ATI comprehensive predictor – 4
Questions And Answers
.wIfwawclientwdevelopswcorwpulmonalew(right-sidedwheartwfailure),wthewnurse
wouldwexpectwtowobserve
1.wincreasingwrespiratorywdifficultywseenwwithwexertion.
2.wcoughwproductivewofwawlargewamountwofwthick,wyellowwmucus.
3.wperipheralwedemawandwanorexia.
4.wtwitchingwofwextremities.w-wCORRECTwwANSWER-3
.wThewnursingwteamwincludeswtwowRNs,wonewLPN/LVN,wandwonewnursing
assistant.wThewnursewshouldwconsiderwthewassignmentswappropriatewifwthe
nursingwassistantwiswassignedwtowcarewfor
1.wawclientwwithwAlzheimer'swrequiringwassistancewwithwfeeding.
2.wawclientwwithwosteoporosiswcomplainingwofwburningwonwurination.
3.wawclientwwithwsclerodermawreceivingwawtubewfeeding.
4.wawclientwwithwcancerwwhowhaswCheyne-Stokeswrespirations.w-wCORRECTwwANSWER-1
Aw23-year-oldwmanwiswadmittedwwithwawsubduralwhematomawandwcerebral
edemawafterwawmotorcyclewaccident.wWhichwofwthewfollowingwsymptomswshould
thewnursewexpectwtowseewINITIALLY?
1.wUnequalwandwdilatedwpupils.
2.wDecerebratewposturing.
3.wGrandwmalwseizures.
4.wDecreasedwlevelwofwconsciousness.w-wCORRECTwwANSWER-4
Aw23-year-oldwwomanwatw32-weekswgestationwiswseenwinwthewoutpatient
clinic.wWhichwofwthewfollowingwfindings,wifwassessedwbywthewnurse,wwould
indicatewawpossiblewcomplication?
1.wThewclient'swurinewtestwiswpositivewforwglucosewandwacetone.
2.wThewclientwhasw1+wpedalwedemawinwbothwfeetwatwthewendwofwthewday.
3.wThewclientwcomplainswofwanwincreasewinwvaginalwdischarge.
4.wThewclientwsayswshewfeelswpressurewagainstwherwdiaphragmwwhenwthewbabywmoves.w-
wCORRECTwwANSWER-1
Aw38-year-oldwwomanwiswreturnedwtowherwroomwafterwawsubtotal
thyroidectomywforwtreatmentwofwhyperthyroidism.wWhichwofwthewfollowing,wif
foundwbywthewnursewatwthewpatient'swbedside,wiswnonessential?
1.wPotassiumwchloridewforwIVwadministration.
,2.wCalciumwgluconatewforwIVwadministration.
3.wTracheostomywset-up.
4.wSuctionwequipment.w-wCORRECTwwANSWER-1
Aw59-year-oldwwomanwwithwbipolarwdisorderwiswreceivingwhaloperidol
(Haldol)w2wmgwPOwtid.wShewtellswthewnurse,w"Milkwiswcomingwoutwofwmy
breasts."wWhichwofwthewfollowingwresponseswbywthewnursewiswBEST?
1.w"Youwarewseeingwthingswthatwaren'twreal."
2.w"Whywdon'twwewgowmakewsomewfudge."
3.w"YouwarewexperiencingwawsideweffectwofwHaldol."
4.w"I'llwcontactwyourwphysicianwtowchangewyourwmedication."w-wCORRECTwwANSWER-3
Aw69-year-oldwclientwiswundergoingwhiswsecondwexchangewofwintermittent
peritonealwdialysisw(IPD).wWhichwofwthewfollowingwwouldwrequirewan
interventionwbywthewnurse?
1.wThewclientwcomplainswofwpainwduringwthewinflowwofwthewdialysate.
2.wThewclientwcomplainswofwconstipation.
3.wThewdialysatewoutflowwiswcloudy.
