ATI PN COMPREHENSIVE PREDICTOR 2023/2024 RETAKE GUIDE (170+ Q & A)|
COMPLETE GUIDE
A client begins treatment with phenytoin (Dilantin). Which of the following should the nurse reinforce as
a measure to help minimize possible adverse effects of this med?
A.) Performing daily gum massage
B.) Increasing intake of iron-rich foods
C.) Taking the med on an empty stomach
D.) Avoiding liquids 3 hr before bedtime
ANS>>A.) Performing daily gum massage
Gingival hyperplasia is a common adverse effect of this medication. Massaging the gums will help
minimize this effect.
A nurse is preparing to remove a client's peripheral IV catheter. Which of the following actions should
the nurse plan to take?
A.) Use scissors to trim tape that adheres to the skin.
B.) Apply pressure to the insertion site for 1 min after removal of the catheter.
C.) Maintain the catheter parallel to the vein when withdrawing the catheter.
D.) Flush the catheter with 1 mL of 0.9% sodium chloride prior to removing the catheter.
,ANS>>C.) Maintain the catheter parallel to the vein when withdrawing the catheter.
The nurse should maintain the catheter parallel to the vein to reduce the risk of trauma to the vein.
A nurse is reinforcing teaching to the parents of a newborn who has a new prescription for nystatin
(Mycostatin) for oral candidiasis. Which of the following should the nurse include in the teaching?
A.) "Discontinue breastfeeding while the infection is present."
B.) "Instill the medication 1 hours after feeding."
C.) "Add the medication to the newborn's bottle."
D.) "Rinse your baby's mouth with water after instilling the medication."
ANS>>B.) "Instill the medication 1 hours after feeding."
Nystatin is best absorbed if given 1 hr before or after a fee
2. A nurse who is facilitating a support group notices that one client in the group is extremely talkative,
to the point where others in the group have difficulty sharing their own ideas. Which of the ff. strategies
should the nurse use to facilitate the group process with this client?
A. Speak privately to the client about this behavior.
3. The partner of a client who died from leukemia tells a nurse, “It’s so unfair that God took him from
me. I just can’t live without him.”. Which of the following actions by the nurse is the priority?
ANS>>A. Ask the client she has had suicidal thoughts.
, 4. A nurse is preparing to remove a client’s peripheral IV catheter. Which of the following actions should
the nurse plan to take?
ANS>> A. Maintain the catheter parallel to the vein when withdrawing the catheter.
5. A nurse is reinforcing teaching to the parents of a newborn who has a new prescription for nystatin
(Mycostatin) for oral candidiasis. Which of the following should the nurse include in the teaching?
ANS>> A. Instill the medication 1 hr. after feeding.
6. A nurse is reinforcing teaching about an IV urography (IVP) with the parent of a 3yr. old child. Which
of the ff. statements indicates the parent understands the teaching?
ANS>> A. My child will need to have a soapsuds enema before this procedure.
7. A nurse is reinforcing teaching with the parent of a school-age child who has nephrotic syndrome
with peripheral edema. Which of the ff. statements by the parent indicates understanding of the
teaching?
ANS>> A. I will provide a low-sodium diet for my child.
8. A nurse is caring for a client who is on complete bed rest and is unable to change positon in bed
without assistance. The nurse delegates the task of repositioning the client every 2 hr. to an assistive
personnel(AP). Which of the ff. is an appropriate method to ensure that the AP has performed the task
correctly?
ANS>> A. Check that the client is in a new position every 2hr.
9. A newly hired nurse discovers that some medication doses provided on a client’s medication record
have not been updated since yesterday. Coworkers admit that new changes in the medication orders
have not been processed yet, but they advise the nurse to administer the new prescriptions anyway.
The nurse should notify which of the ff.?
ANS>>A. The nurse manager.
, 10. A registered nurse and a licensed practice nurse (LPN) on a medical–surgical unit are collaborating to
provide care for a group of clients. The LPN should recognize that which of the ff. tasks are not within
the LPN scope of practice?
ANS>> A. Develop a plan of care for a client who requires bladder training.
11. Which of the ff. should a nurse recognize as indicative of a positive client response to systematic
desensitization for treatment of a phobia?
ANS>> A. The client remains relaxed when thinking of the phobia.
12. A nurse in a long-term care facility is reviewing standard precaution guidelines with an assistive
personnel(AP). The nurse should instruct the AP that which of the ff. should be used to clean up a blood
spill?
ANS>> Chlorine bleach solution.
13. nurse is caring for a client who is 3 days postoperative ff. a transurethral resection of the prostate
and has an indwelling urinary catheter. Which of the ff. findings should the nurse expect?
ANS>> A. Yellow urine with red sediment.
14. A nurse is preparing to administer cephalexin (Keflex) to a client when he states, “ I just
remembered that I have an allergy to penicillin. “Which of the ff. actions should the nurse take?
ANS>> A. Call the provider who prescribed the medication.
15. A nurse is observing a newly licensed nurse who is providing tracheostomy care for a client. The
nurse identifies proper performance of the procedure when the newly licensed nurse selects which of
the ff. solutions to clean the inner cannula?
ANS>> A. Hydrogen peroxide.
16. A nurse is working with an interpreter to explain a diagnostic procedure to a client who does not
speak English. Which of the ff. actions should the nurse take?
