lOMoAR cPSD| 27712550
lOMoAR cPSD| 27712550
ATI RN Proctored Comprehensive
Predictor FORM A NUR 441 ACTUAL
EXAM ALL QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
A nurse is caring for a client who is at 33 weeks of gestation following an amniocentesis.
The nurse should monitor the client for which of the followingcomplications?
a. Vomiting
b. Hypertension
c. Epigastric pain
d. Contractions
2. A nurse is providing teaching to an older adult client about methods to promotenighttime
sleep. Which of the following instructions should the nurse include?
a. Stay in bed at least 1 hr if unable to fall asleep
b. Take a 1 hr nap during the day
c. Perform exercises prior to bedtime
d. Eat a light snack before bedtime
3. A nurse on a telemetry unit is caring for a client who becomes unconscious and whose
monitor displays ventricular tachycardia. Which of the following actions should the nurse
take first after determining the client does not have a palpablepulse?
a. Assess heart sounds
b. Defibrillate
c. Establish IV access
d. Administer epinephrine
4. A nurse is admitting a client who 1 week postpartum and reports excessive vaginalbleeding. The
nurse does not speak the same language as the client. The client’s partner and 10-year-old child
are accompanying her. Which of the following actionsshould the nurse take to gather the client’s
admission data?
a. Have the client’s child translate
b. Allow the client’s partner to translate
c. Request a female interpreter through the facility
d. Ask a nursing student who speaks the same language as the client to translate
, lOMoAR cPSD| 27712550
5. A nurse is caring for a client who is febrile (High fever). To reduce the client’s fever,the nurse
applies a cooling blanket. Which of the following findings indicates the client is having an
adverse reaction to the cooling?
a. Flushing
b. Tachycardia
c. Restlessness
d. Shivering (Hypothermic)
, lOMoAR cPSD| 27712550
6. A nurse is caring for a client who has deep-vein-thrombosis of the left lowerextremity.
Which of the following actions should the nurse take? (Exhibit)
a. Position the client with the affected extremity lower than the heart
b. Withhold heparin IV infusion PTT- 30-40 seconds; x2 if on heparin
c. Administer acetaminophen
d. Massage the affected extremity every 4 hr
7. A nurse is reviewing assessment data from several clients. For which of thefollowing
clients should the nurse recommend referral to a dietitian?
a. An older adult client who has a BMI of 24 (18.5-24.9)
b. A client who has a nonhealing leg ulcer (diet isn’t good)
c. An older adult client who has presbyopia (age related far-sightness)
d. A client who has an albumin level of 3.7 g/dL (normal 3.4-5.4)
8. A nurse is providing discharge teaching to a client who has a chronic kidney disease and is
receiving hemodialysis. Which of the following instructions should the nurse include in the
teaching?
a. Eat 1 g/kg of protein per day
b. Take magnesium hydroxide for indigestion
c. Drink at least 3 L of fluid daily-
d. Consume foods high in potassium- restrict
9. A nurse is caring for a client who is receiving intermittent enteral tube feedings.Which of
the following places the client at risk for aspiration?
a. Sitting in a high-Fowler’s position during the feeding
b. A history of gastroesophageal reflux disease
c. Receiving a high osmolarity formula
d. A residual of 65 mL 1 hr postprandial?
10. ?A nurse is providing prenatal teaching to a client who is at 12 weeks of gestation.The nurse
should tell the client that she will undergo which of the following screening tests at 16 weeks
of gestation?
a. Chorionic villus sampling- as early as 8 weeks
b. Cervical cultures for chlamydia- 1st appointment.
c. Nonstress test -28 weeks
d. Maternal serum alpha-fetoprotein- 16 to 18 weeks
, lOMoAR cPSD| 27712550
11. A nurse is caring for a client who is on bed rest. The nurse should recognize thatwhich of the
following findings is a complication of immobility?
a. Decreased serum calcium levels- increased serum calcium
b. Increased blood pressure- hypotension
c. Swollen area on calf
d. Urinary frequency-
12. A nurse in acute care mental health facility is participating in a medication- education group. The
leader of the group uses a laissez-faire leadership style. Whichof the following actions should the
nurse expect from the leader during the session?
a. The leader encourages group members to remain silent until questions arecalled for
b. The leader lecture about medication adverse effects to the group members
c. The leader allows the group to discuss whatever they would like to regardingtheir
medications
d. The leader has group members vote on what they would like to learn aboutduring the
session
13. A nurse is providing teaching about digoxin administration to the parents of a toddler who has
heart failure. Which of the following statements should the nurseinclude in the teaching?
a. “You can add the medication to a half-cup of your child’s favorite juice.”
b. “Repeat the dose if your child vomits within 1 hour after taking medication.”X
c. “Limit your child’s potassium intake while she is taking this medication.”
d. “Have your child drink a small glass of water after swallowing the
medication.”
14. A nurse is providing teaching to a client who has a depressive disorder and a new prescription
for phenelzine. Which of the following foods should the nurse instructthe client to avoid?
a. Grapefruit
b. Spinach
c. Cottage cheese- cream cheese ok.
d. Smoked salmon
TYRAMINE!
15. A nurse is planning care for a client who has COPD and weighs 99 lb. The provider has
prescribed a diet of a 1.5 g protein/kg/day. How many grams of protein per dayshould the nurse
include in the client’s dietary plan? (Round to the nearest whole number)
a. 68
16. A nurse is planning care for a client who has bipolar disorder and is experiencingmania.
Which of the following interventions should the nurse include in the plan?
a. Encourage the client to spend time in the day room
lOMoAR cPSD| 27712550
ATI RN Proctored Comprehensive
Predictor FORM A NUR 441 ACTUAL
EXAM ALL QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
A nurse is caring for a client who is at 33 weeks of gestation following an amniocentesis.
