2023 ATI PN COMPREHENSIVE PREDICTOR
ACTUAL EXAM 180 EXAM QUESTIONS AND
CORRECT ANSWERS|AGRADE
Smartprep Examinations
• A nurse is collecting data from a client who has a long leg cast that was
applied 2 days ago. The client’s foot is pale with a weak pedal pulse, and the
client reports foot numbness. Which of the following actions should the
nurse plan to take first? o Administer opioid pain medication o Apply an ice
pack to the affected extremity o Check for pain with passive movement of
the affected extremity o Elevate the affected extremity with several pillows
• A nurse in a provider’s office is reinforcing teaching about cigarette
smoking with a client. Which of the following adverse effects should the
nurse include in the teaching?
o Decreased hemoglobin o Somnolence
o Bradycardia
o Decreased blood pressure
• A nurse is contributing to the development of an in-service program for
mental health nursing staff. The nurse should include that the st
• aff can medicate a client against his will, without a court hearing, in which
of the following situations?
o A client who has a serious mental illness o A client
who is having difficulty making decisions about his
treatment o A client for whom the benefits of the
medication outweigh the risks o A client who is
attempting to hurt himself or others
• A nurse is reinforcing teaching with a client who has a new prescription for
digoxin. Which of the following instructions should the nurse include in the
teaching?
o “Monitor for muscle weakness while taking the
medication.” o “Rotate injection sites when administering
the medication.”
o “Withhold the medication if your pulse rate is above
100 beats per minute.” o “Increase your intake of dietary
fiber to increase absorption.”
• A charge nurse is discussing confidentiality requirements with a newly
licensed nurse when sharing a client’s medical information. Which of the
, o
following individuals should the charge nurse identify as appropriate with
whom to share client information?
o A nurse from another unit after a client commits suicide
o A social worker who is assigned to an involuntary committed school-age
client
o A client’s partner after the client reports intimate partner
abuse o A client’s employer who is concerned about safety
due to substance use
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• A nurse is reviewing laboratory values for a client who is at 34 weeks of
gestation. Which of the following findings should the nurse report to the
provider?
o Hgb 13.2 g/dL o
Urine protein 3 plus o
Fasting blood glucose
72 mg/dL o BUN 15
mg/dL
• A nurse is collecting data from a client who is 4 hr postoperative following
a hemicolectomy. Which of the following findings is the nurse’s priority,
requiring immediate intervention?
o Pain rating of 9 on a scale from 0 to 10 o
Blood pressure 160/90 mm Hg o Oxygen
saturation 89%
o Abdominal dressing with a moderate
amount of bright red drainage
• A nurse in a provider’s office is collecting data from a client who has a
history of hypertension during his annual physical examination. Which of
the following findings should the nurse report to the provider immediately?
o A 2 kg (4.4 lb) weight gain o Blurred vision o Potassium 3.6 mEq/L o
Resumption of cigarette smoking
• A nurse is caring for a client who suddenly develops chest pain and
dyspnea. Which of the following actions should the nurse take first? o Place
the client on bed rest o Obtain the clients ABG levels o Prepare the client
for a ventilation-perfusion scan o Elevate the head of the client’s bed
• A nurse is reinforcing teaching on a client who has diabetes mellitus. Which
of the following laboratory tests is the most accurate of blood glucose
effective management?
, o Urine ketones o Glucose tolerance test o
Glycosylated hemoglobin
o Fasting blood glucose
• A charge nurse on a mental health unit is supervising a newly licensed
nurse. For which of the following actions by the newly licensed nurse
should the supervising nurse intervene? o Requests a client to assist with
distributing lunch trays
o Tells a client he will lose his phone privileges if he does not take his
medication
o
Encourages a client to participate in a recreational therapy
group o Places mechanical restraints on a client who is hitting
another staff member
• A nurse is supervising an assistive personnel (AP) obtain supplies for a
client who is on seizure precautions. Which of the following materials
should the AP place in the client’s room? o Oral suction equipment o Wrist
restraints o Tongue depressor o Tracheostomy tray
• A nurse is reinforcing discharge teaching with the faculty of a client who
has dependent personality disorder. Which of the following instructions
should the nurse indicate in the teaching?
o Maintain a verbal no-harm contract with
the client o Assume responsibility for making
the client’s decisions
o Encourage the client to be assertive o
Limit the client’s social interactions
• A nurse is reinforcing discharge teaching with a client who had a right total
hip arthroplasty. Which of the following instructions should the nurse
indicate? o “You should avoid crossing your legs for 3 months.” o “You
should avoid putting a pillow between your legs when in bed.” o “You should
avoid exercising for the next 6 weeks.” o “You should avoid lying on your
right side.”
