ATI comprehensive predictor STUDY
THIS ONE/ Latest Update
The nurse in the outpatient clinic teaches a client with a sprained right
ankle to walk with a cane. What behavior, if demonstrated by the client,
would indicate that teaching was effective?
1. The client advances the cane 18 inches in front of her foot with each step.
2. The client holds the cane in her left hand.
3. The client advances her right leg, then her left leg, and then the cane.
4. The client holds the cane with her elbow flexed 60°. - CORRECT ANSWERS -2
A client returns to his room following a myelogram. The nursing care
plan should include which of the following?
1. Encourage oral fluid intake.
2. Maintain the prone position for 12 hours.
3. Encourage the client to ambulate after the procedure.
4. Evaluate the client's distal pulses on the affected side. - CORRECT ANSWERS -1
The nurse is caring for a patient following an appendectomy. The patient
takes a deep breath, coughs, and then winces in pain. Which of the
following statements, if made by the nurse to the patient, is BEST?
1. "Take three deep breaths, hold your incision, and then cough."
2. "That was good. Do that again and soon it won't hurt as much."
3. "It won't hurt as much if you hold your incision when you cough."
4. "Take another deep breath, hold it, and then cough deeply - CORRECT ANSWERS -
1
A young woman is transferred to a psychiatric crisis unit with a
diagnosis of a dissociative disorder. The nurse knows which of the following
comments by the client is MOST indicative of this disorder?
1. "I keep having recurring nightmares."
2. "I have a headache and my stomach has bothered me for a week."
3. "I always check the door locks three times before I leave home."
4. "I don't know who I am and I don't know where I live." - CORRECT ANSWERS -4
A 23-year-old man is admitted with a subdural hematoma and cerebral
edema after a motorcycle accident. Which of the following symptoms should
the nurse expect to see INITIALLY?
1. Unequal and dilated pupils.
2. Decerebrate posturing.
3. Grand mal seizures.
4. Decreased level of consciousness. - CORRECT ANSWERS -4
. The nursing team includes two RNs, one LPN/LVN, and one nursing
,assistant. The nurse should consider the assignments appropriate if the
nursing assistant is assigned to care for
1. a client with Alzheimer's requiring assistance with feeding.
2. a client with osteoporosis complaining of burning on urination.
3. a client with scleroderma receiving a tube feeding.
4. a client with cancer who has Cheyne-Stokes respirations. - CORRECT ANSWERS -1
What can be delegated to Assistive personnel (AP)? - CORRECT ANSWERS -- ADLs -
bathing - grooming - dressing - ambulating - feeding (w/o swallow precautions) -
positioning - bed making - specimen collection - I&O - VS (stable clients
A nurse on a med surge unit has recieved change of shift report and will care for 4
clients. Which of the following clients needs will the nurse assign to an AP?
A. Feeding a client who was admitted 24 hours ago with aspiration pneumonia
B. Reinforcing teaching with a client who is learning to walk with a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer - CORRECT ANSWERS -C
A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago
to an AP. Which of the following info should the nurse share with the AP?
Select all:
A. the roommate is up independently
B. The client ambulates with his slippers on over his antiembolic stockings
C. The client uses a front wheeled walker when ambulating
D. The client had pain meds 30 minutes ago
E. The client is allergic to codeine
F. the client ate 50 % of his breakfast this morning - CORRECT ANSWERS -B
C
D
An RN is making assignments for client care to an LPN at the beginning of the shift.
Which of the following assignments should the LPN question?
A. Assisting a client who is 24 hr postop to use an incentive spirometer
B. Collecting a clean catch urine specimen from a client who was admitted on the
previous shift
C. providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump - CORRECT ANSWERS -D
A nurse is preparing an inservice program about delegation. Which of the following
elements should she identify when presenting the 5 rights of delegation. Select all:
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances - CORRECT ANSWERS -B
C
, E
A nurse manager of a med surge unit is assigning care responsibilities for the oncoming
shift. A client is waiting transfer back to the unit from the PACU following thoracic
surgery. To which staff member should the nurse assign the client?
A. Charge nurse
B. RN
C. LVN
D. AP - CORRECT ANSWERS -B
What is the study of conduct and character? - CORRECT ANSWERS -Ethics
What are the values and beliefs that guide behavior and decision making? - CORRECT
ANSWERS -Morals
What is the right to make ones own personal decisions, even tho those decisions might
not be in the persons best interest - CORRECT ANSWERS -Autonomy
What are positive actions to help others - CORRECT ANSWERS -Beneficience
What is an agreement to keep promises - CORRECT ANSWERS -Fidelity
What is fairness in care delivery and use of resources - CORRECT ANSWERS -Justice
What is avoidance of harm or injury - CORRECT ANSWERS -Non-maleficence
A nurse is caring for a client who decides not to have surgery despite significant
blockages in his coronary arteries. The nurse understands that this clients choice is an
example of what principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmalificience - CORRECT ANSWERS -A
A nurse offers pain meds to a client who is postop prior to ambulation. The nurse
understands that this aspect of care delivery is an example of which of the following
ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Beneficience - CORRECT ANSWERS -D
A nurse is instructing a group of nursing students about the responsibilities involved with
organ donation and procurement. When the nurse explains that all clients waiting for a
kidney transplant have to meet the same qualifications, the students should understand
that this aspect of care delivery is an example of which ethical principle
THIS ONE/ Latest Update
The nurse in the outpatient clinic teaches a client with a sprained right
ankle to walk with a cane. What behavior, if demonstrated by the client,
would indicate that teaching was effective?
