ATI Comprehensive Predictor with NGN
1. A home health nurse is caring for a child who has Lyme disease. Which
of the following is an appropriate action for the nurse to take?: Ensure the
state health department has been notified.
2. A nurse is caring for a client who has a vented NG tube set to low
intermittent suction and has vomited. Which of the following actions should
the nurse perform first?: Evaluate functioning of the suction device.
3. While performing a routine assessment, a nurse notices fraying onto the
electrical cord of a client's continuous passive motion (CPM)device. Which of
the following actions should the nurse take first?: Remove the device from the
room.
4. A nurse is setting up a sterile field to perform wound irrigation for a
client. Which of the following actions should the nurse take when pouring the
sterile solution?: Remove the cap and place it sterile side up on a clean surface.
5. A nurse is creating a plan of care for a female client who has recurrent
urinary tract infections. Which of the following interventions should the nurse
include in the plan?: Wear loose fitting underwear.
6. A nurse is caring for an infant who has gastroenteritis. Which of the
following assessments findings should the nurse report to the provider?:
Sunken fontanels and dry mucous membranes.
7. A nurse is conducting health promotion education regarding
contraindications to combination oral contraceptive use to a group of women.
Which of the following conditions should the nurse include in the teaching?:
Hypertension 8. A nurse is providing teaching to a client who has a depressive
disorder and a new prescription for amitriptyline. Which of the following
statements by the client indicates understanding of the teaching?: "I know it
will be a couple of weeks before the medication helps me feel better."
9. A nurse is caring for a client who is immobile. Which of the following
interventions is appropriate to prevent contracture?: Align a trochanter wedge
between the client's legs.
10. A nurse is assessing a client who is postoperative following abdominal
surgery and has an indwelling urinary catheter that is draining dark yellow
urine at 25 mL/hr. Which of the following interventions should the nurse
anticipate?: Obtain a urine specimen for culture and sensitivity
11. A nurse is reporting a client's laboratory tests to the provider to obtain a
prescription for the client's daily warfarin. Which of the following laboratory
tests should the nurse plan to report to obtain the prescription for the
warfarin?: INR
,12. A nurse is assessing a client who is taking haloperidol and is
experiencing pseudoparkinsonism. Which of the following findings should
the nurse document as a manifestation of pseudoparkinsonism?: Shuffling
gait
13. A nurse is caring for a client who is experiencing expressive aphasia and
right hemiparesis following a stroke. Which of the following actions by the
nurse best promotes communication among staff caring for the client?:
Having interdisciplinary team meetings for the client on a regular basis.
14. A nurse is caring for a 2-year-old toddler. Which of the following food
choices should the nurse recommend to promote independence in eating?:
Banana slices
15. A nurse on a medical-surgical unit is notified that a mass casualty event
has occurred in the community. Which of the following actions should the
nurse plan to take?: Recommend to the provider specific acute care clients for
discharge.
16. A nurse is receiving change-of-shift report for four clients. Which of the
following clients should the nurse assess first?: A client who was just given a
glass of orange juice for low blood glucose level.
17. A nurse is performing postmortem care for a recently deceased client
prior to the client's family visit. Which of the following actions should the
nurse plan to take?: Hold the client's eyes shut for a few seconds.
18. A nurse is admitting a client who has schizophrenia. The client states,
"I'm hearing voices." Which of the following responses is the priority for the
nurse to state?: "What are the voices telling you?"
19. A nurse is administering furosemide IV bolus to a client who has fluid
volume excess. The nurse should recognize which of the following as an
indication that the medication has been effective?: Weight loss
20. A nurse is caring for a client who requires nasotracheal suctioning.
Identify the sequence the nurse should follow to perform suctioning.: 1. Turn
on the suction and set the pressure.
2. Don sterile gloves.
3. Insert the catheter during the client's inspiration.
4. Apply suction while rotating the catheter.
5. Rinse the catheter to remove secretions.
21. A nurse is caring for a client who is in a coma and is scheduled for a
surgical procedure. Which of the following actions should the nurse take?:
Determine if the client's health care surrogate is aware of the risks and benefits of
the procedure.
