A nurse is assessing an infant who has water intoxication. Which
bounding pulse/generalized edema
of the following findings should the nurse expect?
A nurse is discussing the z-track administration of hydroxyzine
with a newly licensed nurse. Which of the following statements
a. This technique decreases the risk of subcutaneous infiltration
indicates the newly licensed nurse understands the purpose of
the technique
1. A nurse is creating a plan of care for a client who has anorexia
nervosa. Which of the following interventions should the nurse a. Monitor the client for 1 hr after meals
include in the plan?
A nurse notices smoke coming from a client's room and discovers
a fire in the wastebasket. After moving the client to safety, which a. Close the fire door on the unit
of the followings is the priority action?
A nurse is assessing a client who has delirium due to a febrile
a. Hallucinations
illness. Which of the following findings should the nurse expect?
1. A nurse is caring for a client following an open colectomy. Which
of the following findings places the client at risk for delayed wound hyperemesis
healing?
1. A home health nurse is reviewing treatment goals with a client
who has diabetes mellitus. The nurse should evaluate which of
A1C
the following laboratory tests to determine effective long-term
management of blood glucose levels?
1. A nurse is caring for a client who has neutropenia due to HIV.
Which of the following precautions should the nurse take while a. Use a dedicated stethoscope
caring for this client?
1. A nurse is caring for a client who reports difficulty falling asleep
Tell the client to avoid drinking fluids 1 hr before bedtime
at night. Which of the following actions should the nurse take?
1. A nurse is planning care for a newborn who has hyperbiliru-
binemia and is to receive phototherapy. Which of the following a. Place the newborn 45 cm from the light source
interventions should the nurse include?
1. A nurse is planning care for a client who has schizophrenia and
is having difficulty expressing their feelings. Which of the following social worker
referrals should the nurse make?
1. A nurse is caring for a client who has heart failure and has start-
ed taking a loop diuretic. Which of the following findings indicates decreased reflexes
the client is experiencing an adverse effect of the medication
1. At the start of an evening shift on a cardiac unit, a licensed
practical nurse brings the nurse a list of client reports. Which of indigestion
the following client reports should the nurse assess first?
1. A nurse is caring for a client who has just returned to the unit
following a bronchoscopy. Which of the following actions by the offer oral fluids to the client
assistive personnel requires the nurse to intervene?
1. A nurse on a medical unit has just received change-of-shift a. A 68 year old client who had a myocardial infarction 2 days ago
report. Which of the following clients should the nurse assess first? and reports chest pain as a 4 on a scale of 0 to 10
1. A nurse is assessing a client prior to performing a blood draw.
The nurse should identify that an allergy to which of the following avocados
food can indicate that the client has an allergy to latex?
1. A nurse is preparing to witness a client's signature on an in-
a. I am thankful there are no serious complications from this type
formed consent for a total knee arthroplasty. Which of the following of surgery
client statements indicates the nurse should contact the surgeon?
1. A nurse is admitting a client who has antisocial personality
disorder. Which of the following client behaviors should the nurse a. Uses others for personal gain
identify as consistent with this disorder?
1. A nurse is teaching the parent of a school-age child who has
burning
scabies about the application of permethrin 5% cream. The nurse
, ATI RN VATI Comprehensive Predictor 2024 Form B
should include which of the following as a potential adverse effect
of the medication?
1. A nurse is teaching a client who has a new prescription for
digoxin. Which of the following statements should the nurse in- muscle weakness
clude in the teaching?
1. A nurse is planning teaching for a client who is at 10 weeks of
gestation and has a history of urinary tract infections. Which of
a. Empty the bladder before and after intercourse
the following information should the nurse plan to include in the
teaching about UTI prevention?
1. A nurse is providing discharge teaching to a client who is post-
partum and plans to breastfeed. Which of the following should the a. Calcium
nurse recommend the client increase in their diet during lactation?
1.A nurse is providing teaching about preventing mastitis to a
client who is postpartum and breastfeeding her newborn. Which a. Try to have your baby empty your breasts with each feeding."
of the following instructions should the nurse include?
1.A nurse is caring for a client who reports chest pain. Which of
a. Troponin I 1.8 ng/mL
the following findings indicates myocardial damage?
1. A nurse is providing teaching about car seat safety to the parent
"I should place a rolled blanket along each side of my baby's head
of a term newborn. Which of the following statements by the parent
in the car seat."
indicates an understanding of the teaching?
1. A nurse is performing high-frequency chest compressions using
a mechanical chest compression device for a child who has cystic
a. The child has increased sputum production
fibrosis. Which of the following findings indicates the treatment has
been effective?
1. A nurse is caring for a client following a possible exposure to
Begin prophylactic treatment with ciprofloxacin
anthrax. Which of the following actions should the nurse take?
1. A nurse is caring for a client who has a newly implanted sealed
internal radiation device to treat cervical cancer. Which of the a. Keep a 3 foot distance from the radiation implant
following is an appropriate action for the nurse to take?
A nurse is admitting a client to the medical-surgical unit. Which of
a. Observe the client's level of mobility
the following actions should the nurse take first?
1. A nurse at a public health clinic is caring for a group of clients.
Which of the following should the nurse identify as a reportable hep A
diagnosis to the CDC?
1. A charge nurse is evaluating the time management skills of a
a. Completes activities for one client before moving to the next
newly licensed nurse. Which of the following actions should the
client
charge nurse identify as an effective time management skill?
1. A nurse is caring for a client who has opioid use disorder and
is experiencing withdrawal. Which of the following findings should a. Hyperreflexia
the nurse expect?
1. A nurse is planning to perform wound irrigation for a client
a. Hold the bottle of sterile solution with the palm over the label
who has an open secondary wound. When creating a sterile field,
while pouring
which of the following actions should the nurse take?
1. A nurse is planning care for a client who has a sealed radiation
implant and is to remain in the hospital for 1 week. Which of the a. Wear a dosimeter film badge while in the client's room
following should the nurse include in the plan of care?
1. A nurse is assessing a client who was brought to the emergency
department by his adult child. The client has visible contusions on
a. Report the incident to Adult Protective Services
all four extremities. Which of the following actions should the nurse
take?
1. A nurse is assessing a client who is postoperative following
abdominal surgery. The client states, "I feel like my incision ripped
Place the client in a low-Fowler's position
open." The nurse notes dehiscence of the incision. Which of the
following actions should the nurse take?