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
... [Show More] instructions 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
ATI PN Comprehensive Predictor
LATEST, 2020/2021
Form A |Questions and Answers|
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 [Show Less]