ANS>> A. Ensure the interpreter is culturally compatible with the client.
COMPLETE GUIDE
A client begins treatment with phenytoin (Dilantin). Which of the following should the nurse reinforce as
a measure to help minimize possible adverse effects of this med?
A.) Performing daily gum massage
B.) Increasing intake of iron-rich foods
C.) Taking the med on an empty stomach
D.) Avoiding liquids 3 hr before bedtime
ANS>>A.) Performing daily gum massage
Gingival hyperplasia is a common adverse effect of this medication. Massaging the gums will help
minimize this effect.
A nurse is preparing to remove a client's peripheral IV catheter. Which of the following actions should
the nurse plan to take?
A.) Use scissors to trim tape that adheres to the skin.
B.) Apply pressure to the insertion site for 1 min after removal of the catheter.
C.) Maintain the catheter parallel to the vein when withdrawing the catheter.
D.) Flush the catheter with 1 mL of 0.9% sodium chloride prior to removing the catheter.
,ANS>>C.) Maintain the catheter parallel to the vein when withdrawing the catheter.
The nurse should maintain the catheter parallel to the vein to reduce the risk of trauma to the vein.
A nurse is reinforcing teaching to the parents of a newborn who has a new prescription for nystatin
(Mycostatin) for oral candidiasis. Which of the following should the nurse include in the teaching?
A.) "Discontinue breastfeeding while the infection is present."
B.) "Instill the medication 1 hours after feeding."
C.) "Add the medication to the newborn's bottle."
D.) "Rinse your baby's mouth with water after instilling the medication."
ANS>>B.) "Instill the medication 1 hours after feeding."
Nystatin is best absorbed if given 1 hr before or after a fee
2. A nurse who is facilitating a support group notices that one client in the group is extremely talkative,
to the point where others in the group have difficulty sharing their own ideas. Which of the ff. strategies
should the nurse use to facilitate the group process with this client?
A. Speak privately to the client about this behavior.
3. The partner of a client who died from leukemia tells a nurse, “It’s so unfair that God took him from
me. I just can’t live without him.”. Which of the following actions by the nurse is the priority?
ANS>>A. Ask the client she has had suicidal thoughts.
, 4. A nurse is preparing to remove a client’s peripheral IV catheter. Which of the following actions should
the nurse plan to take?
ANS>> A. Maintain the catheter parallel to the vein when withdrawing the catheter.
5. A nurse is reinforcing teaching to the parents of a newborn who has a new prescription for nystatin
(Mycostatin) for oral candidiasis. Which of the following should the nurse include in the teaching?
ANS>> A. Instill the medication 1 hr. after feeding.
6. A nurse is reinforcing teaching about an IV urography (IVP) with the parent of a 3yr. old child. Which
of the ff. statements indicates the parent understands the teaching?
ANS>> A. My child will need to have a soapsuds enema before this procedure.
7. A nurse is reinforcing teaching with the parent of a school-age child who has nephrotic syndrome
with peripheral edema. Which of the ff. statements by the parent indicates understanding of the
teaching?
ANS>> A. I will provide a low-sodium diet for my child.
8. A nurse is caring for a client who is on complete bed rest and is unable to change positon in bed
without assistance. The nurse delegates the task of repositioning the client every 2 hr. to an assistive
personnel(AP). Which of the ff. is an appropriate method to ensure that the AP has performed the task
correctly?
ANS>> A. Check that the client is in a new position every 2hr.
9. A newly hired nurse discovers that some medication doses provided on a client’s medication record
have not been updated since yesterday. Coworkers admit that new changes in the medication orders
have not been processed yet, but they advise the nurse to administer the new prescriptions anyway.
The nurse should notify which of the ff.?
ANS>>A. The nurse manager.
, 10. A registered nurse and a licensed practice nurse (LPN) on a medical–surgical unit are collaborating to
provide care for a group of clients. The LPN should recognize that which of the ff. tasks are not within
the LPN scope of practice?
ANS>> A. Develop a plan of care for a client who requires bladder training.
11. Which of the ff. should a nurse recognize as indicative of a positive client response to systematic
desensitization for treatment of a phobia?
ANS>> A. The client remains relaxed when thinking of the phobia.
12. A nurse in a long-term care facility is reviewing standard precaution guidelines with an assistive
personnel(AP). The nurse should instruct the AP that which of the ff. should be used to clean up a blood
spill?
ANS>> Chlorine bleach solution.
13. nurse is caring for a client who is 3 days postoperative ff. a transurethral resection of the prostate
and has an indwelling urinary catheter. Which of the ff. findings should the nurse expect?
ANS>> A. Yellow urine with red sediment.
14. A nurse is preparing to administer cephalexin (Keflex) to a client when he states, “ I just
remembered that I have an allergy to penicillin. “Which of the ff. actions should the nurse take?
ANS>> A. Call the provider who prescribed the medication.
15. A nurse is observing a newly licensed nurse who is providing tracheostomy care for a client. The
nurse identifies proper performance of the procedure when the newly licensed nurse selects which of
the ff. solutions to clean the inner cannula?
ANS>> A. Hydrogen peroxide.
16. A nurse is working with an interpreter to explain a diagnostic procedure to a client who does not
speak English. Which of the ff. actions should the nurse take?
ANS>> A. Ensure the interpreter is culturally compatible with the client.
