A.T.I Comprehensive Predictor Exam 2025: High Yield Questions, Expert Answers | Exams Nursing | Docsity (2025)

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ATI Comprehensive Predictor Exam 202 5 : High-

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1. An RN is making assignments for client care to an LPN at the beginning of the shift. Which of the following assignments should the LPN question? - A. Assisting a client who is 24 hr postop to use an incentive spirometer - B. Collecting a clean catch urine specimen from a client who was admitted on the previous shift - C. Providing nasopharyngeal suctioning for a client who has pneumonia - D. Replacing the cartridge and tubing on a PCA pump (Correct Answer: D) Rationale: LPNs can assist with routine care and procedures such as incentive spirometry, specimen collection, and suctioning. However, managing a PCA pump requires advanced assessment and medication management skills that fall under the RN’s scope of practice. 2. A nurse is preparing an in-service program about delegation. Which of the following elements should she identify when presenting the 5 rights of delegation? (Select all that apply) - A. Right client - B. Right supervision/evaluation (Correct Answer) - C. Right direction/communication (Correct Answer) - D. Right time - E. Right circumstances (Correct Answer) Rationale: The five rights of delegation include: right task, right circumstances, right person, right direction/communication, and right supervision/evaluation. ‘Right client’ and ‘right time’ are not part of this delegation framework.

3. A nurse manager of a med-surg unit is assigning care responsibilities for the oncoming shift. A client is waiting for transfer back to the unit from the PACU following thoracic surgery. To which staff member should the nurse assign the client? - A. Charge nurse - B. RN (Correct Answer) - C. LVN - D. AP Rationale: A client returning from PACU after major surgery requires ongoing assessment, monitoring of vital signs, and potential interventions that fall within the RN’s scope of practice. LVNs and APs lack the necessary skills for such a complex case. 4. What is the study of conduct and character? - Correct Answer: Ethics Rationale: Ethics is the branch of philosophy that deals with moral principles and values that govern behaviors and decisions. 5. What are the values and beliefs that guide behavior and decision-making? - Correct Answer: Morals Rationale: Morals refer to the principles of right and wrong that guide an individual’s conduct, often influenced by cultural and religious beliefs. 6. What is the right to make one’s own personal decisions, even though those decisions might not be in the person's best interest? - Correct Answer: Autonomy Rationale: Autonomy is the ethical principle that recognizes an individual’s right to self- determination and decision-making regarding their care. 7. What are positive actions to help others? - Correct Answer: Beneficence Rationale: Beneficence refers to actions that promote the well-being of others and contribute to their welfare. 8. What is an agreement to keep promises? - Correct Answer: Fidelity

A nurse is instructing a group of nursing students about the responsibilities involved with organ donation and procurement. When the nurse explains that all clients waiting for a kidney transplant have to meet the same qualifications, the students should understand that this aspect of care delivery is an example of which ethical principle A. Fidelity B. Autonomy C. Justice D. Nonmaleficence - - correct ans- - C A nurse questions a med prescription as too extreme and light of the clients advanced age and unstable status. The nurse understands that this action is an example of which ethical principle A. Fidelity B. Autonomy C. Justice D. Nonmalificence - - correct ans- - D Which of the following situations can be identified as an ethical dilemma? A. A nurse on a med surge unit demonstrates signs of chemical impairment B. A nurse over hears another nurse telling an older adult client that if he doesnt stay in bed she will restrain him C. A family has conflicting feelings about the initiation of enteral tube feedings of their father who is terminally ill D. A client who is terminally ill hesitates to name her spouse on her durable power of attorney form - - correct ans- - C Most managers can be categorized as - - correct ans- - authoritative, democratic, and laissez faire

makes decisions of the group motivates by coercion communication occurs down the chain of command Work output by the staff is usually high-good for crisis situations and bureaucratic settings

