A
ATI PREDICTOR PRACTICE ACTUAL EXAM 180
C C C C C
QUESTIONS AND ELABORATED ANSWERS 2023-2024
C C C C C
UPDATE ALREADY GRADED A+.REVISED
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1. A nurse is caring for a client who has bipolar disorder and is experi-
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encing acute mania. The nurse obtained a verbal prescription for
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restraints (15-30min). Which of the following should the actions the
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nurse take?
C C
A. Request a renewal of the prescription every 8 hr.
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B. Check the client's peripheral pulse rate every 30 min
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C. Obtain a prescription for restraint within 4 hr.
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D. Document the client's condition every 15 minutes.: D. Document the client's
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condition every 15 minutes.
C C C C
2. A nursing planning care for a school-age child who is 4 hr
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postoperative following perforated appendicitis. Which of the following
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actions should the nurse include in the plan of care?
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a. Offer small amounts of clear liquids 6 hr following surgery
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b. Give cromolyn nebulizer solution every 6 hr
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c. Apply a warm compress to the operative site every 4 hr
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d. Administer analgesics on a scheduled basis for the first 24 hr: d. Administer
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analgesics on a scheduled basis for the first 24 hr
C C C C C C C C C C
3. A nurse is receiving change-of-shift report for a group of clients. Which of
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the following clients should the nurse plan to assess first?
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a. A client who has sinus arrhythmia and is receiving cardiac monitoring
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b. A client who has diabetes mellitus and a hemoglobin A1C of 6.8%
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c. A client who has epidural analgesia and weakness in the lower extremities
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d. A client who has a hip fracture and a new onset of tachypnea: d. A client who
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has a hip fracture and a new onset of tachypnea
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4. A nurse is preparing to apply a transdermal nicotine patch for a client.Which
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of the following actions should the nurse take?
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1 C/
70
,a. Shave hairy areas of skin prior to application
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b. Wear gloves to apply the patch to the client's skin
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c. Apply the patch within 1 hr of removing it from the protective pouch
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d. Remove the previous patch and place it in a tissue: b. Wear gloves to apply
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the patch to the client's skin
C C C C C C
5. A nurse has just received change-of-shift report for four clients. Which of
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the following clients should the nurse assess first?
C C C C C C C C
a. A client who was just given a glass of orange juice for a low blood glucose
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level
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2 C/
70
,b. A client who is schedule for a procedure in 1 hr (can wait)
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c. A client who has 100 mL fluid remaining in his IV bag (can wait)
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d. A client who received a pain medication 30 min ago for postoperative
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pain: a. A client who was just given a glass of orange juice for a low blood
C C C C C C C C C C C C C C C C C
glucose level
C C
6. A nurse is caring for a client who is receiving intermittent enteral tube
C C C C C C C C C C C C
feedings. Which of the following places the client at risk for
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aspiration?
C
a. A history of gastroesophageal reflux disease
C C C C C
b. Receiving a high osmolarity formula C C C C
c. Sitting in a high-Fowler's position during the feeding
C C C C C C C
d. A residual of 65 mL 1hr postprandial: a. A history of gastroesophageal reflux
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disease
C
7. A nurse is reviewing the laboratory results for a client who has Cushing's
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disease. The nurse should expect the client to have an increase in which
C C C C C C C C C C C C C
of the following laboratory values?
C C C C C
a. Serum glucose level- increased
C C C
b. Serum calcium level-decreased
C C
c. Lymphocyte count- decreased immune system. C C C C
d. Serum potassium level- decreased: a. Serum glucose level- increased
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8. A nurse is caring for a client who has severe preeclampsia and is receiving
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magnesium sulfate intravenously. The nurse discontinues the magnesium
C C C C C C C C
sulfate after the client displaces toxicity. Which of the following actions should
C C C C C C C C C C C C
the nurse take?
C C C
a. Position the client supine C C C
b. Prepare an IV bolus of dextrose 5% in water
C C C C C C C C
c. Administer methylergonovine IM C C
d. Administer calcium gluconate IV: d. Administer calcium gluconate IV
C C C C C C C C
9. A charge nurse is teaching new staff members about factors that increase a
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client's risk to become violent. Which of the following risk factors should
C C C C C C C C C C C C
the nurse include as the best predictor of future violence?
C C C C C C C C C C
a. Experiencing delusions C
3 C/
70
, b. Male gender
C
4 C/
70
ATI PREDICTOR PRACTICE ACTUAL EXAM 180
C C C C C
QUESTIONS AND ELABORATED ANSWERS 2023-2024
C C C C C
UPDATE ALREADY GRADED A+.REVISED
C C C C
1. A nurse is caring for a client who has bipolar disorder and is experi-
C C C C C C C C C C C C C
encing acute mania. The nurse obtained a verbal prescription for
C C C C C C C C C C
restraints (15-30min). Which of the following should the actions the
C C C C C C C C C C
nurse take?
