2023gATIgPNgCOMPREHENSIVEgPREDICTOR
REALgEXAMgg
GRADEDgA
1. Agnursegisgcaringgforgagclientgwhoghasgagrecentgdiagnosisgofgagterminalgillness.gThegnurs
egshouldgidentifygwhichgofgthegfollowinggasgangindicationgofghopelessness?
a. Thegclientgwantsgtogtalkgaboutgthegdiagnosisgwithgnursinggstaff
b. Thegclientghasgagdecreasedgenergyglevel
c. Thegclientg makesg funeralg arrangements
d. Thegclientgrequestsgagsecondgopinion
2. Agnursegisgpreparinggtogcollectgdatagongagpreschooler.gWhichgofgthegfollowinggbehaviorsgbygth
egchildgindicatesgthatghegisgreadygtogcooperate?g(Selectgallgthatgapply)
a. Allowsgthegnursegtogtouchghimgongthegarm
b. Playsgwithgtoysgingthegexamininggroomgc
.gAnswersgquestionsgaskedgbygthegnur
se
d. Makesgeyegcontactgwithgthegnurse
e. Sitsgonghisgparent’sglapgwhengthegnursegentersgthegroom
3. Agnursegongagmentalghealthgunitgisgplanninggcaregforgaggroupgofgclients.g Whichgofgth
egfollowinggclientsgshouldgthegnursegseegfirst?
a. Agclientgwhoghasgbipolargdisordergandgisgdisplayinggflightsgofgideas
b. AgclientgwhoghasgADHDgandghasganginabilitygtogconcentrate
c. Agclientgwhoghasgschizophreniagandgisghavinggcommandghallucinations
d. Agclientgwhoghasgdepressivegdisordergandgisgwithdrawn
4. Agnursegisgcaringgforgagclientgwhogrecentlyggavegbirthgtoghergfirstgchild.gThegnewborngisgcryin
ggandgthegclientgstates,g“gIgcan’tgseemgtogdoganythinggright.gWhatgshouldgIgdo?”gWhichgofgt
hegfollowinggresponsesgshouldgthegnursegmake?
a. “I’llgtakeghimgbackgtogthegnursery,gsogyougcanggetgsomegrest.”
b. “Babiesgneedgtogcrygsoongaftergtheygaregborngtogdevelopgtheirglungs.”
c. “Letgmegshowgyoughowgtogswaddlegandgcuddleghim,gthengyougtry.”
d. “IfgIgturnghimgonghisgside,gmaybeghe’llggogbackgtogsleep.”
5. Agnursegisgusinggagglucometergtogmeasuregagclient’sgcapillarygbloodgglucoseglevel,gWhichgof
thegfollowinggactionsgshouldgthegnursegtake?
a. Testgthegfirstgdropgofgbloodgthatgformsgaftergthegpuncture
b. Weargsterileggloves
c. Keepgthegfingergingagdependentgposition
d. Selectgthegcentralgtipgofgthegfinger
6. Agnursegisgreviewinggtheghomegmedicationsgofgagclientgwhogrecentlyghadg transientgischemic
,attacksgandgisgtogbegingtakinggclopidogrel.gThegnursegshouldginstructgthegclientgthatgwhichgofgthegfoll
owinggover-the-countergmedicationsginteractsgadverselygwithgclopidogrel?
a. Docusategsodium
, b. Ranitidine
c. VitamingD3
d. Naproxen
7. Agnursegisgcollectinggdatagfromgagclientgwhoghasgaglonggleggcastgthatgwasgappliedg2gdaysgago
.gThegclient’sgfootgisgpalegwithgagweakgpedalgpulse,gandgthegclientgreportsgfootgnumbness.gWhichg
ofgthegfollowinggactionsgshouldgthegnursegplangtogtakegfirst?
a. Administergopioidgpaingmedication
b. Applygangicegpackgtogthegaffectedgextremity
c. Checkgforgpaingwithgpassivegmovementgofgthegaffectedgextremity
d. Elevategthegaffectedgextremitygwithgseveralgpillows
8. Agnursegingagprovider’sgofficegisgreinforcinggteachinggaboutgcigarettegsmokinggwithgagclient
.gWhichgofgthegfollowinggadversegeffectsgshouldgthegnursegincludegingthegteaching?
a. Decreasedg hemoglobin
b. Somnolence
c.g Bradycardia
9. Agnursegisgcontributinggtogthegdevelopmentgofgangin-
servicegprogramgforgmentalghealthgnursinggstaff.g Thegnursegshouldgincludegthatgthegst
g situatio
ns?