• • correct ans- - Authoritative includes the group when decisions are made Motivates by supporting star achievements Communication occurs up and down the chain of command Work output by staff is usually of good quality-good when cooperation and collaboration is necessary - - correct ans- - Democratic makes very few decisions and does little planning motivation is largely the responsibility of individuals staff members Communication occurs up and down the chain of command and between group members Work output is low unless an informal leader evolves from the group *the use of any of these styles may be appropriate depending on the situation - - correct ans- - Laissez faire The nurse should consider the hierarchy of human needs when prioritizing interventions, which are? - - correct ans- -- Physiological needs first (oxygen, shelter, food)
• Safety & security needs (physical safety)
• Love and belonging
• Self esteem
• Self actualization

1. _______ is used by interdisciplinary team to make health care decisions about clients with multiple problems. 2. ________, which may take place at team meetings, allows the achievement of results that the participants would be incapable of accomplishing if working alone. - - correct ans- - 1 & 2 = collaboration What is the nurse's contribution to an interdisciplinary team? - - correct ans- -- knowledge of nursing care & its management

• a holistic understanding of the client, her/his healthcare needs & healthcare systems. A four-month-old infant is admitted to the pediatric intensive care unit with a temperature of 105°F (40.5 °C). The infant is irritable, and the nurse observes nuchal rigidity. Which assessment finding would indicate an increase in intracranial pressure?

1. Positive Babinski.
2. High-pitched cry.
3. Bulging posterior fontanelle.
4. Pinpoint pupils. - - correct ans- - 2 A client is receiving total parenteral nutrition (TPN). To determine the client's tolerance of this treatment, the nurse should assess for which of the following?
5. A significant increase in pulse rate.
6. A decrease in diastolic blood pressure.
7. Temperature in excess of 98.6°F (37°C).
8. Urine output of at least 30 cc per hour. - - correct ans- - 4 The client is exhibiting symptoms of myxedema. The nursing

assessment should reveal

1. increased pulse rate.
2. decreased temperature.
3. fine tremors.
4. increased radioactive iodine uptake level. - - correct ans- - 2 A nonstress test is scheduled for a client at 34-weeks gestation who developed hypertension, periorbital edema, and proteinuria. Which of the following nursing actions should be included in the care plan in order to BEST prepare the client for the diagnostic test?
5. Start an intravenous line for an oxytocin infusion.
6. Obtain a signed consent prior to the procedure.
7. Instruct client to push a button when she feels fetal movement.
8. Attach a spiral electrode to the fetal head. - - correct ans- - 3 Which of the following nursing interventions is MOST important for a 45 - year-old woman with rheumatoid arthritis?
9. Provide support to flexed joints with pillows and pads.
10. Position her on her abdomen several times a day.
11. Massage the inflamed joints with creams and oils.
12. Assist her with heat application and ROM exercises. - - correct ans- - 4 The nurse is caring for a young adult admitted to the hospital with a severe head injury. The nurse should position the patient
13. with his neck in a midline position and the head of the bed elevated 30°.
14. side-lying with his head extended and the bed flat.

A nurse recognizes that an initial positive outcome of treatment for a victim of sexual abuse by one parent would be that the client

1. acknowledges willing participation in an incestuous relationship.
2. reestablishes a trusting relationship with his/her other parent.
3. verbalizes that s/he is not responsible for the sexual abuse.
4. describes feelings of anxiety when speaking about sexual abuse. - - correct ans- - 3 An adolescent client is ordered to take tetracycline HCL (Achromycin) 250 mg PO bid. Which of the following instructions should be given to this client by the nurse?
5. "Take the medication on a full stomach, or with a glass of milk."
6. "Wear sunscreen and a hat when outdoors."
7. "Continue taking the medication until you feel better."
8. "Avoid the use of soaps or detergents for two weeks." - - correct ans- - 2 After a client develops left-sided hemiparesis from a cerebral vascular accident (CVA), there is a decrease in muscle tone. Which of the following nursing diagnoses would be a priority to include in his care plan?
9. Alteration in mobility related to paralysis.
10. Alteration in skin integrity related to decrease in tissue oxygenation.
11. Alteration in skin integrity related to immobility.
12. Alteration in communication related to decrease in thought processes - - correct ans- - 2 A client has a history of oliguria, hypertension, and peripheral edema. Current lab values are: BUN - 25, K+ - 4.0 mEq/L. Which nutrient should be

restricted in the client's diet?

