ATI PN Comprehensive Predictor Form A |Questions and vt vt vt vt vt vt vt
Answers| LATESTWith Correct Answers & Rationale
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1. A nurse is reviewing the techniques for transferring a client from a bed to a chair with a
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
group of assistive personnel (AP). Which of the following instructions should the nurse
vt vt vt vt vt vt vt vt vt vt vt vt vt
include?
vt
ANS: Use lower-bodystrength vt vt vt
RATIONALE: The nurse should instruct the AP to use lower-body strength when lifting a client to vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
reduce stress on the back
vt vt vt vt vt
2. A nurse is participating in a quality improvement study about the effectiveness of client
vt vt vt vt vt vt vt vt vt vt vt vt vt vt
pain management in the unit. Which of the following strategies should the nurse use to
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
collect data?
vt vt
ANS: Review clients' charts for their rating of pain before pain medication was administered and 1 hr
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
after administration
vt vt
RATIONALE:The nurse should collect data from clients' charts about pain ratings before and after vt vt vt vt vt vt vt vt vt vt vt vt vt vt
pain management interventions
vt vt vt
3. A nurse is reinforcing teaching about confidentiality with a client who has a new
vt vt vt vt vt vt vt vt vt vt vt vt vt
diagnosis of HIV. Which of the following information should the nurse include in the
vt vt vt vt vt vt vt vt vt vt vt vt vt vt
teaching?
vt
ANS: "Your HIV status will be shared with members of your health care team."
vt vt vt vt vt vt vt vt vt vt vt vt vt
RATIONALE: The diagnosis of HIV or AIDS is shared with every member of the healthcare team who vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
provides direct care for the client, just like any other diagnoses
vt vt vt vt vt vt vt vt vt vt vt
4. Anurse is planning care for a client who has a history of seizures. Which of the
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
following pieces of equipment should the nurse place in the client's room?
vt vt vt vt vt vt vt vt vt vt vt vt
ANS: Suction catheter vt vt
RATIONALE: The nurse should place suction equipment in the room of a client who has a history vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
of seizures. During a seizure, the client might have excessive oral secretions or might vomit. If the
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
client's airway becomes occluded, then the nurse will need to suction the oral cavity to maintain a
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
patent airway
vt vt
5. Anurse in a provider's office is reviewing the medical record of a client who requests a
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
prescription for an oral contraceptive. Which of the following findings should the nur
vt vt vt vt vt vt vt vt vt vt vt vt vt
,identify as a contraindication for oral contraceptive use?
vt vt vt vt vt vt vt
ANS: Coronary artery disease
vt vt vt
RATIONALE: Coronary artery disease is acontraindication to oral contraceptive use because it
vt vt vt vt vt vt vt vt vt vt vt vt
increases the client's risk for myocardial infarction. Other contraindications for receiving oral
vt vt vt vt vt vt vt vt vt vt vt vt
contraceptives include gallbladder disease, breast cancer, and hypertension\
vt vt vt vt vt vt vt vt
6. Anurse is assistingwith the care of a school-age child immediately following surgery. The
vt vt vt vt vt vt vt vt vt vt vt vt vt vt
child weighs 21.8 kg (48 lb) and has a chest tube applied to suction. Which of the
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
following findings should the nurse report to the provider?
vt vt vt vt vt vt vt vt vt
ANS: 250 mLof sanguineous drainage over the last 3 hr
vt vt vt vt vt vt vt vt vt vt
RATIONALE: The nurse should recognize that if more than 3 mL/kg/her of sanguineous drainage
vt vt vt vt vt vt vt vt vt vt vt vt vt
occurs for more than 3 consecutive hours following surgery, it can indicate active hemorrhaging.
vt vt vt vt vt vt vt vt vt vt vt vt vt vt
Therefore, 250 mL of sanguineous drainage from the child's chest tube is excessive and the
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
nurse should report this finding to the provider immediately
vt vt vt vt vt vt vt vt vt
7. A nurse is collecting data from a client who is at 30 weeks of gestation and has
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
gestational diabetes. Which of the following findings should the nurse report to the
vt vt vt vt vt vt vt vt vt vt vt vt vt
provider as an indication of hyperglycemia?
vt vt vt vt vt vt
ANS: Polyuria
vt
RATIONALE:The nurse should identify polyuria as an expected finding of hyperglycemia and report
vt vt vt vt vt vt vt vt vt vt vt vt vt
this finding to the provider
vt vt vt vt vt
8. Anurse is discussing home safety with a group of clients who have type 1 diabetes
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
mellitus. Which of the following client statements indicates an understanding of the
vt vt vt vt vt vt vt vt vt vt vt vt
teaching?
