ATI COMPREHENSIVE PREDICTOR Newest Exam
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QUESTION 1
A nurse is caring for a client who has a new diagnosis of type 1 diabetes
mellitus. Which of the following findings indicates that the client
understands the teaching about foot care?
A. The client soaks their feet in warm water daily.
B. The client applies moisturizing lotion between the toes.
C. The client wears cotton socks with seamless toes.
D. The client uses a heating pad to warm cold feet.
Answer: C. The client wears cotton socks with seamless toes.
Explanation: Clients with diabetes mellitus are at high risk for foot
complications due to neuropathy and peripheral vascular disease.
Proper foot care includes wearing well-fitting, seamless socks to prevent
friction and pressure points that can lead to skin breakdown and ulcers.
Soaking feet can macerate the skin and increase infection risk. Lotion
between toes can promote fungal growth. Heating pads pose a burn
risk due to decreased sensation.
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QUESTION 2
A nurse is assessing a client who is receiving morphine for
postoperative pain. Which of the following findings is the priority to
report to the provider?
A. Respiratory rate of 10/min
B. Blood pressure 100/60 mmHg
C. Heart rate 88/min
D. Oxygen saturation 95%
Answer: A. Respiratory rate of 10/min
Explanation: Morphine is an opioid analgesic that can cause respiratory
depression. A respiratory rate of 10/min is below the normal range and
indicates potential respiratory depression, which is a life-threatening
adverse effect. While hypotension and bradycardia can also occur with
morphine, respiratory depression is the most immediate priority.
Oxygen saturation of 95% is within acceptable limits.
QUESTION 3
A nurse is preparing to administer a blood transfusion to a client. Which
of the following actions should the nurse take first?
A. Verify the client's identity using two identifiers.
B. Check the expiration date of the blood product.
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C. Obtain baseline vital signs.
D. Ensure informed consent is obtained.
Answer: A. Verify the client's identity using two identifiers.
Explanation: Patient safety is paramount in blood transfusion
administration. The first action is to verify the client's identity using two
identifiers to ensure the correct blood product is given to the correct
client. While checking expiration date, obtaining vital signs, and
ensuring consent are all important steps, identification verification
precedes these to prevent fatal transfusion errors.
QUESTION 4
A nurse is evaluating the effectiveness of a client's use of a patient-
controlled analgesia pump. Which of the following findings indicates
the therapy is effective?
A. The client reports pain at a 3 on a scale of 0 to 10.
B. The client's heart rate is 110/min.
C. The client is sleeping frequently.
D. The client requests additional pain medication every hour.
Answer: A. The client reports pain at a 3 on a scale of 0 to 10.
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Explanation: The goal of patient-controlled analgesia is to maintain
pain at a level acceptable to the client. A pain score of 3 out of 10
indicates adequate pain control. Tachycardia can be a sign of unrelieved
pain, and frequent requests for additional medication suggest
inadequate analgesia. While drowsiness can occur with opioid use, it is
not a primary indicator of effectiveness.
QUESTION 5
A nurse is providing discharge teaching to a client who has heart failure.
Which of the following statements by the client indicates an
understanding of the teaching?
A. "I will weigh myself every morning before breakfast."
B. "I will limit my fluid intake to 3 liters per day."
C. "I will take my diuretic medication at bedtime."
D. "I will increase my sodium intake to 2 grams daily."
Answer: A. "I will weigh myself every morning before breakfast."
Explanation: Daily weight monitoring is crucial in heart failure
management to detect fluid retention early. A weight gain of 2 to 3
pounds in a day or 5 pounds in a week should be reported to the
provider. Fluid restriction is typically 1.5 to 2 liters per day, not 3 liters.
Diuretics should be taken in the morning to avoid nocturia. Sodium
intake should be restricted, typically to less than 2 grams per day.