lOMoARcPSD|26582732
ATI PREDICTOR COMPREHENSIVE ASSESSMENT 2019
A[RETAKE]
1. a nurse is teaching a client who has a new prescription for metformin extended-release
tablets.
which of the following statements by the client indicates an understanding of the teaching?
- i will avoid crushing this medication
2. a nurse is assessing a client who is receiving enteral feeding via an ng tube. the client
has developed hyperosmolar dehydration. which of the following actions should the
nurse take when administering the client’s findings?
- switch to a lactose-free formula
3. a nurse is providing discharge teaching to a client who has a new ostomy. which of the
following instructions should the nurse include? - empty your ostomy pouch
when it is half full
4. a nurse is teaching the parents of a school-age child who has sickle cell anemia about
managing the disease at home which of the following instructions should the nurse
include? - apply cold compresses to painful areas
5. a nurse is teaching about safe handling of formula to a client who is postpartum and
chooses to bottle feed her newborn. which of the following statements by the client
indicates an understanding of the teaching?
- i should boil tap water for 2 minutes and check it before i mix it with powdered formula
6. a nurse is assessing a child who is post-operative following a tonsillectomy. which of the
following findings should the nurse identify as the priority?
- frequent swallowing
7. a nurse is teaching a client who is pregnant about non-stress testing. which of the
following statements by the client indicates an understanding of the teaching?
- during this test, i will punch a button if the baby moves
8. a nurse is monitoring a client who is receiving a transfusion of packed rbc's. the client
reports chills, headaches, low back pain, and a feeling of tightness in his chest. the nurse
should identify that the client has developed which of the following types of transfusion
reactions?
- acute hemolytic
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9. a nurse is caring for a client who is in the latent phase of labor and reports severe back
pain. the vaginal examination reveals that the cervix is dilated two centimeters, 25%
effaced and -2 station. which of the following interventions should the nurse
implement?
- request the provider prescribe a pudendal nerve block
10. a nurse is teaching about how to suppress lactation with a client who is postpartum and
bottle feeding her newborn. which of the following instructions should the nurse
include in the teaching?
- you should wear a snug fitting bra continuously for 72 hours
11. a nurse is preparing to administer medication to a client. what are the following
identifiers should the nurse use to identify the client?
- room number
12. a nurse is caring for a client who is taking antihypertensive medication and is moving
from a supine to a seated position. which of the following findings should indicate to the
nurse that the client is experiencing orthostatic hypotension?
- the clients systolic blood pressure decreased by 25 mmhg
13. while a nurse is caring for a client who is receiving mechanical ventilation via an
endotracheal tube, the high-pressure alarm of the ventilator sounds. which of the
following actions should the nurse take?
- look for a leak in the tubes cuff
14. a nurse is preparing to insert an indwelling urinary catheter for a client. which of the
following actions should the nurse take first?
- position the sterile drape leaving the perineum exposed
15. a nurse is planning to administer packed rbc's to an older adult client who has a low
hemoglobin level. which of the following actions should the nurse plan to take? -
monitor vital signs every hour throughout the transfusion
16. a new nurse in an acute mental health facility is teaching a client about potential
adverse effects of transcranial magnetic stimulation. the nurse tells the client that he
might not feel lightheaded but that it should not affect his memory. the nurse is
demonstrating which of the following ethical principles?
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, lOMoARcPSD|26582732
- beneficence
17. a nurse is teaching a class about providing care within the legal scope of practice to a
group of nurses. the nurse should include that which of the following procedures is
outside the legal scope of practice for an rn?
- irrigation of the external ear canal
18. a nurse in an acute care facility is caring for a client who has anorexia nervosa. during
the first week of care, which of the following actions should the nurse take?
- observe the client for 1 hour after meals
19. a nurse is planning care for a client who has sciatica and a prescription for a
transcutaneous electrical nerve stimulation (tens) unit. which of the following referral
should the nurse anticipate for the client?
- physical therapist
20. a nurse is teaching a client who has generalized anxiety disorder about ways to help
manage stress. which of the following instructions should the nurse give the client
about using progressive relaxation?
