ATI Comprehensive Predictor Exam
149 A nurse is assessing a patron who has a chest tube following a thoracotomy. Which of
the
following findings calls for intervention via the nurse?
A. Tidaling with spontaneous respirations
b. Drainage series chamber is 1/3 complete
c. 1 cm of water present in the water seal chamber
d. Suction chamber strain of -20 cm H20 - ANS-c. 1 cm of water gift within the water seal
chamber
a hundred seventy five A nurse receives a exchange-of-shift report on 4 customers. Based
on the shift report statistics,
which of the subsequent customers need to the nurse plan to evaluate
a. A customer who had a hip arthroplasty reviews pain and erythema in his calf
b. A customer who has anorexia and peripheral edema
c. A purchaser who has Addison's disease with a blood glucose level of 75 mg/dL
d. A patron who had a barium enema 2 days in the past and reports constipation - ANS-a. A
customer who had a hip arthroplasty reports pain and erythema in his calf
A price nurse is discussing using applying ice to a patron's injured knee with a newly certified
nurse.
Which of the subsequent must the nurse pick out as a gain? (A/C?)
a) Systemic analgesic impact
b) boom on your metabolism
c) Decreased capillary permeability
d) Vasodilation - ANS-c) Decreased capillary permeability
A fee nurse is evaluating the time control abilities for brand new licensed nurse. The price
nurse
must intervene while a newly certified nurse does which of the subsequent?
A) Re-Evaluate priorities midway via the shift
b) Delegate changing sterile dressing for licensed practical nurse
c) Groups sports for the Same customer
d) Works on several obligations simultaneously - ANS-d) Works on numerous responsibilities
simultaneously
A charge nurse is imparting coaching to a new certified nurse on a way to cleanup surfaces
infected with blood. Which of the following agents stated the nurse encompass inside the
teaching?
A) Hydrogen peroxide
b) Chlorhexidine
c) Isopropyl alcohol
d) Chlorine bleach - ANS-d) Chlorine bleach
,A client at 38 weeks of gestation enters the emergency department. The nurse must
apprehend that which
of the following suggests that the purchaser is inside the latent phase of labor?
A) The consumer reports the urge to push
b) The cervix is dilated 2 cm
c) Contractions are 2 to 3 mins aside
d) The patron reports nausea and vomiting - ANS-b) The cervix is dilated 2 cm
A customer was having suicidal mind tells the nurse "It simply does now not seem well worth
it anymore. Why no longer cease
my misery?" Which of the subsequent responses for the nurses suitable?
A) Why do you believe you studied your lifestyles is not well worth it anymore?
B) Do you have got a plan to quit your life?
C) I need to understand what you imply my distress
d) You can accept as true with me and tell me what you're questioning - ANS-b) Do you've
got a plan to stop your life?
A patron who does now not speak English arrives on the emergency department observed
by means of a child.
Which of the subsequent movements ought to the nurse take?
A. Ask the assistive employees to help the customer in signing consent for remedy
b. Ask the kid to interpret for the patron.
C. Ascertain what language the client speaks and get an interpreter.
D. Try to find an person relative to help the patron speak. - ANS-c. Ascertain what language
the purchaser speaks and get an interpreter.
A client who's eight hr postpartum asks the nurse if she will be able to need to receive Rh
immune globulin. The
consumer is gravida 2, para 2, and her blood kind is AB terrible. The newborns blood type is
B high-quality.
Which of the subsequent statements is appropriate?
A. You most effective need to get hold of Rh immune globulin when you have a high quality
blood type."
b. You should get hold of Rh immune globulin within seventy two hours of delivery."
c. "Both you and your child need to receive Rh immune globulin at your -week appointment."
d. "immune globulin is not vital given that that is your 2nd pregnancy." - ANS-b. You must
receive Rh immune globulin within 72 hours of transport."
A client with the left leg solid is the use of crutches for ambulation. The nurse recognizes
customer desires similarly
preparation of the purchaser
a) Flexes elbows at 30 tiers while the use of the handgrips
b) Maintains three to 4 finger width among the crutch pad and axilla
c) Places the crutches 6 inches in front and facet of every foot while status.
