ATI/PN Comprehensive Predictor Exams 2024.All Versions, A, B, C, Practice B and Real Exam, Exams of Nursing

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ATI/PN Comprehensive Predictor Exams 202 4 .All Versions,

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TABLE OF CONTENTS

ATI PN Comprehensive Predictor Form A ………………..

ATI PN Comprehensive Predictor Form B………………...

ATI PN Comprehensive Predictor Form C………………....

ATI PN Comprehensive Predictor PRACTICE B…………

ATI PN HESI Med Surge Review Questions……………….

ATI PN COMPREHENSIVE PREDICTOR EXAM………

ATI PN Comprehensive Predictor Form A

1. 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

2. A nurse is participating in a quality improvement study about the effectiveness of client pain management in 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 3. 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." RATIONALE: The diagnosis of HIV or AIDS is shared with every member of the healthcare team who provides direct care for the client, just like any other diagnoses 4. 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 5. 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 nur 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
6. A nurse is assisting with the care of a school-age child immediately following surgery. The child weighs 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?

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

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 is 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 one 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 1diabetes 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 RATIONALE: The nurse should instruct the client to apply the elastic stockings in the morning and remove them at the end of the day before bedtime 16. A nurse in a provider's office is reviewing pediculosis capitis management and prevention strategies with the parent of a school-age child. Which of the

following strategies should the nurse include? (Select all that apply.) ANS: Store the child's clothing in a separate cubicle when at school.

actions should the nurse take? ANS: Witness the client's signature on the informed consent form. RATIONALE: The insertion of a PICC is an invasive procedure with risks and benefits. The

nurse should witness the client's signature on the consent form after ensuring the client has an understanding of the procedure, including its risks and benefits

22. A nurse is caring for a client who adheres to a kosher diet. Which of the following food selections should the nurse expect to see on the client's meal tray? ANS: Spaghetti noodles with red sauce RATIONALE: The nurse should identify that spaghetti noodles with red sauce is appropriate for a client who adheres to a kosher diet. 23. A nurse is contributing to the plan of care for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate (TURP). Which of the following interventions should the nurse include? ANS: Maintain a drainage flow rate to keep the urine diluted to a reddish-pink color RATIONALE: The nurse should maintain the flow rate of the bladder irrigation to keep the urine diluted to a reddish-pink color and the tubing free of clots and bleeding 24. A nurse is assisting with the care of a client who is postpartum and has a deep- vein thrombosis. The client has been receiving heparin IV infusion. Which of the following medications should the nurse ensure is readily available? ANS: Protamine sulfate RATIONALE: The nurse should ensure that protamine sulfate is readily available. Protamine sulfate is the antidote used to reverse the anticoagulant effects of heparin 25. A nurse is reinforcing teaching with a client about how to replace their two piece ostomy pouching system. The client tells the nurse that removing the skin barrier is painful. Which of the following strategies should the nurse suggest? ANS: Hold the skin taut while removing the barrier RATIONALE: Gently and gradually peeling the skin barrier away while holding the skin taut minimizes discomfort and trauma to the peristomal skin 26. A nurse in an inpatient mental health facility is caring for a newly admitted client who has alcohol use disorder. During a therapy session, the client asks about Alcoholics Anonymous (AA). Which of the following responses should the nurse make? ANS: "What is your current understanding about the purpose of AA?" RATIONALE: The nurse should identify the client's understanding about the purpose ofAA to provide further information about the program and

process. This ensures the treatment program meets the client's individual needs and demonstrates caring by the nurse