4.wTherewiswblood-tingedwfluidwaroundwthewintra-abdominalwcatheter.w-
wCORRECTwwANSWER-3
AwchargewnursewiswdiscussingwthewresponsibilitywofwnurseswcarigwforwclientswwhowhavewC.wd
ifficile.wWhichwofwthewfollowingwinformationwshouldwthewnursewincludewinwthewteaching?
a)wAssignwthewclientwtowawroomwwithwawnegativewair-flowwsystem
b)wUsewalcohol-basedwhandwsanitizerwwhenwleavingwthewclientswroom
c)wcleanwcontaminatedwsurfaceswinwthewclientswroomwwithwawphenolwsolution
d)whavewfamilywmemberswwearwawgownwandwgloveswwhenwvisitingw-
wCORRECTwwANSWER-D
Awclientwdiagnosedwwithwdementiawwanderswthewhallswofwthewlockedwnursingwunitwduringwth
ewday.wTowensurewthewclient'swsafetywwhilewwalkingwinwthewhalls,wthewnursewshouldwdowwhic
hwofwthewfollowing?w
1.wAdministerwPRNwhaloperidolw(Haldol)wtowdecreasewthewneedwtowwalk.w
2.wAssesswthewclient'swgaitwforwsteadiness.w
3.wRestrainwthewclientwinwawgeriatricwchair.
4.wAdministerwPRNwlorazepamw(Ativan)wtowprovidewsedation.w-wCORRECTwwANSWER-2
Awclientwhaswawhistorywofwoliguria,whypertension,wandwperipheralwedema.
Currentwlabwvaluesware:wBUNw-25,wK+w-4.0wmEq/L.wWhichwnutrientwshouldwbe
restrictedwinwthewclient'swdiet?
1.wProtein.
2.wFats.
3.wCarbohydrates.
4.wMagnesium.w-wCORRECTwwANSWER-1
, awclientwhaswawnewwprescriptionwforwspironilactonew(waldactonew)wwhichwofwthewfollowingwlab
oratorywvaluewshouldwthewnursewrecognizedwaswawreasonwtowwithholdwthewmorningwdosewofw
thewmedicationwandwnotifywthewproviderw-wCORRECTwwANSWER-serumwpotassiumw5.2
awclientwhaswprescriptionwforwvalproicw(wDepakote)wwhichwofwthewfollowingwlaboratorywvaluew
shouldwthewnursewanticipatewmonitorwforwthewclientwtakingwthiswmedicationw-
wCORRECTwwANSWER-thrombocytes,wamylasewcountwandwliverwfunctionwtest
Awclientwiswadmittedwwithwawdiagnosiswofwacutewappendicitis.wWhenwassessingwthewabdome
n,wthewnursewwouldwexpectwtowfindwreboundwtendernesswatwwhichwlocation?
a)wLeftwlowerwquadrant
b)wLeftwupperwquadrant
c)wRightwupperwquadrant
d)wRightwlowerwquadrantw-wCORRECTwwANSWER-D
Awclientwiswbeingwdischargedwwithwsublingualwnitroglycerinw(Nitrostat).
Thewclientwshouldwbewcautionedwbywthewnursewto
1.wtakewthewmedicationwfivewminuteswafterwthewpainwhaswstarted.
2.wstopwtakingwthewmedicationwifwawstingingwsensationwiswabsent.
3.wtakewthewmedicationwonwanwemptywstomach.
4.wavoidwabruptwchangeswinwposture.w-wCORRECTwwANSWER-4
Awclientwiswgivenwmorphinew6wmgwIVwpushwforwpostoperativewpain.
Followingwadministrationwofwthiswdrug,wthewnursewobserveswthewfollowing:
pulsew68,wrespirationsw8,wBPw100/68,wclientwsleepingwquietly.wWhichwofwthe
followingwnursingwactionswiswMOSTwappropriate?
1.wAllowwthewclientwtowsleepwundisturbed.
2.wAdministerwoxygenwviawfacemaskworwnasalwprongs.
3.wAdministerwnaloxonew(Narcan).
4.wPlacewepinephrinew1:1,000watwthewbedside.w-wCORRECTwwANSWER-3
Awclientwiswreceivingwtotalwparenteralwnutritionw(TPN).wTowdeterminewthe
client'swtolerancewofwthiswtreatment,wthewnursewshouldwassesswforwwhichwofwthe
following?
1.wAwsignificantwincreasewinwpulsewrate.
2.wAwdecreasewinwdiastolicwbloodwpressure.
3.wTemperaturewinwexcesswofw98.6°Fw(37°C).
4.wUrinewoutputwofwatwleastw30wccwperwhour.w-wCORRECTwwANSWER-4
Awclientwiswscheduledwforwawleftwlowerwlobectomy.wThewphysicianwhas
orderedwdiazepamw(Valium)w2wmgwIMwforwanxiety.wThewnursewwouldwdetermine
thatwthewmedicationwiswappropriatewifwthewclientwdisplayswwhichwofwthe
followingwsymptoms?
1.wAgitationwandwdecreasedwlevelwofwconsciousness.
2.wLethargywandwdecreasedwrespiratorywrate.
3.wRestlessnesswandwincreasedwheartwrate.
