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ATI Comprehensive Predictor

Question 4

A nurse is caring for a client who uses traditional herbal remedies to manage hypertension. The nurse is concerned about potential interactions with the client’s prescribed medications. Which nursing action demonstrates culturally competent care?

  • Advise the client that herbal remedies are ineffective and unsafe.
  • Notify the provider that the client is noncompliant with medical treatment.
  • Instruct the client to stop using all herbal remedies immediately.
  • Ask the client to describe the herbal remedies used and their purpose.

Question 5

A 72 kg client with 60% severe thermal burns has crystalloid fluid replacement ordered using the American Burn Association (ABA) formula. The nurse will initially set the IV pump at _____ mL/hr for the first 8 hours. ATI Comprehensive Predictor

  • 4320
  • 1080
  • 540
  • 1667

Question 6

The nurse is caring for a postoperative client and needs to verify the latest lab results before administering medications. Which action best demonstrates the effective use of informatics in clinical decision-making?

  • Wait until the provider rounds to review lab information together.
  • Review the most recent lab results in the electronic health record.
  • Ask another nurse if the lab values were normal during the last shift.
  • Call the lab department to request printed copies of all test results.

Question 5 (Sexual Health)

After performing a sexual health assessment with a monogamous couple, the nurse discovers that they participate in both vaginal and anal intercourse. What education would be important to share with the couple?

  • “Promiscuous behavior can increase the incidence of sexually transmitted infections.”
  • “Be sure to avoid vaginal penetration once the penis or object has been in the rectum if it has not been cleaned well.”
  • “Anal penetration should be avoided due to the risk of injury to rectal mucosa.”
  • “It is important to monitor for signs of penile infections, such as painful urination and discharge.”

Question 6

A nurse is caring for a client with 25% full thickness burns on the arms, face, neck and shoulders. The client’s voice is hoarse and has a brassy cough. These finding indicate that the client most likely has:

  • carbon-monoxide poisoning.
  • pneumonia.
  • inhalation injury.
  • pulmonary edema.

Question 7

A nurse is assessing a postoperative client who had abdominal surgery 6 hours ago. The client’s vital signs are:

  • Temperature: 99.4°F (38°C)
  • Heart rate: 110 bpm
  • Blood pressure: 96/60 mmHg
  • Respirations: 26/min
  • Pain: 8/10 at the incision site

The nurse notes the incision dressing is saturated with blood. Which problem should the nurse identify as the priority when developing the plan of care?

  • Fluid volume deficit related to active blood loss
  • Risk for infection related to surgical wound
  • Acute pain related to surgical incision
  • Anxiety related to postoperative discomfort

Question 8(Burn Severity)

The severity of each burn injury is determined by which of these factors?

  • Amount of surface area of the body that is burned, gender of the client
  • Depth of the burn, presence of inhalation injury
  • Gender of the client, duration of the burn
  • Depth of the burn, weight of the client

Question 10

Twenty hours after undergoing kidney transplantation, a client develops a hyperacute rejection. To correct this problem, the nurse should prepare the client for

  • removal of the transplanted kidney.
  • bone marrow transplant.
  • high-dose intravenous cyclosporin therapy.
  • immediate dialysis to prevent damage to the new kidney. ATI Comprehensive Predictor

Question 11

A client is brought to the emergency department with partial-thickness and full-thickness burns on the anterior surface of both arms and anterior trunk. Using the Rule of Nines, what is the total body surface area that has been burned?

  • 30%
  • 27%
  • 18%
  • 36%

Question 12

A client in the emergent/resuscitative phase of a burn injury has had blood work and arterial blood gases drawn. Upon analysis of the client’s laboratory studies, the nurse will expect the results to indicate what?

  • Hyperkalemia, hyponatremia, and metabolic acidosis
  • Hyperkalemia, hypernatremia, and hyperalbuminemia
  • Hyperkalemia, hyponatremia, and metabolic alkalosis
  • Hypokalemia, hypernatremia, and hypoalbuminemia

Question 13 (Legal/Ethical)

A nurse is reviewing a document that outlines a client’s preferences for medical treatment in the event that they are unable to communicate their wishes. Which document is the nurse reviewing?

