ATI RN COMPREHENSIVE PREDICTOR RETAKE
g g g g
Comprehensivegpredictorgretakeg2019
1. Agnursegisgassessinggagclientgwhoghasgreceivedgangantibiotic.gThegnursegshouldgidentifygwhichgofgtheg
followinggfindingsgasgangindicationgofgagpossiblegallergicgreactiongtogthegmedication?
A. Bradycardia
B. Headache
C. Jointgpain
D. Hypotension
2. Agnursegongagmentalghealthgunitgisgcaringgforgagclientgwhoghasgschizophreniagandgisgexperiencingg
auditoryghallucinationsgtellinggthemgtoghurtgothers.gThegclientgisgrefusinggtogtakeganti-
psychoticgmedication.gWhichgofgthegfollowinggresponsesgshouldgthegnursegmake?
A. “Yougshouldgplangtogtakegthisgmedicationgforgagfewgweeks.”
B. “Yougwillgregretgitgifgyougdognotgtakegthisgmedication.”
C. “Thisgmedicationgwillghelpgyougrespondgtogthegvoices.
D. “Thisgmedicationgwillghelpgyougstopgthegvoicesgyougareghearing.”
3. Agnursegisgprovidinggcaregforgagpatientgwhoghasgdepressiongandgisgtoghavegelectroconvulsivegtherapy.g
Whichgofgthegfollowinggconditionsgshouldgthegnursegidentifygasgincreasinggthegclient’sgriskgforgcompl
ications?
A. Hyperthyroidism
B. Renalgcalculi
C. Diabetesgmellitus
D. Cardiacgdysrhythmias
4. Agnursegisgreviewinggtheglaboratorygresultsgofgagclientgwhoghasgrheumatoidgarthritis.gWhichgofgtheg
followinggfindingsgshouldgthegnursegreportgtogthegprovider?
A. WBCgcountg8,000/mm
B. Plateletsg150,000/mm
C. Aspartategaminotransferaseg10gunits/L
D. Erythrocytegsedimentationg75gmm/hr
5. Agnursegisgsuctioninggthegairwaygofgagclientgwhogisgreceivinggmechanicalgventilationgviagangendotr
achealgtube.gWhichgofgthegfollowinggfindingsgshouldgthegnursegidentifygasgangindicationgthatgsuctio
ningghasgbeengeffective?
A. Presencegofgagproductivegcough
B. Decreasedgpeakg inspiratorygpressure
C. Thinninggofgmucousgsecretions
D. Flatteninggofgthegartificialgairwaygcuff
,6. Agnursegisgcaringgforgagclientgwhogisgingagseclusiongroomgfollowinggviolentgbehavior.gThegclientgc
ontinuesgtogdisplaygaggressivegbehavior.gWhichgofgthegfollowinggactionsgshouldgthegnursegtake?
A. Standgwithing30cmg(1gft)gofgthegclientgwhengspeakinggwithgthem.
B. Expressgsympathygforgthegclient’sgsituation.
C. Confrontgthegclientgaboutghisgbehavior.
D. Speakgassertivelygtogthegclient.
7. Agnursegisgcaringgforgagclientgwhogisgimmediatelygpostoperativegfollowinggangadrenalectomygtogtreatg
Cushing’sgdisease.gWhichgofgthegfollowinggactionsgisgthegnurse’sgpriority?
A. Repositiongthegclientgforgcomfortgeveryg2ghours
B. Observegforganygindicationsgofginfection
C. Documentgamountgandgcolorgofgthegincisionalgdrainage.
D. Monitorgthegclient’sgfluidgandgelectrolytegstatus.
8. Agnursegisgcaringgforgagclientgwhogisgscheduledgforgagsurgicalgproceduregandgstates,g“Igdon’tgwantgtog
havegthisgsurgeryganymore.”gWhichgofgthegfollowinggresponsesgshouldgthegnursegmake?
