RN VATI COMPREHENSIVE ASSMT 2025|2026 REAL EXAM 180 QUESTIONS AND 100% CORRECT ANSWERS

***Download Test Bank Immediately After the Purchase. Just in case you have trouble downloading, kindly message me, and I will send it to you via Google Doc or email. Thank you*** The ATI RN Comprehensive Predictor Exam is a crucial tool for nursing students on the practical nursing track. This exam provides a detailed, comprehensive evaluation of a student's knowledge and abilities before they take the NCLEX-RN. The ATI RN Comprehensive Predictor Exam Guide offer a wide range of practice questions and study material to help students prepare effectively. The "ATI RN Predictor Exam Questions" are designed to mirror the actual NCLEX-RN exam, providing students with a realistic testing experience. By using the "ATI RN Comprehensive Predictor Exam Prep", students can identify their strengths and areas needing improvement, enabling focused and efficient study. Ultimately, the ATI RN Comprehensive Predictor Exam Review aims to boost the confidence and competence of students, paving their way to a successful nursing career. 1 RN VATI COMPREHENSIVE ASSMT 2023/2024 REAL EXAM 180 QUESTIONS AND 100% CORRECT ANSWERS 1. A nurse on a mental health unit is admitting a client who has posttraumatic stress disorder. Which of the following findings should the nurse expect? A. Talks continuously about the event B. Preoccupied with having a serious illness C. Has difficulty concentrating on a task D. Experiences frequent grandiose thoughts 2. A nurse is administering a scheduled medication to a client. The client reports that the medication appears different than what they take home. Which of the following responses should the nurse make? A. "Did the doctor discuss with you that there was a change in this medication? " B. "Do you know why this medication is being prescribed for you?" C. "I will call the pharmacist now to check on this medication " D. "I recommend that you take this medication as prescribed" 3. A nurse is assessing a client who is in skeletal traction for a fractured left tibia. The nurse should Identify that which the following findings indicates altered tissue perfusion of the affected extremity? A. Purulent drainage at the site B. Faint pedal pulse of left leg C. Pain with movement of the left great toe D. Warm skin temperature distal to pin site 4. A nurse is providing teaching to an adolescent who has peptic ulcer disease. Which of the following statements by the client indicates an understanding of the teaching? A. "I will decrease my daily protein intake to 15 grams per day" B. "I will use ibuprofen as needed to control abdominal pain" C. "I will take sucralfate with meals three times per" D. "I will avoid food and beverages that contain caffeine" 5. A nurse is caring for a client who is in the advanced stage of amyotrophic lateral sclerosis (ALS). Which of the following referrals is the nurse's priority? A. Occupational therapist B. Social worker C. Speech-language pathologist D. Psychologist 6. A nurse administers digoxin 0.125 mg PO to an adult client. For which of the following findings should the nurse notify the provider? A. Constipation for 2 days B. Potassium level 4.2 mEq/L 2 C. Digoxin level 1 ng/mL ** normal levels 0.5- 2.0 D. Apical pulse 58/ min 7. A nurse is updating the plan of care for a client who has an exacerbation of psoriasis. Which of the following interventions should the nurse include in the plan? A. Discontinue ultraviolet light therapy if lesions become itchy B. Cover lesions with an occlusive dressing after applying a corticosteroid. C. Scrub external lesions with a pumice stone D. Instruct the client to add rubbing alcohol to bath water 8. A nurse is verifying a record of informed consent for a client who scheduled for surgery. Which of the following actions should the nurse take? A. Provide Information on the informed consent form about the benefits of the surgery B. Confirm the client's signature is authentic C. Inform the client about the condition that requires treatment D. Explain the procedure to the client before verifying informed consent.??? 