ATI PN Comprehensive predictor 200 questions and correct answers
A client is scheduled for a left lower lobectomy. The physician has
ordered diazepam (Valium) 2 mg IM for anxiety. The nurse would determine
that the medication is appropriate if the client displays which of the
following symptoms?
1. Agitation and decreased level of consciousness.
2. Lethargy and decreased respiratory rate.
3. Restlessness and increased heart rate.
4. Hostility and increased blood pressure.
3. Restlessness and increased heart rate.
A 59-year-old woman with bipolar disorder is receiving haloperidol
(Haldol) 2 mg PO tid. She tells the nurse, "Milk is coming out of my
breasts." Which of the following responses by the nurse is BEST?
1. "You are seeing things that aren't real."
2. "Why don't we go make some fudge."
3. "You are experiencing a side effect of Haldol."
4. "I'll contact your physician to change your medication."
3. "You are experiencing a side effect of Haldol."
The physician orders ranitidine hydrochloride (Zantac) 150 mg PO qd for
a client. The nurse should advise the client the BEST time to take this
medication is
1. before breakfast.
2. with dinner.
3. with food.
4. at hs.
4. at hs. bedtime.
What is the process of taking a telephone order from a provider?
Patient name, drug, dose, route, frequency
,ATI PN Comprehensive predictor 200 questions and correct answers
read back for accuracy
A nurse is caring for a client who has tuberculosis. Which of the following actions should the
nurse take? SATA
a) Place the client in a negative pressure room
b) wear gloves when assisting the client with oral care
c) limit each visitor to 2 hr increments
d) wear a surgical mask when providing care
e) Use antimicrobial sanitizer for hand hygiene
a) Place the client in a negative pressure room
b) wear gloves when assisting the client with oral care
e) Use antimicrobial sanitizer for hand hygiene
A charge nurse is discussing the responsibility of nurses caring for clients who have C. difficile.
Which of the following information should the nurse include in the teaching?
a) Assign the client to a room with a negative air-flow system
b) Use alcohol-based hand sanitizer when leaving the clients room
c) clean contaminated surfaces in the clients room with a phenol solution
d) have family members wear a gown and gloves when visiting
d) have family members wear a gown and gloves when visiting
A nurse is caring for a client receiving IV fluids. During a routine check, the nurse determines
that the client has developed phlebitis and removes the IV catheter. Which of the following
actions should the nurse take next?
a) place a warm compress over the IV site
b) record the findings in the client's chart
c) notify the client's primary care provider
d) prepare to insert a new IV catheter
,ATI PN Comprehensive predictor 200 questions and correct answers
a) place a warm compress over the IV site
A nurse is caring for a client who has dementia. Which of the following interventions should the
nurse take to minimize the risk for injury for this client?
a) use a bed exit alarm system
b) raise 4 side rails while client is in bed
c) apply one soft wrist restraint
d) dim the lights in the client's room
a) use a bed exit alarm system
A nurse is implementing a plan of care for a client who is at risk for falls. Which of the following
is an appropriate nursing action?
a) implement a regular toileting schedule
b) encourage the client to wear athletic socks when ambulating
c) place all 4 bed rails in the upright position
c) require a family member to remain at the bedside
a) implement a regular toileting schedule
Which of the following techniques should the nurse use when performing nasotracheal
suctioning for a client?
a) insert the suction catheter while the client is swallowing
b) apply intermittent suction when withdrawing the catheter
c) place the catheter in a location that is clean and dry for later use
d) hold the suction catheter with the clean, non-dominant hand
b) apply intermittent suction when withdrawing the catheter
, ATI PN Comprehensive predictor 200 questions and correct answers
A nurse is caring for a client following an acute myocardial infarction. The client is concerned
that providing self-care will be difficult due to extreme fatigue. Which of the following strategies
should the nurse implement to promote the client's independence?
a) request an occupational therapy consult to determine the need for assistive devices
b) assign assistive personnel to perform self-care tasks for client
c) instruct the client to focus on gradually resuming self-care tasks
d) ask the client if a family member is available to assist with his care
c) instruct the client to focus on gradually resuming self-care tasks
A nurse is reviewing the medical records of a client who has a pressure ulcer. Which of the
following is an expected finding?
a) serum albumin level of 3 g/dL
b) HDL level of 90 mg/dL
c) Norton scale score of 18
d) Braden scale score of 20
a) serum albumin level of 3 g/dL
A nurse is caring for a client who needs a 24-hr urine collection initiated. Which of the following
client statements indicates an understanding of the procedure?
a) "I had a bowel movement, but I was able to save the urine"
b) "I have a specimen in the bathroom from about 30 minutes ago"
c) "I flushed what I urinated at 7 am and have saved the rest since"
d) "I drink a lot, so I will fill up the bottle and complete the test quickly"
c) "I flushed what I urinated at 7 am and have saved the rest since"
A nurse is caring for a client who has an NG tube that is to be irrigated every 8 hr. Which of the
following should be used to irrigate the tube in order to maintain fluid and electrolyte balance?
a) tap water
b) sterile water
A client is scheduled for a left lower lobectomy. The physician has
ordered diazepam (Valium) 2 mg IM for anxiety. The nurse would determine
that the medication is appropriate if the client displays which of the
following symptoms?
