ATI Predictor Questions - Practice 2023
1. A nurse is caring for a client who was admitted for acute alcohol delirium
withdrawal 2 days ago. Which of the following findings is associated with this
diagnosis?
A. Increased appetite
B. Elevated Temperature
C. Bradycardia
D. Drowsiness: Elevated Temperature
Rationale: The content of this question emphasizes the concept of client-centered
care through identifying findings associated with a client's diagnosis. Client-
centered care focuses on the client and emphasizes the client's cultural, ethnic, and
social values. The identification of expected and unexpected findings associated
with a client's diagnosis assists the nurse to distinguish possible unrelated
complications the client might be experiencing, which indicates the need for further
investigation.
The specific focus on the client enhances the provision of safe, quality nursing care.
An elevated temperature is a finding associated with acute alcohol delirium.
2. A nurse working in a hospice facility is talking to a client's son who is
distressed because his mother cries frequently and says she wants to die.
Which of the following responses by the nurse is appropriate?
A. "I know this must be difficult, but your mother will calm down soon."
B. "Lets discuss some strategies you can use when this happens again."
C. Individuals near death are ready to let go toward the end."
D. "Have you determined why she is crying and saying she is ready to die?":
" Let's discuss some strategies you can use when this happens again."
Rationale: This response by the nurse offers to provide information, which can
reduce anxiety and enhance decision making. This response creates a safe
environment, fosters trust and respect, and is appropriate.
3. A nurse is caring for a client who had cerebrovascular accident 2 days
ago. Which of the following is the first sign of increased intracranial
pressure (ICP)?
, ATI Predictor Questions - Practice 2023
A. pupil dilation
B. Ataxia
C. Lethargy
D Bradycardia: Lethargy
rationale: Lethargy occurs when pressure is placed on the reticular activating
system within the brainstem. Along with other indicators of a change in level of
consciousness, such as restlessness, irritability, and disorientation. Lethargy is the
first sign of increased ICP.
4. A nurse working in a provider's office is reinforcing teaching with a client
who is 14 weeks of gestation. The nurse should instruct the client to
immediately notify the provider if she experiences which of the following?
A. facial edema
b. urinary frequency
c. acid indigestion
d. breast leakage: Facial edema
rationale: facial edema is an indication of pregnancy-induced hypertension and
should be reported immediately to the provider.
5. A nurse is caring for a client who is receiving parenteral nutrition through
a nontunneled central venous catheter and reports hearing a gurgling sound
on the side of the catheter. The nurse suspects the catheter has migrated to
the jugular vein. Which of the following actions should the nurse take first?
A. Notify the provider
B. Obtain a chest x-ray
C. Flush the catheter.
D. Stop the infusion.: Stop the infusion
Rationale: This prevents further damage to vessel and minimizes any additional
harm to the client
6. A nurse is reinforcing teaching with a caregiver who has aphasia. The
nurse should include which of the following communication strategies in the
teaching?
A. Cue the client by providing picture cards that portray common needs.
B. Increase the volume of the voice when speaking to a client.
, ATI Predictor Questions - Practice 2023
C. Encourage the client to limit hand gestures when communicating.
D. Vary the use of phrases and terminology in discussions.: Cue the client by
providing picture cards that portray common needs.
Rationale: Using picture cards enhances communication. The nurse should include
this communication strategy in the teaching.
7. A nurse is caring for a client who has a urinary tract infection and is
prescribed ciprofloxacin (Cipro). The client exhibits urticaria and angioedema
following administration of the medication. Which of the following is the first
action the nurse should take?
A. Administer epinephrine (Adrenaline)
B. Elevate the lower extremities
C. Determine respiratory status
D. Apply oxygen via non-rebreather mask.: Determine respiratory status
Rationale: The client is experiencing angioedema indicating a possible anaphylactic
reaction, which is life-threatening; therefore, the nurse should first determine the
client's respiratory status.
8. A nurse is caring for a client who has an acid-base imbalance. For which
of the following manifestations is metabolic alkalosis a possible
complications?
A. Hyperkalemia
B. Severe diarrhea
C. Atelectasis
D. Excessive vomiting: Excessive vomiting
rationale: Metabolic alkalosis is a potential complication of excessive vomiting
because of loss of acid from the body.
