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ATI Predictor exam Questions with correct
answers
A nurse is caring for a client who was admitted for acute alcohol delirium
withdrawal 2 days ago. Which of the following findings is associated with this
diagnosis?
A. Increased appetite
B. Elevated Temperature
C. Bradycardia
D. Drowsiness - ANSWER-Elevated Temperature
Rationale: The content of this question emphasizes the concept of
client-centered care through identifying findings associated with a client's
diagnosis. Client-centered care focuses on the client and emphasizes the client's
cultural, ethnic, and social values. The identification of expected and unexpected
findings associated with a client's diagnosis assists the nurse to distinguish
possible unrelated complications the client might be experiencing, which
indicates the need for further investigation. The specific focus on the client
enhances the provision of safe, quality nursing care. An elevated temperature is
a finding associated with acute alcohol delirium.
A nurse working in a hospice facility is talking to a client's son who is distressed
because his mother cries frequently and says she wants to die. Which of the
following responses by the nurse is appropriate?
A. "I know this must be difficult, but your mother will calm down soon."
B. "Lets discuss some strategies you can use when this happens again."
C. Individuals near death are ready to let go toward the end."
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D. "Have you determined why she is crying and saying she is ready to die?" -
ANSWER-" Let's discuss some strategies you can use when this happens
again."
Rationale: This response by the nurse offers to provide information, which can
reduce anxiety and enhance decision making. This response creates a safe
environment, fosters trust and respect, and is appropriate.
A nurse is caring for a client who had cerebrovascular accident 2 days ago.
Which of the following is the first sign of increased intracranial pressure (ICP)?
A. pupil dilation
B. Ataxia
C. Lethargy
D Bradycardia - ANSWER-Lethargy
rationale: Lethargy occurs when pressure is placed on the reticular activating
system within the brainstem. Along with other indicators of a change in level of
consciousness, such as restlessness, irritability, and disorientation. Lethargy is
the first sign of increased ICP.
A nurse working in a provider's office is reinforcing teaching with a client who is
14 weeks of gestation. The nurse should instruct the client to immediately notify
the provider if she experiences which of the following?
A. facial edema
b. urinary frequency
c. acid indigestion
d. breast leakage - ANSWER-Facial edema
rationale: facial edema is an indication of pregnancy-induced hypertension and
should be reported immediately to the provider.
A nurse is caring for a client who is receiving parenteral nutrition through a
nontunneled central venous catheter and reports hearing a gurgling sound on the
side of the catheter. The nurse suspects the catheter has migrated to the jugular
vein. Which of the following actions should the nurse take first?
A. Notify the provider
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B. Obtain a chest x-ray
C. Flush the catheter.
D. Stop the infusion. - ANSWER-Stop the infusion
Rationale: This prevents further damage to vessel and minimizes any additional
harm to the client
A nurse is reinforcing teaching with a caregiver who has aphasia. The nurse
should include which of the following communication strategies in the teaching?
A. Cue the client by providing picture cards that portray common needs.
B. Increase the volume of the voice when speaking to a client.
C. Encourage the client to limit hand gestures when communicating.
D. Vary the use of phrases and terminology in discussions. - ANSWER-Cue the
client by providing picture cards that portray common needs.
Rationale: Using picture cards enhances communication. The nurse should
include this communication strategy in the teaching.
A nurse is caring for a client who has a urinary tract infection and is prescribed
ciprofloxacin (Cipro). The client exhibits urticaria and angioedema following
administration of the medication. Which of the following is the first action the
nurse should take?
A. Administer epinephrine (Adrenaline)
B. Elevate the lower extremities
C. Determine respiratory status
D. Apply oxygen via non-rebreather mask. - ANSWER-Determine respiratory
status
Rationale: The client is experiencing angioedema indicating a possible
anaphylactic reaction, which is life-threatening; therefore, the nurse should first
determine the client's respiratory status.
A nurse is caring for a client who has an acid-base imbalance. For which of the
following manifestations is metabolic alkalosis a possible complications?
A. Hyperkalemia
B. Severe diarrhea
C. Atelectasis
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D. Excessive vomiting - ANSWER-Excessive vomiting
rationale: Metabolic alkalosis is a potential complication of excessive vomiting
because of loss of acid from the body.
A nurse is caring for neonate who was delivered at 30 weeks of gestation after
his mother received two injections of betamethasone (Celestone). because of
administration of betamethasone to the client's mother, the nurse should monitor
the neonate for which of the following effects?
A. Tachycardia
B. Sternal retractions
C. Hypoglycemia
D. Hypothermia - ANSWER-hypoglycemia
rationale: Betamethasone is a glucocorticoid used in the prevention of respiratory
distress syndrome in premature infants. Betamethasone causes hyperglycemia
in the mother, which predisposes the neonate to hypoglycemia in the first hours
after delivery.
A nurse is reinforcing teaching about client consent to treatment with a group of
newly licensed nurses. Which of the following statements by a newly licensed
nurse indicates a need for further teaching?
A. "It is necessary to have written consent for invasive procedures"
B. "Implied consent is appropriate for some aspects of nursing care"
C. It is the responsibility of the provider to obtain express consent"
D. "Informed consent should be obtained separately for each surgical procedure"
- ANSWER-" It is the responsibility of the provider to obtain express consent"
rationale: Nurses frequently obtain express consent by witnessing a client sign a
consent form after ensuring the client has received and understands necessary
information regarding the procedure. This is not an appropriate statement by a
newly licensed nurse and requires further teaching.
A nurse is caring for an adult client who has attempted suicide. The client tells
the nurse he is calling his family to come pick him up. Which of the following
actions by the nurse is appropriate when the client insists on leaving the facility
against medical advice?
