ATI PN COMPREHENSIVE PREDICTOR LATEST UPDATE
2024/ ACTUAL EXAM QUESTIONS WITH CORRECT
VERIFIED ANSWERS/ GRADED A+
A 38-year-old woman is returned to her room after a subtotal hyroidectomy for treatment
of hyperthyroidism. Which of the following, if found by the nurse at the patient's bedside,
is nonessential?
1. Potassium chloride for IV administration.
2. Calcium gluconate for IV administration.
3. Tracheostomy set-up.
4. Suction equipment. - ANSWER- 1
A nurse recognizes that an initial positive outcome of treatment for a victim of sexual
abuse by one parent would be that the client
1. acknowledges willing participation in an incestuous relationship.
2. reestablishes a trusting relationship with his/her other parent.
3. verbalizes that s/he is not responsible for the sexual abuse.
4. describes feelings of anxiety when speaking about sexual abuse. - ANSWER- 3
When caring for the client diagnosed with delirium, which condition is the most
important for the nurse to investigate?
1. Cancer of any kind.
2. Impaired hearing.
3. Prescription drug intoxication.
4. Heart failure. - ANSWER- 3
pg. 1
,Which of the following is essential when caring for a client who is experiencing delirium?
1. Controlling behavioral symptoms with low-dose psychotropics.
2. Identifying the underlying causative condition or illness.
3. Manipulating the environment to increase orientation.
4. Decreasing or discontinuing all previously prescribed medications. - ANSWER- 2
Which of the following is a realistic short-term goal to be accomplished in 2 to 3 days for
a client with delirium?
1. Explain the experience of having delirium.
2. Resume a normal sleep-wake cycle.
3. Regain orientation to time and place.
4. Establish normal bowel and bladder function. - ANSWER- 3
A client diagnosed with dementia wanders the halls of the locked nursing unit during the
day. To ensure the client's safety while walking in the halls, the nurse should do which of
the following?
1. Administer PRN haloperidol (Haldol) to decrease the need to walk.
2. Assess the client's gait for steadiness.
3. Restrain the client in a geriatric chair.
4. Administer PRN lorazepam (Ativan) to provide sedation. - ANSWER- 2
During a home visit to an elderly client with mild dementia, the client's daughter reports
that she has one major problem with her mother. She says, "She sleeps most of the day
and is up most of the night. I can't get a decent night's sleep anymore." Which
suggestions should the nurse make to the daughter? Select all that apply.
1. Ask the client's physician for a strong sleep medicine.
2. Establish a set routine for rising, hygiene, meals, short rest periods, and bedtime.
3. Engage the client in simple, brief exercises or a short walk when she gets drowsy
during the day.
4. Promote relaxation before bedtime with a warm bath or relaxing music.
pg. 2
,5. Have the daughter encourage the use of caffeinated beverages during the day to
keep her mother awake. - ANSWER- 2 ,3, 4
The physician orders risperidone (Risperdal) for a client with Alzheimer's disease. The
nurse anticipates administering this medication to help decrease which of the following
behaviors?
1. Sleep disturbances.
2. Concomitant depression.
3. Agitation and assaultiveness.
4. Confusion and withdrawal. - ANSWER- 3
The nurse is making a home visit with a client diagnosed with Alzheimer's disease. The
client recently started on lorazepam (Ativan) due to increased anxiety. The nurse is
cautioning the family about the use of lorazepam (Ativan). The nurse should instruct the
family to report which of the following significant side effects to the health care provider?
1. Paradoxical excitement.
2. Headache.
3. Slowing of reflexes.
4. Fatigue. - ANSWER- 1
When providing family education for those who have a relative with Alzheimer's disease
about minimizing stress, which of the following suggestions is most relevant?
1. Allow the client to go to bed four to five times during the day.
2. Test the cognitive functioning of the client several times a day.
3. Provide reality orientation even if the memory loss is severe.
4. Maintain consistency in environment, routine, and caregivers - ANSWER- 4
An adolescent client is ordered to take tetracycline HCL (Achromycin) 250 mg PO bid.
Which of the following instructions should be given to this client by the nurse?
pg. 3
, 1. "Take the medication on a full stomach, or with a glass of milk."
2. "Wear sunscreen and a hat when outdoors."
3. "Continue taking the medication until you feel better."
4. "Avoid the use of soaps or detergents for two weeks." - ANSWER- 2
After a client develops left-sided hemiparesis from a cerebral vascular accident (CVA),
there is a decrease in muscle tone. Which of the following nursing diagnoses would be
a priority to include in his care plan?
1. Alteration in mobility related to paralysis.
2. Alteration in skin integrity related to decrease in tissue oxygenation.
3. Alteration in skin integrity related to immobility.
4. Alteration in communication related to decrease in thought processes - ANSWER- 2
A client has a history of oliguria, hypertension, and peripheral edema. Current lab values
are: BUN -25, K+ -4.0 mEq/L. Which nutrient should be restricted in the client's diet?
1. Protein.
2. Fats.
3. Carbohydrates.
4. Magnesium. - ANSWER- 1
An extremely agitated client is receiving haloperidol (Haldol) IM every 30 minutes while
in the psychiatric emergency room. The MOST important nursing intervention is to
1. monitor vital signs, especially blood pressure, every 30 minutes.
2. remain at the client's side to provide reassurance.
3. tell the client the name of the medication and its effects.