, o
•
• A nurse is reinforcing dietary teaching with a client who has hyperemesis
gravidarum. Which of the following instructions should the nurse include in
the teaching? o Drink 240 mL ( 8 oz) of water with each meal o Eat a small
meal every 2 to 3 hr o Avoid eating dairy products o Choose foods that are
high in fat
• A nurse is reinforcing teaching with a client who has GERD and a
prescription for ranitidine. Which of the following statements by the client
indicates an understanding of the teaching?
o “I have to remain upright for 1 hour after taking the medication.”
o “I should take this medication in the morning and at night.” o “I
should expect my tongue to turn black after I take this
medication.” o “I have to take this medication on an empty
stomach.”
• A nurse is assisting with the admission of a client who has pulmonary
tuberculosis. Which of the following types of isolation precautions should
the nurse include? o Airborne o Droplet
Stuvia.com - The Marketplace to Buy and Sell your Study Material
Protective o
Contact
• A nurse is reinforcing discharge teaching with a client who has COPD and
reports problems with maintaining adequate nutrition. Which of the
following instructions should the nurse include?
o “Self administer oxygen through your nasal cannula at 6
milliliters per minute during meals.”
o “Perform pulmonary hygiene 1 hour before meals.” o “Drink at
least 240 milliliters of water during each meal.” o “Lie down for
30 minutes after eating.”
• A nurse is administering pancreatic enzymes to a client who has cystic
fibrosis. Which of the following outcomes should the nurse expect as a
therapeutic effect of the treatment?
o Decreased sodium excretion o Improved absorption of
vitamins B and C o Improved respiratory function
o Reduced fat in the stools
• A nurse is caring for a client who has paranoid schizophrenia and believes
that she is being followed by FBI agents who are pretending to be
psychiatric staff. Which of the following responses should the nurse make?
ACTUAL EXAM 180 EXAM QUESTIONS AND
CORRECT ANSWERS|AGRADE
Smartprep Examinations
• A nurse is collecting data from a client who has a long leg cast that was
applied 2 days ago. The client’s foot is pale with a weak pedal pulse, and the
client reports foot numbness. Which of the following actions should the
nurse plan to take first? o Administer opioid pain medication o Apply an ice
pack to the affected extremity o Check for pain with passive movement of
the affected extremity o Elevate the affected extremity with several pillows
• A nurse in a provider’s office is reinforcing teaching about cigarette
smoking with a client. Which of the following adverse effects should the
nurse include in the teaching?
o Decreased hemoglobin o Somnolence
o Bradycardia
o Decreased blood pressure
• A nurse is contributing to the development of an in-service program for
mental health nursing staff. The nurse should include that the st
• aff can medicate a client against his will, without a court hearing, in which
of the following situations?
o A client who has a serious mental illness o A client
who is having difficulty making decisions about his
treatment o A client for whom the benefits of the
medication outweigh the risks o A client who is
attempting to hurt himself or others
• A nurse is reinforcing teaching with a client who has a new prescription for
digoxin. Which of the following instructions should the nurse include in the
teaching?
o “Monitor for muscle weakness while taking the
medication.” o “Rotate injection sites when administering
the medication.”
o “Withhold the medication if your pulse rate is above
100 beats per minute.” o “Increase your intake of dietary
fiber to increase absorption.”
• A charge nurse is discussing confidentiality requirements with a newly
licensed nurse when sharing a client’s medical information. Which of the
, o
following individuals should the charge nurse identify as appropriate with
whom to share client information?
o A nurse from another unit after a client commits suicide
o A social worker who is assigned to an involuntary committed school-age
client
o A client’s partner after the client reports intimate partner
abuse o A client’s employer who is concerned about safety
due to substance use
Stuvia.com - The Marketplace to Buy and Sell your Study Material
• A nurse is reviewing laboratory values for a client who is at 34 weeks of
gestation. Which of the following findings should the nurse report to the
provider?
