ATI PN COMPREHENSIVE ONLINE
PRACTICE 2020 A WITH NGN GRADED A+
A nurse is caring for a client who is scheduled for a mastectomy the following day.
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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? - ANSWERS-
"Would you like for me to talk to the surgeon with you?"
The nurse should advocate for the clients 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.
A nurse is caring for a client who has borderline personality disorder and states, "I am
going to kill my partner when i get out of here." Which of the following actions should the
nurse take? - ANSWERS-Notify the client's care team about the threats against their
partner.
The nurse should notify the client's care team about any threats the client makes toward
others. Failure of the nurse to report threats made toward others is considered
negligence.
A nurse is caring for a client who is actively dying from cancer. Which of the following
actions should the nurse take? - ANSWERS-Moisten the client's conjunctiva with sterile
normal saline.
If the client's eyes are open, the nurse should moisten the conjunctiva with sterile
normal saline, artificial tears, or an ophthalmic lubricating gel.
A nurse is reinforcing teaching about puberty with a group of prepubescent female
clients. Which of the following information should the nurse include in the teaching? -
ANSWERS-"You will likely gain weight before you start to get taller."
Weight gain typically occurs before height increases, and this can present body image
issues for this age group.
A nurse is making assignments for the upcoming shift. Which of the following tasks
should the nurse plan to delegate to an assistive personnel (AP)? - ANSWERS-Perform
postmortem care for a client who died 1 hr ago.
Performing postmortem care is within the range of function for an AP. Therefore, the
nurse should delegate this task to an AP.
A nurse is contributing to the plan care for a client who has viral meningitis. Which of the
following interventions should the nurse include? - ANSWERS-Place the client in a
private room.
The nurse should place a client who has viral meningitis in a private room to prevent the
transmission of the virus. Direct contact with a contaminated surface or the saliva,
mucus, or feces of the person who has the infection transmits viral meningitis.
A nurse is monitoring a client who is receiving lactated Ringer's 500mL IV over 4 hr. The
drop factor of the manual IV tubing is 10 gtt/mL. The nurse should check that the
manual IV infusion is delivering how many gtt/min? (Round answer to the nearest whole
number. Use a leading zero if it applies. Do not use a trailing zero.) - ANSWERS-21
gtt/min
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? - ANSWERS-Use intermittent urinary catheterization for
the client at regular intervals.
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.
A nurse is assisting with the transfer of a client to a long-term care facility. The nurse
should review which of the following sections of the electronic health record to locate
information about the client's personal health insurance? - ANSWERS-Admission Sheet
The nurse will find client data, such as date of birth, occupation, and the client's source
of health insurance, on the client's admission sheet.
A nurse is administering morning medications to a client. The client questions the nurse
regarding a medication that they do not recognize. Which of the following actions should
the nurse take first? - ANSWERS-Verify the prescription in the client's medical record.
The first action the nurse should take when using the nursing process is to collect more
data. By verifying the prescription in the client's medical record, the nurse can ensure
that the medication is prescribed for the client.
NGN: A nurse is collecting data on a newborn who is 3 days old. Click to highlight the
findings that require follow-up. To deselect a finding, click on the finding again. -
ANSWERS--Temperature 36.4 (97.5)
-Mild tremors noted when awake.
-Weight 2,545g (5 lb 9 oz) 12% weight loss
-Breastfeeding every 3 to 5 hr for 5 to 10 min. Birth parent reports nipple discomfort
throughout the feeding.
A nurse is reviewing various defense mechanisms with a newly licensed nurse. Which
of the following client statements should the nurse use as an example of rationalization?
- ANSWERS-"I didn't get a good grade because my teacher does not like me."
The nurse should recognize this statement as the use of rationalization by a client.
Rationalization is used as a means of justifying unreasonable feelings, thoughts, or
actions.
NGN: A nurse in a provider's office is caring for a client who is at 34 weeks of gestation.
Which of the following instructions should the nurse anticipate providing to the client? -
ANSWERS-"Monitor your blood pressure using your right arm daily."
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? - ANSWERS--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.
A nurse is reviewing the electronic health records of four clients. Which of the following
client conditions should the nurse recognize as reportable to a regulatory agent? -
ANSWERS-A client who is newly diagnoses with tuberculosis.
The nurse should identify that certain communicable diseases, such as tuberculosis,
require notification of the local and state health departments.
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 which
of the following interprofessional team members? - ANSWERS-Occupational Therapist
The nurse should identify the need for a referral to an occupational therapist to teach
the client how to use special eating utensils.
A nurse is reinforcing teaching about self-administration of enoxaparin. Which of the
following instructions should the nurse include? - ANSWERS-Administer by
subcutaneous injection.
The nurse should include that enoxaparin should be injected into the subcutaneous
tissue.
NGN: A nurse is assisting with care for a newborn.
The nurse should plan to collect data about the newborn's _________, followed by the
newborn's _________. - ANSWERS-1. respiratory rate [Show Less]