ATI_RN_COMPREHENSIVE_PREDICTOR_EXAM_SEVERAL_Q_A,VERIFIED AND 100% CORRECT
Nurses caring for a client whose 1 day postop following a
Hypophysectomyfor
... [Show More] the removal of the pituitary tumor. Which of
the following findings requires further assessment by nurse?
a. Glascow scale score a 15
b. Blood drainage on initial dressing measuring 3 cm
c. Report of dry mouth
d. Urinary output greater than fluid intake
A nurse at a public health clinic is caring for a group of clients. Which of
the following should the nurseidentify as a reportable diagnosis to the
CDC?
Hepatitis A
The nurse is assessing an adolescent client for sickle cell anemia.
Which ofthe following is a priority finding by the nurse?
a. A pain score 7 on a scale of 0 to 10
b) Shortness of breath
c) New onset of a new enuresis
d) Priapism
A nurse is assessing a client who is postoperative3 following abdominal
surgery. The client states, “Ifeel like my incision ripped open,” The nurse
notes dehiscence of the incision. Which of the following actions should the
nurse take?
Place the client in low-Fowler’s position.
A nurse from the state health department this is instructing a group
nursesregarding reportable infections. Which of the following
infections should the nursereport to the CDC?
e. Candida albicans
f. Herpes simplex virus 2
g. staphylococcus aureus
h. d) Lyme disease
A nurse is caring for a client who has a new prescription for
lithium carbonate. Prior toadministeringdose, which of the
following laboratory values should the nurse evaluate?
Thyroid hormones
A nurse and an assistive personnel are caring for a group of
clients. Whichof the following tasks is appropriate for the nurse to
delegate an AP?
i. Applying condom catheter for client for spinal
cord injury
j. Administrative oral fluids to client was
dysphasia
c. Documenting the report of pain from client who is postoperative
d. Reviewing active range of motion exercises with a client who is
had a stroke
A nurse is assessing a client who has an IV infusing per gravity at
125ml/hr. Which of the followingassessment finding indicates to the
nurse that the IV sire needs to be changed?
The area around the IV sire is reddened.
A nurse assesses an older adult client with the decrease caloric
intake andweight loss. Which of the following findings should
the nurse report to the provider immediately?
k. The clinic experiences coughing and wheezing after eating.
l. The client reports abdominal pain at a five on a scale of 0 to 10.
m. The client experience is a drop in oxygen saturation to 91% while
eating.
n. The client reports a burning sensation in epigastric area.
A nurse in a mental health clinic is reviewing the history and physical
for a 17-year old client whohas a new diagnosis of social phobia. Which
of the following is an expected finding?
The client reports minimal alteration in performance at a part time
job.
A nurse is caring for a client on the cardiac care unit who is
hemodynamically unstable. Which of the following dysrhythmias
should the nurseplan for cardioversion?
o. Ventricular asystole
p. Third- degree AV block
q. Atrial fibrillation
r. Ventricular fibrillation
A nurse is giving change-of-shift report about a client who is 36-hr
postoperative to another nurse.Which of the following should the nurse
include?
Pain relieved by position change
The nurses providing care for preschoolers with acute
gastroenteritis. Basing information below which of the following is
an appropriate nursing action?
s. Offer the child a cup of chicken broth.
t. Encourage the child’s intake of
gelatin.
u. Administer oral rehydration
solutions.
d) Institute a banana, Rice, applesauce, and toast diet.
A home health nurse is conducting an initial home visit for a client who
has terminal breast cancer,the client has two minor children and a limited
support system. Which of the following is the priority nursing action?
Inform the client of available community resources. [Show Less]