ATI COMPREHENSIVE PREDICTOR EXAM 2019 (180 QNS &ANS VERIFIED
AND 100% CORRECT ANSWERS)
EXIT EXAM
• A nurse is caring for a client who has given informed consent for ECT. Just before
theprocedure, the client tells the nurse she is considering not going forward with
the treatment. Which of the following statements oy the nurse Is appropriate?
• "You don't have to go through with the treatment."
• "Most people who have this procedure feel better following the treatment.
• "It’s okay to be nervous before this treatment
• "Your doctor wouldn't have ordered this treatment unless it was necessary.
• While performing a route assessment. a nurse notices tracing on the electrical cord
of aclient's CPM device. Which of the following actions should the nurse take first?
• report the defect to the equipment maintenance staff.
• Ensure the device inspection sticker is
current
• c. Remove the device from the room
d. Initiate a requisition for a replacement PM device
• A nurse is caring for a client who is postoperative and has a new prescription
forhydromorphone, Which of the following actions should the nurse take:
• Document administration of the medication upon removal from the
medicationdispensing
• Withhold the medication if the client does not appear to be in pain.
• Count the current number of unit doses available in the medication dispensing system.
• Withhold the medication if the client has a fever
• A nurse performing a change-of-shift assessment. Which of the following clients has
thepriority finding?
• Type 2 DM and blood glucose of 250 mg/dL
• Pneumonia with a productive cough and a fever of 38.8° C (101.8°
F)c. 2 hr. post cast placement and has 2+ pitting edema and pallor
d. First-degree heart block and a heart rate of 62/ min
• A nurse in an outpatient mental health facility is providing teaching to a group of
adolescents. Which of the following statements by a client indicates an understanding
ofthe teaching?
• "I will limit my alcohol use to one drink daily while taking disulfiram.
• "I will avoid foods containing tyramine while taking Fluoxetine
• "I will take the sustained-release methylphenidate every morning.
• "I will take my lithium on an empty stomach."
,• A nurse in the emergency department is assessing a client who has a major
depressive disorder. Which of the following actions should the nurse take
first?
• Administer Zofran to the client for nausea
• Implement seizure precautions for the client
• Encourage the client to verbalize feelings
• Obtain the client's weight
• A nurse is completing an admission assessment for a client who has a
narcissisticpersonality disorder. Which of the following should the
nurseexpect?
• Suspicious of others
• Exhibits separation anxiety
• Ritualistic behavior
• Preoccupied with aging
• Drug Calc: The client weighs 99 lb. Prescribed diet of 1.5 g protein/kg/day. How
manygrams ofprotein per day should the nurse include in the client's dietary plan?
• A nurse is planning care for a group of clients and is working with one LPN and one AP.
Which of the following actions should the nurse take first to manage her time
effectively?
• Develop an hourly time frame for tasks
• Schedule daily activities
• Determine goals of the day
• Delegate tasks to the AP
• A nurse is developing a plan of care for a client who has preeclampsia and is to
receivemagnesium sulfate via continuous IV infusions. Which of the following actions
should the nurse include in the plan?
• Restrict the client's total fluid intake to 250 mL/hr.
• Measure the cents urine output every hour
• Give the client protamine if signs of magnesium sulfate toxicity occur (antidote:
calciumgluconate)
e. Monitor the FHR via Doppler every 30 min
• A nurse is caring for a group of clients. Which of the following wounds should
thenurse expect to heal by primary intention?
• Infected laceration.
• Stage I pressure ulcer
• Approximated surgical incision
, • Partial-thickness burns
• A nurse in an acute mental health care facility is prioritizing care for multiple
clients.Which of the following clients should the nurse see first?
• The client taking clozapine to treat schizophrenia and reports a sore throat
• The client has OCD and is upset about a change in their daily routine
• The client has a narcissistic personality disorder and is mocking others during group therapy
• A client who has a depressive disorder and requires assistance with ADLs
• A nurse is caring for a client who has an implanted venous access port. Which of
thefollowing should the nurse use to assess the port:
• An angiocatheter
• A butterfly needle
• A non-coring needle
• A 25 gauge needle
• A nurse is caring for a client who has pneumonia and tells the nurse, "I feel like
an elephant is sitting on my chest" The client is weak and unable to walk. After the
nurse indicates chest pain protocol which of the following is the priority diagnostic
test?
a. PT and INR
b. 12 lead ECG
c. Chest X-ray
d. Serum potassium
• A nurse is assessing the growth and development of a 3 /o child. Which of the
following questions should the nurse ask the parent to determine If the child is
exhibitingtypical developmental expectations?
