ATI Comprehensive Predictor A Questions And
Answers Verified 100% Correct
A client is receiving lorazepam IV for panic attacks and develops a respiratory rate of
6/min and a blood pressure of 90/44 mm Hg. Which of the following medications should
the nurse anticipate administering. - ANSWER Flumazenil
Rationale: The nurse should anticipate administering flumazenil, a competitive
benzodiazepine receptor antagonist, to reverse the sedative effects of lorazepam. In
addition, the nurse should continue to support the client's respirations with a bag valve
mask.
A home health nurse is planning care for an older adult client who has impaired vision.
Which of the following interventions should the nurse include in the plant of care to
prevent injury in the home? - ANSWER Mark the edges of the stairs for contrast
Rationale: Marking the edges of stairs with paint or colored tape for contrast can help
older adult clients who have impaired vision prevent injury by decreasing the risk of
falls.
A nurse manager is planning to make changes to the current scheduling system on the
unit. To facilitate the staff's acceptance of this change, which of the following actions
should the nurse manager take first? - ANSWER Provide information about scheduling
issues to the staff.
Rationale: The first stage of the change process is the unfreezing stage, when the nurse
should inform the staff about the current staffing issues. This can increase their
understanding of why changes are necessary.
A nurse is teaching a group of guardians about child safety measures. Which of the
following statements by guardian indicates an understanding of the teaching? -
ANSWER "I should have my child avoid sun exposure between 10 am and 2 pm"
Rationale: To prevent sunburns, guardians should apply sunscreen, dress their child in
protective clothing, and avoid sun exposure between 1000 and 1400.
An RN is planning care for a group of clients and is working with a licensed practical
nurse (LPN) and an assistive personnel (AP). Which of the following tasks should the
RN delegate to the LPN? - ANSWER Insertion of a nasogastric tube
,Rationale: The nurse should delegate the insertion of a nasogastric tube to the LPN
because this task is within the LPN's scope of practice.
A nurse is assessing a newborn who is 2 hr old. Which of the following findings should
the nurse report to the provider? - ANSWER Axillary temperature 36.2 C (97.2 F)
Rationale: The expected reference range for the axillary temperature of newborn is
between 36.5 C to 37.5 C (97.7 F to 99.5 F). An axillary temperature of 36.2 C (97.2 F)
or below in a newborn who is 2 hr old indicates cold stress and should be reported to
the provider.
A nurse is caring for a newborn whose parent asks why the baby is receiving vitamin K.
The nurse should explain to the parent that the newborn should receive vitamin K to
prevent which of the following? - ANSWER Bleeding
The nurse should explain to the parent that newborns are deficient in vitamin K and
should receive it following birth because this deficiency can lead to bleeding.
A nurse is caring for a client who requires physical therapy following discharge. Which
of the following actions should the nurse take? - ANSWER Involve the client in
selection of a physical therapy provider/
Rationale: The nurse should involve the client in the referral process, including selection
of the physical therapist and the location.
A nurse in an emergency department is assessing a client who reports taking MDMA.
Which of the following should the nurse expect? - ANSWER Diaphoresis
Rationale: Diaphoresis is an expected finding of MDMA use. Additionally, the client
might experience increased tactile sensitivity, lowered inhibition, chills, muscle
cramping, teeth clenching, and mild hallucinogenic effects.
A nurse is caring for a client who vomits on a reusable BP cuff. Which of the following
actions should the nurse take? - ANSWER Place the BP cuff in a labeled bag to send it
for decontamination.
Rationale: The nurse should place the BP cuff in a labeled bag before removing it from
the client's room and sending it to the proper facility location for decontamination.
A nurse is reviewing the medical record of a client who has schizophrenia and is to start
taking clozapine. Which of the following findings should the nurse identify as a
, contraindication for the client to receive clozapine? - ANSWER WBC count 2,800/mm3
Rationale: Clozapine can cause agranulocytosis, which can be life-threatening.
Therefore, a WBC count of less than 3,000/mm3 is a contraindication for the client to
receive clozapine. The nurse should withhold the medication and notify the provider of
the client's WBC count.
A nurse is providing teaching to an adolescent following insertion of a tunneled central
venous catheter without a pressure sensitive valve. Which of the following information
should the nurse include in the teaching? - ANSWER "You should keep the catheter
clamped when not in use"
Rationale: The adolescent should keep the catheter clamped to prevent blood backflow.
Not all tunneled catheters have a pressure-sensitive valve that prevents blood reflux.
A nurse is conducting visual acuity testing when using the Snellen letter chart for a
school age child who has eyeglasses. Which of the following instructions should the
nurse give to the child? - ANSWER "You should keep both eyes open during the
testing"
Rationale: The nurse should instruct the child to keep both eyes open during visual
acuity testing.
When caring for a child, a nurse plans to use non-pharmacological interventions to
enhance the effectiveness of pain medication. Which of the following strategies
incorporates visualization techniques to help decrease the child's discomfort? -
ANSWER Blowing bubbles with liquid soap to "blow the hurt away"
Rationale: Having the child blow bubbles is a visualization technique that can help to
decrease the child's discomfort. The child can visualize the pain as the bubble that they
blow away from themself and into the air.
A nurse is preparing to administer heparin 5,000 units SQ. Available is heparin injection
10,000 units/mL. How many mL should the nurse administer per dose? - ANSWER 0.5
mL
5,000 units/ 10,000 units = 0.5 mL
A charge nurse is observing a newly licensed nurse performing a physical assessment
on a client. Which of the following actions by the nurse indicates that the charge nurse
should intervene? - ANSWER The newly licensed nurse writes detailed notes while
performing the head-to-toe assessment.
