ATI RN COMPREHENSIVE PREDICTOR 2024-2025 NGN
REAL EXAM 180 Q & A
A client is given morphine 6 mg IV push for postoperative pain.
Following administration of this drug, the nurse observes the following:
pulse 68, respirations 8, BP 100/68, client sleeping quietly. Which of the
following nursing actions is MOST appropriate?
1. Allow the client to sleep undisturbed.
2. Administer oxygen via facemask or nasal prongs.
3. Administer naloxone (Narcan).
4. Place epinephrine 1:1,000 at the bedside. - ANS3
A client is receiving total parenteral nutrition (TPN). To determine the
client's tolerance of this treatment, the nurse should assess for which of the
following?
1. A significant increase in pulse rate.
2. A decrease in diastolic blood pressure.
3. Temperature in excess of 98.6°F (37°C).
4. Urine output of at least 30 cc per hour. - ANS4
A client is scheduled for a left lower lobectomy. The physician has
ordered diazepam (Valium) 2 mg IM for anxiety. The nurse would determine
that the medication is appropriate if the client displays which of the
following symptoms?
1. Agitation and decreased level of consciousness.
2. Lethargy and decreased respiratory rate.
3. Restlessness and increased heart rate.
4. Hostility and increased blood pressure. - ANS3
A client returns to his room following a myelogram. The nursing care
plan should include which of the following?
1. Encourage oral fluid intake.
2. Maintain the prone position for 12 hours.
3. Encourage the client to ambulate after the procedure.
4. Evaluate the client's distal pulses on the affected side. - ANS1
a client should receive a dose of flumazenil ( romazicon) to treat symptoms of - ANSbenzodiazepine
overdose
a client who has parkinson's disease is prescribed levodopa/carbidopa ( sinemet) and pramipexole (
Mirapex) for which of the following should the nurse monitor this client - ANSorthostatic hypotension
a client who is start taking lithium carbonate month ago tell the nurse she has just begun taking multiply
daily doses of ibuprofen ( motrin) for tension headache. should the client avoid ibuprofen. why or why not
? - ANSwhat , if any is the appropriate action for the nurse to take NSAIDS such as ibuprofen increase
the renal reabsorption of lithium carbonate , possibly leading to lithium carbonate toxicity . therefor this
client would avoid NSAIDS . the nurse should notify the provider of client headache and ibuprofen us
A client with a peptic ulcer had a partial gastrectomy and vagotomy
(Billroth I). In planning the discharge teaching, the client should be
cautioned by the nurse about which of the following?
1. Sit up for at least 30 minutes after eating.
2. Avoid fluids between meals.
,ATI RN COMPREHENSIVE PREDICTOR 2024-2025 NGN
REAL EXAM 180 Q & A
3. Increase the intake of high-carbohydrate foods.
4. Avoid eating large meals that are high in simple sugars and liquids. - ANS4
A client with newly diagnosed type I diabetes mellitus is being seen by
the home health nurse. The physician orders include: 1,200-calorie ADA
diet, 15 units of NPH insulin before breakfast, and check blood sugar qid.
When the nurse visits the client at 5 PM, the nurse observes the man
performing a blood sugar analysis. The result is 50 mg/dL. The nurse would
expect the client to be
1. confused with cold, clammy skin and a pulse of 110.
2. lethargic with hot, dry skin and rapid, deep respirations.
3. alert and cooperative with a BP of 130/80 and respirations of 12.
4. short of breath, with distended neck veins and a bounding pulse of 96. - ANS1
A four-month-old infant is admitted to the pediatric intensive care unit
with a temperature of 105°F (40.5 °C). The infant is irritable, and the nurse
observes nuchal rigidity. Which assessment finding would indicate an
increase in intracranial pressure?
1. Positive Babinski.
2. High-pitched cry.
3. Bulging posterior fontanelle.
4. Pinpoint pupils. - ANS2
A nonstress test is scheduled for a client at 34-weeks gestation who
developed hypertension, periorbital edema, and proteinuria. Which of the
following nursing actions should be included in the care plan in order to
BEST prepare the client for the diagnostic test?
1. Start an intravenous line for an oxytocin infusion.
2. Obtain a signed consent prior to the procedure.
3. Instruct client to push a button when she feels fetal movement.
4. Attach a spiral electrode to the fetal head. - ANS3
A nurse educator is presenting a module on basic first aid for newly licensed home health nurses. The
nurse educator evaluates the teaching as effective when the newly licensed nurse states the client who
has heat stroke will have which of the following?
