(NGN)RN ATI COMPREHENSIVE PREDICTOR
EXAM 2023
, RN ATI COMPREHENSIVE PREDICTOR
1. A nurse is caring for a client who has a chest tube and notes continuous bubbling in the water-
seal chamber. Which of the following actions should the nurse take?
a. turn down the wall suction
b. observe the system for an air leak
c. obtain a prescription to discontinue the chest tube
d. empty the drainage from the collection chamber
2. A nurse is planning care for a newly admitted adolescent client who has bacterial meningitis.
Which of the following instructions is appropriate for the nurse to include in the plan of care?
a. assist the client to a supine position
b. recommend prophylactic acyclovir
c. initiate droplet precautions for the client
d. perform a Glasgow coma scale every 24 hr
3. a nurse is caring for a child who has infectious mononucleosis. Which of the following findings
are associated with this diagnosis?
a. koplik spots
b. splenomegaly
c. malaise
d. sore throat
e. vertigo
4. a nurse is caring for a client who has a new prescription for chlorpromazine by IM injection.
Which ofthe following is an appropriate nursing action?
a. administer chlorpromazine with a loop diuretic
b. check orthostatic blood pressure 1 hr after administration
c. administer once daily 30 min before breakfast
d. check weekly calcium levels
,5.a nurse is planning care for a child who is unresponsive and has increased intracranial pressure. Which
of the following actions should the nurse take?
a. schedule routine oral suctioning
b. pad the side rails of the bed
c. obtain isolation supplies
d. place the child in Trendelenburg position
6.a nurse is providing dietary teaching to a client who has an increased cholesterol level. Which of the
following foods should the nurse recommend?
e. beef liver
f. egg whites
g. steamed clams
h. broiled lobster
7.a nurse is caring for a client who has meningitis. Which of the following assessments should the nurse
perform?
i. homans’ sign
j. trousseau’s sign
k. brudzinski’s sign
l. chvostek’s sign
8.a nurse is assessing a client who has preeclampsia and is receiving magnesium sulfate via continuous
IV infusion. Which of the following findings should the nurse report to the provider?
m. respiratory rate 14/min
n. blood pressure 150/98 mm Hg
o. magnesium 9 mEq/L
p. 2+ deep tendon reflexes
9.1a nurse is teaching a client who has a new prescription for digoxin. Which of the following statement
should the nurse include in the teaching?
q. “notify your provider if you experience muscle weakness”
r. “report a weight gain of one- half pound per day”
s. “expect this medication to increase your blood pressure”
t. “you will need to take a diuretic while taking this medication”
, 10.an infection control nurse is reviewing the medical records of several clients. Which of the following
infections should the nurse report to the Centers for Disease Control and Prevention? a. candidiasis
b. pelvic inflammatory disease
c. MRSA
d. syphilis
11.a nurse is preparing to administer eye drops to a preschooler who has conjunctivitis. Which of the
following actions should the nurse take?
u. maintain the child in a sitting position for 3 min following administration
v. administer the drops directly to the center of the eyeball
w. apply pressure to the lacrimal punctum for 1 min following administration
x. wipe excess medication from the outer canthus toward the nose.
12.a nurse is caring for a client who has schizophrenia. The client states, “run cats spine the rain
throwing procedure mechanical paper lake.” The nurse should document that the client is
demonstrating which of the following speech alterations?
y. echolalia
z. word salad
aa. neolgisms
bb. clang association
13.a nurse is discussing a living will with a client. Which of the following statements by the client
indicates an understanding of this document?
cc. “it expressed my wishes about distribution of my belongings after death.”
dd. “it designates a family member to make my health care decisions.”
ee. “it is required for anyone undergoing surgery.”
ff. “it commuanicated my wishes for end-of-life care.”