1. Agitation and decreased level of consciousness.
2. Lethargy and decreased respiratory rate.
3. Restlessness and increased heart rate.
4. Hostility and increased blood pressure.
3. Restlessness and increased heart rate.
A 59-year-old woman with bipolar disorder is receiving haloperidol
(Haldol) 2 mg PO tid. She tells the nurse, "Milk is coming out of my
breasts." Which of the following responses by the nurse is BEST?
1. "You are seeing things that aren't real."
2. "Why don't we go make some fudge."
3. "You are experiencing a side effect of Haldol."
4. "I'll contact your physician to change your medication."
3. "You are experiencing a side effect of Haldol."
The physician orders ranitidine hydrochloride (Zantac) 150 mg PO qd for
a client. The nurse should advise the client the BEST time to take this
medication is
1. before breakfast.
2. with dinner.
3. with food.
4. at hs.
4. at hs. bedtime.
What is the process of taking a telephone order from a provider?
Patient name, drug, dose, route, frequency
,ATI PN Comprehensive predictor 200 questions and correct answers
read back for accuracy
A nurse is caring for a client who has tuberculosis. Which of the following actions should the
nurse take? SATA
a) Place the client in a negative pressure room
b) wear gloves when assisting the client with oral care
c) limit each visitor to 2 hr increments
d) wear a surgical mask when providing care
e) Use antimicrobial sanitizer for hand hygiene
a) Place the client in a negative pressure room
b) wear gloves when assisting the client with oral care
e) Use antimicrobial sanitizer for hand hygiene
A charge nurse is discussing the responsibility of nurses caring for clients who have C. difficile.
Which of the following information should the nurse include in the teaching?
a) Assign the client to a room with a negative air-flow system
b) Use alcohol-based hand sanitizer when leaving the clients room
c) clean contaminated surfaces in the clients room with a phenol solution
d) have family members wear a gown and gloves when visiting
d) have family members wear a gown and gloves when visiting
A nurse is caring for a client receiving IV fluids. During a routine check, the nurse determines
that the client has developed phlebitis and removes the IV catheter. Which of the following
actions should the nurse take next?
a) place a warm compress over the IV site
b) record the findings in the client's chart
c) notify the client's primary care provider
d) prepare to insert a new IV catheter
,ATI PN Comprehensive predictor 200 questions and correct answers
a) place a warm compress over the IV site
A nurse is caring for a client who has dementia. Which of the following interventions should the
nurse take to minimize the risk for injury for this client?
a) use a bed exit alarm system
b) raise 4 side rails while client is in bed
c) apply one soft wrist restraint
d) dim the lights in the client's room
a) use a bed exit alarm system
A nurse is implementing a plan of care for a client who is at risk for falls. Which of the following
is an appropriate nursing action?
a) implement a regular toileting schedule
b) encourage the client to wear athletic socks when ambulating
c) place all 4 bed rails in the upright position
c) require a family member to remain at the bedside
a) implement a regular toileting schedule
Which of the following techniques should the nurse use when performing nasotracheal
suctioning for a client?
a) insert the suction catheter while the client is swallowing
b) apply intermittent suction when withdrawing the catheter
c) place the catheter in a location that is clean and dry for later use
d) hold the suction catheter with the clean, non-dominant hand
b) apply intermittent suction when withdrawing the catheter
, ATI PN Comprehensive predictor 200 questions and correct answers
A nurse is caring for a client following an acute myocardial infarction. The client is concerned
that providing self-care will be difficult due to extreme fatigue. Which of the following strategies
should the nurse implement to promote the client's independence?
a) request an occupational therapy consult to determine the need for assistive devices
b) assign assistive personnel to perform self-care tasks for client
c) instruct the client to focus on gradually resuming self-care tasks
d) ask the client if a family member is available to assist with his care
c) instruct the client to focus on gradually resuming self-care tasks
A nurse is reviewing the medical records of a client who has a pressure ulcer. Which of the
following is an expected finding?
a) serum albumin level of 3 g/dL
b) HDL level of 90 mg/dL
c) Norton scale score of 18
d) Braden scale score of 20
a) serum albumin level of 3 g/dL
A nurse is caring for a client who needs a 24-hr urine collection initiated. Which of the following
client statements indicates an understanding of the procedure?
a) "I had a bowel movement, but I was able to save the urine"
b) "I have a specimen in the bathroom from about 30 minutes ago"
c) "I flushed what I urinated at 7 am and have saved the rest since"
d) "I drink a lot, so I will fill up the bottle and complete the test quickly"
c) "I flushed what I urinated at 7 am and have saved the rest since"
A nurse is caring for a client who has an NG tube that is to be irrigated every 8 hr. Which of the
following should be used to irrigate the tube in order to maintain fluid and electrolyte balance?
a) tap water
b) sterile water