a. Agclientgwhoghasgagseriousgmentalgillness
b. Agclientgwhogisghavinggdifficultygmakinggdecisionsgaboutghisgtreatment
c. Agclientgforgwhomgthegbenefitsgofgthegmedicationgoutweighgthegrisks
d. Agclientgwhogisgattemptinggtoghurtghimselfgorgothers
10. Agnursegisgreinforcinggteachinggwithgagclientgwhoghasgagnewgprescriptiongforgdigoxin.gWhichgo
fgthegfollowingginstructionsgshouldgthegnursegincludegingthegteaching?
a. “Monitorgforgmusclegweaknessgwhilegtakinggthegmedication.”
b. “Rotateginjectiongsitesgwhengadministeringgthegmedication.”
c. “Withholdgthegmedicationgifgyourgpulsegrategisgaboveg100gbeatsgpergminute.”
d. “Increasegyourgintakegofgdietarygfibergtogincreasegabsorption.”
11. Agchargegnursegisgdiscussinggconfidentialitygrequirementsgwithgagnewlyglicensedgnursegwhen
gsharinggagclient’sgmedicalginformation.gWhichgofgthegfollowinggindividualsgshouldgthegchargegnurs
egidentifygasgappropriategwithgwhomgtogsharegclientginformation?
a. Agnursegfromganothergunitgaftergagclientgcommitsgsuicide
b. Agsocialgworkergwhogisgassignedgtoganginvoluntarygcommittedgschool-agegclient
c. Agclient’sgpartnergaftergthegclientgreportsgintimategpartnergabuse
d. Agclient’sgemployergwhogisgconcernedgaboutgsafetygduegtogsubstanceguse
, 12. Agnursegisgreviewingglaboratorygvaluesgforgagclientgwhogisgatg34gweeksgofggestation.gWhichgo
fgthegfollowinggfindingsgshouldgthegnursegreportgtogthegprovider?
a. Hgbg13.2gg/dL
b. Urine protein 3 plus
c. Fastinggbloodgglucoseg72g mg/dL
d. BUNg15gmg/dL
13. Agnursegisgcollectinggdatagfromgagclientgwhogisg4ghrgpostoperativegfollowinggaghem
icolectomy.gWhichgofgthegfollowinggfindingsgisgthegnurse’sgpriority,grequiringgimmediateg inter
vention?
a. Paingratinggofg9gongagscalegfromg0gtog10
b. Bloodg pressureg 160/90g mmg Hg
c. Oxygengsaturationg89%
d. Abdominalgdressinggwithgagmoderategamountgofgbrightgredgdrainage
14. Agnursegingagprovider’sgofficegisgcollectinggdatagfromgagclientgwhoghasgaghistorygof
hypertensiongduringghisgannualgphysicalgexamination.gWhichgofgthegfollowinggfindingsgshouldgthegnu
rsegreportgtogthegprovidergimmediately?
a. Ag2gkgg(4.4glb)gweightggain
b.
c.
d. Resumptiongofgcigaretteg smoking
15. Agnursegisgcaringgforgagclientgwhogsuddenlygdevelopsgchestgpaingandgdyspnea.gWhichgofgth
egfollowinggactionsgshouldgthegnursegtakegfirst?
a. Placegthegclientgongbedgrest
b. ObtaingthegclientsgABGglevels
c. Preparegthegclientgforgagventilation-perfusiongscan
d. Elevategthegheadgofgthegclient’sgbed
16. Agnursegisgreinforcinggteachinggongagclientgwhoghasgdiabetesgmellitus.gWhichgofgth
eg
a. Urinegketones
b. Glucosegtolerancegtest
c. Glycosylatedghemoglobin
d.g Fastinggbloodg glucose
17. Agchargegnursegongagmentalghealthgunitgisgsupervisinggagnewlyglicensedgnurse.gForgwhichgo
fgthegfollowinggactionsgbygthegnewlyglicensedgnursegshouldgthegsupervisinggnursegintervene?
a. Requestsgagclientgtogassistgwithgdistributingglunchgtrays
b. Tellsgagclientghegwillgloseghisgphonegprivilegesgifghegdoesgnotgtakeghisgmedication
c. Encouragesgagclientgtogparticipategingagrecreationalgtherapyggroup
d. Placesgmechanicalgrestraintsgongagclientgwhogisghittingganothergstaffgmember
REALgEXAMgg
GRADEDgA
1. Agnursegisgcaringgforgagclientgwhoghasgagrecentgdiagnosisgofgagterminalgillness.gThegnurs
egshouldgidentifygwhichgofgthegfollowinggasgangindicationgofghopelessness?