- tighten the muscle group, then release the tension and move on to the next one.
21. a nurse is assessing a client who is at 37 weeks of gestation and reports sudden, severe
abdominal pain with moderate vaginal bleeding and persistent uterine contraction. the
client's blood pressure is 88 over 50 mmhg and her abdomen is rigid. the nurse should
identify these findings as indicating which of the following complications?
- placenta abruption
22. a home health nurse is planning care for an older adult client who has a vision loss and
takes medication throughout the day. which of the following actions should the nurse
include in the plan?
- use container lids of different shapes to indicate times of administration
23. a nurse is planning care for a client who has a history of urinary tract infections utis and
requires placement of an indwelling catheter. which of the following actions should the
nurse take to help minimize the client's risk of acquiring a uti?
- secure the catheter to the clients thigh
24. a nurse at an acute care facility is teaching a client about fall risk prevention strategies
for use during their stay at the facility. which of the following statements by the client
indicates an understanding of the teaching?
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
- i will wear a yellow wristband, so everyone knows i am at risk for falling
25. for a client who is taking disulfiram for alcohol-use disorder and reports ingestion of
alcohol. for which of the following adverse effects should the nurse monitor?
- headache
26. a nurse at the health department is providing anticipatory guidance to a parent of a one
month or a year-old infant. the nurse should inform the parent that the infant should
receive which of the following immunizations at the age of two months?
- rotavirus
27. a nurse is assisting in the selection of foods for a client who has dysphagia caused by a
stroke. which of the following foods should the nurse recommend?
- scrambled eggs
28. a community health nurse is providing education to a group of older adults about
immunizations. which of the following immunizations should the nurse recommend?
- tdap
29. a nurse is caring for a client who is postoperative following a mitral balloon
valvuloplasty. which of the following areas should the nurse auscultate to assess for
mitral areas of the heart? (you will find hot spots to select in the artwork below. select
only the hot spot that corresponds to
your answer.)
30. a nurse is planning care for a client who is experiencing benzodiazepine toxicity. the
nurse should plan to administer which of the following medications?
Downloaded by NELSON KIIRU ()
ATI PREDICTOR COMPREHENSIVE ASSESSMENT 2019
A[RETAKE]
1. a nurse is teaching a client who has a new prescription for metformin extended-release
tablets.
which of the following statements by the client indicates an understanding of the teaching?
- i will avoid crushing this medication
2. a nurse is assessing a client who is receiving enteral feeding via an ng tube. the client
has developed hyperosmolar dehydration. which of the following actions should the
nurse take when administering the client’s findings?
- switch to a lactose-free formula
3. a nurse is providing discharge teaching to a client who has a new ostomy. which of the
following instructions should the nurse include? - empty your ostomy pouch
when it is half full
4. a nurse is teaching the parents of a school-age child who has sickle cell anemia about
managing the disease at home which of the following instructions should the nurse
include? - apply cold compresses to painful areas
5. a nurse is teaching about safe handling of formula to a client who is postpartum and
chooses to bottle feed her newborn. which of the following statements by the client
indicates an understanding of the teaching?
- i should boil tap water for 2 minutes and check it before i mix it with powdered formula
6. a nurse is assessing a child who is post-operative following a tonsillectomy. which of the
following findings should the nurse identify as the priority?
- frequent swallowing
7. a nurse is teaching a client who is pregnant about non-stress testing. which of the
following statements by the client indicates an understanding of the teaching?
- during this test, i will punch a button if the baby moves
8. a nurse is monitoring a client who is receiving a transfusion of packed rbc's. the client
reports chills, headaches, low back pain, and a feeling of tightness in his chest. the nurse
should identify that the client has developed which of the following types of transfusion
reactions?
- acute hemolytic
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
9. a nurse is caring for a client who is in the latent phase of labor and reports severe back
pain. the vaginal examination reveals that the cervix is dilated two centimeters, 25%
effaced and -2 station. which of the following interventions should the nurse
implement?
- request the provider prescribe a pudendal nerve block
10. a nurse is teaching about how to suppress lactation with a client who is postpartum and
bottle feeding her newborn. which of the following instructions should the nurse
include in the teaching?