  • Living will
  • Do-not-resuscitate (DNR) order
  • Advance directive
  • Health care durable power of attorney

Question 14 (Medication)

The nurse is preparing to administer the following medications at 2200, per provider orders, to a client admitted with pneumonia. The nurse recognizes the need to follow up with the provider regarding which of the following medications?

  • Vancomycin (antibiotic) 1g IV BID
  • Atorvastatin (lipid lower agent) 40mg PO daily
  • Gabapentin (nerve analgesic) 600mg PO TID
  • Torsemide (diuretic) 20mg PO daily

Question 15

A nurse has gone to their nurse manager to report several issues they have had when getting report from their peer. They state, “I can never get report on time and when I go into the patient rooms, they are always a disaster. I am going to refuse to follow them from now on!” What strategies should nurse manager utilizing a servant leadership style implement to resolve this conflict?

  • Collaborate with both nurses to focus on an agreement.
  • Tell the nurse to calm down so they can discuss possible solutions.
  • Encourage the primary nurse to recognize their hot buttons.
  • Avoid the situation as the primary nurse is too upset at the moment.

Question 16

A client in neurogenic shock secondary to a spinal cord injury continues to have a mean arterial pressure (MAP) of 50 mmHg. To assess for the onset of acute kidney injury, what laboratory findings should be reviewed?

  • Urine specific gravity, albumin level, and alkaline phosphate level
  • Creatinine level, blood urea nitrogen (BUN) level, and urine specific gravity
  • Serum albumin level, alkaline phosphate level, and blood urea nitrogen level
  • Alkaline phosphatase level, creatinine level, and blood urea nitrogen level

Question 17

A client who has acute glomerulonephritis is hospitalized with acute kidney injury (AKI) and hyperkalemia. Which information will the nurse obtain to evaluate the effectiveness of the prescribed calcium gluconate IV?

  • Calcium level
  • Phosphate level
  • Urine output
  • Cardiac rhythm

Note: Calcium gluconate is administered in hyperkalemia to antagonize the membrane-excitability effect of potassium on the heart, protecting it from arrhythmias. Therefore, the nurse monitors the ECG/cardiac rhythm to evaluate effectiveness.

Question 18

The provider orders 500mL of normal saline to be infused over 2 hours. How many mL per hour will the nurse set the pump at? Do not include a unit of measure.

250

Question 19

A client with severe heart failure develops elevated blood urea nitrogen (BUN) and creatinine levels. The nurse will plan care to meet the goal of

  • preventing hypertension.
  • maintaining adequate cardiac output.
  • replacing fluid volume.
  • diluting nephrotoxic substances. ATI Comprehensive Predictor

Question 20

When a client is in the diuretic phase of acute kidney injury, the nurse must monitor for which serum electrolyte imbalances?

  • Hyperkalemia and hyponatremia
  • Hypokalemia and hyponatremia
  • Hypokalemia and hypernatremia
  • Hyperkalemia and hypernatremia

Question 21

Which condition most likely caused pre-renal acute kidney injury?

  • Aminoglycoside toxicity
  • Glomerulonephritis
  • Ureterolithiasis
  • Heart failure

Question 22

A 65-year-old Hispanic woman from a rural community presents with uncontrolled hypertension. She lives alone, has limited transportation, and speaks minimal English. The nurse determines that several social determinants may be influencing her ability to manage her condition. Which nursing intervention best addresses the factor most likely contributing to her health disparity?

  • Provide interpreter services to ensure understanding of care instructions.
  • Incorporate cultural preferences when discussing dietary habits.
  • Encourage gender-specific screening based on current health guidelines.
  • Adjust communication strategies to match her developmental age.

Question 23

You are caring for a client who has suffered a severe crush injury yesterday and now has decreasing urine output. The urine is now a dark cola color. You suspect the client is developing acute kidney injury as a direct result of

  • bilirubinemia.
  • myoglobinuria.
  • acute glomerulonephritis.
  • embolus in a renal artery.

Question 24

Which of the following assessment findings or results will the nurse plan to obtain in order to determine the effectiveness of the prescribed calcium carbonate for a client with chronic kidney disease?

