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RN ATI Comprehensive Predictor~2023 Exam 1

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Title : RN ATI Comprehensive Predictor~2023 Exam 1

Type : Nursing

Category : RN Nursing Exam(s)

Subcategory : ATI EXIT Exam(s)

Domain : RN ATI Comprehensive Predictor Exam(s)~2023

Fragment : N/A

Module : RN-NURSING

Exam Status : active

Rating : 95.00%

Attempts Allowed : 100

Exam Year : 2023

Duration : 190 minutes

Total Questions : 10

Passing Score : 85%

Difficulty : Moderate

Instructions : This is a proctored Exam lasting over 240minutes, with no unscheduled breaks allowed. Webcam and microphone must remain on at all times. No unauthorized material are permitted. Answer carefully, as some questions cannot be revisited after submission. Submit all answers before time expires.

Description : This Exam assesses your NCLEX-RN® readiness by predicting the likelihood of passing on the first attempt. It evaluates nursing knowledge, clinical judgment, and critical thinking across key areas, including medical-surgical, pharmacology, maternal-newborn, pediatrics, mental health, leadership, and community health.

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1 : A nurse on a medical-surgical unit is planning care for four clients. The nurse should plan to use sterile gloves when performing which of the following procedures?

Instilling an ophthalmic ointment for a client who has a corneal abrasion

Inserting an NG tube for a client who needs continuous enteral feedings

Changing a central venous catheter dressing for a client who is receiving IV therapy

Administering an 1M injection to a client who has bacterial pneumonia

Hint : Bloodstream access points.

Correct Answers:

Changing a central venous catheter dressing for a client who is receiving IV therapy

Rationale :

Changing a central venous catheter dressing requires sterile technique to prevent infection.

Distractor Analysis :

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2 : A nurse is reinforcing teaching about hand hygiene with a newly licensed nurse. Which of the following information should the nurse include in the teaching?

Interlace the fingers while rubbing hands together.

Apply friction to hands for 10 seconds.

Use hot water to wash hands.

Dry hands starting from forearm to fingers.

Hint : Bacteria buildup.

Correct Answers:

Interlace the fingers while rubbing hands together.

Rationale :

This ensures thorough cleaning between fingers, which is a key part of effective hand hygiene.

Distractor Analysis :

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3 : A nurse is caring for a client who is receiving morphine for pain. Which of the following findings indicates that the client is experiencing an adverse effect of the medication?

Tachycardia

Lacrimation

Hypertension

Urinary retention

Hint : Bladder.

Correct Answers:

Urinary retention

Rationale :

Morphine can cause urinary retention due to its effect on the central nervous system.

Distractor Analysis :

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4 : A nurse is caring for a child who has terminal cancer. Which of the following responses by the child's school-age brother should the nurse expect?

Regresses to an earlier developmental level

Alienates himself from his peers

Believes his bad behavior is causing his brothers death

Believes that his brother's death will be reversible

Hint : Self-blame.

Correct Answers:

Believes his bad behavior is causing his brothers death

Rationale :

School-age children often experience magical thinking and may believe their actions caused a loved one’s illness.

Distractor Analysis :

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5 : A nurse is reinforcing teaching about advance directives with a client who has end-stage heart failure. Which of the following statements by the client indicates an understanding of the teaching?

I am not allowed to change my mind once I sign this document."

"I should discuss this document with my family after I sign it."

My partner needs to be present when I sign this document.

An attorney will need to notarize this document for it to be valid."

Hint : Legal documents.

Correct Answers:

"I should discuss this document with my family after I sign it."

Rationale :

Advance directives should be discussed with family members to ensure everyone is aware of the client’s wishes.

Distractor Analysis :

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6 : A nurse is collecting data from a client who has pyelonephritis and is receiving gentamicin via IV infusion. Which of the following manifestations should the nurse identify as an adverse effect of the treatment?

Hypotension

New onset of hearing loss

Hypothermia

Slurred speech

Hint : Aminoglycosides.

Correct Answers:

New onset of hearing loss

Rationale :

Gentamicin is ototoxic and can cause permanent hearing loss.

Distractor Analysis :

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7 : A nurse enters a client's room and finds her sitting on the floor next to the shower. The client states that she slipped on some water outside of the shower. Which of the following actions should the nurse take first?

Complete an incident report.

Notify the clients provider.

Document the fall in the client’s medical record.

Measure the clients vital signs.

Hint : Assess.

Correct Answers:

Measure the clients vital signs.

Rationale :

Assessing vital signs helps determine if the client sustained an injury or has an underlying issue.

Distractor Analysis :

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8 : A nurse is collecting data from a client who is 1 8 hr postpartum. The nurse notes that the client is in the "taking-in phase of maternal adjustment. Which of the following manifestations should the nurse expect?

Tolerates physical discomforts

Is eager to review the birth experience

Begins reconnecting with their partner

Performs self-care independently

Hint : Birth process.

Correct Answers:

Is eager to review the birth experience

Rationale :

The taking-in phase occurs right after childbirth, where the mother reflects on the experience and seeks support.

Distractor Analysis :

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9 : A nurse caring for the family of a client who recently died. Which of the following actions should the nurse take?

Instruct the family to leave prior to cleaning the clients body.

Encourage the family to express their feelings of loss.

Limit the amount of time the family spends in the client’s room.

Ask the family not to touch the clients body.

Hint : Grieve .

Correct Answers:

Encourage the family to express their feelings of loss.

Rationale :

Encouraging open expression of grief supports emotional healing.

Distractor Analysis :

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10 : A nurse is caring for a client who has a recent diagnosis of a terminal illness. The nurse should identify which of the following as an indication of hopelessness?

The client has a decreased energy level.

The client requests a second opinion.

The client wants to talk about the diagnosis with the nursing staff.

The client makes funeral arrangements.

Hint : Death planning.

Correct Answers:

The client makes funeral arrangements.

Rationale :

A loss of hope may be reflected in preparing for death rather than focusing on treatment or daily life.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

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