ATI COMPREHENSIVE PREDICTOR EXAM 2019 FORM C (LATEST, Questions and Answers)

A nurse is providing teaching to an older adult client about methods to promote nighttime

sleep. Which of the following instructions should the nurse include?

a.        Eat a light snack before bedtime

b.      Stay in bed at least 1 hr if unable to fall asleep

c.       Take a 1 hr nap during the day

d.      Perform exercises prior to bedtime

12.   A home health nurse is preparing for an initial visit with an older adult client who lives

alone. Which of the following actions should the nurse take first?

a.       Educate the client about current medical diagnosis

b.      Refer the client to a meal delivery program

c.        Identify environmental hazards in the home 

d.      Arrange for client transportation to follow-up appointments

Rationale Priority: Assess first. 

13.   A nurse is assessing the remote memory of an older adult client who has mild dementia.

Which of the following questions should the nurse ask the client?

a.       “Can you tell me who visited you today?”

b.      “What high school did you graduate from

c.       “Can you list your current medications?”

d.      “What did you have for breakfast yesterday?”

14.   A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus. Which of

the following goals should the nurse include in the teaching 

a.       HbA1c level greater than 8%- 6.5 - 8 is the target reference. > 

b.      Blood glucose level greater than 200 mg/dL at bedtime

c.       Blood glucose level less than 60 mg/dL before breakfast- < 70 = HYPOGLYCEMIC

d.       HbA1c level less than 7%   

15.   A nurse is caring for a client who is receiving phenytoin for management of grand mal

seizures and has a new prescription for  isoniazid  and  rifampin . Which of the following should

the nurse conclude if the client develops ataxia and incoordination?

a.       The client is experiencing an adverse reaction to rifampin

b.      The client’s seizure disorder is no longer under control

c .        The client is showing evidence of phenytoin toxicity

d.      The client is having adverse effects due to combination antimicrobial therapy

16.   A nurse is caring for a client who is 1 hr postoperative following rhinoplasty. Which of the

following manifestations requires immediate action by the nurse?

a.        Increase in frequency of swallowing → may indicate bleeding 

b.      Moderate sanguineous drainage on the drip pad

c.       Bruising to the face→ side effect 

d.      Absent gag reflex→ possibly due to anesthesia given. (1 hour postoperative)

Rationale “Requires immediate action” choose the worst possibility that could lead to. ABC 

17.   A nurse is planning care for a preschool-age child who is in the acute phase Kawasaki

disease. Which of the following interventions should the nurse include in the plan of care?

a.       Give scheduled doses of acetaminophen every 6 hr

b.       Monitor the child’s cardiac status

c.       Administer antibiotics via intermittent IV bolus for 24 hr

d.      Provide stimulation with children of the same age in the playroom

18.   A nurse is planning an educational program for high school students about cigarette

smoking. Which of the following potential consequences of smoking is most likely to discourage

adolescents from using tobacco?

a.       Use of tobacco might lead to alcohol and drug abuse

b.      Smoking in adolescence increases the risk of developing lung cancer later in life

c.        Use of tobacco decreases the level of athletic ability

d.      Smoking in adolescence increases the risk of lifelong addiction

19.   A nurse is assessing a client who is prescribed spironolactone. Which of the following

laboratory values should the nurse monitor for this client?  

a.       Total bilirubin 

b.      Urine ketones

c.      Serum potassium- diuretic that retains potassium= hyperkalemic risk 

d.      Platelet count

Rationale ATI PDF p: 146 Pharm Complications: hyperkalemia

20.   A nurse has agreed to serve as an interpreter for an older adult client who is assigned to

another nurse. Which of the following statements by the nurse indicates an understanding of this

role?