ATI Comprehensive Predictor 2019 180 Questions EXIT EXAM

ATI Comprehensive Predictor 2019 180 Questions

EXIT EXAM

• A nurse is caring for a client who has given informed consent for ECT. Just before the

procedure the client tells the nurse she is considering not going forward with the treatment. Which of the following statements oy the nurse Is appropriate?

• "You don't have to go through with the treatment."
• "Most people who have this procedure feel better following the treatment.
• "It’s okay to be nervous before this treatment
• "Your doctor wouldn't have ordered this treatment unless it was necessary.

• While performing a route assessment. a nurse notices tracing on the electrical cord of a

clients CPM device. Which of the following actions should the nurse take first?

• Report the defect to the equipment maintenance staff.
• Ensure the device inspection sticker is current
• Remove the device from the room
• Initiate a requisition for a replacement PM device
• A nurse is caring for a client who is postoperative and has a new prescription tor

hydromorphone, Which of the following actions should the nurse take:

• Document administration of the medication upon removal from the medication

dispensing

• Withhold the medication if the client does not appear to be in pain.
• Count the current number of unit doses available in the medication dispensing system.
• Withhold the medication if the client has a fever
• A nurse performing a change-of-shift assessment. Which of the following clients has the

priority finding?

• Type 2 DM and a blood glucose of 250 mg/dL
• Pneumonia with a productive cough and a fever of 38.8° C (101.8° F)
• 2 hr. post cast placement and has 2+ pitting edema and pallor
• First-degree heart block and a heart rate of 62/ min

• A nurse in an outpatient mental health facility is providing teaching to a group or

adolescents. Which of the following statements by a client indicates an understanding of the teaching?

• "I will limit my alcohol use to one drink daily while taking disulfiram.
• "I will avoid foods containing tyramine while taking Fluoxetine
• "I will take the sustained-release methylphenidate every morning.
• "I will take my lithium on an empty stomach."

• A nurse in the emergency department is assessing client who has major depressive

disorder. Which or the following actions should the nurse take first?

• Administer Zofran to the client for nausea
• Implement seizure precautions for the client

• Encourage the client to verbalize feelings
• Obtain the client's weight

• A nurse is completing an admission assessment for a client who has narcissistic

personality disorder. Which of the following should the nurse expect?

• Suspicious of others
• Exhibits separation anxiety
• Ritualistic behavior
• Preoccupied with aging

• Drug Calc: Client weighs 99 lb. Prescribed diet of 1.5 g protein/kg/dav. How man grams of

protein per day should the nurse include in the clients dietary plan?

• A nurse is planning care for a group of clients and is working with one LPN and one AP.

Which of the following actions should the nurse take first to manage her time effectively?

• Develop an hourly time frame for tasks
• Schedule daily activities
• Determine goals of the day
• Delegate tasks to the AP

• A nurse is developing a plan of care for a client who has preeclampsia and is to receive

magnesium sulfate via continuous IV infusion. Which or the following actions should the nurse include in the plan?

• Restrict the client's total fluid intake to 250 mL/hr.
• Measure the cents urine output every hour
• Give the client protamine if signs of magnesium sulfate toxicity occur (antidote: calcium

gluconate)

• Monitor the FHR via Doppler every 30 min

• A nurse is caring for a group of clients. Which of the following wounds should the

nurse expect to heal by primary intention?

• Infected laceration.
• Stage Il pressure ulcer
• Approximated surgical incision
• Partial-thickness burn

• A nurse in an acute mental health care facility is prioritizing care for multiple clients.

Which of the following clients should the nurse see first?

• Client taking clozapine to treat schizophrenia and reports sore throat
• Client has OCD and is upset about a change in daily routine
• Client has narcissistic personality disorder and is mocking others during group therapy
• Client who has depressive disorder and requires assistance with ADLS

• A nurse is caring for a client who has an implanted venous access port. Which of the

following should the nurse use to assess the port:

• An angiocatheter
• A butterfly needle
• A noncoring needle
• A 25 gauge needle

• A nurse is caring for a client who has pneumonia and tells the nurse, "I teel like an

elephant is sitting on mv chest" The client is weak and unable to walk. After the nurse indicates chest pain protocol which or the following is the priority diagnostic test?

• PT and INR
• 12 lead ECG
• Chest X-ray
• Serum potassium

• A nurse is assessing the growth and development of a 3 /o child. Which of the

following questions should the nurse ask the parent to determine If the child is exhibiting typical developmental expectations?

• "Can your child draw a stick figure?
• "Can vour child catch and throw a small ball?
• "Can your child ride a tricycle?"
• "Can your child name five colors?

• A nurse is preparing to assess fetal heart tones for a client who is at 12 weeks of

gestation. Which of the following actions should the nurse take?

• Measure the fundal height to determine the placement of the ultrasound stethoscope
• Perform Leopold maneuvers prior to auscultating the FHR
• Position the ultrasound stethoscope above the symphysis pubis to assess the FHR
• Place the client in a side-lying position prior to assessing the HR

• A nurse is assessing a client who has a chest tube with a water seal drainage system.

Upon assessment, the nurse notes tidaling in the water seal. Which or the following is an explanation for the tidaling?

• There is a loop of tubing below the drainage system
• The system is working properly
• The lung has re-expanded
• The tubing is partially obstructed by clots

• A charge nurse on a medical surgical unit is assisting with the emergency response

plan following an external disaster in the community in anticipation of multiple client admissions. Which of the following current clients should the nurse recommend for early discharge?

• A client who is receiving heparin for DV
• A client who is 1 day postoperative following a vertebroplasty

• A client who has COPD and a respiratory rate of 44/min
• A client who has cancer with a sealed implant or radiation therapy

• A nurse is caring for a client who has ESRD. The clients adult child asks the nurse about

becoming a living kidney donor for her father. Which of the following conditions in the child's medical history should the nurse identity as a contraindication to the procedure?

• Osteoarthritis
• HTN
• Amputation
• Primary glaucoma

• A nurse is caring for a client who is 4 days postpartum. Which of the following

assessment findings should the nurse expect? (SATA)

• Foul perineal odor
• Fundus displaced to the right
• Lochia serosa
• Fundus 4 cm (1.6 in) below the umbilicus
• Postpartum chill

• A nurse is caring for a child who has cystic fibrosis and requires postural drainage.

Which of the following actions should the nurse take?

• Perform the procedure twice a day
• Hold hand to perform percussions on the child
• Administer a bronchodilator after the procedure
• Perform the procedure prior to meals

• A home care nurse is making a follow up visit with a client who has COPD and is using

a compressed oxygen system in his home. Which of the following action should the nurse take?

• Ensure that the client checks the gauge weekly
• Store the oxygen tank wrench in a locked cabinet
• Have the client store smaller tanks under his bed
• Place the oxygen tank away from curtains or drapes

• Location of crackles IMAGEI

• A nurse is caring for a new client who has bacterial meningitis. Which of the following

actions should the nurse take?

• Implement seizure precautions
• Place the client in high-Fowler's position
• Perform ROM exercises once per shift
• Monitor the client for hypoglycemia