ATI COMPREHENSIVE
PREDICTOR LATEST 2023-2024
UPDATE WITH 180 QUESTIONS &
CORRECT ANSWERS &
RATIONALES BRAND NEW
, A nurse is providing colostomy care for a client using a two-piece
pouching system. Which of the following actions should the nurse
take?
- Place the skinbarrier over the stoma and hold it for 30 seconds.
Rationale: The nurse should activate the adhesive in the skin barrier by
holding itin place over the stoma for 30 seconds.
A nurse is teaching the parent of a school-age about administering ear
drops. Which of the following response by the parent indicates an
understanding of theteaching? –
"I should pull the top of the ear upward and back while instilling the
medication."
Rationale: The nurse should instruct the parent to pull the pinna upward
and backin children older than 3 years of age to straighten the ear canal
and allow the medication to reach the entire canal. For children younger
than 3 years of age, the parent should gently pull the pinna downward and
back.
A nurse is assessing a client who is 2 hr postoperative following a
cardiac catheterization. Which of the following information should the
nurse report to theprovider?
- Neurologic status
Rationale: This client is experiencing slurred speech and extremity
weakness, which are indications of a stroke, a potential complication of
cardiac catheterization. The nurse should report these findings to the
provider.
A nurse is caring for a client who is receiving total parenteral nutrition
(TPN) solution by continuous IV infusion at 60 mL/hr. The nurse
discovers the infusionpump has stopped working. Which of the following
actions should the nurse takewhile waiting for a new infusion pump? -
Provide dextrose 10% in water solutionusing manual drip tubing at 60
mL/hr.
,Rationale: The nurse should use an infusion pump when administering
TPN solution to ensure accurate dosage and should taper the infusion
rate before discontinuing the solution to prevent hypoglycemia. If the
nurse is unable to continue the TPN infusion by infusion pump, the nurse
should use manual driptubing to infuse dextrose 10% in water at the same
rate as the TPN solution.
A nurse is caring for a client who has MRSA in an abdominal wound. Which
of thefollowing precautions should the nurse implement?
- Contact
Rationale: The nurse should implement contact precautions for a client
who has aninfection spread by direct contact, such as MRSA.
A nurse is caring for a client who is 4 hr postpartum and has a boggy
uterus withheavy lochia. Which of the following actions should the nurse
take first - Massage the uterus to expel clots
Rationale: Using the EBP approach to client care, the nurse should identify
that thepriority action is massaging the client's uterus. Uterine massage
will expel clots and increase uterine firmness, resulting in decreased
bleeding.
A nurse is providing discharge teaching to a new parent about car
seat safety. Which of the following statements should the nurse
include in the teaching?
- "Secure the retainer clip at the level of your baby's armpits"
A nurse is providing discharge teaching to a client who has colorectal
cancer and anew colostomy. The client states, "I'm worried about being
discharged because I live alone, and my insurance doesn't cover ostomy
supplies. "Which of the following actions should the nurse take? (SATA) -
-Refer the client to a community based social workers
-Initiate a consult with a home health care provider
-Give the client information about local support groups
Rationale:
, -A social worker is necessary to help a client with self-care, as well as
assist in locating agencies who can help the client face challenges with
self-care and payingfor necessary ostomy supplies
-A home health nurse can assist the client in learning to care for the
colostomy aswell as provide medication management and emotional
support
-A client who has cancer and a new colostomy can get help with coping
from asupport group and possibly receive assistance obtaining supplies
from local agencies
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 actionsshould the nurse take when conducting a root cause
analysis?
- Investigate environmental factors that might be contributing to
client injuryduring these hours.
Rationale: When conducting a root cause analysis, the nurse should look
at the factors that could possibly lead to the clients' falls. This can include
environmentalfactors that might be causing the problem.
A nurse is caring for a client who has terminal illness and requests
lifesaving measures if a cardiac arrest occurs. Which of the following
statements should thenurse make?
- "I will provide you with information about medical treatment to include
in yourliving will"
Rationale: The nurses' responsibility is to provide the client with
information aboutspecific instructions for addressing medical treatment in
a living will. The nurse should assist the client while they are able to make
decisions for themself by providing information about what end-of-life
preferences to document.
A nurse is assessing a client who has delirium. Which of the
followingmanifestations should the nurse expect?
