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nursing exam preparation nursing practice questions 2025 2026 nursing exam answers nursing, Exams of Nursing

Imperial Valley College Nursing

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ATI PN Comprehensive Predictor Exam 15

2024

A home health nurse is evaluating a school-age child who has cystic fibrosis. The nurse

should initiate a request for high-frequency chest compression vest in response to which of

the following parent statements?

"My child doesn't like to sit still for nebulizer treatments."

"I think that my child has been running a fever over the last couple of days."

"My child has only a small amount of mucus after percussion therapy."

"I am concerned about my child's future participation in team sports." - "My child has only a

small amount of mucus after percussion therapy."

A nurse is caring for a client who has type 1 diabetes mellitus and reports severe ankle pain

after falling off a stepstool at home. Which of the following prescriptions should the nurse

clarify with the provider?

Obtain capillary blood glucose level every 2 hr.

Check the neurovascular status of the client's lower extremities every hour.

Apply a cold pack to the client's ankle for 30 min every hour.

Maintain the affected ankle elevated and immobilized. - Apply a cold pack to the client's

ankle for 30 min every hour.

A nurse is assessing a newborn who is 2 hr old. Which of the following findings should the

nurse report to the provider?

Slightly blue hands and feet

Respiratory rate 40/min

Axillary temperature 36.2C (97.2F)

Apical pulse 136/min - Axillary temperature 36.2C (97.2F)

A nurse is caring for a client who is 3 days postoperative following a T4 spinal cord injury.

Drag 1 condition and 1 client finding to fill in the blank in the following sentence.

The client is at risk for developing ____ due to ____. - The client is at risk for developing

HEMORRHAGIC STROKE due to AUTONOMIC DYSREFLEXIA.

A nurse is caring for a school-age child.

For each assessment finding, click to specify if the finding is consistent with attention deficit

hyperactivity disorder (ADHD) or intellectual disability (ID). Each finding may support more

than 1 disease process. - ADHD- Hyperreactivity to sensory input, Interrupting others, Losing

necessary things, Intellectual impairment

ID- Impaired language skills, Intellectual impairment

A nurse is caring for a newly admitted client.

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ATI PN Comprehensive Predictor Exam 15

A home health nurse is evaluating a school-age child who has cystic fibrosis. The nurse should initiate a request for high-frequency chest compression vest in response to which of the following parent statements? "My child doesn't like to sit still for nebulizer treatments." "I think that my child has been running a fever over the last couple of days." "My child has only a small amount of mucus after percussion therapy." "I am concerned about my child's future participation in team sports." - "My child has only a small amount of mucus after percussion therapy." A nurse is caring for a client who has type 1 diabetes mellitus and reports severe ankle pain after falling off a stepstool at home. Which of the following prescriptions should the nurse clarify with the provider? Obtain capillary blood glucose level every 2 hr. Check the neurovascular status of the client's lower extremities every hour. Apply a cold pack to the client's ankle for 30 min every hour. Maintain the affected ankle elevated and immobilized. - Apply a cold pack to the client's ankle for 30 min every hour. A nurse is assessing a newborn who is 2 hr old. Which of the following findings should the nurse report to the provider? Slightly blue hands and feet Respiratory rate 40/min Axillary temperature 36.2C (97.2F) Apical pulse 136/min - Axillary temperature 36.2C (97.2F) A nurse is caring for a client who is 3 days postoperative following a T4 spinal cord injury. Drag 1 condition and 1 client finding to fill in the blank in the following sentence. The client is at risk for developing ____ due to ____. - The client is at risk for developing HEMORRHAGIC STROKE due to AUTONOMIC DYSREFLEXIA. A nurse is caring for a school-age child. For each assessment finding, click to specify if the finding is consistent with attention deficit hyperactivity disorder (ADHD) or intellectual disability (ID). Each finding may support more than 1 disease process. - ADHD- Hyperreactivity to sensory input, Interrupting others, Losing necessary things, Intellectual impairment ID- Impaired language skills, Intellectual impairment A nurse is caring for a newly admitted client.

