PN VIRTUAL ATI PREDICTOR (GREEN
LIGHT)
A44nurse44is44caring44for44a44client44who44is44at443344weeks44of44gestation44following44a
n44amniocentesis.44The44nurse44should44monitor44the44client44for44which44of44the44follow
ing44complications?
A.44Vomiting
B.44Hypertension
C.44Epigastric44pain
D.44Contractions44-44answer--D.44Contractions
A44nurse44is44providing44teaching44to44an44older44adult44client44about44methods44to44pro
mote44nighttime
sleep.44Which44of44the44following44instructions44should44the44nurse44include?
A.44Stay44in44bed44at44least44144hr44if44unable44to44fall44asleep
B.44Take44a44144hr44nap44during44the44day
C.44Perform44exercises44prior44to44bedtime
D.44Eat44a44light44snack44before44bedtime44-44answer--
D.44Eat44a44light44snack44before44bedtime
A44nurse44on44a44telemetry44unit44is44caring44for44a44client44who44becomes44unconsciou
s44and44whose44monitor44displays44ventricular44tachycardia.44Which44of44the44following4
4actions44should44the44nurse44take44first44after44determining44the44client44does44not44hav
e44a44palpable44pulse?
A.44Assess44heart44sounds
B.44Defibrillate
C.44Establish44IV44access
D.44Administer44epinephrine44-44answer--B.44Defibrillate
A44nurse44is44admitting44a44client44who44144week44postpartum44and44reports44excessive
44vaginal44bleeding.44The44nurse44does44not44speak44the44same44language44as44the44cli
ent.44The44client's44partner44and4410-year-
old44child44are44accompanying44her.44Which44of44the44following44actions44should44the
nurse44take44to44gather44the44client's44admission44data?
A.44Have44the44client's44child44translate
B.44Allow44the44client's44partner44to44translate
,C.44Request44a44female44interpreter44through44the44facility
D.44Ask44a44nursing44student44who44speaks44the44same44language44as44the44client44to44
translate44-44answer--C.44Request44a44female44interpreter44through44the44facility
A44nurse44is44caring44for44a44client44who44is44febrile.44To44reduce44the44client's44fever,44t
he44nurse44applies44a44cooling44blanket.44Which44of44the44following44findings44indicates4
4the44client44is44having44an44adverse44reaction44to44the44cooling?
a.44Flushing
b.44Tachycardia
44c.44Restlessness44
d.44Shivering44-44answer--d.44Shivering
A44nurse44is44caring44for44a44client44who44has44deep-vein-
thrombosis44of44the44left44lower44extremity.44Which44of44the44following44actions44should4
4the44nurse44take?44(Exhibit)
A.44Position44the44client44with44the44affected44extremity44lower44than44the44heart
B.44Withhold44heparin44IV44infusion44PTT-4430-4044seconds;44x244if44on44heparin
C.44Administer44acetaminophen
D.44Massage44the44affected44extremity44every44444hr44-44answer--
B.44Withhold44heparin44IV44infusion44PTT-4430-4044seconds;44x244if44on44heparin
A44nurse44is44reviewing44assessment44data44from44several44clients.44For44which44of44the
44following44clients44should44the44nurse44recommend44referral44to44a44dietitian?
A.44An44older44adult44client44who44has44a44BMI44of4424
B.44A44client44who44has44a44nonhealing44leg44ulcer
C.44An44older44adult44client44who44has44presbyopia
D.44A44client44who44has44an44albumin44level44of443.744g/dL44(normal443.4-5.4)44-
44answer--B.44A44client44who44has44a44nonhealing44leg44ulcer
8.44A44nurse44is44providing44discharge44teaching44to44a44client44who44has44a44chronic44ki
dney44disease44and44is44receiving44hemodialysis.44Which44of44the44following44instruction
s44should44the44nurse44include44in44the44teaching?
a.44Eat44144g/kg44of44protein44per44day
b.44Take44magnesium44hydroxide44for44indigestion
c.44Drink44at44least44344L44of44fluid44daily-
Consume44foods44high44in44potassium-44restrict44-44answer--a.44Eat44144g/
kg44of44protein44per44day
A44nurse44is44caring44for44a44client44who44is44receiving44intermittent44enteral44tube44feedi
ngs.44Which44of
the44following44places44the44client44at44risk44for44aspiration?
