Download ATI PN COMPREHENSIVE PREDICTOR EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS and more Exams Nursing in PDF only on Docsity!
ATI PN COMPREHENSIVE PREDICTOR EXAM QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2025 Q&A | INSTANT DOWNLOAD PDF
- A nurse is caring for a client who has a new prescription for warfarin. Which of the following lab values should the nurse monitor? a. Hemoglobin b. INR c. Platelets d. BUN INR is monitored to determine the therapeutic effectiveness of warfarin.
- A client receiving digoxin has a serum potassium level of 3.0 mEq/L. Which of the following is the nurse’s priority? a. Monitor apical pulse b. Notify the provider c. Encourage potassium-rich foods d. Hold the medication Hypokalemia increases the risk of digoxin toxicity, so the provider must be notified immediately.
- A nurse is reinforcing teaching about home oxygen therapy. Which of the following client statements indicates understanding? a. "I will lay the oxygen tubing under my rugs." b. "I’ll use an electric razor while on oxygen." c. "I’ll keep a fire extinguisher near my oxygen." d. "I’ll apply oil-based lotion around my nose." Keeping a fire extinguisher nearby is a necessary safety measure when using oxygen.
- Which of the following foods should the nurse recommend to a client taking ferrous sulfate? a. Milk b. Orange juice c. Yogurt d. Tea Vitamin C in orange juice enhances the absorption of iron supplements like ferrous sulfate.
- A nurse is preparing to administer 10 units of regular insulin and 20 units of NPH insulin. Which of the following actions should the nurse take first? a. Inject air into the NPH vial b. Inject air into the regular insulin vial
- A client is in Buck’s traction. Which of the following findings should the nurse report? a. The client reports pain at the pin site b. The weights are resting on the floor c. The client's foot is cool to the touch d. The client’s leg is aligned with the body Weights must hang freely to provide effective traction. Weights on the floor compromise the therapy.
- A nurse is assisting with the care of a client who has dysphagia. Which of the following actions should the nurse take? a. Place food on the affected side of the mouth b. Have suction equipment available c. Give thin liquids with a straw d. Encourage the client to eat quickly Having suction equipment nearby is essential in case the client aspirates. 10.A nurse is caring for a client with a potassium level of 5.8 mEq/L. Which of the following foods should be limited? a. Apples b. Bananas c. Rice d. Bread
Bananas are high in potassium and should be avoided with hyperkalemia. 11.A nurse is reinforcing teaching about the use of a metered-dose inhaler (MDI). Which of the following instructions should be included? a. "Exhale immediately after inhaling the medication." b. "Shake the inhaler before each use." c. "Inhale through the nose." d. "Hold your breath for 10 seconds after inhaling." Holding the breath allows the medication to reach deeper into the airways for maximum effect. 12.A client is receiving furosemide. Which of the following lab values should be monitored? a. Hemoglobin b. Potassium c. Sodium d. Magnesium Furosemide is a loop diuretic that can cause hypokalemia. Monitor potassium levels closely. 13.A nurse is reinforcing teaching to a client who is to collect a stool specimen for occult blood testing. Which of the following instructions should be included?
16.A nurse is assisting with the care of a client who has a chest tube connected to suction. Which of the following findings requires immediate intervention? a. Bubbling in the suction control chamber b. Fluctuation in the water seal chamber c. Drainage of 200 mL in 1 hour d. Clear drainage in the collection chamber Sudden, excessive output may indicate hemorrhage and requires immediate attention. 17.Which of the following statements by a client taking isoniazid indicates understanding? a. "I should take this medication on a full stomach." b. "I’ll report yellowing of my eyes or skin." c. "I can stop this medication when I feel better." d. "I’ll take vitamin B6 with this medication." Pyridoxine (vitamin B6) helps prevent peripheral neuropathy, a common side effect of isoniazid. 18.A nurse is caring for a client receiving total parenteral nutrition (TPN). Which lab value requires intervention?
a. Sodium 138 mEq/L b. Glucose 280 mg/dL c. Potassium 4.0 mEq/L d. Calcium 9.0 mg/dL TPN contains a high concentration of glucose; hyperglycemia is a common and concerning complication. 19.Which of the following clients is at greatest risk for developing a pressure injury? a. An ambulatory client who has rheumatoid arthritis b. A client who is NPO after surgery c. A client who is incontinent and immobile d. A client with a temperature of 99°F Moisture and immobility increase the risk of skin breakdown and pressure injuries. 20.A nurse is reinforcing teaching about a low-sodium diet. Which food choice indicates understanding? a. Baked chicken with steamed broccoli b. Canned soup with crackers c. Cold cuts with cheese d. Pickles with a sandwich Baked chicken and steamed broccoli are low in sodium and appropriate for the diet.
c. "I’ll irrigate the colostomy every day." d. "I’ll check the skin around the stoma regularly." Not all colostomies require irrigation; this depends on the type and location. 24.A nurse is caring for a client with a history of falls. Which of the following should the nurse do first? a. Place the call light within reach b. Apply a fall-risk wristband c. Keep bed in low position d. Ensure adequate lighting Identifying the client as a fall risk helps initiate fall prevention protocols. 25.A nurse is reinforcing teaching about healthy lifestyle choices to a client with hypertension. Which client statement shows understanding? a. "I’ll drink more coffee to stay energized." b. "I’ll reduce my intake of processed foods." c. "I’ll add salt to my meals for flavor." d. "I’ll avoid walking if I feel tired." Reducing sodium in processed foods helps control blood pressure. 26.A client is receiving a blood transfusion and reports chills and back pain. What should the nurse do first?
