ATI COMPREHENSIVE PREDICTOR EXAM 2019 C| ATI NCLEX
PREDICTOR 180 QUESTIONS AND CORRECT ANSWERS
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? --CORRECT ANSWER--
Sublimation
Rationale: The client is exhibiting behaviors consistent with sublimation, which is
displayed when a client substitutes socially unacceptable behavior for acceptable
behavior.
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? --CORRECT
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? --CORRECT 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? --CORRECT
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.
A nurse is providing dietary teaching to the parents of a 6-month-old infant. Which of the
following instructions should the nurse include? --CORRECT 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? --CORRECT 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 --CORRECT 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? --CORRECT
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 discharged because I live alone,
and my insurance doesn't cover ostomy supplies. "Which of the following actions should
the nurse take? (SATA) --CORRECT 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? --CORRECT 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.
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 the nurse make? --
, CORRECT ANSWER-- "I will provide you with information about medical treatment to
include in your living will"
Rationale: The nurses' responsibility is to provide the client with information about
specific 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 following manifestations
should the nurse expect? --CORRECT ANSWER-- Rapid speech
Rationale: Clients who have delirium exhibit rapid, inappropriate, incoherent, and
rambling speech patterns
A night shift nurse is giving a change of shift report to the day shift nurse on a client who
is ready for discharge. Which of the following information is the priority for the nurse to
communicate to the oncoming nurse? --CORRECT ANSWER-- The client needs
assistance when transferring from the bed to a wheelchair.
Rationale: The greatest risk to this client is injury due to a fall. Therefore, the priority
information for the nurse to communicate is that the client requires assistance during
transfers.
A nurse is assessing a client during the immediate postpartum period. Which of the
following findings requires immediate intervention by the nurse? --CORRECT
ANSWER-- Boggy uterus
Rationale: When using urgent vs. nonurgent approach to client care, the nurse should
determine that the priority finding is a boggy uterus, which can indicate uterine
hemorrhage. The nurse should immediately intervene to stimulate uterine contractions
and prevent blood loss. If the uterus becomes relaxed during the postpartum period, the
client will rapidly lose blood because no permanent thrombi have formed at the
placenta.
A nurse in an emergency department is preparing to discharge a client who has
experienced intimate partner violence. Which of the following actions should the nurse
take first? --CORRECT ANSWER-- Develop a safety plan with the client
Rationale: The greatest risk to this client is injury from violence. Therefore, the first
action the nurse should take is to develop a safety plan with the client.
A client is receiving lorazepam IV for panic attacks and develops a respiratory rate of
6/min and a blood pressure of 90/44 mm Hg. Which of the following medications should
the nurse anticipate administering. --CORRECT ANSWER-- Flumazenil
PREDICTOR 180 QUESTIONS AND CORRECT ANSWERS
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? --CORRECT ANSWER--
Sublimation
Rationale: The client is exhibiting behaviors consistent with sublimation, which is
displayed when a client substitutes socially unacceptable behavior for acceptable
behavior.
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? --CORRECT
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? --CORRECT 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? --CORRECT
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.
A nurse is providing dietary teaching to the parents of a 6-month-old infant. Which of the
following instructions should the nurse include? --CORRECT 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? --CORRECT 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 --CORRECT 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? --CORRECT
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 discharged because I live alone,
and my insurance doesn't cover ostomy supplies. "Which of the following actions should
the nurse take? (SATA) --CORRECT 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? --CORRECT 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.
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 the nurse make? --
, CORRECT ANSWER-- "I will provide you with information about medical treatment to
include in your living will"
Rationale: The nurses' responsibility is to provide the client with information about
specific 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 following manifestations
should the nurse expect? --CORRECT ANSWER-- Rapid speech
Rationale: Clients who have delirium exhibit rapid, inappropriate, incoherent, and
rambling speech patterns
A night shift nurse is giving a change of shift report to the day shift nurse on a client who
is ready for discharge. Which of the following information is the priority for the nurse to
communicate to the oncoming nurse? --CORRECT ANSWER-- The client needs
assistance when transferring from the bed to a wheelchair.
Rationale: The greatest risk to this client is injury due to a fall. Therefore, the priority
information for the nurse to communicate is that the client requires assistance during
transfers.
A nurse is assessing a client during the immediate postpartum period. Which of the
following findings requires immediate intervention by the nurse? --CORRECT
ANSWER-- Boggy uterus
Rationale: When using urgent vs. nonurgent approach to client care, the nurse should
determine that the priority finding is a boggy uterus, which can indicate uterine
hemorrhage. The nurse should immediately intervene to stimulate uterine contractions
and prevent blood loss. If the uterus becomes relaxed during the postpartum period, the
client will rapidly lose blood because no permanent thrombi have formed at the
placenta.
A nurse in an emergency department is preparing to discharge a client who has
experienced intimate partner violence. Which of the following actions should the nurse
take first? --CORRECT ANSWER-- Develop a safety plan with the client
Rationale: The greatest risk to this client is injury from violence. Therefore, the first
action the nurse should take is to develop a safety plan with the client.
A client is receiving lorazepam IV for panic attacks and develops a respiratory rate of
6/min and a blood pressure of 90/44 mm Hg. Which of the following medications should
the nurse anticipate administering. --CORRECT ANSWER-- Flumazenil