9. A nurse is caring for a client who requests the creation of a living will. Which of the following actions should the nurse take? A. Schedule a meeting between the hospital ethics committee and client B. Determine the client's preferences about postmortem care C. Evaluate the client's understanding of life sustaining measures D. Request a conference with the client's family 10. A nurse in an emergency department caring for a toddler who has burns following a house fire. Which of the following actions should the nurse take first? A. Administer antibiotics prophylactically to prevent sepsis. B. Determine the location and depth of the burns. C. Calculate fluid replacement based on vital signs and urinary output. D. Check the mouth for soot and smoky breath. ABC’S 11. A nurse is caring for an older adult client who has prescriptions for multiple medications. Which of the following factors should the nurse identify as an age-related change that increases the risk for adverse effects from medications? A. Prolonged medication half-life B. Increased medication elimination C. Decreased medication sensitivity D. Rapid gastric emptying 3 12. A nurse is caring for a client who is in a seclusion room following violent behavior. The client continues to display aggressive behavior. Which of the following actions should the nurse take? A. Express sympathy for the client's situation. B. Confront the client about this behavior. C. Speak assertively to the client. D. Stand within 30 cm (1 fu of the client when speaking with them. 13. A nurse is reviewing the medical record of a client who is requesting combination oral contraceptives. Which of the following conditions in the client's history is a contraindication to the use of combination oral contraceptives? A. Hypocalcemia B. Diverticulosis C. Hyperthyroidism D. Thrombophlebitis 14. A nurse is creating a plan of care for a female client who has recurrent urinary tract infections. Which of the following interventions should the nurse include in the plan? A. Wear loose-fitting underwear. B. Take a bubble bath after intercourse C. Drink four 240 mL (8 oz) glasses of water each day D. Void every to 6 hr during the day. NO 15. A nurse is consulting a pharmacological reference about medication compatibility prior to administering warfarin to a client. Which of the following medications should the nurse identify as being incompatible with warfarin? A. Magnesium hydroxide B. Naproxen NSAID’S C. Lisinopril D. Propranolol 16. A nurse in an emergency department is caring for a client following a motor-vehicle crash. The client's Glasgow coma scale rating is 15. Which of the following findings should the nurse expect? A. The withdraws from pain. B. The client is oriented times three. C. The dent is unable to obey commands non. D. The client opens eyes to sound. 4 17. A nurse is admitting a client who is 1 week postpartum and reports excessive vaginal bleeding. The nurse speaks a different language than the client. The client's partner and 10- year-old child are accompanying her. Which of the following actions should the nurse take to gather the client’s admission data? A. Request a female interpreter through the facility B. Ask nursing student who speaks the same language as the client to translate C. Allow the client’s partner to translate D. Have the client’s child translate 18. A nurse is planning care for a client who is recovering from an acute myocardial infarction that occurred 3 days ago. Which of the following interventions should the nurse Include? A. Perform an ECG every 12hr. B. Place the client in a supine position while resting. C. Draw a troponin level every 4hr. D. Obtain a cardiac rehabilitation consultation. 19. A nurse in the infectious disease division of the local health department is caring for a client. Which of the following infections should the nurse identify should be reported to the health department? A. Clostridium difficile B. Human papilloma virus C. Herpes simplex virus D. Chlamydia trachomatis 20. A nurse is administering an intradermal injection for allergy testing to a client. Into which of the following sites should the nurse inject the medication? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer 21. A nurse is caring for a client who has compartment syndrome following the application of a cast to the leg. Which of the following actions should the nurse take? A. Apply ice to the extremity B. Check the client’s pedal pulses. C. Administer a dose of antiemetic medication D. Position the client’s leg above the level of the heart 5 22. A nurse is caring for a client who speaks a language different from the nurse. Which of the following actions should the nurse take? A. Review the facility policy about the use of an interpreter. B. Request a family member or friend to interpret information for the client. C. Direct attention toward the interpreter when speaking to the client. D. Request an interpreter of a different sex from the client. 23. A nurse is providing discharge instructions about newborn safety to a client who is 2 days postpartum. Which of the following instructions should the nurse include? A. Change smoke detector batteries every other year. B. Use a car seat when traveling by airplane. C. Place a plastic waterproof sheet over the crib bedding. D. Lay the baby on his stomach to nap during the daytime. 