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NGN RN ATI PROCTORED COMPREHENSIVE PREDICTOR FORM C 2024 STUDY QUESTIONS AND ANSWERS GRADED A

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A nurse is reviewing the medical record of a client who has schizophrenia and is taking clozapine. Which of the following findings should the nurse identify as a contraindication to the administration of clozapine? A. HR 58 B. Fasting blood glucose 100 C. Hgb 14 D. WBC 2900 -Correct Ans D. WBC 2900 A nurse is developing an in service about personality disorders. Which of the following information should the nurse include when discussing borderline personality disorder? A. The clients exhibits impulse behavior B. The client might act seductively C. The client is exceptionally clingy to others D. The client is overly concerned about minor details -Correct Ans A. The clients exhibits impulse behavior Intra-dermal Injections areas. A. Buttocks B. Upper back C. Hamstring -Correct Ans B. Upper back A nurse is caring for a client who has experienced a right-hemispheric stroke. Which of the following are expected findings? SATA A. Impulse control difficulty B. Left Hemiplegia C. Loss of depth perception D. Aphasia E. Lack of situational awareness -Correct Ans A. Impulse control difficulty B. Left Hemiplegia C. Loss of depth perception E. Lack of situational awareness A nurse is caring for a client who has global aphasia (both receptive and expressive.). Which of the following should the nurse include in the client's plan of care? SATA A. Speak to the client at a slower rate B. Assist the client to use flash card with pictures C. Speak to the client in a loud voice. D. Complete sentences that the client cannot finish. E. Give instructions one step at a time -Correct Ans A. Speak to the client at a slower rate B. Assist the client to use flash card with pictures E. Give instructions one step at a time A nurse is assessing a client who has experienced a left-hemispheric stroke. Which of the following is an expected finding? A. Impulse control difficulty B. Poor judgement C. Inability to recognize familiar objects D. Loss of depth perception -Correct Ans C. Inability to recognize familiar objects A nurse is reviewing ABG laboratory results of a client who is in respiratory distress. The results are pH 7.47, PaCo2 32 mm Hg. HCO3 22 mm Hg. The nurse should recognize that the client is experiencing which of the following acid-base imbalances? A. Respiratory acidosis B. Respiratory alkalosis C. Metabolic acidosis D. Metabolic alkalosis -Correct Ans B. Respiratory alkalosis A nurse is caring for a client following a thoracentesis. Which of the following manifestations should the nurse recognize as risks for complications? SATA A. Dyspnea B. Localized bloody drainage on the dressing C. Fever D. Hypotension E. Report of pain at the puncture site -Correct Ans A. Dyspnea C. Fever D. Hypotension A nurse is preparing to care for a client following chest tube placement. Which of the following items should be available in the client's room? SATA A. Oxygen B. Sterile water C. Enclosed hemostat clamps D. Indwelling urinary catheter E. Occlusive dressing -Correct Ans A. Oxygen B. Sterile water C. Enclosed hemostat clamps E. Occlusive dressing A nurse is assessing a client who has a chest tube and drainage system in place. Which of the following are expected findings? SATA A. Gentle Constant bubbling in the suction control chamber B. Rise and fall in the level of water in the water seal chamber with inspiration and expiration C. Exposed sutures without dressing. D. Drainage system upright at chest level -Correct Ans A. Gentle Constant bubbling in the suction control chamber B. Rise and fall in the level of water in the water seal chamber with inspiration and expiration A nurse is planning care for a client following the insertion of a chest tube and drainage system. Which of the following should be included in the plan of care? SATA A. Encourage the client to cough every 2 hours B. Check the continuous bubbling in th suction chamber C. Strip the drainage tubing every 4 hours. D. Clamp the tube once a day. E. Obtain a chest x-ray -Correct Ans A. Encourage the client to cough every 2 hours B. Check the continuous bubbling in th suction chamber E. Obtain a chest x-ray A nurse is orientation a newly licensed nurse who is caring for a client who is receiving mechanical ventilation and is receiving mechanical ventilation and is on pressure support ventilation (PSV) mode. Which of the following statements by the newly licensed nurse indicates and understanding of PSV? A. "It keeps the alveoli open and prevents atelectasis." B. "It allows preset pressure delivered during spontaneous ventilation." C. "It guarantees minimal minute ventilator. D. "It delivers a preset ventilatory rate and tidal volume to the client." -Correct Ans B. "It allows preset pressure delivered during spontaneous ventilation." A nurse is caring for a client who is experiencing respiratory distress. Which of the following early manifestations of hypoxemia should the nurse recognize? SATA A. Confusion B. Pale skin C. Bradycardia D. Hypotension E. Elevation blood pressure. -Correct Ans B. Pale skin E. Elevation blood pressure. A nurse is orienting a newly licensed nurse on performing routine assessment of a client who is receiving mechanical ventilation via an endotracheal tube. Which of the following information should the nurse include in the teaching? A. Apply a vest restraint if self-extubation is attempted. B. Monitor ventilator settings ever 8 hours. C. Document tube placement in centimeters at the angle of jaw. D. Assess breath sounds every 1 to 2 hours. -Correct Ans D. Assess breath sounds every 1 to 2 hours.

