ATI COMPREHENSIVE PREDICTOR RETAKE
EXAM Questions and Answers Latest
Versions GRADED A+
A 59-year-old woman with bipolar disorder is receiving
haloperidol (Haldol) 2 mg PO tid. She tells the nurse, "Milk is
coming out of my breasts." Which of the following responses
by the nurse is BEST?
1. "You are seeing things that aren't real."
2. "Why don't we go make some fudge."
3. "You are experiencing a side effect of Haldol."
4. "I'll contact your physician to change your medication." 3
The physician orders ranitidine hydrochloride (Zantac) 150 mg
PO qd for a client. The nurse should advise the client the BEST
time to take this medication is
1. before breakfast.
2. with dinner.
3. with food.
4. at hs.
4
. If a client develops cor pulmonale (right-sided heart failure),
the nurse would expect to observe
1. increasing respiratory difficulty seen with exertion.
2. cough productive of a large amount of thick, yellow
mucus.
3. peripheral edema and anorexia.
4. twitching of extremities. 3
The nurse is performing triage on a group of clients in the
emergency department. Which of the following clients should
the nurse see FIRST?
,1. A 12-year-old oozing blood from a laceration of the left
thumb due to cut on a rusty metal can.
2. A 19-year-old with a fever of 103.8°F (39.8°C) who is able
to identify her sister but not the place
and time.
3. A 49-year-old with a compound fracture of the right leg
who is complaining of severe pain.
4. A 65-year-old with a flushed face, dry mucous me 2
The nurse in the outpatient clinic teaches a client with a
sprained right ankle to walk with a cane. What behavior, if
demonstrated by the client, would indicate that teaching was
effective?
1. The client advances the cane 18 inches in front of her
foot with each step.
2. The client holds the cane in her left hand.
3. The client advances her right leg, then her left leg, and
then the cane.
4. The client holds the cane with her elbow flexed 60°. 2
A client returns to his room following a myelogram. The
nursing care plan should include which of the following?
1. Encourage oral fluid intake.
2. Maintain the prone position for 12 hours.
3. Encourage the client to ambulate after the procedure.
4. Evaluate the client's distal pulses on the affected side. 1
The nurse is caring for a patient following an appendectomy.
The patient takes a deep breath, coughs, and then winces in
pain. Which of the following statements, if made by the nurse
to the patient, is BEST?
1. "Take three deep breaths, hold your incision, and then
cough."
2. "That was good. Do that again and soon it won't hurt as
,much."
3. "It won't hurt as much if you hold your incision when you
cough."
4. "Take another deep breath, hold it, and then cough
deeply 1
A young woman is transferred to a psychiatric crisis unit with
a
diagnosis of a dissociative disorder. The nurse knows which of
the following comments by the client is MOST indicative of
this disorder?
1. "I keep having recurring nightmares."
2. "I have a headache and my stomach has bothered me for
a week."
3. "I always check the door locks three times before I leave
home."
4. "I don't know who I am and I don't know where I live." 4
A 23-year-old man is admitted with a subdural hematoma and
cerebral edema after a motorcycle accident. Which of the
following symptoms should the nurse expect to see INITIALLY?
1. Unequal and dilated pupils.
2. Decerebrate posturing.
3. Grand mal seizures.
4. Decreased level of consciousness. 4
. The nursing team includes two RNs, one LPN/LVN, and one
nursing assistant. The nurse should consider the assignments
appropriate if the nursing assistant is assigned to care for
1. a client with Alzheimer's requiring assistance with
feeding.
2. a client with osteoporosis complaining of burning on
urination.
3. a client with scleroderma receiving a tube feeding.
, 4. a client with cancer who has Cheyne-Stokes respirations.
1
An elderly client is returned to her room after an open
reduction and internal fixation of the left femoral head after a
fracture. It is MOST important for the nursing care plan to
include that the client
1. eat a high-protein, low-residue diet.
2. lie on her unoperated side.
3. exercise her arms and legs.
4. cough and deep breathe. 4
Which of the following is a correctly stated nursing diagnosis
for a client with abruptio placentae?
1. Infection related to obstetrical trauma.
2. Potential for fetal injury related to abruptio placentae.
3. Potential alteration in tissue perfusion related to
depletion of fibrinogen.
4. Fluid volume deficit related to bleeding. 4
An 8-year-old client is returned to the recovery room after a
bronchoscopy. The nurse should position the client
1. in semi-Fowler's position.
2. prone, with the head turned to the side.
3. with the head of the bed elevated 45° and the neck
extended.
4. supine, with the head in the midline position. 1
Which of the following assessment findings would indicate to
the nurse the need for more sedation in a client who is
withdrawing from alcohol dependence?
