ATI PN COMPREHENSIVE PREDICTOR 2019 RETAKE
1.) The nurse is providing discharge instructions to a client with diabetes. To prevent blood-
borne infections, the nurse includes which statement in the teaching about self- monitoring of
blood glucose levels- “Do not share your monitoring equipment.”
2.) A nurse is caring for a client who has congestive heart failure and is taking digoxin daily.
The client refused breakfast and is complaining of nausea and weakness. Which pf the following
should the nurse take first?
Check the clients vital signs
3.) Which medication will the nurse prepare to administer to the client who is experiencing status
epilepticus?
Lorazepam
4.) A patient appears dyspneic, but the oxygen saturation is 97%. What action by the nurse is
best?
Assess for other manifestations of hypoxia.
5.) After receiving change-of-shift report, which of the following patients should the nurse assess
first?
- A patient who has abdominal distention and apical heart rate of 136 bpm.
6.) A nurse is reviewing the BUN and creatinine levels of an older adult who has chronic kidney
disease. The nurse should expect which of the following findings?
- BUN 34 mg/dL and creatinine 5.2 mg/dL
7.) The nurse is caring for a client with Parkinson’s disease. Which intervention does the nurse
implement to prevent aspiration related respiratory compressions in the client?
- Maintain the head of the bed at least 30 degrees or greater.
8.) A client is diagnosed with glaucoma and is prescribed medication to treat it. The nurse knows
that which of the following best explains the purpose of the medication? - This medication helps
dry up excess secretions - This medication lowers extraocular pressure - It strengthens the
muscles of the eye - This medication lowers intraocular pressure
9.) (poss dosage cal)
10.) A patient with mild dementia has a new prescription for donepezil. Which nursing action
will be most effective in ensuring compliance with medication?
- Having the patients spouse administer the medication
11.) A client being treated for a spinal cord injury needs immediate ventilator support. The nurse
realizes that this client’s lev of injury is…. - C3
12.) A client was admitted to the ICU with a diagnosis with hyponatremia. Which of the
following assessment findings would cause the nurse to become concerned (couldn’t see but
select all that apply)? - Coma - Lethargy - Seizures
13.) Which arterial blood gas (ABG) values are expected with hyperventilation? - ph, 7.55;
PaCO2, 32 mm Hg: HCO3 25
, 14.) Emergency medical serves arrive to the ER department with a client who has a cervical
spinal cord injury. Which priority assessment does the ER need to do at this time? Respiratory
status and airway patency.
15.) The nurse is assessing a client diagnosed with type 1 diabetes mellitus for symptoms
associated with DKA. Which of the following will the nurse most likely see? (Select all that
apply - Fruity breath odor - Polyuria - Increased appetite
16.) The nurse is caring for a client who is about to have immunotherapy initiated due to severe
allergies. Knowing that this patient is being exposed to known allergies what interventions
should the nurse implement to provide for client safety this allergy treatment? - Stay with the
client and ensure that emergency equipment is in the room.
17.) The nurse is assessing the patient who has started to complain of muscle cramps and
parethesias in his hands and feet. The nurse notes positive Chvostek sign… results is associated
with which electrolyte disorder?- Hypocalcemia
18.) A patient has a tonic-clonic seizure while the nurse is in the patient’s room. Which action
should the nurse take? -Time and observe and record the details of the seizure and postictal state
19.) To communicate effectively with a client who has sensorineural hearing loss caused by the
natural aging process, the nurse should use which strategy to implement communication with the
patient. (Select all that apply.) - Approach the client from the front - Turn down background
noise from radio or TV before speaking. - Room should be well-lighted
20.) A nurse suspects anaphylaxis when caring for a client following the initial administration of
an intravenous infusion of an antibiotic. Which of the following results ….. Hypotension -
Angioedema - Tachycardia - Abdomen cramping
21.) Which intervention will the nurse include in the plan of care for a patient who has late-stage
Alzheimer’s disease? - Maintain a consistent daily routine for the patient’s care
22.) A patient with poor circulation to the feet requires teaching about foot care. Which learning
goal should the nurse include in the teaching plan - The patient will list three ways to protect
the feet from injury by discharge
23.) Patient with renal failure who has been taking aluminum hydroxide/magnesium hydroxide
suspension at home for ingestion- couldn’t see the rest- action should the nurse take first?. -
Review the magnesium level on the patient’s chart.
24.) Which clinical manifestation is recognized by the nurse as an early warning for the client
who experiences migraines with aura? - Visual disturbances
25.) The nurse is caring for a client with COPD and is reviewing the new ABG’s. Which of the
following arterial blood gas values is considered to be fully compensated respiratory (alkalosis or
acidosis couldn’t see) - pH 7.37, HC03- 36 mEq/L, PC02 65 mm Hg
1.) The nurse is providing discharge instructions to a client with diabetes. To prevent blood-
borne infections, the nurse includes which statement in the teaching about self- monitoring of
blood glucose levels- “Do not share your monitoring equipment.”
