ATI PN COMPREHENSIVE PREDICTOR REAL EXAM 180 QUESTIONS AND CORRECT ANS

A nurse is planning to obtain a 12-lead ECG for a client who has a history of cardiac dysrhythmias. Which of the following actions should the nurse plan to take? - instruct the client to remain as still as possible during the recording A home health nurse is conducting a home inspection for a client who is at risk for falls. Which of the following instructions should the nurse provide for the client? - move the clients bed to the main floor of the house A nurse is reinforcing teaching about common discomforts during the first trimester with a client who is at 10 weeks of gestation. Which of the following examples should the nurse include? - leukorrhea A nurse is monitoring a client who is postoperative. Which of the following actions should the nurse take when collecting data about the client's respirations? - observe the movements of the client's chest wall A nurse is caring for a client who suddenly develops chest pain and dyspnea. Which of the following actions should the nurse take first? - elevate the head of the client's bed A community health nurse is assisting in the development of a brochure about hypertension. Which of the following actions should the nurse take? - present information from complex to simple A nurse is reinforcing teaching with the support person of a client who is in the first stage of labor. Which of the following instructions should the nurse include regarding effleurage? - gently stroke her abdomen during contractions A nurse is reinforcing teaching with a newly licensed nurse about transcribing medication prescriptions. Which of the following prescriptions should the newly licensed nurse identify is an accurate transcription? - Lorazepam 0.5 mg PO PRN at bedtime A nurse is reviewing laboratory data from a client who has diabetes mellitus. Which of the following laboratory tests is the most accurate indicator of long -term disease management? – -Glycosylated hemoglobin. A nurse is reinforcing teaching with a client who has a new prescription for ciprofloxacin. Which of the following information should the nurse include in the teaching? - this medication can increase your risk for sunburn A charge nurse is discussing confidentiality requirements with a newly licensed nurse when sharing a client's medical information. Which of the following individuals should the charge nurse identify as appropriate with whom to share client information? - a social worker who is assigned to an involuntarily committed school-age client A nurse is caring for a client who follows a kosher diet. Which of the following menu items should the nurse include on the tray? - roasted salmon A nurse is caring for a client who has been admitted to the mental health unit. While reinforcing teaching about the clients prescribed medications, the nurse communicates truthfully about the adverse effects of the medications. Which of the following ethical concepts is the nurse exhibiting? - veracity A nurse on a mental health unit is reinforcing with a client who has anorexia nervosa. Which of the following statements by the client indicates an understanding of the teaching? - the staff will watch me closely for 1 hour after each meal A nurse is reinforcing teaching about preventing dental caries with the parent of a 12-month-old toddler. Which of the following instructions should the nurse provide? i - clean the teeth with a small, soft-bristled toothbrush A nurse is caring for a client who has major depressive disorder and is taking an antidepressant. The nurse should identify which of the following findings as the priority to report to the provider? - the client has a sudden increase in energy A nurse in an acute care setting is preparing to administer medications to a client. Which of the following information should the nurse obtain to identify the client? - clients telephone number A nurse overhears two assistive personnel discussing a client's medical history in the hallway. Which of the following actions should the nurse take first? - tell the staff members to stop their discussion A nurse is caring for a child who has terminal cancer. Which of the following responses by the child's school-age brother should the nurse expect? - believes his bad behavior is causing his brother's death A nurse is contributing to the plan of care for a client who has schizophrenia and is experiencing auditory hallucinations. The client reports hearing voices. Which of the following interventions should the nurse plan to take? - reinforce that, although the voices are real to the client, the nurse does not hear them A nurse is reinforcing teaching with the parents of a child who has ADHD and is taking methylphenidate. Which of the following statements by the parents indicates that the medication is effective? - our child is able to complete his homework on time A nurse is administering hydromorphone to a client who is experiencing postoperative pain. Which of the following findings is an adverse effect of this medication? - urinary retention A male nurse is assigned to care for an older adult female client. The client tells the nurse that she wants a female nurse to care for her. Which of the following statements should the nurse make? - I will ask to have you assigned to a female nurse A nurse is caring for a client who has a femur fracture with the leg in Buck's traction. Which of the following actions should the nurse take? - compare bilateral pedal pulses A nurse at a provider's office is caring for a client who is in