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ATI Predictor Questions and Answers-
Practice 2023
A nurse is caring for a client who was admitted for acute alcohol delirium withdrawal 2 days
ago. Which of the following findings is associated with this diagnosis?
A. Increased appetite
B. Elevated Temperature
C. Bradycardia
D. Drowsiness
Elevated Temperature
Rationale: The content of this question emphasizes the concept of client-centered care through
identifying findings associated with a client's diagnosis. Client-centered care focuses on the
client and emphasizes the client's cultural, ethnic, and social values. The identification of
expected and unexpected findings associated with a client's diagnosis assists the nurse to
distinguish possible unrelated complications the client might be experiencing, which indicates
the need for further investigation. The specific focus on the client enhances the provision of
safe, quality nursing care. An elevated temperature is a finding associated with acute alcohol
delirium.
A nurse working in a hospice facility is talking to a client's son who is distressed because his
mother cries frequently and says she wants to die. Which of the following responses by the
nurse is appropriate?
A. "I know this must be difficult, but your mother will calm down soon."
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B. "Lets discuss some strategies you can use when this happens again."
C. Individuals near death are ready to let go toward the end."
D. "Have you determined why she is crying and saying she is ready to die?"
" Let's discuss some strategies you can use when this happens again."
Rationale: This response by the nurse offers to provide information, which can reduce anxiety
and enhance decision making. This response creates a safe environment, fosters trust and
respect, and is appropriate.
A nurse is caring for a client who had cerebrovascular accident 2 days ago. Which of the
following is the first sign of increased intracranial pressure (ICP)?
A. pupil dilation
B. Ataxia
C. Lethargy
D Bradycardia
Lethargy
rationale: Lethargy occurs when pressure is placed on the reticular activating system within the
brainstem. Along with other indicators of a change in level of consciousness, such as
restlessness, irritability, and disorientation. Lethargy is the first sign of increased ICP.
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A nurse working in a provider's office is reinforcing teaching with a client who is 14 weeks of
gestation. The nurse should instruct the client to immediately notify the provider if she
experiences which of the following?
A. facial edema
b. urinary frequency
c. acid indigestion
d. breast leakage
Facial edema
rationale: facial edema is an indication of pregnancy-induced hypertension and should be
reported immediately to the provider.
A nurse is caring for a client who is receiving parenteral nutrition through a nontunneled central
venous catheter and reports hearing a gurgling sound on the side of the catheter. The nurse
suspects the catheter has migrated to the jugular vein. Which of the following actions should
the nurse take first?
A. Notify the provider
B. Obtain a chest x-ray
C. Flush the catheter.
D. Stop the infusion.
Stop the infusion
Rationale: This prevents further damage to vessel and minimizes any additional harm to the
client
A nurse is reinforcing teaching with a caregiver who has aphasia. The nurse should include
which of the following communication strategies in the teaching?
A. Cue the client by providing picture cards that portray common needs.
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B. Increase the volume of the voice when speaking to a client.
C. Encourage the client to limit hand gestures when communicating.
D. Vary the use of phrases and terminology in discussions.
Cue the client by providing picture cards that portray common needs.
Rationale: Using picture cards enhances communication. The nurse should include this
communication strategy in the teaching.
A nurse is caring for a client who has a urinary tract infection and is prescribed ciprofloxacin
(Cipro). The client exhibits urticaria and angioedema following administration of the
medication. Which of the following is the first action the nurse should take?
A. Administer epinephrine (Adrenaline)
B. Elevate the lower extremities
C. Determine respiratory status
D. Apply oxygen via non-rebreather mask.
Determine respiratory status
Rationale: The client is experiencing angioedema indicating a possible anaphylactic reaction,
which is life-threatening; therefore, the nurse should first determine the client's respiratory
status.
A nurse is caring for a client who has an acid-base imbalance. For which of the following
manifestations is metabolic alkalosis a possible complications?
