2023 ATI PN COMPREHENSIVE PREDICTOR
k k k k
REAL EXAMk k
GRADED A k
1. Aknursekiskcaringkforkakclientkwhokhaskakrecentkdiagnosiskofkakterminalkillness.kTheknurseksh
ouldkidentifykwhichkofkthekfollowingkaskankindicationkofkhopelessness?
a. Thekclientkwantsktoktalkkaboutkthekdiagnosiskwithknursingkstaff
b. Thekclientkhaskakdecreasedkenergyklevelk
c.k Thek clientk makesk funeralk arrangementskd.
k Thekclientkrequestskaksecondkopinion
2. Aknursekiskpreparingktokcollectkdatakonkakpreschooler.kWhichkofkthekfollowingkbehaviorskbykthekch
ildkindicateskthatkhekiskreadyktokcooperate?k(Selectkallkthatkapply)
a. Allowsktheknursektoktouchkhimkonkthekarm
b. Playskwithktoyskinkthekexaminingkroomkc.k
Answerskquestionskaskedkbyktheknursek
d.kMakeskeyekcontactkwithktheknurse
e.kSitskonkhiskparent’sklapkwhenktheknursekenterskthekroom
3. Aknursekonkakmentalkhealthkunitkiskplanningkcarekforkakgroupkofkclients.k Whichkofkthekfol
lowingkclientskshouldktheknursekseekfirst?
a. Akclientkwhokhaskbipolarkdisorderkandkiskdisplayingkflightskofkideas
b. AkclientkwhokhaskADHDkandkhaskankinabilityktokconcentrate
c. Akclientkwhokhaskschizophreniakandkiskhavingkcommandkhallucinations
d. Akclientkwhokhaskdepressivekdisorderkandkiskwithdrawn
4. Aknursekiskcaringkforkakclientkwhokrecentlykgavekbirthktokherkfirstkchild.kTheknewbornkiskcryingkan
dkthekclientkstates,k“kIkcan’tkseemktokdokanythingkright.kWhatkshouldkIkdo?”kWhichkofkthekfollo
wingkresponseskshouldktheknursekmake?
a. “I’llktakekhimkbackktoktheknursery,ksokyoukcankgetksomekrest.”
b. “Babieskneedktokcryksoonkafterktheykarekbornktokdevelopktheirklungs.”
c. “Letkmekshowkyoukhowktokswaddlekandkcuddlekhim,kthenkyouktry.”
d. “IfkIkturnkhimkonkhiskside,kmaybekhe’llkgokbackktoksleep.”
5. Aknursekiskusingkakglucometerktokmeasurekakclient’skcapillarykbloodkglucoseklevel,kWhichkof
thekfollowingkactionskshouldktheknursektake?
a. Testkthekfirstkdropkofkbloodkthatkformskafterkthekpuncture
b. Wearksterilekgloves
c. Keepkthekfingerkinkakdependentkposition
d. Selectkthekcentralktipkofkthekfinger
6. Aknursekiskreviewingkthekhomekmedicationskofkakclientkwhokrecentlykhadk transientkischemic
,attacksk andk isk tok begink takingk clopidogrel.k Thek nursek shouldk instructk thek clientk thatk whichk ofk thekfollowi
ngkover-the-counterkmedicationskinteractskadverselykwithkclopidogrel?
a. Docusateksodium
, b. Ranitidine
c. VitaminkD3
d. Naproxen
7. Aknursekiskcollectingkdatakfromkakclientkwhokhaskaklongklegkcastkthatkwaskappliedk2kdayskago.kTh
ekclient’skfootkiskpalekwithkakweakkpedalkpulse,kandkthekclientkreportskfootknumbness.kWhichkofkthekf
ollowingkactionskshouldktheknursekplanktoktakekfirst?
a. Administerkopioidkpainkmedication
b. Applykankicekpackktokthekaffectedkextremity
c. Checkkforkpainkwithkpassivekmovementkofkthekaffectedkextremity
d. Elevatekthekaffectedkextremitykwithkseveralkpillows
8. Aknursekinkakprovider’skofficekiskreinforcingkteachingkaboutkcigaretteksmokingkwithkakclient.kW
hichkofkthekfollowingkadversekeffectskshouldktheknursekincludekinkthekteaching?
a. Decreasedk hemoglobin
b. Somnolence
c.k Bradycardia
d.k Decreasedkbloodkpressure
9. Aknursekiskcontributingktokthekdevelopmentkofkankin-
servicekprogramkforkmentalkhealthknursingkstaff.k Theknursekshouldkincludekthatkthekst
affk cank medicatek ak clientk againstk hisk will,k withoutk ak courtk hearing,k ink whichk ofk thek followingksituations?