A. “Wegcangmanagegyourgcaregfollowinggthegproceduregwithoutgcomplications.”
B. “Youghavegthegrightgtogrefusegthegprocedure.”
C. “Yourgdoctorgthinksgthegsurgerygisgnecessary.”
D. “Letgmegreviewgthegproceduregsogyougcangunderstandgwhatgisggoinggtoghappen.”
9. Agnursegisgevaluatinggagclientgwhoghasgborderlinegpersonalitygdisorder.gWhichgofgthegfollowingg
behaviorsgindicatesgangimprovementgingthegclient’sgcondition?
A. Impulsivegbehaviors
B. Decreasedgclingingg behavior
C. Liabilitygofgmood
D. Dependentgbehavior
10. Agnursegisgteachinggaggroupgofgschool-
agegchildrengaboutghealthygsnackgoptions.gWhichgofgthegfollowinggsnacksgshouldgthegnursegin
clude?
A. Air-poppedg popcorn
B. Milkshakegmadegwithgwholegmilk.
C. Bakedgpotatogchips
D. Cheesecake
11. Agnursegisgprovidinggteachinggtogagclientgwhoghasgagnewgprescriptiongforgenoxaparin.gWhichgofgtheg
followinggmedicationsgforgpaingreliefgshouldgthegnursegincludegingthegteachinggthatgcangbegtakeng
concurrentlygwithgenoxaparin?
A. Naproxengsodium
, B. Ibuprofen
C. Acetaminophen
D. Aspirin
12. Agnursegisgcaringgforgagclientgwhoghasgfibromyalgiagandgrequestsgpaingmedication.gWhichgofgtheg
followinggmedicationsgshouldgthegnursegplangtogadminister?
A. Colchicine
B. Lorazepam
C. Pregabalin
D. Codeine
13. Agnursegisgcaringgforgagclientgwhoghasgcongestivegheartgfailuregandgisgreceivinggfurosemidegandgdi
goxin.gWhichgofgthegfollowingglaboratorygvaluesgindicatesgthatgthegclientgisgatgriskgforgdevelopinggdi
goxingtoxicity?
A. Glucoseg150gmg/dL
B. Magnesiumg1.3gmEq/L
C. Potassiumg3.1gmEq/L
D. Sodiumg134gmEq/L
14. Agnursegisgcaringgforgagclientgwhoghadgangembolicgstrokegandghasgagprescriptiongforgalteplase.gWhichgofg
thegfollowinggingthegclient’sghistorygshouldgthegnursegidentifygasgagcontraindicationgforgreceivinggaltep
lase?
A. Hipgarthroplastyg1gweekgagogcorrect
B. Obstructiveglungsgdisease
C. Retinalgdetachment
D. Acutegkidneygfailureg6gmonthsgago
15. Agnursegisgprovidinggdischargegteachinggforgagclientgwhoghasgagnewgimplantablegcardiovertergde
fibrillatorg(ICD).gWhichgofgthegfollowinggclientgstatementsgdemonstratesgunderstandinggofgthegte
aching?
A. “Igwillgsoakgingthegtubgrathergthangshowering.”
B. “IgcangholdgmygcellphonegongthegsamegsidegofgmygbodygasgthegICD.”
C. “IgwillgweargloosegclothinggovergmygICD.”
D. “IgwillgavoidgusinggmygmicrowavegovengatghomegbecausegofgmygICD.”
16. Agnursegisgassessinggagclientgwhogisgpostoperativegfollowinggabdominalgsurgerygandghasgangindwellingg
urinarygcathetergthatgisgdraininggdarkgyellowgurinegatg25ml/hr.gWhichgofgthegfollowingginterventionsg
shouldgthegnurseganticipate?
, A. Clampgthegcathetergtubinggforg30gmin
B. Initiategcontinuousgbladdergirrigation
C. Obtaingagurinegspecimengforgculturegandgsensitivity
D. Administergagfluidgbolus
17. Agnursegisgcaringgforgagclientgwhoghasgexperiencedgagstillbirth.gWhichgofgthegfollowinggactionsgshouldg
thegnursegtakegduringgtheginitialggrievinggprocess?
A. Avoidgtalkinggtogthegclientgaboutgthegnewborn
B. Discouragegthegclientgfromgallowinggfriendsgtogseegthegnewborn
C. Offergtogtakegpicturesgofgthegnewborngforgthegclient
D. Assuregthegclientgthatgshegcanghavegadditionalgchildren
18. Agnursegisgcaringgforgagclientgwhoghasgagmajorgburnginjury.gWhichgofgthegfollowinggactionsgisgtheg
nurse’sgprioritygtogpreventgwoundginfection?