9. A nurse is caring for neonate who was delivered at 30 weeks of gestation
after his mother received two injections of betamethasone (Celestone).
because of administration of betamethasone to the client's mother, the nurse
should monitor the neonate for which of the following effects?
A. Tachycardia
B. Sternal retractions
C. Hypoglycemia
D. Hypothermia: hypoglycemia
, ATI Predictor Questions - Practice 2023
rationale: Betamethasone is a glucocorticoid used in the prevention of respiratory
distress syndrome in premature infants. Betamethasone causes hyperglycemia in
the mother, which predisposes the neonate to hypoglycemia in the first hours after
delivery.
10. A nurse is reinforcing teaching about client consent to treatment with a
group of newly licensed nurses. Which of the following statements by a newly
licensed nurse indicates a need for further teaching?
A. "It is necessary to have written consent for invasive procedures"
B. "Implied consent is appropriate for some aspects of nursing care"
C. It is the responsibility of the provider to obtain express consent"
D. "Informed consent should be obtained separately for each surgical proce-
dure": " It is the responsibility of the provider to obtain express consent"
rationale: Nurses frequently obtain express consent by witnessing a client sign a
consent form after ensuring the client has received and understands necessary
information regarding the procedure. This is not an appropriate statement by a
newly licensed nurse and requires further teaching.
11. A nurse is caring for an adult client who has attempted suicide. The client
tells the nurse he is calling his family to come pick him up. Which of the
following actions by the nurse is appropriate when the client insists on
leaving the facility against medical advice?
A. assign a security guard to stay at the client's door.
B. request a prescription from the provider for soft restraints.
C. discuss the risks associated with leaving with the client
D. remove the telephone from the client's room: discuss the risks associated
with leaving with the client
rationale: Discussing risks associated with leaving is priority concern. The client
should be made aware of potential negative outcomes that could occur if he
chooses to leave the facility prior to physician prescribed discharge.
12. A nurse is caring for a child who has leukemia and is prescribed a
transfusion of platelets. Which of the following should the client experience
as a result of the transfusion?
A. reduced bleeding time
B. decreased plasma globulins
C. improved activity tolerance
1. A nurse is caring for a client who was admitted for acute alcohol delirium
withdrawal 2 days ago. Which of the following findings is associated with this
diagnosis?
A. Increased appetite
B. Elevated Temperature
C. Bradycardia
D. Drowsiness: Elevated Temperature
Rationale: The content of this question emphasizes the concept of client-centered
care through identifying findings associated with a client's diagnosis. Client-
centered care focuses on the client and emphasizes the client's cultural, ethnic, and
social values. The identification of expected and unexpected findings associated
with a client's diagnosis assists the nurse to distinguish possible unrelated
complications the client might be experiencing, which indicates the need for further
investigation.
The specific focus on the client enhances the provision of safe, quality nursing care.
An elevated temperature is a finding associated with acute alcohol delirium.
2. A nurse working in a hospice facility is talking to a client's son who is
distressed because his mother cries frequently and says she wants to die.
Which of the following responses by the nurse is appropriate?
A. "I know this must be difficult, but your mother will calm down soon."
B. "Lets discuss some strategies you can use when this happens again."
C. Individuals near death are ready to let go toward the end."
D. "Have you determined why she is crying and saying she is ready to die?":
" Let's discuss some strategies you can use when this happens again."
Rationale: This response by the nurse offers to provide information, which can
reduce anxiety and enhance decision making. This response creates a safe
environment, fosters trust and respect, and is appropriate.
3. A nurse is caring for a client who had cerebrovascular accident 2 days
ago. Which of the following is the first sign of increased intracranial
pressure (ICP)?
, ATI Predictor Questions - Practice 2023
A. pupil dilation
B. Ataxia
C. Lethargy
D Bradycardia: Lethargy
rationale: Lethargy occurs when pressure is placed on the reticular activating
system within the brainstem. Along with other indicators of a change in level of
consciousness, such as restlessness, irritability, and disorientation. Lethargy is the
first sign of increased ICP.
4. A nurse working in a provider's office is reinforcing teaching with a client
who is 14 weeks of gestation. The nurse should instruct the client to
immediately notify the provider if she experiences which of the following?
