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ATI PN Comprehensive Predictor 2020 Answers
1. A client with active tuberculosis is receiving discharge instructions. Which statement by the client indicates an understanding of the teaching?
- A. I will continue taking my isoniazid until I am no longer contagious.
- B. I should take my prescribed medication for at least 6 months.
- C. I will need to have a TB skin test every 3 months.
- D. I should wear a mask at all times.
Correct answer: B
Rationale: The correct answer is B because the client should take antitubercular medications for a minimum of 6 months to ensure complete eradication of the infection. Choice A is incorrect as stopping the medication early can result in treatment failure and development of drug-resistant TB. Choice C is incorrect as regular TB skin tests are not needed once the client has been diagnosed and treated. Choice D is incorrect as wearing a mask at all times is not necessary for a client with active TB; proper cough etiquette should be followed instead.
2. A nurse in a provider's office is reinforcing teaching with a client who has a new prescription for ferrous sulfate elixir. Which of the following statements by the client should indicate to the nurse an understanding of the teaching?
- A. I will take this medication before meals
- B. I will mix this medication with water
- C. I will take this medication once a week
- D. I will rinse my mouth after taking this medication
Correct answer: D
Rationale: The correct answer is D because rinsing the mouth is essential to prevent staining and irritation caused by ferrous sulfate elixir. Choices A, B, and C are incorrect. Taking ferrous sulfate elixir before meals (Choice A) is not necessary. Mixing it with water (Choice B) is not recommended as it may alter the medication's effectiveness. Taking the medication once a week (Choice C) is incorrect as ferrous sulfate is usually prescribed daily or as directed by a healthcare provider.
3. A client has hyperthermia. Which of the following actions should the nurse take?
- A. Submerge the client's feet in ice water.
- B. Cover the client with a thermal blanket.
- C. Administer oral acetaminophen.
- D. Initiate seizure precautions.
Correct answer: C
Rationale: Administering oral acetaminophen is the appropriate intervention for a client with hyperthermia. Acetaminophen helps to reduce fever by lowering the body's temperature. Submerging the client's feet in ice water can lead to shock and is not recommended. Using a thermal blanket may worsen the condition by trapping heat. Initiating seizure precautions is not directly related to managing hyperthermia.
4. What are the signs and symptoms of a potential infection?
- A. Fever, chills, and increased heart rate
- B. Increased white blood cell count and fever
- C. Shortness of breath and confusion
- D. Sweating and low blood pressure
Correct answer: A
Rationale: The correct answer is A: Fever, chills, and increased heart rate are classic signs of an infection. These symptoms indicate the body's response to an invading pathogen. Choice B, 'Increased white blood cell count and fever,' is not a primary symptom that a person would typically notice themselves, and white blood cell count needs to be tested. Choice C, 'Shortness of breath and confusion,' may indicate other conditions like heart or lung issues rather than a general infection. Choice D, 'Sweating and low blood pressure,' are not specific to infections and can be caused by various factors like heat or dehydration.
5. What should be done to minimize the risk of injury for a client with dementia?
- A. Ensure the client has consistent caregivers
- B. Dim the lights in the client's room
- C. Allow the client to sleep with the bedrails raised
- D. Encourage family members to stay with the client
Correct answer: A
Rationale: The correct answer is to ensure the client has consistent caregivers. This helps reduce confusion and stress for clients with dementia by providing familiarity and routine. Dimming the lights in the client's room (Choice B) may not directly address the risk of injury. Allowing the client to sleep with the bedrails raised (Choice C) can pose a risk if not properly monitored. Encouraging family members to stay with the client (Choice D) may not always be feasible and may not provide the necessary professional support and consistency that consistent caregivers can offer.
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