ATI Comprehensive Predictor 2023
1. (NGN) "A client who has bipolar is admitted to the inpatient psychiatric
unit. During the morning assessment, the client reports blurred vision and
an increase in urine output. It is noted that the client is having clonic jerking
of upper extremities. Provider notified and laboratory tests ordered. Skin is
warm and dry without rash."
The nurse understands that the patient has likely developed
and will need to be monitored for .: -
Lithium toxicity and Seizure Activity
2. A nurse is preparing to initiate intravenous fluids via pump for a client. which
of the following actions should the nurse take?: Check Expiration date of equipment.
(or "Obtain a surge protector that can accommodate the pump and several other appliances").
3. A nurse is caring for a client who has an implanted venous access port.
Which of the following should the nurse use to assess the port?
A. A Angio Catheter
B. A butterfly needle
C. A noncoring needle
D. A 25-guage needle: A noncoring needle
4. A nurse is conducting an initial assessment of a client and notices a
discrepancy between the client's current IV infusion and the information
received during the shift report. Which of the following actions should the
nurse take?: Compare the current infusion with the prescription and the client's medical record.
5. (NGN) "A nurse is caring for an older adult client." 0945: Adult child accom-
panying parent reports cognitive and physical decline in the client, expressing
concern over memory loss, thought processes, appetite, and self-care."
Click to highlight the findings that require immediate follow-up. To deselect a
finding, click on the finding, click on the finding again.
1) "My sibling and I hired help at home for my parent."
2) "I found the title to the car today, signed over to me."
3) "Client makes poor eye contact, speaks in a monotone voice, and has a lack
,of facial expression."
4) "Client reports sleeping 7hr a night and getting up "once or twice per night
,to go to the bathroom."
5) "Client reports not wanting to eat anymore. Client's child reports their
parent has lost about 8lb in the past month."
6) Heart rate 66/min
7) "Client says, "Why don't you just leave me?" I am of no use.": 2) "I found the title
to the car today, signed over to me."
3) "Client makes poor eye contact, speaks in a monotone voice, and has a lack of facial expression."
5) "Client reports not wanting to eat anymore. Client's child reports their parent has lost about 8lb in the past month."
7) "Client says, "Why don't you just leave me?" I am of no use."
6. (NGN) A nurse is caring for a client on a psychiatric unit; "0700: Client is a
admitted to the unit. The deny suicidal ideations at this time. Client states, "I
am an assistant to a powerful spirit." Client is poorly groomed and has body
odor."
For each potential action, click to specify if the action is indicated or contraindi-
cated for the client. Potential Actions:
1) Allow the client to watch TV at high volume
2) Ask client about hallucinations
3) Instruct the client on expected hygiene practices
4) Assess the client for suicidal ideation
5) Place the client in a room near the activity room: 1) Allow the client to watch TV at high
volume: CONTRAINDICATED
2) Ask client about the content of their hallucinations: INDICATED
3) Instruct the client on expected hygiene practices: INDICATED
4) Assess the client for suicidal ideation: INDICATED
5) Place the client in a room near the activity room:
CONTRAINDICATED
7. A nurse is caring for a client who is near the end of life and is on complete
bed rest. The client states that he needs to have a bowel movement and the
nurse orders a bed pan. The client states "I've always used the bathroom"
which of the following responses should the nurse make?
a. Tell me what concerns you about the bedpan.
, b. make sure to use nearby furniture to support yourself when walking to the
bathroom.
c. I will have the physical therapist ambulate you to the bathroom.
d. you have to use the bedpan for your own safety: a. Tell me what concerns you about the
bedpan.
8. (NGN) A nurse is caring for a client who is in labor. "0900: Contractions
occurring every 3 to 4 min, lasting 80 to 90 seconds. Client rates pain with
contractions as 10 on a scale of 0 to 10 and requests an epidural. Contractions
approximately 4 min apart. Vaginal examination reveals cervix dilated 5 cm,
80% effaced, -1% station, vertex presentation. FHR baseline 142/min with
moderate variability. IV fluids bolus initiated."
Select the 5 actions the nurse should take.
1) Increase the flow rate of the maintenance IV fluid
2) Have a charge nurse notify the provider
3) Place the client in a Trendelenburg posiiton
4) Exert upward pressure on the presenting part
5) Attempt to push the umbilical cord back into the cervix
6) Administer oxygen at 10L/min via nonrebreather face mask.: 1) Increase the flow
rate of the maintenance IV fluid
2) Have a charge nurse notify the provider
3) Place the client in a Trendelenburg posiiton
4) Exert upward pressure on the presenting part
6) Administer oxygen at 10L/min via nonrebreather face mask.
9. A nurse is providing an in-service about client evacuation during the fire.
Which of the following clients should the nurse instruct the staff to evacuate
first.
