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ATI RN COMPREHENSIVE PREDICTOR/149 QUESTIONS &
ANSWERS/2019|2023 UPDATED
1. A nurse is developing an in-service about personality disorders. Which of the following
information should the nurse include when discussing borderline personality disorder?
Answer: The patient exhibits impulsive behaviors.
2. A nurse is completing an admission assessment for a patient who has narcissistic personality
disorder. Which of the following findings should the nurse expect?
Answer: The patient is preoccupied with aging.
3. A nurse is caring for a child who has cystic fibrosis and requires postural drainage. Which of
the following actions should the nurse take?
Answer: Perform the procedure prior to meals.
4. A nurse is reviewing the medical record of a patient who has schizophrenia and is taking
clozapine. Which of the following actions should the nurse identify as a contraindication to the
administration of clozapine?
Answer: WBC count 2,900/mm³.
5. A nurse is providing teaching about gastrostomy feeding to the parents of a school-age child.
Which of the following instructions should the nurse provide?
Answer: Administer the feeding over 30 minutes.
6. A nurse is caring for a patient who is comatose and has an advance directive indicating that the
patient does not want life-sustaining measures. Which of the following actions should the nurse
take?
Answer: Arrange for an ethics committee meeting to address the family's concerns.
7. A nurse is caring for a patient who wears glasses. Which of the following actions should the
nurse take?

Answer: Store glasses in a labeled case.
8. A nurse is teaching a group of newly licensed nurses about measures to take when caring for a
patient on contact precautions. Which of the following should the nurse include in the teaching?
Answer: Wear gloves when providing care to the patient.
9. A nurse is planning care for patients recovering from an acute myocardial infarction (MI).
Which of the following instructions should the nurse include?
Answer: Obtain a cardiac rehab consultation.
10. The nurse is reviewing the medical record of a patient who is requesting combination oral
contraceptives. Which of the following conditions in the patient's history is contraindicated?
Answer: Thrombophlebitis.
11. A nurse is caring for a patient who requests the creation of a living will. Which of the
following actions should the nurse take?
Answer: Evaluate the patient's understanding of life-sustaining measures.
12. A nurse is caring for an adolescent who has sickle cell disease. Which of the following
actions should the nurse take?
Answer: Monitor for substernal retractions (sign of respiratory distress).
13. A nurse is performing gastric lavage for a patient who has an upper gastrointestinal (GI)
bleed. Which of the following actions should the nurse take?
Answer: Insert a large-bore NG tube.
14. A nurse is providing care for a patient who is in the advanced stage of Amyotrophic Lateral
Sclerosis (ALS). Which of the following should the patient be referred to?
Answer: Speech-language pathologist.

15. A nurse is reviewing lab results of a patient who has rheumatoid arthritis (RA). Which of the
following findings should the nurse report to the provider?
Answer: Erythrocyte sedimentation rate (ESR) of 75.
16. A nurse is caring for a patient following the application of a cast. Which of the following
actions should the nurse take first?
Answer: Palpate the pulse distal to the cast.
17. A nurse is caring for a patient who has generalized petechiae and ecchymosis. Which of the
following actions should the nurse take first?
Answer: Check the platelet count.
18. A nurse is caring for a patient who has vision loss. Which of the following actions should the
nurse take?
Answer: Keep objects in the patient's room in the same place, ensure there is high wattage
lighting in the patient's room, and allow extra time for the patient to perform tasks.
19. A nurse is caring for a patient newly diagnosed with pancreatic cancer and has questions
about the disease. Which electronic database has the most comprehensive collection of nursing
articles?
Answer: CINAHL (Cumulative Index to Nursing and Allied Health Literature).
20. A nurse is assessing a newly admitted patient who is experiencing drooling and hoarseness
following a burn injury. What action should the nurse take?
Answer: Administer 100% humidified oxygen.
21. A nurse is planning care for a patient who has unilateral paralysis and dysphasia following a
right hemispheric stroke. Which of the following interventions should the nurse include in the
plan?
Answer: Place the patient's left arm on a pillow while he is sitting.

