ATI RN VATI
COMPREHENSIVE
PREDICTOR 2019
FORM B
A nurse is assessing a client who received 2 units of packed RBCs 48 hrs ago. Which of the
following findings should indicate to the nurse that the therapy has been effective? Correct
Answer hemoglobin 14.9 g/dL
a nurse working in an emergency department is triaging four clients. which of the following
clients should the nurse recommend for treatment first? Correct Answer a middle adult client
who has unstable vital signs
a nurse is caring for a client who has fluid volume overload. which of the following tasks should
the nurse delegate to an assistive personnel? Correct Answer measure the client's daily weight
a nurse is preparing to administer mannitol 0.2 g/kg IV bolus over 5 min as a test dose to a
client who has severe oliguria. The client weighs 198 lb. what is the amount in grams the nurse
should administer? Correct Answer 18 g
a nurse is conducting a physical examination for an adolescent and is assessing the rang of
motion of the legs, which of the following images indicates the adolescent is abducting the hip
joint?
Correct Answer Moving the leg away from the midline of the body (off to the side, not to the
front)
a nurse is caring for a client who has hyperthyroidism. which of the following findings should
the nurse expect? Correct Answer tremors
tachycardia, diaphoresis, weight loss, insomnia, exopthalmia
hypothyroidism has dry corase hair, bradycardia, and periorbital edema
,a nurse is assessing a school age child who has bacterial meningitis. which of the following
findings should the nurse expect? Correct Answer nuchal rigidity
also weight loss
a nurse is assessing a newborn's heart rate. which of the following actions should the nurse
take?
Correct Answer auscultate the apical pulse at least 1 min
a nurse is preparing to assist with a thoracentesis for a client who has pleurisy. the nurse
should plan to perform which of the following actions? Correct Answer instruct the client to
avoid coughing during the procedure
a nurse is the emergency department is assessing a preschooler who has a facial laceration. the
nurse should identify which of the following findings as a potential indication of child sexual
abuse?
Correct Answer the child exhibits discomfort while walking
a nurse is preparing to teach about dietary management to a client who has crohn's disease
and an enteroenteric fistula. which of the following nutrients should the nurse instruct the
client to decrease in their diet? Correct Answer fiber - reduce diarrhea and inflammation
a nurse is caring for a client who has a prescription for a continuous passive motion CPM
machinefollowing a total knee arthroplasty. which of the following actions should the nurse
take? Correct Answer Turn off the CPM machine during mealtime
promote client comfort and dietary intake
a nurse is preparing to initiate IV access for an older adult client. Which of the following sites
should the nurse select when initiating the IV for this client? Correct Answer radial vein of the
inner arm
a nurse is developing a client education program about osteoporosis for older adult clients.
the nurse should include which of the following variables as a risk factor for osteoporosis?
Correct Answer sedentary lifestyle
also, small framed body with a thin build, estrogen deficiency
a nurse in an emergency department is caring for a child who has a fever and fluid filled
vesicles on the trunk and extremities. which of the following interventions should the nurse
identify as the priority? Correct Answer initiate transmission based precautions
a nurse is caring for a client who has a clogged percutaneous gastrostomy feeding tube. which
of the following actions should the nurse take first? Correct Answer change the position of the
client
,a home health care nurse is developing a teaching plan for a client who has a new ileostomy.
which of the following instructions should the nurse include? Correct Answer empty the
appliance when it is one third to one half full
a nurse is reviewing the laboratory report of a client who has end stage kidney disease and
received hemodialysis 24 hr ago. Which of the following laboratory values should the nurse
report to the provider? Correct Answer sodium 148 mEq/L
a nurse is caring for four clients. which of the following tasks should the nurse delegate to an
assistive personnel? Correct Answer Arrange the lunch tray for a client who has a hip fracture
a nurse is preparing a client for a paracentesis. which of the following actions should the nurse
take? Correct Answer instruct the client to void
a nurse has received change of shift report on four assigned clients. for which of the following
clients should the nurse intervene to prevent a potential food and medication interaction? Correct
Answer a client who is receiving an MAOI and is requesting a cheeseburger for dinner
a nurse is planning care for a client who has rheumatoid arthritis and has moderate to severe
pain in multiple joints. which of the following actions should the nurse plan to take? Correct
Answer allow for frequent rest periods throughout the day
a nurse is caring for a client who is receiving continuous bladder irrigation following a
transurethral resection of the prostate. the client reports bladder spasms, and the nurse
observes a decreased urinary output. which of the following actions should the nurse take?
