ATI PN COMPREHENSIVE PREDICTOR 2020 RETAKE GUIDE test
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1. A nurse in a LTC facility notices a client who has Alzheimer’s disease standing at the
... [Show More] exit door at the end of the
hallway. The client appears to be anxious & agitated. What action should the nurse take?
ANSWER: Escort the client to a quiet area on the nursing unit.
- A client c Alzheimer experiences chronic confusion. Guiding the client to a quiet, familiar area will help decrease
agitation. They will be unable to follow instructions/commands.
2. A nurse is assisting with the plan of care for a client who has a continent urinary diversion. Which intervention
should the nurse plan to implement to facilitate urinary elimination?
ANSWER: Use intermittent urinary catheterization for the client at regularintervals.
- A continent urinary diversion contains valvesthat 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.
3. A nurse is assisting with an education program about car restraintsafety for a group of parents. Which statement
by the parent indicates an understanding of the instructions?
ANSWER: “My 12YO child should place the shoulder-lap seatbelt low across his hips.”
- When a child is old enough to only use a shoulder-lap seatbelt, he should place it low across his hips rather than
over the abdomen to reduce risk for injury during motor vehicle crash.
4. A nurse isreinforcing teaching about strategiesto promote eating with a client who has COPD. Which
instructionsshould the nurse include in the teaching?
ANSWER: Drink high-protein and high-calorie nutritionalsupplements.
- The nurse should instruct the client to drink high-protein and high-calorie nutritionalsupplements to maintain
respiratory muscle function. COPD causesrespiratory stressthat leadsto hypermetabolism and wasting of the
client’s muscle mass.
5. When removing PPE after direct care for a client who requires airborne & contact precautions, which PPE is
removed first?
ANSWER: Gloves
- The greatest risk is contamination from pathogensthat might be present on the PPE; therefore, the priority
action for the AP is to remove the gloves, which are considered the most contaminated.
6. A nurse is inspecting the skin of a newborn. Which finding should the nurse report to the PCP?
ANSWER: Generalized Petechiae
- Petechiae are an expected finding over the presenting part of the newborn, such as on the forehead in a brow
presentation, & also anywhere on the head of infants who had a nuchal cord, w/c is an umbilical cord around the
neck. However, petechiae all over the newborn’s body can indicate infection or decreased platelet count and
should be reported to the provider.
7. A nurse is contributing to a teaching plan for a group of male adolescents about the A/E of anabolic steroid use.
Which manifestations should the nurse include?
ANSWER: Reduced height potential
- Use of anabolic steroidsin adolescence can lead to premature epiphyseal closure, thusreducing full height
potential. A/E includes: Liver disorders, hyperlipidemia, breast enlargement, acne, and edema.
8. A nurse isreinforcing teaching with an older adult client who hassevere L-sided HF. Which statementshould the
nurse make?
ANSWER: Rest for 15 minutes between activities.
- The nurse should instruct to increase his activity gradually & to rest for a period of 15 min if he becomestired.
Clients who have HF should balance activity c rest to reduce cardiac workload.
9. A nurse in a LTC facility is documenting the care of an older adult client. Which information should be included in
weekly nursing care summary?
ANSWER: Hydration Status
- Older adult client are at risk for dehydration. Therefore, the nurse should be vigilant about monitoring the
client’s hydration status & include this information in the weekly nursing care summary.
10. A nurse is caring for a client who has a head injury. Using the Glasgow Coma Scale to collect data, the nurse
should obtain which information?
ANSWER: Motor Response
- The nurse should collect data about the client’s motorresponse& assign the response a score of 1-6, according
to the Glasgow Coma Scale. [Show Less]