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NGN RN ATI PROCTORED COMPREHENSIVE



NGN RN ATI PROCTORED COMPREHENSIVE
PREDICTOR FORM C 2024 STUDY QUESTIONS
AND ANSWERS GRADED A
A nurse is reviewing the medical record of a client who has schizophrenia and is taking
clozapine. Which of the following findings should the nurse identify as a contraindication
to the administration of clozapine?
A. HR 58
B. Fasting blood glucose 100
C. Hgb 14
D. WBC 2900 -Correct Ans ✔D. WBC 2900

A nurse is developing an in service about personality disorders. Which of the following
information should the nurse include when discussing borderline personality disorder?
A. The clients exhibits impulse behavior
B. The client might act seductively
C. The client is exceptionally clingy to others
D. The client is overly concerned about minor details -Correct Ans ✔A. The clients
exhibits impulse behavior

Intra-dermal Injections areas.
A. Buttocks
B. Upper back
C. Hamstring -Correct Ans ✔B. Upper back

A nurse is caring for a client who has experienced a right-hemispheric stroke. Which of
the following are expected findings? SATA
A. Impulse control difficulty
B. Left Hemiplegia
C. Loss of depth perception
D. Aphasia
E. Lack of situational awareness -Correct Ans ✔A. Impulse control difficulty
B. Left Hemiplegia
C. Loss of depth perception
E. Lack of situational awareness

A nurse is caring for a client who has global aphasia (both receptive and expressive.).
Which of the following should the nurse include in the client's plan of care? SATA
A. Speak to the client at a slower rate
B. Assist the client to use flash card with pictures
C. Speak to the client in a loud voice.
D. Complete sentences that the client cannot finish.
E. Give instructions one step at a time -Correct Ans ✔A. Speak to the client at a slower
rate


NGN RN ATI PROCTORED COMPREHENSIVE

,NGN RN ATI PROCTORED COMPREHENSIVE


B. Assist the client to use flash card with pictures
E. Give instructions one step at a time

A nurse is assessing a client who has experienced a left-hemispheric stroke. Which of
the following is an expected finding?
A. Impulse control difficulty
B. Poor judgement
C. Inability to recognize familiar objects
D. Loss of depth perception -Correct Ans ✔C. Inability to recognize familiar objects

A nurse is reviewing ABG laboratory results of a client who is in respiratory distress.
The results are pH 7.47, PaCo2 32 mm Hg. HCO3 22 mm Hg. The nurse should
recognize that the client is experiencing which of the following acid-base imbalances?
A. Respiratory acidosis
B. Respiratory alkalosis
C. Metabolic acidosis
D. Metabolic alkalosis -Correct Ans ✔B. Respiratory alkalosis

A nurse is caring for a client following a thoracentesis. Which of the following
manifestations should the nurse recognize as risks for complications? SATA
A. Dyspnea
B. Localized bloody drainage on the dressing
C. Fever
D. Hypotension
E. Report of pain at the puncture site -Correct Ans ✔A. Dyspnea
C. Fever
D. Hypotension

A nurse is preparing to care for a client following chest tube placement. Which of the
following items should be available in the client's room? SATA
A. Oxygen
B. Sterile water
C. Enclosed hemostat clamps
D. Indwelling urinary catheter
E. Occlusive dressing -Correct Ans ✔A. Oxygen
B. Sterile water
C. Enclosed hemostat clamps
E. Occlusive dressing

A nurse is assessing a client who has a chest tube and drainage system in place. Which
of the following are expected findings? SATA
A. Gentle Constant bubbling in the suction control chamber
B. Rise and fall in the level of water in the water seal chamber with inspiration and
expiration
C. Exposed sutures without dressing.