22. A nurse is caring for a patient who is in seclusion following violent behavior. The patient
continues to display aggressive behavior. What action should the nurse take?
Answer: Confront the patient about his behavior.
23. A nurse is caring for a patient who is receiving brachytherapy for the treatment of prostate
cancer. Which of the following actions should the nurse take?
Answer: Limit the patient's visitors to 30 minutes per day.
24. A nurse is assessing a patient who has left-sided heart failure (HF). Which of the following
should the nurse identify as a manifestation of pulmonary edema?
Answer: Bradypnea.
25. A nurse is caring for a patient who is in labor and requires augmentation of labor. Which of
the following conditions should the nurse recognize as a contraindication to the use of oxytocin?
Answer: Post-term oligohydramnios.
26. A nurse is caring for a five-month-old infant who has severe dehydration. The guardian asks,
"What are the indications that my baby needs an IV?" What response should the nurse give?
Answer: "Your baby needs an IV because it is not producing any tears."
27. A nurse is providing teaching to a patient who has heart failure (HF) and has a new
prescription for furosemide. Which of the following statements should the nurse make?
Answer: "Rise slowly when getting out of bed."
28. A nurse is creating a plan for a newly admitted patient who has obsessive-compulsive
disorder (OCD). Which of the following interventions should the nurse take?
Answer: Allow the patient enough time to perform rituals.
29. A nurse is caring for a patient who has depression and reports taking St. John's wort. What
conditions should the nurse look for as a result of drug interactions?
Answer: Serotonin syndrome.

30. A nurse is assessing a patient who has received packed red blood cells (RBCs). Which of the
following findings indicates fluid overload?
Answer: Dyspnea.
31. A nurse is discussing group therapy with a patient. The nurse should recognize which of the
following characteristics as therapeutic?
Answer: The group encourages its members to focus on a particular issue.
32. A nurse manager is reviewing documentation with a newly licensed nurse. Which of the
following notations by the newly licensed nurse indicates an understanding of the teaching?
Answer: Administered 8 U regular insulin SQ.
33. A nurse is preparing to administer eye drops to a school-age child. Identify the sequence the
nurse should take.
Answer:
1. Place the child in a sitting position.
2. Ask the child to look upward.
3. Pull down the lower eyelid.
4. Instill the drops of medication.
5. Apply pressure to the lacrimal punctum.
34. A nurse is caring for a patient who speaks a different language from the nurse. Which of the
following actions should the nurse take?
Answer: Review the facility policy about using an interpreter.
35. A nurse is caring for a patient who is in labor and receives oxytocin. Which of the following
findings indicates that the nurse should increase the rate of infusion?
Answer: Urine output 20 mL/hr.

36. A public health nurse is managing several projects for the community. Which of the
following interventions should the nurse identify as primary prevention?
Answer: Teaching parenting skills to expectant mothers and their partners.
37. A nurse is preparing to administer an autologous blood product to a patient. Which of the
following actions should the nurse take to identify the patient?
Answer: Ensure the patient identification band matches the number on the blood unit.
38. A nurse is performing physical therapy (PT) for a patient who has Parkinson’s disease. Which
of the following statements indicates the need for physical therapy?
Answer: "Lately, I feel like my feet are freezing up as they are stuck to the ground."
39. A nurse is reviewing lab data for a patient who has chronic kidney disease (CKD). Which of
the findings should the nurse include?
Answer: Increased creatinine.
40. A nurse is administering a scheduled medication to a patient. The patient reports the
medication looks different. Which of the following responses should the nurse take?
Answer: "I will call the pharmacist now to check on this medication."
41. A nurse is teaching at a community health fair about electrical fire prevention. Which of the
following should the nurse include?
Answer: Use pronged grounded plugs.
42. A nurse is recommending a postpartum patient for discharge following a local disaster.
Which patient should the nurse recommend for discharge?
Answer: A patient who delivered precipitously 36 hours ago and has a second-degree perineal
laceration.
43. A nurse in a provider's office is reviewing lab results of a group of patients. Which result
should the nurse report?

