NGN ATI Comprehensive Predictor 2019
A EXAM LATEST 2023-2024 ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
A nurse is caring for a client who states, "My boss accused me of
stealing yesterday. I was so angry I went to the gym and worked
out." The nurse should recognize the client is demonstrating
which of the following defense mechanisms? - CORRECT
ANSWER Sublimation
Rationale: The client is exhibiting behaviors consistent with
sublimation, which is displayed when a client substitutes socially
unacceptable behavior for acceptable behavior.
A nurse is caring for a client who has generalized anxiety disorder
and is to begin taking alprazolam. Which of the following actions
should the nurse take? - CORRECT ANSWER Initiate fall
precautions for the client
Rationale: The nurse should initiate fall precautions for a client
who has a new prescription for alprazolam because common
adverse effects associated with this medication are orthostatic
hypotension, dizziness, confusion, and lethargy.
A nurse on a med surg unit is caring for a client prior to a surgical
procedure. Which of the following findings should indicate to the
nurse that the client has the ability to sign the informed consent? -
CORRECT ANSWER The client is able to accurately describe
the upcoming procedure
,Rationale: The ability of the client to accurately describe the
upcoming procedure indicates that the provider adequately
informed the client and that the client is able to sign the informed
consent
An assistive personnel (AP) and a nurse are turning a client onto
the right side. Which of the following actions by the AP requires
the nurse to intervene? - CORRECT ANSWER Places a pillow
under the client's right arm.
Rationale: The AP should place a pillow under the client's left arm
to prevent internal rotation of the left shoulder.
A nurse is providing dietary teaching to the parents of a 6-month-
old infant. Which of the following instructions should the nurse
include? - CORRECT ANSWER Introduce new foods one at a
time over 5 to 7 days.
A nurse is caring for a client who has MRSA in an abdominal
wound. Which of the following precautions should the nurse
implement? - CORRECT ANSWER Contact
Rationale: The nurse should implement contact precautions for a
client who has an infection spread by direct contact, such as
MRSA.
A nurse is assessing a client who has delirium. Which of the
following manifestations should the nurse expect? - CORRECT
ANSWER Rapid speech
Rationale: Clients who have delirium exhibit rapid, inappropriate,
incoherent, and rambling speech patterns
,A night shift nurse is giving a change of shift report to the day shift
nurse on a client who is ready for discharge. Which of the
following information is the priority for the nurse to communicate
to the oncoming nurse? - CORRECT ANSWER The client
needs assistance when transferring from the bed to a wheelchair.
Rationale: The greatest risk to this client is injury due to a fall.
Therefore, the priority information for the nurse to communicate is
that the client requires assistance during transfers.
A nurse is assessing a client during the immediate postpartum
period. Which of the following findings requires immediate
intervention by the nurse? - CORRECT ANSWER Boggy uterus
Rationale: When using urgent vs. nonurgent approach to client
care, the nurse should determine that the priority finding is a
boggy uterus, which can indicate uterine hemorrhage. The nurse
should immediately intervene to stimulate uterine contractions
and prevent blood loss. If the uterus becomes relaxed during the
postpartum period, the client will rapidly lose blood because no
permanent thrombi have formed at the placenta.
A nurse in an emergency department is preparing to discharge a
client who has experienced intimate partner violence. Which of
the following actions should the nurse take first? - CORRECT
ANSWER Develop a safety plan with the client
Rationale: The greatest risk to this client is injury from violence.
Therefore, the first action the nurse should take is to develop a
safety plan with the client.
A client is receiving lorazepam IV for panic attacks and develops
a respiratory rate of 6/min and a blood pressure of 90/44 mm Hg.
Which of the following medications should the nurse anticipate
administering. - CORRECT ANSWER Flumazenil
, Rationale: The nurse should anticipate administering flumazenil, a
competitive benzodiazepine receptor antagonist, to reverse the
sedative effects of lorazepam. In addition, the nurse should
continue to support the client's respirations with a bag valve
mask.
A home health nurse is planning care for an older adult client who
has impaired vision. Which of the following interventions should
the nurse include in the plant of care to prevent injury in the
home? - CORRECT ANSWER Mark the edges of the stairs for
contrast
Rationale: Marking the edges of stairs with paint or colored tape
for contrast can help older adult clients who have impaired vision
prevent injury by decreasing the risk of falls.
A nurse manager is planning to make changes to the current
scheduling system on the unit. To facilitate the staff's acceptance
of this change, which of the following actions should the nurse
manager take first? - CORRECT ANSWER Provide information
about scheduling issues to the staff.
Rationale: The first stage of the change process is the unfreezing
stage, when the nurse should inform the staff about the current
staffing issues. This can increase their understanding of why
changes are necessary.