27. A nurse is performing a dressing change for a client who is 3 days postoperative. Which Of the following findings should the nurse report to the provider? ANS: Yellow-green drainage at the incision line RATIONALE: Yellow-green, purulent, or odorous drainage indicates the wound is infected. The nurse should report this finding to the Provider 28. A nurse is providing comfort to the partner of a client who has died. Which of the following statements should the nurse make? ANS: "Journaling about your relationship might help with the grieving process." RATIONALE: Journaling provides a means for the client to identify thoughts and feelings and to recognize and come to terms with the positive and negative aspects the client's relationship with their partner 29. A nurse is assisting with an educational session for newly licensed nurses about partner violence. Which of the following characteristics should the Nurse included as placing a vulnerable person at risk for partner violence? ANS: Recent confirmation of pregnancy RATIONALE: The nurse should include pregnancy as a characteristic placing a vulnerable person at risk for partner violence. The perpetrator might view the pregnancy as a threat to the relationship due to the attention the child receives 30. A nurse is reinforcing teaching for a client who is preparing to return to work after a back injury. Which of the following instructions for safe lifting technique should the nurse include? ANS: "You should hold a box close to your body when lifting it up." RATIONALE: The client should hold the box as close to their body as possible to maintain balance and prevent injury

31. A nurse is reinforcing discharge teaching with a client who has a prescription for home oxygen therapy via nasal cannula. Which of the following instructions should the nurse include?

understands what the interpreter is saying

36. A nurse is collecting data from a client who reports recent methamphetamine use. Which Of the following manifestations should the nurse expect? ANS: Dilated pupils RATIONALE: The nurse should expect a client who has stimulant intoxication to have dilated pupils. Other expected findings of stimulant intoxication include increased energy and hypervigilance 37. A nurse is working in an acute care facility when a natural disaster occurs. The facility must discharge clients to provide room for new admissions. Which of the following clients should the nurse recommend to the charge nurse for discharge? ANS: A client who has pneumonia and is currently receiving oral antibiotics RATIONALE: The nurse should recognize that this client can continue oral antibiotics at home. Therefore, this client is a candidate for discharge in a disaster situation 38. A nurse is assisting with the plan of care for a client who has bipolar disorder and is in the manic phase. Which of the following activities should the nurse recommend for the client? ANS: Walking outside with a staff member RATIONALE: During the manic phase of bipolar disorder, psychomotor activity is excessive. The nurse should include physical activity, such as walking, in the plan of care. Additionally, the one-on-one nature of the activity provides the client with a sense of security 39. A nurse is supervising an assistive personnel (AP) who is preparing to remove personal protective equipment (PPE) after providing direct care to a client who requires airborne and contact precautions. The nurse should recognize that the AP understands the procedure when which of the following PPE is removed first? ANS: Gloves RATIONALE: The greatest risk to the AP is contamination from pathogens that might be present on the PPE. Therefore, the priority actions for the AP to take is to remove the gloves, which are considered the most contaminated of the PPE. 40. A nurse in an outpatient surgery center is reinforcing discharge teaching with a client following a lithotripsy for uric acid stones. Which of the following instructions should the nurse plan to include in the teaching?

41. A nurse is reinforcing teaching with a client who has hypercholesterolemia and a new prescription for atorvastatin. The nurse should instruct the client that which of the following findings is an adverse effect of this medication and should be reported to the provider? ANS: Muscle pain RATIONALE: The nurse should instruct the client to report findings of muscle pain or tenderness to the provider. These findings can be manifestations of myopathy, or muscle injury, which is a potential serious adverse effect of atorvastatin 42. A nurse is caring for a client who is recovering from a motor vehicle crash. The client's employer calls to ask if the client's injuries will prevent them from returning to work. Which of the following responses should the nurse make? ANS: "I cannot give you this information. You will need to speak with your employee." RATIONALE: Sharing client information with an employer is a violation of client confidentiality. HIPAA ensures that client information is kept confidential once it is disclosed in a health care setting. The nurse should inform the employer they will need to speak with the client directly 43. A nurse is assisting a client who is scheduled for a nonstress test (NST). Which of the following actions should the nurse take? ANS: Provide the client with a handheld event marker to record fetal activity RATIONALE: The nurse will provide the client with a handheld event marker for use in documenting fetal movement. The client will press the button every time they feel the fetus move throughout the test, which is then logged on the paper tracing recording the heart rate and activity of the Fetus 44. A nurse is reinforcing teaching with a client who is receiving radiation therapy for cancer of the larynx. Which of the following statements made by the client indicates an understanding of the teaching? ANS: "I should wear a soft scarf around my neck when I am outside." RATIONALE: A client receiving radiation therapy should cover the affected area with loose, soft clothing to protect the skin from sun Exposure