A.44Sitting44in44a44high-Fowler's44position44during44the44feeding
B.44A44history44of44gastroesophageal44reflux44disease
C.44Receiving44a44high44osmolarity44formula
D.44A44residual44of446544mL44144hr44postprandial?44-44answer--
B.44A44history44of44gastroesophageal44reflux44disease
,?
A44nurse44is44providing44prenatal44teaching44to44a44client44who44is44at441244weeks44of44g
estation.44The44nurse44should44tell44the44client44that44she44will44undergo44which44of44the
44following44screening44tests44at441644weeks44of44gestation?
A.44Chorionic44villus44sampling-44as44early44as44844weeks
B.44Cervical44cultures44for44chlamydia-441st44appointment.
C.44Nonstress44test44-2844weeks
D.44Maternal44serum44alpha-fetoprotein-441644to441844weeks44-44answer--
D.44Maternal44serum44alpha-fetoprotein-441644to441844weeks
A44nurse44is44caring44for44a44client44who44is44on44bed44rest.44The44nurse44should44recog
nize44that44which44of
the44following44findings44is44a44complication44of44immobility?
A.44Decreased44serum44calcium44levels-44increased44serum44calcium
B.44Increased44blood44pressure-44hypotension
C.44Swollen44area44on44calf
D.44Urinary44frequency-44-44answer--C.44Swollen44area44on44calf
12.44A44nurse44in44acute44care44mental44health44facility44is44participating44in44a44medicat
ion-education44group.44The44leader44of44the44group44uses44a44laissez-
faire44leadership44style.44Which44of44the44following44actions44should44the44nurse44expect
44from44the44leader44during44the44session?
A44.The44leader44encourages44group44members44to44remain44silent44until44questions44ar
e44called44for
B.44The44leader44lecture44about44medication44adverse44effects44to44the44group44member
s
c.44The44leader44allows44the44group44to44discuss44whatever44they44would44like44to44rega
rding44their
medications
d.44The44leader44has44group44members44vote44on44what44they44would44like44to44learn44a
bout44during44the44session44-44answer--
d.44The44leader44has44group44members44vote44on44what44they44would44like44to44learn44a
bout44during44the44session
A44nurse44is44providing44teaching44about44digoxin44administration44to44the44parents44of44
a44toddler44who44has44heart44failure.44Which44of44the44following44statements44should44th
e44nurse44include44in44the44teaching?
A44"You44can44add44the44medication44to44a44half-cup44of44your44child's44favorite44juice."
B44"Repeat44the44dose44if44your44child44vomits44within44144hour44after44taking44medicatio
n."44X
C44"Limit44your44child's44potassium44intake44while44she44is44taking44this44medication."
D44"Have44your44child44drink44a44small44glass44of44water44after44swallowing44the44medic
ation."44-44answer--
D44"Have44your44child44drink44a44small44glass44of44water44after44swallowing44the44medic
ation."
, A44nurse44is44providing44teaching44to44a44client44who44has44a44depressive44disorder44an
d44a44new44prescription44for44phenelzine.44Which44of44the44following44foods44should44the
44nurse44instruct44the
client44to44avoid?
A.44Grapefruit
B.44Spinach
C.44Cottage44cheese-44cream44cheese44ok.
