ATI RN COMPREHENSIVE PREDICTOR
RETAKE 2019_100% Correct | ATI RN
COMPREHENSIVE PREDICTOR RETAKE
Section 1: Management of Care (Questions 1–25)
1. A nurse is providing discharge teaching for a client who has an implantable cardioverter
defibrillator (ICD). Which of the following statements demonstrates understanding of the
teaching?
A) “I will soak in the tub rather than showering”
B) “I will wear loose clothing around my ICD”
C) “I will stop using my microwave oven at home because of my ICD”
D) “I can hold my cellphone on the same side of my body as the ICD”
Loose clothing prevents irritation over the ICD site. Showers are preferred over tub baths to
keep the site dry. Microwave ovens are safe with ICDs. Cell phones should be kept on the
opposite side of the body from the ICD.
2. A nurse is caring for a client who is at 14 weeks gestation and reports feelings of
ambivalence about being pregnant. Which of the following responses should the nurse make?
A) “Describe your feelings to me about being pregnant”
B) “You should discuss your feelings about being pregnant with your provider”
C) “Have you discussed these feelings with your partner?”
D) “When did you start having these feelings?”
This open-ended question allows the client to express her feelings and explore the
ambivalence. Therapeutic communication involves encouraging expression of feelings.
Ambivalence in early pregnancy is common and normal.
3. A nurse is caring for a client who is scheduled for a surgical procedure and states, “I don’t
want to have this surgery anymore.” Which of the following responses should the nurse
make?
,A) “We can manage your care following the procedure without complications.”
B) “You have the right to refuse the procedure.”
C) “Your doctor thinks the surgery is necessary.”
D) “Let me review the procedure so you can understand what is going to happen.”
The client has the legal right to refuse any procedure. The nurse should respect the client’s
autonomy and advocate for the client’s wishes.
4. A nurse has just received change-of-shift report for four clients. Which of the following
clients should the nurse assess first?
A) A client who was just given a glass of orange juice for a low blood glucose level
B) A client who has a fractured left tibia and pallor in the affected extremity
C) A client who is scheduled for discharge in 2 hours
D) A client who is requesting pain medication for a headache
Pallor in an extremity with a fracture indicates possible neurovascular compromise
(circulation impairment), which requires immediate assessment and intervention to prevent
tissue damage. This takes priority over routine care.
5. A nurse is caring for a client who has a pulmonary embolism. Which of the following
findings should the nurse expect?
A) Bradycardia
B) Hypertension
C) Sudden onset of dyspnea
D) Decreased respiratory rate
Pulmonary embolism typically presents with sudden onset of dyspnea, chest pain,
tachycardia, and hypoxemia. Tachypnea is more common than bradypnea.
6. A nurse is preparing to administer mannitol 0.2 g/kg IV bolus over 5 min as a test dose to a
client who has severe oliguria. The client weighs 198 lb. What is the amount in grams the
nurse should administer?
A) 9 g
B) 18 g
,C) 36 g
D) 44 g
Convert weight: 198 lb ÷ 2.2 = 90 kg. Dose: 0.2 g/kg × 90 kg = 18 g.
7. A nurse is providing teaching to a client who has a new prescription for enoxaparin. Which
of the following medications for pain relief should the nurse include in the teaching that can
be taken concurrently with enoxaparin?
A) Naproxen sodium
B) Ibuprofen
C) Acetaminophen
D) Aspirin
Acetaminophen is safe to take concurrently with enoxaparin. NSAIDs (ibuprofen, naproxen)
and aspirin increase bleeding risk when combined with anticoagulants.
8. A nurse is preparing to administer an IM injection to a client who is obese. Which of the
following actions should the nurse plan to take?
A) Use a 1-inch needle
B) Use the ventrogluteal site
C) Use a 45-degree angle of insertion
D) Aspirate for 10 seconds before injecting
The ventrogluteal site is preferred for IM injections in obese clients because it has less
subcutaneous tissue and is free of major nerves and blood vessels. A longer needle (1.5–3
inches) may be needed.
9. A nurse is working in an emergency department and is triaging four clients. Which of the
following clients should the nurse recommend for treatment first?
A) A client who has a sprained ankle
B) A client who has a sore throat and fever
C) A middle adult client who has unstable vital signs
D) A client who requests a refill of blood pressure medication
, Unstable vital signs indicate a life-threatening condition requiring immediate intervention.
This client takes priority according to the ABC (airway, breathing, circulation) framework.
10. A nurse is reviewing the laboratory findings of a client who has diabetes mellitus and
reports following the prescribed plan of care. Which of the following findings indicates a need
to revise the client’s plan of care?
A) Fasting blood glucose 95 mg/dL
B) HbA1c 6.8%
C) HbA1c 10%
D) Random blood glucose 140 mg/dL
An HbA1c of 10% indicates poor long-term glycemic control. The target HbA1c for clients
with diabetes is typically less than 7%. A level of 10% indicates the current plan of care is not
effective.
11. A nurse is teaching an in-service about nursing leadership. Which of the following
information should the nurse include about an effective leader?
A) Acts as an advocate for the nursing unit
B) Focuses on completing tasks independently
C) Makes all decisions without staff input
D) Prioritizes personal goals over unit goals
An effective leader advocates for the unit and staff, facilitates collaboration, and promotes
shared decision-making.
12. A nurse manager is updating protocols for the use of belt restraints. Which of the
following guidelines should the nurse include?
A) Remove the client’s restraint every 4 hours
B) Document the client’s condition every 15 minutes
C) Apply the restraint tightly to prevent movement
D) Use restraints as a first-line intervention for agitation
Clients in restraints must be assessed and documented every 15 minutes for circulation, skin
integrity, and behavioral status. Restraints require a provider’s order and are a last resort.
