ATI PN Comprehensive Predictor Exam 1
2024
TEST
A nurse is observing an AP take a client's tympanic temperature. Which of the following
actions should the nurse identify as an indication that the AP understands how to perform the
procedure?
A. The AP points the probe posteriorly.
B. The AP positions the client facing her.
C. The AP pulls the pinna up and back.
D. The AP inserts the probe with a straightforward motion. - C. The AP pulls the pinna up
and back.
TEST
A charge nurse is monitoring a group of assistive personnel AP regarding the use of gloves in
contact precaution isolation. For which of the following actions by an AP should the charge
nurse intervene?
a. Washes hands after removing gloves
b. Removes gloves last after other personal protective equipment
c. Pulls gloves off inside-out when task are completed
d. Changes gloves between tasks for the same client - b. Removes gloves last after other
personal protective equipment
Rationale:
Donning PPE
Gown ○ Mask ○ Goggles ○ Gloves
Removing PPE
Gloves ○ Goggles ○ Gown ○ Mask
A nurse is preparing to delegate client care to an assistive personnel AP. Which of the
following information should the nurse verify prior to delegation?
a. The AP's years of experience
b. The client's length of facility stay
c. The client's age
,d. The AP's job description - d. The AP's job description
TEST
A charge nurse in a long-term care facility observes an assistive personnel (AP) arriving late
to his shift and slurring his words. The charge nurse suspects the AP has alcohol intoxication
and remove the AP from performing client care. Which of the following actions the nurse
takes when reporting the incident?
A. Write a clear description of the incident.
B. Request the risk manager to follow through with the report.
C. Interview other staff members about the incident.
D. Report the in - A. Write a clear description of the incident.
Rationale:
Identify the AP behavior of concern and write with proper documentation with full detail
about the suspected intoxication. Alcohol tests should not be performed through a charge
nurse unless reasonable cause. Request risk manager to do alcohol testing for reasonable
cause. the risk manager is the right person who is communicating with risk policies and
processes for an organization. witness with risk manager. If an AP alcohol test is positive
send them for rehabilitation or depend upon organization employes' policies. because AP
alcohol use behavior makes the clients at risk and their job performance. This situation
should be handled carefully when employees with alcohol intoxication.
TEST
A nurse is assisting with the plan of care for an older adult client who has dementia and is
experiencing nocturnal confusion. Which of the following actions should the nurse take to
decrease the client's risk for injury?
a. Activate a bed alarm.
b. Keep overhead lights on through the night.
c. Encourage napping during the daytime.
d. Minimize contact with the client. - a. Activate a bed alarm.
TEST
A nurse is collecting data from a client who is at 12 weeks of gestation. The client states,
"We've been trying to get pregnant for several months, but now I'm not sure I'm ready."
Which of the following responses should the nurse make?
a. "Many women experience feelings of ambivalence during pregnancy."
b. "I wouldn't worry about it if I were you. You'll be a good mother."
c. "You need to talk to a therapist about how you're feeling."
,d. "Why do you feel that way if you've been trying - a. Many women experience feelings of
ambivalence during pregnancy.
Rationale:
The nurse should respond with option A: "Many women experience feelings of ambivalence
during pregnancy." This response validates the client's feelings and reassures her that it is
normal to have mixed emotions during pregnancy. The other options may dismiss the client's
feelings, suggest unnecessary actions, or potentially make the client feel judged or defensive.
It's important to provide empathetic and non-judgmental care in such situations.
A charge nurse in a long-term care facility is developing a performance improvement plan for
an assistive personnel (AP). Which of the following actions should the nurse take when
developing the plan? (Select all that apply.)
a. Ask the nurse supervisor to review the plan.
b. Performance goals on peer comments.
c. Include the performance standard that the AP should meet.
d. Set a specific time frame for meeting performance goals.
e. Request clients complete an evaluation about the AP's qual - c. Include the performance
standard that the AP should meet.
d. Set a specific time frame for meeting performance goals.
TEST
A nurse in a clinic is caring for a client who is at 40 weeks gestation and experiences a
sudden gush of vaginal fluids. Which of the following findings is evidence of an obstetric
complication?
