ATI COMPREHENSIVE PREDICTOR REVISION GUIDE 2021 1. A nurse is providing preoperative teaching to a client who will undergo surgery to create a temporary colostomy. The client asks the nurse about the difference between colostomies and ileostomies. Which

ATI COMPREHENSIVE PREDICTOR REVISION GUIDE 2021 1. A nurse is providing preoperative teaching to a client who will undergo surgery to create a temporary colostomy. The client asks the nurse about the difference between colostomies and ileostomies. Which of the following responses should the nurse make? A. "A colostomy drains stool, and an ileostomy drains urine." B. "A colostomy is temporary, and an ileostomy is permanent." C. "A colostomy is from the large intestine, and an ileostomy is from the small intestine." "An ileostomy requires dietary restrictions, while a colostomy does not." 2. A nurse is assessing a client who is in the early stages of hepatitis A. Which ofthe following manifestations should the nurse expect? A. Jaundice B. Anorexia C. Dark urine D. Pale feces 3. A nurse in the emergency department is assessing a client who was in a motor-vehicle crash 2 days ago and sustained fractures of his tibia, ulna, and several ribs. The client is now disoriented to time and place and has a SaO2 of 87%. The nurse notes generalized petechiae on the client’s skin. Which of the following complications should the nurse suspect? A. Hypovolemic shock B. Fat embolism syndrome C. Thrombophlebitis D. Avascular bone necrosis 4. A nurse is caring for a client who has had repeated middle ear infections. The client reports that the provider said the infections are due to an obstruction of the structure that connects the middle ear to the throat. The nurse should identify that the provider was referring to which of the following structures? A. Oval window B. Auricle C. Tympanic membrane D. Eustachian tube 5. A nurse is providing discharge teaching to a client who is postoperative following scleral buckling to repair a detached retina. Which of the following instructions should the nurse include in the teaching? A. "You can expect your vision to return immediately after the procedure." B. "You should avoid reading for 1 week." C. "You can remove eye shields when you’re sleeping." D. "You should not lift objects 6. A nurse is planning care for a client who has type 2 diabetes mellitus. Which of the following interventions should the nurse include in the plan? lOMoARcPSD| A. Encourage the client to control weight B. Inspect the client's feet once each week C. Restrict the client's activity D. Apply moisturizer between the client's toes 7. A nurse is caring for a client who had a cerebrovascular accident (CVA). The client appears alert and engaged during a visit but does not respond verbally to questions. The nurse should document this as which of the following alterations? a. Expressive aphasia b. Dysarthria c. Receptive aphasia d. Dysphagia 8. A nurse is assessing a client who is 85 years old. Which of the following findings shouldthe nurse identify as a manifestation of myocardial infarction? a. Sudden hemoptysis b. Acute diarrhea c. Frontal headacheD. Acute confusion 9. A nurse is caring for an adolescent client who has burn wounds on her face and hands. Which of the following statements by the client indicates that she has adapted to her changed body image? a. "May I go with my family to the visitor’s lounge?" b. "I’ll see my friends when I get home." c. "My dad is coming to visit. Can you fix my hair for me?" d. "I told my cousins I’m in protective isolation." 10. A nurse is teaching a client with cystic fibrosis about daily chest physiotherapy. Whichof the following is the purpose of these treatments? a. To encourage deep breaths b. To mobilize secretions in the airways c. To dilate the bronchioles d. To stimulate the cough reflex 11. A nurse is preparing a client for magnetic resonance imaging (MRI) of the spine. Whichof the following pieces of information should the nurse give the client prior to the procedure? a. "You can have a mild sedative before the procedure." b. "You'll have to lie still on your back for 15 to 20 min." c. "You can't have this test if you’ve had cataract surgery." d. "Your exposure to radiation will be minimal." 12. A nurse is preparing to assist a provider with an arterial blood withdrawal from a client’s radial artery for ABG measurement. Which of the following actions should the nurse plan to take? a. Hyperventilate the client with 100% oxygen prior to obtaining the specimen b. Apply ice to the site after obtaining the specimen c. Perform an Allen’s test prior to obtaining the specimen d. Release the pressure applied to the puncture site 1 min after the needle is withdrawn 13. A nurse is preparing a client who has a brain tumor for computed tomography (CT). Which of the following factors affects the manner in which the nurse will prepare the client for the scan? lOMoARcPSD| a. No food or fluids consumed for 4 hr b. Difficulty recalling recent events c. Development of hives when eating shrimp d. Paresthesias in both hands 14. A nurse is providing teaching to a client who has anemia and a new prescription forepoetin alfa. Which of the following pieces of information should the nurse include inthe teaching? Hematology a. Hospitalization is required when administering each treatment. b. The maximum effect of the medication will occur in 6 months. C. Hypertension is a common adverse effect of this medication. D. Blood transfusions are needed with each treatment. 15. A nurse is teaching a client who has acute pyelonephritis. Which of the followinginstructions should the nurse include in the teaching? Renal & Urinary a. “You should complete the entire cycle of antibiotic therapy.” b. “You should maintain complete bed rest until manifestations decrease.” c. “You should drink 1,000 mL of fluid per day.” d. “You should avoid using NSAIDs for pain.” 16. A nurse is assessing a client who has a bleeding duodenal ulcer. Which of the followingfindings should the nurse expect? Gastrointestinal a. Emesis with a coffee-ground appearance b. Increased blood pressure c. Decreased heart rate d. Bright green stools 17. A nurse is providing teaching to the family of a client who has a new diagnosis ofamyotrophic lateral sclerosis (ALS). Which of the following findings is an early manifestation of ALS? Neurosensory a. Sensory dysfunction b. Weakness of the distal extremities c. Decreased vision d. Altered temperature regulation 18. A nurse is providing teaching to a class about transient ischemic attacks (TIAs). Which ofthe following pieces of information should the nurse include in the teaching? Neurosensory a. A TIA can cause irreversible hemiparesis. b. A TIA can be the result of cerebral bleeding. c. A TIA can cause cerebral edema. d. A TIA can precede an ischemic stroke. 19. A nurse is caring for a client who has a major burn injury and is experiencing thirdspacing. Which of the following fluid or electrolyte imbalances should the nurse expect? Fluids, Electrolytes Imbalance a. Hypokalemia b. Hypernatremia C. Elevated Hct D. Decreased Hgb 20. A nurse is caring for a client who is receiving intermittent peritoneal dialysis. The nurse observes that the peritoneal fluid is not adequately draining. Which of the following actions should the nurse take? a. Turn the client from side to side lOMoARcPSD| b. Elevate the height of the dialysate bag c. Lower the head of the client’s bed d. Advance the catheter approximately 2.5 cm (1 in) further