4. monitor the anticholinergic effects of the medication. - ANSWER- 1
pg. 4
2024/ ACTUAL EXAM QUESTIONS WITH CORRECT
VERIFIED ANSWERS/ GRADED A+
A 38-year-old woman is returned to her room after a subtotal hyroidectomy for treatment
of hyperthyroidism. Which of the following, if found by the nurse at the patient's bedside,
is nonessential?
1. Potassium chloride for IV administration.
2. Calcium gluconate for IV administration.
3. Tracheostomy set-up.
4. Suction equipment. - ANSWER- 1
A nurse recognizes that an initial positive outcome of treatment for a victim of sexual
abuse by one parent would be that the client
1. acknowledges willing participation in an incestuous relationship.
2. reestablishes a trusting relationship with his/her other parent.
3. verbalizes that s/he is not responsible for the sexual abuse.
4. describes feelings of anxiety when speaking about sexual abuse. - ANSWER- 3
When caring for the client diagnosed with delirium, which condition is the most
important for the nurse to investigate?
1. Cancer of any kind.
2. Impaired hearing.
3. Prescription drug intoxication.
4. Heart failure. - ANSWER- 3
pg. 1
,Which of the following is essential when caring for a client who is experiencing delirium?
1. Controlling behavioral symptoms with low-dose psychotropics.
2. Identifying the underlying causative condition or illness.
3. Manipulating the environment to increase orientation.
4. Decreasing or discontinuing all previously prescribed medications. - ANSWER- 2
Which of the following is a realistic short-term goal to be accomplished in 2 to 3 days for
a client with delirium?
1. Explain the experience of having delirium.
2. Resume a normal sleep-wake cycle.
3. Regain orientation to time and place.
4. Establish normal bowel and bladder function. - ANSWER- 3
A client diagnosed with dementia wanders the halls of the locked nursing unit during the
day. To ensure the client's safety while walking in the halls, the nurse should do which of
the following?
1. Administer PRN haloperidol (Haldol) to decrease the need to walk.
2. Assess the client's gait for steadiness.
3. Restrain the client in a geriatric chair.
4. Administer PRN lorazepam (Ativan) to provide sedation. - ANSWER- 2
During a home visit to an elderly client with mild dementia, the client's daughter reports
that she has one major problem with her mother. She says, "She sleeps most of the day
and is up most of the night. I can't get a decent night's sleep anymore." Which
suggestions should the nurse make to the daughter? Select all that apply.
1. Ask the client's physician for a strong sleep medicine.
2. Establish a set routine for rising, hygiene, meals, short rest periods, and bedtime.
3. Engage the client in simple, brief exercises or a short walk when she gets drowsy
during the day.
4. Promote relaxation before bedtime with a warm bath or relaxing music.
pg. 2
,5. Have the daughter encourage the use of caffeinated beverages during the day to
keep her mother awake. - ANSWER- 2 ,3, 4
The physician orders risperidone (Risperdal) for a client with Alzheimer's disease. The
nurse anticipates administering this medication to help decrease which of the following
behaviors?
1. Sleep disturbances.
2. Concomitant depression.
3. Agitation and assaultiveness.
4. Confusion and withdrawal. - ANSWER- 3
The nurse is making a home visit with a client diagnosed with Alzheimer's disease. The
client recently started on lorazepam (Ativan) due to increased anxiety. The nurse is
cautioning the family about the use of lorazepam (Ativan). The nurse should instruct the
family to report which of the following significant side effects to the health care provider?
1. Paradoxical excitement.
2. Headache.
3. Slowing of reflexes.
4. Fatigue. - ANSWER- 1
When providing family education for those who have a relative with Alzheimer's disease
about minimizing stress, which of the following suggestions is most relevant?
1. Allow the client to go to bed four to five times during the day.
2. Test the cognitive functioning of the client several times a day.
3. Provide reality orientation even if the memory loss is severe.
4. Maintain consistency in environment, routine, and caregivers - ANSWER- 4
An adolescent client is ordered to take tetracycline HCL (Achromycin) 250 mg PO bid.
Which of the following instructions should be given to this client by the nurse?
pg. 3
, 1. "Take the medication on a full stomach, or with a glass of milk."
2. "Wear sunscreen and a hat when outdoors."
3. "Continue taking the medication until you feel better."
4. "Avoid the use of soaps or detergents for two weeks." - ANSWER- 2
After a client develops left-sided hemiparesis from a cerebral vascular accident (CVA),
there is a decrease in muscle tone. Which of the following nursing diagnoses would be
a priority to include in his care plan?
1. Alteration in mobility related to paralysis.
2. Alteration in skin integrity related to decrease in tissue oxygenation.
3. Alteration in skin integrity related to immobility.
4. Alteration in communication related to decrease in thought processes - ANSWER- 2
A client has a history of oliguria, hypertension, and peripheral edema. Current lab values
are: BUN -25, K+ -4.0 mEq/L. Which nutrient should be restricted in the client's diet?
1. Protein.
2. Fats.
3. Carbohydrates.
4. Magnesium. - ANSWER- 1
An extremely agitated client is receiving haloperidol (Haldol) IM every 30 minutes while
in the psychiatric emergency room. The MOST important nursing intervention is to
1. monitor vital signs, especially blood pressure, every 30 minutes.
2. remain at the client's side to provide reassurance.
3. tell the client the name of the medication and its effects.
4. monitor the anticholinergic effects of the medication. - ANSWER- 1
pg. 4
