ATI Actual comprehensive predictor Exam
Questions with Actual Solutions 2025
The physician orders risperidone (Risperdal) for a client with Alzheimer's disease. The nurse anticipates
administering this medication to help decrease which of the following behaviors?
1. Sleep disturbances.
2. Concomitant depression.
3. Agitation and assaultiveness.
4. Confusion and withdrawal.
3
The nurse is making a home visit with a client diagnosed with Alzheimer's disease. The client recently
started on lorazepam (Ativan) due to increased anxiety. The nurse is cautioning the family about the use
of lorazepam (Ativan). The nurse should instruct the family to report which of the following significant
side effects to the health care provider?
1. Paradoxical excitement.
2. Headache.
3. Slowing of reflexes.
4. Fatigue.
1
When providing family education for those who have a relative with Alzheimer's disease about
minimizing stress, which of the following suggestions is most relevant?
1. Allow the client to go to bed four to five times during the day.
2. Test the cognitive functioning of the client several times a day.
3. Provide reality orientation even if the memory loss is severe.
4. Maintain consistency in environment, routine, and caregivers
4
,.
What are some ways to identify a patient before giving a medication?
The Joint Commission requires 2 client identifiers be used when administering medications.
- clients name
- assigned identification number
- telephone number
- birth date or other personal-specific identifiers. Bar code scanners may be used to identify clients
What are some things to teach about home safety with elderly patients?
- Removing items that could cause the client to trip, such as throw rugs and loose carpets
- Placing electrical cords and extension cords that against a wall behind furniture
- Making sure that steps and sidewalks are in good repair
- Placing grab bars near the toilet and in the tub or shower and installing a stool riser
- Using a non-skid mat in the tub or shower
- Placing a shower chair in the shower
- Ensuring that lighting is adequate both inside and outside of the home
A nurse is providing discharge instructions to a client who has a prescription for the use of oxygen in
his home. Which of the following should the nurse teach the client about using oxygen safely in his
home? (Select all that apply.)
A. Family members who smoke must be at least 10 ft from the client when oxygen is in use.
B. Nail polish should not be used near a client who is receiving oxygen.
C. A "No Smoking" sign should be placed on the front door.
D. Cotton bedding and clothing should be replaced with items made from wool.
E. A fire extinguisher should be readily available in the home.
B
,C
E
A nurse is providing home safety instructions to a group of older adult clients. Match the safety risk
with the appropriate instruction.
____ Passive smoking
____ Carbon monoxide poisoning
____ Food poisoning
A. Have water heaters inspected on an annual
basis.
B. Cook all meat at an appropriate temperature.
C. Avoid enclosed areas with others who may be
smoking.
C
A
B
When performing nasotracheal suctioning what technique should be used?
Sterile asepsis bc the trachea is considered sterile and prevents infections
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
A
What do you do when a client has a seizure
- lower to bed/floor
- protect head, move nearby furniture, provide privacy, - - put on side with head flexed slightly forward,
and loosen clothing to prevent injury
-in event of seizure, stay with client and call for help
-admin meds as ordered
-note duration of seizure and sequence and type of movement
seclusion and restraints
-must be ordered
-should be ordered for the shortest duration necessary and only if less restrictive measures are not
sufficient
-a client may voluntarily request temp seclusion
-restraints can be physical or chemical
-if used, frequency of client assessments in regards to food, fluid, comfort, and safety should be
performed and documented every 15-30 min
What position is good to use for a patient who is at high risk for a pressure ulcer
30 degree lateral position is recommended for clients at risk for pressure ulcers
.
health promotion (injury prevention-suffocation): infant (birth-1 yr)
-avoid plastic bags
Questions with Actual Solutions 2025
The physician orders risperidone (Risperdal) for a client with Alzheimer's disease. The nurse anticipates
administering this medication to help decrease which of the following behaviors?
1. Sleep disturbances.
2. Concomitant depression.
3. Agitation and assaultiveness.
4. Confusion and withdrawal.
3
The nurse is making a home visit with a client diagnosed with Alzheimer's disease. The client recently
started on lorazepam (Ativan) due to increased anxiety. The nurse is cautioning the family about the use
of lorazepam (Ativan). The nurse should instruct the family to report which of the following significant
side effects to the health care provider?
1. Paradoxical excitement.
2. Headache.
3. Slowing of reflexes.
4. Fatigue.
1
When providing family education for those who have a relative with Alzheimer's disease about
minimizing stress, which of the following suggestions is most relevant?
1. Allow the client to go to bed four to five times during the day.
2. Test the cognitive functioning of the client several times a day.
3. Provide reality orientation even if the memory loss is severe.
4. Maintain consistency in environment, routine, and caregivers
4
,.
What are some ways to identify a patient before giving a medication?
The Joint Commission requires 2 client identifiers be used when administering medications.
- clients name
- assigned identification number
- telephone number
- birth date or other personal-specific identifiers. Bar code scanners may be used to identify clients
What are some things to teach about home safety with elderly patients?
- Removing items that could cause the client to trip, such as throw rugs and loose carpets
- Placing electrical cords and extension cords that against a wall behind furniture
- Making sure that steps and sidewalks are in good repair
- Placing grab bars near the toilet and in the tub or shower and installing a stool riser
- Using a non-skid mat in the tub or shower
- Placing a shower chair in the shower
- Ensuring that lighting is adequate both inside and outside of the home
A nurse is providing discharge instructions to a client who has a prescription for the use of oxygen in
his home. Which of the following should the nurse teach the client about using oxygen safely in his
home? (Select all that apply.)
A. Family members who smoke must be at least 10 ft from the client when oxygen is in use.
B. Nail polish should not be used near a client who is receiving oxygen.
C. A "No Smoking" sign should be placed on the front door.
D. Cotton bedding and clothing should be replaced with items made from wool.
E. A fire extinguisher should be readily available in the home.
B
,C
E
A nurse is providing home safety instructions to a group of older adult clients. Match the safety risk
with the appropriate instruction.
____ Passive smoking
____ Carbon monoxide poisoning
____ Food poisoning
A. Have water heaters inspected on an annual
basis.
B. Cook all meat at an appropriate temperature.
C. Avoid enclosed areas with others who may be
smoking.
C
A
B
When performing nasotracheal suctioning what technique should be used?
Sterile asepsis bc the trachea is considered sterile and prevents infections
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
A
What do you do when a client has a seizure
- lower to bed/floor
- protect head, move nearby furniture, provide privacy, - - put on side with head flexed slightly forward,
and loosen clothing to prevent injury
-in event of seizure, stay with client and call for help
-admin meds as ordered
-note duration of seizure and sequence and type of movement
seclusion and restraints
-must be ordered
-should be ordered for the shortest duration necessary and only if less restrictive measures are not
sufficient
-a client may voluntarily request temp seclusion
-restraints can be physical or chemical
-if used, frequency of client assessments in regards to food, fluid, comfort, and safety should be
performed and documented every 15-30 min
What position is good to use for a patient who is at high risk for a pressure ulcer
30 degree lateral position is recommended for clients at risk for pressure ulcers
.
health promotion (injury prevention-suffocation): infant (birth-1 yr)
-avoid plastic bags
