ATI COMPREHENSIVE PREDICTOR EXAM 2019 E| ATI NCLEX
PREDICTOR 180 QUESTIONS AND CORRECT ANSWERS
A nurse is assessing a client who received 2 units of packed RBCs 48 hrs ago. Which of
the following findings should indicate to the nurse that the therapy has been effective? --
-CORRECT ANSWER-- hemoglobin 14.9 g/dL
a nurse working in an emergency department is triaging four clients. which of the
following clients should the nurse recommend for treatment first? ---CORRECT
ANSWER-- a middle adult client who has unstable vital signs
a nurse is caring for a client who has fluid volume overload. which of the following tasks
should the nurse delegate to an assistive personnel? ---CORRECT ANSWER--
measure the client's daily weight
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? ---CORRECT ANSWER-- 18 g
a nurse is conducting a physical examination for an adolescent and is assessing the
rang of motion of the legs, which of the following images indicates the adolescent is
abducting the hip joint? ---CORRECT ANSWER-- Moving the leg away from the midline
of the body (off to the side, not to the front)
a nurse is caring for a client who has hyperthyroidism. which of the following findings
should the nurse expect? ---CORRECT ANSWER-- tremors
tachycardia, diaphoresis, weight loss, insomnia, exopthalmia
hypothyroidism has dry corase hair, bradycardia, and periorbital edema
a nurse is assessing a school age child who has bacterial meningitis. which of the
following findings should the nurse expect? ---CORRECT ANSWER-- nuchal rigidity
also weight loss
a nurse is assessing a newborn's heart rate. which of the following actions should the
nurse take? ---CORRECT ANSWER-- auscultate the apical pulse at least 1 min
,a nurse is preparing to assist with a thoracentesis for a client who has pleurisy. the
nurse should plan to perform which of the following actions? ---CORRECT ANSWER--
instruct the client to avoid coughing during the procedure
a nurse is the emergency department is assessing a preschooler who has a facial
laceration. the nurse should identify which of the following findings as a potential
indication of child sexual abuse? ---CORRECT ANSWER-- the child exhibits discomfort
while walking
a nurse is preparing to teach about dietary management to a client who has crohn's
disease and an enteroenteric fistula. which of the following nutrients should the nurse
instruct the client to decrease in their diet? ---CORRECT ANSWER-- fiber - reduce
diarrhea and inflammation
a nurse is caring for a client who has a prescription for a continuous passive motion
CPM machine following a total knee arthroplasty. which of the following actions should
the nurse take? ---CORRECT ANSWER-- Turn off the CPM machine during mealtime
promote client comfort and dietary intake
a nurse is preparing to initiate IV access for an older adult client. Which of the following
sites should the nurse select when initiating the IV for this client? ---CORRECT
ANSWER-- radial vein of the inner arm
a nurse is developing a client education program about osteoporosis for older adult
clients. the nurse should include which of the following variables as a risk factor for
osteoporosis? ---CORRECT ANSWER-- sedentary lifestyle
also, small framed body with a thin build, estrogen deficiency
a nurse in an emergency department is caring for a child who has a fever and fluid filled
vesicles on the trunk and extremities. which of the following interventions should the
nurse identify as the priority? ---CORRECT ANSWER-- initiate transmission based
precautions
a nurse is caring for a client who has a clogged percutaneous gastrostomy feeding tube.
