ATI PN Comprehensive Predictor |

Questions and Answers | LATEST,

2020/ 2021

1. A nurse in a provider's office is reviewing the medical record of a client who requests a

prescription for an oral contraceptive. Which of the following findings should the nurse

identify as a contraindication for oral contraceptive use?

ANS: Coronary artery disease

RATIONALE: Coronary artery disease is a contraindication to oral contraceptive use

because it increases the client's risk for myocardial infarction. Other contraindications for

receiving oral contraceptives include gallbladder disease, breast cancer, and hypertension

2. A nurse is assisting with the care of a school-age child immediately following surgery.

The child weights 21.8 kg (48 lb) and has a chest tube applied to suction. Which of the

following findings should the nurse report to the provider?

ANS: 250 mL of sanguineous drainage over the last 3 hr

RATIONALE: The nurse should recognize that if more than 3 mL/kg/her of sanguineous

drainage occurs for more than 3 consecutive hours following surgery, it can indicate

active hemorrhaging. Therefore, 250 mL of sanguineous drainage from the child's chest

tube is excessive and the nurse should report this finding to the provider immediately

3. A nurse is collecting data from a client who is at 30 weeks of gestation and has

gestational diabetes. Which of the following findings should the nurse report to the

provider as an indication of hyperglycemia?

ANS: Polyuria

RATIONALE: The nurse should identify polyuria as an expected finding of

hyperglycemia and report this finding to the provider

4. A nurse is discussing home safety with a group of clients who have type 1 diabetes

mellitus. Which of the following client statements indicates an understanding of the

teaching?

ANS: "I will dispose of my needles in a plastic laundry detergent container."

RATIONALE: The nurse should instruct the client to dispose of needles in a punctureproof container, such as a plastic laundry detergent container.

5. A nurse is caring for a client who has Alzheimer's disease. Which of the following

actions should the nurse take?

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ANS: Encourage the client to reminisce about the past

RATIONALE: The client who has Alzheimer's disease has progressive loss of short-term

memory and might not be able to recall recent happenings and events. This can lead to

increased frustration. However, remote memory remains in place for a longer period of

time and can elicit feelings of happiness

6. A nurse is monitoring a client who is receiving telemetry. Which of the following ECG

findings should the nurse report to the provider?

ANS: PR interval 0.24 seconds

RATIONALE: An expected PR interval is 0.12 to 0.20 seconds. A prolonged PR interval

can indicate a heart block; therefore, the nurse should report this finding provider

7. A nurse on a medical unit is reviewing a client's medical record. Which of the following

procedures should the nurse identify requires the client to sign a separate informed

consent form?

ANS: Lumbar puncture

RATIONALE: The nurse should identify that a client needs to provide consent for

general treatment as well as a separate written informed consent for any treatment that

has an element of risk, such as a lumbar puncture

8. A nurse is reviewing the techniques for transferring a client from a bed to a chair with a

group of assistive personnel (AP). Which of the following instructions should the nurse

include?

ANS: Use lower-body strength

RATIONALE: The nurse should instruct the AP to use lower-body strength when lifting

a client to reduce stress on the back

9. A nurse is participating in a quality improvement study about the effectiveness of client

pain management on the unit. Which of the following strategies should the nurse use to

collect data?

ANS: Review clients' charts for their rating of pain before pain medication was

administered and 1 hr after administration

RATIONALE: The nurse should collect data from clients' charts about pain ratings

before and after pain management interventions

10. A nurse is reinforcing teaching about confidentiality with a client who has a new

diagnosis of HIV. Which of the following information should the nurse include in the

teaching?

ANS: "Your HIV status will be shared with members of your health care team."

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RATIONALE: The diagnosis of HIV or AIDS is shared with every member of the health

care team who provides direct care for the client, just like any other diagnosis

11. A nurse is planning care for a client who has a history of seizures. Which of the following

pieces of equipment should the nurse place in the client's room?

ANS: Suction catheter

RATIONALE: The nurse should place suction equipment in the room of a client who has

a history of seizures. During a seizure, the client might have excessive oral secretions or

might vomit. If the client's airway becomes occluded, then the nurse will need to suction

the oral cavity to maintain a patent airway

12. A licensed practical nurse (LPN) is reviewing client assignments for the upcoming shift.

Which of the following clients should the LPN ask the charge nurse to reassign to a

registered nurse (RN)?

ANS: A client who has a new colostomy and requires the development of a teaching

plan

RATIONALE: Developing a client teaching plan is not within the scope of practice for

an LPN. The nurse should contact the nursing supervisor to inform them of the client's

need for a teaching plan regarding the new colostomy and request that this client be

reassigned to an RN. The scope of practice of an LPN does allow the nurse to reinforce

teaching once the plan has been established

13. A nurse is caring for a client who is recovering from a stroke and is experiencing

difficulty using eating utensils. The nurse should identify the need for a referral to which

of the following interprofessional team members?

ANS: Occupational therapist

RATIONALE: The nurse should identify the need for a referral to an occupational

therapist to teach the client how to use special eating utensils

14. A nurse is preparing to perform blood glucose monitoring for a client who has type 1

diabetes mellitus. Which of the following actions should the nurse take first?

ANS: Hold the finger for testing in a dependent position

RATIONALE: Evidence-based practice indicates that the nurse should first position the

testing site to enhance blood flow, which improves the ability to collect an adequate

specimen

15. A home health nurse is reinforcing teaching with a client about the use of elastic

stockings to decrease peripheral edema. Which of the following instructions should the

nurse include?

ANS: Apply the stockings in the morning

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