ATI COMPREHENSIVE PREDICTOR EXAM 2019 B| ATI NCLEX
PREDICTOR 180 QUESTIONS AND CORRECT ANSWERS
1. A nurse is providing teaching about the gastrostomy tube feedings to the parents of a
school age child.
Which of the following instructions should the nurse take?
A. Administer the feeding over 30 min.
B. Place the child in as supine position after the feeding.
C. Charge the feeding bag and tubing every 3 days.
D. Warm the formula in the microwave prior to administration. ---CORRECT ANSWER--
A. Administer the feeding over 30 min.
2. A nurse is administering digoxin 0.125 mg Po to an adult client. For which of the
following findings should
the nurse report to the provider? A. Potassium level 4.2 mEq/L.
B. Apical pulse 58/min.
C. Digoxin level 1 ng/ml.
D. Constipation for 2 days. ---CORRECT ANSWER-- C. Digoxin level 1 ng/ml.
3. A nurse is caring for a client who is comatose and has advance directives that
indicate the client does not
want life-sustaining measures. The client's family want the client to have life-sustaining
measures. Which
of the following action should the nurse take?
A. Arrange for an ethics committee meeting to address the family's concerns.
B. Support the family's decision and initiate life-sustaining measures.
C. Complete an incident report.
D. Encourage the family to contact an attorney. ---CORRECT ANSWER-- A. Arrange for
an ethics committee meeting to address the family's concerns.
4. A nurse is caring for a client who wears glasses. Which of the following actions
should the nurse take?
A.Store the glasses in a labeled case.
B. Clean the glasses with hot water.
C. Clean the glasses with a paper towel.
,D. Store the glasses on the bedside table. ---CORRECT ANSWER-- A.
Store the glasses in a labeled case.
5. A nurse is teaching a group of newly licensed nurses about measures to take when
caring for a client who is
on contact precautions. Which of the following should the nurse include in the teaching?
A. Remove the protective gown after the client's room.
B. Place the client in a room with negative pressure.
C. Wear gloves when providing care to the client.
D. Wear a mask when changing the linens in the client's room. ---CORRECT ANSWER-
- C. Wear gloves when providing care to the client.
6.A nurse is planning on care for a client who is recovering from an acute myocardial
infarction that occurred
3 days ago. Which of the following instructions should the nurse include? A. Perform an
ECG every 12 hr.
B. Place the client in a supine position while resting.
C. Draw a troponin level every 4hr.
D. Obtain a cardiac rehabilitation consultation. ---CORRECT ANSWER-- D. Obtain a
cardiac rehabilitation consultation.
7. The nurse is reviewing the medical record of a client who is requesting combination
oral contraceptives.
Which of the following conditions in the client's history is a contradiction to the use of
oral contraceptives?
A.Hyperthyroidism.
B. Thrombophlebitis.
C. Diverticulosis.
D. Hypocalcemia.
---CORRECT ANSWER-- B. Thrombophlebitis.
8 A nurse is caring for a client who request the creation of a living will. Which of the
following actions should
the nurse take?
A. Schedule a meeting between the hospital ethics committee and the client.
B. Evaluate the client's understanding of life-sustaining measures.
C. Determine the client's preferences about post mortem care.
D. Request a conference with the client's family. ---CORRECT ANSWER-- B. Evaluate
the client's understanding of life-sustaining measures.
9.A nurse is caring for an adolescent who has sickle-cell anemia. Which of the following
manifestations
indicates acute chest syndrome and should be immediately reported to the provider?
A. Substernal retractions.
B. Hematuria.
C. Temperature 37.9 C (100.2 F).
, D. Sneezing. ---CORRECT ANSWER-- A. Substernal retractions.
10.A nurse is preforming a gastric lavage for a client who has upper gastrointestinal
bleeding. Which of the
.following action should the nurse take?
A. Instill 500 ml of solution through the NG tube.
B. Insert a large-bore NG tube.
C. Use a cold irrigation solution.
D. Instruct the client to lie on his right side. ---CORRECT ANSWER-- B. Insert a large-
bore NG tube.
11. A nurse is providing care for a client who is in the advance stage of amyotrophic
lateral sclerosis. (ALS).
Which of the following referrals is the nurse's priority?
A. Psychologist.
B. Social worker.
C. Occupational therapist.
D. Speech-language pathologist. ---CORRECT ANSWER-- D. Speech-language
pathologist.
12.A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis.
Which of the
following findings should the nurse report to the provider? A. WBC count 8,000/mm3.
B. Platelets 150,000/mm3.
C. Aspartate aminotransferase 10 units/L.
D. Erythrocyte sedimentation rate 75 mm/hr ---CORRECT ANSWER-- D. Erythrocyte
sedimentation rate 75 mm/hr
13. A nurse is caring for a client who has generalized petechiae and ecchymoses. The
nurse should expect
a prescription for which of the following laboratory tests?
A. Platelet count.
B. Potassium level.
C. Creatine clearance.
D. Prealbumin. ---CORRECT ANSWER-- A. Platelet count.
14. A nurse is caring for a client following application of a cast. Which of the following
actions should the nurse
take first?
A. Place an ice pack over the cast.
B. Palpate the pulse distal to the cast.
C. Teach the client to keep the cast clean and dry.
D. Position the casted extremity on a pillow. ---CORRECT ANSWER-- B. Palpate the
pulse distal to the cast.
