ATI Comprehensive Predictor Exam Bundle

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1. Deficit in Cranial nerve 2: results in visual impairment and lead to falls • clear objects from the walking area 2. indicate the progression of labor and are a benign finding -nurse should con... tinue to monitor FHR 3. Review ABGs 4. A nurse is interviewing a client who has just lost her home due to a natural disaster. After ensuring the client's safety, which of the following actions should the nurse take first? • Determine the client's perception of the personal impact of the crisis • First thing in the nursing process is assessment so assess client’s feelings and understanding of the natural disaster and its personal impact 5. An assistive personnel (AP) and a nurse are turning a client on to her right side. Which of the following actions by the AP requires the nurse to intervene? • Places a pillow under the client's right arm 6. A nurse in a community center is providing an educational session to a group of women about ovarian cancer. For which of the following manifestations should the nurse instruct the women to contact their providers? • Abd bloating • The nurse should include the presence of abdominal bloating as an early indication of ovarian cancer as well as other manifestations which include an increase in abdominal girth, pelvic or abdominal pain, early satiety, and urinary frequency or urgency. 7. Hypokalemia • signs and symptoms: muscle weakness and decreased deep tendon reflexes 8. Hypocalcemia • numbness and tingling of the extremities and around the mouth 9. Carsafety, d/c teaching • secure the retainer clip at the level of your baby’s armpits • The nurse should instruct the client to secure the retainer clip at the level of the newborn's axillae. The bones of the rib cage and sternum provide protection to underlying organs in the event of a collision. Placing the clip on the abdomen increases the risk for injury to internal organs. 10. Nurse in ED is admitting a client who has cardiac tamponade, which assessment finding should the nurse expect? • pulsus paradoxus • The nurse should identify pulsus paradoxus, a finding in which the systolic BP is 10 mm Hg or greater on expiration than inspiration, as an expected finding of cardiac tamponade, along with jugular vein distention, bradycardia, and hypotension [Show More]

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