Answer: Chlamydia.
44. A nurse is providing discharge teaching for a group of patients. The nurse should recommend
a dietitian for which patient?
Answer: A patient who has gout and states, "I can continue to eat anchovies on my pizza."
45. A nurse is preparing to measure the temperature of an infant. Which of the following actions
should the nurse take?
Answer: Place the tip of the thermometer under the center of the infant's axilla.
46. A nurse in a paediatric clinic is teaching a newly hired nurse about varicella. Which of the
following information should the nurse include?
Answer: Children who have varicella are contagious until vesicles are crusted.
47. A nurse is reviewing the lab report of a patient who has been on lithium for the past 12
months. The nurse sees a lithium level of 0.8. Which of the following actions should the nurse
take?
Answer: Administer the medication.
48. A nurse is caring for a patient who has fibromyalgia and requests pain medication. Which of
the following medications should the nurse administer?
Answer: Pregabalin.
49. A nurse is caring for a patient who is receiving a transfusion of packed red blood cells
(RBCs). Which of the following actions should the nurse take?
Answer: Prime IV tubing with 0.9% sodium chloride.
50. A nurse is caring for a toddler who has leukemia. Which of the following activities should the
child participate in?
Answer: Playing with a large plastic truck.

51. A nurse is caring for a patient who has chronic pancreatitis. Which of the following dietary
recommendations should the nurse make?
Answer: Broiled skinless chicken breast with brown rice.
52. A nurse is assessing a two-week-old newborn. Which of the following actions should the
nurse plan to take?
Answer: Auscultate the newborn's apical pulse for 60 seconds.
53. A nurse is caring for a patient who is 38 weeks gestation, is in active labor, and has ruptured
membranes. Which of the following actions should the nurse take?
Answer: Apply a fetal heart rate monitor.
54. A nurse is assessing a patient who is 30 minutes post-op following an arterial thrombectomy.
Which of the following findings should the nurse report?
Answer: Chest pain.
55. A nurse is completing an incident report after a patient fall. Which of the following
competencies for safety is the nurse demonstrating?
Answer: Quality improvement.
56. A nurse is working with another nurse and smells alcohol on her breath. What action should
the nurse take?
Answer: Notify the nursing manager about the suspected alcohol use.
57. A nurse is caring for a patient who has diaper dermatitis. Which of the following actions
should the nurse take?
Answer: Apply zinc oxide ointment to the irritated area.
58. A nurse is reviewing the facility's protocols regarding newborn abduction with the parents of
a newborn. Which of the following indicates an understanding of the teaching?
Answer: "I will not publish public announcements about my baby's birth."

59. A nurse is reviewing a telephone order from a provider for a patient who needs additional
pain medication. Which of the following entries should the nurse make in the medical record?
Answer: "Morphine 3 mg SQ."
60. A nurse realizes that the wrong medication has been administered to a patient. Which of the
following actions should the nurse take first?
Answer: Monitor vital signs.
61. A nurse is providing teaching to a patient who is experiencing preterm contractions and
dehydration. Which of the following statements should the nurse make?
Answer: "Dehydration can increase the risk of preterm labor."
62. A nurse manager is developing a protocol for an urgent care clinic that often sees patients
who do not speak the same language as the clinic staff. Which of the following instructions
should the nurse include?
Answer: "Allow the nurse to do the interpretation."
63. A nurse is teaching an in-service for a group of nurses about malpractice issues in nursing.
Which of the following examples should the nurse include in the teaching?
Answer: "Administering potassium via IV bolus."
64. A nurse is providing discharge teaching to a patient who has a new prescription for
phenelzine. The nurse instructs the patient that it is safe to eat which of the following foods?
Answer: Whole grain bread.
65. A nurse manager is updating protocols for the use of belt restraints. Which of the following
guidelines should the nurse include?
Answer: "Document the patient's condition every 15 minutes."

