ATI PN COMPREHENSIVE PREDICTOR FORM A,B,C
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES 2023-2024 |A GRADE
1. A nurse is reviewing the techniques for transferring a client from a bed to a chair with a group of
assistive personnel (AP). Which of the following instructions should the nurse include?
ANS: Use lower-body strength
RATIONALE: The nurse should instruct the AP to use lower-body strength when lifting a client to
reduce stress on the back
2. A nurse is participating in a quality improvement study about the effectiveness of client pain
management in the unit. Which of the following strategies should the nurse use to collect data?
ANS: Review clients' charts for their rating of pain before pain medication was administered and
1 hr after administration
RATIONALE: The nurse should collect data from clients' charts about pain ratings before and
after pain management interventions
3. A nurse is reinforcing teaching about confidentiality with a client who has a new diagnosis of
HIV. Which of the following information should the nurse include in theteaching?
ANS: "Your HIV status will be shared with members of your health care team."
RATIONALE: The diagnosis of HIV or AIDS is shared with every member of the healthcare team
who provides direct care for the client, just like any other diagnoses
4. A nurse is planning care for a client who has a history of seizures. Which of thefollowing
pieces of equipment should the nurse place in the client's room?
ANS: Suction catheter
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,RATIONALE: The nurse should place suction equipment in the room of a client who has a
history of seizures. During a seizure, the client might have excessive oral secretions or might
vomit. If the client's airway becomes occluded, then the nurse will need to suction the oral cavity
to maintain a patent airway
5. A nurse in a provider's office is reviewing the medical record of a client who requests a prescription
for an oral contraceptive. Which of the following findings should the nurse identify as a
contraindication for oral contraceptive use?
ANS: Coronary artery disease
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,RATIONALE: Coronary artery disease is a contraindication to oral contraceptive use because it
increases the client's risk for myocardial infarction. Other contraindications for receiving oral
contraceptives include gallbladder disease, breast cancer, and hypertension\
6. A nurse is assisting with the care of a school-age child immediately following surgery. The child
weighs 21.8 kg (48 lb) and has a chest tube applied to suction. Which of the following findings should
the nurse report to the provider?
ANS: 250 mL of sanguineous drainage over the last 3 hr
RATIONALE: The nurse should recognize that if more than 3 mL/kg/her of sanguineous
drainage occurs for more than 3 consecutive hours following surgery, it can indicate active
hemorrhaging. Therefore, 250 mL of sanguineous drainage from the child's chest tube is
excessive and the nurse should report this finding to the provider immediately
7. A nurse is collecting data from a client who is at 30 weeks of gestation and has gestational
diabetes. Which of the following findings should the nurse report to the provider as an
indication of hyperglycemia?
ANS: Polyuria
RATIONALE: The nurse should identify polyuria as an expected finding of hyperglycemia and
report this finding to the provider
8. A nurse is discussing home safety with a group of clients who have type 1 diabetesmellitus.
Which of the following client statements indicates an understanding of the teaching?
ANS: "I will dispose of my needles in a plastic laundry detergent container."
RATIONALE: The nurse should instruct the client to dispose of needles in a puncture-proof
container, such as a plastic laundry detergent container.
9. A nurse is caring for a client who has Alzheimer's disease. Which of the followingactions
should the nurse take?
ANS: Encourage the client to reminisce about the past
RATIONALE: The client who has Alzheimer's disease has progressive loss of short-term
memory and might not be able to recall recent happenings and events. This can lead to
increased frustration. However, remote memory remains in place for a longer period of time and
can elicit feelings of happiness
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, 10. A nurse is monitoring a client who is receiving telemetry. Which of the following ECG findings
should the nurse report to the provider?
ANS: PR interval 0.24 seconds
RATIONALE: An expected PR interval is 0.12 to 0.20 seconds. A prolonged PR interval
indicates a heart block; therefore, the nurse should report this finding provider
11. A nurse on a medical unit is reviewing a client's medical record. Which of the following
procedures should the nurse identify requires the client to sign a separate informed consent
form?
ANS: Lumbar puncture
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