D.44Smoked44salmon44-44answer--D.44Smoked44salmon
A44nurse44is44planning44care44for44a44client44who44has44COPD44and44weighs449944lb.44T
he44provider44has44prescribed44a44diet44of44a441.544g44protein/kg/
day.44How44many44grams44of44protein44per44day44should44the44nurse44include44in44the44
client's44dietary44plan?44(Round44to44the44nearest44whole44number44-44answer--a.4468
A44nurse44is44planning44care44for44a44client44who44has44bipolar44disorder44and44is44expe
riencing44mania.44Which44of44the44following44interventions44should44the44nurse44include4
4in44the44plan?
A.44Encourage44the44client44to44spend44time44in44the44day44room
B.44Withdraw44the44client's44TV44privileges44if44he44does44not44attend44group44therapy44
X
C.44Encourage44the44client44to44take44frequent44rest44periods
D.44Place44the44client44in44seclusion44when44he44exhibits44signs44of44anxiety44X44-
44answer--C.44Encourage44the44client44to44take44frequent44rest44periods
A44parish44nurse44is44leading44a44support44group44for44clients44whose44family44members
44have44committed44suicide.44Which44of44the44following44strategies44should44the44nurse4
4plan44to44use44during44the44group44session?
a44Encourage44clients44to44establish44a44timeline44for44their44own44grieving44process
b.44Initiate44a44discussion44with44clients44about44ways44to44cope44with44changes44in44fa
mily
dynamics
c44Discourage44clients44from44sharing44negative44aspects44of44their44relationship44with44
the
deceased44persons
d44Assist44clients44in44identifying44ways44suicide44could44have44been44prevented44-
44answer--
b.44Initiate44a44discussion44with44clients44about44ways44to44cope44with44changes44in44fa
mily
A44nurse44manager44observes44two44staff44nurses44reviewing44the44computer44records44
of44a44client44who44is44not44under44their44care.44Which44of44the44following44actions44sho
uld44the44nurse44manager44take44first?
a44Instruct44the44nurses44to44close44the44client's44computer44record
b44Request44the44nurses44present44an44in-service44on44client44confidentiality
c.44Advise44the44nurses44to44read44the44facility's44confidentiality44policyd.44
LIGHT)
A44nurse44is44caring44for44a44client44who44is44at443344weeks44of44gestation44following44a
n44amniocentesis.44The44nurse44should44monitor44the44client44for44which44of44the44follow
ing44complications?
A.44Vomiting
B.44Hypertension
C.44Epigastric44pain
D.44Contractions44-44answer--D.44Contractions
A44nurse44is44providing44teaching44to44an44older44adult44client44about44methods44to44pro
mote44nighttime
sleep.44Which44of44the44following44instructions44should44the44nurse44include?
A.44Stay44in44bed44at44least44144hr44if44unable44to44fall44asleep
B.44Take44a44144hr44nap44during44the44day
C.44Perform44exercises44prior44to44bedtime
D.44Eat44a44light44snack44before44bedtime44-44answer--
D.44Eat44a44light44snack44before44bedtime
A44nurse44on44a44telemetry44unit44is44caring44for44a44client44who44becomes44unconsciou
s44and44whose44monitor44displays44ventricular44tachycardia.44Which44of44the44following4
4actions44should44the44nurse44take44first44after44determining44the44client44does44not44hav
e44a44palpable44pulse?
A.44Assess44heart44sounds
B.44Defibrillate
C.44Establish44IV44access
D.44Administer44epinephrine44-44answer--B.44Defibrillate
A44nurse44is44admitting44a44client44who44144week44postpartum44and44reports44excessive
44vaginal44bleeding.44The44nurse44does44not44speak44the44same44language44as44the44cli
ent.44The44client's44partner44and4410-year-
old44child44are44accompanying44her.44Which44of44the44following44actions44should44the
nurse44take44to44gather44the44client's44admission44data?
