ATI VATI PN COMPREHENSIVE PREDICTOR RETAKE
GUIDE EXAM 200 QUESTIONS AND DETAILED
CORRECT ANSWERS
RATED
A nurse in a provider's office is collecting data from a client who was discharged from the
hospital 7 days ago following treatment for deep-vein thrombosis. Which of the following
findings is the nurse's priority? (Click on the "Exhibit" button for additional information
about the client. There are three tabs that contain separate categories of data.) -
ANSWER>> The client takes ibuprofen daily to treat musculoskeletal pain.
A nurse is caring for a child who has terminal cancer. Which of the following responses by
the child's siblings should the nurse expect? - ANSWER>> The school-age sister is
concerned about the impact of her sibling's death on herself
A nurse is caring for a client who attempted suicide. Which of the following actions should
the nurse take? - ANSWER>> Serve meals with plastic utensils.
A nurse is removing a female client's indwelling urinary catheter. Which of the following
actions should the nurse take? - ANSWER>> Withdraw the fluid from the catheter's
balloon.
A nurse is collecting data from a parent of a preschooler at a well-child visit. Which of the
following findings is a contraindication to a measles, mumps, and rubella (MMR)
immunization? - ANSWER>> Long-term use of immunosuppressants
A home health nurse is reinforcing teaching with a client about kitchen safety. Which of
the following instructions should the nurse reinforce about using a fire extinguisher? -
ANSWER>> Sweep the extinguisher from side to side to put out the fire.
A nurse is caring for a client who is asking about the technique of effleurage and its use in
labor and delivery. Which of the following responses should the nurse make regarding this
technique? - ANSWER>> "It is a light stroking of the skin during a uterine contraction."
A nurse is preparing to administer required immunizations to a toddler during a well-child
visit. The parent asks the nurse how many baby aspirins he should administer if the
toddler develops a fever. Which of the following responses should the nurse make? -
ANSWER>> "You should follow the label directions based on your child's weight."
,A nurse is caring for a client who is in mechanical restraints after becoming violent with a
staff member. Which of the following actions should the nurse take? - ANSWER>>
Request that the provider write an as-needed prescription for restraints.
A nurse is reinforcing teaching with an older adult client who has a new prescription for
digoxin for heart failure. Which of the following effects should the nurse include as an
expected outcome of this medication? - ANSWER>> Increased heart rate
A nurse is assisting with the plan of care for a client who has Alzheimer's disease. Which
of the following actions should the nurse recommend for the plan of care? - ANSWER>>
Give directions using simple phrases.
A nurse is caring for a client in a provider's office. The client asks about the purpose of a
living will. Which of the following is the appropriate response by the nurse? - ANSWER>>
"It expresses your wishes regarding health care when you can no longer communicate."
A nurse is planning to administer an ophthalmic medication to a client. Which of the
following actions will minimize systemic absorption of the medication? - ANSWER>> Wait
5 min after instillation before instilling the drops in the other eye.
A nurse is caring for a client who has a methicillin-resistant Staphylococcus aureus
(MRSA) infection. Which of the following actions should the nurse plan to take? -
ANSWER>> Don a gown and gloves when providing perineal care.
A nurse is reviewing the medical record of a client who is requesting an oral
contraceptive. Which of the following findings should the nurse identify as a
contraindication to the use of oral contraceptives? - ANSWER>> History of renal calculi
A nurse is reinforcing teaching with a client who has a new prescription for lithium
carbonate. Which of the following client statements indicates an understanding of the
teaching? - ANSWER>> "I will notify my provider if I develop a tremor."
A nurse is caring for a client who is undergoing evaluation for a thoracic aortic aneurysm.
Which of the following findings should make the nurse suspect an impending rupture of
the aneurysm? - ANSWER>> Cough with hemoptysis
A nurse collecting data from a client who is receiving a continuous IV infusion of 0.9%
sodium chloride. The nurse discovers the IV infusion pump was set incorrectly and the
client received 200 mL more than prescribed. Data collection reveals that the client is
stable. The nurse recognizes that this incident is not considered malpractice for which of
the following reasons? - ANSWER>> The client was not harmed as a result of the
incident.
A nurse is escorting a client to his car following discharge from an acute mental health
facility. The client states intentions to harm a friend when he leaves the facility. Which of
the following actions should the nurse take? - ANSWER>> Prevent the client from leaving
the facility.
, A nurse is caring for a client who is 5 days postoperative following abdominal surgery.
