ATI RN COMPREHENSIVE PREDICTOR RETAKE 2019(DOWNLOAD FOR GRADE A) A nurse is assessing a client who has received an antibiotic. The nurse should identify
... [Show More] which of the following findings as an indication of a possible allergic reaction to the medication? 1. A nurse on a mental health unit is caring for a client who has schizophrenia and is experiencing auditory hallucinations telling them to hurt others. The client is refusing to take anti-psychotic medication. Which of the following responses should the nurse make 2. A nurse is providing care for a patient who has depression and is to have electroconvulsive therapy. Which of the following conditions should the nurse identify as increasing the client’s risk for complications? 3. A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis. Which of the following findings should the nurse report to the provider? 4. A nurse is suctioning the airway of a client who is receiving mechanical ventilation via an endotracheal tube. Which of the following findings should the nurse identify as an indication that suctioning has been effective? 5. A nurse is caring for a client who is in a seclusion room following violent behavior. The client continues to display aggressive behavior. Which of the following actions should the nurse take? 6. A nurse is caring for a client who is immediately postoperative following an adrenalectomy to treat Cushing’s disease. Which of the following actions is the nurse’s priority? 7. A nurse is caring for a client who is scheduled for a surgical procedure and states, “I don’t want to have this surgery anymore.” Which of the following responses should the nurse make? 8. A nurse is evaluating a client who has borderline personality disorder. Which of the following behaviors indicates an improvement in the client’s condition? 9. A nurse is teaching a group of school-age children about healthy snack options. Which of the following snacks should the nurse include? 10. A nurse is providing teaching to a client who has a new prescription for enoxaparin. Which of the following medications for pain relief should the nurse include in the teaching that can be taken concurrently with enoxaparin? 11. A nurse is caring for a client who has fibromyalgia and requests pain medication. Which of the following medications should the nurse plan to administer? 12. A nurse is caring for a client who has congestive heart failure and is receiving furosemide and digoxin. Which of the following laboratory values indicates that the client is at risk for developing digoxin toxicity? 13. A nurse is caring for a client who had an embolic stroke and has a prescription for alteplase. Which of the following in the client’s history should the nurse identify as a contraindication for receiving alteplase? 14. A nurse is providing discharge teaching for a client who has a new implantable cardioverter defibrillator (ICD). Which of the following client statements demonstrates understanding of the teaching? 15. A nurse is assessing a client who is postoperative following abdominal surgery and has an indwelling urinary catheter that is draining dark yellow urine at 25ml/hr. Which of the following interventions should the nurse anticipate? 16. A nurse is caring for a client who has experienced a stillbirth. Which of the following actions should the nurse take during the initial grieving process? 17. A nurse is caring for a client who has a major burn injury. Which of the following actions is the nurse’s priority to prevent wound infection? 18. A nurse is speaking with the caregiver of a client who has Alzheimer’s disease. The caregiver states, “Providing constant care is very stressful and is affecting all areas of my life.” Which of the following actions should the nurse take? 19. A nurse is caring for a client who is 1 hr postpartum and unable to urinate. Which of the following actions should the nurse take? 20. A nurse on a medical-surgical unit is performing medication reconciliation for a newly admitted client. Which of the following actions should the nurse take? 21. A nurse is preparing to administer betamethasone to a client who is 25 weeks of gestation and has preterm labor. Which of the following findings should the nurse identify as an adverse effect of this medication? 22. A nurse is preparing to obtain a blood sample from a client who has a central venous catheter. Which of the following actions should the nurse take? (SATA) 23. A nurse is preparing to perform a dressing change on a preschooler. Which of the following actions should the nurse take to prepare the child for the procedure? 24. A nurse is performing wound care for a client who has an abdominal incision. Which of the following techniques should the nurse implement? 25. A nurse on an antepartum unit is prioritizing care for multiple clients. Which of the following clients should the nurse see first? 26. A nurse is caring for a client who is recovering from an amputation of her right arm above the elbow. Which of the following information should the nurse report the occupational therapist? 27. A nurse is caring for a client who has major depressive disorder. The client tells the nurse, “No one cares about me. I’m completely alone.” Which of the following responses should the nurse make? 28. A nurse is caring for a client who has sustained a severe head trauma and has significant bleeding from the nose. Which of the following actions should the nurse take first? 