ACTUAL ATI COMPREHENSIVE PREDICTOR RETAKE EXAM 2023
WITH ALL 180 QUESTIONS AND CORRECT VERIFIED ANSWERS
WITH RATIONALES/ ATI COMPREHENSIVE PREDICTOR RETAKE
EXAM 2023-2024/ GUARANTEED A (BRAND NEW DEC 2023!!)
A nurse is preparing to admit a 6-year-old with varicella to the pediatric
unit.Which of the following actions should the nurse take?
A. Assess the child for Koplik spots.
B. Assign the child to a negative air pressure room.
C. Use droplet precautions when caring for the child.
D. Administer aspirin to the child for fever. - ANSWER-Use droplet precautions
when caring for the child.
Using droplet precautions when caring for the child is appropriate because
varicella is highly contagious and spreads through respiratory droplets. Droplet
precautions involve wearing a mask and maintaining a safe distance from the
infected individual, which helps prevent the spread of the virus to others.
An older client with a history of heart failure is admitted with influenza and
requests assistance to sit up in bed to eat lunch. The nurse observes the unlicensed
assistive personnel (UAP) wearing a gown and gloves to assist the client. Which
action should the nurse take?
A. Instruct the UAP to notify the nurse of any changes in the client's respiratory
status.
B. Remind the UAP to apply a fitted respirator mask before entering the client's
room.
C. Assign the UAP to provide care for another client and assume full care of the
client.
,D. Review the need for the UAP to wear a face mask while in close contact with
the client. - ANSWER-Review the need for the UAP to wear a face mask while in
close contact with the client.
A nurse is assessing a 5-year-old child who has diabetes insipidus and is receiving
desmopressin.Which of the following findings should the nurse identify as an
indication that the medication is effective?
A. Heart rate 140/min.
B. Cessation of nocturnal enuresis.
C. Capillary refill 3 seconds.
D. Absence of hypoglycemic episodes. - ANSWER-Cessation of nocturnal
enuresis.
Cessation of nocturnal enuresis (bedwetting) is a significant indication that
desmopressin, an antidiuretic hormone, is effective. One of the main symptoms of
diabetes insipidus is excessive urination, including during the night, leading to
bedwetting. When desmopressin effectively reduces urine production, patients
often experience improvement in these symptoms, including the cessation of
nocturnal enuresis.
A nurse is assessing a client who has a chest tube with a water seal drainage
system.Upon assessment, the nurse notes tidaling in the water seal.Which of the
following is an explanation for the tidaling?
A. The lung has re-expanded.
B. There is a loop of tubing below the drainage system.
C. The system is working properly.
D. The tubing is partially obstructed by clots. - ANSWER-There is a loop of tubing
below the drainage system
,This is the correct answer. Tidaling in the water seal chamber of a chest drainage
system is normal and indicates proper functioning. It occurs because of the
fluctuation of intrathoracic pressure with the client's breathing. If there is a loop of
tubing below the drainage system, it prevents the fluid from returning to the patient
and maintains the water seal.
A charge nurse is teaching a newly licensed nurse about medication
administration.Which of the following information should the charge nurse
include?
A. Avoid preparing medications for more than two clients at one time.
B. Inform clients about the action of each medication prior to administration.
C. Read medication labels at least two times prior to administration.
D. Complete an incident report if a client vomits after taking a medication. -
ANSWER-Read medication labels at least two times prior to administration.
This is the correct answer. Reading medication labels at least two times before
administration is essential to ensure the right medication, dosage, route, and time.
It is a crucial step in medication safety protocols and helps prevent medication
errors.
A nurse in an emergency department is assessing a client who reports ingesting
thirty diazepam tablets 20 minutes ago.The client is lethargic and has a respiratory
rate of 10/min.After securing the client's airway and initiating an IV, which of the
following actions should the nurse take next?
A. Evaluate the client for further suicidal behavior.
B. Administer flumazenil to the client.
C. Monitor the client's IV site for thrombophlebitis.
, D. Initiate seizure precautions for the client. - ANSWER-Initiate seizure
precautions for the client.
This is the correct answer. Initiating seizure precautions is crucial in this situation
because benzodiazepine overdose can lead to seizures, especially during the
recovery phase as the drug's effects wear off. Implementing seizure precautions,
such as padding the siderails and ensuring a safe environment, helps prevent injury
during a seizure episode.
A nurse is providing discharge instructions to a client who has a new prescription
for haloperidol.Which of the following adverse effects should the nurse instruct the
client to report to the provider?
A. Weight gain.
B. Dry mouth.
C. Shuffling gait.
D. Sedation. - ANSWER-Shuffling gait.
This is the correct answer. Shuffling gait, or parkinsonism, is an extrapyramidal
symptom associated with the use of antipsychotic medications like haloperidol. It
is a movement disorder characterized by a shuffling walk, rigidity, and tremors.
Recognizing and reporting this symptom promptly is crucial, as it may indicate the
development of a serious neurological condition called tardive dyskinesia.
A nurse is caring for an adolescent client who has cystic fibrosis.Which of the
following actions should the nurse instruct the client to take prior to initiating
postural drainage?
