ATI RN Comprehensive Predictor 2019 C.P. Form A

1. A nurse in a pediatric unit is preparing to insert an IV catheter for 7-year-old. Which of the following actions should the nurse take? A. Tell the child they will feel discomfort during the catheter insertion. B. Use a mummy restraint to hold the child during the catheter insertion. C. Require the parents to leave the room during the procedure. - Tell the child they will feel discomfort during the catheter insertion. 2. A nurse is caring for a client who has arteriovenous fistula Which of the following findings should the nurse report? A. Thrill upon palpation. B. Absence of a bruit. C. Distended blood vessels. D. Swishing sound upon auscultation. - Absence of a bruit. 3. A nurse is providing discharge teaching for a client who has an implantable cardioverter defibrillator which of the following statements demonstrates understanding of the teaching? A. "I will soak in the tub rather and showering" B. "I will wear loose clothing around my ICD" C. "I will stop using my microwave oven at home because of my ICD" D. "I can hold my cellphone on the same side of my body as the ICD" - "I will wear loose clothing around my ICD" 4. A nurse is caring for a client who is at 14 weeks gestation and reports feelings of ambivalence about being pregnant. Which of the following responses should the nurse make? A. "Describe your feelings to me about being pregnant" B. "You should discuss your feelings about being pregnant with your provider" C. "Have you discussed these feelings with your partner? D. "When did you start having these feelings?" - "Describe your feelings to me about being pregnant" 5. A nurse is planning care for a client who has a prescription for a bowel- training program following a spinal cord injury. Which of the following actions should the nurse include in the plan of care? A. Encourage a maximum fluid intake of 1,500 ml per day. B. Increase the amount of refined grains in the client's diet. C. Provide the client with a cold drink prior to defecation. D. Administer a rectal suppository 30 minutes prior to scheduled defecation times. - Administer a rectal suppository 30 minutes prior to scheduled defecation times. 6. A nurse is caring for a client who is in active labor and requests pain management. Which of the following actions should the nurse take? A. Administer ondansetron. B. Place the client in a warm shower. C. Apply fundal pressure during contractions. D. Assist the client to a supine position. - Place the client in a warm shower. 7. A nurse in an emergency department is performing triage for multiple clients following a disaster in the community. to which of the following types of injuries should the nurse assign the highest priority? A. below the knee amputation B. fractured tibia C. 95% full thickness body burn D. 10 cm laceration the forearm - below the knee amputation 8. A nurse manager is updating protocols for the use of belt restraints. which of the following guidelines should the nurse include? A. remove the clients restraints every 4 hours B. document the clients condition every 15 min C. attach the restraint to the bed side rails D. request a PRN restraint pre - document the clients condition every 15 min 9. A nurse is teaching an in-service about nursing leadership. Which of the following information should the nurse include about an effective leader? A. Acts as an advocate for the nursing unit. B. Priorities staff request over client needs. C. Provides routine client care and documentation. - Acts as an advocate for the nursing unit. 10. A nurse is reviewing the laboratory findings of a client who has diabetes mellitus and reports that she has been following her care. The nurse should identify which of the following findings indicates a need to revise the client's plan of care. A. Serum sodium 144 mEq/L) B. Hba1c 10 % C. Random serum glucose 190 mg/dl. - Hba1c 10 % 11. A nurse is caring for a client who has a pulmonary embolism. The nurse should identify the effectiveness of the treatment A. A chest x-ray reveals increased density in all fields. B. The client reports feeling less anxious. C. Diminished breath sounds are auscultated bilaterally D. ABG results include Ph 7.48 PaO2 77 mm Hg and PaCO2 47 mm Hg. - The client reports feeling less anxious. 12. A nurse in an emergency department is assessing a client who reports ingesting thirty diazepam tablets (Unable to read) a respiratory rate of 10/min. After securing the client's airway and initiating an IV, which of the following actions should the nurse do next. A. Monitor the client's IV site for thrombophlebitis. B. Administer flumazenil to the client. C. Evaluate the client for further suicidal behavior. D. Initiate seizure precautions for the client. - Administer flumazenil to the client. 