o Hgb 13.2 g/dL o
Urine protein 3 plus o
Fasting blood glucose
72 mg/dL o BUN 15
mg/dL
• A nurse is collecting data from a client who is 4 hr postoperative following
a hemicolectomy. Which of the following findings is the nurse’s priority,
requiring immediate intervention?
o Pain rating of 9 on a scale from 0 to 10 o
Blood pressure 160/90 mm Hg o Oxygen
saturation 89%
o Abdominal dressing with a moderate
amount of bright red drainage
• A nurse in a provider’s office is collecting data from a client who has a
history of hypertension during his annual physical examination. Which of
the following findings should the nurse report to the provider immediately?
o A 2 kg (4.4 lb) weight gain o Blurred vision o Potassium 3.6 mEq/L o
Resumption of cigarette smoking
• A nurse is caring for a client who suddenly develops chest pain and
dyspnea. Which of the following actions should the nurse take first? o Place
the client on bed rest o Obtain the clients ABG levels o Prepare the client
for a ventilation-perfusion scan o Elevate the head of the client’s bed
• A nurse is reinforcing teaching on a client who has diabetes mellitus. Which
of the following laboratory tests is the most accurate of blood glucose
effective management?
, o Urine ketones o Glucose tolerance test o
Glycosylated hemoglobin
o Fasting blood glucose
• A charge nurse on a mental health unit is supervising a newly licensed
nurse. For which of the following actions by the newly licensed nurse
should the supervising nurse intervene? o Requests a client to assist with
distributing lunch trays
o Tells a client he will lose his phone privileges if he does not take his
medication
o
Encourages a client to participate in a recreational therapy
group o Places mechanical restraints on a client who is hitting
another staff member
• A nurse is supervising an assistive personnel (AP) obtain supplies for a
client who is on seizure precautions. Which of the following materials
should the AP place in the client’s room? o Oral suction equipment o Wrist
restraints o Tongue depressor o Tracheostomy tray
• A nurse is reinforcing discharge teaching with the faculty of a client who
has dependent personality disorder. Which of the following instructions
should the nurse indicate in the teaching?
o Maintain a verbal no-harm contract with
the client o Assume responsibility for making
the client’s decisions
o Encourage the client to be assertive o
Limit the client’s social interactions
• A nurse is reinforcing discharge teaching with a client who had a right total
hip arthroplasty. Which of the following instructions should the nurse
indicate? o “You should avoid crossing your legs for 3 months.” o “You
should avoid putting a pillow between your legs when in bed.” o “You should
avoid exercising for the next 6 weeks.” o “You should avoid lying on your
right side.”
, o
•
• A nurse is reinforcing dietary teaching with a client who has hyperemesis
gravidarum. Which of the following instructions should the nurse include in
the teaching? o Drink 240 mL ( 8 oz) of water with each meal o Eat a small
meal every 2 to 3 hr o Avoid eating dairy products o Choose foods that are
high in fat
• A nurse is reinforcing teaching with a client who has GERD and a
prescription for ranitidine. Which of the following statements by the client
indicates an understanding of the teaching?
o “I have to remain upright for 1 hour after taking the medication.”
o “I should take this medication in the morning and at night.” o “I
should expect my tongue to turn black after I take this
medication.” o “I have to take this medication on an empty
stomach.”
• A nurse is assisting with the admission of a client who has pulmonary
tuberculosis. Which of the following types of isolation precautions should
the nurse include? o Airborne o Droplet
Stuvia.com - The Marketplace to Buy and Sell your Study Material
Protective o
Contact
• A nurse is reinforcing discharge teaching with a client who has COPD and
reports problems with maintaining adequate nutrition. Which of the
following instructions should the nurse include?
o “Self administer oxygen through your nasal cannula at 6
milliliters per minute during meals.”
o “Perform pulmonary hygiene 1 hour before meals.” o “Drink at
least 240 milliliters of water during each meal.” o “Lie down for
30 minutes after eating.”
• A nurse is administering pancreatic enzymes to a client who has cystic
fibrosis. Which of the following outcomes should the nurse expect as a
therapeutic effect of the treatment?
o Decreased sodium excretion o Improved absorption of
vitamins B and C o Improved respiratory function
o Reduced fat in the stools
• A nurse is caring for a client who has paranoid schizophrenia and believes
that she is being followed by FBI agents who are pretending to be
psychiatric staff. Which of the following responses should the nurse make?
