ATI PN Comprehensive Predictor

Form B | Questions and Answers |

LATEST, 2020/ 2021

1. A nurse is caring for a client who is 4 hr postoperative ff a total thyroidectomy. Which of

the ff manifestations should the nurse report to the provider as indicating possible

hypocalcemia?

ANS: Tingling of fingers

2. A nurse in a long-term care facility is assisting with an in-service for newly hired

assistive personnel about legal issues within the facility. Which of the ff should the nurse

include as an example of assault?

ANS: Informing a client the nurse is going to administer an injection even though

the client refuses

.

3. A nurse is collecting data from who is severe pain. Which of the ff questions should the

nurse ask first?

ANS: "Where is your pain located?"

4. A nurse is reviewing the laboratory results for a client who is at 29 weeks gestation. For

which of the ff results should the nurse notify the provider?

ANS: Platelet count 95,000 mm3

5. A nurse is performing a dressing change for a client who had abdominal surgery 5 days

ago. The nurse notes organs protruding from the incision. Which of the ff actions should

the nurse take?

ANS: Cover the exposed area with sterile, saline-soaked dressings.

6. A nurse is speaking with the adult daughter of a client who has Alzheimer's disease. The

daughter states, "I love my dad, but caring for him is wearing me out." Which of the ff

response should the nurse make?

ANS: "Let's discuss how caring for your father is affecting your health.

7. A nurse is contributing to the plan of care for a care for a client who has chest tube

connected to a closed drainage system. Which of the ff actions should the nurse include

in the plan of care?

ANS: Maintain the drainage system below the level of the client's chest.

8. A nurse in an acute mental health facility is caring for a client who has borderline

personality disorder and reports. "I am going to kill my girlfriend when I get out of here."

Which of the ff actions should the nurse take?

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ANS: Notify the client's care team of the threats against the partner

9. A nurse is admitting a client who is at high risk for suicide. Which of the ff actions is the

nurse's priority?

ANS: Search the client's personal belongings

10. A nurse is caring for a client who is 1 day postoperative and is unable to ambulate. Which

of the ff actions should the nurse take to promote the client's venous return?

ANS: Maintain the sequential compression device.

11. A nurse in a pediatric clinic is collecting the data from a school-age child whose injuries

are inconsistent with the parent's stated cause. Which of the ff actions should the nurse

take?

ANS: Report the suspected abuse to a appropriate agency.

12. A nurse is collecting data from a middle adult female client who is taking melatonin.

Which of the ff responses to the med should the nurse expect?

ANS: Improved sleep

13. A nurse on a pediatric unit is collecting data from four newly admitted clients. Which of

the ff clients should the nurse identify as being at risk for urinary retention?

ANS: A school-age child who has allergic rhinitis and is taking diphenhydramine.

14. A nurse is preparing to administer purified protein derivative (PPD) to a client who has

suspected TB. Which of the ff actions should the nurse plan to take?

ANS: Ensure the injection produces a wheal on the skin

15. A client who is diagnosed with Parkinson's disease verbalizes frustration due to increase

difficulty with ambulation. Which of the ff responses should the nurse take?

ANS: Perform active ROM with your arms and legs two times a day.

16. a Nurse is collecting data from a client who has multiple fractures following a motorvehicle crash. For which of the following client statements

ANS: "I am so frustrated. I cannot even open my milk carton for breakfast."

17. A nurse on an acute care unity is collecting data from a school-age Child who has cystic

fibrosis. Which of the following findings is the priority for the nurse?

ANS: Reports lack of appetite

18. a nurse working in a provider's office receives a phone call from the parent of a schoolage child who has varicella. The parent asked the nurse when the child can return to

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

ANS: "When the lesions have scabbed over."

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19. A nurse is caring for a client who has a Penrose drain. To ensure proper placement and

functioning of the drain, which of the following should the nurse expect to observe?

ANS: The safety pin is present at the distal end of the drain.

20. A community health nurse is helping to reinforce teaching about hepatitis A with a group

of employees at a childcare facility. Which of the following characteristics should the

nurse identify as an external factor that can impede learning for the participants?

ANS: Poor lighting in the learning setting

21. A nurse is observing newly licensed nurse who is providing tracheostomy care for a

client. The nurse identifies proper performance of the procedure when the newly licensed

nurse selects which of the following solutions to clean the inner cannula?

ANS: Hydrogen peroxide

22. A nurse is caring for a client who has right sided heart failure. The client's partner

expresses concern the the client will die. Which of the following responses should the

nurse make?

ANS: "It is difficult to see someone so sick. What have you been told about your

partner's prognosis?"

23. A nurse is reinforcing discharge instructions with the parent of an infant who has

rotavirus. which of the following statements by the parent indicates an understanding of

the teaching?

ANS: "I will apply diaper cream to my baby's skin during each diaper change."

24. A nurse is caring for a client who is scheduled for surgery in the morning. The nurse

learns that the client has decided not to have surgery even though he has already signed

the informed consent form. Which of the following actions should the nurse take?

ANS: Report the situation to the provider who obtained the informed consent.

25. A nurse has to administer medications to a group of clients. For which of the following

client situations should the nurse complete and incident report?

ANS: The nurse administered insulin lispro to a client who has diabetes mellitus and

is NPO.

26. a nurse is collecting data from a client who is experiencing a situational crisis following

the loss of a job. The client states, I don't think I can go through this again. Which of the

following actions is the nurse's priority?

ANS: Determine if the client is experiencing psychotic thinking.

27. A nurse is reinforcing discharge teaching with a client who is 48 hr post op from a

mastectomy. Which of the following statements by the client indicates an understanding

of the teaching?

ANS: "I will wear rubber gloves whenever I wash dishes or do yard work."

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