2023 ATI PN COMPREHENSIVE PREDICTOR
j j j j
REAL EXAMj j
GRADED A j
1. Ajnursejisjcaringjforjajclientjwhojhasjajrecentjdiagnosisjofjajterminaljillness.jThejnursejshoul
djidentifyjwhichjofjthejfollowingjasjanjindicationjofjhopelessness?
a. Thejclientjwantsjtojtalkjaboutjthejdiagnosisjwithjnursingjstaff
b. Thejclientjhasjajdecreasedjenergyjleveljc.
j Thej clientj makesj funeralj arrangementsjd.j T
hejclientjrequestsjajsecondjopinion
2. Ajnursejisjpreparingjtojcollectjdatajonjajpreschooler.jWhichjofjthejfollowingjbehaviorsjbyjthejchild
jindicatesjthatjhejisjreadyjtojcooperate?j(Selectjalljthatjapply)
a. Allowsjthejnursejtojtouchjhimjonjthejarm
b. Playsjwithjtoysjinjthejexaminingjroomjc.jA
nswersjquestionsjaskedjbyjthejnursejd.j
Makesjeyejcontactjwithjthejnurse
e.jSitsjonjhisjparent’sjlapjwhenjthejnursejentersjthejroom
3. Ajnursejonjajmentaljhealthjunitjisjplanningjcarejforjajgroupjofjclients.j Whichjofjthejfollo
wingjclientsjshouldjthejnursejseejfirst?
a. Ajclientjwhojhasjbipolarjdisorderjandjisjdisplayingjflightsjofjideas
b. AjclientjwhojhasjADHDjandjhasjanjinabilityjtojconcentrate
c. Ajclientjwhojhasjschizophreniajandjisjhavingjcommandjhallucinations
d. Ajclientjwhojhasjdepressivejdisorderjandjisjwithdrawn
4. Ajnursejisjcaringjforjajclientjwhojrecentlyjgavejbirthjtojherjfirstjchild.jThejnewbornjisjcryingjandjt
hejclientjstates,j“jIjcan’tjseemjtojdojanythingjright.jWhatjshouldjIjdo?”jWhichjofjthejfollowingjr
esponsesjshouldjthejnursejmake?
a. “I’lljtakejhimjbackjtojthejnursery,jsojyoujcanjgetjsomejrest.”
b. “Babiesjneedjtojcryjsoonjafterjtheyjarejbornjtojdevelopjtheirjlungs.”
c. “Letjmejshowjyoujhowjtojswaddlejandjcuddlejhim,jthenjyoujtry.”
d. “IfjIjturnjhimjonjhisjside,jmaybejhe’lljgojbackjtojsleep.”
5. Ajnursejisjusingjajglucometerjtojmeasurejajclient’sjcapillaryjbloodjglucosejlevel,jWhichjof
thejfollowingjactionsjshouldjthejnursejtake?
a. Testjthejfirstjdropjofjbloodjthatjformsjafterjthejpuncture
b. Wearjsterilejgloves
c. Keepjthejfingerjinjajdependentjposition
d. Selectjthejcentraljtipjofjthejfinger
6. Ajnursejisjreviewingjthejhomejmedicationsjofjajclientjwhojrecentlyjhadj transientjischemic
,attacksj andj isj toj beginj takingj clopidogrel.j Thej nursej shouldj instructj thej clientj thatj whichj ofj thejfollowingj
over-the-counterjmedicationsjinteractsjadverselyjwithjclopidogrel?
a. Docusatejsodium
, b. Ranitidine
c. VitaminjD3
d. Naproxen
7. Ajnursejisjcollectingjdatajfromjajclientjwhojhasjajlongjlegjcastjthatjwasjappliedj2jdaysjago.jThejcl
ient’sjfootjisjpalejwithjajweakjpedaljpulse,jandjthejclientjreportsjfootjnumbness.jWhichjofjthejfollowi
ngjactionsjshouldjthejnursejplanjtojtakejfirst?
a. Administerjopioidjpainjmedication
b. Applyjanjicejpackjtojthejaffectedjextremity
c. Checkjforjpainjwithjpassivejmovementjofjthejaffectedjextremity
d. Elevatejthejaffectedjextremityjwithjseveraljpillows
8. Ajnursejinjajprovider’sjofficejisjreinforcingjteachingjaboutjcigarettejsmokingjwithjajclient.jWhi
chjofjthejfollowingjadversejeffectsjshouldjthejnursejincludejinjthejteaching?
a. Decreasedj hemoglobin
b. Somnolence
c.j Bradycardia
d.j Decreasedjbloodjpressure
9. Ajnursejisjcontributingjtojthejdevelopmentjofjanjin-
servicejprogramjforjmentaljhealthjnursingjstaff.j Thejnursejshouldjincludejthatjthejst
affj canj medicatej aj clientj againstj hisj will,j withoutj aj courtj hearing,j inj whichj ofj thej followingjsituations?