- Rapid speech
Rationale: Clients who have delirium exhibit rapid, inappropriate,
PREDICTOR LATEST 2023-2024
UPDATE WITH 180 QUESTIONS &
CORRECT ANSWERS &
RATIONALES BRAND NEW
, A nurse is providing colostomy care for a client using a two-piece
pouching system. Which of the following actions should the nurse
take?
- Place the skinbarrier over the stoma and hold it for 30 seconds.
Rationale: The nurse should activate the adhesive in the skin barrier by
holding itin place over the stoma for 30 seconds.
A nurse is teaching the parent of a school-age about administering ear
drops. Which of the following response by the parent indicates an
understanding of theteaching? –
"I should pull the top of the ear upward and back while instilling the
medication."
Rationale: The nurse should instruct the parent to pull the pinna upward
and backin children older than 3 years of age to straighten the ear canal
and allow the medication to reach the entire canal. For children younger
than 3 years of age, the parent should gently pull the pinna downward and
back.
A nurse is assessing a client who is 2 hr postoperative following a
cardiac catheterization. Which of the following information should the
nurse report to theprovider?
- Neurologic status
Rationale: This client is experiencing slurred speech and extremity
weakness, which are indications of a stroke, a potential complication of
cardiac catheterization. The nurse should report these findings to the
provider.
A nurse is caring for a client who is receiving total parenteral nutrition
(TPN) solution by continuous IV infusion at 60 mL/hr. The nurse
discovers the infusionpump has stopped working. Which of the following
actions should the nurse takewhile waiting for a new infusion pump? -
Provide dextrose 10% in water solutionusing manual drip tubing at 60
mL/hr.
,Rationale: The nurse should use an infusion pump when administering
TPN solution to ensure accurate dosage and should taper the infusion
rate before discontinuing the solution to prevent hypoglycemia. If the
nurse is unable to continue the TPN infusion by infusion pump, the nurse
should use manual driptubing to infuse dextrose 10% in water at the same
rate as the TPN solution.
A nurse is caring for a client who has MRSA in an abdominal wound. Which
of thefollowing precautions should the nurse implement?
- Contact
Rationale: The nurse should implement contact precautions for a client
who has aninfection spread by direct contact, such as MRSA.
A nurse is caring for a client who is 4 hr postpartum and has a boggy
uterus withheavy lochia. Which of the following actions should the nurse
take first - Massage the uterus to expel clots
Rationale: Using the EBP approach to client care, the nurse should identify
that thepriority action is massaging the client's uterus. Uterine massage
will expel clots and increase uterine firmness, resulting in decreased
bleeding.
A nurse is providing discharge teaching to a new parent about car
seat safety. Which of the following statements should the nurse
include in the teaching?
- "Secure the retainer clip at the level of your baby's armpits"
A nurse is providing discharge teaching to a client who has colorectal
cancer and anew colostomy. The client states, "I'm worried about being
discharged because I live alone, and my insurance doesn't cover ostomy
supplies. "Which of the following actions should the nurse take? (SATA) -
-Refer the client to a community based social workers
-Initiate a consult with a home health care provider
-Give the client information about local support groups
Rationale:
, -A social worker is necessary to help a client with self-care, as well as
assist in locating agencies who can help the client face challenges with
self-care and payingfor necessary ostomy supplies
-A home health nurse can assist the client in learning to care for the
colostomy aswell as provide medication management and emotional
support
-A client who has cancer and a new colostomy can get help with coping
from asupport group and possibly receive assistance obtaining supplies
from local agencies
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 actionsshould the nurse take when conducting a root cause
analysis?
- Investigate environmental factors that might be contributing to
client injuryduring these hours.
Rationale: When conducting a root cause analysis, the nurse should look
at the factors that could possibly lead to the clients' falls. This can include
environmentalfactors that might be causing the problem.
A nurse is caring for a client who has terminal illness and requests
lifesaving measures if a cardiac arrest occurs. Which of the following
statements should thenurse make?
- "I will provide you with information about medical treatment to include
in yourliving will"
Rationale: The nurses' responsibility is to provide the client with
information aboutspecific instructions for addressing medical treatment in
a living will. The nurse should assist the client while they are able to make
decisions for themself by providing information about what end-of-life
preferences to document.
A nurse is assessing a client who has delirium. Which of the
followingmanifestations should the nurse expect?
- Rapid speech
Rationale: Clients who have delirium exhibit rapid, inappropriate,