29. A nurse is reviewing the rhythm strip of a client who is experiencing sinus arrhythmia. Which of the following findings should the nurse expect? 30. A nurse is admitting a client who has dementia to a long-term care facility. The client tells the nurse that she lived in this facility years ago and took care of all the residents by herself. The nurse should document this as which of the following findings? 31. A nurse is reviewing home recommendations with a client who is postoperative following knee surgery. Which of the following recommendations should the nurse make? 32. A nurse is caring for a client who is postoperative following total hip arthroplasty. Which of the following actions should the nurse take to prevent dislocation of the prosthesis? 33. A nurse in a pediatric clinic is teaching a newly hired nurse about the varicella zoster virus. Which of the following information should the nurse include? 34. A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the nurse take? 35. A nurse is teaching a newly licensed nurse about ergonomic principles. Which of the following actions by the newly licensed nurse indicates an understanding of the teaching? 36. A nurse is teaching a client about condom use. Which of the following client statements should the nurse identify as an understanding of the teaching? 37. A nurse is planning care for a client who has a chest tube. Which of the following interventions should the nurse include in the plan? (SATA) 38. The nurse is reviewing a medical record of a client who has a prescription for intermittent heat therapy for a foot injury. Which of the following findings should the nurse identify as a contraindication to heat therapy? 39. A charge nurse is recommending postpartum clients for discharge following a local disaster. Which of the following client’s should the nurse recommend for discharge first? 40. A nurse is providing teaching about crutch safety to a client. Which of the following client actions indicates an understanding of the teaching? 41. A nurse is preparing the body of a client who has died for the family to view. Which of the following actions should the nurse take? 42. A nurse is reviewing annual education requirements for fire safety. Identify the sequence that the nurse should use when operating a fire extinguisher 43. A nurse is reviewing legal issues in health care with a group of newly licensed nurses. Which of the following recommendations should the nurse make? 44. A nurse is caring for a client who speaks a language different than the nurse. Which of the following actions should the nurse make 45. A nurse in the emergency department is caring for a client following a motor-vehicle crash. Which of the following findings should the nurse identify as a manifestation of hypovolemic shock? 46. A nurse is caring for a client following application of a cast. Which of the following actions should the nurse take first? 47. A nurse is performing a gait assessment on a client to evaluate the client’s ability to perform ADLs. Which of the following findings indicates a standard gait? 48. A nurse on a mental health unit is caring for a client who has suicidal ideation. Which of the following actions should the nurse take? 49. A nurse is providing teaching about nutrition therapy to a client who is experiencing anorexia due to chemotherapy treatment. Which of the following statements should the nurse make? 50. A nurse is providing teaching to a client who has a new diagnosis of type 1 diabetes mellitus about administering NPH and regular insulin together in one injection. Which of the following instructions should the nurse include? 51. A nurse is caring for a client who has a calcium level of 8 mg/dL. Which of the following actions should the nurse take? 52. A nurse is caring for a client who has schizophrenia and is experiencing delusions. Which of the following actions should the nurse take? 53. A nurse is conducting a health promotion class about the use of oral contraceptives. Which of the following disorders is a contraindication for oral contraceptive use? 54. A nurse in the emergency department is triaging victims of a house fire. Which of the following clients should the nurse prioritize as emergent? 55. A nurse is planning care for a group of clients. Which of the following methods should the nurse use to manage time effectively? 56. A nurse on a mental health unit is planning room assignments for four clients. Which of the following clients should the nurse assign to room near the nurse’s station 57. A nurse is assessing coping strategies of a client whose partner has alcohol use disorder. Which of the following findings indicates that the client is coping effectively? A nurse is caring for a client who has Graves’ disease and is experiencing a thyroid storm. Which of the following actions is the nurse’s priority? 59. A nurse is providing preoperative teaching to a client about promoting circulation during the postoperative period. Which of the following instructions should the nurse include? 60. A nurse is setting up a sterile field to perform wound irrigation for a client. Which of the following actions should the nurse when pouring the sterile solution? ............................................CONTINUED.................................................................................DOWNLOAD FOR REVISION AND BEST GRADES [Show Less]