ATI COMPREHENSIVE PREDICTOR EXAM D| ATI NCLEX
PREDICTOR QUESTIONS AND ANSWERS VERIFIED 100%
CORRECT
A nurse is interviewing a client who is now without a home due to a natural disaster. After ensuring
the client's safety, which of the following actions should the nurse take first determine the client's
perception of the personal impact of the crisis
A nurse is preparing to administer enoxaparin to a client. Identify the area the nurse should use to
administer the injection.
Subcutaneous tissue in the periumbilical area
A nurse is assessing a client who has skeletal traction for a femur fracture. Which of the
following findings should the nurse identify as the priority? Upper chest petechiae (fat embolism
syndrome)
A nurse is assessing a client who has sickle cell anemia. The nurse should identify which of the following
findings as a manifestation of vaso-occlusive crisis?
Hematuria
Also painful swelling of the hand and feet and visual disturbances
A nurse is assessing a client who has been taking lithium carbonate for the past month to treat bipolar
disorder. Which of the following assessment findings should the nurse identify as the priority?
Confusion (lithium toxicity) -When using the urgent vs. Non-urgent approach to client care, the nurse
should determine that the priority finding is confusion because it is an early manifestation of lithium
toxicity. The nurse should monitor the client for additional indications of lithium toxicity, including
coarse hand tremors, incoordination, ECG changes, and sedation.
3 MULTIPLE CHOICE OPTIONS
A nurse is providing teaching to a parent of a child who has a permanent tracheostomy tube. Identify the
sequence of steps the parent should follow to perform tracheostomy care.
Remove the inner cannula remove
the soiled dressing
Clean the stoma with 0.9% sodium chloride irrigation
change the tracheostomy collar
A nurse in an emergency department is assessing a client who reports taking
Methylenedioxymethamphetamin MDMA. Which of the following findings should the nurse expect
Diaphoresis
,Increases tactile sensitivity, lowered inhibition, chills, muscle cramping, teeth clenching, and mild
hallucinogenic effects
A nurse is teaching a client who is to start taking misoprostol and currently is on long term therapy with
nsaids for arthritis. The nurse should provide the client with which of the following information?
Complete a serum pregnancy test before taking the medication (can induce uterine contractions).Clients
of childbearing age must rule out pregnancy before taking misoprostol
3 MULTIPLE CHOICE OPTIONS
A nurse is caring for a client who has a potassium level of 3 meq/L. For which of the following
manifestations should the nurse monitor?
Decreased deep tendon reflexes
Muscle weakness as well
A nurse in an emergency department is preparing to discharge a client who has experienced intimate
partner violence. Which of the following actions should the nurse take first?
Develop a safety plan with the client
A nurse is caring for a client who is at 37 weeks of gestation and is experiencing abruptio placentae.
Which of the following findings should the nurse expect?
Persistent uterine contractions
Board like abdomen, and dark red vaginal bleeding
A nurse is caring for a client who is in the manic phase of bipolar disorder. Which of the following
manifestations should the nurse expect?
Grandiose delusions
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?
Sublimation- The client is exhibiting behaviors consistent with sublimation, which is displayed when a
client substitutes socially unacceptable behavior for acceptable behavior.
Suppression-is the denial of disturbing feeling or situation
A nurse is teaching a client about foods high in vitamin A. Which of the following foods should the nurse
recommend as having the highest amount of vitamin A?
1 medium raw carrot- The nurse should identify that 1 medium raw carrot contains 2,025 mcg/dl of
vitamin A and is, therefore, the best food to recommend to the client. 1/2 cup cooked spinach - 737
mcg/dl .. 1/2 cup cooked butternut squash 714 mcg/dl.. 1 cup sliced cantaloupe 516 mcg/dl
, 3 MULTIPLE CHOICE OPTIONS
A nurse is teaching the parent of a school aged child about administering ear drops. Which of
the following responses by the parent indicates an understanding of the teaching? "I should pull
the top of the ear upward and back while instilling the medication"
A nurse is caring for a client who requires physical therapy following discharge. Which of the following
actions should the nurse take?
Involve the client in selection of a physical therapy provider
A nurse is planning care for a client who is receiving hemodialysis via an established arteriovenous (AV)
fistula in the right arm. Which of the following interventions should the nurse include in the client's plan
of care?
Auscultate the affected extremity for a bruit -every 4 hr to ensure a bruit is present, which indicates
patency.
1 MULTIPLE CHOICE OPTION
A nurse is providing teaching to a client about newborn safety. Which of the following statements
should the nurse include in the teaching?
"set your hot water heater temperature at or below 120 degrees Fahrenheit"
A nurse is caring for a newborn who has herpes simplex virus HSV. Which of the following isolation
precautions should the nurse initiate?
Contact
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 plan of care?
Mark the edges of stairs for contrast
Should have vision testing done every year
A nurse is initiating discharge planning for a client who had a stroke and is experiencing right sided
weakness. Which of the following actions should the nurse take first?
Request a referral for the client to receive physical therapy
A nurse is reviewing the laboratory findings of a client who is experiencing chest pain. The nurse should
identify that an elevation in which of the following laboratory values indicates cellular injury of
myocardial tissue?
Troponin T
A nurse is preparing to administer heparin 5,000 units subcutaneously, available is heparin injection
10,000 units/ml. How many ml should the nurse administer per dose? Round to the nearest tenth.