vt
ANS: "I will dispose of my needles in a plastic laundry detergent container."
vt vt vt vt vt vt vt vt vt vt vt vt
RATIONALE:The nurse should instruct the client to dispose of needles in a puncture-proof container,
vt vt vt vt vt vt vt vt vt vt vt vt vt vt
such as a plastic laundry detergent container.
vt vt vt vt vt vt vt
9. Anurse is caring for a client who has Alzheimer's disease. Which of the following
vt vt vt vt vt vt vt vt vt vt vt vt vt vt
actions should the nurse take?
vt vt vt vt vt
ANS: Encourage the client to reminisce about thepast
vt vt vt vt vt vt vt vt
RATIONALE: The client who has Alzheimer's disease has progressive loss of short-term memory
vt vt vt vt vt vt vt vt vt vt vt vt
and might not be able to recall recent happenings and events. This can lead to increased
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
frustration. However, remote memory remains in place for a longer period of time and can elicit
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
feelings of happiness
vt vt vt
10. Anurse is monitoring a client who is receiving telemetry. Which of the following ECG
vt vt vt vt vt vt vt vt vt vt vt vt vt vt
findings should the nurse report to the provider?
vt vt vt vt vt vt vt vt
ANS: PR interval 0.24 seconds
vt vt vt vt
RATIONALE: An expected PR interval is 0.12 to 0.20 seconds. A prolonged PR interval indicates a
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
,heart block; therefore, the nurse should report this finding provider
vt vt vt vt vt vt vt vt vt vt
11. A nurse on a medical unit is reviewing a client's medical record. Which of the
vt vt vt vt vt vt vt vt vt vt vt vt vt vt
, following procedures should the nurse identify requires the client to sign a separate informed
vt vt vt vt vt vt vt vt vt vt vt vt vt
consent form?
vt vt
ANS: Lumbar puncture
vt vt
RATIONALE: The nurse should identify that a client needs to provide consent for general vt vt vt vt vt vt vt vt vt vt vt vt vt
treatment, as well as a separate written, informed consent for any treatment that has an element of
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
risk, such as a lumbar puncture
vt vt vt vt vt vt
12. A licensed practical nurse (LPN) is reviewing client assignments for the upcoming
vt vt vt vt vt vt vt vt vt vt vt
shift. Which of the following clients should the LPN ask the charge nurse to reassign to a
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
registered nurse (RN)?
vt vt vt
ANS: A client who has a new colostomy and requires the development of a teaching plan
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
RATIONALE: Developing a client teaching plan is not within the scope of practice for an LPN. The
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
nurse should contact the nursing supervisor to inform them of the client's need for a teaching plan
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
regarding the new colostomy and request that this client is reassigned to an RN. The scope of
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
practice of an LPN does allow the nurse to reinforce teaching once the plan has been established
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
13. A nurse is caring for a client who is recovering from a stroke and is experiencing
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
difficulty using eating utensils. The nurse should identify the need for a referral to one of the
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
following interprofessional team members?
vt vt vt vt
ANS: Occupationaltherapist
vt vt
RATIONALE:The nurse should identify the need for a referral to an occupational therapist to teach vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
the client how to use special eating utensils
vt vt vt vt vt vt vt vt
14. Anurse is preparing to perform blood glucose monitoring for a client who has type
vt vt vt vt vt vt vt vt vt vt vt vt vt vt
1diabetes Mellitus. Which of the following actions should the nurse take first?
vt vt vt vt vt vt vt vt vt vt vt vt
ANS: Hold the finger for testing in a dependent position
vt vt vt vt vt vt vt vt vt
RATIONALE: Evidence-based practice indicates that the nurse shouldfirst position thetesting site to vt vt vt vt vt vt vt vt vt vt vt vt vt
enhance blood flow, which improves the ability to collect an adequate specimen
vt vt vt vt vt vt vt vt vt vt vt vt
15. A home health nurse is reinforcing teaching with a client about the use of elastic
vt vt vt vt vt vt vt vt vt vt vt vt vt vt
stockings to decrease peripheral edema. Which of the following instructions should the
vt vt vt vt vt vt vt vt vt vt vt vt
nurse include?
vt vt
ANS:Apply the stockings in the morning
vt vt vt vt vt vt
RATIONALE:The nurse should instruct the client to apply the elastic stockings in the morning and vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
remove them at the end of the day before bedtime
vt vt vt vt vt vt vt vt vt vt
16. A nurse in a provider's office is reviewing pediculosis capitis management and
vt vt vt vt vt vt vt vt vt vt vt
vt prevention strategies with the parent of a school-age child. Which of the following vt vt vt vt vt vt vt vt vt vt vt vt
vt strategies should the nurse include? vt vt vt vt
Answers| LATESTWith Correct Answers & Rationale
vt vt vt vt vt vt
1. A nurse is reviewing the techniques for transferring a client from a bed to a chair with a
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
group of assistive personnel (AP). Which of the following instructions should the nurse
vt vt vt vt vt vt vt vt vt vt vt vt vt
include?