which of the following actions should the nurse take first? ---CORRECT ANSWER--
change the position of the client
a home health care nurse is developing a teaching plan for a client who has a new
ileostomy. which of the following instructions should the nurse include? ---CORRECT
ANSWER-- empty the appliance when it is one third to one half full
a nurse is reviewing the laboratory report of a client who has end stage kidney disease
and received hemodialysis 24 hr ago. Which of the following laboratory values should
the nurse report to the provider? ---CORRECT ANSWER-- sodium 148 mEq/L
,a nurse is caring for four clients. which of the following tasks should the nurse delegate
to an assistive personnel? ---CORRECT ANSWER-- Arrange the lunch tray for a client
who has a hip fracture
a nurse is preparing a client for a paracentesis. which of the following actions should the
nurse take? ---CORRECT ANSWER-- instruct the client to void
a nurse has received change of shift report on four assigned clients. for which of the
following clients should the nurse intervene to prevent a potential food and medication
interaction? ---CORRECT ANSWER-- a client who is receiving an MAOI and is
requesting a cheeseburger for dinner
a nurse is planning care for a client who has rheumatoid arthritis and has moderate to
severe pain in multiple joints. which of the following actions should the nurse plan to
take? ---CORRECT ANSWER-- allow for frequent rest periods throughout the day
a nurse is caring for a client who is receiving continuous bladder irrigation following a
transurethral resection of the prostate. the client reports bladder spasms, and the nurse
observes a decreased urinary output. which of the following actions should the nurse
take? ---CORRECT ANSWER-- irrigate the catheter with 0.9% sodium chloride irrigation
a nurse is assessing a client who has COPD. which of the following findings should the
nurse expect? ---CORRECT ANSWER-- pH 7.31
a nurse in a community center is providing an educational session to a group of client
about ovarian cancer. which of the following manifestations of ovarian cancer should the
nurse include in the teaching? ---CORRECT ANSWER-- abdominal bloating
increase in abdominal girth, pelvic or abdominal pain, early satiety, urinary frequency of
urgency
a nurse is caring for a client who has active tuberculosis TB. which of the following
actions should the nurse plan to take to prevent the transmission of the disease? ---
CORRECT ANSWER-- Have the client wear a surgical mask while being transported
outside the room
a nurse is caring for a group of clients. which of the following clients should the nurse
attend to first? ---CORRECT ANSWER-- an older adult client who is anxious and
attempting to pull out an IV line
an RN is observing a licensed practical nurse LPN and an assistive personnel AP move
a client up in bed. for which of the following situations should the nurse intervene? ---
CORRECT ANSWER-- The LPN and the AP grasp the client under his arms to lift him
up in bed
, a nurse is preparing to administer insulin to a client via a pen device. which of the
following actions should the nurse take? ---CORRECT ANSWER-- hold the insulin pen
device perpendicular to the client's skin to inject the medication
a nurse is caring for a client who has immunosuppression and a continuous IV infusion.
which of the following actions should the nurse take? ---CORRECT ANSWER-- monitor
the client's mouth every 8 hours
a nurse is providing teaching about advance directives to a middle adult client. which of
the following client responses indicates an understanding of the teaching? ---CORRECT
ANSWER-- "I can designate my partner as my health care surrogate"
a nurse is assessing a client following a vaginal delivery and notes heavy lochia and a
boggy fundus. which of the following medications should the nurse expect to
administer? ---CORRECT ANSWER-- oxytocin
a nurse manager is planning to use a democratic leadership style with the nurses on the
unit. Which of the following actions by the nurse manager demonstrates a democratic
leadership style? ---CORRECT ANSWER-- seeks input from the other nurses
a nurse is assigning task roles for a group of clients in a community mental health clinic.
