ATI RN VATI
COMPREHENSIVE
PREDICTOR FORM A
• A client who has a diagnosis of complete placenta previa
is admitted to the labor and delivery suite
at 36 weeks gestation with contractions 5 min in frequency and 1
min in duration. Which of the
following actions should the nurse take?
,• Rupture the amniotic sac
• Medicate the client for pain
• Prepare the client for a cesarean section
• Perform a vaginal exam ANSWER Prepare the client for a
cesarean section
• A nurse enters a client's room and finds the client lying on
the floor in a puddle of water. Which of
the following statements should the nurse document in an
incident report?
• Client fell out of bed because an assistive personnel left
the rails of the bed down
• Client's roommate thinks the client is confused and fell when
getting out of bed
• Client appears to have slipped in water but reports no
injuries
,• Client found lying on the floor near the bedside table
ANSWER Client found lying on the floor near the bedside
table
• A charge nurse on a pediatric unit is making assignments
for a float nurse from the medical unit.
Which of the following clients is appropriate to assign to the float
nurse?
• A 10-year-old client who has pneumonia and is
receiving respiratory treat- ments
• A 4-year-old client who has a Wilms tumor and is receiving
chemotherapy
• An 8-month-old client who is scheduled for a surgical
repair of a ventricular septal defect tomorrow
• A 14-year-old client who is scheduled for discharge
today following place- ment of a Herrington rod ANSWER
, Aa310-year-
olda3clienta3whoa3hasa3pneumoniaa3anda3isa3receivinga3respiratorya3tre
atments
• Aa3nursea3isa3preparinga3toa3administera3vancomycina3toa3aa3
clienta3whoa3hasa3ana3infecteda3wound.a3Thea3nurse
shoulda3plana3toa3monitora3fora3whicha3ofa3thea3followinga3adversea3re
actions?
• Hepatotoxicity
• Ototoxicity
• Hypercalcemia
• Hypertension ANSWER Ototoxicity
• Aa3nursea3isa3assessinga3ana3infanta3whoa3hasa3watera 3 i
ntoxication.a3Whicha 3 ofa 3 thea3followinga3findingsa3should
thea3nursea3expect?
a3
• Generalizeda 3 edema
COMPREHENSIVE
PREDICTOR FORM A
• A client who has a diagnosis of complete placenta previa
is admitted to the labor and delivery suite
at 36 weeks gestation with contractions 5 min in frequency and 1
min in duration. Which of the
following actions should the nurse take?
,• Rupture the amniotic sac
• Medicate the client for pain
• Prepare the client for a cesarean section
• Perform a vaginal exam ANSWER Prepare the client for a
cesarean section
• A nurse enters a client's room and finds the client lying on
the floor in a puddle of water. Which of
the following statements should the nurse document in an
incident report?
• Client fell out of bed because an assistive personnel left
the rails of the bed down
• Client's roommate thinks the client is confused and fell when
getting out of bed
• Client appears to have slipped in water but reports no
injuries
,• Client found lying on the floor near the bedside table
ANSWER Client found lying on the floor near the bedside
table
• A charge nurse on a pediatric unit is making assignments
for a float nurse from the medical unit.
Which of the following clients is appropriate to assign to the float
nurse?
• A 10-year-old client who has pneumonia and is
receiving respiratory treat- ments
• A 4-year-old client who has a Wilms tumor and is receiving
chemotherapy
• An 8-month-old client who is scheduled for a surgical
repair of a ventricular septal defect tomorrow
• A 14-year-old client who is scheduled for discharge
today following place- ment of a Herrington rod ANSWER
, Aa310-year-
olda3clienta3whoa3hasa3pneumoniaa3anda3isa3receivinga3respiratorya3tre
atments
• Aa3nursea3isa3preparinga3toa3administera3vancomycina3toa3aa3
clienta3whoa3hasa3ana3infecteda3wound.a3Thea3nurse
shoulda3plana3toa3monitora3fora3whicha3ofa3thea3followinga3adversea3re
actions?
• Hepatotoxicity
• Ototoxicity
• Hypercalcemia
• Hypertension ANSWER Ototoxicity
• Aa3nursea3isa3assessinga3ana3infanta3whoa3hasa3watera 3 i
ntoxication.a3Whicha 3 ofa 3 thea3followinga3findingsa3should
thea3nursea3expect?
a3
• Generalizeda 3 edema