• "Can your child draw a stick figure?
• "Can your child catch and throw a small
ball?
• c. "Can your child ride a tricycle?"
d. "Can your child name five colors?
• A nurse is preparing to assess fetal heart tones for a client who is at 12 weeks
ofgestation. Which of the following actions should the nurse take?
• Measure the fundal height to determine the placement of the ultrasound stethoscope
• Perform Leopold maneuvers before auscultating the FHR
• Position the ultrasound stethoscope above the symphysis pubis to assess the FHR
• Place the client in a side-lying position before assessing the HR
, • A nurse is assessing a client who has a chest tube with a water seal drainage
system. Upon assessment, the nurse notes tidying in the water seal. Which of the
following is anexplanation for the tidying?
a. There is a loop of the tubing below the drainage
system
b. The system is working properly
c. The lung has re-expanded
d. The tubing is partially obstructed by clots
• A charge nurse on a medical surgical unit is assisting with the emergency response
plan following an external disaster in the community in anticipation of multiple client
admissions. Which of the following current clients should the nurse recommend for
earlydischarge?
• A client who is receiving heparin for DV
• A client who is 1 day postoperative following a vertebroplasty
• A client who has COPD and a respiratory rate of 44/min
• A client who has cancer with a sealed implant or radiation therapy
• A nurse is caring for a client who has ESRD. The client's adult child asks the nurse
aboutbecoming a living kidney donor for her father. Which of the following conditions
inthe child's medical history should the nurse identify as a contraindication to the
procedure?
a. Osteoarthritis
b. HTN
c. Amputation
d. Primary glaucoma
• A nurse is caring for a client who is 4 days postpartum. Which of the
followingassessment findings should the nurse expect? (SATA)
• Foul perineal odor
• Fundus displaced to the
right
• c. Lochia serosa
d. Fundus 4 cm (1.6 in) below the umbilicus
e. Postpartum chill
• A nurse is caring for a child who has cystic fibrosis and requires postural
drainage.Which of the following actions should the nurse take?
• Perform the procedure twice a day
• Hold hand to perform percussions on the child
• Administer a bronchodilator after the procedure
AND 100% CORRECT ANSWERS)
EXIT EXAM
• A nurse is caring for a client who has given informed consent for ECT. Just before
theprocedure, the client tells the nurse she is considering not going forward with
the treatment. Which of the following statements oy the nurse Is appropriate?
• "You don't have to go through with the treatment."
• "Most people who have this procedure feel better following the treatment.
• "It’s okay to be nervous before this treatment
• "Your doctor wouldn't have ordered this treatment unless it was necessary.
• While performing a route assessment. a nurse notices tracing on the electrical cord
of aclient's CPM device. Which of the following actions should the nurse take first?
• report the defect to the equipment maintenance staff.
• Ensure the device inspection sticker is
current
• c. Remove the device from the room
d. Initiate a requisition for a replacement PM device
• A nurse is caring for a client who is postoperative and has a new prescription
forhydromorphone, Which of the following actions should the nurse take:
• Document administration of the medication upon removal from the
medicationdispensing
• Withhold the medication if the client does not appear to be in pain.
• Count the current number of unit doses available in the medication dispensing system.
• Withhold the medication if the client has a fever
• A nurse performing a change-of-shift assessment. Which of the following clients has
thepriority finding?
• Type 2 DM and blood glucose of 250 mg/dL
• Pneumonia with a productive cough and a fever of 38.8° C (101.8°
F)c. 2 hr. post cast placement and has 2+ pitting edema and pallor
d. First-degree heart block and a heart rate of 62/ min
• A nurse in an outpatient mental health facility is providing teaching to a group of
adolescents. Which of the following statements by a client indicates an understanding
ofthe teaching?
• "I will limit my alcohol use to one drink daily while taking disulfiram.
• "I will avoid foods containing tyramine while taking Fluoxetine
• "I will take the sustained-release methylphenidate every morning.
• "I will take my lithium on an empty stomach."
,• A nurse in the emergency department is assessing a client who has a major
depressive disorder. Which of the following actions should the nurse take
first?
• Administer Zofran to the client for nausea
• Implement seizure precautions for the client
• Encourage the client to verbalize feelings
• Obtain the client's weight
• A nurse is completing an admission assessment for a client who has a
narcissisticpersonality disorder. Which of the following should the
nurseexpect?
