ATI on Comprehensive Predictor

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Sample questions from ATI on Comprehensive Predictor

This material has 108 questions with answers and rationales. Here are the first 5.

1. 1.A nurse receives handoff on four clients on a medical-surgical unit. Which client should the nurse assess first?

   • A.A 63-year-old with heart failure who gained 0.5 kg over the past 24 hours
   • B.A 72-year-old with pneumonia whose oxygen saturation decreased from 95% to 88% on oxygen at 2 L/min
   • C.A 29-year-old who reports incisional pain of 7 out of 10 six hours after an appendectomy
   • D.A 46-year-old awaiting discharge who needs teaching about a new antihypertensive

   Rationale: The client with pneumonia has worsening oxygenation despite supplemental oxygen and needs immediate assessment and intervention. Discharge teaching can wait, and a 0.5-kg weight increase requires follow-up but does not outweigh acute hypoxemia. Postoperative pain should be treated promptly, but the available cues do not indicate an airway or breathing threat. Prioritize an acute change in oxygenation over stable needs.

2. 2.A 68-year-old client is hospitalized for an uncomplicated hip replacement. On postoperative day 2, the client is alert, has stable vital signs, and has already walked safely with physical therapy. Which task should the RN delegate to experienced assistive personnel?

   • A.Determine whether new calf discomfort requires provider notification
   • B.Evaluate whether the client's walker height remains appropriate
   • C.Teach the client how to maintain prescribed hip precautions
   • D.Assist the client to the bathroom using the established mobility plan

   Rationale: Assisting a stable client with an established mobility plan is an appropriate task for assistive personnel. Evaluating equipment fit and assessing new calf discomfort require nursing judgment. Initial teaching about hip precautions is an RN responsibility. Delegate routine care while retaining assessment, teaching, and evaluation.

3. 3.A charge nurse on an adult medical unit is assigning care to an experienced LPN/VN whose scope permits routine medication administration and established wound care. Which assignments are appropriate? Select all that apply.

   • A.Develop the initial care plan for a 40-year-old with newly diagnosed heart failure
   • B.Change an established dressing for a stable 61-year-old with a venous ulcer
   • C.Administer scheduled oral medications to a stable 54-year-old with hypertension
   • D.Reinforce previously taught glucose-monitoring instructions for a stable 35-year-old
   • E.Complete the initial comprehensive assessment of a 76-year-old admitted with confusion

   Rationale: Routine oral medication administration and established dressing changes are appropriate for a competent LPN/VN when permitted by policy and scope. Reinforcing an RN's previous teaching is also appropriate for a stable client. The initial comprehensive assessment requires RN judgment, especially with new confusion. Developing the initial nursing care plan remains the RN's responsibility.

4. 4.A 57-year-old client in the preoperative area is scheduled for a colectomy. Before receiving any sedatives, the client tells the nurse, "I signed the form, but I do not understand why part of my bowel must be removed." What should the nurse do next?

   • A.Notify the surgeon that the client needs further explanation before proceeding
   • B.Ask the client's spouse to confirm that the surgery is necessary
   • C.Administer the prescribed preoperative sedative to reduce anxiety
   • D.Explain the surgical risks and obtain a second signature

   Answer and rationale are in the full material.

5. 5.A 70-year-old client with metastatic cancer is admitted to a hospital with a valid do-not-resuscitate order. The client develops fever, dysuria, and a blood pressure of 118/70 mm Hg. A family member says, "The DNR means you cannot give antibiotics." Which response is best?

   • A.A DNR order requires comfort care only for every new illness.
   • B.The family must revoke the DNR before antibiotics can be prescribed.
   • C.The DNR addresses resuscitation; other treatment should follow the client's wishes and care plan.
   • D.Antibiotics are automatically required regardless of the client's goals.

   Answer and rationale are in the full material.