the client is at risk for developing

digoxin toxicity?

A. Glucose 150 mg/dL

B. Magnesium 1.3 mEq/L

C. Potassium 3.1 mEq/L

D. Sodium 134 mEq/L

14. A nurse is caring for a client who had an embolic stroke and has a prescription for alteplase. Which of

the following in the client’s history should the nurse identify as a contraindication for receiving

alteplase?

A. Hip arthroplasty 1 week ago correct

B. Obstructive lungs disease

C. Retinal detachment

D. Acute kidney failure 6 months ago

15. A nurse is providing discharge teaching for a client who has a new implantable cardioverter

defibrillator (ICD). Which of the following clientstatements demonstrates understanding of the

teaching?

A. “I will soak in the tub rather than showering.”

B. “I can hold my cellphone on the same side of my body as the ICD.”

C. “I will wear loose clothing over my ICD.”

D. “I will avoid using my microwave oven at home because of my ICD.”

16. A nurse is assessing a client who is postoperative following abdominal surgery and has an indwelling

urinary catheter that is draining dark yellow urine at 25ml/hr. Which of the following interventions

should the nurse anticipate?

A. Clamp the catheter tubing for 30 min

B. Initiate continuous bladder irrigation

C. Obtain a urine specimen for culture and sensitivity

D. Administer a fluid bolus

17. A nurse is caring for a client who has experienced a stillbirth. Which of the following actions should

the nurse take during the initial grieving process?

A. Avoid talking to the client about the newborn

B. Discourage the client from allowing friends to see the newborn

C. Offer to take pictures of the newborn for the client

D. Assure the client that she can have additional children

18. A nurse is caring for a client who has a major burn injury. Which of the following actions is the

nurse’s priority to prevent wound infection?

A. Use sterile dressings for wound care

B. Apply topical antibiotics to the client’s wounds.

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 has Alzheimer’s disease. The caregiver states,

“Providing constant care is very stressful and is affecting all areas of my life.” Which of the following

actions should the nurse take?

A. Discuss methods of how to communicate with the client about problem solving behaviors.

B. Suggest that the caregiverseek 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 following

actions should the nurse take?

A. Administer a benzodiazepine

B. Perform a fundal massage

C. Place an ice pack on the client’s perineum

D. Place the client’s hand in warm water

21. A nurse on a medical-surgical unit is performing medication reconciliation for a newly admitted

client. Which of the following actions should the nurse take?

A. Compare a list of common medications to treat a condition to the actual prescriptions

B. Compare the prescription to the allergy history of the client

C. Compare the medication label to the provider’s prescription on three occasions before

administration

D. Compare the client’s list of home medications to the admission prescriptions written for the

client.

22. A nurse is preparing to administer betamethasone to a client who is 25 weeks of gestation and has

preterm labor. Which of the following findingsshould the nurse identify as an adverse effect of this

medication?

A. Hyperglycemia

B. Uterine contractions

C. Proteinuria

D. Hypotension

23. A nurse is preparing to obtain a blood sample from a client who has a central venous catheter. Which

of 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 actions

should 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 following

techniques 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 towardsthe 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 clients

should 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.

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. The client’s parent 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, “No one

cares about me. I’m completely alone.” Which of the following responses should the nurse make?

A. “You should join a community support group.”

B. “What makes you think that?”

C. “Don’t worry. You should be feeling better in a couple weeks.”

D. “Can you give me an example of how others are making you feel this way?”

29. A nurse is caring for a client who hassustained a severe head trauma and has significant bleeding

from 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 the

following findings should the nurse expect?

A. Inconsistent P wave formation.

B. Ventricular and atrial rates 120/min

C. P-R intervals of 0.30 seconds

D. P to QRS ratio 1:1 page 720 Med surg book

31. A nurse is admitting a client who has dementia to a long-term care facility. The client tells the nurse

thatshe lived in this facility years ago and took care of all the residents by herself. The nurse should

document this as which of the following findings?

A. Confabulation

B. Agnosia

C. Projection

D. Perseveration

32. A nurse is reviewing home recommendations with a client who is postoperative following knee

surgery. 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. Wearslippers with cloth soles.

33. A nurse is caring for a client who is postoperative following total hip arthroplasty. Which of the

following actions should the nurse take to prevent dislocation of the prosthesis?

A. Raise the head of the client’s bed to a high-fowler’s position.

B. Elevate the client’s effected leg on a pillow when in bed.

C. Position the client’s knees slightly higher than the hips when up in a chair.

D. Keep an abduction pillow between the client’s legs.


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