ATI PN Comprehensive Predictor Form B_2020 / 2021
100% Correct Answers
1. A nurse is caring for a client who is 4 hr postoperative ff a total
... [Show More] thyroidectomy. Which of the ff manifestations should the nurse report to the provider as indicating possible hypocalcemia?
ANS: Tingling of fingers
2. A nurse in a long-term care facility is assisting with an in-service for newly hired assistive personnel about legal issues within the facility. Which of the ff should the nurse include as an example of assault?
ANS: Informing a client the nurse is going to administer an injection even though the client refuses
.
3. A nurse is collecting data from who is severe pain. Which of the ff questions should the nurse ask first?
ANS: "Where is your pain located?"
4. A nurse is reviewing the laboratory results for a client who is at 29 weeks gestation. For which of the ff results should the nurse notify the provider?
ANS: Platelet count 95,000 mm3
5. A nurse is performing a dressing change for a client who had abdominal surgery 5 days ago. The nurse notes organs protruding from the incision. Which of the ff actions should the nurse take?
ANS: Cover the exposed area with sterile, saline-soaked dressings.
6. A nurse is speaking with the adult daughter of a client who has Alzheimer's disease. The daughter states, "I love my dad, but caring for him is wearing me out." Which of the ff response should the nurse make?
ANS: "Let's discuss how caring for your father is affecting your health.
7. A nurse is contributing to the plan of care for a care for a client who has chest tube connected to a closed drainage system. Which of the ff actions should the nurse include in the plan of care?
ANS: Maintain the drainage system below the level of the client's chest.
8. A nurse in an acute mental health facility is caring for a client who has borderline personality disorder and reports. "I am going to kill my girlfriend when I get out of here." Which of the ff actions should the nurse take?
ANS: Notify the client's care team of the threats against the partner
9. A nurse is admitting a client who is at high risk for suicide. Which of the ff actions is the nurse's priority?
ANS: Search the client's personal belongings
10. A nurse is caring for a client who is 1 day postoperative and is unable to ambulate. Which of the ff actions should the nurse take to promote the client's venous return?
ANS: Maintain the sequential compression device.
11. A nurse in a pediatric clinic is collecting the data from a school-age child whose injuries are inconsistent with the parent's stated cause. Which of the ff actions should the nurse take?
ANS: Report the suspected abuse to a appropriate agency.
12. A nurse is collecting data from a middle adult female client who is taking melatonin. Which of the ff responses to the med should the nurse expect?
ANS: Improved sleep
13. A nurse on a pediatric unit is collecting data from four newly admitted clients. Which of the ff clients should the nurse identify as being at risk for urinary retention?
ANS: A school-age child who has allergic rhinitis and is taking diphenhydramine.
14. A nurse is preparing to administer purified protein derivative (PPD) to a client who has suspected TB. Which of the ff actions should the nurse plan to take?
ANS: Ensure the injection produces a wheal on the skin
15. A client who is diagnosed with Parkinson's disease verbalizes frustration due to increase difficulty with ambulation. Which of the ff responses should the nurse take?
ANS: Perform active ROM with your arms and legs two times a day.
16. a Nurse is collecting data from a client who has multiple fractures following a motor- vehicle crash. For which of the following client statements
ANS: "I am so frustrated. I cannot even open my milk carton for breakfast."
17. A nurse on an acute care unity is collecting data from a school-age Child who has cystic fibrosis. Which of the following findings is the priority for the nurse?
ANS: Reports lack of appetite
18. a nurse working in a provider's office receives a phone call from the parent of a school- age child who has varicella. The parent asked the nurse when the child can return to school. Which of the following responses should the nurse make?
ANS: "When the lesions have scabbed over."
19. A nurse is caring for a client who has a Penrose drain. To ensure proper placement and functioning of the drain, which of the following should the nurse expect to observe?
ANS: The safety pin is present at the distal end of the drain. [Show Less]