24. A nurse manager is reviewing the steps of the progressive discipline process prior to counseling a staff member who exhibits unprofessional behavior. Identify the sequence of steps the nurse manager should plan to take in response to the staff members conduct (Move the steps into the box on the right placing them order of performance. Use all the steps) Set up a meeting to speak the staff member about the behavior Verbally remind the staff member of the expected chances Give the staff member a written warning about the behavior Suspend the staff member from work for several days Dismiss the staf f member from employment at the 25. A nurse is assessing a client who has a prescription for hydrocodone PRN. Which of the following adverse effects should the nurse identity as priority for withholding this medication and notifying the provider? A. Hypotension B. Nausea C. Constipation ** normal side effect D. Urinary retention 26. A nurse is initiating bladder retraining for a client who has urge urinary incontinence. Which the following instructions should the nurse give the client? A. "Take your diuretic medication with your evening meal" B. "Decrease your intake of cranberry juice" C. "Plan to urinate every 3 hours while you are awake" D. "Limit your fluid intake to 500 per day" 6 27. A nurse is teaching participants at a community center about advance directives. Which of the following information should the nurse include in the teaching? A. A client must create a do not resuscitate order when completing advance directives. B. A health care surrogate makes health care decision when the client is no longer able. C. Advance directives cannot be changed once implemented. D. Assigning a health care surrogate requires legal consultation. 28. A nurse is caring for a client who has bipolar disorder. Which of the following behaviors should the nurse identify indicating the client is experiencing mania? A. The client speaks using word salad. B. The client speaks using echopraxia. C. The client is socially withdrawn. D. The client is easily distracted by external stimuli. 29. A nurse is caring for a client who has colon cancer and is terminally ill. The client states, "I can't believe I'm going to die." Which of the following statements should the nurse make? A. "It might be comforting to pray for spiritual assistance." B. "Your doctor will make sure you won't be in much pain " C. "Tell me what is important to you right now." D. "I felt the same way you're feeling when my mother died" 30. A home health nurse is teaching a new parent about caring for his 1-week-old infant. Which of the following statements by the client indicates an understanding of the teaching? A. "I will avoid picking up my baby too often to keep from spoiling him will" B. "I will place a ticking clock nearby to soothe my baby throughout the day" C. "I will hang a pastel-colored mobile 24 inches above my baby's crib. " D. "I can use a firm pillow to prop up the bottle when feeding my baby. " 31. A nurse is assessing a client who is receiving daily aspirin therapy. The nurse should identify that which of the following findings might indicate an allergic reaction to this medication? A. Weight gain B. Blurred vision C. Difficulty swallowing D. High blood pressure 32. A nurse is creating a plan of care for a newly admitted client who has obsessive- compulsive disorder. Which of the following interventions should the nurse include? A. Discourage the client from exploring irrational fears. B. Provide negative reinforcement for ritualistic behaviors. C. Allow the client enough time to perform rituals. D. Give the client autonomy in scheduling activities. 7 33. A nurse is planning care for a school-age child who is 4 hr postoperative following appendicitis. Which of the following actions should the nurse include in the plan of care? A. Give cromolyn nebulized solution every 8 hr. B. Offer small amounts of clear liquids 6 hr following surgery. C. Apply a warm compress to the operative site once daily. D. Administer analgesics on a scheduled basis for the first 24 hr. 34. A nurse is caring for a client admitted for alcohol use disorder who reports using alcohol to deal with stress. Which of the following actions should the nurse take to assist the client in maintaining self-control of the behavior? A. Give positive feedback to the client for using adaptive strategies. B. Discuss strategies with the client to reduce alcohol consumption gradually. C. Provide the client with periods of alone time for reflection in their behavior. D. Have the client’s partner assume responsibility for monitoring the client’s alcohol intake. 