D) Pushes up from a chair with crutches on the unaffected aspect. - ANS-b) Maintains 3 to 4
finger width between the crutch pad and axilla
,A community fitness nurse is coaching a group of adults about the importance of fitness
screenings.
The nurse need to encompass African American males almost two times as likely as
caucasian males to
experience which of the subsequent?
A) testicular Cancer
b) Obesity
c) Stroke
d) Melanoma - ANS-c) Stroke
A nurse administers a dose of metoclopramide to a purchaser prior to chemotherapy
remedy. Which
of the subsequent medications ought to the nurse administer?
A. Albuterol sulfate
b. Hydromorphone
c. Diphenhydramine
d. Amitriptyline - ANS-c. Diphenhydramine
A nurse and an assistive employees are worrying for a set of customers. Which of the
following responsibilities is
appropriate for the nurse to delegate an AP?
A) Applying condom catheter for patron for spinal wire damage
b) Administrative oral fluids to consumer was dysphasia
c) Documenting the document of ache from consumer who is postoperative
d) Reviewing active range of movement sports with a consumer who's had a stroke - ANS-b)
Administrative oral fluids to consumer became dysphasia
A nurse assesses an older adult consumer with the lower caloric intake and weight loss.
Which of the
following findings need to the nurse document to the company without delay?
A) The medical institution reports coughing and wheezing after eating.
B) The patron reports stomach ache at a 5 on a scale of 0 to ten.
C) The patron experience is a drop in oxygen saturation to ninety one% even as eating.
D) The patron reports a burning sensation in epigastric location. - ANS-a) The health facility
stories coughing and wheezing after eating.
A nurse caring for a client who is receiving total parental nutrients. Which of the subsequent
evaluation findings required on the spot intervention by the nurse?
A. Prealbumin level of 20 mg/dL
b. Weight boom of two kg/day
c. Temperature of 37.6°C
d. Blood glucose degree of 120 mg/dL - ANS-b. Weight growth of kg/day
A nurse caring for the consumer who has a forged because of a compound fracture to the
right ankle. Which of the
following findings requires on the spot intervention?
A) pruiritus underneath the cast
b) Localized stabbing pain upon movement
, c) paresthesia of the distal extremity
d) Edema present whilst leg is in the based function - ANS-c) paresthesia of the distal
extremity
A nurse discovers that the incorrect dosage of medicine turned into given to patron. When
determining
what movement to take your have to recognize that which of the following ethical standards
have to be carried out?
A) Utility
b) Paternalism
c) Veracity
d) Fidelity - ANS-c) Veracity
A nurse from the kingdom health branch this is instructing a group nurses concerning
reportable infections.
Which of the subsequent infections need to the nurse record to the CDC?
A) Candida albicans
b) Herpes simplex virus 2
c) staphylococcus aureus
d) Lyme disorder - ANS-d) Lyme sickness
A nurse has been caring for a woman patron who has bruises on her arms that she explains
are a end result of
bodily abuse with the aid of her husband. The patron states, "I don't know how lots longer I
can take this, but I'm
afraid he will really harm me if I go away. "Which of the subsequent is the precise nursing
intervention?"
a) Offer to speak to the consumer's husband concerning his abuse behavior.
B) Help the patron to apprehend the signs and symptoms of escalation of abuse behavior
c) Assist the purchaser to perceive personal behaviors that trigger abusive behavior
d) Assist the purchaser to Reports abusive behavior to the right authority - ANS-b) Help the
purchaser to understand the signs of escalation of abuse conduct
A nurse if worrying for a group of clients in a scientific surgical unit. Which of the following
situations
requires crowning glory of an incident file?
A) A customer who is absent gag reflex following a bronchoscopy
b) A purchaser whose IV pump has malfunctioned
c) A client who requires insertion of NG tube because of a bowel obstruction
d) A patron who's absent bell sounds following a gastrectomy - ANS-b) A purchaser whose
IV pump has malfunctioned
A nurse in a County Jail fitness health facility is leading group remedy session. A purchaser
who become incarcerated for robbery is addressing the organization. Which of the
subsequent is an example of reaction formation?
