ATI COMPREHENSIVE PRACTICE PREDICTOR
2019 A 150Q & AS LATEST UPDATE 2023/2024
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 answers Sublimation
(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 answers Initiate fall precautions for the client
(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
,answers The client is able to accurately describe the upcoming
procedure
(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 answers Places a pillow under the client's right
arm.
(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 answers 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 answers Contact
(The nurse should implement contact precautions for a client who has
an infection spread by direct contact, such as MRSA.)
,A nurse is caring for a client who is 4 hr postpartum and has a boggy
uterus with heavy lochia. Which of the following actions should the
nurse take first - correct answers Massage the uterus to expel clots
(Using the EBP approach to client care, the nurse should identify that
the priority action is massaging the client's uterus. Uterine massage will
expel clots and increase uterine firmness, resulting in decreased
bleeding.)
A nurse is providing discharge teaching to a new parent about car seat
safety. Which of the following statements should the nurse include in
the teaching? - correct answers "Secure the retainer clip at the level of
your baby's armpits"
A nurse is providing discharge teaching to a client who has colorectal
cancer and a new colostomy. The client states, "I'm worried about
being discharged because I live alone, and my insurance doesn't cover
ostomy supplies. "Which of the following actions should the nurse
take? (SATA) - correct answers -Refer the client to a community based
social workers
-Initiate a consult with a home health care provider
-Give the client information about local support groups
, (A social worker is necessary to help a client with self-care, as well as
assist in locating agencies who can help the client face challenges with
self-care and paying for necessary ostomy supplies. A home health
nurse can assist the client in learning to care for the colostomy as well
as provide medication management and emotional support. A client
who has cancer and a new colostomy can get help with coping from a
support group and possibly receive assistance obtaining supplies from
local agencies)
A nurse manager is reviewing unit records and discovers that client falls
occur most frequently during the hours of 0530 and 0730. Which of the
following actions should the nurse take when conducting a root cause
analysis? - correct answers Investigate environmental factors that might
be contributing to client injury during these hours.
(When conducting a root cause analysis, the nurse should look at the
factors that could possibly lead to the clients' falls. This can include
environmental factors that might be causing the problem.)
A nurse is caring for a client who has terminal illness and requests
lifesaving measures if a cardiac arrest occurs. Which of the following
statements should the nurse make? - correct answers "I will provide you
with information about medical treatment to include in your living will"
(The nurses' responsibility is to provide the client with information
about specific instructions for addressing medical treatment in a living
2019 A 150Q & AS LATEST UPDATE 2023/2024
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 answers Sublimation
(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 answers Initiate fall precautions for the client
(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
,answers The client is able to accurately describe the upcoming
procedure
(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 answers Places a pillow under the client's right
arm.
(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 answers 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 answers Contact
(The nurse should implement contact precautions for a client who has
an infection spread by direct contact, such as MRSA.)
,A nurse is caring for a client who is 4 hr postpartum and has a boggy
uterus with heavy lochia. Which of the following actions should the
nurse take first - correct answers Massage the uterus to expel clots
(Using the EBP approach to client care, the nurse should identify that
the priority action is massaging the client's uterus. Uterine massage will
expel clots and increase uterine firmness, resulting in decreased
bleeding.)
A nurse is providing discharge teaching to a new parent about car seat
safety. Which of the following statements should the nurse include in
the teaching? - correct answers "Secure the retainer clip at the level of
your baby's armpits"
A nurse is providing discharge teaching to a client who has colorectal
cancer and a new colostomy. The client states, "I'm worried about
being discharged because I live alone, and my insurance doesn't cover
ostomy supplies. "Which of the following actions should the nurse
take? (SATA) - correct answers -Refer the client to a community based
social workers
-Initiate a consult with a home health care provider
-Give the client information about local support groups
, (A social worker is necessary to help a client with self-care, as well as
assist in locating agencies who can help the client face challenges with
self-care and paying for necessary ostomy supplies. A home health
nurse can assist the client in learning to care for the colostomy as well
as provide medication management and emotional support. A client
who has cancer and a new colostomy can get help with coping from a
support group and possibly receive assistance obtaining supplies from
local agencies)
A nurse manager is reviewing unit records and discovers that client falls
occur most frequently during the hours of 0530 and 0730. Which of the
following actions should the nurse take when conducting a root cause
analysis? - correct answers Investigate environmental factors that might
be contributing to client injury during these hours.
(When conducting a root cause analysis, the nurse should look at the
factors that could possibly lead to the clients' falls. This can include
environmental factors that might be causing the problem.)
A nurse is caring for a client who has terminal illness and requests
lifesaving measures if a cardiac arrest occurs. Which of the following
statements should the nurse make? - correct answers "I will provide you
with information about medical treatment to include in your living will"
(The nurses' responsibility is to provide the client with information
about specific instructions for addressing medical treatment in a living