a. Akclientkwhokhaskakseriouskmentalkillness
b. Akclientkwhokiskhavingkdifficultykmakingkdecisionskaboutkhisktreatment
c. Akclientkforkwhomkthekbenefitskofkthekmedicationkoutweighkthekrisks
d. Akclientkwhokiskattemptingktokhurtkhimselfkorkothers
10. Aknursekiskreinforcingkteachingkwithkakclientkwhokhaskaknewkprescriptionkforkdigoxin.kWhichkofkth
ekfollowingkinstructionskshouldktheknursekincludekinkthekteaching?
a. “Monitorkforkmusclekweaknesskwhilektakingkthekmedication.”
b. “Rotatekinjectionksiteskwhenkadministeringkthekmedication.”
c. “Withholdkthekmedicationkifkyourkpulsekratekiskabovek100kbeatskperkminute.”
d. “Increasekyourkintakekofkdietarykfiberktokincreasekabsorption.”
11. Akchargeknursekiskdiscussingkconfidentialitykrequirementskwithkaknewlyklicensedknursekwhenksha
ringk ak client’sk medicalk information.k Whichk ofk thek followingk individualsk shouldk thek chargek nursekiden
tifykaskappropriatekwithkwhomktoksharekclientkinformation?
a. Aknursekfromkanotherkunitkafterkakclientkcommitsksuicide
b. Aksocialkworkerkwhokiskassignedktokankinvoluntarykcommittedkschool-agekclient
c. Akclient’skpartnerkafterkthekclientkreportskintimatekpartnerkabuse
d. Akclient’skemployerkwhokiskconcernedkaboutksafetykduektoksubstancekuse
, 12. Aknursekiskreviewingklaboratorykvalueskforkakclientkwhokiskatk34k weekskofkgestation.kWhichkofkth
ekfollowingkfindingskshouldktheknursekreportktokthekprovider?
a. Hgbk13.2kg/dL
b. Urine protein 3
pluskc.k Fastingkbloodkglucosek7
2k mg/dLkd.k BUNk15kmg/dL
13. Aknursekiskcollectingkdatakfromkakclientkwhokisk4khrkpostoperativekfollowingkakhemicol
ectomy.k Whichk ofk thek followingk findingsk isk thek nurse’sk priority,k requiringk immediatekinterven
tion?
a. Painkratingkofk9konkakscalekfromk0ktok10
b. Bloodkpressurek160/90kmmkHg
c. Oxygenksaturationk89%
d. Abdominalkdressingkwithkakmoderatekamountkofkbrightkredkdrainage
14. Aknursekinkakprovider’skofficekiskcollectingkdatakfromkakclientkwhokhaskakhistorykof
hypertensionkduringkhiskannualkphysicalkexamination.kWhichkofkthekfollowingkfindingskshouldktheknurse
kreportktokthekproviderkimmediately?
a.k Ak2kkgk(4.4klb)kweightkgaink
b. Blurred
visionkc.k Potassiumk
3.6kmEq/L
d.kResumptionkofkcigarettek smoking
15. Aknursekiskcaringkforkakclientkwhoksuddenlykdevelopskchestkpainkandkdyspnea.kWhichkofkthekfol
lowingkactionskshouldktheknursektakekfirst?
a. Placekthekclientkonkbedkrest
b. ObtainkthekclientskABGklevels
c. Preparekthekclientkforkakventilation-perfusionkscan
d. Elevatekthekheadkofkthekclient’skbed
16. Aknursekiskreinforcingkteachingkonkakclientkwhokhaskdiabeteskmellitus.kWhichkofkthekfol
lowingk laboratoryk testsk isk thek mostk accuratek ofk bloodk glucosek effectivek management?
a. Urinekketones
b. Glucosektolerancektest
d.k Fasting
c. kbloodk glucose
Glycosylated khemoglobin
17. Akchargeknursekonkakmentalkhealthkunitkisksupervisingkaknewlyklicensedknurse.kFork whichkofkth
ekfollowingkactionskbyktheknewlyklicensedknursekshouldktheksupervisingknursekintervene?
a. Requestskakclientktokassistkwithkdistributingklunchktrays
b. Tellskakclientkhekwillklosekhiskphonekprivilegeskifkhekdoesknotktakekhiskmedication
c. Encourageskakclientktokparticipatekinkakrecreationalktherapykgroup
d. Placeskmechanicalkrestraintskonkakclientkwhokiskhittingkanotherkstaffkmember
k k k k
REAL EXAMk k
GRADED A k
1. Aknursekiskcaringkforkakclientkwhokhaskakrecentkdiagnosiskofkakterminalkillness.kTheknurseksh
ouldkidentifykwhichkofkthekfollowingkaskankindicationkofkhopelessness?
