NGN-ATI RN COMPREHENSIVE PREDICTOR 2023 RETAKE UPDATED ON ... - $34.95 Add To Cart
RN Comprehensive Predictor 2019 Form A 1. A nurse in a pediatric unit is preparing to insert an IV catheter for 7-year-old. Which of the following actio... [Show More] ns should the nurse take? A. (Unable to read) B. Tell the child they will feel discomfort during the catheter insertion. C. Use a mummy restraint to hold the child during the catheter insertion. D. Require the parents to leave the room during the procedure. 2. A nurse is caring for a client who has arteriovenous fistula Which of the following findings should the nurse report? A. Thrill upon palpation. B. Absence of a bruit. C. Distended blood vessels D. Swishing sound upon auscultation. 3. A nurse is providing discharge teaching for a client who has an implantable cardioverter defibrillator which of the following statements demonstrates understanding of the teaching? A. “I will soak in the tub rather and showering” B. “I will wear loose clothing around my ICD” C. “I will stop using my microwave oven at home because of my ICD” D. “I can hold my cellphone on the same side of my body as the ICD” [Show Less]
iii. A nurse is providing care for a patient who has depression and is to have electroconvulsive therapy.Which of the following conditions should the nur... [Show More] se identify as increasing the client’s risk for complications? A. Hyperthyroidism B. Renal calculi C. Diabetes mellitus D. Cardiac dysrhythmias iv. 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 v. 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 [Show Less]
A nurse is assessing a client who has minor injuries following a motor-vehicle crash and appears agitated and apprehensive. The nurse identifies that the... [Show More] client is in the arm stage of general adaptation syndrome and should expect which of the following findings. Tachycardia 8. A nurse is caring for a client who has a femur fracture and is on bedrest with Buck’s extension traction. which of the following actions should the nurse take? A. Inspect the client’s skin under the device every 8 hours 9. A charge nurse is creating assignments for the next shift for several nurses and one of them is pregnant. Which of the following clients should the charge nurse assign to a nurse who is not pregnant? A. A 60-year-old client who is recovering from shingles B. A 20-year-old client who is HIV positive C. A 40-year-old client who is suspected of having tuberculosis D. An 80-year-old client who has alcoholic pancreatitis and is being treated for impetigo 10. A nurse is caring for a client who has a partial laryngectomy and is receiving continuous internal feeding at 65 ml/hr through a gastrostomy tube. which of the following findings requires immediate intervention by the nurse? A. The gastric residual volume is 250 mL following two hours of infusion. B. The client is lying in a supine position. C. The infusion pump for administering continuous feeding is turned off. D. Interior feeding bag and tubing are not dated. 11. A nurse is teaching a client about smoking cessation. Which of the following client statements should the nurse identify as an understanding of the teaching? A. If I stop abruptly I cannot use a nicotine replacement. B. After 6 months, my risk of heart disease is the same as that of a nonsmoker C. I will set a specific date to stop smoking D. I will use high carbohydrate snacks as a substitute for cigarette. 12. A nurse has been caring for a female client who has bruises on her arms that are a result of physical abuse by her partner. The client states, "I don't know how much longer I can takethis, but I'm afraid he'll really hurt me if I leave" Which of the following is an appropriate nursing intervention? A. Assist the client to identity personal behaviors that trigger abusive behavior B. Insist that the client report the abusive behavior to the proper authority C. Offer to speak to the client’s partner regarding his abusive behavior D. Help the client to recognize the signs of escalation of abusive behavior 13. A client who is 8 hr postpartum asks the nurse if she will need to receive Rh immune globulin. The client is gravid 2, para 2, and her blood type is AB negative. The newborn's blood type is B Positive. Which of the following statements is appropriate? A. "You only need to receive Rh immune globulin if you have a positive blood type. " B. "You should receive Rh immune globulin within 72 hours of delivery." C. "Both you and your baby should receive Rh immune globulin at your week appointment." D. "immune globulin is not necessary since this is your second pregnancy." 14. A client hospitalized for a bone marrow transplant is in protective isolation while undergoing total body radiation and intense chemotherapy. The client’s sibling comes to visit but has obvious manifestations of an upper respiratory infection. which of the following nursing actions is appropriate at this time? A. Allow the sibling to wave at the client through the window or door. B. Allow the sibling to visit after donning a sterile gown, mask and gloves, but prohibit physical contact. C. D. 15. A nurse is planning care for a client who takes haloperidol for the treatment of schizophrenia. which of the following should the nurse include in the plan of care? A. Monitor the client for hypothermia B. Screen the client for tardive dyskinesia C. Check the client’s weekly potassium level D. Schedule the client for a 24hr urine collection 16. A nurse is performing a vision screening for a client. which of the following findings should the nurse identify as an indication that the client has cataracts? A. Report of a chronic dull ache in the eyes B. Bilateral redness of the sclerae C. Increased opacity of the lens of the eye D. Report of seeing halos around lights [Show Less]