Correct Answer irrigate the catheter with 0.9% sodium chloride irrigation
a nurse is assessing a client who has COPD. which of the following findings should the nurse
expect? Correct Answer pH 7.31
a nurse in a community center is providing an educational session to a group of client about
ovarian cancer. which of the following manifestations of ovarian cancer should the nurse include
in the teaching? Correct Answer abdominal bloating
increase in abdominal girth, pelvic or abdominal pain, early satiety, urinary frequency of urgency
a nurse is caring for a client who has active tuberculosis TB. which of the following actions
should the nurse plan to take to prevent the transmission of the disease? Correct Answer Have
the client wear a surgical mask while being transported outside the room
a nurse is caring for a group of clients. which of the following clients should the nurse attend to
first? Correct Answer an older adult client who is anxious and attempting to pull out an IV line
, an RN is observing a licensed practical nurse LPN and an assistive personnel AP move a client
up in bed. for which of the following situations should the nurse intervene? Correct Answer The
LPN and the AP grasp the client under his arms to lift him up in bed
a nurse is preparing to administer insulin to a client via a pen device. which of the following
actions should the nurse take? Correct Answer hold the insulin pen device perpendicular to the
client's skin to inject the medication
a nurse is caring for a client who has immunosuppression and a continuous IV infusion. which of
the following actions should the nurse take? Correct Answer monitor the client's mouth every 8
hours
a nurse is providing teaching about advance directives to a middle adult client. which of the
following client responses indicates an understanding of the teaching? Correct Answer "I can
designate my partner as my health care surrogate"
a nurse is assessing a client following a vaginal delivery and notes heavy lochia and a boggy
fundus. which of the following medications should the nurse expect to administer? Correct
Answer oxytocin
a nurse manager is planning to use a democratic leadership style with the nurses on the unit.
Which of the following actions by the nurse manager demonstrates a democratic leadership
style? Correct Answer seeks input from the other nurses
a nurse is assigning task roles for a group of clients in a community mental health clinic.
which of the following tasks should the nurse assign to the member of the group functioning as
the orienteer? Correct Answer noting the progress of the group toward assigned goals
a nurse is creating a plan of care for a newly admitted child. which of the following actions
should the nurse include in the plan? Correct Answer Administer high dose antibiotic therapy
cystic fibrosis kid with lung infection
a nurse is caring for a newborn immediately after delivery. which of the following interventions
should the nurse implement to prevent heat loss by conduction? Correct Answer use a protective
cover on the scale when weighing the infant
a nurse is caring for a client who has abdominal surgery 24 hr ago. which of the following
actions is the nurse's priority? Correct Answer assist with deep breathing and coughing
a nurse in an outpatient mental health clinic is caring for four clients. the nurse should
recognize that which of the following clients is effectively using sublimation as a defense
mechanism? Correct Answer a client who channels their energy into a new hobby following the
loss of their job
COMPREHENSIVE
PREDICTOR 2019
FORM B
A nurse is assessing a client who received 2 units of packed RBCs 48 hrs ago. Which of the
following findings should indicate to the nurse that the therapy has been effective? Correct
Answer hemoglobin 14.9 g/dL
a nurse working in an emergency department is triaging four clients. which of the following
clients should the nurse recommend for treatment first? Correct Answer a middle adult client
who has unstable vital signs
a nurse is caring for a client who has fluid volume overload. which of the following tasks should
the nurse delegate to an assistive personnel? Correct Answer measure the client's daily weight
a nurse is preparing to administer mannitol 0.2 g/kg IV bolus over 5 min as a test dose to a
client who has severe oliguria. The client weighs 198 lb. what is the amount in grams the nurse
should administer? Correct Answer 18 g
a nurse is conducting a physical examination for an adolescent and is assessing the rang of
motion of the legs, which of the following images indicates the adolescent is abducting the hip
joint?
Correct Answer Moving the leg away from the midline of the body (off to the side, not to the
front)
a nurse is caring for a client who has hyperthyroidism. which of the following findings should
the nurse expect? Correct Answer tremors
tachycardia, diaphoresis, weight loss, insomnia, exopthalmia
hypothyroidism has dry corase hair, bradycardia, and periorbital edema
,a nurse is assessing a school age child who has bacterial meningitis. which of the following
findings should the nurse expect? Correct Answer nuchal rigidity
also weight loss
a nurse is assessing a newborn's heart rate. which of the following actions should the nurse
take?
Correct Answer auscultate the apical pulse at least 1 min
a nurse is preparing to assist with a thoracentesis for a client who has pleurisy. the nurse
should plan to perform which of the following actions? Correct Answer instruct the client to
avoid coughing during the procedure
a nurse is the emergency department is assessing a preschooler who has a facial laceration. the
nurse should identify which of the following findings as a potential indication of child sexual
abuse?
Correct Answer the child exhibits discomfort while walking
a nurse is preparing to teach about dietary management to a client who has crohn's disease
and an enteroenteric fistula. which of the following nutrients should the nurse instruct the
client to decrease in their diet? Correct Answer fiber - reduce diarrhea and inflammation
a nurse is caring for a client who has a prescription for a continuous passive motion CPM
machinefollowing a total knee arthroplasty. which of the following actions should the nurse
take? Correct Answer Turn off the CPM machine during mealtime
promote client comfort and dietary intake
a nurse is preparing to initiate IV access for an older adult client. Which of the following sites
should the nurse select when initiating the IV for this client? Correct Answer radial vein of the
inner arm
a nurse is developing a client education program about osteoporosis for older adult clients.
the nurse should include which of the following variables as a risk factor for osteoporosis?
