ATI PN COMPREHENSIVE WITH NGN 2023 Form A EXAM/ ATI PN COMPREHENSIVE PREDICTOR NEXT GENERATION Form A EXAM| QUESTIONS AND VERIFIED ANSWERS WITH
... [Show More] RATIONALES| NEWLY UPDATE 2023/ 2024
1. A nurse is assisting with the care of a client who has a terminal ill-ness. The client practices Orthodox Judaism. Which of the following actions should the nurse take?
Answer: Assure the client that a family member will stay with the body after death
R The nurse should assure the client that a family member will remain with the body until burial
2. A nurse is preparing to administer an IM immunization to a preschooler. Which of the following statements should the nurse plan to make prior to performing the injection?
Answer: Let's give the medicine to your doll first
R When preparing a preschooler for a procedure, the nurse should use play to assist the child in understanding the procedure. By using the child's doll and neutral, concrete terms such as "medicine," the nurse can prepare the child for the injection in a nonthreatening way
3. A nurse is contributing to the plan of care for a client who is receiving con- tinuous bladder irrigation following a transurethral resection of the prostate (TURP). Which of the following interventions should the nurse include?
Answer: Maintain a drainage flow rate to keep the urine diluted to a reddish-pink color
R The nurse should maintain the flow rate of the bladder irrigation to keep the urine diluted to a reddish-pink color and the tubing free of clots and bleeding
4. A nurse is using an interpreter to reinforce discharge teaching with a client who speaks a different language than the nurse. Which of the following actions should the nurse take?
Answer: Observe the client's facial expressions during communication
R The nurse should observe the client while the interpreter is speaking to the client. Both verbal and nonverbal behaviors, such as facial expressions and body language, can indicate whether the client understands what the interpreter is saying
5. A nurse is reinforcing teaching with an older adult client who has severe left-sided heart failure. Which of the following statements should the nurse make?
Answer: "Rest for 15 minutes between activities."
R The nurse should instruct the client to increase activity gradually and to rest for a period of 15 min if fatigue occurs. Clients who have heart failure should balance activity with rest to reduce cardiac workload.
6. A nurse is reinforcing teaching with a client who is receiving radiation therapy for cancer of the larynx. Which of the following statements made by the client indicates an understanding of the teaching?
Answer: "I should wear a soft scarf around my neck when I am outside."
R A client receiving radiation therapy should cover the affected area with loose, soft clothing to protect the skin from sun exposure
7. A nurse is assisting with planning palliative care for a client who has stage IV cancer and is in the active stage of dying. Which of the following interventions should the nurse include in the plan of care?
Answer: Administer atropine to reduce the client's respiratory secretions
R The nurse should administer atropine to reduce terminal respiratory secre- tions and reduce noisy ventilations called "the death rattle."
8. A nurse is caring for a group of clients. The nurse should fill out an incident report for which of the following situations?
Answer: A visitor who develops a bruise on their head following a syncopal episode
R The nurse should complete an incident report for an injury involving a client or visitor
9. A nurse is reviewing the electronic health records of four clients. Which of the following client conditions should the nurse recognize as reportable to a regulatory agency?
Answer: A client who is newly diagnosed with tuberculosis
10. A nurse is caring for a client who adheres to a kosher diet. Which of the following food selections should the nurse expect to see on the client's meal tray?
Answer: Spaghetti noodles with red sauce
11. A nurse is collecting data from a client who has chronic hepatitis. of the following locations should the nurse expect the client to poi indicate hepatic tenderness?
Answer: (You will find hot spots to select in th below. Select only the hot spot that corresponds to your answer.):
12. A nurse is assisting with teaching a group of local residents at a community health fair about the Dietary Approaches to Stop Hypertension (DASH) diet. Which of the following statements by a resident indicates an under- standing of the teaching?
Answer: "I will keep my intake of sodium less than 2,300 milligrams per day."
R DASH principles include limiting daily sodium intake to less than 2,300 mg/day. Individuals who have an increased risk for hypertension, such as clients who have kidney disease and diabetes, should reduce intake of sodium to 1,500 mg/day. [Show Less]