66. A nurse on a Med-Surg unit is assisting with the emergency response plan following a
disaster. In anticipation of admissions, which of the following patients should the nurse
recommend for discharge?
Answer: "A patient who is one day postop following a vertebroplasty."
67. A nurse is educating a patient on what to report to the provider during pregnancy. Which
symptom should be reported?
Answer: Swelling of the face.
68. A nurse is developing a plan of care for a patient who has schizophrenia and is experiencing
auditory hallucinations. Which of the following actions should the nurse include in the plan?
Answer: "Ask the patient directly what he is hearing."
69. A nurse is preparing to perform a sterile wound irrigation and dressing change for a patient.
Which of the following actions by the nurse indicates a break in surgical asepsis?
Answer: "Balancing the bottle on the sterile basin while pouring the liquid."
70. A nurse is teaching a prenatal class about infection prevention. Which of the following
statements indicates an understanding of the teaching?
Answer: "I can visit my nephew who has chickenpox five days after the sores have crusted."
71. A nurse is planning care for a group of patients while working with one LPN and one AP.
Which of the following actions should the nurse take to manage her time effectively?
Answer: "Determine the goals of the day."
72. A nurse is providing teaching to an adolescent who has peptic ulcer disease. Which of the
following statements indicates an understanding of the teaching?
Answer: "I will avoid food and beverages that contain caffeine."
73. A nurse is reviewing legal issues in healthcare with a group of newly licensed nurses. Which
of the following recommendations should the nurse make?

Answer: "Ensure that each patient has a living will on file prior to treatment."
74. A nurse is providing preoperative teaching about a PCA pump. Which of the following
statements should the nurse include in the teaching?
Answer: "You should push the button before physical activity to allow maximum pain control."
75. A nurse is teaching other nurses about healthcare proxies in situations that require a power of
attorney. Which of the following information should the nurse include?
Answer: "The proxy can make treatment decisions if the patient is under anesthesia."
76. A nurse is caring for a patient who has a history of depression and is experiencing a
situational crisis. Which of the following actions should the nurse take first?
Answer: "Confirm the patient's perception of the event."
77. A nurse is caring for a patient who has end-stage kidney disease. The patient's child asks the
nurse about becoming a kidney donor. Which of the following conditions in the child's history
should the nurse identify as a contraindication to the procedure?
Answer: Hypertension.
78. A nurse is planning care for a patient who has bipolar disorder and is experiencing mania.
Which of the following interventions should the nurse include in the plan?
Answer: "Encourage the patient to take frequent rest periods."
79. A nurse is working with a patient who has anxiety and is in the orientation phase of the
therapeutic relationship. Which of the following statements should the nurse make during this
phase?
Answer: "We should establish our roles in the initial session."
80. A nurse is providing teaching to an older patient about methods to promote sleep. Which of
the following instructions should the nurse include?
Answer: "Eat a light snack before bedtime."

81. A nurse is interviewing the partner of a patient who was admitted with bipolar disorder. The
partner states, "I don't know what to do, everything has been happening so quickly." Which of
the following responses is therapeutic?
Answer: "Can you talk about what was happening with your partner at home?"
82. A nurse is reviewing the change of shift report. Which of the following patients should the
nurse assess first?
Answer: "A patient who has a hip fracture and the new onset of tachypnea."
83. A nurse is providing dietary teaching to a patient who has irritable bowel syndrome (IBS).
Which of the following recommendations should the nurse include?
Answer: "Consume foods high in bran fiber."
84. A nurse is caring for an infant who has coarctation of the aorta. What is an expected finding?
Answer: "Weak femoral pulses."
85. A nurse is providing teaching to a patient about the adverse effects of sertraline. Which
adverse effect should the nurse include?
Answer: "Excessive sweating."
86. A nurse is caring for a patient who is in labor and has a fetal heart rate (FHR) baseline of
100/min for the past 15 minutes. What is causing fetal bradycardia?
Answer: "Maternal hypoglycemia."
87. A nurse is providing teaching to the parents of a newborn about genetic screening. What
should the nurse include in teaching?
Answer: "The test should be performed when the baby is 24 hours old."
88. A nurse is caring for a patient who asked for information regarding organ donation. Which of
the following responses should the nurse make?