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ATI Predictor exam Questions with correct
answers
A nurse is caring for a client who was admitted for acute alcohol delirium
withdrawal 2 days ago. Which of the following findings is associated with this
diagnosis?
A. Increased appetite
B. Elevated Temperature
C. Bradycardia
D. Drowsiness - ANSWER-Elevated Temperature
Rationale: The content of this question emphasizes the concept of
client-centered care through identifying findings associated with a client's
diagnosis. Client-centered care focuses on the client and emphasizes the client's
cultural, ethnic, and social values. The identification of expected and unexpected
findings associated with a client's diagnosis assists the nurse to distinguish
possible unrelated complications the client might be experiencing, which
indicates the need for further investigation. The specific focus on the client
enhances the provision of safe, quality nursing care. An elevated temperature is
a finding associated with acute alcohol delirium.
A nurse working in a hospice facility is talking to a client's son who is distressed
because his mother cries frequently and says she wants to die. Which of the
following responses by the nurse is appropriate?
A. "I know this must be difficult, but your mother will calm down soon."
B. "Lets discuss some strategies you can use when this happens again."
C. Individuals near death are ready to let go toward the end."
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D. "Have you determined why she is crying and saying she is ready to die?" -
ANSWER-" Let's discuss some strategies you can use when this happens
again."
Rationale: This response by the nurse offers to provide information, which can
reduce anxiety and enhance decision making. This response creates a safe
environment, fosters trust and respect, and is appropriate.
A nurse is caring for a client who had cerebrovascular accident 2 days ago.
Which of the following is the first sign of increased intracranial pressure (ICP)?
A. pupil dilation
B. Ataxia
C. Lethargy
D Bradycardia - ANSWER-Lethargy
rationale: Lethargy occurs when pressure is placed on the reticular activating
system within the brainstem. Along with other indicators of a change in level of
consciousness, such as restlessness, irritability, and disorientation. Lethargy is
the first sign of increased ICP.
A nurse working in a provider's office is reinforcing teaching with a client who is
14 weeks of gestation. The nurse should instruct the client to immediately notify
the provider if she experiences which of the following?
A. facial edema
b. urinary frequency
c. acid indigestion
d. breast leakage - ANSWER-Facial edema
rationale: facial edema is an indication of pregnancy-induced hypertension and
should be reported immediately to the provider.
A nurse is caring for a client who is receiving parenteral nutrition through a
nontunneled central venous catheter and reports hearing a gurgling sound on the
side of the catheter. The nurse suspects the catheter has migrated to the jugular
vein. Which of the following actions should the nurse take first?
A. Notify the provider
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B. Obtain a chest x-ray
C. Flush the catheter.
D. Stop the infusion. - ANSWER-Stop the infusion
Rationale: This prevents further damage to vessel and minimizes any additional
harm to the client
A nurse is reinforcing teaching with a caregiver who has aphasia. The nurse
should include which of the following communication strategies in the teaching?
A. Cue the client by providing picture cards that portray common needs.
B. Increase the volume of the voice when speaking to a client.
C. Encourage the client to limit hand gestures when communicating.
D. Vary the use of phrases and terminology in discussions. - ANSWER-Cue the
client by providing picture cards that portray common needs.
Rationale: Using picture cards enhances communication. The nurse should
include this communication strategy in the teaching.
A nurse is caring for a client who has a urinary tract infection and is prescribed
ciprofloxacin (Cipro). The client exhibits urticaria and angioedema following
administration of the medication. Which of the following is the first action the
nurse should take?
A. Administer epinephrine (Adrenaline)
B. Elevate the lower extremities
C. Determine respiratory status
D. Apply oxygen via non-rebreather mask. - ANSWER-Determine respiratory
status
Rationale: The client is experiencing angioedema indicating a possible
anaphylactic reaction, which is life-threatening; therefore, the nurse should first
determine the client's respiratory status.
A nurse is caring for a client who has an acid-base imbalance. For which of the
following manifestations is metabolic alkalosis a possible complications?
A. Hyperkalemia
B. Severe diarrhea
C. Atelectasis
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D. Excessive vomiting - ANSWER-Excessive vomiting
rationale: Metabolic alkalosis is a potential complication of excessive vomiting
because of loss of acid from the body.
A nurse is caring for neonate who was delivered at 30 weeks of gestation after
his mother received two injections of betamethasone (Celestone). because of
administration of betamethasone to the client's mother, the nurse should monitor
the neonate for which of the following effects?
A. Tachycardia
B. Sternal retractions
C. Hypoglycemia
D. Hypothermia - ANSWER-hypoglycemia
rationale: Betamethasone is a glucocorticoid used in the prevention of respiratory
distress syndrome in premature infants. Betamethasone causes hyperglycemia
in the mother, which predisposes the neonate to hypoglycemia in the first hours
after delivery.
A nurse is reinforcing teaching about client consent to treatment with a group of
newly licensed nurses. Which of the following statements by a newly licensed
nurse indicates a need for further teaching?
A. "It is necessary to have written consent for invasive procedures"
B. "Implied consent is appropriate for some aspects of nursing care"
C. It is the responsibility of the provider to obtain express consent"
D. "Informed consent should be obtained separately for each surgical procedure"
- ANSWER-" It is the responsibility of the provider to obtain express consent"
rationale: Nurses frequently obtain express consent by witnessing a client sign a
consent form after ensuring the client has received and understands necessary
information regarding the procedure. This is not an appropriate statement by a
newly licensed nurse and requires further teaching.
A nurse is caring for an adult client who has attempted suicide. The client tells
the nurse he is calling his family to come pick him up. Which of the following
actions by the nurse is appropriate when the client insists on leaving the facility
against medical advice?
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