ATI PN Comprehensive Predictor Form A |Questions
and Answers
6.A nurse is assisting with planning palliative care for a client who has stage IV
... [Show More] cancer
and is in the active stage of dying. Which of the following interventions should the nurse
include in the plan of care?
ANS: Administer atropine to reduce the client's respiratory secretions
RATIONALE: The nurse should administer atropine to reduce terminal respiratory secretions
and reduce noisy ventilations called "the death rattle."
7.A nurse in a pediatric clinic is collecting data from a toddler. Which of the following
findings should the nurse identify as a possible indication of physical neglect?
ANS: The toddler is inadequately dressed for the weather
RATIONALE: Inappropriate dress is a suggestive finding of physical
neglect. The nurse should collect further data for other indicators of
physical neglect
8.A nurse enters the room of an adolescent client and finds them on the floor
experiencing a tonic-clonic seizure. Which of the following actions should the nurse take
when the seizure subsides?
ANS: Keep the client in a side-lying position
RATIONALE: The nurse should keep the client in a side-lying position
to facilitate drainage of any secretions and prevent aspiration
9.A nurse is contributing to the plan of care for a client who has a prescription for
range-of-motion exercises of the shoulder. Which of the following exercises should the
nurse recommend to promote shoulder hyperextension?
ANS: Move the arm behind the body with the elbow straight
RATIONALE: Hyperextension of the shoulder involves the deltoid, teres
major, and latissimus dorsi muscles. The client performs this motion by
moving their arm behind their body while keeping the elbow straight
10.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?
ANS: "I didn't get a good grade because my teacher doesn't like me."
RATIONALE: The nurse should recognize this statement as the use of
rationalization by a client. Rationalization is used as a means [Show Less]