a. Ajclientjwhojhasjajseriousjmentaljillness
b. Ajclientjwhojisjhavingjdifficultyjmakingjdecisionsjaboutjhisjtreatment
c. Ajclientjforjwhomjthejbenefitsjofjthejmedicationjoutweighjthejrisks
d. Ajclientjwhojisjattemptingjtojhurtjhimselfjorjothers
10. Ajnursejisjreinforcingjteachingjwithjajclientjwhojhasjajnewjprescriptionjforjdigoxin.jWhichjofjthejf
ollowingjinstructionsjshouldjthejnursejincludejinjthejteaching?
a. “Monitorjforjmusclejweaknessjwhilejtakingjthejmedication.”
b. “Rotatejinjectionjsitesjwhenjadministeringjthejmedication.”
c. “Withholdjthejmedicationjifjyourjpulsejratejisjabovej100jbeatsjperjminute.”
d. “Increasejyourjintakejofjdietaryjfiberjtojincreasejabsorption.”
11. Ajchargejnursejisjdiscussingjconfidentialityjrequirementsjwithjajnewlyjlicensedjnursejwhenjshari
ngj aj client’sj medicalj information.j Whichj ofj thej followingj individualsj shouldj thej chargej nursejidentifyj
asjappropriatejwithjwhomjtojsharejclientjinformation?
a. Ajnursejfromjanotherjunitjafterjajclientjcommitsjsuicide
b. Ajsocialjworkerjwhojisjassignedjtojanjinvoluntaryjcommittedjschool-agejclient
c. Ajclient’sjpartnerjafterjthejclientjreportsjintimatejpartnerjabuse
d. Ajclient’sjemployerjwhojisjconcernedjaboutjsafetyjduejtojsubstancejuse
, 12. Ajnursejisjreviewingjlaboratoryjvaluesjforjajclientjwhojisjatj34j weeksjofjgestation.jWhichjofjthejf
ollowingjfindingsjshouldjthejnursejreportjtojthejprovider?
a. Hgbj13.2jg/dL
b. Urine protein 3
plusjc.j Fastingjbloodjglucosej7
2jmg/dLjd.j BUNj15jmg/dL
13. Ajnursejisjcollectingjdatajfromjajclientjwhojisj4jhrjpostoperativejfollowingjajhemicolec
tomy.j Whichj ofj thej followingj findingsj isj thej nurse’sj priority,j requiringj immediatejintervention
?
a. Painjratingjofj9jonjajscalejfromj0jtoj10
b. Bloodjpressurej160/90jmmjHg
c. Oxygenjsaturationj89%
d. Abdominaljdressingjwithjajmoderatejamountjofjbrightjredjdrainage
14. Ajnursejinjajprovider’sjofficejisjcollectingjdatajfromjajclientjwhojhasjajhistoryjof
hypertensionjduringjhisjannualjphysicaljexamination.jWhichjofjthejfollowingjfindingsjshouldjthejnursejr
eportjtojthejproviderjimmediately?
a.j Aj2jkgj(4.4jlb)jweightjgainjb.
Blurred
visionjc.j Potassiumj3
.6jmEq/L
d.jResumptionjofjcigarettej smoking
15. Ajnursejisjcaringjforjajclientjwhojsuddenlyjdevelopsjchestjpainjandjdyspnea.jWhichjofjthejfollo
wingjactionsjshouldjthejnursejtakejfirst?
a. Placejthejclientjonjbedjrest
b. ObtainjthejclientsjABGjlevels
c. Preparejthejclientjforjajventilation-perfusionjscan
d. Elevatejthejheadjofjthejclient’sjbed
16. Ajnursejisjreinforcingjteachingjonjajclientjwhojhasjdiabetesjmellitus.jWhichjofjthejfollo
wingj laboratoryj testsj isj thej mostj accuratej ofj bloodj glucosej effectivej management?
a. Urinejketones
b. Glucosejtolerancejtest
d.j Fasting
c. jbloodj glucose
Glycosylated jhemoglobin
17. Ajchargejnursejonjajmentaljhealthjunitjisjsupervisingjajnewlyjlicensedjnurse.jForj whichjofjthejf
ollowingjactionsjbyjthejnewlyjlicensedjnursejshouldjthejsupervisingj nursejintervene?
a. Requestsjajclientjtojassistjwithjdistributingjlunchjtrays
b. Tellsjajclientjhejwilljlosejhisjphonejprivilegesjifjhejdoesjnotjtakejhisjmedication
c. Encouragesjajclientjtojparticipatejinjajrecreationaljtherapyjgroup
d. Placesjmechanicaljrestraintsjonjajclientjwhojisjhittingjanotherjstaffjmember
j j j j
REAL EXAMj j
GRADED A j
1. Ajnursejisjcaringjforjajclientjwhojhasjajrecentjdiagnosisjofjajterminaljillness.jThejnursejshoul
djidentifyjwhichjofjthejfollowingjasjanjindicationjofjhopelessness?