Answers Verified 100% Correct
A client is receiving lorazepam IV for panic attacks and develops a respiratory rate of
6/min and a blood pressure of 90/44 mm Hg. Which of the following medications should
the nurse anticipate administering. - ANSWER Flumazenil
Rationale: The nurse should anticipate administering flumazenil, a competitive
benzodiazepine receptor antagonist, to reverse the sedative effects of lorazepam. In
addition, the nurse should continue to support the client's respirations with a bag valve
mask.
A home health nurse is planning care for an older adult client who has impaired vision.
Which of the following interventions should the nurse include in the plant of care to
prevent injury in the home? - ANSWER Mark the edges of the stairs for contrast
Rationale: Marking the edges of stairs with paint or colored tape for contrast can help
older adult clients who have impaired vision prevent injury by decreasing the risk of
falls.
A nurse manager is planning to make changes to the current scheduling system on the
unit. To facilitate the staff's acceptance of this change, which of the following actions
should the nurse manager take first? - ANSWER Provide information about scheduling
issues to the staff.
Rationale: The first stage of the change process is the unfreezing stage, when the nurse
should inform the staff about the current staffing issues. This can increase their
understanding of why changes are necessary.
A nurse is teaching a group of guardians about child safety measures. Which of the
following statements by guardian indicates an understanding of the teaching? -
ANSWER "I should have my child avoid sun exposure between 10 am and 2 pm"
Rationale: To prevent sunburns, guardians should apply sunscreen, dress their child in
protective clothing, and avoid sun exposure between 1000 and 1400.
An RN is planning care for a group of clients and is working with a licensed practical
nurse (LPN) and an assistive personnel (AP). Which of the following tasks should the
RN delegate to the LPN? - ANSWER Insertion of a nasogastric tube
,Rationale: The nurse should delegate the insertion of a nasogastric tube to the LPN
because this task is within the LPN's scope of practice.
A nurse is assessing a newborn who is 2 hr old. Which of the following findings should
the nurse report to the provider? - ANSWER Axillary temperature 36.2 C (97.2 F)
Rationale: The expected reference range for the axillary temperature of newborn is
between 36.5 C to 37.5 C (97.7 F to 99.5 F). An axillary temperature of 36.2 C (97.2 F)
or below in a newborn who is 2 hr old indicates cold stress and should be reported to
the provider.
A nurse is caring for a newborn whose parent asks why the baby is receiving vitamin K.
The nurse should explain to the parent that the newborn should receive vitamin K to
prevent which of the following? - ANSWER Bleeding
The nurse should explain to the parent that newborns are deficient in vitamin K and
should receive it following birth because this deficiency can lead to bleeding.
A nurse is caring for a client who requires physical therapy following discharge. Which
of the following actions should the nurse take? - ANSWER Involve the client in
selection of a physical therapy provider/
Rationale: The nurse should involve the client in the referral process, including selection
of the physical therapist and the location.
A nurse in an emergency department is assessing a client who reports taking MDMA.
Which of the following should the nurse expect? - ANSWER Diaphoresis
Rationale: Diaphoresis is an expected finding of MDMA use. Additionally, the client
might experience increased tactile sensitivity, lowered inhibition, chills, muscle
cramping, teeth clenching, and mild hallucinogenic effects.
A nurse is caring for a client who vomits on a reusable BP cuff. Which of the following
actions should the nurse take? - ANSWER Place the BP cuff in a labeled bag to send it
for decontamination.
Rationale: The nurse should place the BP cuff in a labeled bag before removing it from
the client's room and sending it to the proper facility location for decontamination.
A nurse is reviewing the medical record of a client who has schizophrenia and is to start
taking clozapine. Which of the following findings should the nurse identify as a
, contraindication for the client to receive clozapine? - ANSWER WBC count 2,800/mm3
Rationale: Clozapine can cause agranulocytosis, which can be life-threatening.
Therefore, a WBC count of less than 3,000/mm3 is a contraindication for the client to
receive clozapine. The nurse should withhold the medication and notify the provider of
the client's WBC count.
A nurse is providing teaching to an adolescent following insertion of a tunneled central
venous catheter without a pressure sensitive valve. Which of the following information
should the nurse include in the teaching? - ANSWER "You should keep the catheter
clamped when not in use"
Rationale: The adolescent should keep the catheter clamped to prevent blood backflow.
Not all tunneled catheters have a pressure-sensitive valve that prevents blood reflux.
A nurse is conducting visual acuity testing when using the Snellen letter chart for a
school age child who has eyeglasses. Which of the following instructions should the
nurse give to the child? - ANSWER "You should keep both eyes open during the
testing"
Rationale: The nurse should instruct the child to keep both eyes open during visual
acuity testing.
When caring for a child, a nurse plans to use non-pharmacological interventions to
enhance the effectiveness of pain medication. Which of the following strategies
incorporates visualization techniques to help decrease the child's discomfort? -
ANSWER Blowing bubbles with liquid soap to "blow the hurt away"
Rationale: Having the child blow bubbles is a visualization technique that can help to
decrease the child's discomfort. The child can visualize the pain as the bubble that they
blow away from themself and into the air.
A nurse is preparing to administer heparin 5,000 units SQ. Available is heparin injection
10,000 units/mL. How many mL should the nurse administer per dose? - ANSWER 0.5
mL
5,000 units/ 10,000 units = 0.5 mL
A charge nurse is observing a newly licensed nurse performing a physical assessment
on a client. Which of the following actions by the nurse indicates that the charge nurse
should intervene? - ANSWER The newly licensed nurse writes detailed notes while
performing the head-to-toe assessment.