a. Thekclientkwantsktoktalkkaboutkthekdiagnosiskwithknursingkstaff
b. Thekclientkhaskakdecreasedkenergyklevelk
c.k Thek clientk makesk funeralk arrangementskd.
k Thekclientkrequestskaksecondkopinion
2. Aknursekiskpreparingktokcollectkdatakonkakpreschooler.kWhichkofkthekfollowingkbehaviorskbykthekch
ildkindicateskthatkhekiskreadyktokcooperate?k(Selectkallkthatkapply)
a. Allowsktheknursektoktouchkhimkonkthekarm
b. Playskwithktoyskinkthekexaminingkroomkc.k
Answerskquestionskaskedkbyktheknursek
d.kMakeskeyekcontactkwithktheknurse
e.kSitskonkhiskparent’sklapkwhenktheknursekenterskthekroom
3. Aknursekonkakmentalkhealthkunitkiskplanningkcarekforkakgroupkofkclients.k Whichkofkthekfol
lowingkclientskshouldktheknursekseekfirst?
a. Akclientkwhokhaskbipolarkdisorderkandkiskdisplayingkflightskofkideas
b. AkclientkwhokhaskADHDkandkhaskankinabilityktokconcentrate
c. Akclientkwhokhaskschizophreniakandkiskhavingkcommandkhallucinations
d. Akclientkwhokhaskdepressivekdisorderkandkiskwithdrawn
4. Aknursekiskcaringkforkakclientkwhokrecentlykgavekbirthktokherkfirstkchild.kTheknewbornkiskcryingkan
dkthekclientkstates,k“kIkcan’tkseemktokdokanythingkright.kWhatkshouldkIkdo?”kWhichkofkthekfollo
wingkresponseskshouldktheknursekmake?
a. “I’llktakekhimkbackktoktheknursery,ksokyoukcankgetksomekrest.”
b. “Babieskneedktokcryksoonkafterktheykarekbornktokdevelopktheirklungs.”
c. “Letkmekshowkyoukhowktokswaddlekandkcuddlekhim,kthenkyouktry.”
d. “IfkIkturnkhimkonkhiskside,kmaybekhe’llkgokbackktoksleep.”
5. Aknursekiskusingkakglucometerktokmeasurekakclient’skcapillarykbloodkglucoseklevel,kWhichkof
thekfollowingkactionskshouldktheknursektake?
a. Testkthekfirstkdropkofkbloodkthatkformskafterkthekpuncture
b. Wearksterilekgloves
c. Keepkthekfingerkinkakdependentkposition
d. Selectkthekcentralktipkofkthekfinger
6. Aknursekiskreviewingkthekhomekmedicationskofkakclientkwhokrecentlykhadk transientkischemic
,attacksk andk isk tok begink takingk clopidogrel.k Thek nursek shouldk instructk thek clientk thatk whichk ofk thekfollowi
ngkover-the-counterkmedicationskinteractskadverselykwithkclopidogrel?
a. Docusateksodium
, b. Ranitidine
c. VitaminkD3
d. Naproxen
7. Aknursekiskcollectingkdatakfromkakclientkwhokhaskaklongklegkcastkthatkwaskappliedk2kdayskago.kTh
ekclient’skfootkiskpalekwithkakweakkpedalkpulse,kandkthekclientkreportskfootknumbness.kWhichkofkthekf
ollowingkactionskshouldktheknursekplanktoktakekfirst?
a. Administerkopioidkpainkmedication
b. Applykankicekpackktokthekaffectedkextremity
c. Checkkforkpainkwithkpassivekmovementkofkthekaffectedkextremity
d. Elevatekthekaffectedkextremitykwithkseveralkpillows
8. Aknursekinkakprovider’skofficekiskreinforcingkteachingkaboutkcigaretteksmokingkwithkakclient.kW
hichkofkthekfollowingkadversekeffectskshouldktheknursekincludekinkthekteaching?
a. Decreasedk hemoglobin
b. Somnolence
c.k Bradycardia
d.k Decreasedkbloodkpressure
9. Aknursekiskcontributingktokthekdevelopmentkofkankin-
servicekprogramkforkmentalkhealthknursingkstaff.k Theknursekshouldkincludekthatkthekst
affk cank medicatek ak clientk againstk hisk will,k withoutk ak courtk hearing,k ink whichk ofk thek followingksituations?