Select 2 findings that require immediate follow-up. - Hemoglobin Platelet count A nurse is caring for a newborn. Complete the following sentence by using the list of options. The nurse should plan to first assess the newborn's ______followed by the newborn's_______. - The nurse should plan to first assess the newborn's RESPIRATORY RATE followed by the newborn's HEART RATE. A nurse is caring for a client who is 24 hr postoperative following a cesarean birth. Drag 1 condition and 1 client finding to fill in the blank in the following sentence. The client is at risk for developing ____ as evidenced by _____. - The client is at risk for developing SEIZURES as evidenced by BLOOD PRESSURE. A nurse on a medical-surgical unit is caring for a client who is postoperative following an emergency appendectomy. Complete the diagram. - Potential condition: Varicose veins Actions to take: Elevate the extremity Apply graduated compression stockings Parameters to monitor: Edema of right lower extremity Pruritis of right lower extremity A nurse on a mental health unit is caring for a client. For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated. - Anticipated: Initiate suicide precautions Potassium 40 mEq PO daily Contraindicated: Low-sodium diet Fluoxetine 20 mg PO daily A nurse is caring for a client in the emergency department (ED). The nurse is planning care for the client. Select the 5 actions the nurse should plan to take. - - Perform a Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar)

Initiate seizure precautions

Agency for Healthcare Research and Quality National Institutes of Health Department of Agriculture World Health Organization - Agency for Healthcare Research and Quality A nurse is caring for a client. Complete the diagram by dragging from the choices. - Potential Condition: Somatic symptom disorder Actions to take: Monitor the clients physical manifestations Assess the client for a secondary gain from illness Parameters to monitor: Vital signs Pain A nurse is assessing a client who is scheduled for surgery. Click to highlight the assessment findings that the nurse should notify the provider about prior to the procedure. - - Hemoglobin levels

Allergies
Family history A client who has high blood pressure is having difficulty following their treatment plan. Which of the following factors should the nurse recognize as being the greatest barrier to the clients ability to be compliant? A detailed plan of care Absence of symptoms Dietary salt restriction Addition of new medication - Absence of symptoms A nurse in a providers office is caring for a client who has a new diagnosis of type 2 diabetes mellitus. Complete the following sentence by using the lists of options. The client is at risk for developing _____ due to ______. - The client is at risk for developing DELAYED WOUND HEALING due to GLUCOSE LEVEL. A nurse is providing discharge teaching a client following a cataract extraction. Which of the following statements by the client indicates an understanding of the teaching? "I can resume my daily aspirin therapy" "I will contact my provider if my eye feels itchy" "I will bend at the knees when picking up an object up off the floor" "Its okay for me to pick up my grandchild, who weighs 20 pounds" - "I will bend at the knees when picking up an object up off the floor"

A nurse is assessing a client who has macular degeneration. Which of the following findings should the nurse expect? Increased intraocular pressure Floating dark spots Decreased central vision Double vision - Decreased central vision A nurse is caring for a client who has a terminal illness and requests no lifesaving measures if cardiac arrest occurs. Which of the following statements should the nurse make? "You will need to draft a health care surrogate so a designee can make this decision for you" "I will make sure no one performs any lifesaving measures if your heart stops" "Your provider determines if you should have lifesaving measures if your heart stops" "I will provide you with information about medical treatment to include in your living will" - "I will provide you with information about medical treatment to include in your living will" A nurse is creating a plan of care for a client who has left-sided weakness following a stroke. Which of the following interventions should the nurse include in the plan? Massage bony prominences on the clients left side Support the clients left arm on a pillow while sitting Position the bedside table on the clients left side Place the clients cane on their left side while ambulating - Support the clients left arm on a pillow while sitting A nurse is preparing to administer a long-acting insulin to a client who has diabetes mellitus. Which of the following actions should the nurse plan to take first? Teach the client reportable adverse effects from the medication Check the insulin dose with another licensed nurse Administer the insulin at a 90 degree angle Clean the insertion site - Check the insulin dose with another licensed nurse A nurse is reviewing the laboratory results of a toddler who has hemophilia A. Which of the following aPTT (30 to 40 seconds) values should the nurse expect? 11 seconds 22 seconds 30 seconds 45 seconds - 45 seconds A nurse receives a request from a client to review the information in his medical record. Which of the following responses should the nurse give? "There's a protocol for reviewing your medical record, and I can initiate the process" "The medical record has a lot of medical terminology, and it might be difficult for you to understand" "You should really talk to your provider if you have any questions about your treatment"