A. Hypotension
B. Bradycardia
C. Clammy skin
D. Bradypnea - ANSA
A nurse is caring for a 37-year-old woman with metastatic ovarian
cancer admitted for nausea and vomiting. The physician orders total
parenteral nutrition (TPN), a nutritional consult, and diet recall. Which of
the following is the BEST indication that the patient's nutritional status has
improved after 4 days?
1. The patient eats most of the food served to her.
2. The patient has gained 1 pound since admission.
3. The patient's albumin level is 4.0mg/dL.
4. The patient's hemoglobin is 8.5g/dL. - ANS3
, ATI RN COMPREHENSIVE PREDICTOR 2024-2025 NGN
REAL EXAM 180 Q & A
A nurse is caring for a client following an acute myocardial infarction. The client is concerned that
providing self-care will be difficult due to extreme fatigue. Which of the following strategies should the
nurse implement to promote the client's independence?
a) request an occupational therapy consult to determine the need for assistive devices
b) assign assistive personnel to perform self-care tasks for client
c) instruct the client to focus on gradually resuming self-care tasks
d) ask the client if a family member is available to assist with his care - ANSC
A nurse is caring for a client receiving IV fluids. During a routine check, the nurse determines that the
client has developed phlebitis and removes the IV catheter. Which of the following actions should the
nurse take next?
a) place a warm compress over the IV site
b) record the findings in the client's chart
c) notify the client's primary care provider
d) prepare to insert a new IV catheter - ANSA
A nurse is caring for a client who decides not to have surgery despite significant blockages in his
coronary arteries. The nurse understands that this clients choice is an example of what principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmalificience - ANSA
A nurse is caring for a client who has a prescription for wound irrigation. Which of the following actions
should the nurse take?
a) wear sterile gloves when removing the old dressing
b) warm the irrigation solution to 40.5C (105F)
c) cleanse the wound from the center outwards
d) use a 20 mL syringe to irrigate the wound - ANSC
A nurse is caring for a client who has an NG tube that is to be irrigated every 8 hr. Which of the following
should be used to irrigate the tube in order to maintain fluid and electrolyte balance?
a) tap water
b) sterile water
c) 0.9% sodium chloride
d) 0.45% sodium chloride - ANSC
A nurse is caring for a client who has dementia. Which of the following interventions should the nurse
take to minimize the risk for injury for this client?
a) use a bed exit alarm system
b) raise 4 side rails while client is in bed
c) apply one soft wrist restraint
d) dim the lights in the client's room - ANSA
REAL EXAM 180 Q & A
A client is given morphine 6 mg IV push for postoperative pain.
Following administration of this drug, the nurse observes the following:
pulse 68, respirations 8, BP 100/68, client sleeping quietly. Which of the
following nursing actions is MOST appropriate?
1. Allow the client to sleep undisturbed.
2. Administer oxygen via facemask or nasal prongs.
3. Administer naloxone (Narcan).
4. Place epinephrine 1:1,000 at the bedside. - ANS3
A client is receiving total parenteral nutrition (TPN). To determine the
client's tolerance of this treatment, the nurse should assess for which of the
following?
1. A significant increase in pulse rate.
2. A decrease in diastolic blood pressure.
3. Temperature in excess of 98.6°F (37°C).
4. Urine output of at least 30 cc per hour. - ANS4
A client is scheduled for a left lower lobectomy. The physician has
ordered diazepam (Valium) 2 mg IM for anxiety. The nurse would determine
that the medication is appropriate if the client displays which of the
following symptoms?
1. Agitation and decreased level of consciousness.
2. Lethargy and decreased respiratory rate.
3. Restlessness and increased heart rate.
4. Hostility and increased blood pressure. - ANS3
A client returns to his room following a myelogram. The nursing care
plan should include which of the following?
1. Encourage oral fluid intake.
2. Maintain the prone position for 12 hours.
3. Encourage the client to ambulate after the procedure.
4. Evaluate the client's distal pulses on the affected side. - ANS1
a client should receive a dose of flumazenil ( romazicon) to treat symptoms of - ANSbenzodiazepine
overdose
a client who has parkinson's disease is prescribed levodopa/carbidopa ( sinemet) and pramipexole (
Mirapex) for which of the following should the nurse monitor this client - ANSorthostatic hypotension
a client who is start taking lithium carbonate month ago tell the nurse she has just begun taking multiply
daily doses of ibuprofen ( motrin) for tension headache. should the client avoid ibuprofen. why or why not
? - ANSwhat , if any is the appropriate action for the nurse to take NSAIDS such as ibuprofen increase
the renal reabsorption of lithium carbonate , possibly leading to lithium carbonate toxicity . therefor this
client would avoid NSAIDS . the nurse should notify the provider of client headache and ibuprofen us
A client with a peptic ulcer had a partial gastrectomy and vagotomy
(Billroth I). In planning the discharge teaching, the client should be
cautioned by the nurse about which of the following?
