Leadership - Pre-Assessment Quiz 2025
Virtual-ATI Comp-Predictor Prep Questions
With Complete Solutions Graded A+
1. A nurse notes late decelerations on the fetal monitor. What priority
actions should the nurse take? - ANSWER the priority should be
for the nurse to place the client in side-lying position, insert an IV
catheter if not in place, and increase rate of IV fluid administration.
If oxytocin (Pitocin) is being infused, this should be discontinued
and then the nurse should administer oxygen by mask at 8 to 10
L/min, notify the provider, and prepare for an assisted vaginal birth
or cesarean birth.
2. A nurse is caring for a pregnant client prescribed iron supplement.
What information should the nurse provide to this client regarding
administration of the supplements? - ANSWER When taking the
iron supplement, you should eat a small amount of food to avoid
stomach upset. It is important to not take the supplement with dairy
products or calcium supplements due to decreased absorption.
3. What are the priority nursing actions for hypotension following
placement of epidural regional analgesia? - ANSWER The priority
nursing action is to put the patient in a side laying position and
being prepared to see the order to administer IV bolus of
crystalloid or small IV dose of ephedrine to help reverse the effects
of the epidural.
, 4. A nurse is caring for a client who is on neutropenic precautions
following chemotherapy. Provide an example of a statement by the
client that indicates the client understands what precautions are
required for neutropenia. - ANSWER "I will avoid eating fresh
fruits and vegetables. As well as limiting the total amount of
visitors that come see me and make sure they are vaccinated and
healthy."
· Identify three (3) clinical manifestations that should alert the
nurse to assess for ventriculoperitoneal shunt malfunction. -
ANSWER Lethargic, Irritable, and swelling along the tract of
the shunt.
· A client is experiencing disequilibrium syndrome. List three
(3) manifestations associated with this presentation and three
(3) associated nursing actions to manage the syndrome. -
ANSWER Restlessness, hypertension, and nausea/vomiting
5. Decrease ICP by less stimuli and positioning. Identify patients that
are high risk, monitor vitals and LOC.
· A nurse is providing teaching to the family member of an
immobile home care client regarding the prevention of
pressure ulcers. Identify three (3) important teaching points
the nurse should include. - ANSWER Be sure to change
positions shifting weight distribution every 2 hours, prevent
friction and rubbing as much as possible, and make sure they
stay dry and free of pee or stool.
Virtual-ATI Comp-Predictor Prep Questions
With Complete Solutions Graded A+
1. A nurse notes late decelerations on the fetal monitor. What priority
actions should the nurse take? - ANSWER the priority should be
for the nurse to place the client in side-lying position, insert an IV
catheter if not in place, and increase rate of IV fluid administration.
If oxytocin (Pitocin) is being infused, this should be discontinued
and then the nurse should administer oxygen by mask at 8 to 10
L/min, notify the provider, and prepare for an assisted vaginal birth
or cesarean birth.
2. A nurse is caring for a pregnant client prescribed iron supplement.
What information should the nurse provide to this client regarding
administration of the supplements? - ANSWER When taking the
iron supplement, you should eat a small amount of food to avoid
stomach upset. It is important to not take the supplement with dairy
products or calcium supplements due to decreased absorption.
3. What are the priority nursing actions for hypotension following
placement of epidural regional analgesia? - ANSWER The priority
nursing action is to put the patient in a side laying position and
being prepared to see the order to administer IV bolus of
crystalloid or small IV dose of ephedrine to help reverse the effects
of the epidural.
, 4. A nurse is caring for a client who is on neutropenic precautions
following chemotherapy. Provide an example of a statement by the
client that indicates the client understands what precautions are
required for neutropenia. - ANSWER "I will avoid eating fresh
fruits and vegetables. As well as limiting the total amount of
visitors that come see me and make sure they are vaccinated and
healthy."
· Identify three (3) clinical manifestations that should alert the
nurse to assess for ventriculoperitoneal shunt malfunction. -
ANSWER Lethargic, Irritable, and swelling along the tract of
the shunt.
· A client is experiencing disequilibrium syndrome. List three
(3) manifestations associated with this presentation and three
(3) associated nursing actions to manage the syndrome. -
ANSWER Restlessness, hypertension, and nausea/vomiting
5. Decrease ICP by less stimuli and positioning. Identify patients that
are high risk, monitor vitals and LOC.
· A nurse is providing teaching to the family member of an
immobile home care client regarding the prevention of
pressure ulcers. Identify three (3) important teaching points
the nurse should include. - ANSWER Be sure to change
positions shifting weight distribution every 2 hours, prevent
friction and rubbing as much as possible, and make sure they
stay dry and free of pee or stool.