Answer: "Your desire to be an organ donor must be documented in writing."
89. A nurse is caring for a patient who is at 33 weeks of gestation following an amniocentesis.
The nurse should monitor the patient for which of the following complications?
Answer: "Contractions."
90. A nurse is providing discharge teaching to a patient who has chronic kidney disease (CKD)
and is receiving hemodialysis. Which of the following instructions should the nurse include in
the teaching?
Answer: "Eat 1 g per kilogram of protein per day."
91. A nurse is teaching new staff members about factors that increase a patient's risk of becoming
violent. Which of the following factors should the nurse include as the best predictor of future
violence?
Answer: "Previous violent behavior."
92. A nurse is teaching a patient who is trying to conceive. Which of the following should the
nurse instruct the client to include in her diet to prevent neural tube defects?
Answer: "Folate."
93. A nurse is caring for a patient who is experiencing mania. Which of the following foods
should the nurse provide?
Answer: "Peanut butter sandwich."
94. A nurse is preparing to administer an IV medication to a patient and punctures the bag,
causing the medication to leak on the counter. Which of the following medications require the
nurse to handle a biohazardous material spill?
Answer: "Doxorubicin hydrochloride."
95. A nurse is reviewing a female patient's chart. The nurse should recommend increased intake
of which vitamin?

Answer: "Vitamin B12."
96. A nurse is developing an in-service about personality disorders. Which of the following
information should the nurse include when discussing borderline personality disorder?
Answer: "The client exhibits impulsive behavior."
97. A nurse is completing an admission assessment for a patient who has narcissistic personality
disorder. Which of the following findings should the nurse expect?
Answer: "Preoccupied with aging."
98. A nurse is caring for a child with cystic fibrosis and needs to perform postural drainage.
Which of the following actions should the nurse take?
Answer: "Perform the procedure prior to meals."
99. A nurse is reviewing a medical record for a patient with schizophrenia who is taking
clozapine. Which of the following findings is contraindicated?
Answer: "WBC count of 2,900/mm³."
100. The nurse is providing teaching about digoxin administration to the parents of a toddler.
Which of the following statements should the nurse include?
Answer: "Have your child drink a small glass of water after swallowing the medication."
101. A school nurse is teaching a parent about absent seizures. Which of the following
information should the nurse include?
Answer: "This type of seizure can be mistaken for daydreaming."
102. A nurse is reviewing data from patients. Which of the following patients should the nurse
recommend to a dietitian?
Answer: "A patient who has a nonhealing leg ulcer."

103. A nurse is caring for a patient who is receiving tube feedings. Which of the following places
the patient at risk for aspiration?
Answer: "History of GERD."
104. A nurse is caring for several patients on a MedSurg unit. Which of the following activities
requires sterile gloves?
Answer: "Performing tracheostomy care."
105. A nurse at a mental health clinic receives a request from a patient who is undergoing
psychotherapy to obtain a copy of the therapist's notes. Which of the following responses should
the nurse make?
Answer: "We can provide a copy of your records, but therapist notes are not included."
106. A nurse is developing a plan of care for a patient who has preeclampsia and is receiving
magnesium sulfate. Which of the following actions should the nurse include in the plan?
Answer: "Measure the patient's urine output every hour."
107. A nurse is assessing a patient who is in labor. Which of the following findings should the
nurse report to the provider?
Answer: "Heart rate baseline 170/min."
108. A nurse is caring for a patient who is in labor and has received an epidural. Which of the
following actions should the nurse take?
Answer: "Reposition the patient side to side every hour."
109. A nurse is building a therapeutic relationship with a patient. Which of the following actions
should the nurse plan to take during the orientation phase of the relationship?
Answer: "Establish the responsibilities of the nurse and patient."
110. A nurse is providing dietary teaching to a patient who has IBS. Which of the following
recommendations should the nurse include?