1. Sit up for at least 30 minutes after eating.
2. Avoid fluids between meals.
,ATI RN COMPREHENSIVE PREDICTOR 2024-2025 NGN
REAL EXAM 180 Q & A
3. Increase the intake of high-carbohydrate foods.
4. Avoid eating large meals that are high in simple sugars and liquids. - ANS4
A client with newly diagnosed type I diabetes mellitus is being seen by
the home health nurse. The physician orders include: 1,200-calorie ADA
diet, 15 units of NPH insulin before breakfast, and check blood sugar qid.
When the nurse visits the client at 5 PM, the nurse observes the man
performing a blood sugar analysis. The result is 50 mg/dL. The nurse would
expect the client to be
1. confused with cold, clammy skin and a pulse of 110.
2. lethargic with hot, dry skin and rapid, deep respirations.
3. alert and cooperative with a BP of 130/80 and respirations of 12.
4. short of breath, with distended neck veins and a bounding pulse of 96. - ANS1
A four-month-old infant is admitted to the pediatric intensive care unit
with a temperature of 105°F (40.5 °C). The infant is irritable, and the nurse
observes nuchal rigidity. Which assessment finding would indicate an
increase in intracranial pressure?
1. Positive Babinski.
2. High-pitched cry.
3. Bulging posterior fontanelle.
4. Pinpoint pupils. - ANS2
A nonstress test is scheduled for a client at 34-weeks gestation who
developed hypertension, periorbital edema, and proteinuria. Which of the
following nursing actions should be included in the care plan in order to
BEST prepare the client for the diagnostic test?
1. Start an intravenous line for an oxytocin infusion.
2. Obtain a signed consent prior to the procedure.
3. Instruct client to push a button when she feels fetal movement.
4. Attach a spiral electrode to the fetal head. - ANS3
A nurse educator is presenting a module on basic first aid for newly licensed home health nurses. The
nurse educator evaluates the teaching as effective when the newly licensed nurse states the client who
has heat stroke will have which of the following?
A. Hypotension
B. Bradycardia
C. Clammy skin
D. Bradypnea - ANSA
A nurse is caring for a 37-year-old woman with metastatic ovarian
cancer admitted for nausea and vomiting. The physician orders total
parenteral nutrition (TPN), a nutritional consult, and diet recall. Which of
the following is the BEST indication that the patient's nutritional status has
improved after 4 days?
1. The patient eats most of the food served to her.
2. The patient has gained 1 pound since admission.
3. The patient's albumin level is 4.0mg/dL.
4. The patient's hemoglobin is 8.5g/dL. - ANS3
, ATI RN COMPREHENSIVE PREDICTOR 2024-2025 NGN
REAL EXAM 180 Q & A
A nurse is caring for a client following an acute myocardial infarction. The client is concerned that
providing self-care will be difficult due to extreme fatigue. Which of the following strategies should the
nurse implement to promote the client's independence?
a) request an occupational therapy consult to determine the need for assistive devices
b) assign assistive personnel to perform self-care tasks for client
c) instruct the client to focus on gradually resuming self-care tasks
d) ask the client if a family member is available to assist with his care - ANSC
A nurse is caring for a client receiving IV fluids. During a routine check, the nurse determines that the
client has developed phlebitis and removes the IV catheter. Which of the following actions should the
nurse take next?
a) place a warm compress over the IV site
b) record the findings in the client's chart
c) notify the client's primary care provider
d) prepare to insert a new IV catheter - ANSA
A nurse is caring for a client who decides not to have surgery despite significant blockages in his
coronary arteries. The nurse understands that this clients choice is an example of what principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmalificience - ANSA
A nurse is caring for a client who has a prescription for wound irrigation. Which of the following actions
should the nurse take?
a) wear sterile gloves when removing the old dressing
b) warm the irrigation solution to 40.5C (105F)
c) cleanse the wound from the center outwards
d) use a 20 mL syringe to irrigate the wound - ANSC
A nurse is caring for a client who has an NG tube that is to be irrigated every 8 hr. Which of the following
should be used to irrigate the tube in order to maintain fluid and electrolyte balance?
a) tap water
b) sterile water
c) 0.9% sodium chloride
d) 0.45% sodium chloride - ANSC
A nurse is caring for a client who has dementia. Which of the following interventions should the nurse
take to minimize the risk for injury for this client?
a) use a bed exit alarm system
b) raise 4 side rails while client is in bed
c) apply one soft wrist restraint
d) dim the lights in the client's room - ANSA
