ATI Comprehensive Predictor Q & A

1. An 8-year-old client is returned to the recovery room after a bronchoscopy. The nurse

should position the client

1. in semi-Fowler's position.

2. prone, with the head turned to the side.

3. with the head of the bed elevated 45° and the neck extended.

4. supine, with the head in the midline position.

2. The client is exhibiting symptoms of myxedema. The nursing assessment should reveal

1. increased pulse rate.

2. decreased temperature.

3. fine tremors.

4. increased radioactive iodine uptake level.

3. A nurse responsible for a client receiving a antihypertensive medication is to

- teach the client to change position slowly to avoid dizziness or fainting

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4. The nurse is caring for a young adult admitted to the hospital with a severe head injury.

The nurse should position the patient

1. with his neck in a midline position and the head of the bed elevated 30°.

2. side-lying with his head extended and the bed flat.

3. in high Fowler's position with his head maintained in a neutral position.

4. in semi-Fowler's position with his head turned to the side.

5. Which of the following assessment findings would indicate to the nurse the need for more

sedation in a client who is withdrawing from alcohol dependence?

1. Steadily increasing vital signs.

2. Mild tremors and irritability.

3. Decreased respirations and disorientation.

4. Stomach distress and inability to sleep.

6. Bowel elimination how to get a specimen collection

- Collect stool specimens for serial fecal occult blood (guaiac) testing 3 times from 3

different defecations. Stool samples should come from fresh stools that are not

contaminated with water or urine.

7. A nurse is reinforcing teaching to a client who is starting amitriptyline (Elavil) for

treatment of depression which of the following should the nurse include

- 1. change position slowly to minimize dizziness

- 2. chewing sugarless gum to prevent dry mouth

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8. The nurse is caring for an 80-year-old client with Parkinson's disease. Which of the

following nursing goals is MOST realistic and appropriate in planning care for this client?

1. Return the client to usual activities of daily living.

2. Maintain optimal function within the client's limitations.

3. Prepare the client for a peaceful and dignified death.

4. Arrest progression of the disease process in the client.

9. Which of the following is essential when caring for a client who is experiencing delirium?

1. Controlling behavioral symptoms with low-dose psychotropics.

2. Identifying the underlying causative condition or illness.

3. Manipulating the environment to increase orientation.

4. Decreasing or discontinuing all previously prescribed medications.

10. What are the signs and symptoms of fluid volume deficit?

- loss of total body Na. Causes include vomiting, excessive sweating, diarrhea, burns,

diuretic use, and kidney failure. Clinical features include diminished skin turgor, dry

mucous membranes, tachycardia, and orthostatic hypotension.

11. A nurse is caring for a 37-year-old woman with metastatic ovarian cancer admitted for

nausea and vomiting. The physician orders total parenteral nutrition (TPN), a

nutritional consult, and diet recall. Which of the following is the BEST indication that

the patient's nutritional status has improved after 4 days?

1. The patient eats most of the food served to her.

2. The patient has gained 1 pound since admission.

3. The patient's albumin level is 4.0mg/dL.

4. The patient's hemoglobin is 8.5g/dL.

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12. A client is being discharged with sublingual nitroglycerin (Nitrostat). The client should be

cautioned by the nurse to

1. take the medication five minutes after the pain has started.

2. stop taking the medication if a stinging sensation is absent.

3. take the medication on an empty stomach.

4. avoid abrupt changes in posture.

13. The nurse is making a home visit with a client diagnosed with Alzheimer's disease. The

client recently started on lorazepam (Ativan) due to increased anxiety. The nurse is

cautioning the family about the use of lorazepam (Ativan). The nurse should instruct the

family to report which of the following significant side effects to the health care provider?

1. Paradoxical excitement.

2. Headache.

3. Slowing of reflexes.

4. Fatigue.

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14. A nurse is providing discharge instructions to a client who has a prescription for the use

of oxygen in his home. Which of the following should the nurse teach the client about

using oxygen safely in his home? (Select all that apply.)

A. Family members who smoke must be at least 10 ft from the client when oxygen is in

use.

B. Nail polish should not be used near a client who is receiving oxygen.

C. A "No Smoking" sign should be placed on the front door.

D. Cotton bedding and clothing should be replaced with items made from wool.

E. A fire extinguisher should be readily available in the home.

15. What is the nursing action for dehiscence?

- Cover with a sterile towel moistened with sterile saline; Have patient flex knees slightly

and put in Fowler’s.

16. A client has a history of oliguria, hypertension, and peripheral edema. Current lab values

are: BUN -25, K+ -4.0 mEq/L. Which nutrient should be restricted in the client's diet?

1. Protein.

2. Fats.

3. Carbohydrates.

4. Magnesium.

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17. What are some ways to identify a patient before giving a medication?

The Joint Commission requires 2 client identifiers be used when administering

medications.

- clients name

- assigned identification number

- telephone number

- birth date or other personal-specific identifiers. Bar code scanners may be used to identify

clients

18. A nurse is obtaining a medication history from a client who is to start a new prescription

for warfarin (Coumadin). which of the following over the counter medication should the

nurse instruct the client to avoid?

- Aspirin

19. The nurse is teaching a 40-year-old man diagnosed with a lower motor neuron disorder to

perform intermittent self-catheterization at home. The nurse should instruct the client to

1. use a new sterile catheter each time he performs a catheterization.

2. perform the Valsalva maneuver (holding breath and bearing down) before doing the

catheterization.

3. perform the catheterization procedure every 8 hours.

4. limit his fluid intake to reduce the number of times a catheterization is needed

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