A.44Have44the44client's44child44translate
B.44Allow44the44client's44partner44to44translate
,C.44Request44a44female44interpreter44through44the44facility
D.44Ask44a44nursing44student44who44speaks44the44same44language44as44the44client44to44
translate44-44answer--C.44Request44a44female44interpreter44through44the44facility
A44nurse44is44caring44for44a44client44who44is44febrile.44To44reduce44the44client's44fever,44t
he44nurse44applies44a44cooling44blanket.44Which44of44the44following44findings44indicates4
4the44client44is44having44an44adverse44reaction44to44the44cooling?
a.44Flushing
b.44Tachycardia
44c.44Restlessness44
d.44Shivering44-44answer--d.44Shivering
A44nurse44is44caring44for44a44client44who44has44deep-vein-
thrombosis44of44the44left44lower44extremity.44Which44of44the44following44actions44should4
4the44nurse44take?44(Exhibit)
A.44Position44the44client44with44the44affected44extremity44lower44than44the44heart
B.44Withhold44heparin44IV44infusion44PTT-4430-4044seconds;44x244if44on44heparin
C.44Administer44acetaminophen
D.44Massage44the44affected44extremity44every44444hr44-44answer--
B.44Withhold44heparin44IV44infusion44PTT-4430-4044seconds;44x244if44on44heparin
A44nurse44is44reviewing44assessment44data44from44several44clients.44For44which44of44the
44following44clients44should44the44nurse44recommend44referral44to44a44dietitian?
A.44An44older44adult44client44who44has44a44BMI44of4424
B.44A44client44who44has44a44nonhealing44leg44ulcer
C.44An44older44adult44client44who44has44presbyopia
D.44A44client44who44has44an44albumin44level44of443.744g/dL44(normal443.4-5.4)44-
44answer--B.44A44client44who44has44a44nonhealing44leg44ulcer
8.44A44nurse44is44providing44discharge44teaching44to44a44client44who44has44a44chronic44ki
dney44disease44and44is44receiving44hemodialysis.44Which44of44the44following44instruction
s44should44the44nurse44include44in44the44teaching?
a.44Eat44144g/kg44of44protein44per44day
b.44Take44magnesium44hydroxide44for44indigestion
c.44Drink44at44least44344L44of44fluid44daily-
Consume44foods44high44in44potassium-44restrict44-44answer--a.44Eat44144g/
kg44of44protein44per44day
A44nurse44is44caring44for44a44client44who44is44receiving44intermittent44enteral44tube44feedi
ngs.44Which44of
the44following44places44the44client44at44risk44for44aspiration?
A.44Sitting44in44a44high-Fowler's44position44during44the44feeding
B.44A44history44of44gastroesophageal44reflux44disease
C.44Receiving44a44high44osmolarity44formula
D.44A44residual44of446544mL44144hr44postprandial?44-44answer--
B.44A44history44of44gastroesophageal44reflux44disease
,?
A44nurse44is44providing44prenatal44teaching44to44a44client44who44is44at441244weeks44of44g
estation.44The44nurse44should44tell44the44client44that44she44will44undergo44which44of44the
44following44screening44tests44at441644weeks44of44gestation?
A.44Chorionic44villus44sampling-44as44early44as44844weeks
B.44Cervical44cultures44for44chlamydia-441st44appointment.
C.44Nonstress44test44-2844weeks
D.44Maternal44serum44alpha-fetoprotein-441644to441844weeks44-44answer--
D.44Maternal44serum44alpha-fetoprotein-441644to441844weeks
A44nurse44is44caring44for44a44client44who44is44on44bed44rest.44The44nurse44should44recog
nize44that44which44of
the44following44findings44is44a44complication44of44immobility?
A.44Decreased44serum44calcium44levels-44increased44serum44calcium
B.44Increased44blood44pressure-44hypotension
C.44Swollen44area44on44calf
D.44Urinary44frequency-44-44answer--C.44Swollen44area44on44calf
12.44A44nurse44in44acute44care44mental44health44facility44is44participating44in44a44medicat
ion-education44group.44The44leader44of44the44group44uses44a44laissez-
faire44leadership44style.44Which44of44the44following44actions44should44the44nurse44expect
44from44the44leader44during44the44session?