13. A nurse is assessing a newborn who has a blood glucose level of 30 mg/dl. Which of the following manifestations should the nurse expect? A. Loose stools B. Jitteriness C. Hypertonia D. Abdominal distention - Jitteriness 14. A nurse in a pediatric clinic is reviewing the laboratory test results of a school age child. Which of the following findings should the nurse report to the provider? A. Hgb 12.5 g/dl B. Platelets 250,000/mm3 C. Hct 40% D. WBC 14,000/mm3 - WBC 14,000/mm3 15. A nurse in the PACU is caring for a client who reports nausea. Which of the following actions should the nurse take first? A. Turn the client on their side. B. Administer an analgesic. C. Administer antiemetic D. Monitor the client's vital signs. - Turn the client on their side. 16. A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. The nurse obtained a verbal prescription for restraints. Which of the following should the actions should the nurse take? A. Request a renewal of the prescription every 8 hr. B. Check the client's peripheral pulse rate every 30 min C. Obtain a prescription for restraint within 4 hr. D. Document the client's condition every 15 minutes. - Document the client's condition every 15 minutes. 17. A charge nurse on a medical-surgical unit is planning assignments for a licensed practical nurse (LPN) who has been sent from the (Unable to read) unit due to a staffing shortage. Which of the following client should the nurse delegate to the LPN? A. A client who has an Hgb of 6.3 g/dl and a prescription for packed RBCs. B. A client who sustained a concussion and has unequal pupils. C. A client who is postoperative following a bowel resection with an NG tube set to continuous suction. D. A client who fractured his femur yesterday and is experiencing shortness of breath. - A client who is postoperative following a bowel resection with an NG tube set to continuous suction. 18. A nurse is caring for a client who is dilated to 10 cm and pushing. Which of the following pain-management is a safe option for the client? A. Naloxone hydrochloride. B. Spinal anesthesia. C. Pudendal block. D. Butorphanol tartrate - Pudendal block. 19. A nurse is assessing a client who has major depressive disorder. Which of the following findings should the nurse identify as the Most important? A. The client changes the subject when future plans are mentioned. B. The client talks about being in pain constantly. C. The client sleeping over 12 hr. each day. D. The client reports giving away personal items. - The client reports giving away personal items. 20. A nurse is providing teaching about immunizations to a client who is pregnant. The nurse should inform the client that she can receive which of the following immunizations during pregnancy? (Select all that apply) A. Varicella vaccine. B. Inactivated polio vaccine. C. Tetanus diphtheria and acellular pertussis vaccine. D. Rubella vaccine. E. Inactivated influenza vaccine. - C. Tetanus diphtheria and acellular pertussis vaccine. F. Inactivated influenza vaccine. 21. A nurse is providing discharge teaching for a group of clients. The nurse should recommend a referral to a dietitian A. A client who has a prescription for warfarin and states "I will need to limit how much spinach I eat". B. A client who has gout and states, "I can continue to eat anchovies on my pizza." C. A client who has a prescription for spironolactone and states "I will reduce my intake of foods that contain potassium". - A client who has gout and states, "I can continue to eat anchovies on my pizza." 22. A hospice nurse is visiting with the son of a client who has terminal cancer. The son reports sleeping very little during the past week due to caring for his mother. Which of the following responses should the nurse make? A. "I can give you information about respite care if you are interested." B. "You should consider taking a sleeping pill before bed each night" C. "It must be difficult taking care of someone who is terminally ill" D. "You are doing a great job taking care of your mother" - "I can give you information about respite care if you are interested." 23. A nurse is assessing a child who is being treated for bacterial pneumonia. The nurse notes an increase in the child's glucose. The nurse should identify this finding as an adverse effect of which of the following medications? A. Methylprednisolone. B. Ondansetron. C. Guaifenesin. D. Amoxicillin. - Methylprednisolone. 