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Updated 2025 ATI RN Comprehensive Predictor Version 3 in
New Generation (NGN) format, featuring complete test bank
with 180 accurate and verified answers aligned to current
ATI standards.
A nurse is developing a plan of care for a client who has
schizophrenia and is experiencing auditory hallucinations.
Which of the following actions should the nurse include in the
plan?
A. Encourage the client to lie down in a quiet room.
B. Avoid eye contact with the client.
C. Ask the client directly what he is hearing.
D. Refer to the hallucinations as if they are real. - ANSWER-
The correct answer is:
C. Ask the client directly what he is hearing.
Explanation:
When a client with schizophrenia is experiencing auditory
hallucinations, it is important for the nurse to engage the
client in a calm and supportive way. Asking the client
directly about what they are hearing can help the nurse
understand the nature of the hallucinations and build
rapport with the client. It also allows the nurse to assess the
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severity and impact of the hallucinations on the client's
functioning.
Why the other options are incorrect:
A. Encourage the client to lie down in a quiet room: While
creating a calm and safe environment is important, simply
encouraging the client to lie down in a quiet room may not
address the hallucinations directly. It is more effective to
engage the client and offer interventions that focus on
reducing the distress caused by the hallucinations.
B. Avoid eye contact with the client: Avoiding eye contact can
make the client feel more isolated or unsupported. It is
important to maintain appropriate eye contact to
demonstrate attentiveness and empathy. However, eye
contact should be used in moderation and based on the
client's comfort level.
D. Refer to the hallucinations as if they are real: This
approach could reinforce the hallucinations and contribute
to the client's confusion. It is important to acknowledge the
hallucinations without reinforcing their reality. A more
effective approach would be to provide reassurance that the
voices or experiences are symptoms of the illness and work
with the client to manage them.
In summary:
Asking the client directly what they are hearing (Option C)
is the best approach, as it allows the nurse to assess the
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nature of the hallucinations and demonstrate empathy
without reinforcing the hallucinations' reality.
NGN:
Select 1 condition and 1 client finding to fill in each blank in the
following sentence.
The client is at risk for developing Select an option (placental
abruption/placenta
previa/oligohydramnios/chorioamnionitis/spontaneous abortion)
due to Select an option
(vomiting/hyperreflexa/temperature/hypertension/fundal
measurement)
The correct answer is:
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The client is at risk for developing placental abruption due to
hypertension.
Explanation:
*Placental abruption is a serious complication where the
placenta prematurely separates from the uterus. It can be
associated with high blood pressure (hypertension) during
pregnancy, which the client is showing (BP 148/94 mm Hg).
*Hypertension is a key risk factor for placental abruption,
and the hyperreflexia (3+ DTR) also suggests a potential
hypertensive disorder like preeclampsia. - ANSWER-A
nurse in labor and delivery is caring for a client who is at 30
weeks of gestation.
Assessment
1000:
Client is Gravida 1 Para 0 and reports headache, nausea,
vomiting, and right upper abdominal pain.
Client is alert and oriented, appears restless. Client has gained
0.68 kg (1.5 lb) within the last week. Slight facial edema is
present. Heart rate regular and without murmur.
Respirations even, non-labored. Lungs clear to auscultation.
Abdomen gravid. Fundal height measurement 29 cm. 1+
dependent edema noted bilaterally. Deep tendon reflex (DTR) is
3+ bilaterally,
Updated 2025 ATI RN Comprehensive Predictor Version 3 in
New Generation (NGN) format, featuring complete test bank
with 180 accurate and verified answers aligned to current
ATI standards.
A nurse is developing a plan of care for a client who has
schizophrenia and is experiencing auditory hallucinations.
Which of the following actions should the nurse include in the
plan?
A. Encourage the client to lie down in a quiet room.
B. Avoid eye contact with the client.
C. Ask the client directly what he is hearing.
D. Refer to the hallucinations as if they are real. - ANSWER-
The correct answer is:
C. Ask the client directly what he is hearing.
Explanation:
When a client with schizophrenia is experiencing auditory
hallucinations, it is important for the nurse to engage the
client in a calm and supportive way. Asking the client
directly about what they are hearing can help the nurse
understand the nature of the hallucinations and build
rapport with the client. It also allows the nurse to assess the
,2|Page
severity and impact of the hallucinations on the client's
functioning.
Why the other options are incorrect:
A. Encourage the client to lie down in a quiet room: While
creating a calm and safe environment is important, simply
encouraging the client to lie down in a quiet room may not
address the hallucinations directly. It is more effective to
engage the client and offer interventions that focus on
reducing the distress caused by the hallucinations.
B. Avoid eye contact with the client: Avoiding eye contact can
make the client feel more isolated or unsupported. It is
important to maintain appropriate eye contact to
demonstrate attentiveness and empathy. However, eye
contact should be used in moderation and based on the
client's comfort level.
D. Refer to the hallucinations as if they are real: This
approach could reinforce the hallucinations and contribute
to the client's confusion. It is important to acknowledge the
hallucinations without reinforcing their reality. A more
effective approach would be to provide reassurance that the
voices or experiences are symptoms of the illness and work
with the client to manage them.
In summary:
Asking the client directly what they are hearing (Option C)
is the best approach, as it allows the nurse to assess the
,3|Page
nature of the hallucinations and demonstrate empathy
without reinforcing the hallucinations' reality.
NGN:
Select 1 condition and 1 client finding to fill in each blank in the
following sentence.
The client is at risk for developing Select an option (placental
abruption/placenta
previa/oligohydramnios/chorioamnionitis/spontaneous abortion)
due to Select an option
(vomiting/hyperreflexa/temperature/hypertension/fundal
measurement)
The correct answer is:
, 4|Page
The client is at risk for developing placental abruption due to
hypertension.
Explanation:
*Placental abruption is a serious complication where the
placenta prematurely separates from the uterus. It can be
associated with high blood pressure (hypertension) during
pregnancy, which the client is showing (BP 148/94 mm Hg).
*Hypertension is a key risk factor for placental abruption,
and the hyperreflexia (3+ DTR) also suggests a potential
hypertensive disorder like preeclampsia. - ANSWER-A
nurse in labor and delivery is caring for a client who is at 30
weeks of gestation.
Assessment
1000:
Client is Gravida 1 Para 0 and reports headache, nausea,
vomiting, and right upper abdominal pain.
Client is alert and oriented, appears restless. Client has gained
0.68 kg (1.5 lb) within the last week. Slight facial edema is
present. Heart rate regular and without murmur.
Respirations even, non-labored. Lungs clear to auscultation.
Abdomen gravid. Fundal height measurement 29 cm. 1+
dependent edema noted bilaterally. Deep tendon reflex (DTR) is
3+ bilaterally,