2.) A nurse is caring for a client who has congestive heart failure and is taking digoxin daily.
The client refused breakfast and is complaining of nausea and weakness. Which pf the following
should the nurse take first?
Check the clients vital signs
3.) Which medication will the nurse prepare to administer to the client who is experiencing status
epilepticus?
Lorazepam
4.) A patient appears dyspneic, but the oxygen saturation is 97%. What action by the nurse is
best?
Assess for other manifestations of hypoxia.
5.) After receiving change-of-shift report, which of the following patients should the nurse assess
first?
- A patient who has abdominal distention and apical heart rate of 136 bpm.
6.) A nurse is reviewing the BUN and creatinine levels of an older adult who has chronic kidney
disease. The nurse should expect which of the following findings?
- BUN 34 mg/dL and creatinine 5.2 mg/dL
7.) The nurse is caring for a client with Parkinson’s disease. Which intervention does the nurse
implement to prevent aspiration related respiratory compressions in the client?
- Maintain the head of the bed at least 30 degrees or greater.
8.) A client is diagnosed with glaucoma and is prescribed medication to treat it. The nurse knows
that which of the following best explains the purpose of the medication? - This medication helps
dry up excess secretions - This medication lowers extraocular pressure - It strengthens the
muscles of the eye - This medication lowers intraocular pressure
9.) (poss dosage cal)
10.) A patient with mild dementia has a new prescription for donepezil. Which nursing action
will be most effective in ensuring compliance with medication?
- Having the patients spouse administer the medication
11.) A client being treated for a spinal cord injury needs immediate ventilator support. The nurse
realizes that this client’s lev of injury is…. - C3
12.) A client was admitted to the ICU with a diagnosis with hyponatremia. Which of the
following assessment findings would cause the nurse to become concerned (couldn’t see but
select all that apply)? - Coma - Lethargy - Seizures
13.) Which arterial blood gas (ABG) values are expected with hyperventilation? - ph, 7.55;
PaCO2, 32 mm Hg: HCO3 25
, 14.) Emergency medical serves arrive to the ER department with a client who has a cervical
spinal cord injury. Which priority assessment does the ER need to do at this time? Respiratory
status and airway patency.
15.) The nurse is assessing a client diagnosed with type 1 diabetes mellitus for symptoms
associated with DKA. Which of the following will the nurse most likely see? (Select all that
apply - Fruity breath odor - Polyuria - Increased appetite
16.) The nurse is caring for a client who is about to have immunotherapy initiated due to severe
allergies. Knowing that this patient is being exposed to known allergies what interventions
should the nurse implement to provide for client safety this allergy treatment? - Stay with the
client and ensure that emergency equipment is in the room.
17.) The nurse is assessing the patient who has started to complain of muscle cramps and
parethesias in his hands and feet. The nurse notes positive Chvostek sign… results is associated
with which electrolyte disorder?- Hypocalcemia
18.) A patient has a tonic-clonic seizure while the nurse is in the patient’s room. Which action
should the nurse take? -Time and observe and record the details of the seizure and postictal state
19.) To communicate effectively with a client who has sensorineural hearing loss caused by the
natural aging process, the nurse should use which strategy to implement communication with the
patient. (Select all that apply.) - Approach the client from the front - Turn down background
noise from radio or TV before speaking. - Room should be well-lighted
20.) A nurse suspects anaphylaxis when caring for a client following the initial administration of
an intravenous infusion of an antibiotic. Which of the following results ….. Hypotension -
Angioedema - Tachycardia - Abdomen cramping
21.) Which intervention will the nurse include in the plan of care for a patient who has late-stage
Alzheimer’s disease? - Maintain a consistent daily routine for the patient’s care
22.) A patient with poor circulation to the feet requires teaching about foot care. Which learning
goal should the nurse include in the teaching plan - The patient will list three ways to protect
the feet from injury by discharge
23.) Patient with renal failure who has been taking aluminum hydroxide/magnesium hydroxide
suspension at home for ingestion- couldn’t see the rest- action should the nurse take first?. -
Review the magnesium level on the patient’s chart.
24.) Which clinical manifestation is recognized by the nurse as an early warning for the client
who experiences migraines with aura? - Visual disturbances
25.) The nurse is caring for a client with COPD and is reviewing the new ABG’s. Which of the
following arterial blood gas values is considered to be fully compensated respiratory (alkalosis or
acidosis couldn’t see) - pH 7.37, HC03- 36 mEq/L, PC02 65 mm Hg