the third trimester of pregnancy. Which of the following findings should the nurse report to the provider? - blurred vision A nurse is reinforcing teaching about healthy lifestyle changes with a female client who has mild hypertension. Which of the following statements by the client indicates an understanding of the teaching? - -I should decrease my salt intake to 2 grams per day A nurse is reinforcing teaching with a client who is undergoing radiation therapy to the neck. Which of the following instructions should the nurse include in the teaching? - - avoid exposing the neck to the cold A nurse is reinforcing teaching with a client who has primary open-angle glaucoma and a new prescription for timolol eye drops. Which of the following statements by the client indicates an understanding of the teaching? - I should check my heart rate while taking this medication A nurse is collecting data from a 9-year-old child during a well-child visit. Which of the following findings should the nurse expect? - grasps concepts of cause-and-effect A nurse is reinforcing teaching with a client who is about to start using an albuterol metered-dose inhaler. Which of the following instructions should the nurse include in the teaching? - close your mouth around the mouthpiece A charge nurse is monitoring a group of assistive personnel (AP) regarding the use of gloves in contact isolation. For which of the following actions by an AP should the charge nurse intervene? - removes gloves last after other personal protective equipment A nurse is performing nasopharyngeal suctioning for an adult client. Which of the following techniques should the nurse use? - wait 1 minute between suctioning attempts 35. A nurse is caring for a client who recently gave birth to her first child. The newborn is crying and the client states. " I can't seem to do anything right. What should I do?" Which of the following responses should the nurse make? - -let me show you how to swaddle and cuddle him, then you try A nurse is caring for a group of clients. Which of the following clients should the nurse recognize is experiencing fluid volume excess? - -A client who has heart failure and has had orthopnea for 2 days A nurse in an acute care setting is assisting in collecting client information to include in a referral for a physical therapist. Which of the following information should the nurse plan to include? – -physical assessment findings A nurse is preparing to give a change-of-shift report on a client who is 2 days postoperative following a total knee arthroscopy. Which of the following information about the client should the nurse include in the report? - preferred bath time A nurse is reviewing the medical record of a client who has COPD. Which of the following laboratory findings indicates a need to request a dietary referral for the client? - prealbumin 13 mg/dL A nurse is reviewing the home medications of a client who recently had transient ischemic attacks and is to begin taking clopidogrel. The nurse should instruct the client that which of the following over-the-counter medications interacts adversely with clopidogrel? - -Naproxen A nurse is preparing to delegate client care to an assistive personnel (AP). Which of the following information should the nurse verify prior to delegation? - -the AP's job description A nurse is reinforcing discharge teaching with a client who has a prescription for home oxygen therapy. Which of the following statements by the client indicates an understanding of the teaching? - -I will check my oxygen equipment at least once daily A nurse on a mental health unit observes a client yelling at another client. Which of the following actions should the nurse take first? - -state expectations for the client's behavior A nurse is assisting with the development of an education program for a group of older adults. Which of the following actions should the nurse take first? - -establish learning outcomes A nurse is preparing to apply a thigh-length sequential compression device for a client who is postoperative. Which of the following actions should the nurse take? - -measure the circumference of the client's upper leg A nurse is caring for a client who is on isolation precautions. Which of the following pieces of personal protective equipment should the nurse remove first? - -gloves A nurse is using a glucometer to measure a client's capillary blood glucose level. Which of the following actions should the nurse take? - -keep the finger in a dependent position A nurse is assisting with the care of a client who is 6 hr postoperative following a right knee arthroplasty. Which of the following actions should the nurse take? - -check the client's pedal pulses every hour A nurse is contributing to the plan of care for a client who has ascites due to cirrhosis. Which of the following interventions should the nurse recommend to include in the plan? - -measure the client's abdominal girth daily A nurse is preparing a vitamin K injection to give to a newborn. The newborn's mother questions the purpose of the medication. Which of the following responses should the nurse make? - -this medication will decrease the risk of hemorrhage in your newborn A nurse is reinforcing teaching with a client who has Rx for ferrous sulfate elixir. Understanding teaching? - I will mix the medication with water A nurse is caring for a female client who has indwelling catheter with a urinary drainage system. Which of the following actions should the nurse take? - -Coil the tubing on the bed above the collection bag