A. Hyperkalemia
B. Severe diarrhea
C. Atelectasis
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ATI Predictor Questions and Answers-
Practice 2023
A nurse is caring for a client who was admitted for acute alcohol delirium withdrawal 2 days
ago. Which of the following findings is associated with this diagnosis?
A. Increased appetite
B. Elevated Temperature
C. Bradycardia
D. Drowsiness
Elevated Temperature
Rationale: The content of this question emphasizes the concept of client-centered care through
identifying findings associated with a client's diagnosis. Client-centered care focuses on the
client and emphasizes the client's cultural, ethnic, and social values. The identification of
expected and unexpected findings associated with a client's diagnosis assists the nurse to
distinguish possible unrelated complications the client might be experiencing, which indicates
the need for further investigation. The specific focus on the client enhances the provision of
safe, quality nursing care. An elevated temperature is a finding associated with acute alcohol
delirium.
A nurse working in a hospice facility is talking to a client's son who is distressed because his
mother cries frequently and says she wants to die. Which of the following responses by the
nurse is appropriate?
A. "I know this must be difficult, but your mother will calm down soon."
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B. "Lets discuss some strategies you can use when this happens again."
C. Individuals near death are ready to let go toward the end."
D. "Have you determined why she is crying and saying she is ready to die?"
" Let's discuss some strategies you can use when this happens again."
Rationale: This response by the nurse offers to provide information, which can reduce anxiety
and enhance decision making. This response creates a safe environment, fosters trust and
respect, and is appropriate.
A nurse is caring for a client who had cerebrovascular accident 2 days ago. Which of the
following is the first sign of increased intracranial pressure (ICP)?
A. pupil dilation
B. Ataxia
C. Lethargy
D Bradycardia
Lethargy
rationale: Lethargy occurs when pressure is placed on the reticular activating system within the
brainstem. Along with other indicators of a change in level of consciousness, such as
restlessness, irritability, and disorientation. Lethargy is the first sign of increased ICP.
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A nurse working in a provider's office is reinforcing teaching with a client who is 14 weeks of
gestation. The nurse should instruct the client to immediately notify the provider if she
experiences which of the following?
A. facial edema
b. urinary frequency
c. acid indigestion
d. breast leakage
Facial edema
rationale: facial edema is an indication of pregnancy-induced hypertension and should be
reported immediately to the provider.
A nurse is caring for a client who is receiving parenteral nutrition through a nontunneled central
venous catheter and reports hearing a gurgling sound on the side of the catheter. The nurse
suspects the catheter has migrated to the jugular vein. Which of the following actions should
the nurse take first?
A. Notify the provider
B. Obtain a chest x-ray
C. Flush the catheter.
D. Stop the infusion.
Stop the infusion
Rationale: This prevents further damage to vessel and minimizes any additional harm to the
client
A nurse is reinforcing teaching with a caregiver who has aphasia. The nurse should include
which of the following communication strategies in the teaching?
A. Cue the client by providing picture cards that portray common needs.
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B. Increase the volume of the voice when speaking to a client.
C. Encourage the client to limit hand gestures when communicating.
D. Vary the use of phrases and terminology in discussions.
Cue the client by providing picture cards that portray common needs.
Rationale: Using picture cards enhances communication. The nurse should include this
communication strategy in the teaching.
A nurse is caring for a client who has a urinary tract infection and is prescribed ciprofloxacin
(Cipro). The client exhibits urticaria and angioedema following administration of the
medication. Which of the following is the first action the nurse should take?
A. Administer epinephrine (Adrenaline)
B. Elevate the lower extremities
C. Determine respiratory status
D. Apply oxygen via non-rebreather mask.
Determine respiratory status
Rationale: The client is experiencing angioedema indicating a possible anaphylactic reaction,
which is life-threatening; therefore, the nurse should first determine the client's respiratory
status.
A nurse is caring for a client who has an acid-base imbalance. For which of the following
manifestations is metabolic alkalosis a possible complications?
A. Hyperkalemia
B. Severe diarrhea
C. Atelectasis
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