ATI PN Comprehensive PredictorForm B Questions and Answers LATEST, 2020/2021 1. A nurse in a long-term care facility is assisting with an inservice for
... [Show More] newly hired assistive personnel about legal issues within the facility. WhichofIthe following should the nurse include as an example ofIassault? ANS: Informing a client the nurse is going to administer an injection even though the client refuses . 2. A nurse is collecting data from who is severe pain. Which ofIthe following questions should the nurse ask first? ANS: "Where is your pain located?" 3. A nurse is reviewing the laboratory results for a client who is at 29 weeks gestation. For which of the following results should the nurse notify the provider? ANS: Platelet count 95,000 mm3 4. A nurse is performing a dressing change for a client who had abdominal surgery 5 day s ago. The nurse notes organs protruding from the incision. Which ofIthe following act ions should the nurse take? ANS: Cover the exposed area with sterile, saline-soaked dressings. 5. A nurse is speaking with the adult daughter ofIa client who has Alzheimer's disease. T he daughter states, "I love my dad, but contact: royfields212@gmail.com caring for him is wearing me out." Which ofIth e following response should the nurse make? ANS: "Let's discuss how caring for your father is afollowingecting your health. 6. A nurse is contributing to the plan ofIcare for a care for a client who has chest tube co nnected to a closed drainage system. Which ofIthe following actions should the nurse i nclude in the plan of care? ANS: Maintain the drainage system below the level ofIthe client's chest. 7. 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 ofIhere." Which ofIthe following actions should the nurse take? ANS: Notify the client's care team of the threats against the partner 8. A nurse is admitting a client who is at high risk for suicide. Which ofIthe following actions is the nurse's priority? ANS: Search the client's personal belongings 9. A nurse is caring for a client who is 1 day postoperative and is unable to ambulate. W hich ofIthe following actions should the nurse take to promote the client's venous return? ANS: Maintain the sequential compression device. 10. A nurse on an acute care unity is collecting data from a schoolage Child who has cystic fibrosis. Which ofIthe following findings is the priority for the nurse? ANS: Reports lack ofIappetite 11. a nurse working in a provider's ofollowingice receives a phone call from the parent ofIa schoolage child who has varicella. The parent asked the nurse when the child can return to school. Which ofIthe following responses should the nurse make? ANS: "When the lesions have scabbed over." 12. A nurse in a pediatric clinic is collecting the data from a schoolage child whose injuries are inconsistent with the parent's stated cause. Which ofIthe following actions should the nurse take? ANS: Report the suspected abuse to a appropriate agency. 13. A nurse is collecting data from a middle adult female client who is taking melatonin.Which ofIthe following responses to the med should the nurse expect? ANS: Improved sleep 14. A nurse on a pediatric unit is collecting data from four newly admitted clients. Which ofIthe following clients should the nurse identify as being at risk for urinary retention?ANS: A schoolage child who has allergic rhinitis and is taking diphenhydramine. 15. A nurse is preparing to administer purified protein derivative (PPD) to a client who ha s suspected TB. Which ofIthe following actions should the nurse plan to take? ANS: Ensure the injection produces a wheal on the skin 16. A client who is diagnosed with Parkinson's disease verbalizes frustration due to increas e difollowingiculty with ambulation. Which ofIthe following responses should the nurs e take? ANS: Perform active ROM with your arms and legs two times a day. 17. a Nurse is collecting data from a client who has multiple fractures following a motor-vehicle crash. For which ofIthe following client statements ANS: "I am so frustrated. I cannot even open my milk carton for breakfast." 18. A nurse is caring for a client who is 4 hr postoperative following a total thyroidectomy . Which ofIthe following manifestations should the nurse report to the provider as indicating possible hypocalcemia? ANS: Tingling ofIfingers 19. A nurse is caring for a client who has a Penrose drain. To ensure proper placement an d functioning ofIthe drain, which ofIthe following should the nurse expect to observe? ANS: The safety pin is present at the distal end ofIthe drain. 