ATI COMPREHENSIVE PREDICTOR LATEST UPDATE WITH 180 QUESTIONS & CORRECT ANSWERS & RATIONALES BRAND NEW

ATI COMPREHENSIVE PREDICTOR LATEST UPDATE WITH 180 QUESTIONS & CORRECT ANSWERS & RATIONALES BRAND NEW A nurse is providing colostomy care for a client using a two-piece pouching system. Which of the following actions should the nurse take? - Place the skin barrier over the stoma and hold it for 30 seconds. Rationale: The nurse should activate the adhesive in the skin barrier by holding it in place over the stoma for 30 seconds. A nurse is teaching the parent of a school-age about administering ear drops. Which of the following response by the parent indicates an understanding of the teaching? – "I should pull the top of the ear upward and back while instilling the medication." Rationale: The nurse should instruct the parent to pull the pinna upward and back in children older than 3 years of age to straighten the ear canal and allow the medication to reach the entire canal. For children younger than 3 years of age, the parent should gently pull the pinna downward and back. A nurse is assessing a client who is 2 hr postoperative following a cardiac catheterization. Which of the following information should the nurse report to the provider? - Neurologic status Rationale: This client is experiencing slurred speech and extremity weakness, which are indications of a stroke, a potential complication of cardiac catheterization. The nurse should report these findings to the provider. A nurse is caring for a client who is receiving total parenteral nutrition (TPN) solution by continuous IV infusion at 60 mL/hr. The nurse discovers the infusion pump has stopped working. Which of the following actions should the nurse take while waiting for a new infusion pump? - Provide dextrose 10% in water solution using manual drip tubing at 60 mL/hr. Rationale: The nurse should use an infusion pump when administering TPN solution to ensure accurate dosage and should taper the infusion rate before discontinuing the solution to prevent hypoglycemia. If the nurse is unable to continue the TPN infusion by infusion pump, the nurse should use manual drip tubing to infuse dextrose 10% in water at the same rate as the TPN solution. A nurse is caring for a client who has MRSA in an abdominal wound. Which of the following precautions should the nurse implement? - Contact Rationale: The nurse should implement contact precautions for a client who has an infection spread by direct contact, such as MRSA. A nurse is caring for a client who is 4 hr postpartum and has a boggy uterus with heavy lochia. Which of the following actions should the nurse take first - Massage the uterus to expel clots Rationale: Using the EBP approach to client care, the nurse should identify that the priority action is massaging the client's uterus. Uterine massage will expel clots and increase uterine firmness, resulting in decreased bleeding. A nurse is providing discharge teaching to a new parent about car seat safety. Which of the following statements should the nurse include in the teaching? - "Secure the retainer clip at the level of your baby's armpits" A nurse is providing discharge teaching to a client who has colorectal cancer and a new colostomy. The client states, "I'm worried about being discharged because I live alone, and my insurance doesn't cover ostomy supplies. "Which of the following actions should the nurse take? (SATA) - -Refer the client to a community based social workers -Initiate a consult with a home health care provider -Give the client information about local support groups Rationale: -A social worker is necessary to help a client with self-care, as well as assist in locating agencies who can help the client face challenges with self-care and paying for necessary ostomy supplies -A home health nurse can assist the client in learning to care for the colostomy as well as provide medication management and emotional support -A client who has cancer and a new colostomy can get help with coping from a support group and possibly receive assistance obtaining supplies from local agencies A nurse manager is reviewing unit records and discovers that client falls occur most frequently during the hours of 0530 and 0730. Which of the following actions should the nurse take when conducting a root cause analysis? - Investigate environmental factors that might be contributing to client injury during these hours. Rationale: When conducting a root cause analysis, the nurse should look at the factors that could possibly lead to the clients' falls. This can include environmental factors that might be causing the problem. A nurse is caring for a client who has terminal illness and requests lifesaving measures if a cardiac arrest occurs. Which of the following statements should the nurse make? - "I will provide you with information about medical treatment to include in your living will" Rationale: The nurses' responsibility is to provide the client with information about specific instructions for addressing medical treatment in a living will. The nurse should assist the client while they are able to make decisions for themself by providing information about what end-of-life preferences to document. A nurse is assessing a client who has delirium. Which of the following manifestations should the nurse expect? - Rapid speech Rationale: Clients who have delirium exhibit rapid, inappropriate,