A. Has a pH of 7
B. Appears greenish-brown in color
C. Preceded by bloody mucus
D. Turns a nitrazine strip blue - B. Appears greenish-brown in color
Rationale:
The evidence of an obstetric complication in this case would be if the vaginal fluid appears
greenish-brown in color. This could indicate the presence of meconium, which is the baby's
first stool. Meconium in the amniotic fluid can be a sign of fetal distress. If a pregnant
woman notices greenish-brown discharge, she should contact her doctor right away. The
other options you mentioned are generally not indicative of an obstetric complication:
, A pH of 7: Amniotic fluid is normally alkaline with a pH greater than 7.1.
A nitrazine test can be used to differentiate between amniotic fluid (pH > 7.1) and normal
vaginal discharge (pH < 4.5). If the strip turns blue, it indicates that the fluid is likely
amniotic fluid, which could mean that the woman's water has broken.
Preceded by bloody mucus: The passage of a bloody mucus plug, or "bloody show," can be a
normal sign of impending labor
TEST
A nurse is contributing to the plan of care for a client who has COPD. which of the following
interventions should the nurse make?
A. Provide the client with 3 large meals each day.
B. Limit fluid intake to 1,000 mL daily.
C. Place the client in an orthopneic position.
D. Encourage the client to cough and deep breathe once every 8 hours. - C. Place the client in
an orthopneic position.
Rationale:
The nurse should make the following interventions for a client who has COPD:
C. Place the client in an orthopneic position. This position allows for better chest expansion
and can make breathing easier for the client.
The other options are not generally recommended:
A. Provide the client with 3 large meals each day. Instead, it's often recommended to provide
smaller, more frequent meals to prevent fullness that can interfere with breathing.
B. Limit fluid intake to 1,000 mL daily. While fluid balance is important, this is not a
standard recommendation for all COPD patients. Adequate hydration can actually help keep
mucus thin and easier to cough up.
D. Encourage the client to cough and deep breathe once every 8 hours. This is not enough.
Breathing exercises and coughing are usually recommended to be done more frequently to
help clear the airways.
Remember, each patient is unique, and interventions should be tailored to t
TEST
A nurse is collecting data from a client who is taking an oral contraceptive. Which of the
following findings is a contraindication for the use of oral contraceptives?
A. Irregular menstrual cycles
2024
TEST
A nurse is observing an AP take a client's tympanic temperature. Which of the following
actions should the nurse identify as an indication that the AP understands how to perform the
procedure?
A. The AP points the probe posteriorly.
B. The AP positions the client facing her.
C. The AP pulls the pinna up and back.
D. The AP inserts the probe with a straightforward motion. - C. The AP pulls the pinna up
and back.
TEST
A charge nurse is monitoring a group of assistive personnel AP regarding the use of gloves in
contact precaution isolation. For which of the following actions by an AP should the charge
nurse intervene?
a. Washes hands after removing gloves
b. Removes gloves last after other personal protective equipment
c. Pulls gloves off inside-out when task are completed
d. Changes gloves between tasks for the same client - b. Removes gloves last after other
personal protective equipment
Rationale:
Donning PPE
Gown ○ Mask ○ Goggles ○ Gloves
Removing PPE
Gloves ○ Goggles ○ Gown ○ Mask
A nurse is preparing to delegate client care to an assistive personnel AP. Which of the
following information should the nurse verify prior to delegation?
a. The AP's years of experience
b. The client's length of facility stay
c. The client's age
,d. The AP's job description - d. The AP's job description
TEST
A charge nurse in a long-term care facility observes an assistive personnel (AP) arriving late
to his shift and slurring his words. The charge nurse suspects the AP has alcohol intoxication
and remove the AP from performing client care. Which of the following actions the nurse
takes when reporting the incident?
A. Write a clear description of the incident.
B. Request the risk manager to follow through with the report.
C. Interview other staff members about the incident.
D. Report the in - A. Write a clear description of the incident.
Rationale:
Identify the AP behavior of concern and write with proper documentation with full detail
about the suspected intoxication. Alcohol tests should not be performed through a charge
nurse unless reasonable cause. Request risk manager to do alcohol testing for reasonable
cause. the risk manager is the right person who is communicating with risk policies and
processes for an organization. witness with risk manager. If an AP alcohol test is positive
send them for rehabilitation or depend upon organization employes' policies. because AP
alcohol use behavior makes the clients at risk and their job performance. This situation
should be handled carefully when employees with alcohol intoxication.