Answer: "Consume foods high in bran fiber."
111. A nurse is reviewing the medical records of four patients. Which of the following patients’
needs follow-up care?
Answer: "A patient who is taking warfarin and has an INR of 1.8."
112. A nurse is caring for a patient who is two hours postop following a cardiac catheterization.
What is the priority assessment?
Answer: "Absence of pedal pulse in the affected extremity."
113. A nurse is caring for a child who has cystic fibrosis and requires postural drainage. What
action should the nurse take?
Answer: "Perform the procedure prior to meals."
114. A nurse at a mental health facility receives a shift report for four patients. Which of the
following patients should the nurse plan to assess first?
Answer: "A patient placed in restraints due to aggressive behavior."
115. A nurse is providing discharge education about car seat safety to parents of a newborn.
Which of the following statements indicates the parents’ understanding of the teaching?
Answer: "I will position my baby at a 45° angle in the car seat."
116. A nurse in a clinic is assessing a six-month-old. Which of the following findings should the
nurse report to the provider?
Answer: "Closed anterior fontanelle."
117. A nurse is planning care for a patient who has bipolar disorder and is experiencing mania.
What action should the nurse take?
Answer: "Encourage the patient to take frequent rest periods."

118. A nurse is providing teaching about adverse effects of sertraline. Which of the following
effects should the nurse include?
Answer: "Excessive sweating."
119. A nurse is developing an in-service about personality disorders. Which of the following
should the nurse include when discussing borderline personality disorder?
Answer: "The client exhibits impulsive behavior."
120. A nurse is caring for a patient following a cardiac catheterization to the left groin. What
action should the nurse take?
Answer: "Monitor the dorsalis pedis every 15 minutes."
121. A nurse is reviewing the medical record of a patient who has a prescription for heat therapy
for a foot injury. What's contraindicated for heat therapy?
Answer: "Peripheral neuropathy."
122. A nurse in the ED is caring for a patient who has burns from a house fire. Which of the
following actions should the nurse take first?
Answer: "Check the mouth for soot and smoky breath."
123. A nurse is caring for a patient following a stroke. The patient has right-sided weakness and
facial drooping. What action is the nurse's priority?
Answer: "Maintain NPO status for the patient."
124. A nurse is caring for an adult patient with anemia and is scheduled to receive a transfusion
of packed RBCs. What action should the nurse take?
Answer: "Flush the blood administration tubing with 0.9% sodium chloride prior to the
transfusion."
125. A nurse is caring for a patient who has experienced a right hemispheric stroke. Which of the
following are expected findings?

Answer: "Impulse control difficulty, left hemiplegia, loss of depth perception, lack of situational
awareness."
126. A nurse is caring for a patient who has left homonymous hemianopsia. What is an
appropriate intervention?
Answer: "Place the bedside table on the right side of the bed."
127. A nurse is planning care for a patient who has dysphagia. Which of the following should the
nurse include in the plan of care? (SATA)
Answer: "Have suction equipment available for use, place food on the unaffected side of the
patient's mouth, teach the patient to swallow with their neck flexed, feed the patient thickened
liquids."
128. A nurse is caring for a patient who has global aphasia—both receptive and expressive.
Which of the following should the nurse include in the plan of care?
Answer: "Speak to the patient at a slower rate, assist the patient to use flashcards with pictures,
give instructions one step at a time."
129. A nurse is assessing a patient who has experienced a left hemispheric stroke. Which of the
following is expected?
Answer: "Inability to recognize familiar objects."
130. A nurse is caring for a patient who is scheduled for a thoracentesis. Prior to the procedure,
what action should the nurse take?
Answer: "Position the patient in an upright position leaning over the bedside table."
131. A nurse is reviewing ABG lab results of a patient who is in respiratory distress. The pH is
7.47. PaCO2 is 32. The patient is experiencing:
Answer: "Respiratory alkalosis."

