ATI RN Comprehensive Predictor 2019 Form A; Questions & Answers: Guaranteed A+ Score

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A nurse in a pediatric unit is preparing to insert an I.V catheter for 7-year-old. Which of the following actions should the nurse take? (Ans- B. Tell the child they will feel discomfort during the ... catheter insertion. A nurse is caring for a client who has arteriovenous fistula Which of the following findings should the nurse report? (Ans- B. Absence of a bruit. A nurse is providing discharge teaching for a client who has an implantable cardioverter defibrillator which of the following statements demonstrates understanding of the teaching? (Ans- B. "I will wear loose clothing around my ICD" A nurse is caring for a client who is at 14 weeks gestation and reports feelings of ambivalence about being pregnant. Which of the following responses should the nurse make? (Ans- A. "Describe your feelings to me about being pregnant" A nurse is planning care for a client who has a prescription for a bowel- training program following a spinal cord injury. Which of the following actions should the nurse include in the plan of care? (Ans- D. Administer a rectal suppository 30 minutes prior to scheduled defecation times. A nurse is caring for a client who is in active labor and requests pain management. Which of the following actions should the nurse take? (Ans- B. Place the client in a warm shower. A nurse in an emergency department is performing triage for multiple clients following a disaster in the community. To which of the following types of injuries should the nurse assign the highest priority? (Ans- A. Below-the knee amputation (urgent) A nurse manager is updating protocols for the use of belt restraints. Which of the following guidelines should the nurse include? (Ans- B. Document the client's condition every 15 min A nurse is teaching an in-service about nursing leadership. Which of the following information should the nurse include about an effective leader? (Ans- A. Acts as an advocate for the nursing unit. A nurse is reviewing the laboratory findings of a client who has and reports that she has been following her care. The nurse should identify which of the following findings indicates a need to revise the client's plan of care. (Ans- C. Hba1c 10 % A nurse in a provider's office is reviewing the laboratory results of a group of clients. The nurse should identify that which of the following sexually transmitted infections is a nationally notifiable infectious disease that should be reported to the state health department? (Ans- A. Chlamydia A nurse is teaching a newly licensed nurse about therapeutic techniques to use when leading a group on a mental health unit. Which of the following group facilitation techniques should the nurse include in the teaching? (Ans- D. Use modeling to help the clients improve their interpersonal skills A nurse is planning for a client who practices Orthodox Judaism. The client tells the nurse that its Passover holiday. Which of the following action should the nurse include in the plan of care? (Ans- C. Provide unleavened bread. A nurse is caring for a client who has a pulmonary embolism. The nurse should identify the effectiveness of the treatment: (Ans- B. The client reports feeling less anxious. A nurse in an emergency department is assessing a client who reports ingesting thirty diazepam tablets and has respiratory rate of 10/min. After securing the client's airway and initiating an I.V, which of the following actions should the nurse do next. (Ans- B. Administer flumazenil to the client. A nurse in an emergency department is caring for a client who reports cocaine use 1hr ago. Which of the following findings should the nurse expect? (Ans- D. Elevated temperature A nurse is assessing a newborn who has a blood glucose level of 30 mg/dl. Which of the following manifestations should the nurse expect? (Ans- B. Jitteriness A nurse in a pediatric clinic is reviewing the laboratory test results of a school age child. Which of the following findings should the nurse report to the provider? (Ans- D. WBC 14,000/mm3 (elevated) A charge nurse is teaching a newly licensed nurse about clients designating a health care proxy in situations that require a durable power of attorney for heal care (DPSHC). Which of the following information should the charge nurse include? (Ans- C. "The proxy can make treatment decisions if the client is under anesthesia." A nurse in the PACU is caring for a client who reports nausea. Which of the following actions should the nurse take first? (Ans- A. Turn the client on their side. A nurse is caring for a client who has a history of depression and is experiencing a situational crisis. Which of the following actions should the nurse take first? (Ans- A. Confirm the client's perception of the event A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. The nurse obtained a verbal prescription for restraints. Which of the following actions should the nurse take? (Ans- d. Document the client's condition every 15 minutes. A nurse is caring for a client who has end-stage kidney disease. The client's adult child asks the nurse about becoming a living kidney donor for her father. Which of the following condition in the child's medical history should the nurse identify as a contraindication to the procedure? (Ans- C. Hypertension A charge nurse on a medical-surgical unit is planning assignments for a licensed practical nurse (LPN) who has been sent from the postpartum unit due to a staffing shortage for the shift. Which of the following client should the nurse delegate to the LPN? (Ans- C. A client who is postoperative following a bowel resection with an NG tube set to continuous suction. A nurse is working on a surgical unit is developing a care plan for a client who has paraplegia. The client has an area of no blanchable erythema over his ischium. Which of the following interventions should the nurse include in the care plan? (Ans- B. Teach the client to shift his weight every 15 min while sitting A nurse is caring for a client who is dilated to 10 cm and pushing. Which of the following pain-management is a safe option for the client? (Ans- G. Pudendal block. A nurse is caring for a client who has left homonymous hemianopsia. Which of the following is an appropriate nursing intervention? (Ans- b. Place the bedside table on the right side of the bed. A nurse is assessing a client who has major depressive disorder. Which of the following findings should the nurse identify as the suicidal? (Ans- D. The client reports giving away personal items. A nurse is providing teaching about immunizations to a client who is pregnant. The nurse should inform the client that she can receive which of the following immunizations during pregnancy? (Select all that apply) (Ans- C. Tetanus diphtheria and acellular pertussis vaccine E. Inactivated influenza vaccine. (NO live vaccines) A nurse is providing discharge teaching for a group of clients. The nurse should recommend a referral to a dietitian (Ans- B. A client who has gout and states, "I can continue to eat anchovies on my pizza." (These are high in uric acid) [Show More]

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