, ATI Comprehensive Predictor with NGN
22. A nurse is preparing to administer vancomycin IV to an adult client. The
client asks the nurse if the medication can be given 2 hours earlier. Which of
the following statements should the nurse make?: "I can start the medication
30 minutes earlier."
23. A nurse is caring for a client who requires seclusion to prevent harm to
others on the unit. Which of the following is an appropriate action for the
nurse to take?: Offer fluids every 2 hours.
24. A nurse is caring for an adolescent who has hyperthermia. Which of the
following actions should the nurse take?: Initiate seizure precautions.
25. A nurse is caring for a client who asks for information regarding organ
donation. Which of the following responses should the nurse make?: "Your
desire to be an organ donor must be documented in writing."
26. A parish nurse is leading a support group for clients whose family
members have committed suicide. Which of the following strategies should
the nurse plan to use during group sessions?: Initiate a discussion with clients
about ways to cope with changes in family dynamics.
27. A nurse is developing a care plan for a client who is in Buck's traction
and is scheduled for surgery for a fractured femur of the right leg. Which of
the following interventions should the nurse delegate to an assistive
personnel?: Remind the client to use the incentive spirometer.
28. A nurse is caring for a client who repeatedly refuses meals. The nurse
overhears an assistive personnel (AP) telling the client, "If you don't eat, I'll
put restraints on your wrists and feed you." The nurse should intervene and
explain to the AP that this statement constitutes which of the following torts?:
Assault
29. A nurse is teaching a client who has a new diagnosis of diabetes mellitus
about foot care. Which of the following instructions should the nurse include
in the teaching?: Wear clean cotton socks every day.
30. A nurse is preparing to feed a newly admitted client who has dysphagia.
Which of the following actions should the nurse plan to take?: Sit at or below
the client's eye level during feedings.
31. A nurse is caring for a client who has acute glomerulonephritis. Which
of the following findings should the nurse expect?: Hematuria
32. A nurse is caring for a client whose partner recently died. The nurse sits
with the client to provide comfort. Which of the following ethical principles is
the nurse demonstrating?: Beneficence
1. A home health nurse is caring for a child who has Lyme disease. Which
of the following is an appropriate action for the nurse to take?: Ensure the
state health department has been notified.
2. A nurse is caring for a client who has a vented NG tube set to low
intermittent suction and has vomited. Which of the following actions should
the nurse perform first?: Evaluate functioning of the suction device.
3. While performing a routine assessment, a nurse notices fraying onto the
electrical cord of a client's continuous passive motion (CPM)device. Which of
the following actions should the nurse take first?: Remove the device from the
room.
4. A nurse is setting up a sterile field to perform wound irrigation for a
client. Which of the following actions should the nurse take when pouring the
sterile solution?: Remove the cap and place it sterile side up on a clean surface.
5. A nurse is creating a plan of care for a female client who has recurrent
urinary tract infections. Which of the following interventions should the nurse
include in the plan?: Wear loose fitting underwear.
6. A nurse is caring for an infant who has gastroenteritis. Which of the
following assessments findings should the nurse report to the provider?:
Sunken fontanels and dry mucous membranes.
7. A nurse is conducting health promotion education regarding
contraindications to combination oral contraceptive use to a group of women.
Which of the following conditions should the nurse include in the teaching?:
Hypertension 8. A nurse is providing teaching to a client who has a depressive
disorder and a new prescription for amitriptyline. Which of the following
statements by the client indicates understanding of the teaching?: "I know it
will be a couple of weeks before the medication helps me feel better."
9. A nurse is caring for a client who is immobile. Which of the following
interventions is appropriate to prevent contracture?: Align a trochanter wedge
between the client's legs.
