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COMPREHENSIVE PREDICTOR EXIT EXAMS,ATI RN PROCTORED EXAMS 1000+QUESTIONS WITH 100% CORRECT ANSWERS/ WALDEN UNIVERSITY
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ATI NURSING Care of Children RN 2019 PROCTORED EXAM
1. A nurse is assessing a school-age child who has heart failure and is taking furosemide. Which of the following findings should the nurse identify as an ... [Show More] indication that the medication is effective? a. An increase in venous pressure b. a decrease in peripheral edema c. a decrease in cardiac output d. an increase in potassium levels 2. A nurse is assessing an infant who has acute otitis media. Which of the following findings should the nurse expect (select all that apply)? a. Increased appetite b. enlarged subclavian lymph node c. Crying d. Restlessness e. Fever 3. a nurse is providing teaching to the parents of an infant who is to undergo pilocarpine iontophoresis Testing for Cystic Fibrosis. Which of the following statements should the nurse include in the teaching? a. We will measure the amount of protein in your baby's urine over 24 hour period b. The test will measure the amount of water in your baby’s sweat c. a nurse will insert an IV before the test d. your baby will need to fast for 8 hours before the test 4. A nurse in an urgent care clinic is prioritizing care for children. Which of the following children should the nurse assess first? a. A toddler who has a nephrotic syndrome and facial edema b. a preschool-age child who has a muffled voice and no spontaneous cough c. a preschool-age child who has diabetes mellitus and a blood glucose of 200 mg/dL d. an adolescent who has Crohn's disease and a recent weight loss of 5kg mg (11 lb) 5. A nurse is providing teaching to the parents of a toddler who is to undergo a sweat chloride test. Which of the following statements should the nurse include? a. The purpose of the test is to determine if your child has Crohn's disease b. the technician will use a device to produce an electrical current during the test c. during the test, your child will be in a cold room d. your child's sweat will be collected over 24 hours 6. A nurse in the emergency department is caring for an adolescent who is requesting testing for STI. Which of the following action is appropriate for the nurse to take? a. Request verbal consent from the social worker b. to contact the client's parents to obtain phone consent c. to postpone the testing until the client's parents are presentd. obtain written consent from the client 7. A nurse in the emergency department is assessing a toddler who has hyperpyrexia severe dyspnea and drooling which of the following actions should the nurse take first? a. obtain a blood culture from the toddler b. administering the antibiotic to the toddler c. insert an IV catheter for the toddler d. prepare the toddler for nasotracheal intubation 8. A nurse is providing teaching to a 10-year-old child scheduled for an arterial cardiac catheterization. Which of the following information should the nurse include in the teaching? a. You will have your dressing removed 12 hours after the procedure b. you will need to keep your legs straight for 8 hours following the procedure c. you will be on a clear liquid diet for 24 hours following the procedure d. you will be on bed rest for 2 days after the procedure 9. A nurse is caring for a preschooler who is post-operative following a tonsillectomy. The child is now ready to resume oral intake which of the following dietary choices should the nurse offer the child? a. sugar-free Cherry gelatin b. vanilla ice cream c. chocolate milk d. lime flavored ice pop 10. A nurse is caring for an infant who has Patent ductus arteriosus. The nurse should identify that the defect is a switch of the following locations of the heart. ( you will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer) Answer: B 11. A nurse is caring for a 10-month-old child who was brought to the emergency department by hisparents following a head injury. Which of the following actions should the nurse take first? a. Inspect for fluid leaking from the ears (thinking about CSF leakage severe trauma = urgent, after respiratory status is confirmed) b. assess respiratory status c. check pupil reactions d. examine the scalp for lacerations 12. A charge nurse is planning care for an infant who has failed to thrive. Which of the following actions should the nurse include in the plan of care? a. Assign consistent nursing Staff Care for the infant b. Keep infant in a visually stimulating environment c. use half-strength formula when feeding the infant d. give the infant fruit juice between feedings 13. A nurse is providing teaching about home care to the parent of a child who has scabies. Which of the following instruction should the nurse include in the teaching? a. Wash your client's hair with shampoo containing Ketoconazole b. soak Combs and brushes in boiling water for 10 minutes c. apply petroleum jelly to the affected areas d. treat everyone who came into close contact with a child 14. A nurse is caring for a preschooler who refuses to take a start dose of oral diphenhydramine. Which of the following statements should the nurse make? a. The medication isn't bad it tastes like candy b. let me know when you want to take the medication c. the medication will treat your hypersensitivity reaction ( too much “Adult” terminology/jargon for a preschooler to understand) d. sometimes, when a child has to take medication, they feel sad. 15. A nurse is teaching the parents of a school-age child about bicycle safety. Which of the following instructions should the nurse include in the teaching? a. Your child should walk the bicycle through intersections b. your child's feet should be three to six inches off the ground when Seated on the bicycle c. you should try to keep the bicycle at least three feet from the curb while riding in the street d. your child should ride the bicycle against the flow of traffic 16. A nurse is caring for a school-age child following the application of a cast to a Fractured right tibia. Which of the following actions should the nurse take first? a. Teach the child about cast care b. Pad the edges of the cast c. and administer pain medicationd. Elevate the child's leg 17. A nurse is preparing a school-age child for an invasive procedure. Which of the following actions should the nurse plan to take? a. plan for a 30-minute teaching session about the procedure b. use vague language to describe the procedure c. explain the procedure to the child when they are in the playroom d. demonstrate deep breathing and Counting exercises 18. A nurse is preparing to collect a urine specimen from a female infant using a urine collection bag. Which of the following actions should the nurse take? a. -Apply lidocaine gel to the perineum before attaching the bag b. -Position the opening of the bag over the urethra and the anus c. -Stretch the perineum taught when applying the bag d. -Place a snuff-fitting diaper over the drainage bag 19. A nurse is planning care for a toddler who has developed oral ulcers in response to chemotherapy. Which of the following actions should the nurse include in the plan of care? a. Schedule routine Oral Care every 8 hours b. Cleanse the gums with saline-soaked gauze c. more sending me closer with lemon glycerin swabs d. administer oral viscous lidocaine 20. A nurse is providing discharge teaching to the parents of an infant who is at risk for sudden infant death syndrome (SIDS). Which of the following statements by the parent indicates an understanding of the teaching? a. I will have my baby sleep next to me in the bed during the night b. Elmo my baby stuffed animal to the corner of her crib while she sleeps c. I will dress my baby in lightweight clothing to sleep d. I will lay my baby on her side to sleep for her naps 21. A nurse is monitoring an infant who is receiving opioids for pain. Which of the following findings should indicate to the nurse that the medication is having a therapeutic effect? a. Increased blood pressure b. Limb withdrawal c. relaxed facial expression d. Bradycardia 22. A nurse is caring for a three-month-old infant who has a cleft of the soft palate. Which of thefollowing actions should the nurse take? a. discontinue feeding if the client's eyes become watery b. postpone burping the infant until after completing each feeding c. Elevate the infant’s head to a 10-degree angle during feedings d. Feed the infant 177.4 ml (6 oz) of Formula 3 times a day 23. A nurse is caring for a child who has hyponatremia. Which of the following findings should the nurse expect? a. a. Tetany b. b. weight gain c. c. Elevated heart rate d. d. excessive diaphoresis 24. A nurse is preparing to administer enteral feeding to an adolescent who has an NG tube. Which of the following actions should the nurse take first? a. a. Set the administration rate on the feeding pump b. b. flush the tube with water c. c. check the pH of the gastric secretion d. d. attach the feeding bag tubing to the end of the NG Tube 25. A nurse is caring for an adolescent who is 1 hour post-operative following an appendectomy. Which of the following findings should the nurse report to the provider? a. a. Heart rate 63 / minute b. b. muscle rigidity c. c. temperature 36.4 Celsius (97.5 Fahrenheit) d. d. abdominal pain 26. A nurse in a provider's office is preparing to administer immunization to a 12-year-old clientduring a well-child visit. Which of the following immunization should the nurse plan to administer? a. a. Diptheria, tetanus and pertussis (D-Tap) b. b. human papillomavirus (HPV) c. c. Varicella d. d. hepatitis A 27. The nurse is planning care for an 8-month-old infant who has heart failure. Which of the followingactions should the nurse include in the plan of care? a. Repeat digoxin dosage if the infant vomits within 1 hour of administration b. Place the infant in a prone position c. and administer cool, humidified oxygen via nasal cannulad. provide less frequent, higher volume feeding 28. A nurse is planning care for a school-age child who is admitted from the emergency department 12 hours ago. Which of the following interventions should the nurse include to promote adequate sleep for the child? a. Provide the child with video games before bedtime to reduce stress b. allow the child to adjust their bedtime to promote autonomy c. leave the lights on in the child's room to promote safety d. follow the child's home sleep routine to reduce anxiety 29. A nurse is preparing to initiate IV antibiotic therapy for a newly admitted 12-month-old infant.Which of the following actions should the nurse plan to take? a. cover the insertion site with an opaque dressing b. use a 24 gauge catheter to start the IV c. start the IV on the infant’s foot d. change the IV site every 3 days 30. A nurse in a pediatric clinic is providing teaching to the guardian of an infant who has a new prescription for digoxin. Which of the following manifestations should the nurse include as an indication of digoxin toxicity? a. Diaphoresis b. Polyuria c. Bradycardia d. Jaundice 31. A nurse is reviewing the laboratory results of a child who was recently admitted or suspected of rheumatic fever. The nurse should identify which of the following laboratory tests can contribute to confirming this diagnosis and select all that apply. a. partial thromboplastin time (PTT) [Show Less]
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ATI Fundamentals Proctored Final Exam 70 Questions and Answers
