RN ATI COMPREHENSIVE PREDICTOR EXIT
NEWEST 2024 180 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
A nurse is providing teaching about the gastrostomy tube feedings to the parents of a school age
child.Which of the following instructions should the nurse take?
• Administer the feeding over 30 min.
• Place the child in as supine position after the feeding.
• Charge the feeding bag and tubing every 3 days.
• Warm the formula in the microwave prior to administration. - ANSWER-A. Administer the
feedingover 30 min.
• A nurse is administering digoxin 0.125 mg Po to an adult client. For which of the following
findingsshould the nurse report to the provider?
• Potassium level 4.2 mEq/L.
• Apical pulse 58/min.
• Digoxin level 1 ng/ml.
• Constipation for 2 days. - ANSWER-B. Apical pulse 58/min
A nurse is caring for a client who is comatose and has advance directives that indicate the client
does not want life-sustaining measures. The client's family want the client to have life-sustaining
measures.Which of the following action should the nurse take?
• Arrange for an ethics committee meeting to address the family's concerns.
• Support the family's decision and initiate life-sustaining measures.
• Complete an incident report.
• Encourage the family to contact an attorney. - ANSWER-A. Arrange for an ethics committee
meetingto address the family's concerns.
A nurse is caring for a client who wears glasses. Which of the following actions should the nurse take?
• Store the glasses in a labeled case.
,• Clean the glasses with hot water.
• Clean the glasses with a paper towel.
• Store the glasses on the bedside table. - ANSWER-A. Store the glasses in a labeled case.
A nurse is teaching a group of newly licensed nurses about measures to take when caring for a
clientwho is on contact precautions. Which of the following should the nurse include in the
teaching?
• Remove the protective gown after the client's room.
• Place the client in a room with negative pressure.
• Wear gloves when providing care to the client.
• Wear a mask when changing the linens in the client's room. - ANSWER-C. Wear gloves when
providingcare to the client.
A nurse is planning on care for a client who is recovering from an acute myocardial infarction
thatoccurred 3 days ago. Which of the following instructions should the nurse include?
• Perform an ECG every 12 hr.
• Place the client in a supine position while resting.
• Draw a troponin level every 4hr.
• Obtain a cardiac rehabilitation consultation. - ANSWER-D. Obtain a cardiac
rehabilitationconsultation.
The nurse is reviewing the medical record of a client who is requesting combination oral
contraceptives.Which of the following conditions in the client's history is a contradiction to the use of
oral contraceptives?
• Hyperthyroidism.
• Thrombophlebitis.
• Diverticulosis.
• Hypocalcemia - ANSWER-B. Thrombophlebitis.
A nurse is caring for a client who request the creation of a living will. Which of the following
actionsshould the nurse take?
,• Schedule a meeting between the hospital ethics committee and the client.
• Evaluate the client's understanding of life-sustaining measures.
• Determine the client's preferences about post mortem care.
• Request a conference with the client's family. - ANSWER-B. Evaluate the client's understanding of
life-sustaining measures.
A nurse is caring for an adolescent who has sickle-cell anemia. Which of the following
manifestationsindicates acute chest syndrome and should be immediately reported to the
provider?
• Substernal retractions.
• Hematuria.
• Temperature 37.9 C (100.2 F).
• Sneezing. - ANSWER-A. Substernal retractions.
A nurse is preforming a gastric lavage for a client who has upper gastrointestinal bleeding. Which of the
.following action should the nurse take?
• Instill 500 ml of solution through the NG tube.
• Insert a large-bore NG tube.
• Use a cold irrigation solution.
• Instruct the client to lie on his right side. - ANSWER-B. Insert a large-bore NG tube.
A nurse is providing care for a client who is in the advance stage of amyotrophic lateral sclerosis.
(ALS).Which of the following referrals is the nurse's priority?
• Psychologist.
• Social worker.
• Occupational therapist.
• Speech-language pathologist. - ANSWER-D. Speech-language pathologist.
A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis. Which of
thefollowing findings should the nurse report to the provider?
• WBC count 8,000/mm3.
, • Platelets 150,000/mm3.
• Aspartate aminotransferase 10 units/L.
• Erythrocyte sedimentation rate 75 mm/hr - ANSWER-D. Erythrocyte sedimentation rate 75 mm/hr
A nurse is caring for a client who has generalized petechiae and ecchymoses. The nurse should
expect aprescription for which of the following laboratory tests?
• Platelet count.
• Potassium level.
• Creatine clearance.
• Pre-albumin. - ANSWER-A. Platelet count.
A nurse is caring for a client following application of a cast. Which of the following actions should
thenurse take first?
• Place an ice pack over the cast.
• Palpate the pulse distal to the cast.
• Teach the client to keep the cast clean and dry.
• Position the casted extremity on a pillow. - ANSWER-B. Palpate the pulse distal to the cast.
A nurse is caring for a client who has vision loss. Which of the following actions should the nurse
take?(Select all that apply)
• Keep objects in the client's room in the same place.
• Ensure there is high-wattage lighting in the client's room.
• Approach the client from the side.
• Allow extra time for the client to perform tasks.
• Touch the client gently to announce presence. - ANSWER-A. Keep objects in the client's room in
thesame place.