TEST
A nurse is assisting with the plan of care for an older adult client who has dementia and is
experiencing nocturnal confusion. Which of the following actions should the nurse take to
decrease the client's risk for injury?
a. Activate a bed alarm.
b. Keep overhead lights on through the night.
c. Encourage napping during the daytime.
d. Minimize contact with the client. - a. Activate a bed alarm.
TEST
A nurse is collecting data from a client who is at 12 weeks of gestation. The client states,
"We've been trying to get pregnant for several months, but now I'm not sure I'm ready."
Which of the following responses should the nurse make?
a. "Many women experience feelings of ambivalence during pregnancy."
b. "I wouldn't worry about it if I were you. You'll be a good mother."
c. "You need to talk to a therapist about how you're feeling."
,d. "Why do you feel that way if you've been trying - a. Many women experience feelings of
ambivalence during pregnancy.
Rationale:
The nurse should respond with option A: "Many women experience feelings of ambivalence
during pregnancy." This response validates the client's feelings and reassures her that it is
normal to have mixed emotions during pregnancy. The other options may dismiss the client's
feelings, suggest unnecessary actions, or potentially make the client feel judged or defensive.
It's important to provide empathetic and non-judgmental care in such situations.
A charge nurse in a long-term care facility is developing a performance improvement plan for
an assistive personnel (AP). Which of the following actions should the nurse take when
developing the plan? (Select all that apply.)
a. Ask the nurse supervisor to review the plan.
b. Performance goals on peer comments.
c. Include the performance standard that the AP should meet.
d. Set a specific time frame for meeting performance goals.
e. Request clients complete an evaluation about the AP's qual - c. Include the performance
standard that the AP should meet.
d. Set a specific time frame for meeting performance goals.
TEST
A nurse in a clinic is caring for a client who is at 40 weeks gestation and experiences a
sudden gush of vaginal fluids. Which of the following findings is evidence of an obstetric
complication?
A. Has a pH of 7
B. Appears greenish-brown in color
C. Preceded by bloody mucus
D. Turns a nitrazine strip blue - B. Appears greenish-brown in color
Rationale:
The evidence of an obstetric complication in this case would be if the vaginal fluid appears
greenish-brown in color. This could indicate the presence of meconium, which is the baby's
first stool. Meconium in the amniotic fluid can be a sign of fetal distress. If a pregnant
woman notices greenish-brown discharge, she should contact her doctor right away. The
other options you mentioned are generally not indicative of an obstetric complication:
, A pH of 7: Amniotic fluid is normally alkaline with a pH greater than 7.1.
A nitrazine test can be used to differentiate between amniotic fluid (pH > 7.1) and normal
vaginal discharge (pH < 4.5). If the strip turns blue, it indicates that the fluid is likely
amniotic fluid, which could mean that the woman's water has broken.
Preceded by bloody mucus: The passage of a bloody mucus plug, or "bloody show," can be a
normal sign of impending labor
TEST
A nurse is contributing to the plan of care for a client who has COPD. which of the following
interventions should the nurse make?
A. Provide the client with 3 large meals each day.
B. Limit fluid intake to 1,000 mL daily.
C. Place the client in an orthopneic position.
D. Encourage the client to cough and deep breathe once every 8 hours. - C. Place the client in
an orthopneic position.
Rationale:
The nurse should make the following interventions for a client who has COPD:
C. Place the client in an orthopneic position. This position allows for better chest expansion
and can make breathing easier for the client.
The other options are not generally recommended:
A. Provide the client with 3 large meals each day. Instead, it's often recommended to provide
smaller, more frequent meals to prevent fullness that can interfere with breathing.
B. Limit fluid intake to 1,000 mL daily. While fluid balance is important, this is not a
standard recommendation for all COPD patients. Adequate hydration can actually help keep
mucus thin and easier to cough up.
D. Encourage the client to cough and deep breathe once every 8 hours. This is not enough.
Breathing exercises and coughing are usually recommended to be done more frequently to
help clear the airways.
Remember, each patient is unique, and interventions should be tailored to t
TEST
A nurse is collecting data from a client who is taking an oral contraceptive. Which of the
following findings is a contraindication for the use of oral contraceptives?
A. Irregular menstrual cycles