1) A client who uses a wheelchair and is confused
2) A client who is bedridden and wears a hearing aid
3) A client who is ambulatory and receiving oxygen
4) A client who has a fracture and is in balance suspension traction: 3) A client who
is ambulatory and receiving oxygen
1. (NGN) "A client who has bipolar is admitted to the inpatient psychiatric
unit. During the morning assessment, the client reports blurred vision and
an increase in urine output. It is noted that the client is having clonic jerking
of upper extremities. Provider notified and laboratory tests ordered. Skin is
warm and dry without rash."
The nurse understands that the patient has likely developed
and will need to be monitored for .: -
Lithium toxicity and Seizure Activity
2. A nurse is preparing to initiate intravenous fluids via pump for a client. which
of the following actions should the nurse take?: Check Expiration date of equipment.
(or "Obtain a surge protector that can accommodate the pump and several other appliances").
3. A nurse is caring for a client who has an implanted venous access port.
Which of the following should the nurse use to assess the port?
A. A Angio Catheter
B. A butterfly needle
C. A noncoring needle
D. A 25-guage needle: A noncoring needle
4. A nurse is conducting an initial assessment of a client and notices a
discrepancy between the client's current IV infusion and the information
received during the shift report. Which of the following actions should the
nurse take?: Compare the current infusion with the prescription and the client's medical record.
5. (NGN) "A nurse is caring for an older adult client." 0945: Adult child accom-
panying parent reports cognitive and physical decline in the client, expressing
concern over memory loss, thought processes, appetite, and self-care."
Click to highlight the findings that require immediate follow-up. To deselect a
finding, click on the finding, click on the finding again.
1) "My sibling and I hired help at home for my parent."
2) "I found the title to the car today, signed over to me."
3) "Client makes poor eye contact, speaks in a monotone voice, and has a lack
,of facial expression."
4) "Client reports sleeping 7hr a night and getting up "once or twice per night
,to go to the bathroom."
5) "Client reports not wanting to eat anymore. Client's child reports their
parent has lost about 8lb in the past month."
6) Heart rate 66/min
7) "Client says, "Why don't you just leave me?" I am of no use.": 2) "I found the title
to the car today, signed over to me."
3) "Client makes poor eye contact, speaks in a monotone voice, and has a lack of facial expression."
5) "Client reports not wanting to eat anymore. Client's child reports their parent has lost about 8lb in the past month."
7) "Client says, "Why don't you just leave me?" I am of no use."
6. (NGN) A nurse is caring for a client on a psychiatric unit; "0700: Client is a
admitted to the unit. The deny suicidal ideations at this time. Client states, "I
am an assistant to a powerful spirit." Client is poorly groomed and has body
odor."
For each potential action, click to specify if the action is indicated or contraindi-
cated for the client. Potential Actions:
1) Allow the client to watch TV at high volume
2) Ask client about hallucinations
3) Instruct the client on expected hygiene practices
4) Assess the client for suicidal ideation
5) Place the client in a room near the activity room: 1) Allow the client to watch TV at high
volume: CONTRAINDICATED
2) Ask client about the content of their hallucinations: INDICATED
3) Instruct the client on expected hygiene practices: INDICATED
4) Assess the client for suicidal ideation: INDICATED
5) Place the client in a room near the activity room:
CONTRAINDICATED
7. A nurse is caring for a client who is near the end of life and is on complete
bed rest. The client states that he needs to have a bowel movement and the
nurse orders a bed pan. The client states "I've always used the bathroom"
which of the following responses should the nurse make?
a. Tell me what concerns you about the bedpan.
, b. make sure to use nearby furniture to support yourself when walking to the
bathroom.
c. I will have the physical therapist ambulate you to the bathroom.
d. you have to use the bedpan for your own safety: a. Tell me what concerns you about the
bedpan.
8. (NGN) A nurse is caring for a client who is in labor. "0900: Contractions
occurring every 3 to 4 min, lasting 80 to 90 seconds. Client rates pain with
contractions as 10 on a scale of 0 to 10 and requests an epidural. Contractions
approximately 4 min apart. Vaginal examination reveals cervix dilated 5 cm,
80% effaced, -1% station, vertex presentation. FHR baseline 142/min with
moderate variability. IV fluids bolus initiated."
Select the 5 actions the nurse should take.
1) Increase the flow rate of the maintenance IV fluid
2) Have a charge nurse notify the provider
3) Place the client in a Trendelenburg posiiton
4) Exert upward pressure on the presenting part
5) Attempt to push the umbilical cord back into the cervix
6) Administer oxygen at 10L/min via nonrebreather face mask.: 1) Increase the flow
rate of the maintenance IV fluid
2) Have a charge nurse notify the provider
3) Place the client in a Trendelenburg posiiton
4) Exert upward pressure on the presenting part
6) Administer oxygen at 10L/min via nonrebreather face mask.
9. A nurse is providing an in-service about client evacuation during the fire.
Which of the following clients should the nurse instruct the staff to evacuate
first.
1) A client who uses a wheelchair and is confused
2) A client who is bedridden and wears a hearing aid
3) A client who is ambulatory and receiving oxygen
4) A client who has a fracture and is in balance suspension traction: 3) A client who
is ambulatory and receiving oxygen