The client tells the nurse that he was coughing and "felt a pop" at the incision site. The
nurse examines the incision and finds wound dehiscence and evisceration. Which of the
following actions should the nurse take? - ANSWER>> Place the client in a side-lying
position.
A nurse is planning to reinforce teaching with a preschooler who is about to undergo an
incision and drainage for cellulitis on the left arm. Which of the following techniques
should the nurse use? - ANSWER>> Take the child on a tour of the surgery and recovery
areas.
A nurse receives a verbal order for a client to receive a stat dose of meperidine 100 mg
PO. She administers the medication, charts the administration, and then realizes she has
administered phenytoin 100 mg PO. Which of the following actions should the nurse take
first? - ANSWER>> Check the client's vital signs.
A nurse is caring for a postoperative client and obtains a pulse oximeter reading of 89%.
Which of the following interventions should the nurse take first? - ANSWER>> Repeat the
test on another finger.
A nurse is preparing to administer 5 units of regular insulin and 20 units of NPH insulin to
a client who has type 1 diabetes mellitus. Which of the following actions should the nurse
take first? - ANSWER>> withdraw 5 units of regular insulin from the vial.
A nurse is caring for a client who has urolithiasis. Which of the following actions should
the nurse take? - ANSWER>> Strain the client's urine.
A nurse is observing the mother of a 12-hr-old newborn. Which of the following actions by
the mother requires intervention by the nurse? - ANSWER>> The mother places the
newborn in prone position.
A nurse in a mental health facility is reviewing the laboratory reports for four clients.
Which of the following results should the nurse report to the provider immediately? -
ANSWER>> Sodium level of 130 mEg/L for a client who has bipolar disorder and takes
lithium
After receiving change-of-shift report, which of the following clients should the nurse
collect data from first? - ANSWER>> A client who has heart failure and reports severe
dyspnea
A nurse is assisting with the admission of a client who has Hodgkin's disease and is
receiving chemotherapy. Because a private room is not available, the nurse should
recommend that the client share a room with a client who has which of the following
diagnoses? - ANSWER>> Community-acquired pneumonia
A nurse is reinforcing teaching with a client who is about to undergo an upper
gastrointestinal series with fluoroscopy. Which of the following information should the
GUIDE EXAM 200 QUESTIONS AND DETAILED
CORRECT ANSWERS
RATED
A nurse in a provider's office is collecting data from a client who was discharged from the
hospital 7 days ago following treatment for deep-vein thrombosis. Which of the following
findings is the nurse's priority? (Click on the "Exhibit" button for additional information
about the client. There are three tabs that contain separate categories of data.) -
ANSWER>> The client takes ibuprofen daily to treat musculoskeletal pain.
A nurse is caring for a child who has terminal cancer. Which of the following responses by
the child's siblings should the nurse expect? - ANSWER>> The school-age sister is
concerned about the impact of her sibling's death on herself
A nurse is caring for a client who attempted suicide. Which of the following actions should
the nurse take? - ANSWER>> Serve meals with plastic utensils.
A nurse is removing a female client's indwelling urinary catheter. Which of the following
actions should the nurse take? - ANSWER>> Withdraw the fluid from the catheter's
balloon.
A nurse is collecting data from a parent of a preschooler at a well-child visit. Which of the
following findings is a contraindication to a measles, mumps, and rubella (MMR)
immunization? - ANSWER>> Long-term use of immunosuppressants
A home health nurse is reinforcing teaching with a client about kitchen safety. Which of
the following instructions should the nurse reinforce about using a fire extinguisher? -
ANSWER>> Sweep the extinguisher from side to side to put out the fire.
A nurse is caring for a client who is asking about the technique of effleurage and its use in
labor and delivery. Which of the following responses should the nurse make regarding this
technique? - ANSWER>> "It is a light stroking of the skin during a uterine contraction."
A nurse is preparing to administer required immunizations to a toddler during a well-child
visit. The parent asks the nurse how many baby aspirins he should administer if the
toddler develops a fever. Which of the following responses should the nurse make? -
ANSWER>> "You should follow the label directions based on your child's weight."
,A nurse is caring for a client who is in mechanical restraints after becoming violent with a
staff member. Which of the following actions should the nurse take? - ANSWER>>
Request that the provider write an as-needed prescription for restraints.