Correct Answer sedentary lifestyle
also, small framed body with a thin build, estrogen deficiency
a nurse in an emergency department is caring for a child who has a fever and fluid filled
vesicles on the trunk and extremities. which of the following interventions should the nurse
identify as the priority? Correct Answer initiate transmission based precautions
a nurse is caring for a client who has a clogged percutaneous gastrostomy feeding tube. which
of the following actions should the nurse take first? Correct Answer change the position of the
client
,a home health care nurse is developing a teaching plan for a client who has a new ileostomy.
which of the following instructions should the nurse include? Correct Answer empty the
appliance when it is one third to one half full
a nurse is reviewing the laboratory report of a client who has end stage kidney disease and
received hemodialysis 24 hr ago. Which of the following laboratory values should the nurse
report to the provider? Correct Answer sodium 148 mEq/L
a nurse is caring for four clients. which of the following tasks should the nurse delegate to an
assistive personnel? Correct Answer Arrange the lunch tray for a client who has a hip fracture
a nurse is preparing a client for a paracentesis. which of the following actions should the nurse
take? Correct Answer instruct the client to void
a nurse has received change of shift report on four assigned clients. for which of the following
clients should the nurse intervene to prevent a potential food and medication interaction? Correct
Answer a client who is receiving an MAOI and is requesting a cheeseburger for dinner
a nurse is planning care for a client who has rheumatoid arthritis and has moderate to severe
pain in multiple joints. which of the following actions should the nurse plan to take? Correct
Answer allow for frequent rest periods throughout the day
a nurse is caring for a client who is receiving continuous bladder irrigation following a
transurethral resection of the prostate. the client reports bladder spasms, and the nurse
observes a decreased urinary output. which of the following actions should the nurse take?
Correct Answer irrigate the catheter with 0.9% sodium chloride irrigation
a nurse is assessing a client who has COPD. which of the following findings should the nurse
expect? Correct Answer pH 7.31
a nurse in a community center is providing an educational session to a group of client about
ovarian cancer. which of the following manifestations of ovarian cancer should the nurse include
in the teaching? Correct Answer abdominal bloating
increase in abdominal girth, pelvic or abdominal pain, early satiety, urinary frequency of urgency
a nurse is caring for a client who has active tuberculosis TB. which of the following actions
should the nurse plan to take to prevent the transmission of the disease? Correct Answer Have
the client wear a surgical mask while being transported outside the room
a nurse is caring for a group of clients. which of the following clients should the nurse attend to
first? Correct Answer an older adult client who is anxious and attempting to pull out an IV line
, an RN is observing a licensed practical nurse LPN and an assistive personnel AP move a client
up in bed. for which of the following situations should the nurse intervene? Correct Answer The
LPN and the AP grasp the client under his arms to lift him up in bed
a nurse is preparing to administer insulin to a client via a pen device. which of the following
actions should the nurse take? Correct Answer hold the insulin pen device perpendicular to the
client's skin to inject the medication
a nurse is caring for a client who has immunosuppression and a continuous IV infusion. which of
the following actions should the nurse take? Correct Answer monitor the client's mouth every 8
hours
a nurse is providing teaching about advance directives to a middle adult client. which of the
following client responses indicates an understanding of the teaching? Correct Answer "I can
designate my partner as my health care surrogate"
a nurse is assessing a client following a vaginal delivery and notes heavy lochia and a boggy
fundus. which of the following medications should the nurse expect to administer? Correct
Answer oxytocin
a nurse manager is planning to use a democratic leadership style with the nurses on the unit.
Which of the following actions by the nurse manager demonstrates a democratic leadership
style? Correct Answer seeks input from the other nurses
a nurse is assigning task roles for a group of clients in a community mental health clinic.
which of the following tasks should the nurse assign to the member of the group functioning as
the orienteer? Correct Answer noting the progress of the group toward assigned goals
a nurse is creating a plan of care for a newly admitted child. which of the following actions
should the nurse include in the plan? Correct Answer Administer high dose antibiotic therapy
cystic fibrosis kid with lung infection
a nurse is caring for a newborn immediately after delivery. which of the following interventions
should the nurse implement to prevent heat loss by conduction? Correct Answer use a protective
cover on the scale when weighing the infant
a nurse is caring for a client who has abdominal surgery 24 hr ago. which of the following
actions is the nurse's priority? Correct Answer assist with deep breathing and coughing
a nurse in an outpatient mental health clinic is caring for four clients. the nurse should
recognize that which of the following clients is effectively using sublimation as a defense
mechanism? Correct Answer a client who channels their energy into a new hobby following the
loss of their job
