lOMoAR cPSD| 8661262
ATI RN VATI COMPREHENSIVE PREDICTOR-RESIT
GREEN LIGHT STUDY SET GRADED A+
1. A community health nurse is evaluating eligibility for home assistance for a client who is
quadriplegic. Which of the following actions should the nurse perform first?
a. Determine the client's living situation.
b. Problem solved with the client.
c. Offer community resources to the client.
d. Assist the client with decision-making.
2. A nurse is discussing care with a newly licensed nurse for a client who practices Orthodox
Judaism. Which of the following meals suggestions by the newly licensed nurse indicates a need
for further teaching?
a. Chicken breast and boiled potatoes.
b. Carrot sticks and cottage cheese.
c. Grilled cheese an Apple sauce.
d. Roast beef and ice cream.
3. A nurse is preparing to auscultate a client apical pulse at the point of maximal impulse (PMI). the
nurse should place the diaphragm of the stethoscope at which of the following locations
a. Within the angle of Louis.
b. 5th intercostal space at the left midclavicular line.
c. Second intercostal space to the right of the sternum.
d. Over the xyphoid process.
4. A nurse is caring for a client who is receiving a blood transfusion at 125 mL/hour and develops a
hemolytic reaction. Which of the following actions should the nurse perform?
a. Infuse 0.9% sodium chloride IV.
b. Administer an anti-pyretic.
c. Decrease the infusion rate to 75 mL/hour.
d. Place the client in a left lateral position
5. A nurse is planning care for a client who is prescribed a cane for ambulation. Which of the
following nursing actions should the nurse include in the plan of care?
a. Remind the client to place the cane on the unaffected side.
b. Adjust the length of the cane to equal the distance from the client's iliac crest to the floor.
c. Remove the rubber tip from the cane to enhance ambulation.
d. Place the King safely in the closet during naps and at bedtime.
6. Nurse is caring for a client who had a partial laryngectomy and is receiving continuous enteral
feedings at 65 mL/hour through a gastrostomy tube. Which of the following findings requires
immediate intervention by the nurse?
a. The gastric residual volume is 250 mL following two hours of infusion.
b. The client is lying in a supine position.
c. The infusion pump for administering continuous feeding is turned off.
d. Interior feeding bag and tubing are not dated.
7. A nurse is caring for a group of clients which of the following tasks is appropriate for the nurse to
delegate to the assistive personnel (AP)? (Select all that apply.)
a. change addressing for a client who has a stage three decubitus ulcer.
, lOMoAR cPSD| 8661262
b. Measure I&O for a client who is receiving peritoneal dialysis.
c. Transfer client from bed to chair with mechanical lift.
d. Provide postmortem care on a client who experienced cardiac arrest.
e. Obtain a signed consent for a client for a screening colonoscopy.
8. RNA nurse is planning care for a newborn who has hyper bilirubinemia and is to
receivephototherapy. Which of the following interventions should the nurse include?
a. Cloth the newborn in light cotton
b. Check the newborns temperature every 8 hours.
c. Administer 120 mL of water between feedings.
d. Place the newborn 45 cm (18 in) from the light source.
9. An assistive personnel tells the nurse that several client measurements were obtained with
morning vital signs. Which of the following clients should the nurse plan to assess?
a. A 4-year-old who has a closed head injury and a heart rate of 60/min
10. A nurse is caring for a client following possible exposure to anthrax. Which of the following
actions should the nurse take?
a. Administer an antitoxin
b. Quarantine the client.
c. Monitor the client for a productive cough.
d. Being prophylactic treatment with ciprofloxacin
11. A nurse is providing teaching about car seat safety to the parent of a term newborn. Which of the
following statements by the parent indicates an understanding of the teaching?
a. I should place a rolled blanket along each side of my baby's head in the car seat.
b. I should place my baby's car seat rear facing until six months of age.
c. I should put the car seat retainer clip at the end of my baby's belly button.
d. I should position my baby's car seat at a 90-degree angle in the car.
12. A nurse is assessing an infant who has water intoxication. Which of the following findings should
the nurse expect?
a. Generalized edema
b. Elevated urine specific gravity
c. Thready pulse
c. Increased hematocrit
13. A nurse is assessing a client who has a chest tube following a thoracotomy. Which of the
following findings requires intervention by the nurse?
a. 1 cm of water present in the water seal chamber.
b. Tidaling with spontaneous respirations.
c. Suction chamber pressure of -20 cm H2O
d. Drainage collection chamber is 1/3 full.