A nurse is assessing a client who has decreased visual acuity due to cataracts. The nurse should identify that which of the physiological changes is the cause for the clients visual loss? An increase in the intraocular pressure Deterioration of the macula Increased opacity of the lens Vitreous hemorrhage - Increased opacity of the lens A nurse administers an incorrect dose of medication to a client. The nurse recognizes the error immediately and completes an incident report. Which of the following facts related to the incident should the nurse document in the clients medical record? Completion of incident report Time the medication was given Reason for the medical error Notification of the pharmacist - Time the medication was given A nurse on an inpatient unit is caring for a client who has schizophrenia and recently started taking risperidone. Which of the following actions should the nurse take? Implement fall precautions for the patient Monitor the clients thyroid function Place the client on fluid restriction Discontinue the medication if hallucinations occur - Implement fall precautions for the patient A nurse is teaching the parents of a toddler about snacks. Which of the following foods should the nurse recommend? Popcorn Diced steamed carrots Whole celery sticks Marshmallows - Diced steamed carrots A nurse is caring for a client who has a potassium of 3 mEq/L (3.5 to 5 mEq/L). For which of the following manifestations should the nurse monitor? Increased bowel sounds Dry, sticky mucous membranes Decreased deep tendon reflexes Numbness and tingling of the extremities - Decreased deep tendon reflexes A nurse is caring for a client who has hearing loss. Which of the following actions should the nurse take to improve communication? Reduce environmental stimuli Provide written material at an 8th grade level Provide interpretation services over the telephone Use exaggerated lip movements when speaking - Reduce environmental stimuli

A nurse is caring for a client who has a prescription for chlorpromazine. Which of the following findings should the nurse identify as an indication that the medication is effective? Decreased blood pressure Decreased hallucinations Decreased cholesterol Decreased esophageal reflux - Decreased hallucinations A client who is 24 hr postoperative following abdominal surgery refuses to ambulate. Which of the following actions should the nurse take first? Ask the client to rate their pain level Assist the client in changing positions Administer PRN analgesic medication Explain the importance of early ambulation - Ask the client to rate their pain level A charge nurse is planning care for a client who has mechanical restraints in place. Which of the following interventions should the nurse include in the plan? Remove the clients restraints while sleeping Documents the clients status every 60 min Check for a new prescription every 6 hr Provide a staff member to stay with the client continuously - Provide a staff member to stay with the client continuously A nurse is caring for a client who had a recent stroke. Prior to transferring the client to a bedside commode, which of the following actions should the nurse take first? Ask for help with a two-person assist transfer Assess the client for functional limitations Request a mechanical lift device Medicate the client for pain - Assess the client for functional limitations A nurse in a community center is providing an educational session to a group of clients about ovarian cancer. Which of the following manifestations of ovarian cancer should the nurse include in the teaching? Diarrhea Urinary retention Purulent drainage Abdominal bloating - Abdominal bloating A nurse is caring for a client following a vacuum-assisted birth. The nurse should monitor the client for which of the following complications related to vacuum-assisted births? Constipation Urinary urgency Cervical laceration Retained placenta - Cervical laceration

Sudden drop in heart rate Rapid decrease in blood pressure Client reports a feeling of abdominal fullness Client reports pain as 8 on scale of 0 to 10 - Rapid decrease in blood pressure A client is receiving lorazepam IV for panic attacks and develops a respiratory rate of 6/min and a blood pressure of 90/44 mm Hg. Which of the following medications should the nurse anticipate administering? Naloxone Flumazenil Acetylcysteine Atropine - Flumazenil A charge nurse assigns a newly licensed nurse to care for a client who has a chest tube. The nurse expresses concern about having limited experience with monitoring chest tube drainage. Which of the following actions should the charge nurse take first to provide teaching about chest tubes? Refer the nurse to the procedure manual Use a diagram to explain the procedure to the nurse Demonstrate the procedure to the nurse Ask the nurse about their knowledge of the procedure - Ask the nurse about their knowledge of the procedure A nurse is assessing a client who has a stage II pressure injury. Which of the following would characteristics should the nurse expect? Muscle damage Partial-thickness skin loss Visible subcutaneous tissue Tendon exposure - Partial-thickness skin loss A nurse is assessing a client with multiple sclerosis. Which of the following manifestations should the nurse expect? Abdominal striae Masklike face Nystagmus Ptosis - Nystagmus A nurse is caring for a newborn whose parent ask why the baby is receiving vitamin K. The nurse should explain to the parent that the newborn should receive vitamin K to prevent which of the following? Bleeding Potassium deficiency Infection Hyperbilirubinemia - Bleeding