RETAKE 2019_100% Correct | ATI RN
COMPREHENSIVE PREDICTOR RETAKE
Section 1: Management of Care (Questions 1–25)
1. A nurse is providing discharge teaching for a client who has an implantable cardioverter
defibrillator (ICD). Which of the following statements demonstrates understanding of the
teaching?
A) “I will soak in the tub rather than showering”
B) “I will wear loose clothing around my ICD”
C) “I will stop using my microwave oven at home because of my ICD”
D) “I can hold my cellphone on the same side of my body as the ICD”
Loose clothing prevents irritation over the ICD site. Showers are preferred over tub baths to
keep the site dry. Microwave ovens are safe with ICDs. Cell phones should be kept on the
opposite side of the body from the ICD.
2. A nurse is caring for a client who is at 14 weeks gestation and reports feelings of
ambivalence about being pregnant. Which of the following responses should the nurse make?
A) “Describe your feelings to me about being pregnant”
B) “You should discuss your feelings about being pregnant with your provider”
C) “Have you discussed these feelings with your partner?”
D) “When did you start having these feelings?”
This open-ended question allows the client to express her feelings and explore the
ambivalence. Therapeutic communication involves encouraging expression of feelings.
Ambivalence in early pregnancy is common and normal.
3. A nurse is caring for a client who is scheduled for a surgical procedure and states, “I don’t
want to have this surgery anymore.” Which of the following responses should the nurse
make?
,A) “We can manage your care following the procedure without complications.”
B) “You have the right to refuse the procedure.”
C) “Your doctor thinks the surgery is necessary.”
D) “Let me review the procedure so you can understand what is going to happen.”
The client has the legal right to refuse any procedure. The nurse should respect the client’s
autonomy and advocate for the client’s wishes.
4. A nurse has just received change-of-shift report for four clients. Which of the following
clients should the nurse assess first?
A) A client who was just given a glass of orange juice for a low blood glucose level
B) A client who has a fractured left tibia and pallor in the affected extremity
C) A client who is scheduled for discharge in 2 hours
D) A client who is requesting pain medication for a headache
Pallor in an extremity with a fracture indicates possible neurovascular compromise
(circulation impairment), which requires immediate assessment and intervention to prevent
tissue damage. This takes priority over routine care.
5. A nurse is caring for a client who has a pulmonary embolism. Which of the following
findings should the nurse expect?
A) Bradycardia
B) Hypertension
C) Sudden onset of dyspnea
D) Decreased respiratory rate
Pulmonary embolism typically presents with sudden onset of dyspnea, chest pain,
tachycardia, and hypoxemia. Tachypnea is more common than bradypnea.
6. A nurse is preparing to administer mannitol 0.2 g/kg IV bolus over 5 min as a test dose to a
client who has severe oliguria. The client weighs 198 lb. What is the amount in grams the
nurse should administer?
A) 9 g
B) 18 g
,C) 36 g
D) 44 g
Convert weight: 198 lb ÷ 2.2 = 90 kg. Dose: 0.2 g/kg × 90 kg = 18 g.
7. A nurse is providing teaching to a client who has a new prescription for enoxaparin. Which
of the following medications for pain relief should the nurse include in the teaching that can
be taken concurrently with enoxaparin?
A) Naproxen sodium
B) Ibuprofen
C) Acetaminophen
D) Aspirin
Acetaminophen is safe to take concurrently with enoxaparin. NSAIDs (ibuprofen, naproxen)
and aspirin increase bleeding risk when combined with anticoagulants.
8. A nurse is preparing to administer an IM injection to a client who is obese. Which of the
following actions should the nurse plan to take?
A) Use a 1-inch needle
B) Use the ventrogluteal site
C) Use a 45-degree angle of insertion
D) Aspirate for 10 seconds before injecting
The ventrogluteal site is preferred for IM injections in obese clients because it has less
subcutaneous tissue and is free of major nerves and blood vessels. A longer needle (1.5–3
inches) may be needed.
9. A nurse is working in an emergency department and is triaging four clients. Which of the
following clients should the nurse recommend for treatment first?
A) A client who has a sprained ankle
B) A client who has a sore throat and fever
C) A middle adult client who has unstable vital signs
D) A client who requests a refill of blood pressure medication
, Unstable vital signs indicate a life-threatening condition requiring immediate intervention.
This client takes priority according to the ABC (airway, breathing, circulation) framework.
10. A nurse is reviewing the laboratory findings of a client who has diabetes mellitus and
reports following the prescribed plan of care. Which of the following findings indicates a need
to revise the client’s plan of care?
A) Fasting blood glucose 95 mg/dL
B) HbA1c 6.8%
C) HbA1c 10%
D) Random blood glucose 140 mg/dL
An HbA1c of 10% indicates poor long-term glycemic control. The target HbA1c for clients
with diabetes is typically less than 7%. A level of 10% indicates the current plan of care is not
effective.
11. A nurse is teaching an in-service about nursing leadership. Which of the following
information should the nurse include about an effective leader?
A) Acts as an advocate for the nursing unit
B) Focuses on completing tasks independently
C) Makes all decisions without staff input
D) Prioritizes personal goals over unit goals
An effective leader advocates for the unit and staff, facilitates collaboration, and promotes
shared decision-making.
12. A nurse manager is updating protocols for the use of belt restraints. Which of the
following guidelines should the nurse include?
A) Remove the client’s restraint every 4 hours
B) Document the client’s condition every 15 minutes
C) Apply the restraint tightly to prevent movement
D) Use restraints as a first-line intervention for agitation
Clients in restraints must be assessed and documented every 15 minutes for circulation, skin
integrity, and behavioral status. Restraints require a provider’s order and are a last resort.