45. A nurse is reinforcing teaching with an older adult client who has severe left-sided heart failure. Which of the following statements should the nurse make? ANS: "Rest for 15 minutes between activities." RATIONALE: The nurse should instruct the client to increase activity gradually and tourist for a period of 15 min if fatigue occurs. Clients who have heart failure should balance activity with rest to reduce cardiac Workload. 46. A nurse is caring for a client who is scheduled to undergo a thoracentesis for a left pleural effusion. In which of the following positions should the nurse plan to place the client during the procedure? ANS: Upright with arms resting on the overbed table RATIONALE: The nurse should position the client upright with arms resting on the overbed table to widen the intercostal spaces and improve access to the pleural fluid 47. A nurse is talking with a client who says the provider agreed to initiate a do-not- resuscitate (DNR) prescription. After leaving the client's room, which of the following actions should the nurse take first? ANS: Check for documentation that the provider spoke with the client about theDNR RATIONALE: The first action the nurse should take when using the nursing process is to determine whether the provider documented the conversation appropriately. The nurse must ensure the client made an informed decision and that documentation meets legal requirements 48. A nurse is observing a client who is in the first stage of labor. Which of the following interventions should the nurse recommend for this client? (Select all that apply.) ANS: Squatting using an exercise ball. Counterpressure to the sacral area. Pelvic rocking. RATIONALE: Squatting using an exercise ball can help relax the pelvis and perineal area and can relieve pain during contractions.Counterpressure to the sacral area can help decrease pain by relieving pressure on the spinal nerves caused by the fetus's occiput.Pelvic rocking can

RATIONALE: The nurse should administer analgesics for the first 24 hr even if they are ordered on an as-needed basis. It is necessary to control pain postoperatively. Giving the analgesics regularly provides a steady state of analgesia. With pain being managed, children are more likely to consume fluids, remain hydrated, and avoid delayed discharge or readmissions for fluid volume deficit.

54. A nurse is reinforcing preoperative teaching with a client who will receive morphine through a PCA pump after surgery. Which of the following information should the nurse include? ANS: "You should increase your fluid intake while receiving this medication through the PCA pump." RATIONALE: The client should increase their fluid intake to prevent or relieve the adverse effect of constipation while receiving morphine through the PCA pump 55. A nurse is using the FLACC scale to determine the pain level of an 11 - month-old infant who is postoperative. Which of the following factors should the nurse consider when using this pain scale? ANS: Level of activity RATIONALE: The nurse should consider the infant's activity level when using the FLACC pain scale. The FLACC score is determined by five categories of behavior: facial expression (F), leg movement (L), activity (A), cry (C), and consolability (C). 56. A nurse is receiving a change-of-shift report for four clients. The nurse should plan to collect data from which of the following clients first? ANS: A client who has asthma and had frequent exacerbations on the previous shift RATIONALE: When using the airway, breathing, circulation (ABC) approach to client care, the nurse should prioritize data collection from a client who has asthma. The client experienced several exacerbations of asthma on the previous shift, which can result in an obstruction of the client's airway 57. A nurse is caring for a newborn who is 1 hr old. The mother received fentanyl 30 min before birth. For which of the following adverse effects should the nurse monitor the newborn? ANS: Respiratory depression RATIONALE: Fentanyl, an opioid agonist, rapidly crosses the placenta, and it is present in fetal blood within 1 min. The nurse should monitor the newborn for respiratory depression, which is an adverse effect of fentanyl 58. A nurse is caring for a client who has asthma and has been taking montelukast for 1 month. Which of the following findings should indicate to the nurse that the client is