a. Thejclientjwantsjtojtalkjaboutjthejdiagnosisjwithjnursingjstaff
b. Thejclientjhasjajdecreasedjenergyjleveljc.
j Thej clientj makesj funeralj arrangementsjd.j T
hejclientjrequestsjajsecondjopinion
2. Ajnursejisjpreparingjtojcollectjdatajonjajpreschooler.jWhichjofjthejfollowingjbehaviorsjbyjthejchild
jindicatesjthatjhejisjreadyjtojcooperate?j(Selectjalljthatjapply)
a. Allowsjthejnursejtojtouchjhimjonjthejarm
b. Playsjwithjtoysjinjthejexaminingjroomjc.jA
nswersjquestionsjaskedjbyjthejnursejd.j
Makesjeyejcontactjwithjthejnurse
e.jSitsjonjhisjparent’sjlapjwhenjthejnursejentersjthejroom
3. Ajnursejonjajmentaljhealthjunitjisjplanningjcarejforjajgroupjofjclients.j Whichjofjthejfollo
wingjclientsjshouldjthejnursejseejfirst?
a. Ajclientjwhojhasjbipolarjdisorderjandjisjdisplayingjflightsjofjideas
b. AjclientjwhojhasjADHDjandjhasjanjinabilityjtojconcentrate
c. Ajclientjwhojhasjschizophreniajandjisjhavingjcommandjhallucinations
d. Ajclientjwhojhasjdepressivejdisorderjandjisjwithdrawn
4. Ajnursejisjcaringjforjajclientjwhojrecentlyjgavejbirthjtojherjfirstjchild.jThejnewbornjisjcryingjandjt
hejclientjstates,j“jIjcan’tjseemjtojdojanythingjright.jWhatjshouldjIjdo?”jWhichjofjthejfollowingjr
esponsesjshouldjthejnursejmake?
a. “I’lljtakejhimjbackjtojthejnursery,jsojyoujcanjgetjsomejrest.”
b. “Babiesjneedjtojcryjsoonjafterjtheyjarejbornjtojdevelopjtheirjlungs.”
c. “Letjmejshowjyoujhowjtojswaddlejandjcuddlejhim,jthenjyoujtry.”
d. “IfjIjturnjhimjonjhisjside,jmaybejhe’lljgojbackjtojsleep.”
5. Ajnursejisjusingjajglucometerjtojmeasurejajclient’sjcapillaryjbloodjglucosejlevel,jWhichjof
thejfollowingjactionsjshouldjthejnursejtake?
a. Testjthejfirstjdropjofjbloodjthatjformsjafterjthejpuncture
b. Wearjsterilejgloves
c. Keepjthejfingerjinjajdependentjposition
d. Selectjthejcentraljtipjofjthejfinger
6. Ajnursejisjreviewingjthejhomejmedicationsjofjajclientjwhojrecentlyjhadj transientjischemic
,attacksj andj isj toj beginj takingj clopidogrel.j Thej nursej shouldj instructj thej clientj thatj whichj ofj thejfollowingj
over-the-counterjmedicationsjinteractsjadverselyjwithjclopidogrel?
a. Docusatejsodium
, b. Ranitidine
c. VitaminjD3
d. Naproxen
7. Ajnursejisjcollectingjdatajfromjajclientjwhojhasjajlongjlegjcastjthatjwasjappliedj2jdaysjago.jThejcl
ient’sjfootjisjpalejwithjajweakjpedaljpulse,jandjthejclientjreportsjfootjnumbness.jWhichjofjthejfollowi
ngjactionsjshouldjthejnursejplanjtojtakejfirst?
a. Administerjopioidjpainjmedication
b. Applyjanjicejpackjtojthejaffectedjextremity
c. Checkjforjpainjwithjpassivejmovementjofjthejaffectedjextremity
d. Elevatejthejaffectedjextremityjwithjseveraljpillows
8. Ajnursejinjajprovider’sjofficejisjreinforcingjteachingjaboutjcigarettejsmokingjwithjajclient.jWhi
chjofjthejfollowingjadversejeffectsjshouldjthejnursejincludejinjthejteaching?
a. Decreasedj hemoglobin
b. Somnolence
c.j Bradycardia
d.j Decreasedjbloodjpressure
9. Ajnursejisjcontributingjtojthejdevelopmentjofjanjin-
servicejprogramjforjmentaljhealthjnursingjstaff.j Thejnursejshouldjincludejthatjthejst
affj canj medicatej aj clientj againstj hisj will,j withoutj aj courtj hearing,j inj whichj ofj thej followingjsituations?