A nurse is teaching a group of guardians about child safety
measures. Which of the following statements by guardian
indicates an understanding of the teaching? - CORRECT
ANSWER "I should have my child avoid sun exposure between
10 am and 2 pm"
A EXAM LATEST 2023-2024 ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
A nurse is caring for a client who states, "My boss accused me of
stealing yesterday. I was so angry I went to the gym and worked
out." The nurse should recognize the client is demonstrating
which of the following defense mechanisms? - CORRECT
ANSWER Sublimation
Rationale: The client is exhibiting behaviors consistent with
sublimation, which is displayed when a client substitutes socially
unacceptable behavior for acceptable behavior.
A nurse is caring for a client who has generalized anxiety disorder
and is to begin taking alprazolam. Which of the following actions
should the nurse take? - CORRECT ANSWER Initiate fall
precautions for the client
Rationale: The nurse should initiate fall precautions for a client
who has a new prescription for alprazolam because common
adverse effects associated with this medication are orthostatic
hypotension, dizziness, confusion, and lethargy.
A nurse on a med surg unit is caring for a client prior to a surgical
procedure. Which of the following findings should indicate to the
nurse that the client has the ability to sign the informed consent? -
CORRECT ANSWER The client is able to accurately describe
the upcoming procedure
,Rationale: The ability of the client to accurately describe the
upcoming procedure indicates that the provider adequately
informed the client and that the client is able to sign the informed
consent
An assistive personnel (AP) and a nurse are turning a client onto
the right side. Which of the following actions by the AP requires
the nurse to intervene? - CORRECT ANSWER Places a pillow
under the client's right arm.
Rationale: The AP should place a pillow under the client's left arm
to prevent internal rotation of the left shoulder.
A nurse is providing dietary teaching to the parents of a 6-month-
old infant. Which of the following instructions should the nurse
include? - CORRECT ANSWER Introduce new foods one at a
time over 5 to 7 days.
A nurse is caring for a client who has MRSA in an abdominal
wound. Which of the following precautions should the nurse
implement? - CORRECT ANSWER Contact
Rationale: The nurse should implement contact precautions for a
client who has an infection spread by direct contact, such as
MRSA.
A nurse is assessing a client who has delirium. Which of the
following manifestations should the nurse expect? - CORRECT
ANSWER Rapid speech
Rationale: Clients who have delirium exhibit rapid, inappropriate,
incoherent, and rambling speech patterns
,A night shift nurse is giving a change of shift report to the day shift
nurse on a client who is ready for discharge. Which of the
following information is the priority for the nurse to communicate
to the oncoming nurse? - CORRECT ANSWER The client
needs assistance when transferring from the bed to a wheelchair.
Rationale: The greatest risk to this client is injury due to a fall.
Therefore, the priority information for the nurse to communicate is
that the client requires assistance during transfers.
A nurse is assessing a client during the immediate postpartum
period. Which of the following findings requires immediate
intervention by the nurse? - CORRECT ANSWER Boggy uterus
Rationale: When using urgent vs. nonurgent approach to client
care, the nurse should determine that the priority finding is a
boggy uterus, which can indicate uterine hemorrhage. The nurse
should immediately intervene to stimulate uterine contractions
and prevent blood loss. If the uterus becomes relaxed during the
postpartum period, the client will rapidly lose blood because no
permanent thrombi have formed at the placenta.
A nurse in an emergency department is preparing to discharge a
client who has experienced intimate partner violence. Which of
the following actions should the nurse take first? - CORRECT
ANSWER Develop a safety plan with the client
Rationale: The greatest risk to this client is injury from violence.
Therefore, the first action the nurse should take is to develop a
safety plan with the client.
A client is receiving lorazepam IV for panic attacks and develops
a respiratory rate of 6/min and a blood pressure of 90/44 mm Hg.
Which of the following medications should the nurse anticipate
administering. - CORRECT ANSWER Flumazenil
, Rationale: The nurse should anticipate administering flumazenil, a
competitive benzodiazepine receptor antagonist, to reverse the
sedative effects of lorazepam. In addition, the nurse should
continue to support the client's respirations with a bag valve
mask.
A home health nurse is planning care for an older adult client who
has impaired vision. Which of the following interventions should
the nurse include in the plant of care to prevent injury in the
home? - CORRECT ANSWER Mark the edges of the stairs for
contrast
Rationale: Marking the edges of stairs with paint or colored tape
for contrast can help older adult clients who have impaired vision
prevent injury by decreasing the risk of falls.
A nurse manager is planning to make changes to the current
scheduling system on the unit. To facilitate the staff's acceptance
of this change, which of the following actions should the nurse
manager take first? - CORRECT ANSWER Provide information
about scheduling issues to the staff.
Rationale: The first stage of the change process is the unfreezing
stage, when the nurse should inform the staff about the current
staffing issues. This can increase their understanding of why
changes are necessary.
A nurse is teaching a group of guardians about child safety
measures. Which of the following statements by guardian
indicates an understanding of the teaching? - CORRECT
ANSWER "I should have my child avoid sun exposure between
10 am and 2 pm"