which of the following tasks should the nurse assign to the member of the group
functioning as the orienteer? ---CORRECT ANSWER-- noting the progress of the group
toward assigned goals
a nurse is creating a plan of care for a newly admitted child. which of the following
actions should the nurse include in the plan? ---CORRECT ANSWER-- Administer high
dose antibiotic therapy
cystic fibrosis kid with lung infection
a nurse is caring for a newborn immediately after delivery. which of the following
interventions should the nurse implement to prevent heat loss by conduction? ---
CORRECT ANSWER-- use a protective cover on the scale when weighing the infant
a nurse is caring for a client who has abdominal surgery 24 hr ago. which of the
following actions is the nurse's priority? ---CORRECT ANSWER-- assist with deep
breathing and coughing
a nurse in an outpatient mental health clinic is caring for four clients. the nurse should
recognize that which of the following clients is effectively using sublimation as a defense
mechanism? ---CORRECT ANSWER-- a client who channels their energy into a new
hobby following the loss of their job
PREDICTOR 180 QUESTIONS AND CORRECT ANSWERS
A nurse is assessing a client who received 2 units of packed RBCs 48 hrs ago. Which of
the following findings should indicate to the nurse that the therapy has been effective? --
-CORRECT ANSWER-- hemoglobin 14.9 g/dL
a nurse working in an emergency department is triaging four clients. which of the
following clients should the nurse recommend for treatment first? ---CORRECT
ANSWER-- a middle adult client who has unstable vital signs
a nurse is caring for a client who has fluid volume overload. which of the following tasks
should the nurse delegate to an assistive personnel? ---CORRECT ANSWER--
measure the client's daily weight
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? ---CORRECT ANSWER-- 18 g
a nurse is conducting a physical examination for an adolescent and is assessing the
rang of motion of the legs, which of the following images indicates the adolescent is
abducting the hip joint? ---CORRECT ANSWER-- Moving the leg away from the midline
of the body (off to the side, not to the front)
a nurse is caring for a client who has hyperthyroidism. which of the following findings
should the nurse expect? ---CORRECT ANSWER-- tremors
tachycardia, diaphoresis, weight loss, insomnia, exopthalmia
hypothyroidism has dry corase hair, bradycardia, and periorbital edema
a nurse is assessing a school age child who has bacterial meningitis. which of the
following findings should the nurse expect? ---CORRECT ANSWER-- nuchal rigidity
also weight loss
a nurse is assessing a newborn's heart rate. which of the following actions should the
nurse take? ---CORRECT ANSWER-- auscultate the apical pulse at least 1 min
,a nurse is preparing to assist with a thoracentesis for a client who has pleurisy. the
nurse should plan to perform which of the following actions? ---CORRECT ANSWER--
instruct the client to avoid coughing during the procedure
a nurse is the emergency department is assessing a preschooler who has a facial
laceration. the nurse should identify which of the following findings as a potential
indication of child sexual abuse? ---CORRECT ANSWER-- the child exhibits discomfort
while walking
a nurse is preparing to teach about dietary management to a client who has crohn's
disease and an enteroenteric fistula. which of the following nutrients should the nurse
instruct the client to decrease in their diet? ---CORRECT ANSWER-- fiber - reduce
diarrhea and inflammation
a nurse is caring for a client who has a prescription for a continuous passive motion
CPM machine following a total knee arthroplasty. which of the following actions should
the nurse take? ---CORRECT ANSWER-- Turn off the CPM machine during mealtime
promote client comfort and dietary intake
a nurse is preparing to initiate IV access for an older adult client. Which of the following
sites should the nurse select when initiating the IV for this client? ---CORRECT
ANSWER-- radial vein of the inner arm
a nurse is developing a client education program about osteoporosis for older adult
clients. the nurse should include which of the following variables as a risk factor for
osteoporosis? ---CORRECT ANSWER-- sedentary lifestyle
also, small framed body with a thin build, estrogen deficiency
a nurse in an emergency department is caring for a child who has a fever and fluid filled
vesicles on the trunk and extremities. which of the following interventions should the
nurse identify as the priority? ---CORRECT ANSWER-- initiate transmission based
precautions
a nurse is caring for a client who has a clogged percutaneous gastrostomy feeding tube.
