ATI RN PREDICTOR QUESTIONS AND ANSWERS 45 A nurse is assessing a client who has
... [Show More] schizophrenia. Which of the following findings indicates a risk for self-harm?
Auditory hallucinations
46 A nurse is providing postoperative teaching to a client who has a newly inserted pacemaker. Which of the following statements by the client indicates that the teaching has been effective?
“I’ll use my cell phone on the ear opposite of my pacemaker.”
47 A nurse is discussing care with a newly licensed nurse for a client who practices Orthodox Judaism. Which of the following meal suggestions by the newly licensed nurse indicates a need for further teaching?
Carrot sticks and cottage cheese
48 A nurse is preparing to auscultate a client’s apical pulse at the point of maximal impulse (PMI). The nurse should place the diaphragm of the stethoscope at which of the following locations?
Fifth intercostal space at the left midclavicular line
49 A charge nurse in the emergency department is reviewing the data of four young children who are receiving treatment. Which of the following should alert the charge nurse to the possibly of child abuse?
A 9-month-old infant who is dressed inappropriately for the current weather conditions
50 A nurse is planning care for a client who is prescribed a cane for ambulation. Which of the following nursing actions should the nurse include in the plan of care?
Remind the client to place the cane on the unaffected side
51 A nurse is providing discharge teaching to a client who is postpartum and plans to breastfeed. Which of the following should the nurse recommend the client increase in her diet during lactation?
Calcium
52 A nurse in the postanesthesia care unit is caring for four postoperative clients. The nurse realizes that coughing poses a risk to which of the following clients.
A client who had a thyroidectomy
53 A home health nurse is admitting a client who is prescribed peritoneal dialysis. Which of the following actions should the nurse initiate first?
Demonstrate how to perform the procedure
54 A visiting nurse is writing a plan of care for a client who is homebound and has stage 2 Alzheimer’s disease. Which of the following should the nurse include in the plan of care?
Educate family about loss of family recognition [Show Less]