A. Eat a meal.
B. Take pancrelipase.
WITH ALL 180 QUESTIONS AND CORRECT VERIFIED ANSWERS
WITH RATIONALES/ ATI COMPREHENSIVE PREDICTOR RETAKE
EXAM 2023-2024/ GUARANTEED A (BRAND NEW DEC 2023!!)
A nurse is preparing to admit a 6-year-old with varicella to the pediatric
unit.Which of the following actions should the nurse take?
A. Assess the child for Koplik spots.
B. Assign the child to a negative air pressure room.
C. Use droplet precautions when caring for the child.
D. Administer aspirin to the child for fever. - ANSWER-Use droplet precautions
when caring for the child.
Using droplet precautions when caring for the child is appropriate because
varicella is highly contagious and spreads through respiratory droplets. Droplet
precautions involve wearing a mask and maintaining a safe distance from the
infected individual, which helps prevent the spread of the virus to others.
An older client with a history of heart failure is admitted with influenza and
requests assistance to sit up in bed to eat lunch. The nurse observes the unlicensed
assistive personnel (UAP) wearing a gown and gloves to assist the client. Which
action should the nurse take?
A. Instruct the UAP to notify the nurse of any changes in the client's respiratory
status.
B. Remind the UAP to apply a fitted respirator mask before entering the client's
room.
C. Assign the UAP to provide care for another client and assume full care of the
client.
,D. Review the need for the UAP to wear a face mask while in close contact with
the client. - ANSWER-Review the need for the UAP to wear a face mask while in
close contact with the client.
A nurse is assessing a 5-year-old child who has diabetes insipidus and is receiving
desmopressin.Which of the following findings should the nurse identify as an
indication that the medication is effective?
A. Heart rate 140/min.
B. Cessation of nocturnal enuresis.
C. Capillary refill 3 seconds.
D. Absence of hypoglycemic episodes. - ANSWER-Cessation of nocturnal
enuresis.
Cessation of nocturnal enuresis (bedwetting) is a significant indication that
desmopressin, an antidiuretic hormone, is effective. One of the main symptoms of
diabetes insipidus is excessive urination, including during the night, leading to
bedwetting. When desmopressin effectively reduces urine production, patients
often experience improvement in these symptoms, including the cessation of
nocturnal enuresis.
A nurse is assessing a client who has a chest tube with a water seal drainage
system.Upon assessment, the nurse notes tidaling in the water seal.Which of the
following is an explanation for the tidaling?
A. The lung has re-expanded.
B. There is a loop of tubing below the drainage system.
C. The system is working properly.
D. The tubing is partially obstructed by clots. - ANSWER-There is a loop of tubing
below the drainage system
,This is the correct answer. Tidaling in the water seal chamber of a chest drainage
system is normal and indicates proper functioning. It occurs because of the
fluctuation of intrathoracic pressure with the client's breathing. If there is a loop of
tubing below the drainage system, it prevents the fluid from returning to the patient
and maintains the water seal.
A charge nurse is teaching a newly licensed nurse about medication
administration.Which of the following information should the charge nurse
include?
A. Avoid preparing medications for more than two clients at one time.
B. Inform clients about the action of each medication prior to administration.
C. Read medication labels at least two times prior to administration.
D. Complete an incident report if a client vomits after taking a medication. -
ANSWER-Read medication labels at least two times prior to administration.
This is the correct answer. Reading medication labels at least two times before
administration is essential to ensure the right medication, dosage, route, and time.
It is a crucial step in medication safety protocols and helps prevent medication
errors.
A nurse in an emergency department is assessing a client who reports ingesting
thirty diazepam tablets 20 minutes ago.The client is lethargic and has a respiratory
rate of 10/min.After securing the client's airway and initiating an IV, which of the
following actions should the nurse take next?
A. Evaluate the client for further suicidal behavior.
B. Administer flumazenil to the client.
C. Monitor the client's IV site for thrombophlebitis.
, D. Initiate seizure precautions for the client. - ANSWER-Initiate seizure
precautions for the client.
This is the correct answer. Initiating seizure precautions is crucial in this situation
because benzodiazepine overdose can lead to seizures, especially during the
recovery phase as the drug's effects wear off. Implementing seizure precautions,
such as padding the siderails and ensuring a safe environment, helps prevent injury
during a seizure episode.
A nurse is providing discharge instructions to a client who has a new prescription
for haloperidol.Which of the following adverse effects should the nurse instruct the
client to report to the provider?
A. Weight gain.
B. Dry mouth.
C. Shuffling gait.
D. Sedation. - ANSWER-Shuffling gait.
This is the correct answer. Shuffling gait, or parkinsonism, is an extrapyramidal
symptom associated with the use of antipsychotic medications like haloperidol. It
is a movement disorder characterized by a shuffling walk, rigidity, and tremors.
Recognizing and reporting this symptom promptly is crucial, as it may indicate the
development of a serious neurological condition called tardive dyskinesia.
A nurse is caring for an adolescent client who has cystic fibrosis.Which of the
following actions should the nurse instruct the client to take prior to initiating
postural drainage?
A. Eat a meal.
B. Take pancrelipase.