  • Creatinine clearance
  • Phosphate level
  • Blood pressure
  • Neurologic status

Question 25

The student nurse is planning care for a patient who is blind. What interventions should the student plan to implement while providing care for this patient?

  • Touch the patient on the arm before introducing yourself.
  • Encourage independent ambulation with a walker and gait belt.
  • Orient the patient to the arrangement of the room.
  • Speak in a louder voice to ensure they hear you.

Question 26

A nurse is caring for a client who refuses a prescribed treatment because it conflicts with their cultural beliefs. The nurse personally disagrees with the client’s decision. Which nursing action demonstrates culturally responsive and ethical care?

  • Accept that personal bias is fixed and cannot be changed.
  • Provide education to persuade the client to accept the prescribed treatment.
  • Avoid reflecting on personal values when caring for culturally diverse clients.
  • Adapt the plan of care to respect and meet the client’s cultural needs.

Question 16 (Duplicate Entry in Provided Images)

The nurse is working with a client on health promotion and illness prevention. The client has been determined to be at risk for myocardial infarction related to a family history of hypertension and myocardial infarction. What secondary health promotion and illness strategy interventions would the nurse plan to include in their education?

  • Check your blood pressure and pulse before taking your antihypertensive medication.
  • Participate in a regular exercise program to promote heart health.
  • Follow a weight loss plan to help manage your blood pressure.
  • Have routine cholesterol screenings as recommended by your provider.

Question 20

A 55-year-old male client is admitted with a diagnosis of acute hepatitis B with fever. Which of the following orders should the nurse question?

  • Acetaminophen 1 gm Q 4 hrs for fever
  • Bed rest
  • Encourage fluid intake as tolerated.
  • Low protein diet

Question 15

A nurse is caring for a client who refuses a prescribed treatment because it conflicts with their cultural beliefs. The nurse personally disagrees with the client’s decision. Which nursing action demonstrates culturally responsive and ethical care? ATI Comprehensive Predictor

  • Accept that personal bias is fixed and cannot be changed.
  • Provide education to persuade the client to accept the prescribed treatment.
  • Avoid reflecting on personal values when caring for culturally diverse clients.
  • Adapt the plan of care to respect and meet the client’s cultural needs.

Question 17

The nurse is preparing to administer tamsulosin 0.4 mg PO at 0900 per provider orders. The nurse looks up the medication in the drug guide, see entry below:

Drug: tamsulosinSafe Dose: 0.4 – 0.8mg daily
Pharmacologic Class: alpha blockerIndication: management of benign prostatic hyperplasia
Side Effects: dizziness, hypotension, headache

What should the nurse assess prior to administration?

  • 24 hour intake total
  • Palpation of the bladder
  • Vital signs
  • Prostate size

Question 21

Which of the following clients are at risk for hepatitis D?

  • Clients with hepatitis C
  • Clients with non viral hepatitis
  • Clients with hepatitis B
  • Clients with hepatitis E

Question 22

A client who has advanced cirrhosis is receiving lactulose. Which finding by the nurse indicates that the medication is effective?

  • The client is alert and oriented.
  • The client has at least one stool daily.
  • The client denies nausea or anorexia.
  • The client’s bilirubin level decreases.

Question 23

When assessing a client with portal hypertension, the nurse should be alert for life threatening indications of

  • hemorrhage from duodenal diverticulitis.
  • hemorrhage from esophageal varices.
  • liver abscess.
  • small bowel obstruction.

Question 24

Which of the following drugs is administered to promote hemostasis and control active bleeding in esophageal varices?

  • Vasopressin
  • Neomycin sulfate
  • Propranolol
  • Lactulose. ATI Comprehensive Predictor

Question 19

The nurse was involved in caring for a client who died while in restraints. During a unit huddle, the team evaluated the event and discussed what could have been done differently in caring for the client to prevent death. The nurse recognizes this as what type of practice?

  • Reflective practice
  • Nursing practice
  • Person-centered practice
  • Legal practice

Question 25

A client with cirrhosis has an episode of bleeding esophageal varices that is controlled with administration of vasopressin and endoscopic sclerotherapy. To detect possible complications of the bleeding episode, it is most important for the nurse to monitor serum

  • ammonia levels.
  • bilirubin levels.
  • creatinine levels.
  • potassium levels.