- you should wear a snug fitting bra continuously for 72 hours
11. a nurse is preparing to administer medication to a client. what are the following
identifiers should the nurse use to identify the client?
- room number
12. a nurse is caring for a client who is taking antihypertensive medication and is moving
from a supine to a seated position. which of the following findings should indicate to the
nurse that the client is experiencing orthostatic hypotension?
- the clients systolic blood pressure decreased by 25 mmhg
13. while a nurse is caring for a client who is receiving mechanical ventilation via an
endotracheal tube, the high-pressure alarm of the ventilator sounds. which of the
following actions should the nurse take?
- look for a leak in the tubes cuff
14. a nurse is preparing to insert an indwelling urinary catheter for a client. which of the
following actions should the nurse take first?
- position the sterile drape leaving the perineum exposed
15. a nurse is planning to administer packed rbc's to an older adult client who has a low
hemoglobin level. which of the following actions should the nurse plan to take? -
monitor vital signs every hour throughout the transfusion
16. a new nurse in an acute mental health facility is teaching a client about potential
adverse effects of transcranial magnetic stimulation. the nurse tells the client that he
might not feel lightheaded but that it should not affect his memory. the nurse is
demonstrating which of the following ethical principles?
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
- beneficence
17. a nurse is teaching a class about providing care within the legal scope of practice to a
group of nurses. the nurse should include that which of the following procedures is
outside the legal scope of practice for an rn?
- irrigation of the external ear canal
18. a nurse in an acute care facility is caring for a client who has anorexia nervosa. during
the first week of care, which of the following actions should the nurse take?
- observe the client for 1 hour after meals
19. a nurse is planning care for a client who has sciatica and a prescription for a
transcutaneous electrical nerve stimulation (tens) unit. which of the following referral
should the nurse anticipate for the client?
- physical therapist
20. a nurse is teaching a client who has generalized anxiety disorder about ways to help
manage stress. which of the following instructions should the nurse give the client
about using progressive relaxation?
- tighten the muscle group, then release the tension and move on to the next one.
21. a nurse is assessing a client who is at 37 weeks of gestation and reports sudden, severe
abdominal pain with moderate vaginal bleeding and persistent uterine contraction. the
client's blood pressure is 88 over 50 mmhg and her abdomen is rigid. the nurse should
identify these findings as indicating which of the following complications?
- placenta abruption
22. a home health nurse is planning care for an older adult client who has a vision loss and
takes medication throughout the day. which of the following actions should the nurse
include in the plan?
- use container lids of different shapes to indicate times of administration
23. a nurse is planning care for a client who has a history of urinary tract infections utis and
requires placement of an indwelling catheter. which of the following actions should the
nurse take to help minimize the client's risk of acquiring a uti?
- secure the catheter to the clients thigh
24. a nurse at an acute care facility is teaching a client about fall risk prevention strategies
for use during their stay at the facility. which of the following statements by the client
indicates an understanding of the teaching?
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
- i will wear a yellow wristband, so everyone knows i am at risk for falling
25. for a client who is taking disulfiram for alcohol-use disorder and reports ingestion of
alcohol. for which of the following adverse effects should the nurse monitor?
- headache
26. a nurse at the health department is providing anticipatory guidance to a parent of a one
month or a year-old infant. the nurse should inform the parent that the infant should
receive which of the following immunizations at the age of two months?
- rotavirus
27. a nurse is assisting in the selection of foods for a client who has dysphagia caused by a
stroke. which of the following foods should the nurse recommend?
- scrambled eggs
28. a community health nurse is providing education to a group of older adults about
immunizations. which of the following immunizations should the nurse recommend?
- tdap
29. a nurse is caring for a client who is postoperative following a mitral balloon
valvuloplasty. which of the following areas should the nurse auscultate to assess for
mitral areas of the heart? (you will find hot spots to select in the artwork below. select
only the hot spot that corresponds to
your answer.)
30. a nurse is planning care for a client who is experiencing benzodiazepine toxicity. the
nurse should plan to administer which of the following medications?
Downloaded by NELSON KIIRU ()