a. Thegclientgwantsgtogtalkgaboutgthegdiagnosisgwithgnursinggstaff
b. Thegclientghasgagdecreasedgenergyglevel
c. Thegclientg makesg funeralg arrangements
d. Thegclientgrequestsgagsecondgopinion
2. Agnursegisgpreparinggtogcollectgdatagongagpreschooler.gWhichgofgthegfollowinggbehaviorsgbygth
egchildgindicatesgthatghegisgreadygtogcooperate?g(Selectgallgthatgapply)
a. Allowsgthegnursegtogtouchghimgongthegarm
b. Playsgwithgtoysgingthegexamininggroomgc
.gAnswersgquestionsgaskedgbygthegnur
se
d. Makesgeyegcontactgwithgthegnurse
e. Sitsgonghisgparent’sglapgwhengthegnursegentersgthegroom
3. Agnursegongagmentalghealthgunitgisgplanninggcaregforgaggroupgofgclients.g Whichgofgth
egfollowinggclientsgshouldgthegnursegseegfirst?
a. Agclientgwhoghasgbipolargdisordergandgisgdisplayinggflightsgofgideas
b. AgclientgwhoghasgADHDgandghasganginabilitygtogconcentrate
c. Agclientgwhoghasgschizophreniagandgisghavinggcommandghallucinations
d. Agclientgwhoghasgdepressivegdisordergandgisgwithdrawn
4. Agnursegisgcaringgforgagclientgwhogrecentlyggavegbirthgtoghergfirstgchild.gThegnewborngisgcryin
ggandgthegclientgstates,g“gIgcan’tgseemgtogdoganythinggright.gWhatgshouldgIgdo?”gWhichgofgt
hegfollowinggresponsesgshouldgthegnursegmake?
a. “I’llgtakeghimgbackgtogthegnursery,gsogyougcanggetgsomegrest.”
b. “Babiesgneedgtogcrygsoongaftergtheygaregborngtogdevelopgtheirglungs.”
c. “Letgmegshowgyoughowgtogswaddlegandgcuddleghim,gthengyougtry.”
d. “IfgIgturnghimgonghisgside,gmaybeghe’llggogbackgtogsleep.”
5. Agnursegisgusinggagglucometergtogmeasuregagclient’sgcapillarygbloodgglucoseglevel,gWhichgof
thegfollowinggactionsgshouldgthegnursegtake?
a. Testgthegfirstgdropgofgbloodgthatgformsgaftergthegpuncture
b. Weargsterileggloves
c. Keepgthegfingergingagdependentgposition
d. Selectgthegcentralgtipgofgthegfinger
6. Agnursegisgreviewinggtheghomegmedicationsgofgagclientgwhogrecentlyghadg transientgischemic
,attacksgandgisgtogbegingtakinggclopidogrel.gThegnursegshouldginstructgthegclientgthatgwhichgofgthegfoll
owinggover-the-countergmedicationsginteractsgadverselygwithgclopidogrel?
a. Docusategsodium
, b. Ranitidine
c. VitamingD3
d. Naproxen
7. Agnursegisgcollectinggdatagfromgagclientgwhoghasgaglonggleggcastgthatgwasgappliedg2gdaysgago
.gThegclient’sgfootgisgpalegwithgagweakgpedalgpulse,gandgthegclientgreportsgfootgnumbness.gWhichg
ofgthegfollowinggactionsgshouldgthegnursegplangtogtakegfirst?
a. Administergopioidgpaingmedication
b. Applygangicegpackgtogthegaffectedgextremity
c. Checkgforgpaingwithgpassivegmovementgofgthegaffectedgextremity
d. Elevategthegaffectedgextremitygwithgseveralgpillows
8. Agnursegingagprovider’sgofficegisgreinforcinggteachinggaboutgcigarettegsmokinggwithgagclient
.gWhichgofgthegfollowinggadversegeffectsgshouldgthegnursegincludegingthegteaching?
a. Decreasedg hemoglobin
b. Somnolence
c.g Bradycardia
9. Agnursegisgcontributinggtogthegdevelopmentgofgangin-
servicegprogramgforgmentalghealthgnursinggstaff.g Thegnursegshouldgincludegthatgthegst
g situatio
ns?
