VIRTUAL ATI PREDICTOR GREEN LIGHT
FINAL COMPREHENSIVE ASSESSMENT TEST
PAPER QUESTIONS AND SOLUTIONS
⩥ A nurse is providing teaching to an older adult client about methods to
promote nighttime
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.
Answer: D. Eat a light snack before bedtime
⩥ 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 palpable pulse?
A. Assess heart sounds
B. Defibrillate
C. Establish IV access
D. Administer epinephrine.
Answer: B. Defibrillate
,⩥ A nurse is admitting a client who 1 week postpartum and reports
excessive vaginal bleeding. 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 actions should 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.
Answer: C. Request a female interpreter through the facility
⩥ A nurse is caring for a client who is febrile. 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.
Answer: d. Shivering
⩥ A nurse is caring for a client who has deep-vein-thrombosis of the left
lower extremity. 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.
Answer: B. Withhold heparin IV infusion PTT- 30-40 seconds; x2 if on
heparin
⩥ A nurse is reviewing assessment data from several clients. For which
of the following clients should the nurse recommend referral to a
dietitian?
A. An older adult client who has a BMI of 24
B. A client who has a nonhealing leg ulcer
C. An older adult client who has presbyopia
D. A client who has an albumin level of 3.7 g/dL (normal 3.4-5.4).
Answer: B. A client who has a nonhealing leg ulcer
⩥ 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-
Consume foods high in potassium- restrict.
, Answer: a. Eat 1 g/kg of protein per day
⩥ 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?.
Answer: B. A history of gastroesophageal reflux disease
⩥ ?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.
Answer: D. Maternal serum alpha-fetoprotein- 16 to 18 weeks
⩥ A nurse is caring for a client who is on bed rest. The nurse should
recognize that which of
the following findings is a complication of immobility?
FINAL COMPREHENSIVE ASSESSMENT TEST
PAPER QUESTIONS AND SOLUTIONS
⩥ A nurse is providing teaching to an older adult client about methods to
promote nighttime
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.
Answer: D. Eat a light snack before bedtime
⩥ 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 palpable pulse?
A. Assess heart sounds
B. Defibrillate
C. Establish IV access
D. Administer epinephrine.
Answer: B. Defibrillate
,⩥ A nurse is admitting a client who 1 week postpartum and reports
excessive vaginal bleeding. 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 actions should 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.
Answer: C. Request a female interpreter through the facility
⩥ A nurse is caring for a client who is febrile. 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.
Answer: d. Shivering
⩥ A nurse is caring for a client who has deep-vein-thrombosis of the left
lower extremity. 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.
Answer: B. Withhold heparin IV infusion PTT- 30-40 seconds; x2 if on
heparin
⩥ A nurse is reviewing assessment data from several clients. For which
of the following clients should the nurse recommend referral to a
dietitian?
A. An older adult client who has a BMI of 24
B. A client who has a nonhealing leg ulcer
C. An older adult client who has presbyopia
D. A client who has an albumin level of 3.7 g/dL (normal 3.4-5.4).
Answer: B. A client who has a nonhealing leg ulcer
⩥ 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-
Consume foods high in potassium- restrict.
, Answer: a. Eat 1 g/kg of protein per day
⩥ 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?.
Answer: B. A history of gastroesophageal reflux disease
⩥ ?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.
Answer: D. Maternal serum alpha-fetoprotein- 16 to 18 weeks
⩥ A nurse is caring for a client who is on bed rest. The nurse should
recognize that which of
the following findings is a complication of immobility?