A nurse is teaching an assistive personnel about using proper body mechanics to prevent injury. Which of the following actions by the AP indicates an under... [Show More] standing of the teaching? A. The AP extends his pelvis outward when reaching for an object. B. The AP keeps the object he is lifting close to his body C. The AP bends at the waist when lifting an object. D. The AP relaxes his abdominal muscles when reaching for an object. 2. A nurse on a medical unit is caring for a group of clients. For which of the following tasks should the nurse wear a face shield? A. Changing the brief of an older adult client who has clostridium difficile infection B. Suctioning a client’s tracheostomy tube C. Emptying an indwelling urinary catheter bag D. Inserting an IV catheter for a client who has peritonitis 3. A nurse is providing teaching to a client who is to self-administer an ophthalmic solution. Which of the following statements by the client indicates an understanding of the teaching? A. I will insert the drops in the center of each eye B. I will raise my eyelid up while looking down to insert the drops C. I will keep my eyes closed for 5 minutes after inserting the drops. D. I will press the inner corner of my eyes after I insert the drops 4. A nurse is caring for a client who has brain cancer and is transferring to hospice care. The client’s son tells the nurse “I don’t know what to tell my dad about if he asks how he is going to die.” Which of the follow is an appropriate response by the nurse? A. “Lets talk more about your dad’s condition” B. “I think you should talk about this with the hospice nurse C. “Try to help your dad enjoy this time as much as he can” D. “The social worker will help you answer those questions” 5. A nurse is caring for a client who is receiving continuous enteral feedings through a gastrostomy tube. Which of the following actions should the nurse take? A. Flush the tubing with 10 mL of water every 2 hr. B. Aspirate residual volume every 4 hr. C. Change tubing set every 72 hr. D. Heat the formula to 40.5 C (105 F) 6. A nurse is caring for a client who recently received a diagnosis of terminal cancer. Which of the following statements by the client’s partner indicates a maladaptive coping? A. “I don’t understand why he can’t get better and return to work” B. “I don’t know if I will be able to meet his physical needs” C. “I am going to ask my daughter to come and stay for a week” D. “I cook for him at home and work hard to prepare nutritious meals” 7. A nurse is providing discharge teaching to a client who does not speak the language as the nurse. Which of the following actions should the nurse take? A. Offer written instructions in the client’s language. B. Direct verbal discharge instructions to the interpreter C. Use proper medical terms when giving instructions to the client D. Request that assistive personnel interpret the instructions for the client 8. A nurse is caring for a client who has restraints to each extremity. Which of the following assessments should the nurse perform first? A. Comfort Level B. Peripheral pulses C. Elimination needs D. Skin Integrity 9. A nurse is caring for a client who is agitated and threating to harm others. The nurse places the client in restraints but does not notify the provider or obtain a prescription for the restraints. This situation represents which of the following torts? A. False Imprisonment B. Negligence C. Invasion of privacy D. Assault 10. A nurse is planning care for a client who has a latex allergy and is scheduled for surgery. Which of the following actions is appropriate to include in the client’s plan of care? A. Remove the stopcocks from IV tubing B. Ensure the gloves in the surgical suite are powered gloves C. Schedule the client as the first surgical procedure of the day D. Cleanse the stoppers with povidone-iodine before withdrawing medication 11. A nurse is caring for a client who has a new diagnosis of fibromyalgia. The client tells the nurse that she wants to use traditional Chinese medication for treatment instead of the medication prescribed by her provider. Which of the following is an appropriate response by the nurse? A. “I can arrange a referral to a practitioner of traditional Chinese medicine” B. “You should try the prescribed medication before choosing before choosing an alternative” C. “You should ask your provider if she recommends traditional Chinese medicine” D. “The FDA regulates traditional Chinese medicine 12. A nurse is planning care for a client who is scheduled for an intravenous pyelogram. Which of the following actions is appropriate for the nurse to include? A. Assist the client with a bowel cleansing B. Ensure the client is free of metal objects C. Monitor the client for pain in the suprapubic region D. Administer 240 mL (8 oz) of oral contrast before the procedure 13. A nurse is teaching a client who had an enucleation about care of an artificial eye. Which of the following information should the nurse include in the teaching (Select all that apply) A. Apply pressure just below the artificial eye to break the suction B. Store the artificial eye in a labeled contained filled with 0.9% sodium chloride injection. C. Clean the artificial eye with hydrogen peroxide before storing. D. Remove the artificial eye by retracting the upper eyelid E. Retract the upper and lower lids to reinsert the artificial eye 14. A nurse is planning [Show Less]
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ati_rn_comprehensive_predictor_retake_2019___chamberlain
1. A nurse is assessing a client who has received an antibiotic. The nurse should identify which of thefollowing findings as an indication of a possible al... [Show More] lergic reaction to the medication? A. Bradycardia B. Headache C. Joint pain D. Hypotension 2. A nurse on a mental health unit is caring for a client who has schizophrenia andis experiencingauditory hallucinations telling them to hurt others. The client isrefusing to take anti-psychoticmedication. Which of the following responses should the nurse make? A. “You should plan to take this medication for a few weeks.” B. “You will regret it if you do not take this medication.” C. “This medication will help you respond to the voices. D. “This medication will help you stop the voices you are hearing.” 3. A nurse is providing care for a patient who has depression and is to have electroconvulsive therapy.Which of the following conditions should the nurse identify as increasing the client’s risk for complications? A. Hyperthyroidism B. Renal calculi C. Diabetes mellitus D. Cardiac dysrhythmias 4. A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis. Which of thefollowing findings should the nurse report to the provider? A. WBC count 8,000/mm B. Platelets 150,000/mm C. Aspartate aminotransferase 10 units/LD. Erythrocyte sedimentation 75 mm/hr 5. A nurse is suctioning the airway of a client who is receiving mechanical ventilation via an endotracheal tube. Which of the following findings should thenurse identify as an indication thatsuctioning has been effective? A. Presence of a productive cough B. Decreased peak inspiratory pressure C. Thinning of mucous secretions D. Flattening of the artificial airway cuff 6. A nurse is caring for a client who is in a seclusion room following violent behavior. The client continues to display aggressive behavior. Which of the following actions should the nurse take? A. Stand within 30cm (1 ft) of the client when speaking with them. B. Express sympathy for the client’s situation. C. Confront the client about his behavior. D. Speak assertively to the client. 7. A nurse is caring for a client who is immediately postoperative following an adrenalectomy to treatCushing’s disease. Which of the following actions is the nurse’s priority? A. Reposition the client for comfort every 2 hours B. Observe for any indications of infection C. Document amount and color of the incisional drainage D. Monitor the client’s fluid and electrolyte status. 8. A nurse is caring for a client who is scheduled for a surgical procedure and states,“I don’t want tohave this surgery anymore.” Which of the following responses should the nurse make? A. “We can manage your care following the procedure without complications.” B. “You have the right to refuse the procedure.” C. “Your doctor thinks the surgery is necessary.” D. “Let me review the procedure so you can understand what is going to happen.” 9. A nurse is evaluating a client who has borderline personality disorder. Whichof the followingbehaviors indicates an improvement in the client’s condition? A. Impulsive behaviors B. Decreased clinging behavior C. Liability of mood D. Dependent behavior 10. A nurse is teaching a group of school-age children about healthy snack options. Which of thefollowing snacks should the nurse include? A. Air-popped popcorn B. Milkshake made with whole milk. C. Baked potato chips D. Cheesecake 11. A nurse is providing teaching to a client who has a new prescription for enoxaparin. Which of thefollowing medications for pain relief should the nurseinclude in the teaching that can be taken concurrently with enoxaparin? A. Naproxen sodium B. Ibuprofen C. Acetaminophen D. Aspirin 12. A nurse is caring for a client who has fibromyalgia and requests pain medication. Which of thefollowing medications should the nurse plan to administer? A. Colchicine B. Lorazepa C.Pregabali n D. Codeine 13. A nurse is caring for a client who has congestive heart failure and is receiving furosemide and digoxin. Which of the following laboratory values indicates thatthe client is at risk for developingdigoxin toxicity? A. Glucose 150 mg/dL B. Magnesium 1.3 mEq/L C. Potassium 3.1 mEq/L D. Sodium 134 mEq/L 14. A nurse is caring for a client who had an embolic stroke and has a prescription for alteplase. Which ofthe following in the client’s history should the nurse identify as a contraindication for receiving alteplase? A. Hip arthroplasty 1 week ago correct B. Obstructive lungs disease C. Retinal detachment D. Acute kidney failure 6 months ago 15. A nurse is providing discharge teaching for a client who has a new implantable cardioverter defibrillator (ICD). Which of the following client statements demonstrates understanding of theteaching? A. “I will soak in the tub rather than showering.” B. “I can hold my cellphone on the same side of my bodyas the ICD.” C. “I will wear loose clothing over my ICD.” D. “I will avoid using my microwave oven at home because of my ICD.” 16. A nurse is assessing a client who is postoperative following abdominal surgery andhas an indwellingurinary catheter that is draining dark yellow urine at 25ml/hr. Which of the following interventions should the nurse anticipate? A. Clamp the catheter tubing for 30 min B. Initiate continuous bladder irrigation C. Obtain a urine specimen for culture and sensitivity D. Administer a fluid bolus 17. A nurse is caring for a client who has experienced a stillbirth. Which of the following actions shouldthe nurse take during the initial grieving process? A. Avoid talking to the client about the newborn B. Discourage the client from allowing friends to see the newborn C. Offer to take pictures of the newborn for the client D. Assure the client that she can have additional children 18. A nurse is caring for a client who has a major burn injury. Which of the following actions is thenurse’s priority to prevent wound infection? A. Use sterile dressings for wound care B. Apply topical antibiotics to the client’s wounds. C. Place the client in protective isolation. D. Maintain consistent hand washing by staff. 19. A nurse is speaking with the caregiver of a client who has Alzheimer’s disease. The caregiver states, “Providing constant care is very stressful and is affecting all areas of my life.” Which of the followingactions should the nurse take? A. Discuss methods of how to communicate with the client about problem solving behaviors. B. Suggest that the caregiver seek a prescription for an antipsychotic medicationfor the client. C. Assist the caregiver to arrange a daycare program for the client. D. Recommend allowing the client to have time alone in their room throughout theday. 20. A nurse is caring for a client who is 1 hr postpartum and unable to urinate. Whichof the followingactions should the nurse take? A. Administer a benzodiazepine B. Perform a fundal massage C. Place an ice pack on the client’s perineum D. Place the client’s hand in warm water 21. A nurse on a medical-surgical unit is performing medication reconciliation for anewly admittedclient. Which of the following actions should the nurse take? A. Compare a list of common medications to treat a condition to the actual prescriptions B. Compare the prescription to the allergy history of the client C. Compare the medication label to the provider’s prescription on three occasions beforeadministration D. Compare the client’s list of home medications to the admission prescriptions written for theclient. 22. A nurse is preparing to administer betamethasone to a client who is 25 weeks of gestation and has preterm labor. Which of the following findings should the nurse identify as an adverse effect of thismedication? A. Hyperglycemia B. Uterine contractions C. Proteinuria D. Hypotension [Show Less]
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ATI PN COMPREHENSIVE PREDICTOR 2020 REAL EXAM 180 Questions And Answers.
