ATI RN COMPREHENSIVE PREDICTOR 2019 FORM E NEWEST
VERSION UPDATED 180 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES|ALREADY GRADED A+
A nurse is caring for a client who has bipolar disorder and is experiencing acute
mania. The nurse obtained a verbal prescription for restraints. Which of the
following actions should the nurse take?
A. Request a renewal of the prescription every 8 hr.
B. Check the client’s peripheral pulse rate every 30 min
C. Obtain a prescription for restraint within 4 hr.
d. Document the client’s condition every 15 minutes. – ANSWER- d. Document the
client’s condition every 15 minutes.
A nurse is caring for a client who has end-stage kidney disease. The client’s adult
child asks the nurse about becoming a living kidney donor for her father. Which of
the following condition in the child’s medical history should the nurse identify as a
contraindication to the procedure?
A. Amputation
B. Osteoarthritis
C. Hypertension
D. Primary glaucoma – ANSWER- C. Hypertension
A charge nurse on a medical-surgical unit is planning assignments for a licensed
practical nurse (LPN) who has been sent from the postpartum unit due to a staffing
shortage for the shift. Which of the following client should the nurse delegate to
the LPN?
A. A client who has an Hgb of 6.3 g/dl and a prescription for packed RBCs.
B. A client who sustained a concussion and has unequal pupils.
C. A client who is postoperative following a bowel resection with an NG tube set
to
continuous suction.
D. A client who fractured his femur yesterday and is experiencing shortness of
breath. – ANSWER- C. A client who is postoperative following a bowel resection
with an NG tube set to
continuous suction.
A nurse is working on a surgical unit is developing a care plan for a client who has
paraplegia. The client has an area of no blanchable erythema over his ischium.
Which of the following interventions should the nurse include in the care plan?
A. Place the client upright on a donut-shaped cushion
B. Teach the client to shift his weight every 15 min while sitting
C. Turn and reposition the client every 3 hr while in bed
D. Assess pressure points every – ANSWER- B. Teach the client to shift his weight
every 15 min while sitting
A nurse is caring for a client who is dilated to 10 cm and pushing. Which of the
following pain-management is a safe option for the client?
E. Naloxone hydrochloride.
F. Spinal anesthesia.
G. Pudendal block.
H. Butorphanol tartrate. – ANSWER- G. Pudendal block.
A nurse is caring for a client who has left homonymous hemianopsia. Which of the
following is an appropriate nursing intervention?
a. Teach the client to scan the right to see objects on the right side of her body.
b. Place the bedside table on the right side of the bed.
c. Orient the client to the food on her plate using the clock method.
d. Place the wheelchair on the client’s left side. – ANSWER- b. Place the bedside
table on the right side of the bed.
A nurse is assessing a client who has major depressive disorder. Which of the
following findings should the nurse identify as the suicidal?
A. The client changes the subject when future plans are mentioned.
B. The client talks about being in pain constantly.
C. The client sleeping over 12 hr. each day.
D. The client reports giving away personal items. – ANSWER- D. The client
reports giving away personal items.
A nurse is providing teaching about immunizations to a client who is pregnant. The
nurse should inform the client that she can receive which of the following
immunizations during pregnancy? (Select all that apply)
A. Varicella vaccine.
B. Inactivated polio vaccine.
C. Tetanus diphtheria and acellular pertussis vaccine
D. Rubella vaccine.
E. Inactivated influenza vaccine. – ANSWER- C. Tetanus diphtheria and acellular
pertussis vaccine
E. Inactivated influenza vaccine.
A nurse is providing discharge teaching for a group of clients. The nurse should
recommend a referral to a dietitian
A. A client who has a prescription for warfarin and states “I will need to limit how
much spinach I eat”.
B. A client who has gout and states, “I can continue to eat anchovies on my pizza.”
C. A client who has a prescription for spironolactone and states “I will reduce my
intake of foods that contain potassium”.
D. A client who has (Unable to read) and states “I’ll plan to take my calcium
carbonate with a full glass of water”. – ANSWER- B. A client who has gout and
states, “I can continue to eat anchovies on my pizza.”
A hospice nurse is visiting with the son of a client who has terminal cancer. The
son reports sleeping very little during the past week due to caring for his mother.
Which of the following responses should the nurse make?
A. “I can give you information about respite care if you are interested.”
B. “You should consider taking a sleeping pill before bed each night”
C. “It must be difficult taking care of someone who is terminally ill”
D. “You are doing a great job taking care of your mother” – ANSWER- A. “I can
give you information about respite care if you are interested.”
A nurse is assessing a child who is being treated for bacterial pneumonia. The
nurse notes an increase in the child’s glucose. The nurse should identify this
finding as an adverse effect of which of the following medications?
A. Methylprednisolone.