ATI RN COMPREHENSIVE PRACTICE A 2024 NGN CERTIFICATION QUESTIONS AND ANSWERS.

A home health nurse is evaluating a school-age child who has cystic fibrosis. The nurse should initiate a request for high-frequency chest compression vest in response to which of the following parent statements? "My child doesn't like to sit still for nebulizer treatments." "I think that my child has been running a fever over the last couple of days." "My child has only a small amount of mucus after percussion therapy." "I am concerned about my child's future participation in team sports." "My child has only a small amount of mucus after percussion therapy." A nurse is caring for a client who has type 1 diabetes mellitus and reports severe ankle pain after falling off a stepstool at home. Which of the following prescriptions should the nurse clarify with the provider? Obtain capillary blood glucose level every 2 hr. Check the neurovascular status of the client's lower extremities every hour. Apply a cold pack to the client's ankle for 30 min every hour. Maintain the affected ankle elevated and immobilized. Apply a cold pack to the client's ankle for 30 min every hour. A nurse is assessing a newborn who is 2 hr old. Which of the following findings should the nurse report to the provider? Slightly blue hands and feet Respiratory rate 40/min Axillary temperature 36.2C (97.2F) Apical pulse 136/min Axillary temperature 36.2C (97.2F) A nurse is caring for a client who is 3 days postoperative following a T4 spinal cord injury. Drag 1 condition and 1 client finding to fill in the blank in the following sentence. The client is at risk for developing ____ due to ____. The client is at risk for developing HEMORRHAGIC STROKE due to AUTONOMIC DYSREFLEXIA. A nurse is caring for a school-age child. For each assessment finding, click to specify if the finding is consistent with attention deficit hyperactivity disorder (ADHD) or intellectual disability (ID). Each finding may support more than 1 disease process. ADHD- Hyperreactivity to sensory input, Interrupting others, Losing necessary things, Intellectual impairment ID- Impaired language skills, Intellectual impairment A nurse is caring for a newly admitted client. Select 2 findings that require immediate follow-up. Hemoglobin Platelet count A nurse is caring for a newborn. Complete the following sentence by using the list of options. The nurse should plan to first assess the newborn's ______followed by the newborn's_______. The nurse should plan to first assess the newborn's RESPIRATORY RATE followed by the newborn's HEART RATE. A nurse is caring for a client who is 24 hr postoperative following a cesarean birth. Drag 1 condition and 1 client finding to fill in the blank in the following sentence. The client is at risk for developing ____ as evidenced by _____. The client is at risk for developing SEIZURES as evidenced by BLOOD PRESSURE. A nurse on a medical-surgical unit is caring for a client who is postoperative following an emergency appendectomy. Complete the diagram. Potential condition: Varicose veins Actions to take: Elevate the extremity Apply graduated compression stockings Parameters to monitor: Edema of right lower extremity Pruritis of right lower extremity A nurse on a mental health unit is caring for a client. For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated. Anticipated: Initiate suicide precautions Potassium 40 mEq PO daily Contraindicated: Low-sodium diet Fluoxetine 20 mg PO daily A nurse is caring for a client in the emergency department (ED). The nurse is planning care for the client. Select the 5 actions the nurse should plan to take. -Perform a Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) -Initiate seizure precautions -Administer chlordiazepoxide -Administer thiamine -Maintain a low-stimulation environment A nurse is caring for a client in the inpatient psychiatric unit. Based on the assessment findings, which of the following actions should the nurse take? Select all that apply. -Ensure the client does not have access to sharp objects -Observe the client swallow all prescribed medications -Assess the client's method of lethality -Provide one-on-one observation A nurse is caring for a client during a follow up visit at a gastrointestinal clinic. For each assessment finding, click to specify if the assessment findings are consistent with Crohn's disease, ulcerative colitis, peritonitis. Each finding may support more than one disease process. Bowel pattern: Crohns disease Weight: Crohns disease, Ulcerative colitis Heart rate: Peritonitis WBC: Crohns disease, Ulcerative colitis, Peritonitis Temperature: Crohns disease, Ulcerative colitis, Peritonitis Abdominal pain location: Crohns disease Albumin level: Crohns disease, Ulcerative colitis A nurse is planning care for a client who has a deficit with cranial nerve (CN) II. Which of the following actions should the nurse plan to take? Keep the client resting in bed. Ask the client to restate directions. Clear objects from the clients walking area. Evaluate the clients ability to swallow. Clear objects from the clients walking area. A client is caring for a client with bulimia nervosa. Drag words from the choices below to fill in each blank in the following sentence. The client is at risk for developing _____ and ______. The client is at risk for developing HYPONATREMIA and CARDIOVASCULAR ABNORMALITIES. A nurse is caring for a client who is receiving a transfusion of packed red blood cells (RBCs). The nurse should suspect a transfusion reaction based on which of the following assessment findings? Select all that apply. -Back pain -Anxiety -Headache A rural community health nurse is developing a plan to improve health care delivery for migrant farmworkers. To identify health services data for this minority group, the nurse should gather information from which of the following sources? Agency for Healthcare Research and Quality National Institutes of Health Department of Agriculture World Health Organization Agency for Healthcare Research and Quality A nurse is caring for a client. Complete the diagram by dragging from the choices. Potential Condition: Somatic symptom disorder Actions to take: Monitor the clients physical manifestations Assess the client for a secondary gain from illness Parameters to monitor: Vital signs Pain A nurse is assessing a client who is scheduled for surgery. Click to highlight the assessment findings that the nurse should notify the provider about prior to the procedure. -Hemoglobin levels -Allergies -Family history A client who has high blood pressure is having difficulty following their treatment plan. Which of the following factors should the nurse recognize as being the greatest barrier to the clients ability to be compliant? A detailed plan of care Absence of symptoms Dietary salt restriction Addition of new medication Absence of symptoms A nurse in a providers office is caring for a client who has a new diagnosis of type 2 diabetes mellitus. Complete the following sentence by using the lists of options. The client is at risk for developing _____ due to ______. The client is at risk for developing DELAYED WOUND HEALING due to GLUCOSE LEVEL. A nurse is providing discharge teaching a client following a cataract extraction. Which of the following statements by the client indicates an understanding of the teaching? "I can resume my daily aspirin therapy" "I will contact my provider if my eye feels itchy" "I will bend at the knees when picking up an object up off the floor" "Its okay for me to pick up my grandchild, who weighs 20 pounds" "I will bend at the knees when picking up an object up off the floor" A nurse is assessing a client who has macular degeneration. Which of the following findings should the nurse expect? Increased intraocular pressure Floating dark spots Decreased central vision Double vision Decreased central vision A nurse is caring for a client who has a terminal illness and requests no lifesaving measures if cardiac arrest occurs. Which of the following statements should the nurse make? "You will need to draft a health care surrogate so a designee can make this decision for you" "I will make sure no one performs any lifesaving measures if your heart stops" "Your provider determines if you should have lifesaving measures if your heart stops" "I will provide you with information about medical treatment to include in your living will" "I will provide you with information about medical treatment to include in your living will"