ATI RN VATI NGN COMPREHENSIVE PREDICTOR REAL 2019UPDATED ON
2023 JUNE FORMC(Q&A)GRADED A
**A client is postoperative following a lumbar discectomy and is having difficulty voiding. Thenurse should
recognize that which of the following medications place the client at risk for urinary retention?
Hydromorphone (Dilaudid)
**A nurse is caring for an older adult client in a long-term care facility who is disoriented and continues to
get out of bed without assistance. Which of the following images indicates the nurseis using an appropriate
intervention to minimize the risk of injury due to a fall?
D
**A practical nurse (PN) on medical-surgical unit is beginning her shift and is working with aregistered
nurse (RN) and an assistive personnel (AP). The PN should expect to be assigned which of the
following tasks?
Administer an NG tube feeding to a client who had a stroke
**A nurse on an acute mental health unit observes a client who begins to speak loudly in thecommon
room, saying that he can’t hear the TV. Which of the following is an appropriate response by the
nurse?
Let’s go to another room to talk about what is upsetting you
**A client tells a nurse that he would like to observe kosher dietary laws. The nurse shouldrecognize
which of the following?
,Dairy products are served separately from meat
**A nursing unit receives new glucose monitoring equipment from staff development with the promise that
in-service education will be given soon. Which of the following instructions shouldthe nurse give to the
assistive personnel (AP) who is preforming glucose monitoring on the unit?
Continue using the current glucose monitors
**Which of the following should the nurse document as an indication of the IV infiltration in aclient’s
forearm?
Pallor surrounding the infusion site
**A client requests information about advanced directives. Which of the following is theappropriate
response by the nurse?
Advanced directives are written instructions regarding end of life care
**A nurse is caring for a client who is on telemetry. Which of the following ECG findings shouldthe nurse
report to the charge nurse?
,PR interval 0.24 seconds
**A nurse is checking the reflexes of a newborn. Which of the following techniques should thenurse use
to elicit the Babinski reflex?
Stroke the sole of the infant’s foot upward and toward the great toe
**A charge nurse in a long-term care facility notices an assistive personnel’s (AP) repeated failure to
provide oral care for clients. Which of the following actions should the nurse take?
Discuss the unacceptable behavior with the AP while reinforcing expectations
**A nurse is caring for a client who has terminal cancer. Which of the following statements bythe client’s
family should indicate the nurse that they are coping with their situation?
Dad I remember the time we all went to the lake fishing
**A nurse is performing a dressing change for a client who had abdominal surgery 5 days ago. The nurse
notes organs protruding from the incision. Which of the following actions should thenurse take?
Apply an abdominal binder
, **A nurse in a skilled nursing facility is caring for a client who is receiving warfarin (Coumadin)therapy
following a total hip replacement. An assistive personnel reports a positive guaiac.
Which of the following laboratory values should the nurse report to the provider?
Hematocrit 40%
International normalized ratio of 4.5
** A nurse is reinforcing teaching with a client who has hypertension and is beginning
medication therapy with captopril (Capoten). Which of the following over-the-counter
medications should the nurse instruct the client to avoid?
Acetaminophen (Tylenol)
Diphenhydramine Ibuprofen
(Advil) Guaifenesin
(Robitussin)
**A nurse is reinforcing teaching for a client who is in her first trimester of pregnancy. Which of the following
physiological changes should the nurse instruct the client to expect during the first trimester?
Leukorrhea
Shortness of breath
Pedal edema
Perineal pressure
** A nurse is collecting data from a client who has a peptic ulcer disease. Which of the followingshould the
nurse identify as the priority finding?
Gnawing epigastric pain
Heartburn
2023 JUNE FORMC(Q&A)GRADED A
**A client is postoperative following a lumbar discectomy and is having difficulty voiding. Thenurse should
recognize that which of the following medications place the client at risk for urinary retention?
Hydromorphone (Dilaudid)
**A nurse is caring for an older adult client in a long-term care facility who is disoriented and continues to
get out of bed without assistance. Which of the following images indicates the nurseis using an appropriate
intervention to minimize the risk of injury due to a fall?
D
**A practical nurse (PN) on medical-surgical unit is beginning her shift and is working with aregistered
nurse (RN) and an assistive personnel (AP). The PN should expect to be assigned which of the
following tasks?
Administer an NG tube feeding to a client who had a stroke
**A nurse on an acute mental health unit observes a client who begins to speak loudly in thecommon
room, saying that he can’t hear the TV. Which of the following is an appropriate response by the
nurse?
Let’s go to another room to talk about what is upsetting you
**A client tells a nurse that he would like to observe kosher dietary laws. The nurse shouldrecognize
which of the following?
,Dairy products are served separately from meat
**A nursing unit receives new glucose monitoring equipment from staff development with the promise that
in-service education will be given soon. Which of the following instructions shouldthe nurse give to the
assistive personnel (AP) who is preforming glucose monitoring on the unit?
Continue using the current glucose monitors
**Which of the following should the nurse document as an indication of the IV infiltration in aclient’s
forearm?
Pallor surrounding the infusion site
**A client requests information about advanced directives. Which of the following is theappropriate
response by the nurse?
Advanced directives are written instructions regarding end of life care
**A nurse is caring for a client who is on telemetry. Which of the following ECG findings shouldthe nurse
report to the charge nurse?
,PR interval 0.24 seconds
**A nurse is checking the reflexes of a newborn. Which of the following techniques should thenurse use
to elicit the Babinski reflex?
Stroke the sole of the infant’s foot upward and toward the great toe
**A charge nurse in a long-term care facility notices an assistive personnel’s (AP) repeated failure to
provide oral care for clients. Which of the following actions should the nurse take?
Discuss the unacceptable behavior with the AP while reinforcing expectations
**A nurse is caring for a client who has terminal cancer. Which of the following statements bythe client’s
family should indicate the nurse that they are coping with their situation?
Dad I remember the time we all went to the lake fishing
**A nurse is performing a dressing change for a client who had abdominal surgery 5 days ago. The nurse
notes organs protruding from the incision. Which of the following actions should thenurse take?
Apply an abdominal binder
, **A nurse in a skilled nursing facility is caring for a client who is receiving warfarin (Coumadin)therapy
following a total hip replacement. An assistive personnel reports a positive guaiac.
Which of the following laboratory values should the nurse report to the provider?
Hematocrit 40%
International normalized ratio of 4.5
** A nurse is reinforcing teaching with a client who has hypertension and is beginning
medication therapy with captopril (Capoten). Which of the following over-the-counter
medications should the nurse instruct the client to avoid?
Acetaminophen (Tylenol)
Diphenhydramine Ibuprofen
(Advil) Guaifenesin
(Robitussin)
**A nurse is reinforcing teaching for a client who is in her first trimester of pregnancy. Which of the following
physiological changes should the nurse instruct the client to expect during the first trimester?
Leukorrhea
Shortness of breath
Pedal edema
Perineal pressure
** A nurse is collecting data from a client who has a peptic ulcer disease. Which of the followingshould the
nurse identify as the priority finding?
Gnawing epigastric pain
Heartburn