NGN RN ATI PROCTORED COMPREHENSIVE

,NGN RN ATI PROCTORED COMPREHENSIVE


D. Drainage system upright at chest level -Correct Ans ✔A. Gentle Constant bubbling in
the suction control chamber
B. Rise and fall in the level of water in the water seal chamber with inspiration and
expiration

A nurse is planning care for a client following the insertion of a chest tube and drainage
system. Which of the following should be included in the plan of care? SATA
A. Encourage the client to cough every 2 hours
B. Check the continuous bubbling in th suction chamber
C. Strip the drainage tubing every 4 hours.
D. Clamp the tube once a day.
E. Obtain a chest x-ray -Correct Ans ✔A. Encourage the client to cough every 2 hours
B. Check the continuous bubbling in th suction chamber
E. Obtain a chest x-ray

A nurse is orientation a newly licensed nurse who is caring for a client who is receiving
mechanical ventilation and is receiving mechanical ventilation and is on pressure
support ventilation (PSV) mode. Which of the following statements by the newly
licensed nurse indicates and understanding of PSV?
A. "It keeps the alveoli open and prevents atelectasis."
B. "It allows preset pressure delivered during spontaneous ventilation."
C. "It guarantees minimal minute ventilator.
D. "It delivers a preset ventilatory rate and tidal volume to the client." -Correct Ans ✔B.
"It allows preset pressure delivered during spontaneous ventilation."

A nurse is caring for a client who is experiencing respiratory distress. Which of the
following early manifestations of hypoxemia should the nurse recognize? SATA
A. Confusion
B. Pale skin
C. Bradycardia
D. Hypotension
E. Elevation blood pressure. -Correct Ans ✔B. Pale skin
E. Elevation blood pressure.

A nurse is orienting a newly licensed nurse on performing routine assessment of a client
who is receiving mechanical ventilation via an endotracheal tube. Which of the following
information should the nurse include in the teaching?
A. Apply a vest restraint if self-extubation is attempted.
B. Monitor ventilator settings ever 8 hours.
C. Document tube placement in centimeters at the angle of jaw.
D. Assess breath sounds every 1 to 2 hours. -Correct Ans ✔D. Assess breath sounds
every 1 to 2 hours.

A nurse is caring for a client who has dyspnea and will receive oxygen continuously.
Which of the following oxygen devices should the nurse use to deliver a precise amount
of oxygen to the client?


NGN RN ATI PROCTORED COMPREHENSIVE

, NGN RN ATI PROCTORED COMPREHENSIVE


A. Non rebreather mask
B. Venturi mask
C. Nasal cannula
D. Simple face mask -Correct Ans ✔B. Venturi mask

A nurse is planning care for a client who is receiving mechanical ventilation. Which of
the following modes of ventilation that increase the effort of the client's respiratory
muscles should the nurse include in the plan of care? SATA
A. Assist-control
B. SIMV
C. CPAP
D. PSV
E. Independent lung ventilation -Correct Ans ✔B. SIMV
C. CPAP
D. PSV

A nurse is caring for a client who has pneumonia. Assessment findings include
temperature 37.8 C (100 F), respirations 30/min, blood pressure 130/76, heart rate
100/min, and SaO2 91% on room air. Prioritize the following nursing interventions.
A. Administer antibiotics.
B. Administer oxygen therapy.
C. Perform a sputum culture.
D. Administer an antipyretic medication to promote client comfort. -Correct Ans ✔B.
Administer oxygen therapy.
C. Perform a sputum culture.
A. Administer antibiotics.
D. Administer an antipyretic medication to promote client comfort.

A nurse in a clinic is assessing a client who has sinusitis. Which of the following
techniques should the nurse use to identify manifestations of this disorder?
A. Percussion of posterior lobes of lungs
B. Auscultation of the trachea
C. Inspection of the conjunctiva
D. Palpation of the orbital areas -Correct Ans ✔D. Palpation of the orbital areas

A nurse in the emergency department is caring for a client who is having an acute
asthma attack. Which of the following assessments indicates that the respiratory status
is declining? SATA
A. SaO2 95%
B. Wheezing
C. Retraction of sternal muscles
D. Pink mucous membranes
E. Premature ventricular complexes (PVC's) -Correct Ans ✔B. Wheezing
C. Retraction of sternal muscles
E. Premature ventricular complexes (PVC's)



NGN RN ATI PROCTORED COMPREHENSIVE

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