ATI RN VATI Comprehensive Predictor 2019 Form B
A nurse is assessing a client who received 2 units of packed RBCs 48 hrs ago. Which of the following
... [Show More] findings should indicate to the nurse that the therapy has been effective? ANSWER hemoglobin 14.9 g/dL
a nurse working in an emergency department is triaging four clients. which of the following clients should the nurse recommend for treatment first? ANSWER a middle adult client who has unstable vital signs
a nurse is caring for a client who has fluid volume overload. which of
the following tasks should the nurse delegate to an assistive
personnel? ANSWER measure the client's daily weight
a nurse is preparing to administer mannitol 0.2 g/kg IV bolus over 5
min as a test dose to a client who has severe oliguria. The client
weighs 198 lb. what is the amount in grams the nurse should
administer? ANSWER 18 g
a nurse is conducting a physical examination for an adolescent and is assessing the rang of motion of the legs, which of the following images indicates the adolescent is abducting the hip joint? ANSWER Moving the leg away from the midline of the body (off to the side, not to the front)
a nurse is caring for a client who has hyperthyroidism. which of the
following findings should the nurse expect? ANSWER tremors
tachycardia, diaphoresis, weight loss, insomnia, exopthalmia
hypothyroidism has dry corase hair, bradycardia, and periorbital
edema
a nurse is assessing a school age child who has bacterial meningitis.
which of the following findings should the nurse expect? ANSWER
nuchal rigidity
also weight loss
a nurse is assessing a newborn's heart rate. which of the following actions should the nurse take? ANSWER auscultate the apical pulse at least 1 min
a nurse is preparing to assist with a thoracentesis for a client who has
pleurisy. the nurse should plan to perform which of the following
actions? ANSWER instruct the client to avoid coughing during the
procedure
a nurse is the emergency department is assessing a preschooler who has a facial laceration. the nurse should identify which of the following findings as a potential indication of child sexual abuse? ANSWER the child exhibits discomfort while walking
a nurse is preparing to teach about dietary management to a client who has crohn's disease and an enteroenteric fistula. which of the following nutrients should the nurse instruct the client to decrease in their diet? ANSWER fiber - reduce diarrhea and inflammation
a nurse is caring for a client who has a prescription for a continuous passive motion CPM machine following a total knee arthroplasty.
which of the following actions should the nurse take? ANSWER Turn off the CPM machine during mealtime
promote client comfort and dietary intake
a nurse is preparing to initiate IV access for an older adult client.
Which of the following sites should the nurse select when initiating the IV for this client? ANSWER radial vein of the inner arm
a nurse is developing a client education program about osteoporosis for older adult clients. the nurse should include which of the following variables as a risk factor for osteoporosis? ANSWER sedentary lifestyle
also, small framed body with a thin build, estrogen deficiency
a nurse in an emergency department is caring for a child who has a
fever and fluid filled vesicles on the trunk and extremities. which of
the following interventions should the nurse identify as the priority?
ANSWER initiate transmission based precautions
a nurse is caring for a client who has a clogged percutaneous gastrostomy feeding tube. which of the following actions should the nurse take first? ANSWER change the position of the client
a home health care nurse is developing a teaching plan for a client who has a new ileostomy. which of the following instructions should the nurse include? ANSWER empty the appliance when it is one third to one half full
a nurse is reviewing the laboratory report of a client who has end stage kidney disease and received hemodialysis 24 hr ago. Which of the following laboratory values should the nurse report to the provider? ANSWER sodium 148 mEq/L
a nurse is caring for four clients. which of the following tasks should
the nurse delegate to an assistive personnel? ANSWER Arrange the
lunch tray for a client who has a hip fracture
a nurse is preparing a client for a paracentesis. which of the following
actions should the nurse take? ANSWER instruct the client to void
a nurse has received change of shift report on four assigned clients. for which of the following clients should the nurse intervene to prevent a potential food and medication interaction? ANSWER a client who is receiving an MAOI and is requesting a cheeseburger for dinner
a nurse is planning care for a client who has rheumatoid arthritis and has moderate to severe pain in multiple joints. which of the following actions should the nurse plan to take? ANSWER allow for frequent rest periods throughout the day
a nurse is caring for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate. the client reports bladder spasms, and the nurse observes a decreased urinary output. which of the following actions should the nurse take?
ANSWER irrigate the catheter with 0.9% sodium chloride irrigation
a nurse is assessing a client who has COPD. which of the following
findings should the nurse expect? ANSWER pH 7.31
a nurse in a community center is providing an educational session to a
group of client about ovarian cancer. which of the following
manifestations of ovarian cancer should the nurse include in the
teaching? ANSWER abdominal bloating
increase in abdominal girth, pelvic or abdominal pain, early satiety,
urinary frequency of urgency
a nurse is caring for a client who has active tuberculosis TB. which of
the following actions should the nurse plan to take to prevent the
transmission of the disease? ANSWER Have the client wear a
surgical mask while being transported outside the room
a nurse is caring for a group of clients. which of the following clients should the nurse attend to first? ANSWER an older adult client who is anxious and attempting to pull out an IV line
an RN is observing a licensed practical nurse LPN and an assistive personnel AP move a client up in bed. for which of the following situations should the nurse intervene? ANSWER The LPN and the AP grasp the client under his arms to lift him up in bed
a nurse is preparing to administer insulin to a client via a pen device.
which of the following actions should the nurse take? ANSWER hold
the insulin pen device perpendicular to the client's skin to inject the
medication
a nurse is caring for a client who has immunosuppression and a continuous IV infusion. which of the following actions should the nurse take? ANSWER monitor the client's mouth every 8 hours
a nurse is providing teaching about advance directives to a middle adult client. which of the following client responses indicates an understanding of the teaching? ANSWER "I can designate my partner as my health care surrogate"
a nurse is assessing a client following a vaginal delivery and notes heavy lochia and a boggy fundus. which of the following medications should the nurse expect to administer? ANSWER oxytocin [Show Less]