Questions And Answers
.wIfwawclientwdevelopswcorwpulmonalew(right-sidedwheartwfailure),wthewnurse
wouldwexpectwtowobserve
1.wincreasingwrespiratorywdifficultywseenwwithwexertion.
2.wcoughwproductivewofwawlargewamountwofwthick,wyellowwmucus.
3.wperipheralwedemawandwanorexia.
4.wtwitchingwofwextremities.w-wCORRECTwwANSWER-3
.wThewnursingwteamwincludeswtwowRNs,wonewLPN/LVN,wandwonewnursing
assistant.wThewnursewshouldwconsiderwthewassignmentswappropriatewifwthe
nursingwassistantwiswassignedwtowcarewfor
1.wawclientwwithwAlzheimer'swrequiringwassistancewwithwfeeding.
2.wawclientwwithwosteoporosiswcomplainingwofwburningwonwurination.
3.wawclientwwithwsclerodermawreceivingwawtubewfeeding.
4.wawclientwwithwcancerwwhowhaswCheyne-Stokeswrespirations.w-wCORRECTwwANSWER-1
Aw23-year-oldwmanwiswadmittedwwithwawsubduralwhematomawandwcerebral
edemawafterwawmotorcyclewaccident.wWhichwofwthewfollowingwsymptomswshould
thewnursewexpectwtowseewINITIALLY?
1.wUnequalwandwdilatedwpupils.
2.wDecerebratewposturing.
3.wGrandwmalwseizures.
4.wDecreasedwlevelwofwconsciousness.w-wCORRECTwwANSWER-4
Aw23-year-oldwwomanwatw32-weekswgestationwiswseenwinwthewoutpatient
clinic.wWhichwofwthewfollowingwfindings,wifwassessedwbywthewnurse,wwould
indicatewawpossiblewcomplication?
1.wThewclient'swurinewtestwiswpositivewforwglucosewandwacetone.
2.wThewclientwhasw1+wpedalwedemawinwbothwfeetwatwthewendwofwthewday.
3.wThewclientwcomplainswofwanwincreasewinwvaginalwdischarge.
4.wThewclientwsayswshewfeelswpressurewagainstwherwdiaphragmwwhenwthewbabywmoves.w-
wCORRECTwwANSWER-1
Aw38-year-oldwwomanwiswreturnedwtowherwroomwafterwawsubtotal
thyroidectomywforwtreatmentwofwhyperthyroidism.wWhichwofwthewfollowing,wif
foundwbywthewnursewatwthewpatient'swbedside,wiswnonessential?
1.wPotassiumwchloridewforwIVwadministration.
,2.wCalciumwgluconatewforwIVwadministration.
3.wTracheostomywset-up.
4.wSuctionwequipment.w-wCORRECTwwANSWER-1
Aw59-year-oldwwomanwwithwbipolarwdisorderwiswreceivingwhaloperidol
(Haldol)w2wmgwPOwtid.wShewtellswthewnurse,w"Milkwiswcomingwoutwofwmy
breasts."wWhichwofwthewfollowingwresponseswbywthewnursewiswBEST?
1.w"Youwarewseeingwthingswthatwaren'twreal."
2.w"Whywdon'twwewgowmakewsomewfudge."
3.w"YouwarewexperiencingwawsideweffectwofwHaldol."
4.w"I'llwcontactwyourwphysicianwtowchangewyourwmedication."w-wCORRECTwwANSWER-3
Aw69-year-oldwclientwiswundergoingwhiswsecondwexchangewofwintermittent
peritonealwdialysisw(IPD).wWhichwofwthewfollowingwwouldwrequirewan
interventionwbywthewnurse?
1.wThewclientwcomplainswofwpainwduringwthewinflowwofwthewdialysate.
2.wThewclientwcomplainswofwconstipation.
3.wThewdialysatewoutflowwiswcloudy.
4.wTherewiswblood-tingedwfluidwaroundwthewintra-abdominalwcatheter.w-
wCORRECTwwANSWER-3
AwchargewnursewiswdiscussingwthewresponsibilitywofwnurseswcarigwforwclientswwhowhavewC.wd
ifficile.wWhichwofwthewfollowingwinformationwshouldwthewnursewincludewinwthewteaching?
a)wAssignwthewclientwtowawroomwwithwawnegativewair-flowwsystem
b)wUsewalcohol-basedwhandwsanitizerwwhenwleavingwthewclientswroom
c)wcleanwcontaminatedwsurfaceswinwthewclientswroomwwithwawphenolwsolution
d)whavewfamilywmemberswwearwawgownwandwgloveswwhenwvisitingw-
wCORRECTwwANSWER-D
Awclientwdiagnosedwwithwdementiawwanderswthewhallswofwthewlockedwnursingwunitwduringwth
ewday.wTowensurewthewclient'swsafetywwhilewwalkingwinwthewhalls,wthewnursewshouldwdowwhic
hwofwthewfollowing?w
1.wAdministerwPRNwhaloperidolw(Haldol)wtowdecreasewthewneedwtowwalk.w
2.wAssesswthewclient'swgaitwforwsteadiness.w
3.wRestrainwthewclientwinwawgeriatricwchair.
