ATI RN Comprehensive Predictor 2019 Form D (LatestSolutions)

ATI RN Comprehensive Predictor 2019 Form D (LatestSolutions) 1.A nurse is caring for a client who is newly diagnosed with pancreatic cancer and has questions about the disease. To research the nurse should identify that which of the following electronic database has the most comprehensive collection of nursing (Unable to read) articles? A. MEDLINE B. CINAHL. C. ProQuest. D. Health Source.  A nurse in an emergency department is assessing newly admitted client who is experiencing drooling and hoarseness following a burn injury. Which of the following should actions the nurse take first? A. Obtain a baseline ECG. B. Obtain a blood specimen for ABG analysis. C. Insert an 18-gauge IV catheter. D. Administer 100% humidified oxygen.  A nurse is planning care for a client who has unilateral paralysis and dysphagia following a right hemispheric stroke. Which of the following interventions should the nurse include in the plan? A. Place food on the left side of the client’s mouth when he is ready to eat. B. Provide total care in performing the client’s ADLs. C. Maintain the client on bed rest. D. Place the client’s lef t arm on a pillow while he is sitting.  A nurse is caring for a client who is receiving brachytherapy for treatment of prostate cancer. Which of the following actions should the nurse take? Limit the client’s visitors to 30 min per day. Discard the client’s linens in a double bag. Discard the radioactive source in a biohazard bag Cleanse equipment before removal from the client room  A nurse is teaching a client about using a 3-point gait for crutch-walking. Which of the following actions by the client understanding … teaching ? Advances the affected leg first prior to the nonaffected leg Uses both crutches when advancing the affected leg Applies full weight on the affected side when advancing crutches Planes weight on the axilla when advancing crutches  A nurse is admitting a client who is 1 week postpartum and reports excessive vaginal bleeding, the nurse does not speak the same language as the client. The client partner and a 10-year-old child are accompanying her. Which of the following actions should the nurse take to gather the client’s information? Request a female translator interpreter through the facility Ask a student nurse who speaks the same language to translate Have the child translate Allow the clients child to translate  A nurse is caring for a client who is in labor and requires augmentation of labor. Which of the following conditions should the nurse recognize as a contraindication to the use of oxytocin? A. Diabetes mellitus. Shoulder presentation. Post term withhydramnios. Chorioamnionitis  A nurse manager is reviewing the steps of the progressive discipline process prior to counseling a staff member who exhibits unprofessional behavior. Identify the sequence of steps the nurse manager should plan to take in response to the staff members conduct Give the staff member a writing warning about the behavior Verbally remind the staff member of the expected behavior changes Suspend the staff member from work for several days Dismiss the staff member from employment at the facility Set up a meeting to speak with the staff member about the behavior  A nurse is preparing to perform a sterile wound irrigation and dressing change for a client. Which of the following actions by the nurse indicates a break in surgical aseptic technique? Applying a sterile gown after applying a sterile mask Balancing the bottle on the sterile basin while pouring the liquid Placing the supplies on the sterile filed and leaving a 1- inch perimeter Putting on sterile gloves after preparing the sterile field  A nurse is assessing a client who has left-sided heart failure. Which of the following should the nurse identify as a manifestation of pulmonary congestion? A. Frothy, pink sputum. B. Jugular vein distention. C. Weight gain. D..Bradypnea  A nurse is obtaining a clients manual blood pressure and is having difficulty auscultating sounds .Which of the following actions should the nurse …? Use the palpatory method to determine biood pressure Deflate the cuff quickly . Place the arm above the level of the client's heart Apply the largest cuff available.  A nurse is caring for a 5-month-old infant who has manifestations of severe dehydration and a prescription for paternal fluid therapy. The guardian asks. “What are the indications that my baby needs an IV?” Which of the following responses should the nurse make? A. “Your baby needs an IV because she is not producing any tears” B. “Your baby needs an IV because her fontanels are budging” C. “Your baby needs an IV because she is breathing slower than normal” D. “Your baby needs an IV because her heart rate is decreasing”  A nurse is providing teaching to a client who has heart failure and a new prescription for furosemide. Which of the following statements should the nurse make?  “Taking furosemide can cause your potassium levels to be high”  “Eat foods that are high in sodium” C. “Rise slowly when getting out of bed” D. “Taking furosemide can cause you to be overhydrated”  A nurse is creating a plan of care for a newly admitted client who has obsessive-compulsive disorder. Which of the following interventions should the nurse take? A. Allow the client enough time to perform rituals. B. Give the client autonomy in scheduling activities. C. Discourage the client from exploring irrational fears. D. Provide negative reinforcement for ritualistic behaviors  A nurse is caring for a client who has depression and reports taking ST. John’s wort along with citalopram. The nurse should monitor the client for which of the following conditions as a result of an interaction between these substances?  Serotonin syndrome  Tardive dyskinesia Pseudo parkinsonism.  Acute dystonia.  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? A. Confront the client about this behavior. B. Express sympathy for the client’s situation. C. Speak assertively to the client. D. Stand within 30 cm (1 ft) of the client when speaking with them.  A nurse is providing teaching to a client who has heart failure and a new prescription for furosemide. Which of the following statements should the nurse make? E. “Taking furosemide can cause your potassium levels to be high” F. “Eat foods that are high in sodium” G. “Rise slowly when getting out of bed” H. “Taking furosemide can cause you to be overhydrated”  A nurse is creating a plan of care for a newly admitted client who has obsessive-compulsive disorder. Which of the following interventions should the nurse take? A. Allow the client enough time to perform rituals. B. Give the client autonomy in scheduling activities. C. Discourage the client from exploring irrational fears. D. Provide negative reinforcement for ritualistic behaviors  A nurse is caring for a client who has depression and reports taking ST. John’s wort along with citalopram. The nurse should monitor the client for which of the following conditions as a result of an interaction between these substances? D. Serotonin syndrome E. Tardive dyskinesia Pseudo parkinsonism. F. Acute dystonia.  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? A. Confront the client about this behavior. C. Express sympathy for the client’s situation. C. Speak assertively to the client. D.Stand within 30 cm (1 ft) of the client when speaking with them.  A nurse is calculating a client's expected date of delivery. The clients fast menstral period began April 12 Using Nagele’s rule, what date should the nurse determine to be the client’s expected delivery date? A nurse is discussing group treatment and therapy with a client. The nurse should include which of the following as being a characteristic of a therapeutic group? A. The group is organized in an autocratic structure. B. The group encourages members to focus on a particular issue. ( C. The group must be led by a licensed psychiatrist. D. The group encourages clients to form dependent relationships.  A nurse manger is reviewing documentation with a newly licensed nurse. Which of the following notations by the newly licensed nurse indicates an understanding of the teaching? UNSURE IF ON THE REPORT A. “OOB with assistance for breakfast” B. “Given 2 mg MSO4 IM for report of pain” C. “Dressing changed qd” D. “Administered 8 u regular insulin sq.”  A nurse is preparing to administer eye drops to a school-age child. Identify the actions the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) 1. Apply pressure to the lacrimal punctum.5 2. Ask the child to look upward. 2 3. Pull the lower eyelid downward. 3 4. Instill the drops of medication. 4 5. Place the child in a sitting position. 1 105. A nurse is caring for a client who speaks a language different from the nurse. Which of the following should the nurse take? A. Request an interpreter of a different sex from the client. B. Request a family member or friend to interpret information for the client. C. Direct attention toward the interpreter when speaking to the client. D. Review the facility policy about the use of an interpreter. 106. A nurse is caring for a client who is in labor and is receiving oxytocin. Which of the following findings indicates that the nurse should increase the rate of infusion? ON THE REPORT needs double checking A. Urine output 20 ml/hr. A. Montevideo units constantly 300 mm Hg. B. FHR pattern with absent variability. C. Contractions every 5 min that last 30 seconds. 