14. A nurse is analyzing the laboratory data on a client who has dehydration. Which finding should
the nurse anticipate in a client who has fluid volume deficit?
a. Decreased serum osmolarity.
b. Decreased hematocrit.
c. Elevated blood urea nitrogen (BUN)
d. lower urine specific gravity
, lOMoAR cPSD| 8661262
15. A nurse is performing a skin assessment on a client who has risk factors for development of skin
cancer. The nurse should understand that a suspicious lesion is
a. Asymmetric, with variegated coloring
b. Scaly and red.
c. Brown, with a wart-like texture.
d. Firm and rubbery
16. A community health nurse recognizes that the teen pregnancy rate in the community has
increased. Which of the following program planning strategies should the nurse implement first?
a. RN Arrange a meeting with teenage mothers who are high school students in the community.
17. After making morning rounds, the charge nurse on the surgical unit delegates the following task
to the assistive personnel. which of the following tasks does the nurse direct the AP to complete
first?
a. Please an NPO sign on the door of a client scheduled surgery
18. A nurse is caring for a client who is receiving a localized epidural analgesia infusion. Which of
the following nurse actions is appropriate?
a. Cover insertion site with a transparent dressing.
19. The nurse is performing a disaster triage following a natural disaster. Which of the following
should the nurse identify as the highest priority to receive care?
a. A client who has agonal respirations.
b. A client who has an open skull fracture and is unresponsive
c. A client who has traumatic arm amputation
c. A client who has a fracture of the femur.
20. A nurse is planning to provide community education about viral hepatitis. Which of the following
should the nurse plan to include in the teaching?
a. Series for hepatitis vaccine is recommended to prevent viral hepatitis.
b. Hepatitis B is transmitted by contaminated food.
c. Chronic hepatitis can lead to renal cell cancer.
d. Clients who have a history of viral hepatitis are unable to donate blood.
21. A nurse in the emergency department is caring for a client who has abdominal pain. Which of the
following actions by the nurse demonstrates veracity?
a. The nurse explains the potential risks of treatment.
22. A nurse is about to administer an injection to a client who states, “I don't want that injection. The
last time I got that I was sore for a week.” The nurse goes ahead and administers the injection
against the clients wishes. The nurse committed which of the following?
a. Battery
b. Assault
c. False Imprisonment
d. Libel
23. A home health nurse is assessing a client who is recovering from an acute myocardial infarction
(MI). which of the following findings should the nurse report to the provider as a possible
indication of left sided heart failure?
a. Jugular vein distention
b. Weight gain
, lOMoAR cPSD| 8661262
c. Peripheral edema
d. Bilateral lung crackles.
24. A nurse is caring for a group of clients. The nurse should request a referral for a speech language
pathologist for which of the following clients?
a. A client was difficult to the swallowing.
25. A nurse is preparing to provide education about electroconvulsive therapy (ECT) for a client who
has major depressive disorder. Which of the following should the nurse include in the teaching?
a. A general anesthetic is administered prior to ECT treatments.
b. ECT treatments are administered once every 6 months.
c. Oral antidepressants are discontinued after ECT treatments.
d. RNImplied consent is required prior to ECT treatment.
26. A nurse is caring for a mother who prescribed methadone during pregnancy. The nurse should
assess the newborn for which of the following manifestations of neonatal abstinence syndrome?
a. Tachypnea
b. Irritability
c. Tremors
27. A nurse is caring for a client following an open colectomy which of the following findings places
the client at risk for delayed wound healing?
a. INR 1.1
b. Hyperemesis
c. HbA1C 5.6%
d. Uncontrolled pain
28. A nurse who typically works on the postpartum unit is assigned to float to the maternal newborn
unit. The nurse is very anxious about floating and uncomfortable with the assignment the charge
nurse has selected. Which of the following actions is appropriate for the nurse to take?
a. As the charge nurse to assign an experienced nurse to act as a resource.
29. A client hospitalized for a bone marrow transplant is in protective isolation while undergoing total
body radiation and intense chemotherapy. The client sibling comes to visit but has obvious
manifestations of an upper respiratory infection. Which of the following nursing actions is
appropriate at this time?
a. Allow the sibling to wave at the client through the window or door.
b. Allow the sibling to visit after donning a sterile gown, mask and gloves, but prohibit
physical contact.
c.
30. A nurse is caring for a client following insertion of a subclavian non tunneled percutaneous
central venous catheter (CVC). the provider writes a prescription to initiate an IV infusion
ringer’s lactate at 150 mL/hour prior to starting the infusion, which of the following actions
should the nurse take?
a. Review the chest x-ray report.
b. Apply oxygen at 3 L/min per nasal cannula
c. Flush the catheter with sterile water
d. Obtain a peripheral blood glucose level
31. The nurse is providing teaching to an adolescent client who has cystic fibrosis and has a
ATI RN VATI COMPREHENSIVE PREDICTOR-RESIT
GREEN LIGHT STUDY SET GRADED A+
1. A community health nurse is evaluating eligibility for home assistance for a client who is
quadriplegic. Which of the following actions should the nurse perform first?
a. Determine the client's living situation.
b. Problem solved with the client.
c. Offer community resources to the client.
d. Assist the client with decision-making.
