1
ATI COMPREHENSIVE PREDICTOR 2019 A
150 QUESTIONS AND
ANSWERS WITH RATIONALES GRADED A+
THIS STUDY GUIDE PROVIDES ACTUAL 2025/26 EXAM TIPS
A nurse is caring for a client who states, "My boss accused me of stealing
yesterday. I was so angry I went to the gym and worked out." The nurse should
recognize the client is demonstrating which of the following defense
mechanisms? - ANSWER- Sublimation
Rationale: The client is exhibiting behaviors consistent with
sublimation, which is displayed when a client substitutes socially unacceptable
behavior for acceptable behavior.
,2
A nurse is caring for a client who has generalized anxiety disorder and is to begin
taking alprazolam. Which of the following actions should the nurse take? -
ANSWER- Initiate fall precautions for the client
Rationale: The nurse should initiate fall precautions for a client who has a new
prescription for alprazolam because common adverse
effects associated with this medication are orthostatic hypotension, dizziness,
confusion, and lethargy.
A nurse on a med surg unit is caring for a client prior to a surgical procedure.
Which of the following findings should indicate to the nurse that the client has the
ability to sign the informed consent? - ANSWER- The client is able to accurately
describe the upcoming procedure
Rationale: The ability of the client to accurately describe the upcoming
procedure indicates that the provider adequately informed the client and that
the client is able to sign the informed consent
An assistive personnel (AP) and a nurse are turning a client onto the right side.
Which of the following actions by the AP requires the nurse to intervene? -
ANSWER- Places a pillow under the client's right arm.
Rationale: The AP should place a pillow under the client's left arm to prevent
internal rotation of the left shoulder.
,3
A nurse is providing dietary teaching to the parents of a 6-month-old infant.
Which of the following instructions should the nurse include? - ANSWER-
Introduce new foods one at a time over 5 to 7 days.
A nurse is caring for a client who has MRSA in an abdominal wound. Which of
the following precautions should the nurse implement? - ANSWER- Contact
Rationale: The nurse should implement contact precautions for a client who has
an infection spread by direct contact, such as MRSA.
A nurse is caring for a client who is 4 hr postpartum and has a boggy uterus with
heavy lochia. Which of the following actions should the nurse take first -
ANSWER- Massage the uterus to expel clots
Rationale: Using the EBP approach to client care, the nurse should identify that
the priority 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? -
ANSWER- "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 a
new colostomy. The client states, "I'm worried about being
, 4
discharged because I live alone, and my insurance doesn't cover ostomy supplies.
"Which of the following actions should the nurse take? (SATA)
- ANSWER- -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
paying for necessary ostomy supplies
-A home health nurse can assist the client in learning to care for the colostomy
as well as provide medication management and emotional support
-A client who has cancer and a new colostomy can get help with coping from a
support 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
actions should the nurse take when conducting a root cause analysis? - ANSWER-
Investigate environmental factors that might be contributing to client injury
during 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
environmental factors that might be causing the
problem.
ATI COMPREHENSIVE PREDICTOR 2019 A
150 QUESTIONS AND
ANSWERS WITH RATIONALES GRADED A+
THIS STUDY GUIDE PROVIDES ACTUAL 2025/26 EXAM TIPS
A nurse is caring for a client who states, "My boss accused me of stealing
yesterday. I was so angry I went to the gym and worked out." The nurse should
recognize the client is demonstrating which of the following defense
mechanisms? - ANSWER- Sublimation
Rationale: The client is exhibiting behaviors consistent with
sublimation, which is displayed when a client substitutes socially unacceptable
behavior for acceptable behavior.
,2
A nurse is caring for a client who has generalized anxiety disorder and is to begin
taking alprazolam. Which of the following actions should the nurse take? -
ANSWER- Initiate fall precautions for the client
Rationale: The nurse should initiate fall precautions for a client who has a new
prescription for alprazolam because common adverse
effects associated with this medication are orthostatic hypotension, dizziness,
confusion, and lethargy.
A nurse on a med surg unit is caring for a client prior to a surgical procedure.
Which of the following findings should indicate to the nurse that the client has the
ability to sign the informed consent? - ANSWER- The client is able to accurately
describe the upcoming procedure
Rationale: The ability of the client to accurately describe the upcoming
procedure indicates that the provider adequately informed the client and that
the client is able to sign the informed consent
An assistive personnel (AP) and a nurse are turning a client onto the right side.
Which of the following actions by the AP requires the nurse to intervene? -
ANSWER- Places a pillow under the client's right arm.
Rationale: The AP should place a pillow under the client's left arm to prevent
internal rotation of the left shoulder.
,3
A nurse is providing dietary teaching to the parents of a 6-month-old infant.
Which of the following instructions should the nurse include? - ANSWER-
Introduce new foods one at a time over 5 to 7 days.
A nurse is caring for a client who has MRSA in an abdominal wound. Which of
the following precautions should the nurse implement? - ANSWER- Contact
Rationale: The nurse should implement contact precautions for a client who has
an infection spread by direct contact, such as MRSA.
A nurse is caring for a client who is 4 hr postpartum and has a boggy uterus with
heavy lochia. Which of the following actions should the nurse take first -
ANSWER- Massage the uterus to expel clots
Rationale: Using the EBP approach to client care, the nurse should identify that
the priority 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? -
ANSWER- "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 a
new colostomy. The client states, "I'm worried about being
, 4
discharged because I live alone, and my insurance doesn't cover ostomy supplies.
"Which of the following actions should the nurse take? (SATA)
- ANSWER- -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
paying for necessary ostomy supplies
-A home health nurse can assist the client in learning to care for the colostomy
as well as provide medication management and emotional support
-A client who has cancer and a new colostomy can get help with coping from a
support 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
actions should the nurse take when conducting a root cause analysis? - ANSWER-
Investigate environmental factors that might be contributing to client injury
during 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
environmental factors that might be causing the
problem.
