ATI Comprehensive Predictor

1. A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. The

nurse obtained a verbal prescription for restraints. Which of the following should the actions the

nurse take?

A. Request a renewal of the prescription every 8 hr.

B. Check the client’s peripheral pulse rate every 30 min

C. Obtain a prescription for restraint within 4 hr.

D. Document the client’s condition every 15 minutes

2. A nursing planning care for a school-age child who is 4 hr postoperative following perforated

appendicitis. Which of the following actions should the nurse include in the plan of care?

A. Offer small amounts of clear liquids 6 hr following surgery

B. Give cromolyn nebulizer solution every 6 hr

C. Administer analgesics on a scheduled basis for the first 24 hr

D. Apply a warm compress to the operative site every 4 hr

3. A nurse is receiving change-of-shift report for a group of clients. Which of the following

clients should the nurse plan to assess first?

A. A client who has sinus arrhythmia and is receiving cardiac monitoring

B. A client who has diabetes mellitus and a hemoglobin a1c of 6.8%

C. A client who has epidural analgesia and weakness in the lower extremities

D. a client who has a hip fracture and a new onset of tachypnea

4. A nurse is preparing to apply a transdermal nicotine patch for a client. Which of the following

actions should the nurse take?

A. Shave hairy areas of skin prior to application

B. Wear gloves to apply the patch to the client’s skin

C. Apply the patch within 1 hr of removing it from the protective pouch

D. Remove the previous patch and place it in a tissue

5. A nurse has just received change-of-shift report for four clients. Which of the following clients

should the nurse assess first?

A. a client who was just given a glass of orange juice for a low blood glucose level

B. A client who is schedule for a procedure in 1 hr

C. A client who has 100 ml fluid remaining in his iv bag

D. A client who received a pain medication 30 min ago for postoperative pain

6. a nurse is caring for a client who is receiving intermittent enteral tube feedings. Which of the

following places the client at risk for aspiration?

A. a history of gastroesophageal reflux disease

B. Receiving a high osmolarity formula

C. Sitting in a high-fowler’s position during the feeding

D. A residual of 65 ml 1hr postprandial

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7. A nurse is reviewing the laboratory results for a client who has cushing’s disease. The nurse

should expect the client to have an increase in which of the following laboratory values?

A. Serum glucose level

B. Serum calcium level

C. Lymphocyte count

D. Serum potassium level

8. A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate

intravenously. The nurse discontinues the magnesium sulfate after the client displaces toxicity.

which of the following actions should the nurse take?

A. Position the client supine

B. Prepare an iv bolus of dextrose 5% in water

C. Administer methylergonovine im

D. Administer calcium gluconate iv

9. A charge nurse is teaching new staff members about factors that increase a client’s risk to

become violent. Which of the following risk factors should the nurse include as the best predictor

of future violence?

A. Experiencing delusions

B. Male gender

C. Previous violent behavior

D. A history of being in prison

10. A nurse is preparing to perform a sterile dressing change. Which of the following actions

should the nurse take when setting up the sterile field?

A. Place the cap from the solution sterile side up on clean surface

B. Open the outermost flap of the sterile kit toward the body

C. Place the sterile dressing within 1.25 cm (0.5in) of the edge of the sterile field

D. Set up the sterile field 5 cm (2 in) below waist level

11. 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

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?

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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%

B. Blood glucose level greater than 200 mg/dl at bedtime

C. Blood glucose level less than 60 mg/dl before breakfast

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

B. Moderate sanguineous drainage on the drip pad

C. Bruising to the face

D. Absent gag reflex

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

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