2. A nurse is discussing care with a newly licensed nurse for a client who practices Orthodox
Judaism. Which of the following meals suggestions by the newly licensed nurse indicates a need
for further teaching?
a. Chicken breast and boiled potatoes.
b. Carrot sticks and cottage cheese.
c. Grilled cheese an Apple sauce.
d. Roast beef and ice cream.
3. A nurse is preparing to auscultate a client apical pulse at the point of maximal impulse (PMI). the
nurse should place the diaphragm of the stethoscope at which of the following locations
a. Within the angle of Louis.
b. 5th intercostal space at the left midclavicular line.
c. Second intercostal space to the right of the sternum.
d. Over the xyphoid process.
4. A nurse is caring for a client who is receiving a blood transfusion at 125 mL/hour and develops a
hemolytic reaction. Which of the following actions should the nurse perform?
a. Infuse 0.9% sodium chloride IV.
b. Administer an anti-pyretic.
c. Decrease the infusion rate to 75 mL/hour.
d. Place the client in a left lateral position
5. A nurse is planning care for a client who is prescribed a cane for ambulation. Which of the
following nursing actions should the nurse include in the plan of care?
a. Remind the client to place the cane on the unaffected side.
b. Adjust the length of the cane to equal the distance from the client's iliac crest to the floor.
c. Remove the rubber tip from the cane to enhance ambulation.
d. Place the King safely in the closet during naps and at bedtime.
6. Nurse is caring for a client who had a partial laryngectomy and is receiving continuous enteral
feedings at 65 mL/hour through a gastrostomy tube. Which of the following findings requires
immediate intervention by the nurse?
a. The gastric residual volume is 250 mL following two hours of infusion.
b. The client is lying in a supine position.
c. The infusion pump for administering continuous feeding is turned off.
d. Interior feeding bag and tubing are not dated.
7. A nurse is caring for a group of clients which of the following tasks is appropriate for the nurse to
delegate to the assistive personnel (AP)? (Select all that apply.)
a. change addressing for a client who has a stage three decubitus ulcer.
, lOMoAR cPSD| 8661262
b. Measure I&O for a client who is receiving peritoneal dialysis.
c. Transfer client from bed to chair with mechanical lift.
d. Provide postmortem care on a client who experienced cardiac arrest.
e. Obtain a signed consent for a client for a screening colonoscopy.
8. RNA nurse is planning care for a newborn who has hyper bilirubinemia and is to
receivephototherapy. Which of the following interventions should the nurse include?
a. Cloth the newborn in light cotton
b. Check the newborns temperature every 8 hours.
c. Administer 120 mL of water between feedings.
d. Place the newborn 45 cm (18 in) from the light source.
9. An assistive personnel tells the nurse that several client measurements were obtained with
morning vital signs. Which of the following clients should the nurse plan to assess?
a. A 4-year-old who has a closed head injury and a heart rate of 60/min
10. A nurse is caring for a client following possible exposure to anthrax. Which of the following
actions should the nurse take?
a. Administer an antitoxin
b. Quarantine the client.
c. Monitor the client for a productive cough.
d. Being prophylactic treatment with ciprofloxacin
11. A nurse is providing teaching about car seat safety to the parent of a term newborn. Which of the
following statements by the parent indicates an understanding of the teaching?
a. I should place a rolled blanket along each side of my baby's head in the car seat.
b. I should place my baby's car seat rear facing until six months of age.
c. I should put the car seat retainer clip at the end of my baby's belly button.
d. I should position my baby's car seat at a 90-degree angle in the car.
12. A nurse is assessing an infant who has water intoxication. Which of the following findings should
the nurse expect?
a. Generalized edema
b. Elevated urine specific gravity
c. Thready pulse
c. Increased hematocrit
13. A nurse is assessing a client who has a chest tube following a thoracotomy. Which of the
following findings requires intervention by the nurse?
a. 1 cm of water present in the water seal chamber.
b. Tidaling with spontaneous respirations.
c. Suction chamber pressure of -20 cm H2O
d. Drainage collection chamber is 1/3 full.