A) I thieve matters because it's the only manner I can keep my thoughts off my horrific
marriage
b) I cannot agree with I changed into accused of something I didn't do
149 A nurse is assessing a patron who has a chest tube following a thoracotomy. Which of
the
following findings calls for intervention via the nurse?
A. Tidaling with spontaneous respirations
b. Drainage series chamber is 1/3 complete
c. 1 cm of water present in the water seal chamber
d. Suction chamber strain of -20 cm H20 - ANS-c. 1 cm of water gift within the water seal
chamber
a hundred seventy five A nurse receives a exchange-of-shift report on 4 customers. Based
on the shift report statistics,
which of the subsequent customers need to the nurse plan to evaluate
a. A customer who had a hip arthroplasty reviews pain and erythema in his calf
b. A customer who has anorexia and peripheral edema
c. A purchaser who has Addison's disease with a blood glucose level of 75 mg/dL
d. A patron who had a barium enema 2 days in the past and reports constipation - ANS-a. A
customer who had a hip arthroplasty reports pain and erythema in his calf
A price nurse is discussing using applying ice to a patron's injured knee with a newly certified
nurse.
Which of the subsequent must the nurse pick out as a gain? (A/C?)
a) Systemic analgesic impact
b) boom on your metabolism
c) Decreased capillary permeability
d) Vasodilation - ANS-c) Decreased capillary permeability
A fee nurse is evaluating the time control abilities for brand new licensed nurse. The price
nurse
must intervene while a newly certified nurse does which of the subsequent?
A) Re-Evaluate priorities midway via the shift
b) Delegate changing sterile dressing for licensed practical nurse
c) Groups sports for the Same customer
d) Works on several obligations simultaneously - ANS-d) Works on numerous responsibilities
simultaneously
A charge nurse is imparting coaching to a new certified nurse on a way to cleanup surfaces
infected with blood. Which of the following agents stated the nurse encompass inside the
teaching?
A) Hydrogen peroxide
b) Chlorhexidine
c) Isopropyl alcohol
d) Chlorine bleach - ANS-d) Chlorine bleach
,A client at 38 weeks of gestation enters the emergency department. The nurse must
apprehend that which
of the following suggests that the purchaser is inside the latent phase of labor?
A) The consumer reports the urge to push
b) The cervix is dilated 2 cm
c) Contractions are 2 to 3 mins aside
d) The patron reports nausea and vomiting - ANS-b) The cervix is dilated 2 cm
A customer was having suicidal mind tells the nurse "It simply does now not seem well worth
it anymore. Why no longer cease
my misery?" Which of the subsequent responses for the nurses suitable?
A) Why do you believe you studied your lifestyles is not well worth it anymore?
B) Do you have got a plan to quit your life?
C) I need to understand what you imply my distress
d) You can accept as true with me and tell me what you're questioning - ANS-b) Do you've
got a plan to stop your life?
A patron who does now not speak English arrives on the emergency department observed
by means of a child.
Which of the subsequent movements ought to the nurse take?
A. Ask the assistive employees to help the customer in signing consent for remedy
b. Ask the kid to interpret for the patron.
C. Ascertain what language the client speaks and get an interpreter.
D. Try to find an person relative to help the patron speak. - ANS-c. Ascertain what language
the purchaser speaks and get an interpreter.
A client who's eight hr postpartum asks the nurse if she will be able to need to receive Rh
immune globulin. The
consumer is gravida 2, para 2, and her blood kind is AB terrible. The newborns blood type is
B high-quality.
Which of the subsequent statements is appropriate?
A. You most effective need to get hold of Rh immune globulin when you have a high quality
blood type."
b. You should get hold of Rh immune globulin within seventy two hours of delivery."
c. "Both you and your child need to receive Rh immune globulin at your -week appointment."
d. "immune globulin is not vital given that that is your 2nd pregnancy." - ANS-b. You must
receive Rh immune globulin within 72 hours of transport."
A client with the left leg solid is the use of crutches for ambulation. The nurse recognizes
customer desires similarly
preparation of the purchaser
a) Flexes elbows at 30 tiers while the use of the handgrips
b) Maintains three to 4 finger width among the crutch pad and axilla
c) Places the crutches 6 inches in front and facet of every foot while status.
