Ati pn comprehensive predictor
1. A nurse is collecting data from a client who is taking an oral contraceptive. Which of
the following findings is a contraindication for the use of oral contraceptives?
A. Headaches with aura
B. Gastroesophageal reflux disease
C. History of mononucleosis 1 year ago
D. Irregular menstrual cycles: A. Headaches with aura
Headaches accompanied by aura are a strong contraindication to oral contraceptive use
due to the significantly increased risk of thromboembolic events, particularly ischemic
stroke. Estrogen-containing contraceptives can further exacerbate this vascular risk,
making alternative forms of birth control necessary.
2. History of alcohol use disorder. Family history of mood disorders. A
nurse is assisting with the care of a client. Exhibits
1100:
The client is brought to an inpatient mental health facility by their partner after slipping on
the kitchen floor while cooking breakfast. Client reports hitting their arm on the counter
and reports pain as 6 on a scale of 0 to 10. A 4-inch laceration is noted on client's left arm.
Client is not making eye contact with nurse and alcohol is detected on client's breath when
speaking. Client has a flat affect, their hygiene is poor, and clothes are dirty. Client states
they lost their job 6 months ago and does not feel that life is worth living if they are not
earning a daily living.
1400:
The client reports feeling tired and is anxious. Left arm laceration sutured and pain
medication administered. Client reports pain as 4 on a pain scale of 0 to 10.
Complete the diagram by dragging from t: Action to Take Choices:
-Remain in the room with the client.
-Assist the client to identify stressors.
,Ati pn comprehensive predictor
Potential Condition
Choices: -Major
depressive disorder
Parameters to Monitor Choices:
-Suicidal ideation
-Sleep patterns
3. A nurse is reinforcing teaching about disease management with a client who has GERD.
Which of the following statements should the nurse make?
A. "You should eat three large meals and two snacks per day."
B. "You should elevate the head of the bed while sleeping
C. "You should only drink 2 cups of coffee per day."
D. "You should lay down for 1 hour following a meal.": B. "You should elevate the head of
the bed while sleeping
Elevating the head of the bed helps prevent nighttime reflux by using gravity to reduce
the likelihood of stomach acid flowing back into the esophagus. This is a key non-
pharmacologic strategy in managing GERD symptoms during sleep.
4. A nurse is discussing risk factors for child maltreatment with a newly licensed nurse.
Which of the following examples should the nurse include?
A. A child who was conceived by in vitro fertilization
B. A toddler who has atopic dermatitis
C. An only child
D. A school-age child who has cerebral palsy: D. A school-age child who has cerebral palsy
Children with disabilities like cerebral palsy are at higher risk for maltreatment due to the
physical, emotional, and financial stress their care may place on caregivers. These
children often require more supervision and support, which can lead to frustration or
neglect in high-risk environments.
,Ati pn comprehensive predictor
5. A nurse in a psychiatric unit is admitting a client who has self-inflicted cuts on their
forearms. Which of the following is a priority response by the nurse?
A. "What coping methods help you when you feel bad?"
B. "Do you have thoughts of suicide?"
C. "Tell me why you hurt yourself."
D. "Who can we call to support you?": B. "Do you have thoughts of suicide?"
Determining if the client has suicidal ideation is the priority in this situation. Clients who
self-harm may be at high risk for suicide, and direct questioning helps assess intent, plan,
and urgency, which is crucial for ensuring immediate safety.
6. A nurse is assisting with the care of a client following electroconvulsive therapy for
the treatment of a depressive disorder, which of the following findings should the nurse
expect 15 min following the procedure?
A. Tonic-clonic satures
B. Sleep apnea
C. Paresthesias
D. Disorientation: D. Disorientation
Temporary confusion or disorientation is a common and expected side effect shortly after
ECT. It typically resolves within 30 to 60 minutes as the effects of anesthesia wear off, and
it is routinely monitored during recovery.
7. A nurse is collecting data from a client who has a long leg cast on his left leg. Which of
the following findings is the priority?
A. Ecchymosis on the inner left thigh
B. Diminished pulses on the affected extremity
C. One fingerbreadth of space between the cast and the ski
D. Client report of muscle spasms of the left leg: B. Diminished pulses on the affected
extremity
, Ati pn comprehensive predictor
Reduced or absent pulses indicate compromised circulation, which may be a sign of
compartment syndrome or vascular injury. This is the highest priority because it threatens
tissue viability and requires immediate intervention to prevent permanent damage.
8. A nurse is reinforcing discharge teaching with a client who states, "I don't feel confident
driving to my follow-up appointments." The nurse should obtain a referral for which of
the following members of the health care team?
A. Occupational therapist
B. Social worker
C. Primary care provider
D. Physical therapist: B. Social worker
A social worker assists clients with coping and resource coordination, including
transportation services, community support, and addressing emotional or confidence
barriers. This makes them the most appropriate referral when a client is unsure about
attending follow-up care.
9. A nurse is assisting in planning care for a 16-year-old client in a pediatric clinic. Which
of the following actions would be a breach of confidentiality?
A. Reviewing the results of the client's complete blood count (CBC) with their parents,
without the client's consent.
B. Reviewing the results of the client's urinalysis with their parents, without the client's
consent.
C. Reviewing the results of the client's celiac screening with their parents, without the
client's consent.
D. Reviewing the results of the client's chlamydia screening with their parents,
without the client's consent.: D. Reviewing the results of the client's chlamydia
screening with their parents, without the client's consent.
