ATI PN Comprehensive Predictor Form B_2020 / 2021_100% Correct Answers | ATI PN Comprehensive Predictor Form B_Graded A

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ATI PN Comprehensive Predictor Form B_2020 / 2021 100% Correct Answers 1. A nurse is caring for a client who is 4 hr postoperative ff a total thyroidectomy. Which of the ff manifestations should t... he nurse report to the provider as indicating possible hypocalcemia? ANS: Tingling of fingers 2. A nurse in a long-term care facility is assisting with an in-service for newly hired assistive personnel about legal issues within the facility. Which of the ff should the nurse include as an example of assault? ANS: Informing a client the nurse is going to administer an injection even though the client refuses . 3. A nurse is collecting data from who is severe pain. Which of the ff questions should the nurse ask first? ANS: "Where is your pain located?" 4. A nurse is reviewing the laboratory results for a client who is at 29 weeks gestation. For which of the ff results should the nurse notify the provider? ANS: Platelet count 95,000 mm3 5. A nurse is performing a dressing change for a client who had abdominal surgery 5 days ago. The nurse notes organs protruding from the incision. Which of the ff actions should the nurse take? ANS: Cover the exposed area with sterile, saline-soaked dressings. 6. A nurse is speaking with the adult daughter of a client who has Alzheimer's disease. The daughter states, "I love my dad, but caring for him is wearing me out." Which of the ff response should the nurse make? ANS: "Let's discuss how caring for your father is affecting your health. 7. A nurse is contributing to the plan of care for a care for a client who has chest tube connected to a closed drainage system. Which of the ff actions should the nurse include in the plan of care? ANS: Maintain the drainage system below the level of the client's chest. 8. A nurse in an acute mental health facility is caring for a client who has borderline personality disorder and reports. "I am going to kill my girlfriend when I get out of here." Which of the ff actions should the nurse take? ANS: Notify the client's care team of the threats against the partner 9. A nurse is admitting a client who is at high risk for suicide. Which of the ff actions is the nurse's priority? ANS: Search the client's personal belongings 10. A nurse is caring for a client who is 1 day postoperative and is unable to ambulate. Which of the ff actions should the nurse take to promote the client's venous return? ANS: Maintain the sequential compression device. 11. A nurse in a pediatric clinic is collecting the data from a school-age child whose injuries are inconsistent with the parent's stated cause. Which of the ff actions should the nurse take? ANS: Report the suspected abuse to a appropriate agency. 12. A nurse is collecting data from a middle adult female client who is taking melatonin. Which of the ff responses to the med should the nurse expect? ANS: Improved sleep 13. A nurse on a pediatric unit is collecting data from four newly admitted clients. Which of the ff clients should the nurse identify as being at risk for urinary retention? ANS: A school-age child who has allergic rhinitis and is taking diphenhydramine. 14. A nurse is preparing to administer purified protein derivative (PPD) to a client who has suspected TB. Which of the ff actions should the nurse plan to take? ANS: Ensure the injection produces a wheal on the skin 15. A client who is diagnosed with Parkinson's disease verbalizes frustration due to increase difficulty with ambulation. Which of the ff responses should the nurse take? ANS: Perform active ROM with your arms and legs two times a day. 16. a Nurse is collecting data from a client who has multiple fractures following a motor- vehicle crash. For which of the following client statements ANS: "I am so frustrated. I cannot even open my milk carton for breakfast." 17. A nurse on an acute care unity is collecting data from a school-age Child who has cystic fibrosis. Which of the following findings is the priority for the nurse? ANS: Reports lack of appetite 18. a nurse working in a provider's office receives a phone call from the parent of a school- age child who has varicella. The parent asked the nurse when the child can return to school. Which of the following responses should the nurse make? ANS: "When the lesions have scabbed over." 19. A nurse is caring for a client who has a Penrose drain. To ensure proper placement and functioning of the drain, which of the following should the nurse expect to observe? ANS: The safety pin is present at the distal end of the drain. 