ATI PN Comprehensive predictor part II
Collecting a stool specimen two tests for occult blood can be assigned to a ____ -
Answer- AP
A client is found lying on the floor next to a chair requires the nurse to complete an -
Answer- incident report.
A nurse is discharging a client who was admitted for newly diagnosed type 2
diabetes mellitus. The client is independent and lives alone. The client should be
referred to a _____ - Answer- diabetic support group
A nurse is caring for a client who has type 2 diabetes mellitus and a blood glucose
level of 60 mg/dL. For which of the following findings should the nurse monitor? -
Answer- Fasting plasma glucose level
A female client who is an abusive marriage has discusses with the nurse strategies
to prevent this abuse. Which of the following client statements indicate an
understanding of an appropriate strategy? - Answer- "I need to recognize the signs
that my husband is becoming abusive." c. "I need to identify what triggers my
husband's anger to prevent his abuse."
A charge nurse in a long-term care facility is preparing to administer noon insulin to a
client. The nurse observes that the assistive personnel (AP) has no documented the
client's blood glucose level. The nurse should determine if the ___ has completed
the assignment - Answer- AP
A client is scheduled for an outpatient colonoscopy+ which of the following actions is
a nursing responsibility in the informed consent process? - Answer- Verify that there
is a signed and witnesses consent form in the client's chart
A nurse smells alcohol on the breath of an assistive personnel CAP) during report.
The situation should be reported to the ______ - Answer- nurse manager
A nurse from a medical-surgical unit is floating to a postpartum unit. An appropriate
assignment for the nurse to accept would be a client who had a ____delivery 24 hrs
ago - Answer- cesarean
A nurse in a provider's office is collecting data from a parent of an infant who is being
screened for cystic fibrosis. ____stool would support a diagnosis of cystic fibrosis, -
Answer- Frothy
When caring for an assigned group of clients, the nurse should wear ____ when
performing oral hygiene - Answer- gloves
.A nurse is preparing a client for surgery. The client tells the nurse that he is
concerned about the safety of a large sum of money in his wallet. The nurse should
contact ______ to place the money in the facility safe - Answer- security personell
, A nurse is caring for a client who is receiving heparin. Which of the following is the
appropriate route of administration? - Answer- Subcutaneously
A nurse is reinforcing teaching about car seat safety to the parents of a newborn,
The nurse should instruct the parents to place the car seat in a ____ position in the
back seat - Answer- rear-facing.
A nurse is caring for a client and recognizes the client's rights to confidentiality have
been breached in which of the following situations? - Answer- A hospital risk
manager includes information from a client's medical record in
A nurse is caring for a client who had a femoral-popliteal bypass graft 2 days ago.
When monitoring peripheral pulses, the nurse is unable to locate a pulse on the
affected leg. The nurse should notify _____ of the finding - Answer- The charge
nurse
A nurse is caring for a full-term newborn who was circumcised 6 hours ago, which of
the following findings indicates that the newborn is experiencing pain? - Answer-
Furrowed Brow
A nurse is reinforcing teaching with a client about organ donation. Which of the
following client statements indicated a need for further teaching? - Answer- "My
doctor should decide if my organs will be donated."
A Client who is prescribed metoprolol (Lopressor) for hypertension tells the nurse, "I
don't want to take this medication because it makes me tired all the time." Which of
the following is the appropriate response? - Answer- "Let's talk with your doctor
about other options."
A nurse is preparing to administer an IM injection to a client. To reduce the risk of
needle stick injury, the nurse should dispose of the used needle immediately in a
puncture proof_______ - Answer- sharps container
The client requires assistance to pay for dressing supplies needs ___ assistance -
Answer- interdisciplinary
A client who is 24 hour postoperative suddenly develops chest pain, dyspnea,
anxiety, diaphoresis, and cough. Which of the following actions should the nurse
take first? - Answer- Elevate the head of the client's bed.
A nurse is caring for a 17-year old client who is admitted for an emergency
appendectomy. Which of the following is an appropriate action by the nurse in
obtaining informed consent? - Answer- Obtain verbal consent from the client while
waiting for the parents to arrive. b. Witness the signature of the client's parent when
he arrives. c. Have the client's older sibling give consent if a parent is not available.
d. Delay the procedure if the provider cannot contact the parents
.A nurse has delegated care to an assistive personnel. At the end of the shift, the Ap
asks the nurse to enter data for her because the AP has forgotten her password and
Collecting a stool specimen two tests for occult blood can be assigned to a ____ -
Answer- AP
A client is found lying on the floor next to a chair requires the nurse to complete an -
Answer- incident report.
