ATI RN COMPREHENSIVE PREDICTOR EXAM LATEST WITH MORE UPDATES

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A nurse is caring for a client who was involved in a motor-vehicle crash. The client reports shortness of breath and chest pain and asks the nurse, “Am I dying?” Which of the following actions sho... uld the nurse take first? Obtain a pulse oximetry reading A nurse is caring for a client who is receiving gentamicin. Which of the following findings indicates the client is developing toxicity? Tinnitus A nurse is caring for a client who has just given birth to a stillborn newborn. Which of the following is the priority task for the nurses to facilitate the client’s grief process? Acknowledging the reality of the newborn’s death A nurse is teaching a client who has a new diagnosis of gastroesophageal reflux disease. Which of the following instructions should the nurse include in the teaching? Sleep with the head of bed elevated A nurse is caring for a client who has atypical depression and is taking phenelzine. Which of the following is appropriate for the nurse to offer as an evening snack? Low fat yogurt A client asks the nurse if it is safe for him to take a glucosamine supplement. The nurse should assess for which of the following potential contraindications? Shellfish allergy A nurse is analyzing the cardiac rhythms of four telemetry clients in the coronary care unit. Identify the rhythm strip that the nurse should recognize as indicative of a client who should be receiving warfarin. rhythm C A nurse in a postpartum unit is caring for several clients. After receiving a change of shifassess first? A client who is 3 days postpartum and has not had a bowel movement since prior to admission A nurse is teaching a family about hospice care. Which of the following appropriate for the nurse to include in the teaching? Hospice care encourages the family to coordinate health care services An infection control nurse is reviewing care procedures for four clients. Which of the following requires the nurse to intervene? A client who has pulmonary TB is placed in a positive pressure room. A nurse is caring for a client who is at high risk for developing diabetes insipidus following a severe head injury. Which assessment finding indicates to the nurse that the client is developing DI? Urine output of 250ml/hr A nurse is providing teaching for the client who has a new prescription for lithium carbonate. Which of the following should the nurse include the teaching? Diarrhea is an indication of toxicity. A nurse is caring for a client who is receiving a blood transfusion at 125ml/hr and develops a hemolytic reaction. Which of the following actions should the nurse perform? Infuse 0.9% sodium chloride IV A nurse is caring for an adolescent client who has no previous history of a seizure disorder admitted after having a 3-minn tonic-clonic seizure 2 weeks after sustaining a mild concussion. The client is scheduled to have an electroencephalogram (EEG) in the morning. For breakfast, the client orders coffee and a donut. Which of the following nursing actions is appropriate at this time? Explain that the client may not have coffee prior the EEG At the beginning of the shift, a team leader delegates the following tasks to the assistive personnel (AP) have four clients, distribute fresh water and obtain the morning vital signs. At noon, the nurse asks the AP to transport one client to physical therapy. The AP reports two clients still need bed baths. Which of the following is an appropriate strategy for the nurse to delegate more effectively in the future? Set a clear time from for the completion of each task A nurse is planning care for a client who is comatose and has a stage II decubitus ulcer on the coccyx. Which of the following interventions is appropriate to include in the plan of care? Provide the client with an alternating pressure mattress A nurse is preparing a client for surgery and has just administered the preoperative injection. Which of the following actions should the nurse take? Raise the side rails on the bed 83. A nurse is performing postmortem care on an older adult client. Which of the following action is appropriate to take? Lower the head of the bed to a supine position A nurse in the emergency department is caring for a client following a motor-vehicle crash. Which of the following actions should the nurse take first? Stabilize the cervical spine A nurse is reviewing the employee health program for new employees. Which of the following diagnostic assessments should the nurse recommend for all new employees to screen for the presence of TB? Mantoux test A nurse volunteers to assist after witnessing a mass casualty incident involving a train derailment. Which of the following clients should the nurse immediately and completely immobilize? A client who has a Glasgow Coma Score of 4 A nurse in a newborn nursery is performing assessments on four neonates that are all less than 24 hr old. The nurse should plan to notify the provider of which of the following findings? Pinna below the outer canthus of the eye A nurse is providing dietary teaching for a client who has a history of nephrolithiasis. Which of the following is appropriate to include in the teaching? Restrict dietary calcium intake A nurse is caring for a client who reports difficulty falling asleep at night. Which of the following suggestions should the nurse recommend? Eat a bedtime snack containing carbohydrates An immunity health nurse is planning to make home visits to several clients who all live within a few miles’ radius of the office. Which of the following clients should the nurse plan to visit first? A legally blind client who has diabetes mellitus and whose insulin syringes need to be prefilled for the coming week. A nurse is teaching a client who has a new prescription for digoxin. Which of the following should the nurse include in the teaching? “Notify your provider if you experience muscle weakness.” A nurse is caring