20. A community health nurse is helping to reinforce teaching about hepatitis A with a group of employees at a childcare facility. Which of the following characteristics should the nurse identify as an external factor that can impede learning for the participants? ANS: Poor lighting in the learning setting 21. A nurse is observing newly licensed nurse who is providing tracheostomy care for a client. The nurse identifies proper performance of the procedure when the newly licensed nurse selects which of the following solutions to clean the inner cannula? ANS: Hydrogen peroxide 22. A nurse is caring for a client who has right sided heart failure. The client's partner expresses concern the the client will die. Which of the following responses should the nurse make? ANS: "It is difficult to see someone so sick. What have you been told about your partner's prognosis?" 23. A nurse is reinforcing discharge instructions with the parent of an infant who has rotavirus. which of the following statements by the parent indicates an understanding of the teaching? ANS: "I will apply diaper cream to my baby's skin during each diaper change." 24. A nurse is caring for a client who is scheduled for surgery in the morning. The nurse learns that the client has decided not to have surgery even though he has already signed the informed consent form. Which of the following actions should the nurse take? ANS: Report the situation to the provider who obtained the informed consent. 25. A nurse has to administer medications to a group of clients. For which of the following client situations should the nurse complete and incident report? ANS: The nurse administered insulin lispro to a client who has diabetes mellitus and is NPO. 26. a nurse is collecting data from a client who is experiencing a situational crisis following the loss of a job. The client states, I don't think I can go through this again. Which of the following actions is the nurse's priority? ANS: Determine if the client is experiencing psychotic thinking. 27. A nurse is reinforcing discharge teaching with a client who is 48 hr post op from a mastectomy. Which of the following statements by the client indicates an understanding of the teaching? ANS: "I will wear rubber gloves whenever I wash dishes or do yard work." 28. a Nurse is reinforcing teaching about home care for conjunctivitis with the parent of a school age child. which of the following information should the nurse include? ANS: Separate the child's used washcloth from those of others. 29. a Nurse prescribes levothyroxine 0.3 PO daily for a client. Available is levothyroxine 150mcg/tablet. How many tablets should the nurse administer? ANS: 2 30. a nurse is collecting data from an older adult client during a routine physical exam. Which of the following client statements should the nurse identify as a possible indication of abuse? ANS: "My son took my wallet so he can keep track of what I'm spending." 31. A nurse is assisting with a presentation at a community center about personal disaster preparedness. which of the following strategies should the nurse recommend for preparing a home disaster supply kit? ANS: Have a supply of prescribed medications. 32. A nurse is reinforcing teaching on food selection with a client who has a moderate burn injury. Which of the following foods should the nurse recommend as being high in Vitamin C. ANS: Tomatoes 33. A nurse on a medical surgical unit is delegating tasks to an assistant. Which of the following tasks should the nurse delegate to the Assistant? ANS: Obtaining a client's vital signs prior to discharge 34. A Nurse is caring for a client in Buck's Traction. Which of the following actions should the nurse take? ANS: Allow the weights to hang freely. 35. A nurse in a long term care facility is contributing to the plan of care for a client who has a new ostomy. Which of the following actions should the nurse plan include? ANS: Change the appliance two times each week. 36. A nurse is receiving report on 4 clients Which of the following clients should the nurse plan to see first. ANS: A client who has pneumonia and a new onset of confusion 37. A nurse is reinforcing discharge teaching with a client who has a t Tube in place following a cholecystectomy. Which of the following instructions should the nurse include in the teaching? ANS: Empty the drainage bag each day at the same time. 38. A nurse is assisting with monitoring a client who is in labor and has spontaneous rupture of membranes following a vaginal examination. The provider reports the client's cervix is dilated to 1 cm with an unengaged presenting part. Which of the following actions should the nurse take? ANS: Apply the external fetal heart rate monitor. 39. A Nurse is collecting data from a client who has bipolar disorder and is experiencing acute mania. Which of the following findings is the nurse's priority? ANS: lack of sleep 40. A nurse is reinforcing teaching with a client who has a type 2 diabetes mellitus and reports waking during the night with tremors and anxiety. which of the following information should the nurse provide to help the client manage his symptoms? ANS: Eat a bedtime snack - [Show More]

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