Question 26

A client admitted with a head injury has admission vital signs of temperature 98.6 F (37 C), blood pressure 128/68, pulse 110, and respirations 26. Which of these vital signs, if taken several hours after admission, will be of the most concern to the nurse?

  • Blood pressure 148/78, pulse 112, respirations 28.
  • Blood pressure 156/60, pulse 58, respirations 12.
  • Blood pressure 110/70, pulse 120, respirations 30.
  • Blood pressure 130/72, pulse 90, respirations 32

Question 22 (Sexual Health)

The nurse is caring for a 45-year-old client who states that she is no longer able to enjoy sex with her husband because she is unable to get aroused and cannot have an orgasm. While reviewing the client’s medical history, what condition might they suspect is the cause of the clients orgasmic dysfunction?

  • Diabetes Mellitus
  • Knee Replacement
  • Myocardial Infarction
  • Hyperlipidemia

Question 26 (Medication Math)

A nurse is preparing to administer potassium chloride 80mEq oral once per provider order. The pharmacy sends the following medication to you (see photo):

  • Label details: Potassium Chloride Oral Solution USP, 10%. 20 mEq per 15 mL. ATI Comprehensive Predictor

How many mL will you administer the patient? Do not include a unit of measure.

  • 60

Question 27

The nurse uses blended competencies when caring for clients. Which example bests illustrates cognitive competencies?

  • Advocating for the client who cannot afford their medication.
  • Implementing proper procedure to insert an indwelling bladder catheter
  • Learning safe dosages for pain management with opioids
  • Comforting a client who has received an unfavorable diagnostic report

Question 28

A patient was admitted for hypertensive crisis and calls the nurse into their room to complain about the continuous positive airway pressure (CPAP) machine stating, “I can’t sleep with this! I don’t know why I have to wear this stupid thing anyway.” The nurse notes that the patient has a history of obstructive sleep apnea, atrial fibrillation, and hypertension. What intervention should the nurse implement?

  • Ask the patient if they would prefer to take a sleeping pill and a nebulizer treatment to help with their rest.
  • Document the patient’s refusal to wear the mask for the continuous positive airway pressure machine.
  • Explain that when the CPAP is used nightly it keeps airways open and may prevent or reverse the sequelae of sleep apnea.
  • Stop the continuous positive airway pressure (CPAP) machine and apply oxygen via nasal cannula at 2 liters per minute.

Question 28

A patient was admitted for hypertensive crisis and calls the nurse into their room to complain about the continuous positive airway pressure (CPAP) machine stating, “I can’t sleep with this! I don’t know why I have to wear this stupid thing anyway.” The nurse notes that the patient has a history of obstructive sleep apnea, atrial fibrillation, and hypertension. What intervention should the nurse implement?

  • Ask the patient if they would prefer to take a sleeping pill and a nebulizer treatment to help with their rest.
  • Document the patient’s refusal to wear the mask for the continuous positive airway pressure machine.
  • Explain that when the CPAP is used nightly it keeps airways open and may prevent or reverse the sequelae of sleep apnea.
  • Stop the continuous positive airway pressure (CPAP) machine and apply oxygen via nasal cannula at 2 liters per minute.

Question 29

The nurse is administering medications using the electronic barcode scanning system. The scanner alerts that the medication does not match the client’s electronic medication record. Which action should the nurse take first?

  • Ask another nurse if the medication is correct for the client’s diagnosis.
  • Override the alert and administer the medication since the order looks familiar.
  • Stop the administration and verify the medication order in the electronic health record.
  • Continue scanning other medications before checking the alert.

Question 30

The nurse is caring for a patient who was in a motor vehicle accident and needs to ambulate to the bathroom. Prior to delegating the task to the patient care technician, what information should the nurse consider to determine if this is appropriate?

  • The amount of tasks have already been delegated to the patient care technician throughout the day.
  • If the patient ambulation will fulfill the goals of that patient’s mobility plan of care.
  • Whether the patient care technician has enough time left in their shift to complete the task.
  • If the patient has been assessed and determined to be stable prior to ambulation.