a. Call the provider b. Stop the transfusion c. Check the client’s temperature d. Administer diphenhydramine These are signs of a transfusion reaction; the first action is to stop the transfusion immediately. 27.A nurse is reinforcing discharge instructions for a client with a cast on the arm. Which statement indicates understanding? a. "I’ll use a pencil to scratch under the cast." b. "I’ll keep the cast dry when I shower." c. "I can bear weight on the cast." d. "I’ll use lotion to soften the cast edges." Moisture can weaken the cast and increase risk for infection or skin breakdown. 28.A nurse is caring for a client who is scheduled for surgery. Which of the following requires notification of the provider? a. The client ate crackers 8 hours ago b. The client reports using ginseng c. The client drank water 2 hours ago d. The client voided before pre-op meds Ginseng can increase bleeding risk during surgery and should be reported.
32.A nurse is preparing to administer ear drops to an adult client. What technique should be used? a. Pull the pinna down and back b. Insert the dropper into the ear canal c. Pull the pinna up and back d. Keep the client upright Pulling the pinna up and back straightens the ear canal in adults for proper administration. 33.A nurse is reinforcing teaching about crutch use. Which instruction is appropriate? a. "Place weight on hands, not armpits." b. "Lean forward when walking." c. "Keep crutches 4 inches apart when resting." d. "Move the affected leg with the crutches." Placing weight on the armpits can damage nerves; pressure should be on the hands. 34.Which of the following findings in a newborn requires immediate intervention? a. Respiratory rate of 50/min b. Acrocyanosis
c. Nasal flaring d. Flexed posture Nasal flaring is a sign of respiratory distress and requires prompt intervention. 35.A nurse is caring for a client with neutropenia. Which of the following is appropriate? a. Allow fresh flowers b. Serve raw fruits c. Avoid large crowds d. Encourage sushi Clients with neutropenia are at increased risk for infection; crowds should be avoided. 36.A nurse is reinforcing teaching about insulin administration. Which statement indicates understanding? a. "I’ll rotate sites daily." b. "I’ll reuse syringes to save money." c. "I’ll store unopened insulin in the refrigerator." d. "I’ll massage the site after injecting." Unopened insulin should be refrigerated to preserve potency. 37.A client reports frequent headaches and blurred vision. The nurse should suspect which of the following?
40.Which of the following actions should the nurse take when measuring a client’s blood pressure? a. Position the arm above the heart b. Ensure the cuff is snug, not tight c. Deflate quickly d. Take the reading immediately after exercise A properly fitting cuff ensures accurate readings. 41.A nurse is caring for a client receiving morphine. Which finding should the nurse report immediately? a. Drowsiness b. Nausea c. Respiratory rate of 8/min d. Constipation Morphine can cause respiratory depression, which is life-threatening and requires immediate action. 42.A nurse is reinforcing teaching with a client who has a new ileostomy. Which of the following statements indicates a need for further instruction? a. "I’ll empty my pouch when it’s one-third full." b. "I expect liquid stool." c. "I can expect my output to stop on occasion." d. "I’ll avoid foods that cause gas."
Ileostomy output should never stop completely. This may indicate a blockage and must be reported. 43.Which of the following is a manifestation of fluid volume overload? a. Dry mucous membranes b. Bounding pulse c. Sunken eyes d. Hypotension A bounding pulse is a key sign of excess fluid volume in the circulatory system. 44.A nurse is assisting with care for a client undergoing a thoracentesis. What is the appropriate position? a. Supine with legs elevated b. High Fowler’s c. Sitting while leaning over a table d. Side-lying This position allows the lungs to expand and makes it easier to access the pleural space. 45.A nurse is reinforcing discharge teaching to a client prescribed lisinopril. Which instruction is appropriate? a. "Avoid foods high in potassium." b. "Take it with an antacid."
a. "Only my family can complete this." b. "It goes into effect after I die." c. "It guides care if I can’t speak for myself." d. "It can’t be changed once written." Advance directives guide medical care when the client is unable to communicate. 49.A nurse is preparing to administer medications through a nasogastric tube. Which action should be taken first? a. Administer medications together b. Flush the tube after administering c. Check tube placement d. Crush all medications Ensuring proper placement reduces the risk of aspiration or incorrect administration. 50.A nurse is reinforcing teaching with a client who has a prescription for digoxin. Which finding should be reported? a. Nausea b. Visual disturbances c. Headache d. Mild diarrhea Visual disturbances (e.g., yellow halos) are a sign of digoxin toxicity.
51.A nurse is caring for a client experiencing a tonic-clonic seizure. What should the nurse do first? a. Restrain the client b. Insert an oral airway c. Turn the client on their side d. Administer oxygen Placing the client on their side helps maintain an open airway and prevents aspiration. 52.A nurse is reinforcing teaching to a client with anemia. Which food should the nurse recommend? a. Cheese b. Red meat c. Applesauce d. Bread Red meat is rich in iron, which helps treat anemia. 53.A nurse is reinforcing teaching about home care for a client with hepatitis A. Which statement shows understanding? a. "I should share towels with my family." b. "I will wash my hands after using the bathroom." c. "I can prepare meals for others." d. "I can return to work immediately."