A. Usegsterilegdressingsgforgwoundgcare
B. Applygtopicalgantibioticsgtogthegclient’sgwounds.
C. Placegthegclientgingprotectivegisolation.
D. Maintaingconsistentghandgwashinggbygstaff.
19. AgnursegisgspeakinggwithgthegcaregivergofgagclientgwhoghasgAlzheimer’sgdisease.gThegcaregivergstates,g
“Providinggconstantgcaregisgverygstressfulgandgisgaffectinggallgareasgofgmyglife.”gWhichgofgthegfollowingg
actionsgshouldgthegnursegtake?
A. Discussgmethodsgofghowgtogcommunicategwithgthegclientgaboutgproblemgsolvinggbehaviors.
B. Suggestgthatgthegcaregivergseekgagprescriptiongforgangantipsychoticgmedicationgforgthegclient.
C. Assistgthegcaregivergtogarrangegagdaycaregprogramgforgthegclient.
D. Recommendgallowinggthegclientgtoghavegtimegalonegingtheirgroomgthroughoutgthegday.
20. Agnursegisgcaringgforgagclientgwhogisg1ghrgpostpartumgandgunablegtogurinate.gWhichgofgthegfollowingg
actionsgshouldgthegnursegtake?
A. Administergagbenzodiazepine
B. Performgagfundalgmassage
C. Placegangicegpackgongthegclient’sgperineum
D. Placegthegclient’sghandgingwarmgwater
21. Agnursegongagmedical-
surgicalgunitgisgperforminggmedicationgreconciliationgforgagnewlygadmittedgclient.gWhichgofgthegf
ollowinggactionsgshouldgthegnursegtake?
A. Comparegaglistgofgcommongmedicationsgtogtreatgagconditiongtogthegactualgprescriptions
B. Comparegthegprescriptiongtogthegallergyghistorygofgthegclient
g g g g
Comprehensivegpredictorgretakeg2019
1. Agnursegisgassessinggagclientgwhoghasgreceivedgangantibiotic.gThegnursegshouldgidentifygwhichgofgtheg
followinggfindingsgasgangindicationgofgagpossiblegallergicgreactiongtogthegmedication?
A. Bradycardia
B. Headache
C. Jointgpain
D. Hypotension
2. Agnursegongagmentalghealthgunitgisgcaringgforgagclientgwhoghasgschizophreniagandgisgexperiencingg
auditoryghallucinationsgtellinggthemgtoghurtgothers.gThegclientgisgrefusinggtogtakeganti-
psychoticgmedication.gWhichgofgthegfollowinggresponsesgshouldgthegnursegmake?
A. “Yougshouldgplangtogtakegthisgmedicationgforgagfewgweeks.”
B. “Yougwillgregretgitgifgyougdognotgtakegthisgmedication.”
C. “Thisgmedicationgwillghelpgyougrespondgtogthegvoices.
D. “Thisgmedicationgwillghelpgyougstopgthegvoicesgyougareghearing.”
3. Agnursegisgprovidinggcaregforgagpatientgwhoghasgdepressiongandgisgtoghavegelectroconvulsivegtherapy.g
Whichgofgthegfollowinggconditionsgshouldgthegnursegidentifygasgincreasinggthegclient’sgriskgforgcompl
ications?
A. Hyperthyroidism
B. Renalgcalculi
C. Diabetesgmellitus
D. Cardiacgdysrhythmias
4. Agnursegisgreviewinggtheglaboratorygresultsgofgagclientgwhoghasgrheumatoidgarthritis.gWhichgofgtheg
followinggfindingsgshouldgthegnursegreportgtogthegprovider?
A. WBCgcountg8,000/mm
B. Plateletsg150,000/mm
C. Aspartategaminotransferaseg10gunits/L
D. Erythrocytegsedimentationg75gmm/hr
5. Agnursegisgsuctioninggthegairwaygofgagclientgwhogisgreceivinggmechanicalgventilationgviagangendotr
achealgtube.gWhichgofgthegfollowinggfindingsgshouldgthegnursegidentifygasgangindicationgthatgsuctio
ningghasgbeengeffective?