B. Ensure there is high-wattage lighting in the client's room.
D. Allow extra time for the client to perform tasks.
NEWEST 2024 180 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
A nurse is providing teaching about the gastrostomy tube feedings to the parents of a school age
child.Which of the following instructions should the nurse take?
• Administer the feeding over 30 min.
• Place the child in as supine position after the feeding.
• Charge the feeding bag and tubing every 3 days.
• Warm the formula in the microwave prior to administration. - ANSWER-A. Administer the
feedingover 30 min.
• A nurse is administering digoxin 0.125 mg Po to an adult client. For which of the following
findingsshould the nurse report to the provider?
• Potassium level 4.2 mEq/L.
• Apical pulse 58/min.
• Digoxin level 1 ng/ml.
• Constipation for 2 days. - ANSWER-B. Apical pulse 58/min
A nurse is caring for a client who is comatose and has advance directives that indicate the client
does not want life-sustaining measures. The client's family want the client to have life-sustaining
measures.Which of the following action should the nurse take?
• Arrange for an ethics committee meeting to address the family's concerns.
• Support the family's decision and initiate life-sustaining measures.
• Complete an incident report.
• Encourage the family to contact an attorney. - ANSWER-A. Arrange for an ethics committee
meetingto address the family's concerns.
A nurse is caring for a client who wears glasses. Which of the following actions should the nurse take?
• Store the glasses in a labeled case.
,• Clean the glasses with hot water.
• Clean the glasses with a paper towel.
• Store the glasses on the bedside table. - ANSWER-A. Store the glasses in a labeled case.
A nurse is teaching a group of newly licensed nurses about measures to take when caring for a
clientwho is on contact precautions. Which of the following should the nurse include in the
teaching?
• Remove the protective gown after the client's room.
• Place the client in a room with negative pressure.
• Wear gloves when providing care to the client.
• Wear a mask when changing the linens in the client's room. - ANSWER-C. Wear gloves when
providingcare to the client.
A nurse is planning on care for a client who is recovering from an acute myocardial infarction
thatoccurred 3 days ago. Which of the following instructions should the nurse include?
• Perform an ECG every 12 hr.
• Place the client in a supine position while resting.
• Draw a troponin level every 4hr.
• Obtain a cardiac rehabilitation consultation. - ANSWER-D. Obtain a cardiac
rehabilitationconsultation.
The nurse is reviewing the medical record of a client who is requesting combination oral
contraceptives.Which of the following conditions in the client's history is a contradiction to the use of
oral contraceptives?
• Hyperthyroidism.
• Thrombophlebitis.
• Diverticulosis.
• Hypocalcemia - ANSWER-B. Thrombophlebitis.
A nurse is caring for a client who request the creation of a living will. Which of the following
actionsshould the nurse take?
,• Schedule a meeting between the hospital ethics committee and the client.
• Evaluate the client's understanding of life-sustaining measures.
• Determine the client's preferences about post mortem care.
• Request a conference with the client's family. - ANSWER-B. Evaluate the client's understanding of
life-sustaining measures.
A nurse is caring for an adolescent who has sickle-cell anemia. Which of the following
manifestationsindicates acute chest syndrome and should be immediately reported to the
provider?
• Substernal retractions.
• Hematuria.
• Temperature 37.9 C (100.2 F).
• Sneezing. - ANSWER-A. Substernal retractions.
A nurse is preforming a gastric lavage for a client who has upper gastrointestinal bleeding. Which of the
.following action should the nurse take?
• Instill 500 ml of solution through the NG tube.
• Insert a large-bore NG tube.
• Use a cold irrigation solution.
• Instruct the client to lie on his right side. - ANSWER-B. Insert a large-bore NG tube.
A nurse is providing care for a client who is in the advance stage of amyotrophic lateral sclerosis.
(ALS).Which of the following referrals is the nurse's priority?
• Psychologist.
• Social worker.
• Occupational therapist.
• Speech-language pathologist. - ANSWER-D. Speech-language pathologist.
A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis. Which of
thefollowing findings should the nurse report to the provider?
• WBC count 8,000/mm3.
, • Platelets 150,000/mm3.
• Aspartate aminotransferase 10 units/L.
• Erythrocyte sedimentation rate 75 mm/hr - ANSWER-D. Erythrocyte sedimentation rate 75 mm/hr
A nurse is caring for a client who has generalized petechiae and ecchymoses. The nurse should
expect aprescription for which of the following laboratory tests?
• Platelet count.
• Potassium level.
• Creatine clearance.
• Pre-albumin. - ANSWER-A. Platelet count.
A nurse is caring for a client following application of a cast. Which of the following actions should
thenurse take first?
• Place an ice pack over the cast.
• Palpate the pulse distal to the cast.
• Teach the client to keep the cast clean and dry.
• Position the casted extremity on a pillow. - ANSWER-B. Palpate the pulse distal to the cast.
A nurse is caring for a client who has vision loss. Which of the following actions should the nurse
take?(Select all that apply)
• Keep objects in the client's room in the same place.
• Ensure there is high-wattage lighting in the client's room.
• Approach the client from the side.
• Allow extra time for the client to perform tasks.
• Touch the client gently to announce presence. - ANSWER-A. Keep objects in the client's room in
thesame place.
B. Ensure there is high-wattage lighting in the client's room.
D. Allow extra time for the client to perform tasks.