35. A nurse is providing dietary teaching to a client who has hyperlipidemia. The nurse should include in the teaching that which of the following oils contains the lowest amount of saturated fats? A. Canola oil B. Olive oil C. Palm oil D. Coconut 36. A nurse is teaching a childbirth education class and is discussing sexual intercourse during pregnancy. Which of the following statements should the nurse make? A. "Frequent intercourse increases the risk for miscarriage in early pregnancy" B. "You should limit the frequency of intercourse after 34 weeks of pregnancy" C. "Your sexual desire might increase during the first trimester of pregnancy" D. "The female superior position can be used during the third trimester of pregnancy" 37. A nurse is caring for a client who has acute exacerbation of multiple sclerosis. Which of the following prescriptions should the nurse expect the provider to prescribe? A. Atorvastatin B. Enoxaparin C. Interferon beta-1a D. Amoxicillin 8 38. A nurse caring for a client who is labor and receiving oxytocin. Which of the following findings indicates that the nurse should increase the rate of infusion? A. Urine output of 20mL / hr ?? B. Montevideo units consistently 300 mmHg C. Contractions every 5 min that last 30 seconds D. FHR pattern with absent variability 39. A nurse is providing dietary teaching to a client who had an exacerbation of COPD. Which of the following information should the nurse include in the teaching? A. "While eating, you should drink liquids frequently. " B. "During meals, you should eat foods with a high-calorie content first." C. "You should eat hot foods to reduce your sense of fullness during a meal" D. "Lunch should be your largest meal of the day" 40. A nurse is providing teaching about the administration of gastrostomy tube feeding to the parents of a school age child. Which of the following Instructions should the nurse include? A. Administer the feeding over 30 min B. Place the child in a supine position after the feeding C. Warm the formula in the microwave prior to administration D. Change the feeding bag and tubing every 3 days 41. A nurse in a community clinic is caring for a client who requests assistance with smoking cessation. The nurse should expect a prescription for which of the following medications? A. Chlordiazepoxide B. Clonidine C. Bupropion D. Naltrexone 42. A newly licensed nurse is unsure if an assigned task is within their scope of practice. Which of the following resources should the nurse consult? A. Written prescription the provider B. Verbal direction from the nurse manager C. State Nurse Practice D. Institutional policies and procedures 43. A nurse is providing discharge teaching about car seat safety to a parent of a newborn. Which of following statements by the parent indicates an understanding of the teaching? A. "I will position my baby at a 45- degree angle in the car seat." B. "I will place my baby in a forward-facing car seat in my back seat" C. "I can place my baby in the front seat with the airbag turned off" D. "I can turn baby's car seat around when she weighs 15 pounds" 9 44. A nurse is assessing a client who has heart failure and is prescribed a 2.000mL / 24 hr fluid restriction. Which of the following findings should the nurse report to the provider? A. Watery stools of 400 mL in 8 hr ??? B. Urinary output of 420 mL in 8 hr ****420 x 3= 1260 – 2,000 retaining 740 ml x day C. Oral intake of 300 mL in 8 hr D. Intravenous intake of 240 mL in 8 hr 45. A nurse is caring for a client who is postoperative immediately following a cardiac catheterization with a right femoral approach Which the following actions should the nurse take? A. Elevate the head of the client’s bed to 450 B. Instruct the client to flex the right every 30 min C. Assess the client's peripheral pulses every 15 min D. Change the client's dressing 4 hr following the procedure 46. A nurse is reviewing the cardiac rhythm of a client who is on continuous ECG monitoring. Which of the following findings should the nurse identify as an indication of ventricular tachycardia? A. QRS complexes wider than 0.15 seconds B. P-wave present with every QRS complex C. PR interval of 0.24 seconds D. Sawtooth shaped P waves 47. A nurse is providing teaching to a client who has multiple sclerosis. Which of the following statements should the nurse include in the teaching? A. "Establish a voiding schedule by urinating once every 4 hours" B. "Limit your daily intake of high-fiber foods" C. "Avoid exercises that increase your body temperature" D. "Wear an eye patch over one eye for an entire day before switching" 48. A nurse is providing preoperative teaching about patient-controlled analgesia (PCA) to a client. Which of the following statements should the nurse include the teaching? A. "You can adjust the amount of pain medication you receive by pushing on the keypad." B. "The PCA will deliver a double dose of medication when you push the button twice." C. "Continuous PCA infusion is designed to allow fluctuating plasma medication levels." D. "You should push the button before physical activity to allow maximum pain control." 