4.wAdministerwPRNwlorazepamw(Ativan)wtowprovidewsedation.w-wCORRECTwwANSWER-2
Awclientwhaswawhistorywofwoliguria,whypertension,wandwperipheralwedema.
Currentwlabwvaluesware:wBUNw-25,wK+w-4.0wmEq/L.wWhichwnutrientwshouldwbe
restrictedwinwthewclient'swdiet?
1.wProtein.
2.wFats.
3.wCarbohydrates.
4.wMagnesium.w-wCORRECTwwANSWER-1
, awclientwhaswawnewwprescriptionwforwspironilactonew(waldactonew)wwhichwofwthewfollowingwlab
oratorywvaluewshouldwthewnursewrecognizedwaswawreasonwtowwithholdwthewmorningwdosewofw
thewmedicationwandwnotifywthewproviderw-wCORRECTwwANSWER-serumwpotassiumw5.2
awclientwhaswprescriptionwforwvalproicw(wDepakote)wwhichwofwthewfollowingwlaboratorywvaluew
shouldwthewnursewanticipatewmonitorwforwthewclientwtakingwthiswmedicationw-
wCORRECTwwANSWER-thrombocytes,wamylasewcountwandwliverwfunctionwtest
Awclientwiswadmittedwwithwawdiagnosiswofwacutewappendicitis.wWhenwassessingwthewabdome
n,wthewnursewwouldwexpectwtowfindwreboundwtendernesswatwwhichwlocation?
a)wLeftwlowerwquadrant
b)wLeftwupperwquadrant
c)wRightwupperwquadrant
d)wRightwlowerwquadrantw-wCORRECTwwANSWER-D
Awclientwiswbeingwdischargedwwithwsublingualwnitroglycerinw(Nitrostat).
Thewclientwshouldwbewcautionedwbywthewnursewto
1.wtakewthewmedicationwfivewminuteswafterwthewpainwhaswstarted.
2.wstopwtakingwthewmedicationwifwawstingingwsensationwiswabsent.
3.wtakewthewmedicationwonwanwemptywstomach.
4.wavoidwabruptwchangeswinwposture.w-wCORRECTwwANSWER-4
Awclientwiswgivenwmorphinew6wmgwIVwpushwforwpostoperativewpain.
Followingwadministrationwofwthiswdrug,wthewnursewobserveswthewfollowing:
pulsew68,wrespirationsw8,wBPw100/68,wclientwsleepingwquietly.wWhichwofwthe
followingwnursingwactionswiswMOSTwappropriate?
1.wAllowwthewclientwtowsleepwundisturbed.
2.wAdministerwoxygenwviawfacemaskworwnasalwprongs.
3.wAdministerwnaloxonew(Narcan).
4.wPlacewepinephrinew1:1,000watwthewbedside.w-wCORRECTwwANSWER-3
Awclientwiswreceivingwtotalwparenteralwnutritionw(TPN).wTowdeterminewthe
client'swtolerancewofwthiswtreatment,wthewnursewshouldwassesswforwwhichwofwthe
following?
1.wAwsignificantwincreasewinwpulsewrate.
2.wAwdecreasewinwdiastolicwbloodwpressure.
3.wTemperaturewinwexcesswofw98.6°Fw(37°C).
4.wUrinewoutputwofwatwleastw30wccwperwhour.w-wCORRECTwwANSWER-4
Awclientwiswscheduledwforwawleftwlowerwlobectomy.wThewphysicianwhas
orderedwdiazepamw(Valium)w2wmgwIMwforwanxiety.wThewnursewwouldwdetermine
thatwthewmedicationwiswappropriatewifwthewclientwdisplayswwhichwofwthe
followingwsymptoms?
1.wAgitationwandwdecreasedwlevelwofwconsciousness.
2.wLethargywandwdecreasedwrespiratorywrate.
3.wRestlessnesswandwincreasedwheartwrate.