0.5ml
PREDICTOR QUESTIONS AND ANSWERS VERIFIED 100%
CORRECT
A nurse is interviewing a client who is now without a home due to a natural disaster. After ensuring
the client's safety, which of the following actions should the nurse take first determine the client's
perception of the personal impact of the crisis
A nurse is preparing to administer enoxaparin to a client. Identify the area the nurse should use to
administer the injection.
Subcutaneous tissue in the periumbilical area
A nurse is assessing a client who has skeletal traction for a femur fracture. Which of the
following findings should the nurse identify as the priority? Upper chest petechiae (fat embolism
syndrome)
A nurse is assessing a client who has sickle cell anemia. The nurse should identify which of the following
findings as a manifestation of vaso-occlusive crisis?
Hematuria
Also painful swelling of the hand and feet and visual disturbances
A nurse is assessing a client who has been taking lithium carbonate for the past month to treat bipolar
disorder. Which of the following assessment findings should the nurse identify as the priority?
Confusion (lithium toxicity) -When using the urgent vs. Non-urgent approach to client care, the nurse
should determine that the priority finding is confusion because it is an early manifestation of lithium
toxicity. The nurse should monitor the client for additional indications of lithium toxicity, including
coarse hand tremors, incoordination, ECG changes, and sedation.
3 MULTIPLE CHOICE OPTIONS
A nurse is providing teaching to a parent of a child who has a permanent tracheostomy tube. Identify the
sequence of steps the parent should follow to perform tracheostomy care.
Remove the inner cannula remove
the soiled dressing
Clean the stoma with 0.9% sodium chloride irrigation
change the tracheostomy collar
A nurse in an emergency department is assessing a client who reports taking
Methylenedioxymethamphetamin MDMA. Which of the following findings should the nurse expect
Diaphoresis
,Increases tactile sensitivity, lowered inhibition, chills, muscle cramping, teeth clenching, and mild
hallucinogenic effects
A nurse is teaching a client who is to start taking misoprostol and currently is on long term therapy with
nsaids for arthritis. The nurse should provide the client with which of the following information?
Complete a serum pregnancy test before taking the medication (can induce uterine contractions).Clients
of childbearing age must rule out pregnancy before taking misoprostol
3 MULTIPLE CHOICE OPTIONS
A nurse is caring for a client who has a potassium level of 3 meq/L. For which of the following
manifestations should the nurse monitor?
Decreased deep tendon reflexes
Muscle weakness as well
A nurse in an emergency department is preparing to discharge a client who has experienced intimate
partner violence. Which of the following actions should the nurse take first?
Develop a safety plan with the client
A nurse is caring for a client who is at 37 weeks of gestation and is experiencing abruptio placentae.
Which of the following findings should the nurse expect?
Persistent uterine contractions
Board like abdomen, and dark red vaginal bleeding
A nurse is caring for a client who is in the manic phase of bipolar disorder. Which of the following
manifestations should the nurse expect?
Grandiose delusions
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?
Sublimation- The client is exhibiting behaviors consistent with sublimation, which is displayed when a
client substitutes socially unacceptable behavior for acceptable behavior.
Suppression-is the denial of disturbing feeling or situation
A nurse is teaching a client about foods high in vitamin A. Which of the following foods should the nurse
recommend as having the highest amount of vitamin A?
1 medium raw carrot- The nurse should identify that 1 medium raw carrot contains 2,025 mcg/dl of
vitamin A and is, therefore, the best food to recommend to the client. 1/2 cup cooked spinach - 737
mcg/dl .. 1/2 cup cooked butternut squash 714 mcg/dl.. 1 cup sliced cantaloupe 516 mcg/dl
, 3 MULTIPLE CHOICE OPTIONS
A nurse is teaching the parent of a school aged child about administering ear drops. Which of
the following responses by the parent indicates an understanding of the teaching? "I should pull
the top of the ear upward and back while instilling the medication"
A nurse is caring for a client who requires physical therapy following discharge. Which of the following
actions should the nurse take?
Involve the client in selection of a physical therapy provider
A nurse is planning care for a client who is receiving hemodialysis via an established arteriovenous (AV)
fistula in the right arm. Which of the following interventions should the nurse include in the client's plan
of care?
Auscultate the affected extremity for a bruit -every 4 hr to ensure a bruit is present, which indicates
patency.
1 MULTIPLE CHOICE OPTION
A nurse is providing teaching to a client about newborn safety. Which of the following statements
should the nurse include in the teaching?
"set your hot water heater temperature at or below 120 degrees Fahrenheit"
A nurse is caring for a newborn who has herpes simplex virus HSV. Which of the following isolation
precautions should the nurse initiate?
Contact
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 plan of care?
Mark the edges of stairs for contrast
Should have vision testing done every year
A nurse is initiating discharge planning for a client who had a stroke and is experiencing right sided
weakness. Which of the following actions should the nurse take first?
Request a referral for the client to receive physical therapy
A nurse is reviewing the laboratory findings of a client who is experiencing chest pain. The nurse should
identify that an elevation in which of the following laboratory values indicates cellular injury of
myocardial tissue?
Troponin T
A nurse is preparing to administer heparin 5,000 units subcutaneously, available is heparin injection
10,000 units/ml. How many ml should the nurse administer per dose? Round to the nearest tenth.
0.5ml