*A nurse is caring for a newborn who is 1hr old. The mother received fentanyle (Sublimaze) 30 min before delivery. For which of the following should the ... [Show More] nurse monitor for in the newborn? Hyperbillrubinemia Hypoglycemia Respiratory depression Increased heart rate **A nurse is reinforcing discharge teaching with the parent of a school-age child who had a tonsillectomy. Which of the following statements by the parent indicates an understandin of the instructions? I will encourage my child to drink 4 ounces of orange juice twice a day I will allow my child to chew gum to prevent throat pain I will ensure my child uses a straw to drink fluids I will give my child chocolate ice cream ** A nurse is reviewing the laboratory results for an infant receiving gentamicin intermittent IV bolus twice daily and notes the serum creatinine is 0.9 mg/dL. The nurse is aware that this result can indicate an adverse effect on which of the following systems? Hepatic Renal Gastrointestinal Endocrine **A is reinforcing teaching with an adolescent client about a scheduled blood draw of HbA1c. The nurse knows that the client understands the purpose for this test when the client states that this test will measure his average blood glucose level over the past 2 to 3 days 6 weeks 2 to 3 months 6 months **A nurse is caring for a client in Buck’s traction. Which of the following interventions should the nurse perform while the client is in this traction? [Show Less]
1. A nrse is caring for a client who has compartment syndrome following the application of a tast to the leg. Which of the following.. nrse take? A. Ch... [Show More] eck the client's pedal pulses B.Administer a dose of antlemetic medication C.Position the client's leg above the level of the heart D.Apply ice to the extremity 2. A nrse is providing teaching about home safety to the adult child of an older adult client who is postoperative following knee replacement surgery.Which of the following instructions should the nrse include A. Place a throw rug over electrical cords B. Encourag the client to avoid wearing shoes at home C.Mark the edges of the doorway to the house with tape D.Ensure that area rugs have rubber backs 3. A nrse manager is reviewing the steps of the progressive discipline process prior to counseling a staff member who exhibits unprofessional behavior. Identify the sequence of steps the nrse manager should plan to take in response to the staff member's conduct. (Move the steps into the box on the right, placing them in order of performance. Use all the steps.) 2- Give the staff member a written earning about the behavior. 1- Verbally remind the staff member of the expected behavior changes. 4- Suspend the staff member from employment at the facility 5- Dismiss the staff member from employment at the facility. 3- Set up a meeting to speak with the staff member about the behavior.A nrse in an emergency department is caring for a toddler who has burns following a house fire. Which of the following actions should the nrse take first? A. Calculate the fluid replacement based on vital signs and urinary B. outputDetermine the location and depth of burns C. Administer antibiotics to prevent sepsis. D. Check the mouth for smooth and smoky breath 5. A nrse is caring for a client who has a pressure injury on the coccyx .Which of thefollowing should indicateto the nrse that… a stage III pressure injury ? A. Bone is exposed within the wound B. Shough and eschar is present C. Subcutaneous fat is visible D. The skin is reddened and intact 6. (OJO) A newly licensed nrse is unsure if an assigned task is within their scope of practice. which of the following resources should the nrse consult? A. Written prescription from the provider B. .Institutional policies and procedures C. Verbal direction from the nrse manager D. State Nrse Practice Act 7. A nrse is caring for a client who has a prescription for 1 unit of packed RBCS. Flve minutes after beginning the transfusion… with chills. After stopping the transfusion, which of the following actions should the nrse taket? A. Infuse 500 mL lactated Ringer's Iv. B. Adininister epinephrine Subcutaneously. C. Document the reaction in the medical record. D. Place the blood bag in a biohazard bag before discarding [Show Less]
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 in... [Show More] structions 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 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 second [Show Less]
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