14.a nurse is assessing a client who was brought to the ED by hid adult child. The client has visable
contusions on all four extremities. Which of the following actions should the nurse take?
gg. report the incident to Adult Protective Services
hh. Interview the client with his adult child present
ii. tell the client he must answer every assessment question
jj. advise the client to consult a social worker
EXAM 2023
, RN ATI COMPREHENSIVE PREDICTOR
1. A nurse is caring for a client who has a chest tube and notes continuous bubbling in the water-
seal chamber. Which of the following actions should the nurse take?
a. turn down the wall suction
b. observe the system for an air leak
c. obtain a prescription to discontinue the chest tube
d. empty the drainage from the collection chamber
2. A nurse is planning care for a newly admitted adolescent client who has bacterial meningitis.
Which of the following instructions is appropriate for the nurse to include in the plan of care?
a. assist the client to a supine position
b. recommend prophylactic acyclovir
c. initiate droplet precautions for the client
d. perform a Glasgow coma scale every 24 hr
3. a nurse is caring for a child who has infectious mononucleosis. Which of the following findings
are associated with this diagnosis?
a. koplik spots
b. splenomegaly
c. malaise
d. sore throat
e. vertigo
4. a nurse is caring for a client who has a new prescription for chlorpromazine by IM injection.
Which ofthe following is an appropriate nursing action?
a. administer chlorpromazine with a loop diuretic
b. check orthostatic blood pressure 1 hr after administration
c. administer once daily 30 min before breakfast
d. check weekly calcium levels
,5.a nurse is planning care for a child who is unresponsive and has increased intracranial pressure. Which
of the following actions should the nurse take?
a. schedule routine oral suctioning
b. pad the side rails of the bed
c. obtain isolation supplies
d. place the child in Trendelenburg position
6.a nurse is providing dietary teaching to a client who has an increased cholesterol level. Which of the
following foods should the nurse recommend?
e. beef liver
f. egg whites
g. steamed clams
h. broiled lobster
7.a nurse is caring for a client who has meningitis. Which of the following assessments should the nurse
perform?
i. homans’ sign
j. trousseau’s sign
k. brudzinski’s sign
l. chvostek’s sign
8.a nurse is assessing a client who has preeclampsia and is receiving magnesium sulfate via continuous
IV infusion. Which of the following findings should the nurse report to the provider?
m. respiratory rate 14/min
n. blood pressure 150/98 mm Hg
o. magnesium 9 mEq/L
p. 2+ deep tendon reflexes
9.1a nurse is teaching a client who has a new prescription for digoxin. Which of the following statement
should the nurse include in the teaching?
q. “notify your provider if you experience muscle weakness”
r. “report a weight gain of one- half pound per day”
s. “expect this medication to increase your blood pressure”
t. “you will need to take a diuretic while taking this medication”
, 10.an infection control nurse is reviewing the medical records of several clients. Which of the following
infections should the nurse report to the Centers for Disease Control and Prevention? a. candidiasis
b. pelvic inflammatory disease
c. MRSA
d. syphilis
11.a nurse is preparing to administer eye drops to a preschooler who has conjunctivitis. Which of the
following actions should the nurse take?
u. maintain the child in a sitting position for 3 min following administration
v. administer the drops directly to the center of the eyeball
w. apply pressure to the lacrimal punctum for 1 min following administration
x. wipe excess medication from the outer canthus toward the nose.
12.a nurse is caring for a client who has schizophrenia. The client states, “run cats spine the rain
throwing procedure mechanical paper lake.” The nurse should document that the client is
demonstrating which of the following speech alterations?
y. echolalia
z. word salad
aa. neolgisms
bb. clang association
13.a nurse is discussing a living will with a client. Which of the following statements by the client
indicates an understanding of this document?
cc. “it expressed my wishes about distribution of my belongings after death.”
dd. “it designates a family member to make my health care decisions.”
ee. “it is required for anyone undergoing surgery.”
ff. “it commuanicated my wishes for end-of-life care.”
14.a nurse is assessing a client who was brought to the ED by hid adult child. The client has visable
contusions on all four extremities. Which of the following actions should the nurse take?
gg. report the incident to Adult Protective Services
hh. Interview the client with his adult child present
ii. tell the client he must answer every assessment question
jj. advise the client to consult a social worker