a. Akclientkwhokhaskakseriouskmentalkillness
b. Akclientkwhokiskhavingkdifficultykmakingkdecisionskaboutkhisktreatment
c. Akclientkforkwhomkthekbenefitskofkthekmedicationkoutweighkthekrisks
d. Akclientkwhokiskattemptingktokhurtkhimselfkorkothers
10. Aknursekiskreinforcingkteachingkwithkakclientkwhokhaskaknewkprescriptionkforkdigoxin.kWhichkofkth
ekfollowingkinstructionskshouldktheknursekincludekinkthekteaching?
a. “Monitorkforkmusclekweaknesskwhilektakingkthekmedication.”
b. “Rotatekinjectionksiteskwhenkadministeringkthekmedication.”
c. “Withholdkthekmedicationkifkyourkpulsekratekiskabovek100kbeatskperkminute.”
d. “Increasekyourkintakekofkdietarykfiberktokincreasekabsorption.”
11. Akchargeknursekiskdiscussingkconfidentialitykrequirementskwithkaknewlyklicensedknursekwhenksha
ringk ak client’sk medicalk information.k Whichk ofk thek followingk individualsk shouldk thek chargek nursekiden
tifykaskappropriatekwithkwhomktoksharekclientkinformation?
a. Aknursekfromkanotherkunitkafterkakclientkcommitsksuicide
b. Aksocialkworkerkwhokiskassignedktokankinvoluntarykcommittedkschool-agekclient
c. Akclient’skpartnerkafterkthekclientkreportskintimatekpartnerkabuse
d. Akclient’skemployerkwhokiskconcernedkaboutksafetykduektoksubstancekuse
, 12. Aknursekiskreviewingklaboratorykvalueskforkakclientkwhokiskatk34k weekskofkgestation.kWhichkofkth
ekfollowingkfindingskshouldktheknursekreportktokthekprovider?
a. Hgbk13.2kg/dL
b. Urine protein 3
pluskc.k Fastingkbloodkglucosek7
2k mg/dLkd.k BUNk15kmg/dL
13. Aknursekiskcollectingkdatakfromkakclientkwhokisk4khrkpostoperativekfollowingkakhemicol
ectomy.k Whichk ofk thek followingk findingsk isk thek nurse’sk priority,k requiringk immediatekinterven
tion?
a. Painkratingkofk9konkakscalekfromk0ktok10
b. Bloodkpressurek160/90kmmkHg
c. Oxygenksaturationk89%
d. Abdominalkdressingkwithkakmoderatekamountkofkbrightkredkdrainage
14. Aknursekinkakprovider’skofficekiskcollectingkdatakfromkakclientkwhokhaskakhistorykof
hypertensionkduringkhiskannualkphysicalkexamination.kWhichkofkthekfollowingkfindingskshouldktheknurse
kreportktokthekproviderkimmediately?
a.k Ak2kkgk(4.4klb)kweightkgaink
b. Blurred
visionkc.k Potassiumk
3.6kmEq/L
d.kResumptionkofkcigarettek smoking
15. Aknursekiskcaringkforkakclientkwhoksuddenlykdevelopskchestkpainkandkdyspnea.kWhichkofkthekfol
lowingkactionskshouldktheknursektakekfirst?
a. Placekthekclientkonkbedkrest
b. ObtainkthekclientskABGklevels
c. Preparekthekclientkforkakventilation-perfusionkscan
d. Elevatekthekheadkofkthekclient’skbed
16. Aknursekiskreinforcingkteachingkonkakclientkwhokhaskdiabeteskmellitus.kWhichkofkthekfol
lowingk laboratoryk testsk isk thek mostk accuratek ofk bloodk glucosek effectivek management?
a. Urinekketones
b. Glucosektolerancektest
d.k Fasting
c. kbloodk glucose
Glycosylated khemoglobin
17. Akchargeknursekonkakmentalkhealthkunitkisksupervisingkaknewlyklicensedknurse.kFork whichkofkth
ekfollowingkactionskbyktheknewlyklicensedknursekshouldktheksupervisingknursekintervene?
a. Requestskakclientktokassistkwithkdistributingklunchktrays
b. Tellskakclientkhekwillklosekhiskphonekprivilegeskifkhekdoesknotktakekhiskmedication
c. Encourageskakclientktokparticipatekinkakrecreationalktherapykgroup
d. Placeskmechanicalkrestraintskonkakclientkwhokiskhittingkanotherkstaffkmember