D) Pushes up from a chair with crutches on the unaffected aspect. - ANS-b) Maintains 3 to 4
finger width between the crutch pad and axilla
,A community fitness nurse is coaching a group of adults about the importance of fitness
screenings.
The nurse need to encompass African American males almost two times as likely as
caucasian males to
experience which of the subsequent?
A) testicular Cancer
b) Obesity
c) Stroke
d) Melanoma - ANS-c) Stroke
A nurse administers a dose of metoclopramide to a purchaser prior to chemotherapy
remedy. Which
of the subsequent medications ought to the nurse administer?
A. Albuterol sulfate
b. Hydromorphone
c. Diphenhydramine
d. Amitriptyline - ANS-c. Diphenhydramine
A nurse and an assistive employees are worrying for a set of customers. Which of the
following responsibilities is
appropriate for the nurse to delegate an AP?
A) Applying condom catheter for patron for spinal wire damage
b) Administrative oral fluids to consumer was dysphasia
c) Documenting the document of ache from consumer who is postoperative
d) Reviewing active range of movement sports with a consumer who's had a stroke - ANS-b)
Administrative oral fluids to consumer became dysphasia
A nurse assesses an older adult consumer with the lower caloric intake and weight loss.
Which of the
following findings need to the nurse document to the company without delay?
A) The medical institution reports coughing and wheezing after eating.
B) The patron reports stomach ache at a 5 on a scale of 0 to ten.
C) The patron experience is a drop in oxygen saturation to ninety one% even as eating.
D) The patron reports a burning sensation in epigastric location. - ANS-a) The health facility
stories coughing and wheezing after eating.
A nurse caring for a client who is receiving total parental nutrients. Which of the subsequent
evaluation findings required on the spot intervention by the nurse?
A. Prealbumin level of 20 mg/dL
b. Weight boom of two kg/day
c. Temperature of 37.6°C
d. Blood glucose degree of 120 mg/dL - ANS-b. Weight growth of kg/day
A nurse caring for the consumer who has a forged because of a compound fracture to the
right ankle. Which of the
following findings requires on the spot intervention?
A) pruiritus underneath the cast
b) Localized stabbing pain upon movement
, c) paresthesia of the distal extremity
d) Edema present whilst leg is in the based function - ANS-c) paresthesia of the distal
extremity
A nurse discovers that the incorrect dosage of medicine turned into given to patron. When
determining
what movement to take your have to recognize that which of the following ethical standards
have to be carried out?
A) Utility
b) Paternalism
c) Veracity
d) Fidelity - ANS-c) Veracity
A nurse from the kingdom health branch this is instructing a group nurses concerning
reportable infections.
Which of the subsequent infections need to the nurse record to the CDC?
A) Candida albicans
b) Herpes simplex virus 2
c) staphylococcus aureus
d) Lyme disorder - ANS-d) Lyme sickness
A nurse has been caring for a woman patron who has bruises on her arms that she explains
are a end result of
bodily abuse with the aid of her husband. The patron states, "I don't know how lots longer I
can take this, but I'm
afraid he will really harm me if I go away. "Which of the subsequent is the precise nursing
intervention?"
a) Offer to speak to the consumer's husband concerning his abuse behavior.
B) Help the patron to apprehend the signs and symptoms of escalation of abuse behavior
c) Assist the purchaser to perceive personal behaviors that trigger abusive behavior
d) Assist the purchaser to Reports abusive behavior to the right authority - ANS-b) Help the
purchaser to understand the signs of escalation of abuse conduct
A nurse if worrying for a group of clients in a scientific surgical unit. Which of the following
situations
requires crowning glory of an incident file?
A) A customer who is absent gag reflex following a bronchoscopy
b) A purchaser whose IV pump has malfunctioned
c) A client who requires insertion of NG tube because of a bowel obstruction
d) A patron who's absent bell sounds following a gastrectomy - ANS-b) A purchaser whose
IV pump has malfunctioned
A nurse in a County Jail fitness health facility is leading group remedy session. A purchaser
who become incarcerated for robbery is addressing the organization. Which of the
subsequent is an example of reaction formation?
A) I thieve matters because it's the only manner I can keep my thoughts off my horrific
marriage
b) I cannot agree with I changed into accused of something I didn't do