24. The nurse is providing teaching about folic acid to a client who is prima gravida. Which of the following information should the nurse include in the teaching? A. "You should take folic acid to decrease the risk of transmitting infections to your baby" B. "You should consume a maximum of 300 micrograms of folic acid every day". C. "You can increase your dietary intake of folic acid by eating cereals and citrus fruits". D. "You can expect your urine to appear red-tingled while taking folic acid supplements". - "You can increase your dietary intake of folic acid by eating cereals and citrus fruits". 25. A charge nurse is educating a group of unit nurses about delegating client tasks to assistive personnel A. "The nurse is legally responsible for the actions of the AP". B. "An AP can perform tasks outside of his range if he has been trained". C. "An experienced AP can delegate to another AP". D. "An RN evaluates the client needs to determine tasks to delegate" - "An RN evaluates the client needs to determine tasks to delegate" 26. A nurse working in a rehabilitation facility is developing a discharge plan for a client who has left-sided hemiplegia the following actions is the nurse's priority? A. Consult with a case manager about insurance coverage. B. Counsel caregivers about respite care options. C. Ensure that the client has a referral for physical therapy. D. Refer the client to a local stroke support group. - Ensure that the client has a referral for physical therapy. 27. A nurse in a mental health unit is planning room assignments for four clients. Which of the following client should be closest to the nurse's station? A. A client who has an anxiety disorder and is experiencing moderate anxiety. B. A client who has somatic symptom disorder and reports chronic pain. C. A client who has depressive disorder and reports feeling hopeless. D. A client who has bipolar disorder and impaired social interactions. - A client who has depressive disorder and reports feeling hopeless. 28. A nurse is preparing to measure a temperature of an infant. Which of the following action should the nurse take? A. Place the tip of the thermometer under the center of the infant's axilla. B. Pull the pinna of the infant's ear forward before inserting the probe. C. Insert the probe 3.8 cm (1.5in) into the infant's rectum. D. Insert the thermometer in front of the infant's tongue. - Place the tip of the thermometer under the center of the infant's axilla. 29. A nurse is caring for a client who is 24 hr. postpartum and is breast feeding her newborns. The client asks the nurse to warm up seaweed soup that the client's partner brought for her. Which of the following responses should the nurse make? A. "Does the doctor know you are eating that?" B. "Why are you eating seaweed soup?" C. "Of course I will heat that up for you" D. "The hospital good is more nutritious" - "Does the doctor know you are eating that?" 30. The nurse is reviewing the medical record of a client who is requesting combination oral contraceptives. Which of the following conditions in the client's history is a contradiction to the use of oral contraceptives? A. Hyperthyroidism. B. Thrombophlebitis. C. Diverticulosis. D. Hypocalcemia. - Thrombophlebitis. 31. A nurse is admitting a client who has schizophrenia and experiences auditory hallucinations. The client states, "It's hard not to listen to the voices." Which of the following questions should the nurse ask the client? A. "Do you understand that the voices are not real?" B. "Why do you think the voices are talking to you?" C. "Have you tried going to a private place when this occurs?" D. "What helps you ignore what you are hearing?" - "What helps you ignore what you are hearing?" 32. A charge nurse is teaching a group of newly licensed nurses about the correct use of restraints. Which of the following should the nurse include in the teaching? A. Placing a belt restraint on a school-age child who has seizures. B. Securing wrist restraints to the bed rails for an adolescent. C. Applying elbow immobilizers of an infant receiving cleft lip injury. D. Keeping the side rails of a toddler's crib elevated. - Applying elbow immobilizers of an infant receiving cleft lip injury. 33. A nurse is preparing to mix NPH and regular insulin in the same syringe. Which of the following? A. Inject air into the NPH insulin vial. B. Withdraw the prescribed dose of regular insulin C. Withdraw the prescribed dose of NPH insulin - Inject air into the NPH insulin vial. 34. A nurse in a pediatric clinic is teaching a newly hired nurse about the varicella rooster. Which of the following information should the nurse include? A. Children who have varicella are contagious until vesicles are crusted. B. Children who have varicella should receive the herpes zoster vaccination. C. Children who have varicella should be placed in droplet precaution. D. Children who have varicella are contagious 4 days before the first vesicle eruption. - Children who have varicella are contagious until vesicles are crusted. 