1. A nurse is caring for a group of clients, which of the following can be assigned to an assistive personnel? Collecting a stool specimen two tests for o... [Show More] ccult blood 2. A nurse is working on a unit for clients with dementia. Which of the following client situations requires the nurse to write an incident report? A client is found lying on the floor next to a chair 3. A nurse is discharging a client who was admitted for newly diagnosed type 2 diabetes mellitus. The client is independent and lives alone. Which of the following should be included in the discharge plan? Refer the client to a diabetic support group. 4. A nurse is caring for a client who has type 2 diabetes mellitus and a blood glucose level of 60 mg/dL. For which of the following findings should the nurse monitor? Fasting plasma glucose level 5. A female client who is an abusive marriage has discusses with the nurse strategies to prevent this abuse. Which of the following client statements indicate an understanding of an appropriate strategy? "I need to recognize the signs that my husband is becoming abusive." c. "I need to identify what triggers my husband's anger to prevent his abuse." 6. A charge nurse in a long-term care facility is preparing to administer noon insulin to a client. The nurse observes that the assistive personnel (AP) has no documented the client's blood glucose level. Which of the following actions should the charge nurse take first? Determine if the AP has completed the assignment. 7. A client is scheduled for an outpatient colonoscopy+ which of the following actions is a nursing responsibility in the informed consent process? Verify that there is a signed and witnesses consent form in the client's chart. 8. A nurse smells alcohol on the breath of an assistive personnel CAP) during report. Which of the following actions should the nurse take? Report the situation to the nurse manager. 9. A nurse from a medical-surgical unit is floating to a postpartum unit. Which of the following clients is an appropriate assignment for the nurse to accept? A client who had a cesarean delivery 24hr ago. 10. A nurse in a provider's office is collecting data from a parent of an infant who is being screened for cystic fibrosis. Which of the following supports a diagnosis of cystic fibrosis? Frothy stools. 11. When caring for an assigned group of clients, the nurse should wear gloves when Performing oral hygiene. 12. A nurse is preparing a client for surgery. The client tells the nurse that he is concerned about the safety of a large sum of money in his wallet. Which of the following actions is appropriate for the nurse to take? Contact security personnel to place the money in the facility safe. 13. A nurse is caring for a client who is receiving heparin. Which of the following is the appropriate route of administration? Subcutaneously. 14. A nurse is reinforcing teaching about car seat safety to the parents of a newborn, The nurse should instruct the parents to place the car seat in a? Rear-facing position in the back seat. 15. A nurse is caring for a client and recognizes the client's rights to confidentiality have been breached in which of the following situations? A hospital risk manager includes information from a client's medical record in 16. A nurse is caring for a client who had a femoral-popliteal bypass graft 2 days ago. When monitoring peripheral pulses, the nurse is unable to locate a pulse on the affected leg. Which of the following actions should the nurse take? Notify the charge nurse of the finding. 17. A nurse is caring for a full-term newborn who was circumcised 6 hours ago, which of the following findings indicates that the newborn is experiencing pain? Furrowed Brow [Show Less]
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PN VATI Comprehensive Predictor 2020
1. Which of the instructions should a nurse include in the teaching for a pt. who had removal of a cataract in the left eye? a. "Forcefully cough and take... [Show More] deep breaths every two hours to keep your airway clear." b. "Perform the prescribed eye exercises each day to strengthen your eye muscles." c. "Rinse your eyes with saline each morning to prevent postoperative infection." d. "Take the prescribed stool softener to avoid increasing intraocular pressure." 2. A client vomits during a continuous nasogastric tube feeding. A nurse should stop the feeding and take which of these actions? a. Suction the nasogastric tube. b. Flush the tube with 30 mL of sterile water. c. Remove the nasogastric tube. d. Check the residual volume. 3. Which of these actions best demonstrates cultural sensitivity by a nurse? a. The nurse talks in a slow-paced speech. b. The nurse asks clients about their beliefs and practices toward pregnancy. c. The nurse uses charts and diagrams when teaching pregnant clients. d. The nurse can speak several different languages. 4. Which of these manifestations should a nurse expect to observe in a 3-month-old infant who is diagnosed with dehydration? a. Hyperreflexia. b. Tachycardia. c. Bradypnea. d. Agitation. 5. When assessing a client's risk of developing nosocomial infection, a nurse plans to determine potential entry portals, which include: a. the urinary meatus. b. vomitus. c. contaminated water. d. sexual intercourse. 6. A client who is on the inpatient psychiatric unit has a history of violence. Which of these actions should a nurse take if the client is agitated? a. Encourage the client to verbalize feelings. b. Lock the client in a secluded room. c. Ask the other clients to give feedback regarding the client's behavior. d. Ignore the client's inappropriate behavior. 7. Which of these measures should a nurse include when planning care for a school-aged child during a sickle cell crisis episode? a. Monitoring for signs of bleeding. b. Providing pain relief. c. Administering cool sponge baths to reduce fevers. d. Offering a high calorie diet. 8. Which of these instructions should a nurse include in the plan of care for a 32-week gestation client who had an amniocentesis today? a. "Drink at least six glasses of fluids during the next six hours after the test." b. "Call the clinic if you experience any abdominal cramps." c. "Don't be concerned if you have some vaginal spotting in the next 12 hours." d. "When you get home, stay on bed-rest for the next 48 hours." 9. An adolescent has a nursing diagnosis of fatigue related to inadequate intake of iron-rich foods. Selection of which of these lunches by the client indicates a correct understanding of foods high in iron content? a. Peanut butter and jam sandwich. b. Chicken nuggets with rice. c. Tuna salad sandwich. d. Beefburger with cheese. 10. A client has been admitted with acute pancreatitis. Which of these laboratory test results supports this diagnosis? a. Elevated serum potassium level. b. Elevated serum amylase level. c. Elevated serum sodium level. d. Elevated serum creatinine level. 11. Which of these manifestations, if assessed in a client who is two-hours postoperative after abdominal surgery, should a nurse report immediately? a. Vomiting and a pulse rate of 106/minute. b. Respiratory rate of 12/minute and urine dribbling. c. Blood pressure of 100/60 mm Hg and wound discomfort. d. Urine output of 100 mL/hr and flushed skin. 12. Which of these observations of a student nurse's behavior while interacting with a client who is crying indicates a correct understanding of therapeutic communication? a. The student maintains continuous eye contact with the client. b. The student places one arm around the client's shoulder? c. The student sits quietly next to the client. d. The student leaves the room to provide privacy for the client. 13. Which of these actions should a nurse take initially if a client who is diagnosed with diabetes mellitus develops tremors and ataxia? a. Measure the client's blood sugar level. b. Administer a concentrated form glucose to the client. c. Administer a prn dose of insulin. d. Measure the client's urine for ketones. 14. An elderly client is at increased risk of developing drug toxicity to prescribed medications due to declining hepatic and renal functioning. Which of these strategies should a nurse plan to decrease this risk? a. Increasing the time interval between medication doses. b. Limiting the client's oral fluid intake. c. Administering the medications with meals. d. Encouraging the client to void every three to four hours. 15. A client has persistent paranoid delusions that the food on the unit is poisoned. Which of these measures should a nurse include in the client's care plan? a. Explaining that staff does not poison clients. b. Focusing on how the hospital staff helps clients. c. Allowing the client to eat food from sealed containers. d. Telling the client that not eating the food that is served will result in privilege restrictions. 16. Thrombophlebitis is a complication that may result due to surgery. Which of these actions should a nurse take in the operating room to prevent this complication from occurring? a. Gatch the knee of the bed. b. Administer anticoagulants preoperatively. c. Apply sequential compression devices. d. Maintain the legs in a dependent position. 17. When discussing weigh gain during pregnancy, a nurse should recommend that the total weight gain for a pregnant client who is at ideal body weight for he [Show Less]
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ati_rn_comprehensive_predictor_2019_form_b
1. A nurse is assessing a newborn who has a blood glucose level of 30 mg/dl. Which of the following manifestations should the nurse expect? A. Loose stool... [Show More] s B. Jitteriness C. Hypertonia D. Abdominal distention 2. A nurse is assessing a client who is immediately post-operative following total hip arthroplasty, which of the following considerations should the nurse take when positioning the client? A. Place the client’s heels directly against the bed mattress B. Ensure that the client’s hips remain in an abducted position. C. Maintain the client in a supine position for the first 24 hr. after surgery. D. Flex the client’s hip up to 120° when sitting in a chair. 3. A nurse is assessing a client who is immediately postoperative following a subtotal thyroidectomy. Which of the following should the nurse expect to administer? A. Calcium gluconate. B. Sodium bicarbonate. C. Potassium chloride. D. Sodium phosphate. 4. A nurse is caring for an adult client who has prescriptions for multiple medications. Which of the following (Unable to read) as an age-related change that increases the risk for adverse effects from this medication? A. Rapid gastric emptying. B. Prolonged medication half-life. C. Increased medication elimination. D. Decreased medication sensitivity. 5. A nurse manager is planning to promote client advocacy among staff in a medical unit. Which of the following actions should the nurse take? A. Encourage staff to implement the principle of paternalism when a client is having difficulty making a choice. B. Tell staff explain procedures to clients before obtaining informed consent. C. Instruct unit staff to share personal experiences to help clients make decisions. D. Develop a system for staff members to report safety concerns in the client care environment. 6. A nurse is preparing 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? A. Leaving a nasogastric tube clamped after administering oral medication B. Documenting communication with a provider in the progress notes of the client’s medical record C. Administering potassium via IV bolus D. Placing a yellow bracelet on a client who is at risk for falls 7. A nurse is providing teaching about the gastrostomy tube feedings to the parents of a school age child. Which of the following instructions should the nurse take? A. Administer the feeding over 30 min. B. Place the child in as supine position after the feeding. C. Charge the feeding bag and tubing every 3 days. D. Warm the formula in the microwave prior to administration. 