vt
ANS: Use lower-bodystrength vt vt vt
RATIONALE: The nurse should instruct the AP to use lower-body strength when lifting a client to vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
reduce stress on the back
vt vt vt vt vt
2. A nurse is participating in a quality improvement study about the effectiveness of client
vt vt vt vt vt vt vt vt vt vt vt vt vt vt
pain management in the unit. Which of the following strategies should the nurse use to
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
collect data?
vt vt
ANS: Review clients' charts for their rating of pain before pain medication was administered and 1 hr
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
after administration
vt vt
RATIONALE:The nurse should collect data from clients' charts about pain ratings before and after vt vt vt vt vt vt vt vt vt vt vt vt vt vt
pain management interventions
vt vt vt
3. A nurse is reinforcing teaching about confidentiality with a client who has a new
vt vt vt vt vt vt vt vt vt vt vt vt vt
diagnosis of HIV. Which of the following information should the nurse include in the
vt vt vt vt vt vt vt vt vt vt vt vt vt vt
teaching?
vt
ANS: "Your HIV status will be shared with members of your health care team."
vt vt vt vt vt vt vt vt vt vt vt vt vt
RATIONALE: The diagnosis of HIV or AIDS is shared with every member of the healthcare team who vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
provides direct care for the client, just like any other diagnoses
vt vt vt vt vt vt vt vt vt vt vt
4. Anurse is planning care for a client who has a history of seizures. Which of the
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
following pieces of equipment should the nurse place in the client's room?
vt vt vt vt vt vt vt vt vt vt vt vt
ANS: Suction catheter vt vt
RATIONALE: The nurse should place suction equipment in the room of a client who has a history vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
of seizures. During a seizure, the client might have excessive oral secretions or might vomit. If the
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
client's airway becomes occluded, then the nurse will need to suction the oral cavity to maintain a
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
patent airway
vt vt
5. Anurse in a provider's office is reviewing the medical record of a client who requests a
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
prescription for an oral contraceptive. Which of the following findings should the nur
vt vt vt vt vt vt vt vt vt vt vt vt vt
,identify as a contraindication for oral contraceptive use?
vt vt vt vt vt vt vt
ANS: Coronary artery disease
vt vt vt
RATIONALE: Coronary artery disease is acontraindication to oral contraceptive use because it
vt vt vt vt vt vt vt vt vt vt vt vt
increases the client's risk for myocardial infarction. Other contraindications for receiving oral
vt vt vt vt vt vt vt vt vt vt vt vt
contraceptives include gallbladder disease, breast cancer, and hypertension\
vt vt vt vt vt vt vt vt
6. Anurse is assistingwith the care of a school-age child immediately following surgery. The
vt vt vt vt vt vt vt vt vt vt vt vt vt vt
child weighs 21.8 kg (48 lb) and has a chest tube applied to suction. Which of the
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
following findings should the nurse report to the provider?
vt vt vt vt vt vt vt vt vt
ANS: 250 mLof sanguineous drainage over the last 3 hr
vt vt vt vt vt vt vt vt vt vt
RATIONALE: The nurse should recognize that if more than 3 mL/kg/her of sanguineous drainage
vt vt vt vt vt vt vt vt vt vt vt vt vt
occurs for more than 3 consecutive hours following surgery, it can indicate active hemorrhaging.
vt vt vt vt vt vt vt vt vt vt vt vt vt vt
Therefore, 250 mL of sanguineous drainage from the child's chest tube is excessive and the
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
nurse should report this finding to the provider immediately
vt vt vt vt vt vt vt vt vt
7. A nurse is collecting data from a client who is at 30 weeks of gestation and has
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
gestational diabetes. Which of the following findings should the nurse report to the
vt vt vt vt vt vt vt vt vt vt vt vt vt
provider as an indication of hyperglycemia?
vt vt vt vt vt vt
ANS: Polyuria
vt
RATIONALE:The nurse should identify polyuria as an expected finding of hyperglycemia and report
vt vt vt vt vt vt vt vt vt vt vt vt vt
this finding to the provider
vt vt vt vt vt
8. Anurse is discussing home safety with a group of clients who have type 1 diabetes
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
mellitus. Which of the following client statements indicates an understanding of the
vt vt vt vt vt vt vt vt vt vt vt vt
teaching?
vt
ANS: "I will dispose of my needles in a plastic laundry detergent container."
