ATI RN VATI Comprehensive Predictor
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Free ATI RN VATI Comprehensive Predictor Questions
A nurse is assessing a client who has systemic lupus erythematosus (SLE). Which of the following is an expected finding?
- A. Dry, raised facial rash
- B. Subcutaneous nodules
- C. Hyperuricemia
- D. Polycythemia
Explanation
A. Dry, raised facial rash:
A dry, raised, red “butterfly” rash across the cheeks and bridge of the nose is a classic and
expected manifestation of SLE. This rash often worsens with sunlight exposure because clients
with lupus are photosensitive. Cutaneous involvement is one of the most common findings in
systemic lupus.
A nurse manager is making staffing assignments for the medical-surgical unit. Which of the following clients is appropriate to assign to a float nurse from the postpartum unit?
- A. A client who is 2 days postoperative following a colon resection
- B. A client who has tuberculosis and is on airborne precautions
- C. A client who has a head injury and requires neurological checks every 4 hr
- D. A client who is 1 day postoperative following a transurethral resection of the prostate
Explanation
D. A client who is 1 day postoperative following a transurethral
resection of the prostate: This client represents the most stable and straightforward assignment for a float nurse
from postpartum. The care involves standard postoperative monitoring, bladder
irrigation management (if applicable), and routine vital signs - skills that are within the
scope of any registered nurse regardless of specialty. The other clients require more
specialized medical-surgical expertise: a colon resection involves complex
gastrointestinal care, tuberculosis requires strict airborne precautions and respiratory
management, and a head injury needs specialized neurological assessment skills that
may be outside a postpartum nurse's regular practice.
A nurse is planning care for a client who has a sealed radiation implant and is to remain in the hospital for 1 week. Which of the following should the nurse include in the plan of care?
- A. Limit each of the client's visitors to 1 hr per day.
- B. Remove dirty linens from the room after double bagging.
- C. Wear a dosimeter film badge while in the client's room.
- D. Ensure family members remain at least 1 m (3.2 feet) from the client.
Explanation
Nurses caring for clients with internal (sealed) radiation implants must wear a dosimeter film
badge to measure cumulative exposure to radiation. This ensures staff safety and allows the
hospital to monitor and limit radiation exposure according to regulatory standards. The badge is
assigned to one person only and must not be shared. Wearing it is a core component of
time–distance–shielding principles used in radiation safety.
A nurse at a public health clinic is caring for a group of clients. Which of the following should the nurse identify as a reportable diagnosis to the CDC?
- A. Herpes simplex virus (HSV) type 1
- B. Hepatitis A
- C. Human papillomavirus (HPV)
- D. Pediculosis capitis
Explanation
B. Hepatitis A: Hepatitis A is a nationally notifiable disease that must be reported to the
Centers for Disease Control and Prevention (CDC). This reporting allows for public
health monitoring, outbreak identification, and implementation of control measures. The
other conditions are not typically reportable to the CDC: HSV-1 and HPV are common
viral infections with no national reporting requirement, and pediculosis capitis (head
lice) is managed at the local level but not reported to national authorities.
A nurse is providing discharge teaching to a client who has schizophrenia and is starting therapy with clozapine. Which of the following is the highest priority for the client to report to the provider?
- A. Blurred vision
- B. Dry mouth
- C. Fever
- D. Constipation
Explanation
C. Fever:
Fever can indicate agranulocytosis, a life-threatening adverse effect of clozapine that causes
severe neutropenia and increases the risk of fatal infections. Because clozapine suppresses bone
marrow function, any sign of infection—especially fever—must be reported immediately. This is
the highest priority due to the risk of rapid clinical deterioration.
A nurse is observing bonding between a client and her newborn. Which of the following actions by the client requires the nurse to intervene?
- A. Holding the newborn in an en face position
- B. Asking the father to change the newborn’s diaper
- C. Viewing the newborn’s actions to be uncooperative
- D. Requesting the nurse take the newborn to the nursery so she can rest
Explanation
C. Viewing the newborn’s actions to be uncooperative:
Describing a newborn as “uncooperative” signals maladaptive bonding. Newborns do not have
intentional behaviors; interpreting their cues as negative reflects impaired attachment and
potential difficulty forming a nurturing relationship. This requires the nurse to intervene by
offering education about newborn behavior, supporting maternal confidence, and promoting
healthy bonding interactions.
A nurse is caring for a client who has meningitis. Which of the following assessments should the nurse perform?
- A. Homans' sign
- B. Trousseau's sign
- C. Brudzinski's sign
- D. Chvostek's sign
Explanation
Brudzinski’s sign is a classic assessment used to test for meningeal irritation, which occurs in
meningitis. To assess this sign, the nurse gently flexes the client’s neck; a positive response
occurs when the hips and knees involuntarily flex. This indicates meningeal inflammation,
helping support the diagnosis and guide immediate interventions.
A nurse is caring for a client who has schizophrenia. The client states, "Run cats spin the rain throwing procedure mechanical paper lake." The nurse should document that the client is demonstrating which of the following speech alterations?
- A. Echolalia
- B. Word salad
- C. Neologisms
- D. Clang association
Explanation
B. Word salad:
“Word salad” is a severe form of disorganized speech in which words are combined in a
completely incoherent, nonsensical order without logical connection. The client’s statement
contains unrelated words and phrases strung together, demonstrating a classic example of word
salad, which is common in schizophrenia.
A nurse in the postanesthesia care unit is caring for four postoperative clients. The nurse realizes that coughing poses a risk to which of the following clients?
- A. A client who had an emergency appendectomy
- B. A client who had a vaginal hysterectomy
- C. A client who had a thyroidectomy
- D. A client who had cataract removal
Explanation
D. A client who had cataract removal:
Coughing increases intraocular pressure, which can place significant strain on the surgical site
following cataract extraction. Increased pressure can lead to disruption of the incision, leakage of
ocular fluid, pain, or even impaired healing and vision loss. Clients recovering from eye surgery
(particularly cataract removal) must avoid coughing, bending, straining, or heavy lifting to
prevent postoperative complications related to elevated intraocular pressure.
A nurse is caring for multiple clients at a pediatric clinic. Which of the following clients should the nurse identify as being at the highest risk for child maltreatment?
- A. A 3-year-old child who has cystic fibrosis
- B. A 12-year-old child who has diabetes mellitus
- C. A 6-year-old child who is recovering from mononucleosis
- D. An 8-year-old child who has a fractured tibia following a soccer game
Explanation
A. A 3-year-old child who has cystic fibrosis:
Young children with chronic illnesses, especially those requiring complex daily care such as
cystic fibrosis, are at higher risk for maltreatment. The demanding regimen (airway clearance,
medications, frequent hospital visits) can increase caregiver stress, fatigue, financial strain, and
frustration. These pressures heighten the risk of neglect or abuse, making this child the
highest-risk client.
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