1. Protein.
2. Fats.
3. Carbohydrates.
4. Magnesium. - - correct ans- - 1 An extremely agitated client is receiving haloperidol (Haldol) IM every 30 minutes while in the psychiatric emergency room. The MOST important nursing intervention is to
5. monitor vital signs, especially blood pressure, every 30 minutes.
6. remain at the client's side to provide reassurance.
7. tell the client the name of the medication and its effects.
8. monitor the anticholinergic effects of the medication. - - correct ans- - 1 The nurse is caring for clients in the skilled nursing facility. Which of the following clients require the nurse's IMMEDIATE attention?
9. A client admitted for a cerebral vascular accident (CVA) whose prescription for warfarin (Coumadin) expired two days ago.
10. A client in pain who was receiving morphine in an acute care institution and was transferred with a prescription for acetaminophen with codeine.
11. A client who has dysuria and foul-smelling, cloudy, dark amber urine.
12. An immunosuppressed client who has not received an influenza immunization. - - correct ans- - 1 The nurse is observing care given to a client experiencing severe to panic levels of anxiety. The nurse would intervene in which of the following

following symptoms?

1. Agitation and decreased level of consciousness.
2. Lethargy and decreased respiratory rate.
3. Restlessness and increased heart rate.
4. Hostility and increased blood pressure. - - correct ans- - 3 A 59-year-old woman with bipolar disorder is receiving haloperidol (Haldol) 2 mg PO tid. She tells the nurse, "Milk is coming out of my breasts." Which of the following responses by the nurse is BEST?
5. "You are seeing things that aren't real."
6. "Why don't we go make some fudge."
7. "You are experiencing a side effect of Haldol."
8. "I'll contact your physician to change your medication." - - correct ans- - 3 The physician orders ranitidine hydrochloride (Zantac) 150 mg PO qd for a client. The nurse should advise the client the BEST time to take this medication is
9. before breakfast.
10. with dinner.
11. with food.
12. at hs. - - correct ans- - 4 . If a client develops cor pulmonale (right-sided heart failure), the nurse would expect to observe
13. increasing respiratory difficulty seen with exertion.
14. cough productive of a large amount of thick, yellow mucus.

3. peripheral edema and anorexia.
4. twitching of extremities. - - correct ans- - 3 The nurse is performing triage on a group of clients in the emergency department. Which of the following clients should the nurse see FIRST?
5. A 12-year-old oozing blood from a laceration of the left thumb due to cut on a rusty metal can.
6. A 19-year-old with a fever of 103.8°F (39.8°C) who is able to identify her sister but not the place and time.
7. A 49-year-old with a compound fracture of the right leg who is complaining of severe pain.
8. A 65-year-old with a flushed face, dry mucous membranes, and a blood sugar of 470 mg/dL. - - correct ans- - 2 The nurse in the outpatient clinic teaches a client with a sprained right ankle to walk with a cane. What behavior, if demonstrated by the client, would indicate that teaching was effective?
9. The client advances the cane 18 inches in front of her foot with each step.
10. The client holds the cane in her left hand.
11. The client advances her right leg, then her left leg, and then the cane.
12. The client holds the cane with her elbow flexed 60°. - - correct ans- - 2 A client returns to his room following a myelogram. The nursing care plan should include which of the following?
13. Encourage oral fluid intake.

