Ati Comprehensive Predictor Exam 2019 B
1. A nurse is caring for a client who does not speak the same language as the nurse. When working with the
... [Show More] client through an interpreter, which of the following actions should the nurse take?
a. Talk directly to the client, instead of the interpreter, when speaking.
b. Use a family member as the client's interpreter.
c. Make sure that the interpreter has a college degree.
d. Avoid asking the client personal questions through the interpreter.
2. A nurse is reviewing evidence-based practice principle about administration of oxygen therapy with a newly licensed nurse. Which of the following actions should the nurse include?
a. Regulate the flow rate by aligning the rate with the top of the ball inside the flow meter.
b. Regulate oxygen via nasal cannula at a flow rate of no more than 6 L/min.
c. Make sure the reservoir bag of a partial rebreathing mask remains deflated.
d. Use petroleum jelly to lubricate the client's nares, face, and lips.
3. A nurse is completing an admission assessment of an older adult client. Which of the following findings should the nurse identify as a potential indication of abuse?
a. Loss of skin turgor on the back of the hands
b. Varicosities on the lower extremities
c. Thick, discolored nails with ridges
d. Bruises on the arms in various stages of healing
4. A nurse is calculating a client’s fluid intake over the past 8 hours. Which of the following items should the nurse plan to document on the client’s intake and output record as 120 mL of fluid?
a. 2 cups of soup
b. 1 quart of water
c. 8 oz of ice chips – 4 oz of water = 120 mL of fluid. The nurse should ½ the volume of ice when calculating fluid intake to account for the air between the chips.
d. 6 oz of tea
5. A nurse is planning care for a client who has fluid overload. Which of the following actions should the nurse plan to take first?
a. Reduce dietary sodium
b. Administer a loop diuretic.
c. Evaluate electrolytes.
d. Restrict intake of oral fluids.
6. A nurse enters a client’s room and finds her on the floor. The client’s roommate reports that the client was trying to get out of a bed and fell over the bedrail onto the floor. Which of the following statements should the nurse document about this incident?
a. "Incident report completed."
b. "Client climbed over the bedrails."
c. "Client found lying on floor."
d. "Client was trying to get out of bed." [Show Less]