for a client who is receiving IV antibiotics and tests positive for C. difficle. Which of the following action by the nurse is appropriate? Place the client on contact precautions A charge nurse is creating assignments for the next shift for several nurses and one of the nurses is pregnant. Which of the following clients should the charge nurse assign to a nurse who is not pregnant? An 80-year-old client who has alcoholic pancreatitis and is being treated for impetigo A nurse in an inpatient psychiatric unit is setting short-term goals for an adolescent client who was admitted for treatment of anorexia nervosa. Which of the following is an appropriate short-term goal the nurse should set? The client will develop a personalized meal plan. A nurse is caring for a preschool-age child who has a short leg, plaster cast applied 1 hr ago. Which of the following is an appropriate interventions? Support the affected leg on a pillow. A nurse is assessing a client who is gravida 2, para 1. The client is at 41 weeks of gestation and is receiving oxytocin for the augmentation of labor. The nurse should decrease the infusion rate for which of the following findings? Consistent contractions last 80 seconds. A home health nurse is reviewing treatment goals with a client who has DM. The nurse should evaluate which of the following laboratory tests to determine effective long-term management of blood glucose levels? HbA1C A nurse is preparing to obtain informed consent for a colonoscopy from a client who does not speak English. Which of the following actions should the nurse take? Ask the health care interpreter to explain the procedure A nurse manger is presenting an inservice for newly licensed nurses about advance directives. Which of the following statements by a new nurse indicates a need for further teaching? “Advanced directives must be notarized to be legally implemented.” A nurse is discussing a living will with a client. Which of the following statements by the client indicates an understanding of this document? “It communicates y wishes for end-of-life care.” A home health nurse is doing an in-home assessment for an older adult client who is at risk for falls. which of the following assessment findings should the nurse identify as a potential hazard for the client? Electrical cords secured to the baseboards A nurse in an emergency department is assessing a client who has a nasal fracture. Which of the following findings should cause the nurse to suspect a skull fracture? Clear fluid drainage from the nares A nurse documents that a client recovering from a closed head injury assumes a decerebrate posture in response to stimuli. Which of the following illustrations indicates this client’s positioning? Posture D A nurse manager is making staffing assignments for the medical-surgical unit. Which of the following clients is appropriate to assign to a float nurse to the postpartum unit? A client who is 2 days postoperative following a colon resection A nurse is caring for a client who has a newly implanted sealed internal radiation devices to treat cervical cancer. Which of the following is an appropriate action for the nurse to take? Maintain the client on bed rest for 72 hr. During the immediate postoperative period following thoracic surgery, a nurse medicates a client for pain on a schedule. The rationale for this nursing action is which of the following? Decreases the level of anxiety At the start of the evening shift on a cardiac unit, a licensed practical nurse brings the nurse a list of client reports. Which of the following client reports should the nurse assess first? Constipation A nurse is discussing the Z-track administration of hydroxyzine hydrochloride with a newly licensed nurse. Which of the following statements indicates the newly licensed nurse understands the purpose of the technique? “This technique decreases the risk of subcutaneous infiltration.” A nurse is caring for a client who is experiencing acute mania. Which of the following actions should the nurse include in the plain of care? Provide high-calorie nutritional supplements. A nurse is evaluating the results of the above urinalysis done for a preschool age child. The nurse should identify that these findings are consistent with which of the following renal disorders? Large albumin Nephrotic syndrome A nurse is preparing to administer vancomycin to a client who has as infected wound. The nurse should plan to for which of the following adverse reactions? Ototoxicity A nurse is teaching a client who has a low-literacy level about home management of diabetic mellitus. Which of the following actions is appropriate? Show the client an educational video. A nurse is assessing a client who is 2 hr postoperative following insertion of a chest tube connected to a chest drainage system as depicted in the program above. Which of the following is an expected finding? Fluctuation of the fluid level in chamber “b” 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. 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 A nurse in a mental health clinic is reviewing the history and physical for a 17-year old client who has 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 assessing a client who has an IV infusing per gravity at 125ml/hr. Which of the following assessment finding indicates to the nurse that the IV sire needs to be changed? The area around the IV sire is reddened. A nurse is caring for a client who has a new prescription for lithium carbonate. Prior to administering dose, which of the following laboratory values should the nurse evaluate? Thyroid hormones A nurse is assessing a client who is postoperative3 following abdominal surgery. The client states, “I feel 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 at a public health clinic is caring for a group of clients. Which of the following should the nurse identify as a reportable diagnosis to the CDC? Hepatitis A [Show More]

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