A. Presencegofgagproductivegcough
B. Decreasedgpeakg inspiratorygpressure
C. Thinninggofgmucousgsecretions
D. Flatteninggofgthegartificialgairwaygcuff
,6. Agnursegisgcaringgforgagclientgwhogisgingagseclusiongroomgfollowinggviolentgbehavior.gThegclientgc
ontinuesgtogdisplaygaggressivegbehavior.gWhichgofgthegfollowinggactionsgshouldgthegnursegtake?
A. Standgwithing30cmg(1gft)gofgthegclientgwhengspeakinggwithgthem.
B. Expressgsympathygforgthegclient’sgsituation.
C. Confrontgthegclientgaboutghisgbehavior.
D. Speakgassertivelygtogthegclient.
7. Agnursegisgcaringgforgagclientgwhogisgimmediatelygpostoperativegfollowinggangadrenalectomygtogtreatg
Cushing’sgdisease.gWhichgofgthegfollowinggactionsgisgthegnurse’sgpriority?
A. Repositiongthegclientgforgcomfortgeveryg2ghours
B. Observegforganygindicationsgofginfection
C. Documentgamountgandgcolorgofgthegincisionalgdrainage.
D. Monitorgthegclient’sgfluidgandgelectrolytegstatus.
8. Agnursegisgcaringgforgagclientgwhogisgscheduledgforgagsurgicalgproceduregandgstates,g“Igdon’tgwantgtog
havegthisgsurgeryganymore.”gWhichgofgthegfollowinggresponsesgshouldgthegnursegmake?
A. “Wegcangmanagegyourgcaregfollowinggthegproceduregwithoutgcomplications.”
B. “Youghavegthegrightgtogrefusegthegprocedure.”
C. “Yourgdoctorgthinksgthegsurgerygisgnecessary.”
D. “Letgmegreviewgthegproceduregsogyougcangunderstandgwhatgisggoinggtoghappen.”
9. Agnursegisgevaluatinggagclientgwhoghasgborderlinegpersonalitygdisorder.gWhichgofgthegfollowingg
behaviorsgindicatesgangimprovementgingthegclient’sgcondition?
A. Impulsivegbehaviors
B. Decreasedgclingingg behavior
C. Liabilitygofgmood
D. Dependentgbehavior
10. Agnursegisgteachinggaggroupgofgschool-
agegchildrengaboutghealthygsnackgoptions.gWhichgofgthegfollowinggsnacksgshouldgthegnursegin
clude?
A. Air-poppedg popcorn
B. Milkshakegmadegwithgwholegmilk.
C. Bakedgpotatogchips
D. Cheesecake
11. Agnursegisgprovidinggteachinggtogagclientgwhoghasgagnewgprescriptiongforgenoxaparin.gWhichgofgtheg
followinggmedicationsgforgpaingreliefgshouldgthegnursegincludegingthegteachinggthatgcangbegtakeng
concurrentlygwithgenoxaparin?
A. Naproxengsodium
, B. Ibuprofen
C. Acetaminophen
D. Aspirin
12. Agnursegisgcaringgforgagclientgwhoghasgfibromyalgiagandgrequestsgpaingmedication.gWhichgofgtheg
followinggmedicationsgshouldgthegnursegplangtogadminister?
A. Colchicine
B. Lorazepam
C. Pregabalin
D. Codeine
13. Agnursegisgcaringgforgagclientgwhoghasgcongestivegheartgfailuregandgisgreceivinggfurosemidegandgdi
goxin.gWhichgofgthegfollowingglaboratorygvaluesgindicatesgthatgthegclientgisgatgriskgforgdevelopinggdi
goxingtoxicity?
A. Glucoseg150gmg/dL
B. Magnesiumg1.3gmEq/L
C. Potassiumg3.1gmEq/L
D. Sodiumg134gmEq/L
14. Agnursegisgcaringgforgagclientgwhoghadgangembolicgstrokegandghasgagprescriptiongforgalteplase.gWhichgofg
thegfollowinggingthegclient’sghistorygshouldgthegnursegidentifygasgagcontraindicationgforgreceivinggaltep
lase?