C C
A. Request a renewal of the prescription every 8 hr.
C C C C C C C C
B. Check the client's peripheral pulse rate every 30 min
C C C C C C C C
C. Obtain a prescription for restraint within 4 hr.
C C C C C C C
D. Document the client's condition every 15 minutes.: D. Document the client's
C C C C C C C C C C
condition every 15 minutes.
C C C C
2. A nursing planning care for a school-age child who is 4 hr
C C C C C C C C C C C
postoperative following perforated appendicitis. Which of the following
C C C C C C C C
actions should the nurse include in the plan of care?
C C C C C C C C C C
a. Offer small amounts of clear liquids 6 hr following surgery
C C C C C C C C C
b. Give cromolyn nebulizer solution every 6 hr
C C C C C C
c. Apply a warm compress to the operative site every 4 hr
C C C C C C C C C C
d. Administer analgesics on a scheduled basis for the first 24 hr: d. Administer
C C C C C C C C C C C C
analgesics on a scheduled basis for the first 24 hr
C C C C C C C C C C
3. A nurse is receiving change-of-shift report for a group of clients. Which of
C C C C C C C C C C C C
the following clients should the nurse plan to assess first?
C C C C C C C C C C
a. A client who has sinus arrhythmia and is receiving cardiac monitoring
C C C C C C C C C C
b. A client who has diabetes mellitus and a hemoglobin A1C of 6.8%
C C C C C C C C C C C
c. A client who has epidural analgesia and weakness in the lower extremities
C C C C C C C C C C C
d. A client who has a hip fracture and a new onset of tachypnea: d. A client who
C C C C C C C C C C C C C C C C
has a hip fracture and a new onset of tachypnea
C C C C C C C C C C
4. A nurse is preparing to apply a transdermal nicotine patch for a client.Which
C C C C C C C C C C C C
of the following actions should the nurse take?
C C C C C C C C
1 C/
70
,a. Shave hairy areas of skin prior to application
C C C C C C C
b. Wear gloves to apply the patch to the client's skin
C C C C C C C C C
c. Apply the patch within 1 hr of removing it from the protective pouch
C C C C C C C C C C C C
d. Remove the previous patch and place it in a tissue: b. Wear gloves to apply
C C C C C C C C C C C C C C
the patch to the client's skin
C C C C C C
5. A nurse has just received change-of-shift report for four clients. Which of
C C C C C C C C C C C
the following clients should the nurse assess first?
C C C C C C C C
a. A client who was just given a glass of orange juice for a low blood glucose
C C C C C C C C C C C C C C C
level
C
2 C/
70
,b. A client who is schedule for a procedure in 1 hr (can wait)
C C C C C C C C C C C C
c. A client who has 100 mL fluid remaining in his IV bag (can wait)
C C C C C C C C C C C C C
d. A client who received a pain medication 30 min ago for postoperative
C C C C C C C C C C C
pain: a. A client who was just given a glass of orange juice for a low blood
C C C C C C C C C C C C C C C C C
glucose level
C C
6. A nurse is caring for a client who is receiving intermittent enteral tube
C C C C C C C C C C C C
feedings. Which of the following places the client at risk for
C C C C C C C C C C C
aspiration?
C
a. A history of gastroesophageal reflux disease
C C C C C
b. Receiving a high osmolarity formula C C C C
c. Sitting in a high-Fowler's position during the feeding
C C C C C C C
d. A residual of 65 mL 1hr postprandial: a. A history of gastroesophageal reflux
C C C C C C C C C C C C
disease
C
7. A nurse is reviewing the laboratory results for a client who has Cushing's
C C C C C C C C C C C C
disease. The nurse should expect the client to have an increase in which
C C C C C C C C C C C C C
of the following laboratory values?
C C C C C
a. Serum glucose level- increased
C C C
b. Serum calcium level-decreased
C C
c. Lymphocyte count- decreased immune system. C C C C
d. Serum potassium level- decreased: a. Serum glucose level- increased
C C C C C C C C
8. A nurse is caring for a client who has severe preeclampsia and is receiving
C C C C C C C C C C C C C
magnesium sulfate intravenously. The nurse discontinues the magnesium
C C C C C C C C
sulfate after the client displaces toxicity. Which of the following actions should
C C C C C C C C C C C C
the nurse take?
C C C
a. Position the client supine C C C
b. Prepare an IV bolus of dextrose 5% in water
C C C C C C C C
c. Administer methylergonovine IM C C
d. Administer calcium gluconate IV: d. Administer calcium gluconate IV
C C C C C C C C
9. A charge nurse is teaching new staff members about factors that increase a
C C C C C C C C C C C C
client's risk to become violent. Which of the following risk factors should
C C C C C C C C C C C C
the nurse include as the best predictor of future violence?
C C C C C C C C C C
a. Experiencing delusions C
3 C/
70
, b. Male gender
C
4 C/
70
