ATI Comprehensive Predictor with NGN ALL TOPICS
COVERED
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? - -CORRECT ANS--Ensure the state health department
has been notified.
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? - -CORRECT ANS--
Evaluate functioning of the suction device.
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? - -CORRECT ANS--Remove the device from the room.
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? - -CORRECT ANS--
Remove the cap and place it sterile side up on a clean surface.
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? - -CORRECT ANS--
Wear loose fitting underwear.
A nurse is caring for an infant who has gastroenteritis. Which of the following assessments
findings should the nurse report to the provider? - -CORRECT ANS--Sunken fontanels and dry
mucous membranes.
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? - -CORRECT ANS--Hypertension
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? - -CORRECT ANS--"I know it will be a couple of weeks before the medication helps me
feel better."
A nurse is caring for a client who is immobile. Which of the following interventions is appropriate
to prevent contracture? - -CORRECT ANS--Align a trochanter wedge between the client's legs.
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? - -CORRECT ANS--Obtain a urine specimen for culture
and sensitivity
,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? - -CORRECT ANS--INR
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? - -CORRECT ANS--Shuffling gait
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? - -CORRECT ANS--Having interdisciplinary team meetings for
the client on a regular basis.
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? - -CORRECT ANS--Banana slices
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? - -CORRECT ANS--
Recommend to the provider specific acute care clients for discharge.
A nurse is receiving change-of-shift report for four clients. Which of the following clients should
the nurse assess first? - -CORRECT ANS--A client who was just given a glass of orange juice for
low blood glucose level.
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? - -CORRECT ANS--Hold the
client's eyes shut for a few seconds.
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? - -CORRECT ANS--"What
are the voices telling you?"
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?
- -CORRECT ANS--Weight loss
A nurse is caring for a client who requires nasotracheal suctioning. Identify the sequence the
nurse should follow to perform suctioning. - -CORRECT ANS--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.
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? - -CORRECT ANS--Determine if the client's health
care surrogate is aware of the risks and benefits of the procedure.
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? - -CORRECT ANS--"I can start the medication 30 minutes earlier."
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? - -CORRECT ANS--Offer fluids
every 2 hours.
A nurse is caring for an adolescent who has hyperthermia. Which of the following actions should
the nurse take? - -CORRECT ANS--Initiate seizure precautions.
A nurse is caring for a client who asks for information regarding organ donation. Which of the
following responses should the nurse make? - -CORRECT ANS--"Your desire to be an organ donor
must be documented in writing."
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? - -
CORRECT ANS--Initiate a discussion with clients about ways to cope with changes in family
dynamics.
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? - -CORRECT ANS--Remind the client to use the
incentive spirometer.
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? - -CORRECT ANS--Assault
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? - -CORRECT ANS--Wear
clean cotton socks every day.
A nurse is preparing to feed a newly admitted client who has dysphagia. Which of the following
actions should the nurse plan to take? - -CORRECT ANS--Sit at or below the client's eye level
during feedings.
, A nurse is caring for a client who has acute glomerulonephritis. Which of the following findings
should the nurse expect? - -CORRECT ANS--Hematuria
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? - -
CORRECT ANS--Beneficence
A nurse in an emergency department is caring for a child who reports being sexually assaulted by
a family member. Which of the following actions should the nurse take? - -CORRECT ANS--
Explain to the child what will happen when the abuse is reported.
A newly licensed nurse working at an HIV clinic is reviewing the responsibilities of her position at
the clinic. Which of the following tasks should the nurse identify as tertiary prevention? - -
CORRECT ANS--Using an electronic messaging system to remind clients when to take
medications.
A nurse is caring for a client who has given informed consent for electroconvulsive therapy. Just
before the procedure, the client tells the nurse she is considering not going forward with the
treatment. Which of the following statements by the nurse is appropriate? - -CORRECT ANS--
"You don't have to go through with the treatment."
A nurse is teaching a new parent about breastfeeding her 2-week-old infant. Which of the
following statements by the parent indicates an understanding of the teaching? - -CORRECT ANS-
-"The more my baby is at the breast sucking, the more milk I will produce."
A nurse is preparing to reposition a client who has had a stroke. Which of the following actions
should the nurse take? - -CORRECT ANS--Evaluate the client's ability to help with repositioning.
A nurse is providing discharge teaching to a client who is postoperative following the surgical
repair of a detached retina. Which of the following statements by the client indicates an
understanding of the teaching? - -CORRECT ANS--"I should bend at the waist when putting on
my shoes."
A nurse is providing discharge teaching about home care of a surgical incision to a client who
speaks a different language from the nurse. The nurse is communicating with the client using an
interpreter. Which of the following actions should the nurse take? - -CORRECT ANS--Speak
directly to the client.
A nurse is providing teaching to a client who has a new prescription for enoxaparin. Which of the
following medications for pain relief should the nurse include in the teaching that can be taken
concurrently with enoxaparin? - -CORRECT ANS--Acetaminophen
A nurse is receiving change-of-shift report for a group of clients. Which of the following clients
should the nurse plan to assess first? - -CORRECT ANS--A client who has a hip fracture and a new
onset of tachypnea.