1. Steadily increasing vital signs.
2. Mild tremors and irritability.
3. Decreased respirations and disorientation.
4. Stomach distress and inability to sleep. 1
EXAM Questions and Answers Latest
Versions GRADED A+
A 59-year-old woman with bipolar disorder is receiving
haloperidol (Haldol) 2 mg PO tid. She tells the nurse, "Milk is
coming out of my breasts." Which of the following responses
by the nurse is BEST?
1. "You are seeing things that aren't real."
2. "Why don't we go make some fudge."
3. "You are experiencing a side effect of Haldol."
4. "I'll contact your physician to change your medication." 3
The physician orders ranitidine hydrochloride (Zantac) 150 mg
PO qd for a client. The nurse should advise the client the BEST
time to take this medication is
1. before breakfast.
2. with dinner.
3. with food.
4. at hs.
4
. If a client develops cor pulmonale (right-sided heart failure),
the nurse would expect to observe
1. increasing respiratory difficulty seen with exertion.
2. cough productive of a large amount of thick, yellow
mucus.
3. peripheral edema and anorexia.
4. twitching of extremities. 3
The nurse is performing triage on a group of clients in the
emergency department. Which of the following clients should
the nurse see FIRST?
,1. A 12-year-old oozing blood from a laceration of the left
thumb due to cut on a rusty metal can.
2. A 19-year-old with a fever of 103.8°F (39.8°C) who is able
to identify her sister but not the place
and time.
3. A 49-year-old with a compound fracture of the right leg
who is complaining of severe pain.
4. A 65-year-old with a flushed face, dry mucous me 2
The nurse in the outpatient clinic teaches a client with a
sprained right ankle to walk with a cane. What behavior, if
demonstrated by the client, would indicate that teaching was
effective?
1. The client advances the cane 18 inches in front of her
foot with each step.
2. The client holds the cane in her left hand.
3. The client advances her right leg, then her left leg, and
then the cane.
4. The client holds the cane with her elbow flexed 60°. 2
A client returns to his room following a myelogram. The
nursing care plan should include which of the following?
1. Encourage oral fluid intake.
2. Maintain the prone position for 12 hours.
3. Encourage the client to ambulate after the procedure.
4. Evaluate the client's distal pulses on the affected side. 1
The nurse is caring for a patient following an appendectomy.
The patient takes a deep breath, coughs, and then winces in
pain. Which of the following statements, if made by the nurse
to the patient, is BEST?
1. "Take three deep breaths, hold your incision, and then
cough."
2. "That was good. Do that again and soon it won't hurt as
,much."
3. "It won't hurt as much if you hold your incision when you
cough."
4. "Take another deep breath, hold it, and then cough
deeply 1
A young woman is transferred to a psychiatric crisis unit with
a
diagnosis of a dissociative disorder. The nurse knows which of
the following comments by the client is MOST indicative of
this disorder?
1. "I keep having recurring nightmares."
2. "I have a headache and my stomach has bothered me for
a week."
3. "I always check the door locks three times before I leave
home."
4. "I don't know who I am and I don't know where I live." 4
A 23-year-old man is admitted with a subdural hematoma and
cerebral edema after a motorcycle accident. Which of the
following symptoms should the nurse expect to see INITIALLY?
1. Unequal and dilated pupils.
2. Decerebrate posturing.
3. Grand mal seizures.
4. Decreased level of consciousness. 4
. The nursing team includes two RNs, one LPN/LVN, and one
nursing assistant. The nurse should consider the assignments
appropriate if the nursing assistant is assigned to care for
1. a client with Alzheimer's requiring assistance with
feeding.
2. a client with osteoporosis complaining of burning on
urination.
3. a client with scleroderma receiving a tube feeding.
, 4. a client with cancer who has Cheyne-Stokes respirations.
1
An elderly client is returned to her room after an open
reduction and internal fixation of the left femoral head after a
fracture. It is MOST important for the nursing care plan to
include that the client
1. eat a high-protein, low-residue diet.
2. lie on her unoperated side.
3. exercise her arms and legs.
4. cough and deep breathe. 4
Which of the following is a correctly stated nursing diagnosis
for a client with abruptio placentae?
1. Infection related to obstetrical trauma.
2. Potential for fetal injury related to abruptio placentae.
3. Potential alteration in tissue perfusion related to
depletion of fibrinogen.
4. Fluid volume deficit related to bleeding. 4
An 8-year-old client is returned to the recovery room after a
bronchoscopy. The nurse should position the client
1. in semi-Fowler's position.
2. prone, with the head turned to the side.
3. with the head of the bed elevated 45° and the neck
extended.
4. supine, with the head in the midline position. 1
Which of the following assessment findings would indicate to
the nurse the need for more sedation in a client who is
withdrawing from alcohol dependence?
1. Steadily increasing vital signs.
2. Mild tremors and irritability.
3. Decreased respirations and disorientation.
4. Stomach distress and inability to sleep. 1