4. Decreased level of consciousness. - - correct ans- - 4 . The nursing team includes two RNs, one LPN/LVN, and one nursing assistant. The nurse should consider the assignments appropriate if the nursing assistant is assigned to care for
5. a client with Alzheimer's requiring assistance with feeding.
6. a client with osteoporosis complaining of burning on urination.
7. a client with scleroderma receiving a tube feeding.
8. a client with cancer who has Cheyne-Stokes respirations. - - correct ans- - 1 An elderly client is returned to her room after an open reduction and internal fixation of the left femoral head after a fracture. It is MOST important for the nursing care plan to include that the client
9. eat a high-protein, low-residue diet.
10. lie on her unoperated side.
11. exercise her arms and legs.
12. cough and deep breathe. - - correct ans- - 4 Which of the following is a correctly stated nursing diagnosis for a client with abruptio placentae?
13. Infection related to obstetrical trauma.
14. Potential for fetal injury related to abruptio placentae.
15. Potential alteration in tissue perfusion related to depletion of fibrinogen.
16. Fluid volume deficit related to bleeding. - - correct ans- - 4 An 8-year-old client is returned to the recovery room after a

bronchoscopy. The nurse should position the client

1. in semi-Fowler's position.
2. prone, with the head turned to the side.
3. with the head of the bed elevated 45° and the neck extended.
4. supine, with the head in the midline position. - - correct ans- - 1 Which of the following assessment findings would indicate to the nurse the need for more sedation in a client who is withdrawing from alcohol dependence?
5. Steadily increasing vital signs.
6. Mild tremors and irritability.
7. Decreased respirations and disorientation.
8. Stomach distress and inability to sleep. - - correct ans- - 1 The home care nurse is instructing a client recently diagnosed with tuberculosis. It is MOST important for the nurse to include which of the following as a part of the teaching plan?
9. During the first two weeks of treatment, the client should cover his mouth and nose when he coughs or sneezes.
10. It is necessary for the client to wear a mask at all times to prevent transmission of the disease.
11. The family should support the client to help reduce feeling of low self-esteem and isolation.
12. The client will be required to take prescribed medication for a duration of 6- 9 months. - - correct ans- - 4

When using restraints for an agitated/aggressive patient, which of the following statements should NOT influence the nurse's actions during this intervention?

1. The restraints/seclusion policies set forth by the institution.
2. The patient's competence.
3. The patient's voluntary/involuntary status.
4. The patient's nursing care plan. - - correct ans- - 3 What can be delegated to Assistive personnel (AP)? - - correct ans- -- ADLs - bathing - grooming - dressing - ambulating - feeding (w/o swallow precautions) - positioning - bed making - specimen collection - I&O - VS (stable clients A nurse on a med surge unit has recieved change of shift report and will care for 4 clients. Which of the following clients needs will the nurse assign to an AP? A. Feeding a client who was admitted 24 hours ago with aspiration pneumonia B. Reinforcing teaching with a client who is learning to walk with a quad cane C. Reapplying a condom catheter for a client who has urinary incontinence D. Applying a sterile dressing to a pressure ulcer - - correct ans- - C A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago to an AP. Which of the following info should the nurse share with the AP? Select all: A. the roommate is up independently B. The client ambulates with his slippers on over his antiembolic stockings C. The client uses a front wheeled walker when ambulating D. The client had pain meds 30 minutes ago E. The client is allergic to codeine

F. the client ate 50 % of his breakfast this morning - - correct ans- - B C D The nurse is caring for an 80-year-old client with Parkinson's disease. Which of the following nursing goals is MOST realistic and appropriate in planning care for this client?

1. Return the client to usual activities of daily living.
2. Maintain optimal function within the client's limitations.
3. Prepare the client for a peaceful and dignified death.
4. Arrest progression of the disease process in the client. - - correct ans- - 2 A client with a peptic ulcer had a partial gastrectomy and vagotomy (Billroth I). In planning the discharge teaching, the client should be cautioned by the nurse about which of the following?
5. Sit up for at least 30 minutes after eating.
6. Avoid fluids between meals.
7. Increase the intake of high-carbohydrate foods.
8. Avoid eating large meals that are high in simple sugars and liquids. - - correct ans- - 4 A nurse is caring for a 37-year-old woman with metastatic ovarian cancer admitted for nausea and vomiting. The physician orders total parenteral nutrition (TPN), a nutritional consult, and diet recall. Which of the following is the BEST indication that the patient's nutritional status has improved after 4 days?
9. The patient eats most of the food served to her.