ATI RN COMPREHENSIVE PREDICTOR EXAM 2023/2024 WITH NGN QUESTIONS WITH VERIFIED SOLUTIONS A+ GRADED

1. A nurse is providing teaching about the gastrostomy tube feedings to the parents of a school age child. Which of the following instructions should the nurse take? A. Administer the feeding over 30 min. 2. A nurse is administering digoxin 0.125 mg Po to an adult client. For which of the following findings should the nurse report to theprovider? A. Digoxin level 1 ng/ml. 3. A nurse is caring for a client who is comatose and has advance directives that indicate the client does not want life-sustaining measures. The client’s family want the client to have life-sustaining measures. Which of the following action should the nurse take? A. Arrange for an ethics committee meeting to address the family’s concerns. 4. A nurse is teaching a group of newly licensed nurses about measures to take when caring for a client who is on contact precautions. Which of the following should the nurse include in the teaching? A. Wear gloves when providing care to the client. 5. A nurse is planning on care for a client who is recovering from an acute myocardial infarction that occurred 3 days ago. Which of the following instructions should the nurse include? A. Obtain a cardiac rehabilitation consultation. 6. A nurse is caring for a client who request the creation of a living will. Which of the following actions should the nurse take? A. the client’s understanding of life-sustaining measures. 7. A nurse is caring for an adolescent who has sickle-cell anemia. Which of the following manifestations indicates acute chest syndrome and should be immediately reported to the provider? A. Substernal retractions. 8. A nurse is preforming a gastric lavage for a client who has upper gastrointestinal bleeding. Which of the Insert a large-bore NG tube. .following action should the nurse take? A. 9. A nurse is providing care for a client who is in the advance stage of amyotrophic lateral sclerosis. (ALS). Which of the following referrals is the nurse’s priority? A. Speech-language pathologist. 10. A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis. Which of the following findings should the nurse report to the provider? A. Erythrocyte sedimentation rate 75 mm/hr 11. A nurse is caring for a client who has generalized petechiae and ecchymoses. The nurse should expect a prescription for which of the following laboratory tests? A. Platelet count. 12. A nurse is caring for a client following application of a cast. Which of the following actions should the nurse take first? A. Palpate the pulse distal to the cast. 13. A nurse is caring for a client who has vision loss. Which of the following actions should the nurse take? (Select all that apply) A. Keep objects in the client’s room in the same place. B. Ensure there is high-wattage lighting in the client’s room.C. Allow extra time for the client to perform tasks. 14. A nurse is caring for a client who is newly diagnosed with pancreatic cancer and has questions about the disease. To research the nurse should identify that which of the following electronic database has the most comprehensive collection of nursing (Unable to read) articles? A. CINAHL. 15. A nurse in an emergency department is assessing newly admitted client who is experiencing drooling and hoarseness following a burn injury. Which of the following should actions should the nurse take first? A. Obtain a baseline ECG. A. Administer 100% humidified oxygen. 16. A nurse is planning care for a client who has unilateral paralysis and dysphagia following a right hemispheric stroke. Which of the following interventions should the nurse include in the plan? A. Place the client’s left arm on a pillow while he is sitting. 17. A nurse is caring for a client who is in a seclusion room following violent behavior. The client continues to display aggressive behavior. Which of the following actions should the nurse take? A. Confront the client about this behavior. 18. A nurse is caring for a client who is receiving brachytherapy for treatment of prostate cancer. Which of the following actions should the nurse take? A. Limit the client’s visitors to 30 min per day. 19. A nurse is assessing a client who has left-sided heart failure. Which of the following should the nurse identify as a manifestation of pulmonary congestion? A. Bradypnea 20. A nurse is caring for a client who is in labor and requires augmentation of labor. Which of the following conditions should the nurse recognize as a contraindication to the use of oxytocin. A. Postterm with oligohydramnios. (I think Maternal Newborn Chapter 15 page 100) 21. A nurse is creating a plan of care for a newly admitted client who has obsessive-compulsive disorder. Which of the following interventions should the nurse take? A. Allow the client enough time to perform rituals. 22. A nurse is assessing a client who is receiving packed RBCs. Which of the following findings indicate fluid overload? A. Dyspnea. 