1. A nurse is collecting data from a client who is taking an oral contraceptive. Which of
the following findings is a contraindication for the use of oral contraceptives?
A. Headaches with aura
B. Gastroesophageal reflux disease
C. History of mononucleosis 1 year ago
D. Irregular menstrual cycles: A. Headaches with aura
Headaches accompanied by aura are a strong contraindication to oral contraceptive use
due to the significantly increased risk of thromboembolic events, particularly ischemic
stroke. Estrogen-containing contraceptives can further exacerbate this vascular risk,
making alternative forms of birth control necessary.
2. History of alcohol use disorder. Family history of mood disorders. A
nurse is assisting with the care of a client. Exhibits
1100:
The client is brought to an inpatient mental health facility by their partner after slipping on
the kitchen floor while cooking breakfast. Client reports hitting their arm on the counter
and reports pain as 6 on a scale of 0 to 10. A 4-inch laceration is noted on client's left arm.
Client is not making eye contact with nurse and alcohol is detected on client's breath when
speaking. Client has a flat affect, their hygiene is poor, and clothes are dirty. Client states
they lost their job 6 months ago and does not feel that life is worth living if they are not
earning a daily living.
1400:
The client reports feeling tired and is anxious. Left arm laceration sutured and pain
medication administered. Client reports pain as 4 on a pain scale of 0 to 10.
Complete the diagram by dragging from t: Action to Take Choices:
-Remain in the room with the client.
-Assist the client to identify stressors.
,Ati pn comprehensive predictor
Potential Condition
Choices: -Major
depressive disorder
Parameters to Monitor Choices:
-Suicidal ideation
-Sleep patterns
3. A nurse is reinforcing teaching about disease management with a client who has GERD.
Which of the following statements should the nurse make?
A. "You should eat three large meals and two snacks per day."
B. "You should elevate the head of the bed while sleeping
C. "You should only drink 2 cups of coffee per day."
D. "You should lay down for 1 hour following a meal.": B. "You should elevate the head of
the bed while sleeping
Elevating the head of the bed helps prevent nighttime reflux by using gravity to reduce
the likelihood of stomach acid flowing back into the esophagus. This is a key non-
pharmacologic strategy in managing GERD symptoms during sleep.
4. A nurse is discussing risk factors for child maltreatment with a newly licensed nurse.
Which of the following examples should the nurse include?
A. A child who was conceived by in vitro fertilization
B. A toddler who has atopic dermatitis
C. An only child
D. A school-age child who has cerebral palsy: D. A school-age child who has cerebral palsy
Children with disabilities like cerebral palsy are at higher risk for maltreatment due to the
physical, emotional, and financial stress their care may place on caregivers. These
children often require more supervision and support, which can lead to frustration or
neglect in high-risk environments.
,Ati pn comprehensive predictor
5. A nurse in a psychiatric unit is admitting a client who has self-inflicted cuts on their
forearms. Which of the following is a priority response by the nurse?
A. "What coping methods help you when you feel bad?"
B. "Do you have thoughts of suicide?"
C. "Tell me why you hurt yourself."
D. "Who can we call to support you?": B. "Do you have thoughts of suicide?"
Determining if the client has suicidal ideation is the priority in this situation. Clients who
self-harm may be at high risk for suicide, and direct questioning helps assess intent, plan,
and urgency, which is crucial for ensuring immediate safety.
6. A nurse is assisting with the care of a client following electroconvulsive therapy for
the treatment of a depressive disorder, which of the following findings should the nurse
expect 15 min following the procedure?
A. Tonic-clonic satures
B. Sleep apnea
C. Paresthesias
D. Disorientation: D. Disorientation
Temporary confusion or disorientation is a common and expected side effect shortly after
ECT. It typically resolves within 30 to 60 minutes as the effects of anesthesia wear off, and
it is routinely monitored during recovery.
7. A nurse is collecting data from a client who has a long leg cast on his left leg. Which of
the following findings is the priority?
A. Ecchymosis on the inner left thigh
B. Diminished pulses on the affected extremity
C. One fingerbreadth of space between the cast and the ski
D. Client report of muscle spasms of the left leg: B. Diminished pulses on the affected
extremity
, Ati pn comprehensive predictor
Reduced or absent pulses indicate compromised circulation, which may be a sign of
compartment syndrome or vascular injury. This is the highest priority because it threatens
tissue viability and requires immediate intervention to prevent permanent damage.
8. A nurse is reinforcing discharge teaching with a client who states, "I don't feel confident
driving to my follow-up appointments." The nurse should obtain a referral for which of
the following members of the health care team?
A. Occupational therapist
B. Social worker
C. Primary care provider
D. Physical therapist: B. Social worker
A social worker assists clients with coping and resource coordination, including
transportation services, community support, and addressing emotional or confidence
barriers. This makes them the most appropriate referral when a client is unsure about
attending follow-up care.
9. A nurse is assisting in planning care for a 16-year-old client in a pediatric clinic. Which
of the following actions would be a breach of confidentiality?
A. Reviewing the results of the client's complete blood count (CBC) with their parents,
without the client's consent.
B. Reviewing the results of the client's urinalysis with their parents, without the client's
consent.
C. Reviewing the results of the client's celiac screening with their parents, without the
client's consent.
D. Reviewing the results of the client's chlamydia screening with their parents,
without the client's consent.: D. Reviewing the results of the client's chlamydia
screening with their parents, without the client's consent.