35. A staff nurse is observing a newly licensed nurse suction a client's tracheostomy. Which of the following requires intervention by the staff nurse? A. Waits 2 minutes between suctions. B. Encourages the client to cough during suctioning. C. Apply suctioning for 15 seconds. D. Inserts the catheter without applying suction. - Waits 2 minutes between suctions. 36. A nurse is teaching at a community health fair about electrical fire prevention. Which of the following information should the nurse include in the teaching? A. Use three pronged grounded plugs. B. Cover extension cords with a rug. C. Check the tingling sensations around the cord to ensure the electricity is working. D. Remove the plug from the socket by pulling the cord. - Use three pronged grounded plugs. 37. A nurse is providing care for a group of clients. Which of the following client's should the nurse identify as having the highest risk for developing a pressure injury? A. A client who has a T-tube following an open cholecystectomy. B. A client who had a knee 2 days ago following a sports injury. C. A client who has dementia and is incontinent of urine and feces. D. A client who has a myocardial infarction and is receiving thrombolytic therapy. - A client who has a T-tube following an open cholecystectomy. 38. A nurse is teaching a client who has glaucoma and a new prescription for timolol eyedrops. Which of the following statements indicates an understanding of the teaching? A. "I will place the eye drops in the center of my eye" B. "I will place pressure on the corner of my eye after using he eye drops" C. "I should expect my tears to turn a red color after using the eye drops." D. "I should expect the eye drops to appear cloudy." - "I will place pressure on the corner of my eye after using he eye drops" 39. A nurse is caring for a client who has a diagnosis of stage IV metastatic cancer. Which of the following responses should the nurse make? A. "I would recommend sharing your feelings with a psychologist". B. "I can give you information about making end of life decisions". C. "You should discuss your end life decisions with your family" D. "Everyone feels this way at first. You will start feeling better soon". - "I can give you information about making end of life decisions". 40. A nurse is reviewing the laboratory report of a client who has been having lithium carbonate for the past 12 months. The nurse notes a lithium level of 0.8 mEq/L. Which of the following orders from the provider should the nurse expect? A. Withhold the next dose. B. Increase the dosage. C. Discontinue the medication. D. Administer the medication. - Administer the medication. 41. A nurse is caring for a client who has fibromyalgia and requests pain medication. Which of the following medications should the nurse administer? A. Pregabalin B. Lorazepam C. Colchicine D. Codeine. - Pregabalin 42. A nurse is caring for a client following insertion of a chest tube 12 hr. ago. The following actions should the nurse take? A. Assess the amount of drainage in the collection chamber. B. Clamp the chest tube during ambulation. C. Report continuous bubbling in the water seal chamber. D. Strip the chest tube every 4 hr. to maintain patency. - Report continuous bubbling in the water seal chamber. 43. A nurse is caring for a client who is receiving morphine 4 mg via IV bolus every 4 hr. PRN. The nurse should monitor for which of the following adverse effects? A. Productive cough. B. Urinary retention. C. Rhinitis D. Fever. - Urinary retention. 44. A nurse is providing dietary teaching to a guardian of a preschooler who has a new diagnosis of celiac disease. Which of the following statements by the guardian indicates an understanding of the teaching? A. "I will put my child on a gluten-free diet". B. "I will administer digestive enzymes with meals and snacks". C. "Provide my child with some high fiber foods.". D. "I will give my child whole wheat toast and milk for breakfast". - "I will put my child on a gluten-free diet". 45. A nurse is caring for a client who is to receive a transfusion of packed RBCs. Which of the following actions should the nurse take? A. Prime IV tubing with 0.9% sodium chloride. B. Use a 24-gauge IV catheter C. Obtain filter less IV tubing. D. Place blood in the warmer for 1 hr. - Prime IV tubing with 0.9% sodium chloride. 46. A nurse is admitting a client who has diabetic ketoacidosis. Which of the following types of continuous infusions should the nurse initiate? A. 0.9% normal saline. B. NPH insulin. C. Glargine insulin. D. 0.45% saline. - 0.9% normal saline. 