ATI PN Comprehensive Predictor Form C |(180
Q&A)100% CORRECT |VERIFIED AND RATED 100%
| LATEST, 2021
1. urse is caring for a client who has bipolar disorder and is experiencing acute mania.
The nurse obtained a verbal prescription for restraints (15-30min). Which of the
following should the actions the nurse take?
A. Request a renewal of the prescription every 8 hr.
B. Check the client’s peripheral pulse rate every 30 min
C. Obtain a prescription for restraint within 4 hr.
D. Document the client’s condition every 15 minutes.
2. A nursing planning care for a school-age child who is 4 hr postoperative following
perforated appendicitis. Which of the following actions should the nurse include in the
plan of care?
a. Offer small amounts of clear liquids 6 hr following surgery
b. Give cromolyn nebulizer solution every 6 hr
c. Apply a warm compress to the operative site every 4 hr
d. Administer analgesics on a scheduled basis for the first 24 hr
3. A nurse is receiving change-of-shift report for a group of clients. Which of
the following clients should the nurse plan to assess first?
a. A client who has sinus arrhythmia and is receiving cardiac monitoring
b. A client who has diabetes mellitus and a hemoglobin A1C of 6.8%
c. A client who has epidural analgesia and weakness in the lower extremities
d. A client who has a hip fracture and a new onset of tachypnea
4. A nurse is preparing to apply a transdermal nicotine patch for a client. Which
of the following actions should the nurse take?
a. Shave hairy areas of skin prior to application
b. Wear gloves to apply the patch to the client’s skin
c. Apply the patch within 1 hr of removing it from the protective pouch
d. Remove the previous patch and place it in a tissue
Page 1 of 66
,5. A nurse has just received change-of-shift report for four clients. Which of
the following clients should the nurse assess first?
a. A client who was just given a glass of orange juice for a low blood glucose level
b. A client who is schedule for a procedure in 1 hr (can wait)
c. A client who has 100 mL fluid remaining in his IV bag (can wait)
d. A client who received a pain medication 30 min ago for postoperative pain
6. 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. A history of gastroesophageal reflux disease
b. Receiving a high osmolarity formula
c. Sitting in a high-Fowler’s position during the feeding
d. A residual of 65 mL 1hr postprandial
7. A nurse is reviewing the laboratory results for a client who has Cushing’s disease.
The nurse should expect the client to have an increase in which of the following
laboratory values?
a. Serum glucose level- increased
b. Serum calcium level-decreased
c. Lymphocyte count- decreased immune system.
d. Serum potassium level- decreased
8. A nurse is caring for a client who has severe preeclampsia and is receiving
magnesium sulfate intravenously. The nurse discontinues the magnesium sulfate after
the client displaces toxicity. Which of the following actions should the nurse take?
a. Position the client supine
b. Prepare an IV bolus of dextrose 5% in water
c. Administer methylergonovine IM
d. Administer calcium gluconate IV
9. A charge nurse is teaching new staff members about factors that increase a client’s
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,risk to become violent. Which of the following risk factors should the nurse include as the
best predictor of future violence?
a. Experiencing delusions
b. Male gender
c. Previous violent behavior
d. A history of being in prison
10. A nurse is preparing to perform a sterile dressing change. Which of the
following actions should the nurse take when setting up the sterile field?
a. Place the cap from the solution sterile side up on clean surface
b. Open the outermost flap of the sterile kit toward the body
c. Place the sterile dressing within 1.25 cm (0.5in) of the edge of the sterile field
d. Set up the sterile field 5 cm (2 in) below waist level
11. 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. Eat a light snack before bedtime
b. Stay in bed at least 1 hr if unable to fall asleep
c. Take a 1 hr nap during the day
d. Perform exercises prior to bedtime
12. A home health nurse is preparing for an initial visit with an older adult client
who lives alone. Which of the following actions should the nurse take first?
a. Educate the client about current medical diagnosis
b. Refer the client to a meal delivery program
c. Identify environmental hazards in the home
d. Arrange for client transportation to follow-up appointments Rationale
Priority: Assess first.
13. A nurse is assessing the remote memory of an older adult client who has
mild dementia. Which of the following questions should the nurse ask the
client?
Page 3 of 66
, a. “Can you tell me who visited you today?”
b. “What high school did you graduate from
c. “Can you list your current medications?”
d. “What did you have for breakfast yesterday?”
14. A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus.
Which of the following goals should the nurse include in the teaching
a. HbA1c level greater than 8%
b. Blood glucose level greater than 200 mg/dL at bedtime
c. Blood glucose level less than 60 mg/dL before breakfastHbA1c level less than 7%
15. A nurse is caring for a client who is receiving phenytoin for management of grand
mal seizures and has a new prescription for isoniazid and rifampin. Which of the
following should the nurse conclude if the client develops ataxia and incoordination?
a. The client is experiencing an adverse reaction to rifampin
b. The client’s seizure disorder is no longer under control
c. The client is showing evidence of phenytoin toxicity
d. The client is having adverse effects due to combination antimicrobial therapy
16. A nurse is caring for a client who is 1 hr postoperative following rhinoplasty. Which
of the following manifestations requires immediate action by the nurse?
a. Increase in frequency of swallowing
b. Moderate sanguineous drainage on the drip pad
c. Bruising to the face
d. Absent gag reflex
17. A nurse is planning care for a preschool-age child who is in the acute phase
Kawasaki disease. Which of the following interventions should the nurse include in the
plan of
care?
a. Give scheduled doses of acetaminophen every 6 hr
b. Monitor the child’s cardiac status
c. Administer antibiotics via intermittent IV bolus for 24 hr
d. Provide stimulation with children of the same age in the playroom
Page 4 of 66
Q&A)100% CORRECT |VERIFIED AND RATED 100%
| LATEST, 2021
1. urse is caring for a client who has bipolar disorder and is experiencing acute mania.