23. A nurse is calculating a client’s expected date of delivery. The client’s last menstrual period began on April . Using Nagele’s rule, what date should the nurse determine to be the client’s expected delivery date? (Use mmdd format.) A. 0119 date 24. A nurse is discussing group treatment and therapy with a client. The nurse should include which characteristic of a therapeutic group? A. The group encourages members to focus on a particular issue. (Mental Health Chapter 8 Page 42) 25. A nurse manger is reviewing documentation with a newly licensed nurse. Which of the following notations by the newly licensed nurse indicates an understanding of the teaching. UNSURE IF ON THE REPORT A. “OOB with assistance for breakfast” B. “Given 2 mg MSO4 IM for report of pain” C. “Dressing changed qd” D. “Administered 8 u regular insulin sq.” 26. A nurse is preparing to administer eye drops to a school-age child. Identify the actions the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) A. Place the child in a sitting position.B. Ask the child to look upward. C. Pull the lower eyelid downward.D. Instill the drops of medication. E. Apply pressure to the lacrimal punctum. 27. A nurse is caring for a client who speaks a language different from the nurse. Which of the following should the nurse take? A. Review the facility policy about the use of an interpreter. 28. A nurse is caring for a client who is in labor and is receiving oxytocin. Which of the following findings indicates that the nurse should increase the rate of infusion?ON THE REPORT needs double checking A. Urine output 20 ml/hr. B. Montevideo units constantly 300 mm Hg. C. FHR pattern with absent variability. D. Contractions every 5 min that last 30 seconds. 29. A public health nurse is managing several projects for community. Which interventions should the nurse identify as primary prevention strategy? A. Teaching parenting skills to expectant mothers and their partners. 30. A nurse is preparing to administer an autologous blood product to a client. Which of the following actions should the nurse take to identify the client? A. Match the client’s blood type with the type and cross match specimens. B. Confirm the provider’s prescription matches the number on the blood component. C. Ask the client to state the blood type and the date of their last blood donation. D. Ensure that the client’s identification band matches the number on the blood unit. 31. A nurse is performing physical therapy for a client who has Parkinson’s disease. Which of the following statements by the client indicates the need for a referral to physical therapy? A. “Lately, I feel like my feet are freezing up, as they are stuck to the ground” 32. A nurse is reviewing laboratory data for a client who has chronic kidney disease. Which of the following Increased creatine. findings should the nurse expect? A. 33. A nurse is administering a scheduled medication to a client. The client reports that the medication appears different than what they take at home. Which of the following responses should the nurse take? A. “I will call the pharmacist now to check on this medication” 34. A charge nurse is recommending postpartum client discharge following a local disaster. Which should the nurse recommend fordischarge? A. A client who delivered precipitously 36 hr. ago and has a second-degree perineal laceration. 35. A nurse is providing discharge to a client who has a new prescription for phenelzine. The nurse should instruct the client that it is safe to eat? A. Whole grain bread 36. A nurse manager is updating protocols for the use of belt restraints. Which of the following guidelines should the nurse include? A. Document the clients condition every 15 min. 37. A nurse is preparing to perform a sterile wound irrigation and dressing change for a client. Which of the following actions by the nurse indicates a break in surgical aseptic technique? A. Balancing the bottle on the sterile basin while pouring the liquid 38. A nurse is planning care for a group of clients and is working with one LPN and one AP. Which should the nurse take first to manage time? A. Determine goals of the day 39. A nurse is providing teaching to an adolescent who has peptic ulcer disease. Which indicates an understanding of teaching? A. “I will avoid food and beverages that contain caffeine” 40. A nurse is reviewing legal issues in health care with a group of newly licensed nurses. Which recommendation should the nurse make? A. Ensure that each client has a living will on file prior to treatment 41. A staff education nurse is evaluating a group of nurses during a new employee orientation of the use of proper body mechanics when lifting. A. 3rd picture, bending at knees 42. A nurse is teaching a client who is trying to conceive. Which should the nurse instruct the client to increase to prevent neural tube defect? A. Folate 43. A nurse is caring for a client who is experiencing acute mania. Which of the following foods should the nurse provide? A. Peanut butter sandwich