10. A nurse is assessing a client who is postoperative following abdominal
surgery and has an indwelling urinary catheter that is draining dark yellow
urine at 25 mL/hr. Which of the following interventions should the nurse
anticipate?: Obtain a urine specimen for culture and sensitivity
11. A nurse is reporting a client's laboratory tests to the provider to obtain a
prescription for the client's daily warfarin. Which of the following laboratory
tests should the nurse plan to report to obtain the prescription for the
warfarin?: INR
,12. A nurse is assessing a client who is taking haloperidol and is
experiencing pseudoparkinsonism. Which of the following findings should
the nurse document as a manifestation of pseudoparkinsonism?: Shuffling
gait
13. A nurse is caring for a client who is experiencing expressive aphasia and
right hemiparesis following a stroke. Which of the following actions by the
nurse best promotes communication among staff caring for the client?:
Having interdisciplinary team meetings for the client on a regular basis.
14. A nurse is caring for a 2-year-old toddler. Which of the following food
choices should the nurse recommend to promote independence in eating?:
Banana slices
15. A nurse on a medical-surgical unit is notified that a mass casualty event
has occurred in the community. Which of the following actions should the
nurse plan to take?: Recommend to the provider specific acute care clients for
discharge.
16. A nurse is receiving change-of-shift report for four clients. Which of the
following clients should the nurse assess first?: A client who was just given a
glass of orange juice for low blood glucose level.
17. A nurse is performing postmortem care for a recently deceased client
prior to the client's family visit. Which of the following actions should the
nurse plan to take?: Hold the client's eyes shut for a few seconds.
18. A nurse is admitting a client who has schizophrenia. The client states,
"I'm hearing voices." Which of the following responses is the priority for the
nurse to state?: "What are the voices telling you?"
19. A nurse is administering furosemide IV bolus to a client who has fluid
volume excess. The nurse should recognize which of the following as an
indication that the medication has been effective?: Weight loss
20. A nurse is caring for a client who requires nasotracheal suctioning.
Identify the sequence the nurse should follow to perform suctioning.: 1. Turn
on the suction and set the pressure.
2. Don sterile gloves.
3. Insert the catheter during the client's inspiration.
4. Apply suction while rotating the catheter.
5. Rinse the catheter to remove secretions.
21. A nurse is caring for a client who is in a coma and is scheduled for a
surgical procedure. Which of the following actions should the nurse take?:
Determine if the client's health care surrogate is aware of the risks and benefits of
the procedure.
, ATI Comprehensive Predictor with NGN
22. A nurse is preparing to administer vancomycin IV to an adult client. The
client asks the nurse if the medication can be given 2 hours earlier. Which of
the following statements should the nurse make?: "I can start the medication
30 minutes earlier."
23. A nurse is caring for a client who requires seclusion to prevent harm to
others on the unit. Which of the following is an appropriate action for the
nurse to take?: Offer fluids every 2 hours.
24. A nurse is caring for an adolescent who has hyperthermia. Which of the
following actions should the nurse take?: Initiate seizure precautions.
25. A nurse is caring for a client who asks for information regarding organ
donation. Which of the following responses should the nurse make?: "Your
desire to be an organ donor must be documented in writing."
26. A parish nurse is leading a support group for clients whose family
members have committed suicide. Which of the following strategies should
the nurse plan to use during group sessions?: Initiate a discussion with clients
about ways to cope with changes in family dynamics.
27. A nurse is developing a care plan for a client who is in Buck's traction
and is scheduled for surgery for a fractured femur of the right leg. Which of
the following interventions should the nurse delegate to an assistive
personnel?: Remind the client to use the incentive spirometer.
28. A nurse is caring for a client who repeatedly refuses meals. The nurse
overhears an assistive personnel (AP) telling the client, "If you don't eat, I'll
put restraints on your wrists and feed you." The nurse should intervene and
explain to the AP that this statement constitutes which of the following torts?:
Assault
29. A nurse is teaching a client who has a new diagnosis of diabetes mellitus
about foot care. Which of the following instructions should the nurse include
in the teaching?: Wear clean cotton socks every day.
30. A nurse is preparing to feed a newly admitted client who has dysphagia.
Which of the following actions should the nurse plan to take?: Sit at or below
the client's eye level during feedings.
31. A nurse is caring for a client who has acute glomerulonephritis. Which
of the following findings should the nurse expect?: Hematuria
32. A nurse is caring for a client whose partner recently died. The nurse sits
with the client to provide comfort. Which of the following ethical principles is
the nurse demonstrating?: Beneficence