8. A nurse is administering digoxin 0.125 mg Po to an adult client. For which of the following findings should the nurse report to the provider? A. Potassium level 4.2 mEq/L. B. Apical pulse 58/min. C. Digoxin level 1 ng/ml. D. Constipation for 2 days. 9. A nurse is providing discharge teaching to a client who has a new prescription for phenelzine. The nurse should instruct the client that it is safe to eat which of the following foods while taking this medication? A. Whole grain bread B. Avocados C. Smoked salmon D. Pepperoni pizza 10. A nurse is caring for an adolescent who has sickle-cell anemia. Which of the following manifestations indicates acute chest syndrome and should be immediately reported to the provider? A. Substernal retractions. B. Hematuria. C. Temperature 37.9 C (100.2 F). D. Sneezing. 11. A nurse manager is updating protocols for the use of belt restraints. Which of the following guidelines should the nurse include? A. Attach the restraint to the bed’s side rails. B. Attach a PRN restraint prescription for clients who are aggressive C. Document the client’s condition every 15 min D. Remove the client’s restraints every 4 hr 12. A nurse is preforming a gastric lavage for a client who has upper gastrointestinal bleeding. Which of the following action should the nurse take? A. Instill 500 ml of solution through the NG tube. B. Insert a large-bore NG tube. C. Use a cold irrigation solution. D. Instruct the client to lie on his right side. 13. A nurse is providing care for a client who is in the advance stage of amyotrophic lateral sclerosis. (ALS). Which of the following referrals is the nurse’s priority? B. Psychologist. C. Social worker. D. Occupational therapist. E. Speech-language pathologist. 14.A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis. Which of the following findings should the nurse report to the provider? A. WBC count 8,000/mm3. B. Platelets 150,000/mm3. C. Aspartate aminotransferase 10 units/L. D. Erythrocyte sedimentation rate 75 mm/hr 15. A nurse is caring for a client who has generalized petechiae and ecchymoses. The nurse should expect a prescription for which of the following laboratory tests? A. Platelet count. B. Potassium level. C. Creatine clearance. D. Prealbumin. 16.A charge nurse on a medical-surgical unit is assisting with the emergency response plan following an external disaster in the community. In anticipation of multiple client admissions, which of the following current clients should the nurse recommend for early discharge? A. A client who has COPD and a respiratory rate of 44/min B. A client who has cancer with a sealed implant for radiation therapy. C. A client who is receiving heparin for deep-vein thrombosis D. A client who is 1 day postoperative following a vertebroplasty 17. A nurse is caring for a client who is comatose and has advance directives that indicate the client does not want life-sustaining measures. The client’s family want the client to have life-sustaining measures. Which of the following action should the nurse take? A. Arrange for an ethics committee meeting to address the family’s concerns. B. Support the family’s decision and initiate life-sustaining measures. C. Complete an incident report. D. Encourage the family to contact an attorney. 18. A nurse is caring for a client who wears glasses. Which of the following actions should the nurse take? A. Store the glasses in a labeled case. B. Clean the glasses with hot water. C. Clean the glasses with a paper towel. D. Store the glasses on the bedside table. 19. A nurse is teaching a group of newly licensed nurses about measures to take when caring for a client who is on contact precautions. Which of the following should the nurse include in the teaching? A. Remove the protective gown after the client’s room. B. Place the client in a room with negative pressure. C. Wear gloves when providing care to the client. D. Wear a mask when changing the linens in the client’s room. 20.A nurse is planning on care for a client who is recovering from an acute myocardial infarction that occurred 3 days ago. Which of the following instructions should the nurse include? A. Perform an ECG every 12 hr. B. Place the client in a supine position while resting. C. Draw a troponin level every 4hr. D. Obtain a cardiac rehabilitation consultation. 21. The nurse is reviewing the medical record of a client who is requesting combination oral contraceptives. Which of the following conditions in the client’s history is a contradiction to the use of oral contraceptives? A. Hyperthyroidism. B. Thrombophlebitis. C. Diverticulosis. D. Hypocalcemia. 22. A nurse is caring for a client who request the creation of a living will. Which of the following actions should the nurse take? A. Schedule a meeting between the hospital ethics committee and the client. B. Evaluate the client’s understanding of life-sustaining measures. C. Determine the client’s preferences about post mortem care. D. Request a conference with the client’s family. 23.A nurse is providing teaching to a client who is at 14 weeks of gestation about findings to report to the provider. Which of the following findigns should the nurse include in the teaching? A. Bleeding gums [Show Less]
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ATI RN COMPREHENSIVE PREDICTOR RETAKE 2019
1. A nurse is assessing a client who has received an antibiotic. The nurse should identify which of thefollowing findings as an indication of a possible al... [Show More] lergic reaction to the medication? A. Bradycardia B. Headache C. Joint pain D. Hypotension 2. A nurse on a mental health unit is caring for a client who has schizophrenia and is experiencingauditory hallucinations telling them to hurt others. The client is refusing to take anti-psychoticmedication. Which of the following responses should the nurse make? A. “You should plan to take this medication for a few weeks.” B. “You will regret it if you do not take this medication.” C. “This medication will help you respond to the voices. D. “This medication will help you stop the voices you are hearing.” 3. A nurse is providing care for a patient who has depression and is to have electroconvulsive therapy.Which of the following conditions should the nurse identify as increasing the client’s risk for complications? A. Hyperthyroidism B. Renal calculi C. Diabetes mellitus D. Cardiac dysrhythmias 4. A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis. Which of thefollowing findings should the nurse report to the provider? A. WBC count 8,000/mm B. Platelets 150,000/mm C. Aspartate aminotransferase 10 units/LD. Erythrocyte sedimentation 75 mm/hr 5. A nurse is suctioning the airway of a client who is receiving mechanical ventilation via an endotracheal tube. Which of the following findings should the nurse identify as an indication thatsuctioning has been effective? A. Presence of a productive cough B. Decreased peak inspiratory pressure C. Thinning of mucous secretions D. Flattening of the artificial airway cuff 6. A nurse is caring for a client who is in a seclusion room following violent behavior. The client continues to display aggressive behavior. Which of the following actions should the nurse take? A. Stand within 30cm (1 ft) of the client when speaking with them. B. Express sympathy for the client’s situation. C. Confront the client about his behavior. D. Speak assertively to the client. 7. A nurse is caring for a client who is immediately postoperative following an adrenalectomy to treatCushing’s disease. Which of the following actions is the nurse’s priority? A. Reposition the client for comfort every 2 hours B. Observe for any indications of infection C. Document amount and color of the incisional drainage D. Monitor the client’s fluid and electrolyte status. 8. A nurse is caring for a client who is scheduled for a surgical procedure and states, “I don’t want tohave this surgery anymore.” Which of the following responses should the nurse make? A. “We can manage your care following the procedure without complications.” B. “You have the right to refuse the procedure.” C. “Your doctor thinks the surgery is necessary.” D. “Let me review the procedure so you can understand what is going to happen.” 9. A nurse is evaluating a client who has borderline personality disorder. Which of the followingbehaviors indicates an improvement in the client’s condition? A. Impulsive behaviors B. Decreased clinging behavior C. Liability of mood D. Dependent behavior 10. A nurse is teaching a group of school-age children about healthy snack options. Which of thefollowing snacks should the nurse include? A. Air-popped popcorn B. Milkshake made with whole milk. C. Baked potato chips D. Cheesecake 11. A nurse is providing teaching to a client who has a new prescription for enoxaparin. Which of thefollowing medications for pain relief should the nurse include in the teaching that can be taken concurrently with enoxaparin? A. Naproxen sodium B. Ibuprofen C. Acetaminophen D. Aspirin 12. A nurse is caring for a client who has fibromyalgia and requests pain medication. Which of thefollowing medications should the nurse plan to administer? A. Colchicine B. Lorazepa C.Pregabali n D. Codeine 13. A nurse is caring for a client who has congestive heart failure and is receiving furosemide and digoxin. Which of the following laboratory values indicates that the client is at risk for developingdigoxin toxicity? A. Glucose 150 mg/dL B. Magnesium 1.3 mEq/L C. Potassium 3.1 mEq/L D. Sodium 134 mEq/L 14. A nurse is caring for a client who had an embolic stroke and has a prescription for alteplase. Which ofthe following in the client’s history should the nurse identify as a contraindication for receiving alteplase? A. Hip arthroplasty 1 week ago correct B. Obstructive lungs disease C. Retinal detachment D. Acute kidney failure 6 months ago 15. A nurse is providing discharge teaching for a client who has a new implantable cardioverter defibrillator (ICD). Which of the following client statements demonstrates understanding of theteaching? A. “I will soak in the tub rather than showering.” B. “I can hold my cellphone on the same side of my body as the ICD.” C. “I will wear loose clothing over my ICD.” D. “I will avoid using my microwave oven at home because of my ICD.” 16. A nurse is assessing a client who is postoperative following abdominal surgery and has an indwellingurinary catheter that is draining dark yellow urine at 25ml/hr. Which of the following interventions should the nurse anticipate? A. Clamp the catheter tubing for 30 min [Show Less]
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Predictor_Exit_Exam