132. A nurse is assessing a patient following a bronchoscopy. Which of the following findings
should the nurse report to the provider?
Answer: "Bronchospasms."
133. A nurse is caring for a patient who is scheduled for a thoracentesis. Which of the following
supplies should the nurse ensure are in the patient's room?
Answer: "Oxygen equipment, pulse oximeter, sterile dressing."
134. A nurse is caring for a patient following a thoracentesis. Which of the following
manifestations should the nurse recognize as complications?
Answer: "Dyspnea, fever, hypotension."
135. A nurse is preparing to care for a patient after a chest tube placement. Which of the
following items should be available in the patient's room?
Answer: "Oxygen, sterile water, enclosed hemostat clamps, occlusive dressing."
136. A nurse is caring for a patient who has a chest tube and drainage system in place. The nurse
observes that the chest tube was accidentally removed. What action should the nurse take first?
Answer: "Apply sterile gauze to the insertion site."
137. A nurse is assessing a patient who has a chest tube and drainage system. Which of the
following are expected findings?
Answer: "Gentle constant bubbling in the suction control chamber, rise and fall in the level of
water in the water seal chamber with inspiration and expiration."
138. A nurse is assisting a provider with the removal of a chest tube. Which of the following
should the nurse instruct the patient to do?
Answer: "Perform the Valsalva maneuver."
139. A nurse is planning care for a patient following the insertion of a chest tube. What should be
included in the plan of care? (SATA)

Answer: "Encourage the patient to cough every two hours, check the continuous bubbling in the
suction chamber, obtain a chest x-ray."
140. A nurse is caring for a patient who is receiving mechanical ventilation and is on pressure
support ventilation (PSV). Which statement indicates an understanding of the teaching?
Answer: "It allows preset pressure delivered during spontaneous ventilation."
141. A nurse is caring for a patient who is experiencing respiratory distress. Which of the
following manifestations of hypoxemia should the nurse recognize?
Answer: "Pale skin and elevated blood pressure."
142. A nurse is orienting a newly licensed nurse and performing an assessment of a patient who
is receiving ventilation via an ET tube. What information should the nurse include in the
teaching?
Answer: "Assess breath sounds every 1 to 2 hours."
143. A nurse is caring for a patient who has dyspnea and will receive oxygen continuously.
Which of the following oxygen devices should the nurse use to deliver the precise amount of
oxygen?
Answer: "Venturi mask."
144. A nurse is planning care for a patient who is receiving mechanical ventilation. Which of the
following modes of ventilation increase the effort of the patient's respiratory muscles should the
nurse include?
Answer: "Synchronize intermittent mandatory ventilation, continuous positive airway pressure,
pressure support ventilation."
145. A nurse is monitoring a group of patients for increased risk of developing pneumonia. What
patients should the nurse expect to be at risk?
Answer: "Patient who has dysphagia, patient who has AIDS, patient who has closed head injury
and is receiving ventilation, patient who has myasthenia gravis."

146. A nurse in a clinic is caring for a patient who states their partner did not recognize them.
The patient reports chills and chest pain that is worse upon inspiration. What is the priority?
Answer: "Obtain baseline vitals and oxygen saturation."
147. A nurse is caring for a patient who has pneumonia. Assessment findings include temperature
100°F, respirations 30/min, blood pressure 130/76. Prioritize the interventions.
Answer: "Administer oxygen, obtain sputum culture, administer antibiotic, administer an
antipyretic medication to promote comfort."
148. A nurse is assessing a patient who has sinusitis. Which of the following techniques should
the nurse use to identify manifestations?
Answer: "Palpating the orbital area."
149. A nurse is teaching a group of patients about the flu. Which of the following statements
indicates an understanding of the teaching?
Answer: "I should wash my hands after blowing my nose to prevent spreading the virus."

Document Details

  • Subject: Nursing
  • Exam Authority: ATI
  • Semester/Year: 2019

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