a. Agclientgwhoghasgagseriousgmentalgillness
b. Agclientgwhogisghavinggdifficultygmakinggdecisionsgaboutghisgtreatment
c. Agclientgforgwhomgthegbenefitsgofgthegmedicationgoutweighgthegrisks
d. Agclientgwhogisgattemptinggtoghurtghimselfgorgothers
10. Agnursegisgreinforcinggteachinggwithgagclientgwhoghasgagnewgprescriptiongforgdigoxin.gWhichgo
fgthegfollowingginstructionsgshouldgthegnursegincludegingthegteaching?
a. “Monitorgforgmusclegweaknessgwhilegtakinggthegmedication.”
b. “Rotateginjectiongsitesgwhengadministeringgthegmedication.”
c. “Withholdgthegmedicationgifgyourgpulsegrategisgaboveg100gbeatsgpergminute.”
d. “Increasegyourgintakegofgdietarygfibergtogincreasegabsorption.”
11. Agchargegnursegisgdiscussinggconfidentialitygrequirementsgwithgagnewlyglicensedgnursegwhen
gsharinggagclient’sgmedicalginformation.gWhichgofgthegfollowinggindividualsgshouldgthegchargegnurs
egidentifygasgappropriategwithgwhomgtogsharegclientginformation?
a. Agnursegfromganothergunitgaftergagclientgcommitsgsuicide
b. Agsocialgworkergwhogisgassignedgtoganginvoluntarygcommittedgschool-agegclient
c. Agclient’sgpartnergaftergthegclientgreportsgintimategpartnergabuse
d. Agclient’sgemployergwhogisgconcernedgaboutgsafetygduegtogsubstanceguse
, 12. Agnursegisgreviewingglaboratorygvaluesgforgagclientgwhogisgatg34gweeksgofggestation.gWhichgo
fgthegfollowinggfindingsgshouldgthegnursegreportgtogthegprovider?
a. Hgbg13.2gg/dL
b. Urine protein 3 plus
c. Fastinggbloodgglucoseg72g mg/dL
d. BUNg15gmg/dL
13. Agnursegisgcollectinggdatagfromgagclientgwhogisg4ghrgpostoperativegfollowinggaghem
icolectomy.gWhichgofgthegfollowinggfindingsgisgthegnurse’sgpriority,grequiringgimmediateg inter
vention?
a. Paingratinggofg9gongagscalegfromg0gtog10
b. Bloodg pressureg 160/90g mmg Hg
c. Oxygengsaturationg89%
d. Abdominalgdressinggwithgagmoderategamountgofgbrightgredgdrainage
14. Agnursegingagprovider’sgofficegisgcollectinggdatagfromgagclientgwhoghasgaghistorygof
hypertensiongduringghisgannualgphysicalgexamination.gWhichgofgthegfollowinggfindingsgshouldgthegnu
rsegreportgtogthegprovidergimmediately?
a. Ag2gkgg(4.4glb)gweightggain
b.
c.
d. Resumptiongofgcigaretteg smoking
15. Agnursegisgcaringgforgagclientgwhogsuddenlygdevelopsgchestgpaingandgdyspnea.gWhichgofgth
egfollowinggactionsgshouldgthegnursegtakegfirst?
a. Placegthegclientgongbedgrest
b. ObtaingthegclientsgABGglevels
c. Preparegthegclientgforgagventilation-perfusiongscan
d. Elevategthegheadgofgthegclient’sgbed
16. Agnursegisgreinforcinggteachinggongagclientgwhoghasgdiabetesgmellitus.gWhichgofgth
eg
a. Urinegketones
b. Glucosegtolerancegtest
c. Glycosylatedghemoglobin
d.g Fastinggbloodg glucose
17. Agchargegnursegongagmentalghealthgunitgisgsupervisinggagnewlyglicensedgnurse.gForgwhichgo
fgthegfollowinggactionsgbygthegnewlyglicensedgnursegshouldgthegsupervisinggnursegintervene?
a. Requestsgagclientgtogassistgwithgdistributingglunchgtrays
b. Tellsgagclientghegwillgloseghisgphonegprivilegesgifghegdoesgnotgtakeghisgmedication
c. Encouragesgagclientgtogparticipategingagrecreationalgtherapyggroup
d. Placesgmechanicalgrestraintsgongagclientgwhogisghittingganothergstaffgmember