1. A nurse is providing teaching to an adolescent who has peptic ulcer disease. Which of the following statements by the client indicates an understanding ... [Show More] of the teaching? a. I would avoid food and beverages that contain caffeine b. I will use ibuprofen as needed to control abdominal pain c. I will take sucralfate with meals three times per day d. I will decrease my daily protein to 15 g per day 2. A nurse is performing a gastric lavage for a client who has upper gastrointestinal bleed. Which of the following actions should the nurse take? a. Instruct the client to lay on the right side b. Instill 500 ML’s of solution through the NG tube c. Insert a large bore NG tube d. Use a cold irrigation solution 3. The nurse is caring for a postpartum client who has urinary retention which of the following actions should the nurse take? a. Place the client hands in warm water b. Perform bladder scan c. Administer a prescribed diuretic d. Apply an ice pack on the clients 4. A nurse manager is reviewing medical records to recommend clients for discharge following a local mass casualty event. Which of the following clients should the nurse recommend for discharge? a. Who was admitted 24 hours ago with chest pain b. A client who has heart failure and received euros in my IV eight hours ago c. A client is scheduled to have a colonoscopy in 12 hours d. A client who had a seizure 48 hours ago and he’s on seizure precaution 5. A nurse is reviewing the medical record of a client who has a prescription for intermittent heat therapy for a foot injury. Which of the following findings should the nurse identify as a contraindication for heat therapy? a. Peripheral neuropathy b. Osteoarthritis c. Abdominal aortic aneurysm d. Phlebitis 6. A nurse in an antepartum clinic is caring for four clients. Which of the following client should the nurse assess first. a. A client who is at 8 weeks gestation and reports excessive salivation b. A client who is at 34 weeks gestation and reports double vision c. A client who is at 38 weeks gestation and reports leg cramp d. A client who is at 24 weeks gestation and reports periodic finger numbness 7. A nurse is assessing a client who has left-sided heart failure which of the following findings should the nurse identify as a manifestation of pulmonary congestion. a. Jugular vein distention b. Bradypnea c. Weight gain d. Frothy, pink sputum 8. A nurse is caring for a client who has hypertension and a new prescription for chlorthalidone. The nurse should monitor for which of the following adverse effects? a. Hypokalemia b. Hypoglycemia c. Increased intraocular pressure d. Euphoria 9. A nurse in an emergency department is caring for a client following a motor vehicle crash. The client Glasgow coma scale is 15 which of the following findings should the nurse expect? a. The client is oriented times three b. The client open the eyes to sound c. The client is unable to be command d. The client with drawls from pain 10. A newly licensed nurse is unsure if an assigned task is within their scope of practice. Which of the following resources should the nurse consult? a. Institutional policies and procedures b. Verbal direction from the nurse manager c. State nurse practice act d. Written prescription for the provider 11. A nurse is preparing to assess a 2-week-old newborn. Which of the following actions should the nurse plan to take? a. Assess the newborns pain level using the FACES pain scale b. Obtained a newborns body temperature using a tympanic thermometer c. Measure the newborn head circumference over the eyebrows and below the occipital permanence d. Auscultate the newborns apical pulse for 60 seconds 12. A nurse is reviewing the medical records of a client who has delayed healing of a leg ulcer. Which of the following findings should the nurse identify as a contributing factor? a. The client takes prednisone for arthritis b. The client is receiving IV dextrose 5% in water at 100ml/hr c. The client has an albumin level of 3.8 g/dl d. The client has a total cholesterol level of 190 mg/dl 13. A nurse is reviewing the laboratory report of a client who is receiving lithium carbonate for the past 12 weeks. The nurse notes the lithium level is 0.8. which of the following should the nurse follow? a. Increase the dosage b. Administer the medication c. Discontinue the medication d. With all the next dose 14. A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis which of the following findings should the nurse report to the provider? a. Erythrocyte sedentation rate 75mm/hr (no more than 30) b. WBC count 8,000/mm c. Platelets 150,000/mm d. Aspartate aminotransferase 10 units/L 15. A nurse is teaching a client who has GERD about appropriate dietary choices. Which of the following choices by the client indicates an understanding of the teaching? a. Whitefish b. Decaffeinated coffee c. Tomato soup d. Hot cocoa 16. A community health nurse is reviewing laboratory reports for a group of clients. The nurse should identify that which of the following disorders is on the CDC nationally notifiable conditions list? a. Bacterial vaginosis b. Pediculosis capitis c. Lyme disease d. Respiratory syncytial virus 17. A client’s partner tells a staff nurse that he overhears laboratory staff discussing the result of the client’s biopsy report while on the elevator. Which of the following actions should the nurse take? a. Report the information to the charger nurse b. Notify the facility legal department c. Review confidentiality policies with laboratory employees d. Contact the laboratory manager regarding the situation 18. A nurse is caring for a client who is in a seclusion room following violent behavior. The client continues to display aggressive behavior. Which of the following actions should the nurse take? a. Express sympathy for the client’s seclusion b. Confront the client about his behavior c. Stand within 30 cm (1 foot) of the client when speaking with them d. Speak assertively to the client 19. A nurse is caring for a client who is recovering from an amputation of her right arm below the elbow. Which of the fallowing interprofessional team member should the nurse consult with the Occupational therapies? a. The client lives in a two-story home b. The client is allergic to penicillin c. The client has two small children at home d. The client’s parent is in a skilled nursing facility 20. A nurse manager is planning to promote client advocacy among staff in a medical unit. Which of the following actions should the nurse take? a. Develop a system for staff members to report safety in the client care environment b. Tell staff to explain procedures to clients before obtaining informed consent c. Inquirer stuff to implement the principle of paternalism want to clan is having difficulty making decisions d. Instruct unit stuff to share personal experiences to help clients make decisions 21. Nurse is teaching a client who has heart failure about engaging in an exercise program. Which of the following statements by the client indicates an understanding of the teaching? a. I will make sure I can still talk while exercising b. I will slow my walking pace if I experience chest pain c. I will work to achieve 60 minutes of exercise each day d. I will wait 30 minutes after eating before exercising 22. A nurse is caring for a client who is comatose and has advance directives that indicate the client does not want life-sustaining measures. The client’s family want the client to have life- sustaining measures. Which of the following action should the nurse take? a. Complete an incident report b. Arrange for an ethnic committee meeting to address the family concerns c. Support the family’s decision and initiate life-sustaining measures d. Encourage the family to contact the attorney 23. A nurse is teaching a new licensed nurse about incident report. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? a. They are mandatory government documentation b. They are used as a disciplinary tool for nurse evaluations c. They assist with unit equality improvement d. They assist the facility to achieve benchmark goals 24. A nurse is planning care for four client who are at risk for fluid imbalance. The nurse should identify that which of the following clients is address for fluid volume excess? a. A client who has an exacerbation of peptic ulcer disease b. A client who has ulcerative colitis c. A client who has diabetes insipidus d. A client who has advanced stage liver cirrhosis 25. A nurse is providing teaching about the administration of gastrostomy tube feedings to the parents of a school-age child. Which of the following instructions should the nurse take? a. Change the fitting bag and tubing every 3 days b. Administer the feeding over 30 minutes c. What is the formula in the microwave prior to administration d. Place the child in a supine position after the feedings 26. A nurse is planning care for a client who has an L4 spinal cord injury. Which of the following interventions to prevent skin breakdown should the nurse include in the plan of care? a. Maintain the head of the bed at a 45° angle b. Ask the client to shift his weight every 20 minutes while sitting in a chair. c. Provide a high fiber diet for the client d. Massage redness area or a boy prominence 27. A nurse is counseling a group of clients from a town that was affected by the hurricane 6 months ago. For which of the following client should the nurse initiate a referral to assess for the presence of posttraumatic stress disorder? (Select all that apply [Show Less]
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ATI PN Comprehensive Predictor Form B Questions and Answers LATEST, 2020/2021
1. A nurse in a long-term care facility is assisting with an in- service for newly hired assistive personnel about legal issues within the facility. Whicho... [Show More] fIthe following should the nurse include as an example ofIassault? ANS: Informing a client the nurse is going to administer an injection even though the client refuses . 2. A nurse is collecting data from who is severe pain. Which ofIthe following questions should the nurse ask first? ANS: "Where is your pain located?" 3. A nurse is reviewing the laboratory results for a client who is at 29 weeks gestation. For which of the following results should the nurse notify the provider? ANS: Platelet count 95,000 mm3 4. A nurse is performing a dressing change for a client who had abdominal surgery 5 day s ago. The nurse notes organs protruding from the incision. Which of the following act ions should the nurse take? ANS: Cover the exposed area with sterile, saline-soaked dressings. 5. A nurse is speaking with the adult daughter ofIa client who has Alzheimer's disease. T he daughter states, "I love my dad, but caring for him is wearing me out." Which of th e following response should the nurse make? ANS: "Let's discuss how caring for your father is afollowingecting your health. 6. A nurse is contributing to the plan ofIcare for a care for a client who has chest tube co nnected to a closed drainage system. Which ofIthe following actions should the nurse i nclude in the plan of care? ANS: Maintain the drainage system below the level ofIthe client's chest. 7. A nurse in an acute mental health facility is caring for a client who has borderline personality disorder and reports. "I am going to kill my girlfriend when I get out ofIhere." Which ofIthe following actions should the nurse take? ANS: Notify the client's care team of the threats against the partner 8. A nurse is admitting a client who is at high risk for suicide. Which ofIthe following actions is the nurse's priority? ANS: Search the client's personal belongings 9. A nurse is caring for a client who is 1 day postoperative and is unable to ambulate. W hich ofIthe following actions should the nurse take to promote the client's venous return? ANS: Maintain the sequential compression device. 10. A nurse on an acute care unity is collecting data from a school- age Child who has cystic fibrosis. Which ofIthe following findings is the priority for the nurse? ANS: Reports lack ofIappetite 11. a nurse working in a provider's ofollowingice receives a phone call from the parent ofIa school- age child who has varicella. The parent asked the nurse when the child can return to school. Which ofIthe following responses should the nurse make? ANS: "When the lesions have scabbed over." 12. A nurse in a pediatric clinic is collecting the data from a school- age child whose injuries are inconsistent with the parent's stated cause. Which ofIthe following actions should the nurse take? ANS: Report the suspected abuse to a appropriate agency. 