The nurse should monitor the client for which of the followingcomplications?
a. Vomiting
b. Hypertension
c. Epigastric pain
d. Contractions
2. A nurse is providing teaching to an older adult client about methods to promotenighttime
sleep. Which of the following instructions should the nurse include?
a. Stay in bed at least 1 hr if unable to fall asleep
b. Take a 1 hr nap during the day
c. Perform exercises prior to bedtime
d. Eat a light snack before bedtime
3. A nurse on a telemetry unit is caring for a client who becomes unconscious and whose
monitor displays ventricular tachycardia. Which of the following actions should the nurse
take first after determining the client does not have a palpablepulse?
a. Assess heart sounds
b. Defibrillate
c. Establish IV access
d. Administer epinephrine
4. A nurse is admitting a client who 1 week postpartum and reports excessive vaginalbleeding. The
nurse does not speak the same language as the client. The client’s partner and 10-year-old child
are accompanying her. Which of the following actionsshould the nurse take to gather the client’s
admission data?
a. Have the client’s child translate
b. Allow the client’s partner to translate
c. Request a female interpreter through the facility
d. Ask a nursing student who speaks the same language as the client to translate
, lOMoAR cPSD| 27712550
5. A nurse is caring for a client who is febrile (High fever). To reduce the client’s fever,the nurse
applies a cooling blanket. Which of the following findings indicates the client is having an
adverse reaction to the cooling?
a. Flushing
b. Tachycardia
c. Restlessness
d. Shivering (Hypothermic)
, lOMoAR cPSD| 27712550
6. A nurse is caring for a client who has deep-vein-thrombosis of the left lowerextremity.
Which of the following actions should the nurse take? (Exhibit)
a. Position the client with the affected extremity lower than the heart
b. Withhold heparin IV infusion PTT- 30-40 seconds; x2 if on heparin
c. Administer acetaminophen
d. Massage the affected extremity every 4 hr
7. A nurse is reviewing assessment data from several clients. For which of thefollowing
clients should the nurse recommend referral to a dietitian?
a. An older adult client who has a BMI of 24 (18.5-24.9)
b. A client who has a nonhealing leg ulcer (diet isn’t good)
c. An older adult client who has presbyopia (age related far-sightness)
d. A client who has an albumin level of 3.7 g/dL (normal 3.4-5.4)
8. A nurse is providing discharge teaching to a client who has a chronic kidney disease and is
receiving hemodialysis. Which of the following instructions should the nurse include in the
teaching?
a. Eat 1 g/kg of protein per day
b. Take magnesium hydroxide for indigestion
c. Drink at least 3 L of fluid daily-
d. Consume foods high in potassium- restrict
9. A nurse is caring for a client who is receiving intermittent enteral tube feedings.Which of
the following places the client at risk for aspiration?
a. Sitting in a high-Fowler’s position during the feeding
b. A history of gastroesophageal reflux disease
c. Receiving a high osmolarity formula
d. A residual of 65 mL 1 hr postprandial?
10. ?A nurse is providing prenatal teaching to a client who is at 12 weeks of gestation.The nurse
should tell the client that she will undergo which of the following screening tests at 16 weeks
of gestation?
a. Chorionic villus sampling- as early as 8 weeks
b. Cervical cultures for chlamydia- 1st appointment.
c. Nonstress test -28 weeks
d. Maternal serum alpha-fetoprotein- 16 to 18 weeks
, lOMoAR cPSD| 27712550
11. A nurse is caring for a client who is on bed rest. The nurse should recognize thatwhich of the
following findings is a complication of immobility?
a. Decreased serum calcium levels- increased serum calcium
b. Increased blood pressure- hypotension
c. Swollen area on calf
d. Urinary frequency-
12. A nurse in acute care mental health facility is participating in a medication- education group. The
leader of the group uses a laissez-faire leadership style. Whichof the following actions should the
nurse expect from the leader during the session?
a. The leader encourages group members to remain silent until questions arecalled for
b. The leader lecture about medication adverse effects to the group members
c. The leader allows the group to discuss whatever they would like to regardingtheir
medications
d. The leader has group members vote on what they would like to learn aboutduring the
session
13. A nurse is providing teaching about digoxin administration to the parents of a toddler who has
heart failure. Which of the following statements should the nurseinclude in the teaching?
a. “You can add the medication to a half-cup of your child’s favorite juice.”
b. “Repeat the dose if your child vomits within 1 hour after taking medication.”X
c. “Limit your child’s potassium intake while she is taking this medication.”
d. “Have your child drink a small glass of water after swallowing the
medication.”
14. A nurse is providing teaching to a client who has a depressive disorder and a new prescription
for phenelzine. Which of the following foods should the nurse instructthe client to avoid?
a. Grapefruit
b. Spinach
c. Cottage cheese- cream cheese ok.
d. Smoked salmon
TYRAMINE!
15. A nurse is planning care for a client who has COPD and weighs 99 lb. The provider has
prescribed a diet of a 1.5 g protein/kg/day. How many grams of protein per dayshould the nurse
include in the client’s dietary plan? (Round to the nearest whole number)
a. 68
16. A nurse is planning care for a client who has bipolar disorder and is experiencingmania.
Which of the following interventions should the nurse include in the plan?
a. Encourage the client to spend time in the day room