Question 31

The nurse is caring for the following patients. Who is at the highest risk for complications related to insufficient sleep?

  • 43-year-old who takes anti-hypertensive early in the morning
  • 72-year-old who quit smoking five years ago
  • 58-year-old who exercises four hours prior to bedtime.
  • 69-year-old with benign prostatic hyperplasia

Question 34

Your client is at home in northern Texas during the month of August. The average daytime temperature is 103 degrees F. What advice should you give your client with a T4 spinal cord injury in this situation?

  • Drink at least 3000 mL of cold liquids daily in hot weather
  • Dress lightly during the day and stay in an air conditioned environment
  • Dress lightly during the heat of the day and stay on the screened porch
  • Sit outside for a limited time (one hour) in the morning only

Question 44

A 44-year-old client with a C6 spinal cord injury is being discharged to home. Which of the following instructions should the nurse include in the discharge teaching for the client and family?

  • Perform a pressure relief maneuver at least every 15 to 30 minutes while sitting in a wheelchair.
  • Limit fluid intake to 1000 mL per day to prevent bladder distention.
  • Use a heating pad on the lower extremities to improve circulation.
  • Only change position when the skin appears red or irritated.

Question 42

A client with a spinal cord injury at the T4 level is admitted to the emergency department. Which of the following nursing assessments is the priority?

  • Assess the client’s airway and respiratory status.
  • Check the client’s blood pressure for signs of neurogenic shock.
  • Determine the client’s level of consciousness.
  • Evaluate the client’s motor and sensory function.

Question 43

The nurse is planning care for a client with a C5 spinal cord injury. Which of the following nursing interventions is the priority for this client?

  • Assess respiratory rate and effort every 1 to 2 hours.
  • Monitor for signs of autonomic dysreflexia.
  • Perform passive range-of-motion exercises to all extremities.
  • Maintain the client in a high-Fowler’s position.

Question 44

A 44-year-old client with a C6 spinal cord injury is being discharged to home. Which of the following instructions should the nurse include in the discharge teaching for the client and family?

  • Perform a pressure relief maneuver at least every 15 to 30 minutes while sitting in a wheelchair.
  • Limit fluid intake to 1000 mL per day to prevent bladder distention.
  • Use a heating pad on the lower extremities to improve circulation.
  • Only change position when the skin appears red or irritated.

Question 46

A nurse is assessing a client with a spinal cord injury at the level of T2. Which of the following findings would the nurse identify as an early sign of autonomic dysreflexia?

  • Severe, throbbing headache
  • Tachycardia and hypotension
  • Pale, cool skin below the level of injury
  • Extreme thirst and polyuria

Question 47

The nurse is caring for a client who is experiencing autonomic dysreflexia. Which of the following actions should the nurse perform first?

  • Elevate the head of the bed to a high-Fowler’s position.
  • Administer an antihypertensive medication as ordered.
  • Check the client’s bladder for distention or a kinked catheter.
  • Notify the primary healthcare provider of the change in status.

uestion 49

The nurse is providing discharge instructions to a client with a spinal cord injury about preventing urinary tract infections. Which statement by the client indicates a need for further teaching?

  • “I will drink at least 2 to 3 liters of fluid every day.”
  • “I will empty my bladder at regular intervals during the day.”
  • “I will limit my intake of acidic juices like cranberry juice.”
  • “I will notify my doctor if my urine becomes cloudy or foul-smelling.”

Question 50

A client with a C7 spinal cord injury is being evaluated for potential for rehabilitation. Which of the following functional outcomes should the nurse anticipate for this client?

  • Ability to drive a car with hand controls.
  • Use of a ventilator for long-term respiratory support.
  • Inability to perform any self-care activities.
  • Dependence on others for all transfers and mobility.

Question 51

The nurse is caring for a client in the acute phase of a spinal cord injury. Which of the following medications does the nurse anticipate administering to reduce spinal cord edema?

  • Methylprednisolone
  • Furosemide
  • Mannitol
  • Spironolactone

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Isaura K

Isaura K

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