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ATI COMPREHENSIVE PREDICTOR Exam 1000 + NCLEX FORMAT
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,ATI COMPREHENSIVE PREDIATOR EXAM
1. A nurse is caring for a postoperative client who has an epidural
infusion of local anesthetic. The client reports a sudden headache,
nausea, and neck stiffness. Which action should the nurse take
first?
a. Administer acetaminophen.
b. Lower the infusion rate.
c. Stop the infusion and notify the provider.
d. Encourage deep breathing and coughing.
Correct Answer: c. Stop the infusion and notify the provider
Rationale: These symptoms suggest possible dural puncture and
spread of anesthetic, or intracranial involvement. The infusion
should be stopped and the provider notified.
DIF: Application
OBJ: Recognize complications of epidural therapy
TOP: Pain management / Safety
2. A client with congestive heart failure is admitted with worsening
edema. The provider orders furosemide 40 mg IV stat. Before
administering it, the nurse notes the client’s serum potassium is
3.0 mEq/L (normal 3.5–5.0). What is the nurse’s best action?
a. Administer the furosemide as ordered and monitor potassium.
b. Hold the furosemide and notify the provider.
c. Administer a potassium supplement and then give furosemide.
d. Question the order because furosemide is contraindicated at
, that potassium.
Correct Answer: b. Hold the furosemide and notify the provider
Rationale: Giving a loop diuretic when potassium is low may
worsen hypokalemia and precipitate arrhythmias. The provider
should be notified to correct potassium first.
DIF: Analysis
OBJ: Safe and effective care environment / Pharmacological
therapies
TOP: Diuretics
3. A client with chronic kidney disease has a potassium level of
6.5 mEq/L. Which of the following prescriptions should the nurse
question? (Select all that apply.)
a. Sodium polystyrene sulfonate (kayexalate)
b. Calcium gluconate
c. Insulin with dextrose IV
d. Potassium chloride supplement
e. Albuterol nebulization
Correct Answer: d. Potassium chloride supplement
Rationale: In hyperkalemia, potassium supplements are
contraindicated. The other interventions (kayexalate, calcium
gluconate, insulin + dextrose, albuterol) are appropriate measures
to reduce serum potassium or stabilize the myocardium.
DIF: Application
OBJ: Manage electrolyte imbalance
TOP: Hyperkalemia
, 4. A nurse is providing discharge teaching to a client who has had a
total hip arthroplasty. Which instruction is most important to
include?
a. Use a pillow between legs when turning.
b. Avoid crossing the legs.
c. Sit only in low chairs.
d. Bend forward when putting on shoes.
Correct Answer: b. Avoid crossing the legs
Rationale: Avoiding adduction (crossing legs) helps prevent hip
dislocation. A pillow between legs is appropriate for some
surgeries, but avoiding crossing is a clearer priority.
DIF: Understanding
OBJ: Health promotion & maintenance / Safety
TOP: Joint replacement
5. A client with pneumonia has a respiratory rate of 30/min, oxygen
saturation of 88% on room air, and crackles in both lung bases.
Which prescription should the nurse question?
a. Administer oxygen via nasal cannula at 2 L/min
b. Incentive spirometer every 2 hours
c. Administer amoxicillin PO
d. Administer a bronchodilator neb every 4 hours
Correct Answer: c. Administer amoxicillin PO
Rationale: Given the severity (low O₂ sat, tachypnea), IV
antibiotics are more appropriate initially than oral route.
DIF: Application
OBJ: Physiological integrity / Pharmacologic & parenteral