A nurse is caring for a client who is receiving a continuous heparin infusion. Which of the following laboratory tests should the nurse review prior to adjusting the clients heparin? aPTT PT INR WBC count - aPTT A nurse is performing as admission assessment of a preschooler who is in the acute phase of Kawaski disease. Which of the following findings should the nurse expect? Fever unresponsive to antipyretics Pain in weight-bearing joints Decreased heart rate Peeling of the soles of the feet - Fever unresponsive to antipyretics A night shift nurse is giving change-of-shift report to the day shift nurse on a client who is ready for discharge. Which of the following information is the priority for the nurse to communicate to the oncoming nurse? The client needs assistance when transferring from the bed to a wheelchair The client will have a visit by a home health nurse tomorrow The clients partner will bring clothes for the client to change into prior to discharge The client often need encouragement to engage in personal hygiene activities - The client needs assistance when transferring from the bed to a wheelchair A nurse is preparing to insert and indwelling urinary catheter for a client. The nurse should assess the client for which of the following conditions prior to starting the procedure? Ketonuria Fecal impaction Latex allergy Tachycardia - Latex allergy A nurse is caring for a client who is in the fourth stage of labor and is receiving oxytocin via continuous IV infusion. Which of the following assessments is the nurses priority? Amount of vaginal bleeding Amount of urinary output Pain level Fundal height - Amount of vaginal bleeding A nurse is administering cyclophosphamide orally to a school-age child who has neuroblastoma. Which of the following actions should the nurse take when administering this medication? Give an antiemetic 30 min after medication administration Monitor blood glucose levels Maintain hydration with liberal fluid intake Monitor for tumor lysis syndrome - Maintain hydration with liberal fluid intake

Organizing the work environment Delegating assigned tasks appropriately Making a list of activities to complete Rewarding oneself for accomplishing goals - Making a list of activities to complete A nurse is assessing a client who has sickle cell anemia. The nurse should identify which of the following findings as a manifestation of vaso-occlusive crisis? Diminished reflexes Hematuria Hyperglycemia Hearing loss - Hematuria A nurse manager is reviewing unit records and discovers that client falls occur most frequently during the hours of 0530 and 0730. Which of the following actions should the nurse take when conducting a root cause analysis? Investigate environmental factors that might be contributing to client injury during these hours Review the performance evaluations of nurses who work during these hours Implement a plan to transition the team nursing to primary care nursing during these hours Discuss a plan with the providers to reduce the use of barbiturate sedatives prior to these hours - Investigate environmental factors that might be contributing to client injury during these hours A community health nurse is reviewing the medical records of four newly diagnosed clients. The nurse should identify which of the following clients as having a nationally notifiable infectious condition? A client who is pregnant and has cytomegalovirus (CMV) An adolescent client who has foodborne botulism A child who has erythema infectiosum A young adult client who has herpes simplex virus type 1 (HSV-1) - An adolescent client who has foodborne botulism A nurse is planning care for a client who has rheumatoid arthritis. Which of the following interventions should the nurse include in the plan? Encourage the client to take a cool sponge bath each morning Administer opioid analgesia Increase the clients dietary iron intake Restrict the clients intake of foods high in purines - Increase the clients dietary iron intake A nurse is performing an abdominal assessment on a client. Identify the sequence of actions the nurse should take. - - Inspection