a. Ajclientjwhojhasjajseriousjmentaljillness
b. Ajclientjwhojisjhavingjdifficultyjmakingjdecisionsjaboutjhisjtreatment
c. Ajclientjforjwhomjthejbenefitsjofjthejmedicationjoutweighjthejrisks
d. Ajclientjwhojisjattemptingjtojhurtjhimselfjorjothers
10. Ajnursejisjreinforcingjteachingjwithjajclientjwhojhasjajnewjprescriptionjforjdigoxin.jWhichjofjthejf
ollowingjinstructionsjshouldjthejnursejincludejinjthejteaching?
a. “Monitorjforjmusclejweaknessjwhilejtakingjthejmedication.”
b. “Rotatejinjectionjsitesjwhenjadministeringjthejmedication.”
c. “Withholdjthejmedicationjifjyourjpulsejratejisjabovej100jbeatsjperjminute.”
d. “Increasejyourjintakejofjdietaryjfiberjtojincreasejabsorption.”
11. Ajchargejnursejisjdiscussingjconfidentialityjrequirementsjwithjajnewlyjlicensedjnursejwhenjshari
ngj aj client’sj medicalj information.j Whichj ofj thej followingj individualsj shouldj thej chargej nursejidentifyj
asjappropriatejwithjwhomjtojsharejclientjinformation?
a. Ajnursejfromjanotherjunitjafterjajclientjcommitsjsuicide
b. Ajsocialjworkerjwhojisjassignedjtojanjinvoluntaryjcommittedjschool-agejclient
c. Ajclient’sjpartnerjafterjthejclientjreportsjintimatejpartnerjabuse
d. Ajclient’sjemployerjwhojisjconcernedjaboutjsafetyjduejtojsubstancejuse
, 12. Ajnursejisjreviewingjlaboratoryjvaluesjforjajclientjwhojisjatj34j weeksjofjgestation.jWhichjofjthejf
ollowingjfindingsjshouldjthejnursejreportjtojthejprovider?
a. Hgbj13.2jg/dL
b. Urine protein 3
plusjc.j Fastingjbloodjglucosej7
2jmg/dLjd.j BUNj15jmg/dL
13. Ajnursejisjcollectingjdatajfromjajclientjwhojisj4jhrjpostoperativejfollowingjajhemicolec
tomy.j Whichj ofj thej followingj findingsj isj thej nurse’sj priority,j requiringj immediatejintervention
?
a. Painjratingjofj9jonjajscalejfromj0jtoj10
b. Bloodjpressurej160/90jmmjHg
c. Oxygenjsaturationj89%
d. Abdominaljdressingjwithjajmoderatejamountjofjbrightjredjdrainage
14. Ajnursejinjajprovider’sjofficejisjcollectingjdatajfromjajclientjwhojhasjajhistoryjof
hypertensionjduringjhisjannualjphysicaljexamination.jWhichjofjthejfollowingjfindingsjshouldjthejnursejr
eportjtojthejproviderjimmediately?
a.j Aj2jkgj(4.4jlb)jweightjgainjb.
Blurred
visionjc.j Potassiumj3
.6jmEq/L
d.jResumptionjofjcigarettej smoking
15. Ajnursejisjcaringjforjajclientjwhojsuddenlyjdevelopsjchestjpainjandjdyspnea.jWhichjofjthejfollo
wingjactionsjshouldjthejnursejtakejfirst?
a. Placejthejclientjonjbedjrest
b. ObtainjthejclientsjABGjlevels
c. Preparejthejclientjforjajventilation-perfusionjscan
d. Elevatejthejheadjofjthejclient’sjbed
16. Ajnursejisjreinforcingjteachingjonjajclientjwhojhasjdiabetesjmellitus.jWhichjofjthejfollo
wingj laboratoryj testsj isj thej mostj accuratej ofj bloodj glucosej effectivej management?
a. Urinejketones
b. Glucosejtolerancejtest
d.j Fasting
c. jbloodj glucose
Glycosylated jhemoglobin
17. Ajchargejnursejonjajmentaljhealthjunitjisjsupervisingjajnewlyjlicensedjnurse.jForj whichjofjthejf
ollowingjactionsjbyjthejnewlyjlicensedjnursejshouldjthejsupervisingj nursejintervene?
a. Requestsjajclientjtojassistjwithjdistributingjlunchjtrays
b. Tellsjajclientjhejwilljlosejhisjphonejprivilegesjifjhejdoesjnotjtakejhisjmedication
c. Encouragesjajclientjtojparticipatejinjajrecreationaljtherapyjgroup
d. Placesjmechanicaljrestraintsjonjajclientjwhojisjhittingjanotherjstaffjmember