13. A nurse is collecting data from a middle adult female client who is taking melatonin.Which ofIthe following responses to the med should the nurse expect? ANS: Improved sleep 14. A nurse on a pediatric unit is collecting data from four newly admitted clients. Which ofIthe following clients should the nurse identify as being at risk for urinary retention? ANS: A school- age child who has allergic rhinitis and is taking diphenhydramine. 15. A nurse is preparing to administer purified protein derivative (PPD) to a client who ha s suspected TB. Which ofIthe following actions should the nurse plan to take? ANS: Ensure the injection produces a wheal on the skin 16. A client who is diagnosed with Parkinson's disease verbalizes frustration due to increas e difollowingiculty with ambulation. Which ofIthe following responses should the nurs e take? ANS: Perform active ROM with your arms and legs two times a day. 17. a Nurse is collecting data from a client who has multiple fractures following a motor-vehicle crash. For which ofIthe following client statements ANS: "I am so frustrated. I cannot even open my milk carton for breakfast." 18. A nurse is caring for a client who is 4 hr postoperative following a total thyroidectomy . Which of the following manifestations should the nurse report to the provider as indicating possible hypocalcemia? ANS: Tingling ofIfingers 19. A nurse is caring for a client who has a Penrose drain. To ensure proper placement an d functioning ofIthe drain, which ofIthe following should the nurse expect to observe? ANS: The safety pin is present at the distal end ofIthe drain. 20. A community health nurse is helping to reinforce teaching about hepatitis A with a group ofIemployees at a childcare facility. Which ofIthe following characteristics should t he nurse identify as an external factor that can impede learning for the participants? ANS: Poor lighting in the learning setting 21. A nurse is observing newly licensed nurse who is providing tracheostomy care for a cli ent. The nurse identifies proper performance ofIthe procedure when the newly licensed nurse selects which ofIthe following solutions to clean the inner cannula? ANS: Hydrogen peroxide 22. A nurse is caring for a client who has right sided heart failure. The client's partner exp resses concern the the client will die. Which ofIthe following responses should the nurse make? ANS: "It is difollowingicult to see someone so sick. What have you been told about your partner's prognosis?" 23. A nurse is reinforcing discharge instructions with the parent of an infant who has rotav irus. which ofIthe following statements by the parent indicates an understanding ofIthe teaching? ANS: "I will apply diaper cream to my baby's skin during each diaper change." 24. A nurse is caring for a client who is scheduled for surgery in the morning. The nurse l earns that the client has decided not to have surgery even though he has already signedthe informed consent form. Which of the following actions should the nurse take? ANS: Report the situation to the provider who obtained the informed consent. 25. A nurse has to administer medications to a group ofIclients. For which ofIthe following client situations should the nurse complete and incident report? ANS: The nurse administered insulin lispro to a client who has diabetes mellitusand is NPO. 26. a nurse is collecting data from a client who is experiencing a situational crisis followin g the loss of a job. The client states, I don't think I can go through this again. Which o fIthe following actions is the nurse's priority? ANS: Determine ifIthe client is experiencing psychotic thinking. [Show Less]
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ATI_PN_Comprehensive_Predictor_Form_A___Questions_and_Answers__LATEST__2020_.pdf
1. A nurse is reviewing the techniques for transferring a client from a bed to a chair with a group of assistive personnel (AP). Which of the following ins... [Show More] tructions should the nurse include? ANS: Use lower-body strength RATIONALE: The nurse should instruct the AP to use lower-body strength when lifting a client to reduce stress on the back 2. A nurse is participating in a quality improvement study about the effectiveness of client pain management in the unit. Which of the following strategies should the nurse use to collect data? ANS: Review clients' charts for their rating of pain before pain medication was administered and 1 hr after administration RATIONALE: The nurse should collect data from clients' charts about pain ratings before and after pain management interventions 3. A nurse is reinforcing teaching about confidentiality with a client who has a new diagnosis of HIV. Which of the following information should the nurse include in the teaching? ANS: "Your HIV status will be shared with members of your health care team." RATIONALE: The diagnosis of HIV or AIDS is shared with every member of the healthcare team who provides direct care for the client, just like any other diagnoses 4. A nurse is planning care for a client who has a history of seizures. Which of the following pieces of equipment should the nurse place in the client's room? ANS: Suction catheter RATIONALE: The nurse should place suction equipment in the room of a client who has a history of seizures. During a seizure, the client might have excessive oral secretions or might vomit. If the client's airway becomes occluded, then the nurse will need to suction the oral cavity to maintain a patent airway 5. A nurse in a provider's office is reviewing the medical record of a client who requests a prescription for an oral contraceptive. Which of the following findings should the nurse identify as a contraindication for oral contraceptive use? ANS: Coronary artery disease RATIONALE: Coronary artery disease is a contraindication to oral contraceptive use because it increases the client's risk for myocardial infarction. Other contraindications for receiving oral contraceptives include gallbladder disease, breast cancer, and hypertension\ 6. A nurse is assisting with the care of a school-age child immediately following surgery. The child weighs 21.8 kg (48 lb) and has a chest tube applied to suction. Which of the following findings should the nurse report to the provider? ANS: 250 mL of sanguineous drainage over the last 3 hr RATIONALE: The nurse should recognize that if more than 3 mL/kg/her of sanguineous drainage occurs for more than 3 consecutive hours following surgery, it can indicate active hemorrhaging. Therefore, 250 mL of sanguineous drainage from the child's chest tube is excessive and the nurse should report this finding to the provider immediately 7. A nurse is collecting data from a client who is at 30 weeks of gestation and has gestational diabetes. Which of the following findings should the nurse report to the provider as an indication of hyperglycemia? ANS: Polyuria RATIONALE: The nurse should identify polyuria as an expected finding of hyperglycemia and report this finding to the provider 8. A nurse is discussing home safety with a group of clients who have type 1 diabetes mellitus. Which of the following client statements indicates an understanding of the teaching? ANS: "I will dispose of my needles in a plastic laundry detergent container." RATIONALE: The nurse should instruct the client to dispose of needles in a puncture-proof container, such as a plastic laundry detergent container. 9. A nurse is caring for a client who has Alzheimer's disease. Which of the following actions should the nurse take? ANS: Encourage the client to reminisce about the past RATIONALE: The client who has Alzheimer's disease has progressive loss of short-term memory and might not be able to recall recent happenings and events. This can lead to increased frustration. However, remote memory remains in place for a longer period of time and can elicit feelings of happiness 10. A nurse is monitoring a client who is receiving telemetry. Which of the following ECG findings should the nurse report to the provider? ANS: PR interval 0.24 seconds RATIONALE: An expected PR interval is 0.12 to 0.20 seconds. A prolonged PR interval indicates a heart block; therefore, the nurse should report this finding provider 11. A nurse on a medical unit is reviewing a client's medical record. Which of the following procedures should the nurse identify requires the client to sign a separate informed consent form? ANS: Lumbar puncture RATIONALE: The nurse should identify that a client needs to provide consent for general treatment, as well as a separate written, informed consent for any treatment that has an element of risk, such as a lumbar puncture 12. A licensed practical nurse (LPN) is reviewing client assignments for the upcoming shift. Which of the following clients should the LPN ask the charge nurse to reassign to a registered nurse (RN)? ANS: A client who has a new colostomy and requires the development of a teaching plan RATIONALE: Developing a client teaching plan is not within the scope of practice for an LPN. The nurse should contact the nursing supervisor to inform them of the client's need for a teaching plan regarding the new colostomy and request that this client is reassigned to an RN. The scope of practice of an LPN does allow the nurse to reinforce teaching once the plan has been established 13. A nurse is caring for a client who is recovering from a stroke and is experiencing difficulty using eating utensils. The nurse should identify the need for a referral to one of the following interprofessional team members? ANS: Occupational therapist RATIONALE: The nurse should identify the need for a referral to an occupational therapist to teach the client how to use special eating utensils 14. A nurse is preparing to perform blood glucose monitoring for a client who has type 1diabetes Mellitus. Which of the following actions should the nurse take first? ANS: Hold the finger for testing in a dependent position RATIONALE: Evidence-based practice indicates that the nurse should first position the testing site to enhance blood flow, which improves the ability to collect an adequate specimen 15. A home health nurse is reinforcing teaching with a client about the use of elastic stockings to decrease peripheral edema. Which of the following instructions should the nurse include? ANS: Apply the stockings in the morning RATIONALE: The nurse should instruct the client to apply the elastic stockings in the morning and remove them at the end of the day before bedtime 16. A nurse in a provider's office is reviewing pediculosis capitis management and prevention strategies with the parent of a school-age child. Which of the following strategies should the nurse include? (Select all that apply.) ANS: Store the child's clothing in a separate cubicle when at school. Boil brushes and combs in water for 10 min. Dry bed linens and clothing in a hot dryer for at least 20 min. RATIONALE: Transmission of lice occurs via contact with personal items. Boiling hair care items in hot water for 10 min kills lice and nits. Exposing bedding and clothing to prolonged heat by washing in hot dryer for at least 20 min is an appropriate strategy 17. A nurse is contributing to the plan of care for a client who has a continent urinary diversion. Which of the following interventions should the nurse plan to implement to facilitate urinary elimination? ANS: Use intermittent urinary catheterization for the client on at regular intervals RATIONALE: A continent urinary diversion contains valves that prevent urine from exiting the pouch; therefore, the nurse should plan to insert a urinary catheter at regular intervals to drain urine from the client's pouch. 