COVERED
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? - -CORRECT ANS--Ensure the state health department
has been notified.
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? - -CORRECT ANS--
Evaluate functioning of the suction device.
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? - -CORRECT ANS--Remove the device from the room.
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? - -CORRECT ANS--
Remove the cap and place it sterile side up on a clean surface.
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? - -CORRECT ANS--
Wear loose fitting underwear.
A nurse is caring for an infant who has gastroenteritis. Which of the following assessments
findings should the nurse report to the provider? - -CORRECT ANS--Sunken fontanels and dry
mucous membranes.
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? - -CORRECT ANS--Hypertension
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? - -CORRECT ANS--"I know it will be a couple of weeks before the medication helps me
feel better."
A nurse is caring for a client who is immobile. Which of the following interventions is appropriate
to prevent contracture? - -CORRECT ANS--Align a trochanter wedge between the client's legs.
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? - -CORRECT ANS--Obtain a urine specimen for culture
and sensitivity
,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? - -CORRECT ANS--INR
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? - -CORRECT ANS--Shuffling gait
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? - -CORRECT ANS--Having interdisciplinary team meetings for
the client on a regular basis.
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? - -CORRECT ANS--Banana slices
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? - -CORRECT ANS--
Recommend to the provider specific acute care clients for discharge.
A nurse is receiving change-of-shift report for four clients. Which of the following clients should
the nurse assess first? - -CORRECT ANS--A client who was just given a glass of orange juice for
low blood glucose level.
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? - -CORRECT ANS--Hold the
client's eyes shut for a few seconds.
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? - -CORRECT ANS--"What
are the voices telling you?"
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?
- -CORRECT ANS--Weight loss
A nurse is caring for a client who requires nasotracheal suctioning. Identify the sequence the
nurse should follow to perform suctioning. - -CORRECT ANS--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.
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? - -CORRECT ANS--Determine if the client's health
care surrogate is aware of the risks and benefits of the procedure.
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? - -CORRECT ANS--"I can start the medication 30 minutes earlier."
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? - -CORRECT ANS--Offer fluids
every 2 hours.
A nurse is caring for an adolescent who has hyperthermia. Which of the following actions should
the nurse take? - -CORRECT ANS--Initiate seizure precautions.
A nurse is caring for a client who asks for information regarding organ donation. Which of the
following responses should the nurse make? - -CORRECT ANS--"Your desire to be an organ donor
must be documented in writing."
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? - -
CORRECT ANS--Initiate a discussion with clients about ways to cope with changes in family
dynamics.
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? - -CORRECT ANS--Remind the client to use the
incentive spirometer.
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? - -CORRECT ANS--Assault
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? - -CORRECT ANS--Wear
clean cotton socks every day.
A nurse is preparing to feed a newly admitted client who has dysphagia. Which of the following
actions should the nurse plan to take? - -CORRECT ANS--Sit at or below the client's eye level
during feedings.
, A nurse is caring for a client who has acute glomerulonephritis. Which of the following findings
should the nurse expect? - -CORRECT ANS--Hematuria
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? - -
CORRECT ANS--Beneficence
A nurse in an emergency department is caring for a child who reports being sexually assaulted by
a family member. Which of the following actions should the nurse take? - -CORRECT ANS--
Explain to the child what will happen when the abuse is reported.
A newly licensed nurse working at an HIV clinic is reviewing the responsibilities of her position at
the clinic. Which of the following tasks should the nurse identify as tertiary prevention? - -
CORRECT ANS--Using an electronic messaging system to remind clients when to take
medications.
A nurse is caring for a client who has given informed consent for electroconvulsive therapy. Just
before the procedure, the client tells the nurse she is considering not going forward with the
treatment. Which of the following statements by the nurse is appropriate? - -CORRECT ANS--
"You don't have to go through with the treatment."
A nurse is teaching a new parent about breastfeeding her 2-week-old infant. Which of the
following statements by the parent indicates an understanding of the teaching? - -CORRECT ANS-
-"The more my baby is at the breast sucking, the more milk I will produce."
A nurse is preparing to reposition a client who has had a stroke. Which of the following actions
should the nurse take? - -CORRECT ANS--Evaluate the client's ability to help with repositioning.
A nurse is providing discharge teaching to a client who is postoperative following the surgical
repair of a detached retina. Which of the following statements by the client indicates an
understanding of the teaching? - -CORRECT ANS--"I should bend at the waist when putting on
my shoes."
A nurse is providing discharge teaching about home care of a surgical incision to a client who
speaks a different language from the nurse. The nurse is communicating with the client using an
interpreter. Which of the following actions should the nurse take? - -CORRECT ANS--Speak
directly to the client.
A nurse is providing teaching to a client who has a new prescription for enoxaparin. Which of the
following medications for pain relief should the nurse include in the teaching that can be taken
concurrently with enoxaparin? - -CORRECT ANS--Acetaminophen
A nurse is receiving change-of-shift report for a group of clients. Which of the following clients
should the nurse plan to assess first? - -CORRECT ANS--A client who has a hip fracture and a new
onset of tachypnea.