Auscultation
Percussion
Palpitation

A nurse is caring for an older adult client. Which of the following findings should the nurse recognize as a physiological change associated with aging? Decreased blood pressure Increased cardiac output Increased oral temperature Decreased lung expansion - Decreased lung expansion A nurse is preparing a sterile field to perform a sterile dressing change. Which of the following interventions should the nurse use to maintain surgical sterile technique? Hold hands folded below the waist after donning sterile gloves Pick up and pour solutions with the palm of the hand covering bottle labels Keep sterile items within a 1.3 cm (0.5 in) border of the sterile drape Maintain sterile objects within the line of vision - Maintain sterile objects within the line of vision A nurse is caring for a client who has a new prescription for clonidine. The nurse should inform the client that which of the following findings is an adverse effect of this medication? Diarrhea Dry mouth Photophobia Bruising - Dry mouth A nurse is teaching home wound care to the family of a child who has a large wound. Which of the following interventions should the nurse recommend? Apply over-the-counter cream if wound becomes infected Clean the wound twice a day with povidone-iodine Apply heat to the wound for 10 min, four times per day Double-bag soiled dressings in plastic bag for disposal - Double-bag soiled dressings in plastic bag for disposal A home health nurse is developing a teaching plan for a client who has a new ileostomy. Which of the following instructions should the nurse include? Limit intake of fluids to 1,000 mL daily Take a laxative if no stool has passed after 12 hr Empty the appliance when it is one-third to one-half full Change the entire pouch system every 1 to 2 days - Empty the appliance when it is one-third to one-half full An RN is planning care for a group of clients and is working with a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following tasks should the RN delegate to the LPN? Collection of a stool specimen Preparation of a clients postoperative bed Preparation of a teaching plan of pneumonia

A hospice nurse is consulting with a client and their family about receiving home services. Which of the following statements should the nurse identify as an indication that the family understands home hospice care? "We can expect the hospice nurse to provide support for us after our mothers death" "A hospice nurse will come to the house each time our mother needs pain medication" "Now that my mother is receiving hospice services, we will not be able to get respite care" "Hospice care focuses on arranging treatment that will prolong our mother life" - "We can expect the hospice nurse to provide support for us after our mothers death" A nurse is caring for a client who has immunosuppression and a continuous IV infusion. Which of the following actions should the nurse take? Assess the clients IV site every 8 hr Check the clients WBC count every 48 hr Monitor the clients mouth every 8 hr Change the clients IV tubing every 48 hr - Monitor the clients mouth every 8 hr A nurse is caring for a client who is in labor at 39 weeks gestation. During the second stage of labor, the nurse observes early decelerations on the monitor tracing. Which of the following actions should the nurse take? Continue observing the fetal heart rate Assist the client to a knee-chest position Prepare the client for continuous internal monitoring Prepare for an emergency cesarean birth - Continue observing the fetal heart rate A nurse is providing teaching to a client who is scheduled for electroconvulsive therapy (ECT). The nurse should inform the client that which of the following findings is an adverse effect of ECT? Agitation Short-term memory loss Post-treatment seizures Incontinence of the bowel and bladder - Short-term memory loss A nurse is teaching a group of guardians about child safety measures. Which of the following statements by a guardian indicates an understanding of the teaching? "I will make sure my 4-year-old child wears a helmet when using a skateboard" "I should have my child avoid sun exposure between 10 am and 2 pm" "I can give my 2-year-old child a whole hotdog on a bun" "When my infant is in the carrier, I will place it on a raised, flat surface whenever possible" - "I should have my child avoid sun exposure between 10 am and 2 pm" A nurse is caring for a preschooler on the pediatric unit. After reviewing the assessment findings, which of the following actions should the nurse take?

Select 4 actions the nurse should take. - - Discontinue IV medication

Administer 0.9% sodium chloride
Administer epinephrine
Monitor vital signs frequently A nurse is caring for a client who is in the spinal cord injury (SCI) unit. Complete the following sentence by using the list of options. The nurse should first address the clients ____ followed by the clients ____. - The nurse should first address the clients OXYGEN SATURATION followed by the clients URINE OUTPUT. A nurse is caring for a 68-year-old client who is 2 days postoperative following surgical repair of a left hip fracture. Complete the diagram. - Potential condition: Intestinal obstruction Actions to take: Prepare to administer IV fluids Assist client to semi-Fowlers position Parameters to monitor: Bowel sounds Urine output A nurse is caring for a 3-year-old child who has a gastrostomy tube. Drag words from the choices below to fill in each blank in the following sentence. The child is at risk for developing _____ and _____. - The child is at risk for developing SKIN BREAKDOWN and AN INFECTION. A nurse is providing phone advice for a client who is pregnant. Complete the following sentence by using the lists of options. The client is at risk for experiencing _____ due to the clients ____. - The client is at risk for experiencing METABOLIC ACIDOSIS due to the clients WEIGHT LOSS. A nurse is caring for a client who is on 24-hr observation. Complete the following sentence by using the lists of options. The client is at risk for ____ due to _____. - The client is at risk for HEMORRHAGE due to THROMBOCYTOPENIA. A nurse is teaching a client who has new prescription for digoxin about manifestations of toxicity. Which of the following findings should the nurse include in the teaching?