18. A nurse is preparing to perform a bladder scan for a client. Which of the following actions should the nurse take? ANS: Tell the client they should not experience any discomfort RATIONALE: The nurse applies the handheld scanner over the area of the bladder when performing a bladder scan. This noninvasive procedure should not cause the client any discomfort 19. A nurse is caring for a client who is crying and states that their provider informed them that they have a tumor and will need a biopsy. Which of the following responses should the nurse make? ANS: "What have you done to help yourself get through stressful situations before?" RATIONALE: This is a therapeutic response. The nurse is aware that the client is under stress and encourages comparison to investigate whether they have experience dealing with a stressful situation 20. A nurse is caring for a newborn who is 12 hr old. The nurse should expect the newborn's stool to have which of the following characteristics within the first 24 hour following birth? ANS: Dark greenish-black and viscous RATIONALE: The first stool passed by a newborn is the meconium that develops in utero. It is dark greenish-black and viscous, containing of amniotic fluid, cells, intestinal secretions, and blood 21. A licensed practical nurse is assisting with the preparation of a client for insertion of a peripherally inserted central venous catheter (PICC). Which of the following actions should the nurse take? ANS: Witness the client's signature on the informed consent form. RATIONALE: The insertion of a PICC is an invasive procedure with risks and benefits. The nurse should witness the client's signature on the consent form after ensuring the client has an understanding of the procedure, including its risks and benefits 22. A nurse is caring for a client who adheres to a kosher diet. Which of the following food selections should the nurse expect to see on the client's meal tray? ANS: Spaghetti noodles with red sauce RATIONALE: The nurse should identify that spaghetti noodles with red sauce is appropriate for a client who adheres to a kosher diet. 23. A nurse is contributing to the plan of care for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate (TURP). Which of the following interventions should the nurse include? ANS: Maintain a drainage flow rate to keep the urine diluted to a reddish-pink color RATIONALE: The nurse should maintain the flow rate of the bladder irrigation to keep the urine diluted to a reddish-pink color and the tubing free of clots and bleeding 24. A nurse is assisting with the care of a client who is postpartum and has a deep-vein thrombosis. The client has been receiving heparin IV infusion. Which of the following medications should the nurse ensure is readily available? ANS: Protamine sulfate RATIONALE: The nurse should ensure that protamine sulfate is readily available. Protamine sulfate is the antidote used to reverse the anticoagulant effects of heparin 25. A nurse is reinforcing teaching with a client about how to replace their two piece ostomy pouching system. The client tells the nurse that removing the skin barrier is painful. Which of the following strategies should the nurse suggest? ANS: Hold the skin taut while removing the barrier RATIONALE: Gently and gradually peeling the skin barrier away while holding the skin taut minimizes discomfort and trauma to the peristomal skin 26. A nurse in an inpatient mental health facility is caring for a newly admitted client who has alcohol use disorder. During a therapy session, the client asks about Alcoholics Anonymous (AA). Which of the following responses should the nurse make? ANS: "What is your current understanding about the purpose of AA?" RATIONALE: The nurse should identify the client's understanding about the purpose ofAA to provide further information about the program and meetings and to facilitate a referral if needed. For treatment to be successful, the nurse should involve the client in the care decision-making process. This ensures the treatment program meets the client's individual needs and demonstrates caring by the nurse 27. A nurse is performing a dressing change for a client who is 3 days postoperative. Which Of the following findings should the nurse report to the provider? ANS: Yellow-green drainage at the incision line RATIONALE: Yellow-green, purulent, or odorous drainage indicates the wound is infected. The nurse should report this finding to the Provider 28. A nurse is providing comfort to the partner of a client who has died. Which of the following statements should the nurse make? ANS: "Journaling about your relationship might help with the grieving process." RATIONALE: Journaling provides a means for the client to identify thoughts and feelings and to recognize and come to terms with the positive and negative aspects the client's relationship with their partner 29. A nurse is assisting with an educational session for newly licensed nurses about partner violence. Which of the following characteristics should the Nurse included as placing a vulnerable person at risk for partner violence? ANS: Recent confirmation of pregnancy RATIONALE: The nurse should include pregnancy as a characteristic placing a vulnerable person at risk for partner violence. The perpetrator might view the pregnancy as a threat to the relationship due to the attention the child receives 30. A nurse is reinforcing teaching for a client who is preparing to return to work after a back injury. Which of the following instructions for safe lifting technique should the nurse include? ANS: "You should hold a box close to your body when lifting it up." RATIONALE: The client should hold the box as close to their body as possible to maintain balance and prevent injury 31. A nurse is reinforcing discharge teaching with a client who has a prescription for home oxygen therapy via nasal cannula. Which of the following instructions should the nurse include? ANS: "Apply a water-based lubricant around the nostrils to prevent irritation." RATIONALE: The client should protect their nares with a water-based lubricant to prevent irritation from the nasal cannula. Petroleum and oil-based products are combustible and should not be used with oxygen therapy 32. A nurse is caring for a client who is in an inpatient mental health facility and has dependent personality disorder. Which of the following client behaviors should the nurse expect? ANS: The client calls their partner to ask what they should wear each day RATIONALE: Clients who have dependent personality disorder have problems making everyday decisions without input from others 33. A nurse is caring for a client who is scheduled for a mastectomy the following day. The client is tearful and tells the nurse that they are not ready to have this procedure done at this time. Which of the following responses should the nurse make? ANS: "Would you like for me to talk to the surgeon with you?" RATIONALE: The nurse should advocate for the client's needs by offering to talk to the surgeon with the client. The nurse should also offer moral support and encourage the client to express their concerns and make a more informed decision 34. A nurse is documenting client care in the medical record. Which of the following entries should the nurse make? ANS: "Client remains NPO until x-ray procedure is complete." RATIONALE: The nurse should use documentation that is specific and uses accepted terminology. The nurse can use the abbreviation "NPO", which is an accepted abbreviation for "nothing by mouth." 35. A nurse is using an interpreter to reinforce discharge teaching with a client who speaks a different language than the nurse. Which of the following actions should the nurse take? ANS: Observe the client's facial expressions during communication RATIONALE: The nurse should observe the client while the interpreter is speaking to the client. Both verbal and nonverbal behaviors, such as facial expressions and body language, can indicate whether the client understands what the interpreter is saying 36. A nurse is collecting data from a client who reports recent methamphetamine use. Which Of the following manifestations should the nurse expect? ANS: Dilated pupils RATIONALE: The nurse should expect a client who has stimulant intoxication to have dilated pupils. Other expected findings of stimulant intoxication include increased energy and hypervigilance 37. A nurse is working in an acute care facility when a natural disaster occurs. The facility must discharge clients to provide room for new admissions. Which of the following clients should the nurse recommend to the charge nurse for discharge? ANS: A client who has pneumonia and is currently receiving oral antibiotics RATIONALE: The nurse should recognize that this client can continue oral antibiotics at home. Therefore, this client is a candidate for discharge in a disaster situation 38. A nurse is assisting with the plan of care for a client who has bipolar disorder and is in the manic phase. Which of the following activities should the nurse recommend for the client? ANS: Walking outside with a staff member RATIONALE: During the manic phase of bipolar disorder, psychomotor activity is excessive. The nurse should include physical activity, such as walking, in the plan of care. Additionally, the one-on-one nature of the activity provides the client with a sense of security 39. A nurse is supervising an assistive personnel (AP) who is preparing to remove personal protective equipment (PPE) after providing direct care to a client who requires airborne and contact precautions. The nurse should recognize that the AP understands the procedure when which of the following PPE is removed first? ANS: Gloves RATIONALE: The greatest risk to the AP is contamination from pathogens that might be present on the PPE. Therefore, the priority actions for the AP to take is to remove the gloves, which are considered the most contaminated of the PPE. 40. A nurse in an outpatient surgery center is reinforcing discharge teaching with a client following a lithotripsy for uric acid stones. Which of the following instructions should the nurse plan to include in the teaching? ANS: Strain the urine to collect stone fragments RATIONALE: The client should verify passage of the stones by straining their urine. Laboratory analysis of the stones can provide information to help prevent future stone formation 41. A nurse is reinforcing teaching with a client who has hypercholesterolemia and a new prescription for atorvastatin. The nurse should instruct the client that which of the following findings is an adverse effect of this medication and should be reported to the provider? ANS: Muscle pain RATIONALE: The nurse should instruct the client to report findings of muscle pain or tenderness to the provider. These findings can be manifestations of myopathy, or muscle injury, which is a potential serious adverse effect of atorvastatin 42. A nurse is caring for a client who is recovering from a motor vehicle crash. The client's employer calls to ask if the client's injuries will prevent them from returning to work. Which of the following responses should the nurse make? ANS: "I cannot give you this information. You will need to speak with your employee." RATIONALE: Sharing client information with an employer is a violation of client confidentiality. HIPAA ensures that client information is kept confidential once it is disclosed in a health care setting. The nurse should inform the employer they will need to speak with the client directly 43. A nurse is assisting a client who is scheduled for a nonstress test (NST). Which of the following actions should the nurse take? ANS: Provide the client with a handheld event marker to record fetal activity RATIONALE: The nurse will provide the client with a handheld event marker for use in documenting fetal movement. The client will press the button every time they feel the fetus move throughout the test, which is then logged on the paper tracing recording the heart rate and activity of the Fetus 44. A nurse is reinforcing teaching with a client who is receiving radiation therapy for cancer of the larynx. Which of the following statements made by the client indicates an understanding of the teaching? ANS: "I should wear a soft scarf around my neck when I am outside." RATIONALE: A client receiving radiation therapy should cover the affected area with loose, soft clothing to protect the skin from sun Exposure 45. A nurse is reinforcing teaching with an older adult client who has severe left-sided heart failure. Which of the following statements should the nurse make? ANS: "Rest for 15 minutes between activities." RATIONALE: The nurse should instruct the client to increase activity gradually and tourist for a period of 15 min if fatigue occurs. Clients who have heart failure should balance activity with rest to reduce cardiac Workload. 