14. A nurse is analyzing the laboratory data on a client who has dehydration. Which finding should
the nurse anticipate in a client who has fluid volume deficit?
a. Decreased serum osmolarity.
b. Decreased hematocrit.
c. Elevated blood urea nitrogen (BUN)
d. lower urine specific gravity
, lOMoAR cPSD| 8661262
15. A nurse is performing a skin assessment on a client who has risk factors for development of skin
cancer. The nurse should understand that a suspicious lesion is
a. Asymmetric, with variegated coloring
b. Scaly and red.
c. Brown, with a wart-like texture.
d. Firm and rubbery
16. A community health nurse recognizes that the teen pregnancy rate in the community has
increased. Which of the following program planning strategies should the nurse implement first?
a. RN Arrange a meeting with teenage mothers who are high school students in the community.
17. After making morning rounds, the charge nurse on the surgical unit delegates the following task
to the assistive personnel. which of the following tasks does the nurse direct the AP to complete
first?
a. Please an NPO sign on the door of a client scheduled surgery
18. A nurse is caring for a client who is receiving a localized epidural analgesia infusion. Which of
the following nurse actions is appropriate?
a. Cover insertion site with a transparent dressing.
19. The nurse is performing a disaster triage following a natural disaster. Which of the following
should the nurse identify as the highest priority to receive care?
a. A client who has agonal respirations.
b. A client who has an open skull fracture and is unresponsive
c. A client who has traumatic arm amputation
c. A client who has a fracture of the femur.
20. A nurse is planning to provide community education about viral hepatitis. Which of the following
should the nurse plan to include in the teaching?
a. Series for hepatitis vaccine is recommended to prevent viral hepatitis.
b. Hepatitis B is transmitted by contaminated food.
c. Chronic hepatitis can lead to renal cell cancer.
d. Clients who have a history of viral hepatitis are unable to donate blood.
21. A nurse in the emergency department is caring for a client who has abdominal pain. Which of the
following actions by the nurse demonstrates veracity?
a. The nurse explains the potential risks of treatment.
22. A nurse is about to administer an injection to a client who states, “I don't want that injection. The
last time I got that I was sore for a week.” The nurse goes ahead and administers the injection
against the clients wishes. The nurse committed which of the following?
a. Battery
b. Assault
c. False Imprisonment
d. Libel
23. A home health nurse is assessing a client who is recovering from an acute myocardial infarction
(MI). which of the following findings should the nurse report to the provider as a possible
indication of left sided heart failure?
a. Jugular vein distention
b. Weight gain
, lOMoAR cPSD| 8661262
c. Peripheral edema
d. Bilateral lung crackles.
24. A nurse is caring for a group of clients. The nurse should request a referral for a speech language
pathologist for which of the following clients?
a. A client was difficult to the swallowing.
25. A nurse is preparing to provide education about electroconvulsive therapy (ECT) for a client who
has major depressive disorder. Which of the following should the nurse include in the teaching?
a. A general anesthetic is administered prior to ECT treatments.
b. ECT treatments are administered once every 6 months.
c. Oral antidepressants are discontinued after ECT treatments.
d. RNImplied consent is required prior to ECT treatment.
26. A nurse is caring for a mother who prescribed methadone during pregnancy. The nurse should
assess the newborn for which of the following manifestations of neonatal abstinence syndrome?
a. Tachypnea
b. Irritability
c. Tremors
27. A nurse is caring for a client following an open colectomy which of the following findings places
the client at risk for delayed wound healing?
a. INR 1.1
b. Hyperemesis
c. HbA1C 5.6%
d. Uncontrolled pain
28. A nurse who typically works on the postpartum unit is assigned to float to the maternal newborn
unit. The nurse is very anxious about floating and uncomfortable with the assignment the charge
nurse has selected. Which of the following actions is appropriate for the nurse to take?
a. As the charge nurse to assign an experienced nurse to act as a resource.
29. A client hospitalized for a bone marrow transplant is in protective isolation while undergoing total
body radiation and intense chemotherapy. The client sibling comes to visit but has obvious
manifestations of an upper respiratory infection. Which of the following nursing actions is
appropriate at this time?
a. Allow the sibling to wave at the client through the window or door.
b. Allow the sibling to visit after donning a sterile gown, mask and gloves, but prohibit
physical contact.
c.
30. A nurse is caring for a client following insertion of a subclavian non tunneled percutaneous
central venous catheter (CVC). the provider writes a prescription to initiate an IV infusion
ringer’s lactate at 150 mL/hour prior to starting the infusion, which of the following actions
should the nurse take?
a. Review the chest x-ray report.
b. Apply oxygen at 3 L/min per nasal cannula
c. Flush the catheter with sterile water
d. Obtain a peripheral blood glucose level
31. The nurse is providing teaching to an adolescent client who has cystic fibrosis and has a