PREDICTOR 180 QUESTIONS AND CORRECT ANSWERS
1. A nurse is providing teaching about the gastrostomy tube feedings to the parents of a
school age child.
Which of the following instructions should the nurse take?
A. Administer the feeding over 30 min.
B. Place the child in as supine position after the feeding.
C. Charge the feeding bag and tubing every 3 days.
D. Warm the formula in the microwave prior to administration. ---CORRECT ANSWER--
A. Administer the feeding over 30 min.
2. A nurse is administering digoxin 0.125 mg Po to an adult client. For which of the
following findings should
the nurse report to the provider? A. Potassium level 4.2 mEq/L.
B. Apical pulse 58/min.
C. Digoxin level 1 ng/ml.
D. Constipation for 2 days. ---CORRECT ANSWER-- C. Digoxin level 1 ng/ml.
3. A nurse is caring for a client who is comatose and has advance directives that
indicate the client does not
want life-sustaining measures. The client's family want the client to have life-sustaining
measures. Which
of the following action should the nurse take?
A. Arrange for an ethics committee meeting to address the family's concerns.
B. Support the family's decision and initiate life-sustaining measures.
C. Complete an incident report.
D. Encourage the family to contact an attorney. ---CORRECT ANSWER-- A. Arrange for
an ethics committee meeting to address the family's concerns.
4. A nurse is caring for a client who wears glasses. Which of the following actions
should the nurse take?
A.Store the glasses in a labeled case.
B. Clean the glasses with hot water.
C. Clean the glasses with a paper towel.
,D. Store the glasses on the bedside table. ---CORRECT ANSWER-- A.
Store the glasses in a labeled case.
5. A nurse is teaching a group of newly licensed nurses about measures to take when
caring for a client who is
on contact precautions. Which of the following should the nurse include in the teaching?
A. Remove the protective gown after the client's room.
B. Place the client in a room with negative pressure.
C. Wear gloves when providing care to the client.
D. Wear a mask when changing the linens in the client's room. ---CORRECT ANSWER-
- C. Wear gloves when providing care to the client.
6.A nurse is planning on care for a client who is recovering from an acute myocardial
infarction that occurred
3 days ago. Which of the following instructions should the nurse include? A. Perform an
ECG every 12 hr.
B. Place the client in a supine position while resting.
C. Draw a troponin level every 4hr.
D. Obtain a cardiac rehabilitation consultation. ---CORRECT ANSWER-- D. Obtain a
cardiac rehabilitation consultation.
7. The nurse is reviewing the medical record of a client who is requesting combination
oral contraceptives.
Which of the following conditions in the client's history is a contradiction to the use of
oral contraceptives?
A.Hyperthyroidism.
B. Thrombophlebitis.
C. Diverticulosis.
D. Hypocalcemia.
---CORRECT ANSWER-- B. Thrombophlebitis.
8 A nurse is caring for a client who request the creation of a living will. Which of the
following actions should
the nurse take?
A. Schedule a meeting between the hospital ethics committee and the client.
B. Evaluate the client's understanding of life-sustaining measures.
C. Determine the client's preferences about post mortem care.
D. Request a conference with the client's family. ---CORRECT ANSWER-- B. Evaluate
the client's understanding of life-sustaining measures.
9.A nurse is caring for an adolescent who has sickle-cell anemia. Which of the following
manifestations
indicates acute chest syndrome and should be immediately reported to the provider?
A. Substernal retractions.
B. Hematuria.
C. Temperature 37.9 C (100.2 F).
, D. Sneezing. ---CORRECT ANSWER-- A. Substernal retractions.
10.A nurse is preforming a gastric lavage for a client who has upper gastrointestinal
bleeding. Which of the
.following action should the nurse take?
A. Instill 500 ml of solution through the NG tube.
B. Insert a large-bore NG tube.
C. Use a cold irrigation solution.
D. Instruct the client to lie on his right side. ---CORRECT ANSWER-- B. Insert a large-
bore NG tube.
11. A nurse is providing care for a client who is in the advance stage of amyotrophic
lateral sclerosis. (ALS).
Which of the following referrals is the nurse's priority?
A. Psychologist.
B. Social worker.
C. Occupational therapist.
D. Speech-language pathologist. ---CORRECT ANSWER-- D. Speech-language
pathologist.
12.A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis.
Which of the
following findings should the nurse report to the provider? A. WBC count 8,000/mm3.
B. Platelets 150,000/mm3.
C. Aspartate aminotransferase 10 units/L.
D. Erythrocyte sedimentation rate 75 mm/hr ---CORRECT ANSWER-- D. Erythrocyte
sedimentation rate 75 mm/hr
13. A nurse is caring for a client who has generalized petechiae and ecchymoses. The
nurse should expect
a prescription for which of the following laboratory tests?
A. Platelet count.
B. Potassium level.
C. Creatine clearance.
D. Prealbumin. ---CORRECT ANSWER-- A. Platelet count.
14. A nurse is caring for a client following application of a cast. Which of the following
actions should the nurse
take first?
A. Place an ice pack over the cast.
B. Palpate the pulse distal to the cast.
C. Teach the client to keep the cast clean and dry.
D. Position the casted extremity on a pillow. ---CORRECT ANSWER-- B. Palpate the
pulse distal to the cast.