• Suspicious of others
• Exhibits separation anxiety
• Ritualistic behavior
• Preoccupied with aging
• Drug Calc: The client weighs 99 lb. Prescribed diet of 1.5 g protein/kg/day. How
manygrams ofprotein per day should the nurse include in the client's dietary plan?
• A nurse is planning care for a group of clients and is working with one LPN and one AP.
Which of the following actions should the nurse take first to manage her time
effectively?
• Develop an hourly time frame for tasks
• Schedule daily activities
• Determine goals of the day
• Delegate tasks to the AP
• A nurse is developing a plan of care for a client who has preeclampsia and is to
receivemagnesium sulfate via continuous IV infusions. Which of the following actions
should the nurse include in the plan?
• Restrict the client's total fluid intake to 250 mL/hr.
• Measure the cents urine output every hour
• Give the client protamine if signs of magnesium sulfate toxicity occur (antidote:
calciumgluconate)
e. Monitor the FHR via Doppler every 30 min
• A nurse is caring for a group of clients. Which of the following wounds should
thenurse expect to heal by primary intention?
• Infected laceration.
• Stage I pressure ulcer
• Approximated surgical incision
, • Partial-thickness burns
• A nurse in an acute mental health care facility is prioritizing care for multiple
clients.Which of the following clients should the nurse see first?
• The client taking clozapine to treat schizophrenia and reports a sore throat
• The client has OCD and is upset about a change in their daily routine
• The client has a narcissistic personality disorder and is mocking others during group therapy
• A client who has a depressive disorder and requires assistance with ADLs
• A nurse is caring for a client who has an implanted venous access port. Which of
thefollowing should the nurse use to assess the port:
• An angiocatheter
• A butterfly needle
• A non-coring needle
• A 25 gauge needle
• A nurse is caring for a client who has pneumonia and tells the nurse, "I feel like
an elephant is sitting on my chest" The client is weak and unable to walk. After the
nurse indicates chest pain protocol which of the following is the priority diagnostic
test?
a. PT and INR
b. 12 lead ECG
c. Chest X-ray
d. Serum potassium
• A nurse is assessing the growth and development of a 3 /o child. Which of the
following questions should the nurse ask the parent to determine If the child is
exhibitingtypical developmental expectations?
• "Can your child draw a stick figure?
• "Can your child catch and throw a small
ball?
• c. "Can your child ride a tricycle?"
d. "Can your child name five colors?
• A nurse is preparing to assess fetal heart tones for a client who is at 12 weeks
ofgestation. Which of the following actions should the nurse take?
• Measure the fundal height to determine the placement of the ultrasound stethoscope
• Perform Leopold maneuvers before auscultating the FHR
• Position the ultrasound stethoscope above the symphysis pubis to assess the FHR
• Place the client in a side-lying position before assessing the HR
, • A nurse is assessing a client who has a chest tube with a water seal drainage
system. Upon assessment, the nurse notes tidying in the water seal. Which of the
following is anexplanation for the tidying?
a. There is a loop of the tubing below the drainage
system
b. The system is working properly
c. The lung has re-expanded
d. The tubing is partially obstructed by clots
• A charge nurse on a medical surgical unit is assisting with the emergency response
plan following an external disaster in the community in anticipation of multiple client
admissions. Which of the following current clients should the nurse recommend for
earlydischarge?
• A client who is receiving heparin for DV
• A client who is 1 day postoperative following a vertebroplasty
• A client who has COPD and a respiratory rate of 44/min
• A client who has cancer with a sealed implant or radiation therapy
• A nurse is caring for a client who has ESRD. The client's adult child asks the nurse
aboutbecoming a living kidney donor for her father. Which of the following conditions
inthe child's medical history should the nurse identify as a contraindication to the
procedure?
a. Osteoarthritis
b. HTN
c. Amputation
d. Primary glaucoma
• A nurse is caring for a client who is 4 days postpartum. Which of the
followingassessment findings should the nurse expect? (SATA)
• Foul perineal odor
• Fundus displaced to the
right
• c. Lochia serosa
d. Fundus 4 cm (1.6 in) below the umbilicus
e. Postpartum chill
• A nurse is caring for a child who has cystic fibrosis and requires postural
drainage.Which of the following actions should the nurse take?
• Perform the procedure twice a day
• Hold hand to perform percussions on the child
• Administer a bronchodilator after the procedure
