ATI COMPREHENSIVE PREDICTOR EXAM 2019 B ATI NCLEX

ATI COMPREHENSIVE PREDICTOR EXAM 2019 B| ATI NCLEX

PREDICTOR 180 QUESTIONS AND CORRECT ANSWERS

• A nurse is providing teaching about the gastrostomy tube feedings to the parents of a

school age child.Which of the following instructions should the nurse take?

• Administer the feeding over 30 min.
• Place the child in as supine position after the feeding.
• Charge the feeding bag and tubing every 3 days.
• Warm the formula in the microwave prior to administration. ---CORRECT ANSWER --
• Administer the feeding over 30 min.

• A nurse is administering digoxin 0.125 mg Po to an adult client. For which of the

following findings should the nurse report to the provider? A. Potassium level 4.2 mEq/L.

• Apical pulse 58/min.
• Digoxin level 1 ng/ml.
• Constipation for 2 days. ---CORRECT ANSWER -- C. Digoxin level 1 ng/ml.

• A nurse is caring for a client who is comatose and has advance directives that

indicate the client does not want life-sustaining measures. The client's family want the client to have life-sustaining measures. Which of the following action should the nurse take?

• Arrange for an ethics committee meeting to address the family's concerns.
• Support the family's decision and initiate life-sustaining measures.
• Complete an incident report.
• Encourage the family to contact an attorney. ---CORRECT ANSWER -- A. Arrange for

an ethics committee meeting to address the family's concerns.

• A nurse is caring for a client who wears glasses. Which of the following actions

should the nurse take?A.Store the glasses in a labeled case.

• Clean the glasses with hot water.
• Clean the glasses with a paper towel. 1 / 3

• Store the glasses on the bedside table. ---CORRECT ANSWER -- A.

Store the glasses in a labeled case.

• A nurse is teaching a group of newly licensed nurses about measures to take when

caring for a client who is on contact precautions. Which of the following should the nurse include in the teaching?

• Remove the protective gown after the client's room.
• Place the client in a room with negative pressure.
• Wear gloves when providing care to the client.
• Wear a mask when changing the linens in the client's room. ---CORRECT ANSWER -
• Wear gloves when providing care to the client.

6.A nurse is planning on care for a client who is recovering from an acute myocardial infarction that occurred

• days ago. Which of the following instructions should the nurse include? A. Perform an

ECG every 12 hr.

• Place the client in a supine position while resting.
• Draw a troponin level every 4hr.
• Obtain a cardiac rehabilitation consultation. ---CORRECT ANSWER -- D. Obtain a

cardiac rehabilitation consultation.

• The nurse is reviewing the medical record of a client who is requesting combination

oral contraceptives.Which of the following conditions in the client's history is a contradiction to the use of oral contraceptives?A.Hyperthyroidism.

• Thrombophlebitis.
• Diverticulosis.
• Hypocalcemia.

---CORRECT ANSWER -- B. Thrombophlebitis.

• A nurse is caring for a client who request the creation of a living will. Which of the

following actions should the nurse take?

• Schedule a meeting between the hospital ethics committee and the client.
• Evaluate the client's understanding of life-sustaining measures.
• Determine the client's preferences about post mortem care.
• Request a conference with the client's family. ---CORRECT ANSWER -- B. Evaluate

the client's understanding of life-sustaining measures.

9.A nurse is caring for an adolescent who has sickle-cell anemia. Which of the following manifestations indicates acute chest syndrome and should be immediately reported to the provider?

• Substernal retractions.
• Hematuria.
• Temperature 37.9 C (100.2 F). 2 / 3

• Sneezing. ---CORRECT ANSWER -- A. Substernal retractions.

10.A nurse is preforming a gastric lavage for a client who has upper gastrointestinal bleeding. Which of the .following action should the nurse take?

• Instill 500 ml of solution through the NG tube.
• Insert a large-bore NG tube.
• Use a cold irrigation solution.
• Instruct the client to lie on his right side. ---CORRECT ANSWER -- B. Insert a large-

bore NG tube.

• A nurse is providing care for a client who is in the advance stage of amyotrophic

lateral sclerosis. (ALS).Which of the following referrals is the nurse's priority?

• Psychologist.
• Social worker.
• Occupational therapist.
• Speech-language pathologist. ---CORRECT ANSWER -- D. Speech-language

pathologist.

12.A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis.Which of the following findings should the nurse report to the provider? A. WBC count 8,000/mm3.

• Platelets 150,000/mm3.
• Aspartate aminotransferase 10 units/L.
• Erythrocyte sedimentation rate 75 mm/hr ---CORRECT ANSWER -- D. Erythrocyte

sedimentation rate 75 mm/hr

• A nurse is caring for a client who has generalized petechiae and ecchymoses. The

nurse should expect a prescription for which of the following laboratory tests?

• Platelet count.
• Potassium level.
• Creatine clearance.
• Prealbumin. ---CORRECT ANSWER -- A. Platelet count.

• A nurse is caring for a client following application of a cast. Which of the following

actions should the nurse take first?

• Place an ice pack over the cast.
• Palpate the pulse distal to the cast.
• Teach the client to keep the cast clean and dry.
• Position the casted extremity on a pillow. ---CORRECT ANSWER -- B. Palpate the

pulse distal to the cast.

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