A nurse is reinforcing teaching with an older adult client who has a new prescription for
digoxin for heart failure. Which of the following effects should the nurse include as an
expected outcome of this medication? - ANSWER>> Increased heart rate
A nurse is assisting with the plan of care for a client who has Alzheimer's disease. Which
of the following actions should the nurse recommend for the plan of care? - ANSWER>>
Give directions using simple phrases.
A nurse is caring for a client in a provider's office. The client asks about the purpose of a
living will. Which of the following is the appropriate response by the nurse? - ANSWER>>
"It expresses your wishes regarding health care when you can no longer communicate."
A nurse is planning to administer an ophthalmic medication to a client. Which of the
following actions will minimize systemic absorption of the medication? - ANSWER>> Wait
5 min after instillation before instilling the drops in the other eye.
A nurse is caring for a client who has a methicillin-resistant Staphylococcus aureus
(MRSA) infection. Which of the following actions should the nurse plan to take? -
ANSWER>> Don a gown and gloves when providing perineal care.
A nurse is reviewing the medical record of a client who is requesting an oral
contraceptive. Which of the following findings should the nurse identify as a
contraindication to the use of oral contraceptives? - ANSWER>> History of renal calculi
A nurse is reinforcing teaching with a client who has a new prescription for lithium
carbonate. Which of the following client statements indicates an understanding of the
teaching? - ANSWER>> "I will notify my provider if I develop a tremor."
A nurse is caring for a client who is undergoing evaluation for a thoracic aortic aneurysm.
Which of the following findings should make the nurse suspect an impending rupture of
the aneurysm? - ANSWER>> Cough with hemoptysis
A nurse collecting data from a client who is receiving a continuous IV infusion of 0.9%
sodium chloride. The nurse discovers the IV infusion pump was set incorrectly and the
client received 200 mL more than prescribed. Data collection reveals that the client is
stable. The nurse recognizes that this incident is not considered malpractice for which of
the following reasons? - ANSWER>> The client was not harmed as a result of the
incident.
A nurse is escorting a client to his car following discharge from an acute mental health
facility. The client states intentions to harm a friend when he leaves the facility. Which of
the following actions should the nurse take? - ANSWER>> Prevent the client from leaving
the facility.
, A nurse is caring for a client who is 5 days postoperative following abdominal surgery.
The client tells the nurse that he was coughing and "felt a pop" at the incision site. The
nurse examines the incision and finds wound dehiscence and evisceration. Which of the
following actions should the nurse take? - ANSWER>> Place the client in a side-lying
position.
A nurse is planning to reinforce teaching with a preschooler who is about to undergo an
incision and drainage for cellulitis on the left arm. Which of the following techniques
should the nurse use? - ANSWER>> Take the child on a tour of the surgery and recovery
areas.
A nurse receives a verbal order for a client to receive a stat dose of meperidine 100 mg
PO. She administers the medication, charts the administration, and then realizes she has
administered phenytoin 100 mg PO. Which of the following actions should the nurse take
first? - ANSWER>> Check the client's vital signs.
A nurse is caring for a postoperative client and obtains a pulse oximeter reading of 89%.
Which of the following interventions should the nurse take first? - ANSWER>> Repeat the
test on another finger.
A nurse is preparing to administer 5 units of regular insulin and 20 units of NPH insulin to
a client who has type 1 diabetes mellitus. Which of the following actions should the nurse
take first? - ANSWER>> withdraw 5 units of regular insulin from the vial.
A nurse is caring for a client who has urolithiasis. Which of the following actions should
the nurse take? - ANSWER>> Strain the client's urine.
A nurse is observing the mother of a 12-hr-old newborn. Which of the following actions by
the mother requires intervention by the nurse? - ANSWER>> The mother places the
newborn in prone position.
A nurse in a mental health facility is reviewing the laboratory reports for four clients.
Which of the following results should the nurse report to the provider immediately? -
ANSWER>> Sodium level of 130 mEg/L for a client who has bipolar disorder and takes
lithium
After receiving change-of-shift report, which of the following clients should the nurse
collect data from first? - ANSWER>> A client who has heart failure and reports severe
dyspnea
A nurse is assisting with the admission of a client who has Hodgkin's disease and is
receiving chemotherapy. Because a private room is not available, the nurse should
recommend that the client share a room with a client who has which of the following
diagnoses? - ANSWER>> Community-acquired pneumonia
A nurse is reinforcing teaching with a client who is about to undergo an upper
gastrointestinal series with fluoroscopy. Which of the following information should the