1. The client advances the cane 18 inches in front of her foot with each step.
2. The client holds the cane in her left hand.
3. The client advances her right leg, then her left leg, and then the cane.
4. The client holds the cane with her elbow flexed 60°. - CORRECT ANSWERS -2
A client returns to his room following a myelogram. The nursing care
plan should include which of the following?
1. Encourage oral fluid intake.
2. Maintain the prone position for 12 hours.
3. Encourage the client to ambulate after the procedure.
4. Evaluate the client's distal pulses on the affected side. - CORRECT ANSWERS -1
The nurse is caring for a patient following an appendectomy. The patient
takes a deep breath, coughs, and then winces in pain. Which of the
following statements, if made by the nurse to the patient, is BEST?
1. "Take three deep breaths, hold your incision, and then cough."
2. "That was good. Do that again and soon it won't hurt as much."
3. "It won't hurt as much if you hold your incision when you cough."
4. "Take another deep breath, hold it, and then cough deeply - CORRECT ANSWERS -
1
A young woman is transferred to a psychiatric crisis unit with a
diagnosis of a dissociative disorder. The nurse knows which of the following
comments by the client is MOST indicative of this disorder?
1. "I keep having recurring nightmares."
2. "I have a headache and my stomach has bothered me for a week."
3. "I always check the door locks three times before I leave home."
4. "I don't know who I am and I don't know where I live." - CORRECT ANSWERS -4
A 23-year-old man is admitted with a subdural hematoma and cerebral
edema after a motorcycle accident. Which of the following symptoms should
the nurse expect to see INITIALLY?
1. Unequal and dilated pupils.
2. Decerebrate posturing.
3. Grand mal seizures.
4. Decreased level of consciousness. - CORRECT ANSWERS -4
. The nursing team includes two RNs, one LPN/LVN, and one nursing
,assistant. The nurse should consider the assignments appropriate if the
nursing assistant is assigned to care for
1. a client with Alzheimer's requiring assistance with feeding.
2. a client with osteoporosis complaining of burning on urination.
3. a client with scleroderma receiving a tube feeding.
4. a client with cancer who has Cheyne-Stokes respirations. - CORRECT ANSWERS -1
What can be delegated to Assistive personnel (AP)? - CORRECT ANSWERS -- ADLs -
bathing - grooming - dressing - ambulating - feeding (w/o swallow precautions) -
positioning - bed making - specimen collection - I&O - VS (stable clients
A nurse on a med surge unit has recieved change of shift report and will care for 4
clients. Which of the following clients needs will the nurse assign to an AP?
A. Feeding a client who was admitted 24 hours ago with aspiration pneumonia
B. Reinforcing teaching with a client who is learning to walk with a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer - CORRECT ANSWERS -C
A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago
to an AP. Which of the following info should the nurse share with the AP?
Select all:
A. the roommate is up independently
B. The client ambulates with his slippers on over his antiembolic stockings
C. The client uses a front wheeled walker when ambulating
D. The client had pain meds 30 minutes ago
E. The client is allergic to codeine
F. the client ate 50 % of his breakfast this morning - CORRECT ANSWERS -B
C
D
An RN is making assignments for client care to an LPN at the beginning of the shift.
Which of the following assignments should the LPN question?
A. Assisting a client who is 24 hr postop to use an incentive spirometer
B. Collecting a clean catch urine specimen from a client who was admitted on the
previous shift
C. providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump - CORRECT ANSWERS -D
A nurse is preparing an inservice program about delegation. Which of the following
elements should she identify when presenting the 5 rights of delegation. Select all:
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances - CORRECT ANSWERS -B
C
, E
A nurse manager of a med surge unit is assigning care responsibilities for the oncoming
shift. A client is waiting transfer back to the unit from the PACU following thoracic
surgery. To which staff member should the nurse assign the client?
A. Charge nurse
B. RN
C. LVN
D. AP - CORRECT ANSWERS -B
What is the study of conduct and character? - CORRECT ANSWERS -Ethics
What are the values and beliefs that guide behavior and decision making? - CORRECT
ANSWERS -Morals
What is the right to make ones own personal decisions, even tho those decisions might
not be in the persons best interest - CORRECT ANSWERS -Autonomy
What are positive actions to help others - CORRECT ANSWERS -Beneficience
What is an agreement to keep promises - CORRECT ANSWERS -Fidelity
What is fairness in care delivery and use of resources - CORRECT ANSWERS -Justice
What is avoidance of harm or injury - CORRECT ANSWERS -Non-maleficence
A nurse is caring for a client who decides not to have surgery despite significant
blockages in his coronary arteries. The nurse understands that this clients choice is an
example of what principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmalificience - CORRECT ANSWERS -A
A nurse offers pain meds to a client who is postop prior to ambulation. The nurse
understands that this aspect of care delivery is an example of which of the following
ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Beneficience - CORRECT ANSWERS -D
A nurse is instructing a group of nursing students about the responsibilities involved with
organ donation and procurement. When the nurse explains that all clients waiting for a
kidney transplant have to meet the same qualifications, the students should understand
that this aspect of care delivery is an example of which ethical principle