A. facial edema
b. urinary frequency
c. acid indigestion
d. breast leakage: Facial edema
rationale: facial edema is an indication of pregnancy-induced hypertension and
should be reported immediately to the provider.
5. A nurse is caring for a client who is receiving parenteral nutrition through
a nontunneled central venous catheter and reports hearing a gurgling sound
on the side of the catheter. The nurse suspects the catheter has migrated to
the jugular vein. Which of the following actions should the nurse take first?
A. Notify the provider
B. Obtain a chest x-ray
C. Flush the catheter.
D. Stop the infusion.: Stop the infusion
Rationale: This prevents further damage to vessel and minimizes any additional
harm to the client
6. A nurse is reinforcing teaching with a caregiver who has aphasia. The
nurse should include which of the following communication strategies in the
teaching?
A. Cue the client by providing picture cards that portray common needs.
B. Increase the volume of the voice when speaking to a client.
, ATI Predictor Questions - Practice 2023
C. Encourage the client to limit hand gestures when communicating.
D. Vary the use of phrases and terminology in discussions.: Cue the client by
providing picture cards that portray common needs.
Rationale: Using picture cards enhances communication. The nurse should include
this communication strategy in the teaching.
7. A nurse is caring for a client who has a urinary tract infection and is
prescribed ciprofloxacin (Cipro). The client exhibits urticaria and angioedema
following administration of the medication. Which of the following is the first
action the nurse should take?
A. Administer epinephrine (Adrenaline)
B. Elevate the lower extremities
C. Determine respiratory status
D. Apply oxygen via non-rebreather mask.: Determine respiratory status
Rationale: The client is experiencing angioedema indicating a possible anaphylactic
reaction, which is life-threatening; therefore, the nurse should first determine the
client's respiratory status.
8. A nurse is caring for a client who has an acid-base imbalance. For which
of the following manifestations is metabolic alkalosis a possible
complications?
A. Hyperkalemia
B. Severe diarrhea
C. Atelectasis
D. Excessive vomiting: Excessive vomiting
rationale: Metabolic alkalosis is a potential complication of excessive vomiting
because of loss of acid from the body.
9. A nurse is caring for neonate who was delivered at 30 weeks of gestation
after his mother received two injections of betamethasone (Celestone).
because of administration of betamethasone to the client's mother, the nurse
should monitor the neonate for which of the following effects?
A. Tachycardia
B. Sternal retractions
C. Hypoglycemia
D. Hypothermia: hypoglycemia
, ATI Predictor Questions - Practice 2023
rationale: Betamethasone is a glucocorticoid used in the prevention of respiratory
distress syndrome in premature infants. Betamethasone causes hyperglycemia in
the mother, which predisposes the neonate to hypoglycemia in the first hours after
delivery.
10. A nurse is reinforcing teaching about client consent to treatment with a
group of newly licensed nurses. Which of the following statements by a newly
licensed nurse indicates a need for further teaching?
A. "It is necessary to have written consent for invasive procedures"
B. "Implied consent is appropriate for some aspects of nursing care"
C. It is the responsibility of the provider to obtain express consent"
D. "Informed consent should be obtained separately for each surgical proce-
dure": " It is the responsibility of the provider to obtain express consent"
rationale: Nurses frequently obtain express consent by witnessing a client sign a
consent form after ensuring the client has received and understands necessary
information regarding the procedure. This is not an appropriate statement by a
newly licensed nurse and requires further teaching.
11. A nurse is caring for an adult client who has attempted suicide. The client
tells the nurse he is calling his family to come pick him up. Which of the
following actions by the nurse is appropriate when the client insists on
leaving the facility against medical advice?
A. assign a security guard to stay at the client's door.
B. request a prescription from the provider for soft restraints.
C. discuss the risks associated with leaving with the client
D. remove the telephone from the client's room: discuss the risks associated
with leaving with the client
rationale: Discussing risks associated with leaving is priority concern. The client
should be made aware of potential negative outcomes that could occur if he
chooses to leave the facility prior to physician prescribed discharge.
12. A nurse is caring for a child who has leukemia and is prescribed a
transfusion of platelets. Which of the following should the client experience
as a result of the transfusion?
A. reduced bleeding time
B. decreased plasma globulins
C. improved activity tolerance