The nurse obtained a verbal prescription for restraints (15-30min). Which of the
following should the actions the nurse take?
A. Request a renewal of the prescription every 8 hr.
B. Check the client’s peripheral pulse rate every 30 min
C. Obtain a prescription for restraint within 4 hr.
D. Document the client’s condition every 15 minutes.
2. A nursing planning care for a school-age child who is 4 hr postoperative following
perforated appendicitis. Which of the following actions should the nurse include in the
plan of care?
a. Offer small amounts of clear liquids 6 hr following surgery
b. Give cromolyn nebulizer solution every 6 hr
c. Apply a warm compress to the operative site every 4 hr
d. Administer analgesics on a scheduled basis for the first 24 hr
3. A nurse is receiving change-of-shift report for a group of clients. Which of
the following clients should the nurse plan to assess first?
a. A client who has sinus arrhythmia and is receiving cardiac monitoring
b. A client who has diabetes mellitus and a hemoglobin A1C of 6.8%
c. A client who has epidural analgesia and weakness in the lower extremities
d. A client who has a hip fracture and a new onset of tachypnea
4. A nurse is preparing to apply a transdermal nicotine patch for a client. Which
of the following actions should the nurse take?
a. Shave hairy areas of skin prior to application
b. Wear gloves to apply the patch to the client’s skin
c. Apply the patch within 1 hr of removing it from the protective pouch
d. Remove the previous patch and place it in a tissue
Page 1 of 66
,5. A nurse has just received change-of-shift report for four clients. Which of
the following clients should the nurse assess first?
a. A client who was just given a glass of orange juice for a low blood glucose level
b. A client who is schedule for a procedure in 1 hr (can wait)
c. A client who has 100 mL fluid remaining in his IV bag (can wait)
d. A client who received a pain medication 30 min ago for postoperative pain
6. 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. A history of gastroesophageal reflux disease
b. Receiving a high osmolarity formula
c. Sitting in a high-Fowler’s position during the feeding
d. A residual of 65 mL 1hr postprandial
7. A nurse is reviewing the laboratory results for a client who has Cushing’s disease.
The nurse should expect the client to have an increase in which of the following
laboratory values?
a. Serum glucose level- increased
b. Serum calcium level-decreased
c. Lymphocyte count- decreased immune system.
d. Serum potassium level- decreased
8. A nurse is caring for a client who has severe preeclampsia and is receiving
magnesium sulfate intravenously. The nurse discontinues the magnesium sulfate after
the client displaces toxicity. Which of the following actions should the nurse take?
a. Position the client supine
b. Prepare an IV bolus of dextrose 5% in water
c. Administer methylergonovine IM
d. Administer calcium gluconate IV
9. A charge nurse is teaching new staff members about factors that increase a client’s
Page 2 of 66
,risk to become violent. Which of the following risk factors should the nurse include as the
best predictor of future violence?
a. Experiencing delusions
b. Male gender
c. Previous violent behavior
d. A history of being in prison
10. A nurse is preparing to perform a sterile dressing change. Which of the
following actions should the nurse take when setting up the sterile field?
a. Place the cap from the solution sterile side up on clean surface
b. Open the outermost flap of the sterile kit toward the body
c. Place the sterile dressing within 1.25 cm (0.5in) of the edge of the sterile field
d. Set up the sterile field 5 cm (2 in) below waist level
11. 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. Eat a light snack before bedtime
b. Stay in bed at least 1 hr if unable to fall asleep
c. Take a 1 hr nap during the day
d. Perform exercises prior to bedtime
12. A home health nurse is preparing for an initial visit with an older adult client
who lives alone. Which of the following actions should the nurse take first?
a. Educate the client about current medical diagnosis
b. Refer the client to a meal delivery program
c. Identify environmental hazards in the home
d. Arrange for client transportation to follow-up appointments Rationale
Priority: Assess first.
13. A nurse is assessing the remote memory of an older adult client who has
mild dementia. Which of the following questions should the nurse ask the
client?
Page 3 of 66
, a. “Can you tell me who visited you today?”
b. “What high school did you graduate from
c. “Can you list your current medications?”
d. “What did you have for breakfast yesterday?”
14. A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus.
Which of the following goals should the nurse include in the teaching
a. HbA1c level greater than 8%
b. Blood glucose level greater than 200 mg/dL at bedtime
c. Blood glucose level less than 60 mg/dL before breakfastHbA1c level less than 7%
15. A nurse is caring for a client who is receiving phenytoin for management of grand
mal seizures and has a new prescription for isoniazid and rifampin. Which of the
following should the nurse conclude if the client develops ataxia and incoordination?
a. The client is experiencing an adverse reaction to rifampin
b. The client’s seizure disorder is no longer under control
c. The client is showing evidence of phenytoin toxicity
d. The client is having adverse effects due to combination antimicrobial therapy
16. A nurse is caring for a client who is 1 hr postoperative following rhinoplasty. Which
of the following manifestations requires immediate action by the nurse?
a. Increase in frequency of swallowing
b. Moderate sanguineous drainage on the drip pad
c. Bruising to the face
d. Absent gag reflex
17. A nurse is planning care for a preschool-age child who is in the acute phase
Kawasaki disease. Which of the following interventions should the nurse include in the
plan of
care?
a. Give scheduled doses of acetaminophen every 6 hr
b. Monitor the child’s cardiac status
c. Administer antibiotics via intermittent IV bolus for 24 hr
d. Provide stimulation with children of the same age in the playroom
Page 4 of 66