20. A community health nurse is helping to reinforce teaching about hepatitis A with a group ofIemployees at a childcare facility. Which ofIthe following characteristics should t he nurse identify as an external factor that can impede learning for the participants? ANS: Poor lighting in the learning setting 21. A nurse is observing newly licensed nurse who is providing tracheostomy care for a cli ent. The nurse identifies proper performance ofIthe procedure when the newly licensed nurse selects which ofIthe following solutions to clean the inner cannula? ANS: Hydrogen peroxide 22. A nurse is caring for a client who has right sided heart failure. The client's partner exp resses concern the the client will die. Which ofIthe following responses should the nurse make? ANS: "It is difollowingicult to see someone so sick. What have you been told about your partner's prognosis?" 23. A nurse is reinforcing discharge instructions with the parent ofIan infant who has rotav irus. which ofIthe following statements by the parent indicates an understanding ofIthe teaching? ANS: "I will apply diaper cream to my baby's skin during each diaper change." 24. A nurse is caring for a client who is scheduled for surgery in the morning. The nurse l earns that the client has decided not to have surgery even though he has already signedthe informed consent form. Which ofIthe following actions should the nurse take? ANS: Report the situation to the provider who obtained the informed consent. 25. A nurse has to administer medications to a group ofIclients. For which ofIthe following client situations should the nurse complete and incident report? ANS: The nurse administered insulin lispro to a client who has diabetes mellitusand is NPO. 26. a nurse is collecting data from a client who is experiencing a situational crisis followin g the loss of a job. The client states, I don't think I can go through this again. Which o fIthe following actions is the nurse's priority? ANS: Determine ifIthe client is experiencing psychotic thinking. 27. A nurse is reinforcing discharge teaching with a client who is 48 hr post op from a ma stectomy. Which ofIthe following statements by the client indicates an understanding o fIthe teaching? ANS: "I will wear rubber gloves whenever I wash dishes or do yard work." 28. a Nurse is reinforcing teaching about home care for conjunctivitis with the parent ofIa school age child. which of the following information should the nurse include? ANS: Separate the child's used washcloth from those ofIothers. 29. a Nurse prescribes levothyroxine 0.3 PO daily for a client. Available is levothyroxine 1 50mcg/tablet. How many tablets should the nurse administer? ANS: 2 30. a nurse is collecting data from an older adult client during a routine physical exam. W hich ofIthe following client statements should the nurse identify as a possible indication ofIabuse? ANS: "My son took my wallet so he can keep track ofIwhat I'm spending." 31. A nurse is assisting with a presentation at a community center about personal disaster preparedness. which ofIthe following strategies should the nurse recommend for preparing a home disaster supply kit? ANS: Have a supply of prescribed medications. 32. A nurse is reinforcing teaching on food selection with a client who has a moderate burn injury. Which ofIthe following foods should the nurse recommend as being high inVitamin C. ANS: Tomatoes 33. A nurse on a medical surgical unit is delegating tasks to an assistant. Which ofIthe following tasks should the nurse delegate to the Assistant? ANS: Obtaining a client's vital signs prior to discharge 34. A Nurse is caring for a client in Buck's Traction. Which ofIthe following actions should the nurse take? ANS: Allow the weights to hang freely. 35. A nurse in a long term care facility is contributing to the plan ofIcare for a client whohas a new ostomy. Which ofIthe following actions should the nurse plan include?ANS: Change the appliance two times each week. 36. A nurse is receiving report on 4 clients Which ofIthe following clients should the nurse plan to see first. ANS: A client who has pneumonia and a new onset ofIconfusion 37. A nurse is reinforcing discharge teaching with a client who has a t Tube in place follo wing a cholecystectomy. Which ofIthe following instructions should the nurse include in the teaching? ANS: Empty the drainage bag each day at the same time. 38. A nurse is assisting with monitoring a client who is in laborIand has spontaneous rupture ofImembranes following a vaginal examination. The provider reports the client's cer vix is dilated to 1 cm with an unengaged presenting part. Which ofIthe following actio ns should the nurse take? ANS: Apply the external fetal heart rate monitor. 39. A Nurse is collecting data from a client who has bipolar disorder and is experiencing acute mania. Which of the following findings is the nurse's priority? ANS: lack ofIsleep 40. A nurse is reinforcing teaching with a client who has a type 2 diabetes mellitus and re ports waking during the night with tremors and anxiety. which ofIthe following inform ation should the nurse provide to help the client manage his symptoms? ANS: Eat a bedtime snack 41. a Nurse is reinforcing teaching for a client who has a coronary artery disease and is taking lowdose aspirin daily. The nurse should include that this medication has which of the following therapeutic efollowingects for CAD? ANS: Antiplatelet [Show Less]