107. A nurse is planning care for a group of clients and is working with one licensed practical nurse LPN and one assistive personal AP. Which of the following actions should the nurse take first to manage her time effectively? Develop an hourly time frame for tasks Schedule daily activities Determine goals of the day Delegate tasks to the AP 108. A public health nurse is managing several projects for the community. Which of the following interventions should the nurse identify as a primary prevention strategy? A. Teaching parenting skills to expectant mothers and their partners. B. Conducting mental health screenings at the local community center. C. Referring client who have obesity to community exercise programs. D. Providing crisis intervention through a mobile counseling unit. 109. A nurse is providing teaching to an adolescent who has peptic ulcer disease. Which of the following statements by the client indicates an understanding of the teaching? a. “I will take sucralfate with meals three times per day” b. “I will avoid food and beverages that contain caffeine” c. “I will decrease my daily protein intake to 15 grams per day” d. “I will use ibuprofen as needed to control abdominal pain” 110. A nurse is assessing a client who is receiving packed RBCs. Which of the following findings indicate fluid overload? A. Low back pain. Dyspnea. Hypotension. Thready pulse. 111. A nurse is providing teaching about patient-controlled analgesia (PCA) to a client. Which of the following statements should the nurse include in the teaching? I. “The PCA will deliver a double dose of medication when you push the button twice.” J. “You can adjust the amount of pain medication you receive by pushing on the keypad.” K. “Continuous PCA infusion is designed to allow fluctuating plasma medication levels.” L. “You should push the button before physical activity to allow maximum pain control.” 112. A nurse is preparing to administer an autologous blood product to a client. Which of the following actions should the nurse take to identify the client? E. Match the client’s blood type with the type and cross match specimens. F. Confirm the provider’s prescription matches the number on the blood component. G. Ask the client to state the blood type and the date of their last blood donation. H. Ensure that the client’s identification band matches the number on the blood unit. 113. A nurse is performing physical therapy for a client who has Parkinson’s disease. Which of the following statements by the client indicates the need for a referral to physical therapy? B. “I noticed that I am having a harder time holding on to my toothbrush” C. “Lately, I feel like my feet are freezing up, as they are stuck to the ground” D. “Sometimes, I feel I am making a chewing motion when I’m not eating” 114. A nurse is reviewing laboratory data for a client who has chronic kidney disease. Which of the following findings should the nurse expect? A. Increased creatine. B. Increased hemoglobin. C. Increased bicarbonate. D. Increased calcium. 115. A nurse is teaching at a community health fair about electrical fire prevention. Which of the following information should the nurse include in the teaching? A. Use three pronged grounded plugs. B. Cover extension cords with a rug. C. Check the tingling sensations around the cord to ensure the electricity is working. D. Remove the plug from the socket by pulling the cord. 116. A charge nurse is recommending postpartum client discharge following a local disaster. Which of the following should the nurse recommend for discharge? B. A 15-year-old client who delivered via emergency cesarean birth 1 day ago. C. A client who received 2 units of packed RBCs 6 hr. ago for a postpartum hemorrhage. D. A client who delivered precipitously 36 hr. ago and has a second-degree perineal laceration. E. A 42 yoars old client who has preeclampsia and BP of 166/110 mmHG 117. A nurse is administering a scheduled medication to a client. The client reports that the medication appears different than what they take at home. Which of the following responses should the nurse take? 137 “I recommend that you take this medication as prescribed” 138 “Do you know why this medication is being prescribed to you?” 139 “I will call the pharmacist now to check on this medication” Did the doctor discuss with you that there was a change in this medication 118. A community health nurse is developing a plan to improve the communitys environmental health. which of the following action nurse take first? Establish a timeframe for environmental improvements. Encourage community Involvement in environmental improvement Request funding from community organizations Collect information about the community's environmental status 119. A nurse is reviewing the laboratory report of a client who has been having lithium carbonate for the past 12 months. The nurse notes a lithium level of 0.8 mEq/L. Which of the following orders from the provider should the nurse expect? E. Withhold the next dose. F. Increase the dosage. G. Discontinue the medication. H. Administer the medication. 120. A nurse in a clinic is assessing a 6-month-old infant. Which of the following should the nurse report to the provider? Pulse 140/min Closed anterior fontanel Respiratory rate 26/min Abdominal breathing 121. 