A. Hipgarthroplastyg1gweekgagogcorrect
B. Obstructiveglungsgdisease
C. Retinalgdetachment
D. Acutegkidneygfailureg6gmonthsgago
15. Agnursegisgprovidinggdischargegteachinggforgagclientgwhoghasgagnewgimplantablegcardiovertergde
fibrillatorg(ICD).gWhichgofgthegfollowinggclientgstatementsgdemonstratesgunderstandinggofgthegte
aching?
A. “Igwillgsoakgingthegtubgrathergthangshowering.”
B. “IgcangholdgmygcellphonegongthegsamegsidegofgmygbodygasgthegICD.”
C. “IgwillgweargloosegclothinggovergmygICD.”
D. “IgwillgavoidgusinggmygmicrowavegovengatghomegbecausegofgmygICD.”
16. Agnursegisgassessinggagclientgwhogisgpostoperativegfollowinggabdominalgsurgerygandghasgangindwellingg
urinarygcathetergthatgisgdraininggdarkgyellowgurinegatg25ml/hr.gWhichgofgthegfollowingginterventionsg
shouldgthegnurseganticipate?
, A. Clampgthegcathetergtubinggforg30gmin
B. Initiategcontinuousgbladdergirrigation
C. Obtaingagurinegspecimengforgculturegandgsensitivity
D. Administergagfluidgbolus
17. Agnursegisgcaringgforgagclientgwhoghasgexperiencedgagstillbirth.gWhichgofgthegfollowinggactionsgshouldg
thegnursegtakegduringgtheginitialggrievinggprocess?
A. Avoidgtalkinggtogthegclientgaboutgthegnewborn
B. Discouragegthegclientgfromgallowinggfriendsgtogseegthegnewborn
C. Offergtogtakegpicturesgofgthegnewborngforgthegclient
D. Assuregthegclientgthatgshegcanghavegadditionalgchildren
18. Agnursegisgcaringgforgagclientgwhoghasgagmajorgburnginjury.gWhichgofgthegfollowinggactionsgisgtheg
nurse’sgprioritygtogpreventgwoundginfection?
A. Usegsterilegdressingsgforgwoundgcare
B. Applygtopicalgantibioticsgtogthegclient’sgwounds.
C. Placegthegclientgingprotectivegisolation.
D. Maintaingconsistentghandgwashinggbygstaff.
19. AgnursegisgspeakinggwithgthegcaregivergofgagclientgwhoghasgAlzheimer’sgdisease.gThegcaregivergstates,g
“Providinggconstantgcaregisgverygstressfulgandgisgaffectinggallgareasgofgmyglife.”gWhichgofgthegfollowingg
actionsgshouldgthegnursegtake?
A. Discussgmethodsgofghowgtogcommunicategwithgthegclientgaboutgproblemgsolvinggbehaviors.
B. Suggestgthatgthegcaregivergseekgagprescriptiongforgangantipsychoticgmedicationgforgthegclient.
C. Assistgthegcaregivergtogarrangegagdaycaregprogramgforgthegclient.
D. Recommendgallowinggthegclientgtoghavegtimegalonegingtheirgroomgthroughoutgthegday.
20. Agnursegisgcaringgforgagclientgwhogisg1ghrgpostpartumgandgunablegtogurinate.gWhichgofgthegfollowingg
actionsgshouldgthegnursegtake?
A. Administergagbenzodiazepine
B. Performgagfundalgmassage
C. Placegangicegpackgongthegclient’sgperineum
D. Placegthegclient’sghandgingwarmgwater
21. Agnursegongagmedical-
surgicalgunitgisgperforminggmedicationgreconciliationgforgagnewlygadmittedgclient.gWhichgofgthegf
ollowinggactionsgshouldgthegnursegtake?
A. Comparegaglistgofgcommongmedicationsgtogtreatgagconditiongtogthegactualgprescriptions
B. Comparegthegprescriptiongtogthegallergyghistorygofgthegclient