A44.The44leader44encourages44group44members44to44remain44silent44until44questions44ar
e44called44for
B.44The44leader44lecture44about44medication44adverse44effects44to44the44group44member
s
c.44The44leader44allows44the44group44to44discuss44whatever44they44would44like44to44rega
rding44their
medications
d.44The44leader44has44group44members44vote44on44what44they44would44like44to44learn44a
bout44during44the44session44-44answer--
d.44The44leader44has44group44members44vote44on44what44they44would44like44to44learn44a
bout44during44the44session
A44nurse44is44providing44teaching44about44digoxin44administration44to44the44parents44of44
a44toddler44who44has44heart44failure.44Which44of44the44following44statements44should44th
e44nurse44include44in44the44teaching?
A44"You44can44add44the44medication44to44a44half-cup44of44your44child's44favorite44juice."
B44"Repeat44the44dose44if44your44child44vomits44within44144hour44after44taking44medicatio
n."44X
C44"Limit44your44child's44potassium44intake44while44she44is44taking44this44medication."
D44"Have44your44child44drink44a44small44glass44of44water44after44swallowing44the44medic
ation."44-44answer--
D44"Have44your44child44drink44a44small44glass44of44water44after44swallowing44the44medic
ation."
, A44nurse44is44providing44teaching44to44a44client44who44has44a44depressive44disorder44an
d44a44new44prescription44for44phenelzine.44Which44of44the44following44foods44should44the
44nurse44instruct44the
client44to44avoid?
A.44Grapefruit
B.44Spinach
C.44Cottage44cheese-44cream44cheese44ok.
D.44Smoked44salmon44-44answer--D.44Smoked44salmon
A44nurse44is44planning44care44for44a44client44who44has44COPD44and44weighs449944lb.44T
he44provider44has44prescribed44a44diet44of44a441.544g44protein/kg/
day.44How44many44grams44of44protein44per44day44should44the44nurse44include44in44the44
client's44dietary44plan?44(Round44to44the44nearest44whole44number44-44answer--a.4468
A44nurse44is44planning44care44for44a44client44who44has44bipolar44disorder44and44is44expe
riencing44mania.44Which44of44the44following44interventions44should44the44nurse44include4
4in44the44plan?
A.44Encourage44the44client44to44spend44time44in44the44day44room
B.44Withdraw44the44client's44TV44privileges44if44he44does44not44attend44group44therapy44
X
C.44Encourage44the44client44to44take44frequent44rest44periods
D.44Place44the44client44in44seclusion44when44he44exhibits44signs44of44anxiety44X44-
44answer--C.44Encourage44the44client44to44take44frequent44rest44periods
A44parish44nurse44is44leading44a44support44group44for44clients44whose44family44members
44have44committed44suicide.44Which44of44the44following44strategies44should44the44nurse4
4plan44to44use44during44the44group44session?
a44Encourage44clients44to44establish44a44timeline44for44their44own44grieving44process
b.44Initiate44a44discussion44with44clients44about44ways44to44cope44with44changes44in44fa
mily
dynamics
c44Discourage44clients44from44sharing44negative44aspects44of44their44relationship44with44
the
deceased44persons
d44Assist44clients44in44identifying44ways44suicide44could44have44been44prevented44-
44answer--
b.44Initiate44a44discussion44with44clients44about44ways44to44cope44with44changes44in44fa
mily
A44nurse44manager44observes44two44staff44nurses44reviewing44the44computer44records44
of44a44client44who44is44not44under44their44care.44Which44of44the44following44actions44sho
uld44the44nurse44manager44take44first?
a44Instruct44the44nurses44to44close44the44client's44computer44record
b44Request44the44nurses44present44an44in-service44on44client44confidentiality
c.44Advise44the44nurses44to44read44the44facility's44confidentiality44policyd.44