47. A nurse is teaching who has chronic pain about avoiding constipation from opioid medications. Which of the following should the nurse include in the teaching? A. Drink 1.5L fluids each day. B. Take mineral oil at bedtime. C. Increase exercise activity. C. Decrease insoluble fiber. - Increase exercise activity. 48. A nurse is teaching about preventative measures to a female client who has chronic urinary tract infections. Which of the following interventions should the nurse include in the teaching? A. "Drink 2 liters of warm water per day". B. "Empty your bladder every 6 weeks.". C. "Soak in a warm bath everyday". D. "Take an oral estrogen tablet" - "Drink 2 liters of warm water per day". 49. A nurse is caring for a 1-day-old newborns who has jaundice and is receiving phototherapy. Which of the following actions should the nurse take? A. the infant 30 ml (1 oz) glucose water every 2 hr. B. Keep the infants head covered with a cap. C. Ensure that the newborn wears a diaper. D. Apply lotion to the newborn every 4 hr. - Ensure that the newborn wears a diaper. 50. A nurse is teaching a group of newly licensed nurses about client advocacy. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching? A. "I feel to be in his best health care decision" B. "I will intervene if there is conflict between a client and his provider" C. "I should not advocate for a client unless he is able to ask me himself" D. "I will inform a client that his family should help make his health care decisions." - "I will intervene if there is conflict between a client and his provider" 51. A nurse is preparing to reposition a client who had a stroke. Which of the following actions should the nurse take? A. Raise the side rails on both sides of the client's bed during repositioning. B. Reposition the client without assistive devices. C. Discuss the client's preferences for determining a reposition schedule. D. Evaluate the client's ability to help with repositioning. - Evaluate the client's ability to help with repositioning. 52. A nurse is assisting with the development of an informed document for participation in a research study. Which of the following information should the nurse include? A. A statement that participants can leave the study at will. B. An assignment of the participant to either the experimental or control group. C. A list of the clients participating in the study. C. A description of the framework the researchers will use to evaluate the data. - A statement that participants can leave the study at will. 53. A nurse is caring for a client who has a new temporary synchronous pacemaker. Which of the following should the nurse report to the provider? A. The client's pulse oximetry level is 96%. B. The client develops hiccups. C. The ECG shows pacing spikes after the QRS complex. - The client develops hiccups 54. A nurse is caring for a client who has diabetes mellitus and is receiving longacting insulin for blood glucose management. The nurse should anticipate administering which of the following types of insulin? A. Glargine insulin. B. Regular insulin. C. NPH insulin. D. Insulin aspart. - Glargine insulin. 55. A nurse is caring for a toddler who has acute lymphocytic leukemia. In which of the following should the toddler participate? A. Looking at alphabet flashcards. B. Playing with a large plastic truck. C. Use scissors cut out paper shapes. D. Watching a cartoon in the dayroom. - Playing with a large plastic truck. 56. A nurse in an emergency department is caring for a client who received a dose of penicillin and is now anxious, flushing, tachycardic and has difficulty swallowing. Which of the following actions is the nurse's priority? A. Monitor the client's ECG B. Take the client's vital signs. C. Administer oxygen D. Insert an IV line. - Administer oxygen 57. A nurse is caring for a client who has Raynaud's disease. Which of the following actions should the nurse take? A. Provide information about stress management. B. Maintain a cool temperature in the client's room. C. Administer epinephrine for acute episodes. D. Give glucocorticoid steroid twice per day. - Provide information about stress management. 58. A nurse is reviewing the medical history of a client who has angina. Which of the following findings in the client's medical history should identify as a risk factor for angina? A. Hyperlipidemia. B. COPD C. Seizure disorder D. Hyponatremia. - Hyperlipidemia. 59. A nurse is caring for a client who is 12 hr. postpartum and has a third-degree perineal laceration. The client reports not having a bowel movement for 4 days. Which of the following medications should the nurse administer? A. Bisacodyl 10 mg rectal suppository. B. Magnesium hydroxide 30 ml PO. C. Famotidine 20 mg PO. D. Loperamide 4 mg PO. - Magnesium hydroxide 30 ml PO.