which of the following actions should the nurse take first? ---CORRECT ANSWER--
change the position of the client
a home health care nurse is developing a teaching plan for a client who has a new
ileostomy. which of the following instructions should the nurse include? ---CORRECT
ANSWER-- empty the appliance when it is one third to one half full
a nurse is reviewing the laboratory report of a client who has end stage kidney disease
and received hemodialysis 24 hr ago. Which of the following laboratory values should
the nurse report to the provider? ---CORRECT ANSWER-- sodium 148 mEq/L
,a nurse is caring for four clients. which of the following tasks should the nurse delegate
to an assistive personnel? ---CORRECT ANSWER-- Arrange the lunch tray for a client
who has a hip fracture
a nurse is preparing a client for a paracentesis. which of the following actions should the
nurse take? ---CORRECT ANSWER-- instruct the client to void
a nurse has received change of shift report on four assigned clients. for which of the
following clients should the nurse intervene to prevent a potential food and medication
interaction? ---CORRECT ANSWER-- a client who is receiving an MAOI and is
requesting a cheeseburger for dinner
a nurse is planning care for a client who has rheumatoid arthritis and has moderate to
severe pain in multiple joints. which of the following actions should the nurse plan to
take? ---CORRECT ANSWER-- allow for frequent rest periods throughout the day
a nurse is caring for a client who is receiving continuous bladder irrigation following a
transurethral resection of the prostate. the client reports bladder spasms, and the nurse
observes a decreased urinary output. which of the following actions should the nurse
take? ---CORRECT ANSWER-- irrigate the catheter with 0.9% sodium chloride irrigation
a nurse is assessing a client who has COPD. which of the following findings should the
nurse expect? ---CORRECT ANSWER-- pH 7.31
a nurse in a community center is providing an educational session to a group of client
about ovarian cancer. which of the following manifestations of ovarian cancer should the
nurse include in the teaching? ---CORRECT ANSWER-- abdominal bloating
increase in abdominal girth, pelvic or abdominal pain, early satiety, urinary frequency of
urgency
a nurse is caring for a client who has active tuberculosis TB. which of the following
actions should the nurse plan to take to prevent the transmission of the disease? ---
CORRECT ANSWER-- Have the client wear a surgical mask while being transported
outside the room
a nurse is caring for a group of clients. which of the following clients should the nurse
attend to first? ---CORRECT ANSWER-- an older adult client who is anxious and
attempting to pull out an IV line
an RN is observing a licensed practical nurse LPN and an assistive personnel AP move
a client up in bed. for which of the following situations should the nurse intervene? ---
CORRECT ANSWER-- The LPN and the AP grasp the client under his arms to lift him
up in bed
, a nurse is preparing to administer insulin to a client via a pen device. which of the
following actions should the nurse take? ---CORRECT ANSWER-- hold the insulin pen
device perpendicular to the client's skin to inject the medication
a nurse is caring for a client who has immunosuppression and a continuous IV infusion.
which of the following actions should the nurse take? ---CORRECT ANSWER-- monitor
the client's mouth every 8 hours
a nurse is providing teaching about advance directives to a middle adult client. which of
the following client responses indicates an understanding of the teaching? ---CORRECT
ANSWER-- "I can designate my partner as my health care surrogate"
a nurse is assessing a client following a vaginal delivery and notes heavy lochia and a
boggy fundus. which of the following medications should the nurse expect to
administer? ---CORRECT ANSWER-- oxytocin
a nurse manager is planning to use a democratic leadership style with the nurses on the
unit. Which of the following actions by the nurse manager demonstrates a democratic
leadership style? ---CORRECT ANSWER-- seeks input from the other nurses
a nurse is assigning task roles for a group of clients in a community mental health clinic.
which of the following tasks should the nurse assign to the member of the group
functioning as the orienteer? ---CORRECT ANSWER-- noting the progress of the group
toward assigned goals
a nurse is creating a plan of care for a newly admitted child. which of the following
actions should the nurse include in the plan? ---CORRECT ANSWER-- Administer high
dose antibiotic therapy
cystic fibrosis kid with lung infection
a nurse is caring for a newborn immediately after delivery. which of the following
interventions should the nurse implement to prevent heat loss by conduction? ---
CORRECT ANSWER-- use a protective cover on the scale when weighing the infant
a nurse is caring for a client who has abdominal surgery 24 hr ago. which of the
following actions is the nurse's priority? ---CORRECT ANSWER-- assist with deep
breathing and coughing
a nurse in an outpatient mental health clinic is caring for four clients. the nurse should
recognize that which of the following clients is effectively using sublimation as a defense
mechanism? ---CORRECT ANSWER-- a client who channels their energy into a new
hobby following the loss of their job