46. A nurse is caring for a client who is scheduled to undergo a thoracentesis for a left pleural effusion. In which of the following positions should the nurse plan to place the client during the procedure? ANS: Upright with arms resting on the overbed table RATIONALE: The nurse should position the client upright with arms resting on the overbed table to widen the intercostal spaces and improve access to the pleural fluid 47. A nurse is talking with a client who says the provider agreed to initiate a do-not- resuscitate (DNR) prescription. After leaving the client's room, which of the following actions should the nurse take first? ANS: Check for documentation that the provider spoke with the client about theDNR RATIONALE: The first action the nurse should take when using the nursing process is to determine whether the provider documented the conversation appropriately. The nurse must ensure the client made an informed decision and that documentation meets legal requirements 48. A nurse is observing a client who is in the first stage of labor. Which of the following interventions should the nurse recommend for this client? (Select all that apply.) ANS: Squatting using an exercise ball. Counterpressure to the sacral area. Pelvic rocking. RATIONALE: Squatting using an exercise ball can help relax the pelvis and perineal area and can relieve pain during contractions.Counterpressure to the sacral area can help decrease pain by relieving pressure on the spinal nerves caused by the fetus's occiput.Pelvic rocking can relieve backache during the first stage of labor. To perform this action, the client hollows their back and then arches it to relieve back pain. 49. A nurse is caring for a group of clients. The nurse should fill out an incident report for which of the following situations? ANS: A visitor who develops a bruise on their head following a syncopal episode RATIONALE: The nurse should complete an incident report for an injury involving a client or visitor 50. A client is requesting information from a nurse about creating a health care proxy. Which Of the following statements should the nurse make? ANS: "The person you appoint will make healthcare decisions for you if you cannot do so yourself." RATIONALE: The nurse should instruct the client that a health care proxy designates a surrogate to make health care decisions when the client is no longer able to make decisions for themselves. 51. A client in a mental health facility unjustly accuses a nurse of stealing money from their room. Which of the following therapeutic responses Should the nurse make? ANS: "Tell me how you decided who took your money." RATIONALE: This response by the nurse is an example of therapeutic communication,in which the nurse validates the client's concern by encouraging them to describe their perception 52. A nurse is preparing to administer a dose of digoxin to a client who is receiving continuous tube feedings. Which of the following actions should the nurse take? ANS: Flush the feeding tube with water before and after administering the medication RATIONALE: To maintain patency of the feeding tube and to ensure that the client receives all of the medication, the nurse should flush the tubing before and after administration 53. A nurse is planning care for a 5-year-old child who is 8 hr postoperative following a tonsillectomy. Which of the following interventions should the nurse include in the plan of care? ANS: Administer PRN analgesics regularly for the first 24 hr. RATIONALE: The nurse should administer analgesics for the first 24 hr even if they are ordered on an as-needed basis. It is necessary to control pain postoperatively. Giving the analgesics regularly provides a steady state of analgesia. With pain being managed, children are more likely to consume fluids, remain hydrated, and avoid delayed discharge or readmissions for fluid volume deficit. 54. A nurse is reinforcing preoperative teaching with a client who will receive morphine through a PCA pump after surgery. Which of the following information should the nurse include? ANS: "You should increase your fluid intake while receiving this medication through the PCA pump." RATIONALE: The client should increase their fluid intake to prevent or relieve the adverse effect of constipation while receiving morphine through the PCA pump 55. A nurse is using the FLACC scale to determine the pain level of an 11-month-old infant who is postoperative. Which of the following factors should the nurse consider when using this pain scale? ANS: Level of activity RATIONALE: The nurse should consider the infant's activity level when using the FLACC pain scale. The FLACC score is determined by five categories of behavior: facial expression (F), leg movement (L), activity (A), cry (C), and consolability (C). 56. A nurse is receiving a change-of-shift report for four clients. The nurse should plan to collect data from which of the following clients first? ANS: A client who has asthma and had frequent exacerbations on the previous shift RATIONALE: When using the airway, breathing, circulation (ABC) approach to client care, the nurse should prioritize data collection from a client who has asthma. The client experienced several exacerbations of asthma on the previous shift, which can result in an obstruction of the client's airway [Show Less]
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RN Comprehensive Predictor 2019
1. A nurse is providing teaching about the gastrostomy tube feedings to the parents of a school age child. Which of the following instructions should the n... [Show More] urse take? A. Administer the feeding over 30 min. B. Place the child in as supine position after the feeding. C. Charge the feeding bag and tubing every 3 days. D. Warm the formula in the microwave prior to administration. 2. A nurse is administering digoxin 0.125 mg Po to an adult client. For which of the following findings should the nurse report to the provider? A. Potassium level 4.2 mEq/L. B. Apical pulse 58/min. C. Digoxin level 1 ng/ml. D. Constipation for 2 days. 3. A nurse is caring for a client who is comatose and has advance directives that indicate the client does not want life-sustaining measures. The client’s family want the client to have life-sustaining measures. Which of the following action should the nurse take? A. Arrange for an ethics committee meeting to address the family’s concerns. B. Support the family’s decision and initiate life-sustaining measures. C. Complete an incident report. D. Encourage the family to contact an attorney. 4. A nurse is caring for a client who wears glasses. Which of the following actions should the nurse take? A. Store the glasses in a labeled case. B. Clean the glasses with hot water. C. Clean the glasses with a paper towel. D. Store the glasses on the bedside table. 5. A nurse is teaching a group of newly licensed nurses about measures to take when caring for a client who is on contact precautions. Which of the following should the nurse include in the teaching? A. Remove the protective gown after the client’s room. B. Place the client in a room with negative pressure. C. Wear gloves when providing care to the client. D. Wear a mask when changing the linens in the client’s room. 6.A nurse is planning on care for a client who is recovering from an acute myocardial infarction that occurred 3 days ago. Which of the following instructions should the nurse include? A. Perform an ECG every 12 hr. B. Place the client in a supine position while resting. C. Draw a troponin level every 4hr. D. Obtain a cardiac rehabilitation consultation. 7. The nurse is reviewing the medical record of a client who is requesting combination oral contraceptives. Which of the following conditions in the client’s history is a contradiction to the use of oral contraceptives? A. Hyperthyroidism. B. Thrombophlebitis. C. Diverticulosis. D. Hypocalcemia. 8 A nurse is caring for a client who request the creation of a living will. Which of the following actions should the nurse take? A. Schedule a meeting between the hospital ethics committee and the client. B. Evaluate the client’s understanding of life-sustaining measures. C. Determine the client’s preferences about post mortem care. D. Request a conference with the client’s family. 9.A nurse is caring for an adolescent who has sickle-cell anemia. Which of the following manifestations indicates acute chest syndrome and should be immediately reported to the provider? A. Substernal retractions. B. Hematuria. C. Temperature 37.9 C (100.2 F). D. Sneezing. 10.A nurse is preforming a gastric lavage for a client who has upper gastrointestinal bleeding. Which of the .following action should the nurse take? A. Instill 500 ml of solution through the NG tube. B. Insert a large-bore NG tube. C. Use a cold irrigation solution. D. Instruct the client to lie on his right side. 11. A nurse is providing care for a client who is in the advance stage of amyotrophic lateral sclerosis. (ALS). Which of the following referrals is the nurse’s priority? A. Psychologist. B. Social worker. C. Occupational therapist. D. Speech-language pathologist. 12.A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis. Which of the following findings should the nurse report to the provider? A. WBC count 8,000/mm3. B. Platelets 150,000/mm3. C. Aspartate aminotransferase 10 units/L. D. Erythrocyte sedimentation rate 75 mm/hr 13. A nurse is caring for a client who has generalized petechiae and ecchymoses. The nurse should expect a prescription for which of the following laboratory tests? A. Platelet count. B. Potassium level. C. Creatine clearance. D. Prealbumin. 14. A nurse is caring for a client following application of a cast. Which of the following actions should the nurse take first? A. Place an ice pack over the cast. B. Palpate the pulse distal to the cast. C. Teach the client to keep the cast clean and dry. D. Position the casted extremity on a pillow. 15. A nurse is caring for a client who has vision loss. Which of the following actions should the nurse take? (Select all that apply) A. Keep objects in the client’s room in the same place. B. Ensure there is high-wattage lighting in the client’s room. C. Approach the client from the side. D. Allow extra time for the client to perform tasks. E. Touch the client gently to announce presence. 16. A nurse is caring for a client who is newly diagnosed with pancreatic cancer and has questions about the disease. To research the nurse should identify that which of the following electronic database has the most comprehensive collection of nursing (Unable to read) articles? A. MEDLINE B. CINAHL. C. ProQuest. D. Health Source. [Show Less]
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