vt vt vt vt vt vt vt vt vt vt vt vt
RATIONALE:The nurse should instruct the client to dispose of needles in a puncture-proof container,
vt vt vt vt vt vt vt vt vt vt vt vt vt vt
such as a plastic laundry detergent container.
vt vt vt vt vt vt vt
9. Anurse is caring for a client who has Alzheimer's disease. Which of the following
vt vt vt vt vt vt vt vt vt vt vt vt vt vt
actions should the nurse take?
vt vt vt vt vt
ANS: Encourage the client to reminisce about thepast
vt vt vt vt vt vt vt vt
RATIONALE: The client who has Alzheimer's disease has progressive loss of short-term memory
vt vt vt vt vt vt vt vt vt vt vt vt
and might not be able to recall recent happenings and events. This can lead to increased
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
frustration. However, remote memory remains in place for a longer period of time and can elicit
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
feelings of happiness
vt vt vt
10. Anurse is monitoring a client who is receiving telemetry. Which of the following ECG
vt vt vt vt vt vt vt vt vt vt vt vt vt vt
findings should the nurse report to the provider?
vt vt vt vt vt vt vt vt
ANS: PR interval 0.24 seconds
vt vt vt vt
RATIONALE: An expected PR interval is 0.12 to 0.20 seconds. A prolonged PR interval indicates a
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
,heart block; therefore, the nurse should report this finding provider
vt vt vt vt vt vt vt vt vt vt
11. A nurse on a medical unit is reviewing a client's medical record. Which of the
vt vt vt vt vt vt vt vt vt vt vt vt vt vt
, following procedures should the nurse identify requires the client to sign a separate informed
vt vt vt vt vt vt vt vt vt vt vt vt vt
consent form?
vt vt
ANS: Lumbar puncture
vt vt
RATIONALE: The nurse should identify that a client needs to provide consent for general vt vt vt vt vt vt vt vt vt vt vt vt vt
treatment, as well as a separate written, informed consent for any treatment that has an element of
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
risk, such as a lumbar puncture
vt vt vt vt vt vt
12. A licensed practical nurse (LPN) is reviewing client assignments for the upcoming
vt vt vt vt vt vt vt vt vt vt vt
shift. Which of the following clients should the LPN ask the charge nurse to reassign to a
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
registered nurse (RN)?
vt vt vt
ANS: A client who has a new colostomy and requires the development of a teaching plan
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
RATIONALE: Developing a client teaching plan is not within the scope of practice for an LPN. The
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
nurse should contact the nursing supervisor to inform them of the client's need for a teaching plan
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
regarding the new colostomy and request that this client is reassigned to an RN. The scope of
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
practice of an LPN does allow the nurse to reinforce teaching once the plan has been established
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
13. A nurse is caring for a client who is recovering from a stroke and is experiencing
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
difficulty using eating utensils. The nurse should identify the need for a referral to one of the
vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
following interprofessional team members?
vt vt vt vt
ANS: Occupationaltherapist
vt vt
RATIONALE:The nurse should identify the need for a referral to an occupational therapist to teach vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
the client how to use special eating utensils
vt vt vt vt vt vt vt vt
14. Anurse is preparing to perform blood glucose monitoring for a client who has type
vt vt vt vt vt vt vt vt vt vt vt vt vt vt
1diabetes Mellitus. Which of the following actions should the nurse take first?
vt vt vt vt vt vt vt vt vt vt vt vt
ANS: Hold the finger for testing in a dependent position
vt vt vt vt vt vt vt vt vt
RATIONALE: Evidence-based practice indicates that the nurse shouldfirst position thetesting site to vt vt vt vt vt vt vt vt vt vt vt vt vt
enhance blood flow, which improves the ability to collect an adequate specimen
vt vt vt vt vt vt vt vt vt vt vt vt
15. A home health nurse is reinforcing teaching with a client about the use of elastic
vt vt vt vt vt vt vt vt vt vt vt vt vt vt
stockings to decrease peripheral edema. Which of the following instructions should the
vt vt vt vt vt vt vt vt vt vt vt vt
nurse include?
vt vt
ANS:Apply the stockings in the morning
vt vt vt vt vt vt
RATIONALE:The nurse should instruct the client to apply the elastic stockings in the morning and vt vt vt vt vt vt vt vt vt vt vt vt vt vt vt
remove them at the end of the day before bedtime
vt vt vt vt vt vt vt vt vt vt
16. A nurse in a provider's office is reviewing pediculosis capitis management and
vt vt vt vt vt vt vt vt vt vt vt
vt prevention strategies with the parent of a school-age child. Which of the following vt vt vt vt vt vt vt vt vt vt vt vt
vt strategies should the nurse include? vt vt vt vt