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? Place copies of incident reports in client’s medical records Overestimate clients acuilty to prevent short staffing Ensure that each client has a living will on file prior to treatment Obtain personal professional liability insurance coverage 122. A nurse is planning care for a child who has neutropenia due to leukemia. Which of the following Interventions should the nurse Include in the plan of care? Screen the child's visitors for active Infections. Initiate Prepare the child for a platelet transfusion. Prepare the child for a platelet transfusion. Monitor the child for indications of active bleeding 123. A nurse is caring for a client who is near the end of life and is on complete bed rest. The client states that he needs to have a bowel movement and the nurse offers a bed pan. The client states. “I’ve always used the bathroom. “Which of the following responses should the nurse make? “Tell me what concerns you have about using a bed pan.” “I will have the physical therapist ambulate you to the bathroom.” “You have to use the bed pan for you own safety.” “Make sure to use nearby furniture to support yourself when walking to the bathroom. 124. A newly licensed nurse is unsure if an assigned task is within their scope of practice. which of the following resources should the nurse consult? Written prescription from the provider Institutional policies and procedures Verbal direction from the nurse manager State Nurse Practice Act 125. A Nurse is teaching participants at a community center about advance directives. Which of the following information should the nurse include in the teaching? Assigning a health care surrogate requires legal consultation A client must create a do not resuscitate order when completing advances directives. Advance directives cannot be changed once implemented. A health care surrogate makes health care decisions when the client is no longer able. 126. A nurse is reviewing the facility’s safety protocols considering newborn abduction with the parent of a newborn. Which of the following statements indicates an understanding of the teaching? I. “Staff will apply identification band after first bath” J. “I will not publish public announcement about my baby’s birth” K. “I can remove my baby’s identification band as long as she is in my room” L. “I can leave my baby in my room while I walk in the hallway” 127. A nurse is planning care for four clients who are at risk for fluid imbalances. The nurse should identity that which of the following client for fluid volume excess? A client who has ulcerative colitis A client who has an exacerbation of peptic ulcer disease A client who has diabetes insipidus A client who has advanced stage liver cirrhosis 128. A nurse is caring for a client receiving mechanical ventilation via an endotracheal tube The high pressure alarmis beeping and the.. experiencing respiratory distress. the nurse is unable to determine the cause pf the alarm. Which of the following actions should the nurse … Deliver breaths manually with a resuscitation bag Decrease the ventilation flow rate Reevaluate the client for an ET cuff leak Assess for disconnected tubing 129. A nurse on a mental health unit is admitting a client who has posttraumatic stress, disorder.Which of the following should the nurse expect ? Experiences frequent grandiose thoughts Talks continuously about the event has difficulty concentrating on a task Preoccupled with having a serious illness 130. A nurse is verifying a record of informed consent for a client who is sheduled for surgery .Which of the following actions should the nurse ….? Inform the client about the condition that requires teatment Confirm the client's signature Is authentic Explain the procedure to the client before verifying informed Provide Information on the informed consent form about the benefits of the surgery 131. A nurse in a mental health clinic receives a request from a client who is undergoing psychotherapy to obtain a copy of the therapist’s notes. Which of the following responses should the nurse make? We can provide a copy of your records, but the therapists notes are not included I don’t think you will benefit from reviewing your therapists notes right now Why are you interested in seeing your therapist’s notes? Are you not happy with your treatment? 132. A nurse is screening food brought in by a family member for a client who takes phenelzine. The nurse should instruct the family members…of the following foods can cause an interaction with this medication ? Cottage cheese loeberg lettuce salad bologna sandwich Orange gelatin 133. A nurse is assessing a client who is in skeletal traction for a fractured left tibia.The nurse should identify that which of the following … altered tissue perfusion of the affected extremity ? Faint pedal pulse of left leg Warm sidn temperature distal to pin site Pain with movement of the left great toe Purulent drainage at the pin site 134. A nurse is caring for a client who has bipolar disorder. Which of the following behaviors should the nurse identify as indicating the client experiencing mania ? The client speaks using echopraxia The client speaks using word salad. The client is easily distracted by external stimuli The client is socially withdrawn