A nurse is discharging a client who was admitted for newly diagnosed type 2
diabetes mellitus. The client is independent and lives alone. The client should be
referred to a _____ - Answer- diabetic support group
A nurse is caring for a client who has type 2 diabetes mellitus and a blood glucose
level of 60 mg/dL. For which of the following findings should the nurse monitor? -
Answer- Fasting plasma glucose level
A female client who is an abusive marriage has discusses with the nurse strategies
to prevent this abuse. Which of the following client statements indicate an
understanding of an appropriate strategy? - Answer- "I need to recognize the signs
that my husband is becoming abusive." c. "I need to identify what triggers my
husband's anger to prevent his abuse."
A charge nurse in a long-term care facility is preparing to administer noon insulin to a
client. The nurse observes that the assistive personnel (AP) has no documented the
client's blood glucose level. The nurse should determine if the ___ has completed
the assignment - Answer- AP
A client is scheduled for an outpatient colonoscopy+ which of the following actions is
a nursing responsibility in the informed consent process? - Answer- Verify that there
is a signed and witnesses consent form in the client's chart
A nurse smells alcohol on the breath of an assistive personnel CAP) during report.
The situation should be reported to the ______ - Answer- nurse manager
A nurse from a medical-surgical unit is floating to a postpartum unit. An appropriate
assignment for the nurse to accept would be a client who had a ____delivery 24 hrs
ago - Answer- cesarean
A nurse in a provider's office is collecting data from a parent of an infant who is being
screened for cystic fibrosis. ____stool would support a diagnosis of cystic fibrosis, -
Answer- Frothy
When caring for an assigned group of clients, the nurse should wear ____ when
performing oral hygiene - Answer- gloves
.A nurse is preparing a client for surgery. The client tells the nurse that he is
concerned about the safety of a large sum of money in his wallet. The nurse should
contact ______ to place the money in the facility safe - Answer- security personell
, A nurse is caring for a client who is receiving heparin. Which of the following is the
appropriate route of administration? - Answer- Subcutaneously
A nurse is reinforcing teaching about car seat safety to the parents of a newborn,
The nurse should instruct the parents to place the car seat in a ____ position in the
back seat - Answer- rear-facing.
A nurse is caring for a client and recognizes the client's rights to confidentiality have
been breached in which of the following situations? - Answer- A hospital risk
manager includes information from a client's medical record in
A nurse is caring for a client who had a femoral-popliteal bypass graft 2 days ago.
When monitoring peripheral pulses, the nurse is unable to locate a pulse on the
affected leg. The nurse should notify _____ of the finding - Answer- The charge
nurse
A nurse is caring for a full-term newborn who was circumcised 6 hours ago, which of
the following findings indicates that the newborn is experiencing pain? - Answer-
Furrowed Brow
A nurse is reinforcing teaching with a client about organ donation. Which of the
following client statements indicated a need for further teaching? - Answer- "My
doctor should decide if my organs will be donated."
A Client who is prescribed metoprolol (Lopressor) for hypertension tells the nurse, "I
don't want to take this medication because it makes me tired all the time." Which of
the following is the appropriate response? - Answer- "Let's talk with your doctor
about other options."
A nurse is preparing to administer an IM injection to a client. To reduce the risk of
needle stick injury, the nurse should dispose of the used needle immediately in a
puncture proof_______ - Answer- sharps container
The client requires assistance to pay for dressing supplies needs ___ assistance -
Answer- interdisciplinary
A client who is 24 hour postoperative suddenly develops chest pain, dyspnea,
anxiety, diaphoresis, and cough. Which of the following actions should the nurse
take first? - Answer- Elevate the head of the client's bed.
A nurse is caring for a 17-year old client who is admitted for an emergency
appendectomy. Which of the following is an appropriate action by the nurse in
obtaining informed consent? - Answer- Obtain verbal consent from the client while
waiting for the parents to arrive. b. Witness the signature of the client's parent when
he arrives. c. Have the client's older sibling give consent if a parent is not available.
d. Delay the procedure if the provider cannot contact the parents
.A nurse has delegated care to an assistive personnel. At the end of the shift, the Ap
asks the nurse to enter data for her because the AP has forgotten her password and