Provide the client with a brightly lit environment - Serve meals with plastic utensils A nurse is assessing a newborn following a vaginal delivery. Which of the following findings should the nurse report to the provider? Heart rate 136/min Nasal flaring Transient strabismus Overlapping of sutures - A nurse manager is assisting with the orientation of a newly licensed nurse. which of the following actions by the nurse requires the nurse manager to intervene? Informs the provider about a clients suicide plan Notifies the health department of a clients diagnosis of chlamydia Reports suspected maltreatment to social services Tells the hospital chaplain a clients diagnosis - Tells the hospital chaplain a clients diagnosis A nurse is preparing to replace a client's transdermal fentanyl patch after 72 hr of use. After the nurse opens the packet containing the new pouch, the client declines to accept it. Which of the following actions should the nurse take? Withhold pain medication for 24 hr after the old patch is removed Ask another nurse to witness the disposal of the new patch Seal the patches in a plastic bag and place in the clients trash basket Stick the two patches to each other and place them in the sharps bin - Ask another nurse to witness the disposal of the new patch A charge nurse is planning an educational session for staff nurses about working with parents whose terminally ill children are candidates for donating their organs. Which of the following information should the nurse plan to include? Choosing to donate organs can delay the timing of the childs funeral The family can have the child in an open casket without fearing that the organ donation might disfigure the childs body The family should understand that an autopsy is mandatory prior to organ donation The nurse should introduce the option of organ donation to the parents when first discussing the childs impending death - The family can have the child in an open casket without fearing that the organ donation might disfigure the childs body A nurse in an outpatient mental health clinic is working with a client who has post traumatic stress disorder (PTSD) and asks the nurse to recommend a nonpharmacological therapy to use to provide relief of the manifestations. Which of the following complementary therapies should the nurse teach the client to use to help alleviate the distress? Spinal manipulation Acupuncture Therapeutic touch Guided imagery - Guided imagery

A nurse is caring for a client who is 4 hr postpartum and has a boggy uterus with heavy lochia. Which of the following actions should the nurse take first? Administer oxygen Initiate an infusion of oxytocin Massage the uterus to expel clots Obtain CBC - Massage the uterus to expel clots An assistive personnel (AP) and a nurse are turning a client onto the right side. Which of the following actions by the AP requires the nurse to intervene? Places a pillow under the clients right arm Raises to total height of the bed to waist level Uses a draw sheet to move the client to the left side of the bed Lowers the side rails on the left side of the bed - Places a pillow under the clients right arm A nurse is reviewing the medical record of a client who has schizophrenia and is to start taking clozapine. Which of the following findings should the nurse identify as a contraindication for the client to receive clozapine? BP 150/87 mm Hg WBC count 2,800/mm Auditory hallucinations Nausea - WBC count 2,800/mm A nurse is caring for client who is receiving positive end-expiratory pressure (PEEP) via mechanical ventilation. The nurse should monitor the client for which of the following adverse effects of PEEP? Hypoxemia Tension pneumothorax Malignant hypertension Atelectasis - Tension pneumothorax A nurse is assessing an infant who has hydrocephalus and is 6 hr postoperative following placement of a ventriculoperitoneal (VP) shunt. Which of the following findings should the nurse report to the provider? Heart rate 122/min Irritability when being held Hypoactive bowel sounds Urine specific gravity 1.018 - Irritability when being held A nurse is assessing a client for compartment syndrome. Which of the following findings should the nurse expect? Fever Shortened femoral neck Edema Dark brown urine - Edema