49. A nurse realizes that the wrong medication has been administered to a client. Which of the following actions should the nurse take first? A. Fill out an incident report B. Report the incident to the nurse manager C. Measure the client's vital signs D. Notify the provider 50. A nurse is reviewing the facility's safety protocols concerning newborn abduction with the parent of a newborn. Which of the following client statements indicates an understanding of the teaching? A. Staff will apply identification bands to my baby after her first bath. B. "I will not publish a public announcement about my baby's birth." C. I can remove my baby's Identification band as long as she is in my room. D. "I can leave my baby in my room while I walk in the hallway 51. A nurse is assessing a client who immediately postoperative following a subtotal thyroidectomy. The nurse observes tetany. Which of the following medications should the nurse expect to administer? A. Potassium chloride B. Sodium phosphate C. Sodium bicarbonate D. Calcium gluconate 52. A nurse is providing teaching to a client who is to begin external radiation therapy for cancer. Which of the following Information should the nurse include? A. You might experience altered taste sensations B. Wash your skin thoroughly with a washcloth after each treatment C. Wear a binder over the radiation. D. Use rubbing alcohol to remove the ink markings. 53. A nurse is caring for a client who is 12 hr postoperative following aorta femoral bypass surgery. Which of the following findings should the nurse expect in the affected extremity? A. Cool extremities B. Pedal pulse of 2+ C. Throbbing pain D. Capillary of 4 seconds 54. A nurse is preparing to administer an autologous blood product to a client. Which of the following actions should the nurse take to identify the client? A. Ensure that the client’s identification band matches the number on the blood unit. B. Confirm the provider's prescription matches number on the blood component. C. Match the client’s blood type with the type and cross match specimen. D. Ask the client to state his blood type and the date of the blood donation. 55. A nurse is teaching a community health fair about electrical fire prevention. Which of the following information should the nurse include the teaching? A. Cover extension cords with a rug. B. Remove the plug from the socket by pulling the cord. C. Check for a tingling sensation around the cord to ensure the electricity working. D. Use three-pronged grounded plugs. 56. A nurse is caring for a school-age child who has sickle cell anemia and is in vaso-occlusive crisis. Which of the following actions should the nurse take? A. Promote active range of motion exercise. B. Prepare for a transfusion of platelets. C. Increase oral fluid intake D. Apply cold compresses to the affected areas. 57. A nurse is caring for a client who has a history of depression and is experiencing a situational crisis. Which of the following actions should the nurse take first? A. Teach the client relaxation techniques. B. Notify the client’s support person. C. Confirm the client’s perception of the event. D. Help the client identify personal strengths. 58. A nurse is caring for a client who has gestational hypertension and is experiencing toxic effects due to magnesium sulfate therapy. The nurse should anticipate administering which of the following medications? A. Calcium gluconate B. Magnesium citrate C. Potassium chloride D. Sodium bicarbonate 59. A nurse is caring for a client who is in labor and requires augmentation of labor. Which of the following conditions should the nurse recognize as a contraindication to the use of oxytocin? A. Shoulder presentation B. Postterm with oligohydramnios ??? C. Chorioamnionitis D. Diabetes mellitus 60. A nurse is caring for a client who is receiving brachytherapy for treatment of prostate cancer. Which of the following actions should the nurse take? A. Limit the client's visitors to 30 min per day B. Discard the client's linens in a double bag. C. Cleanse equipment before removal from the client's room. D. Discard the radioactive source in a biohazard bag. 12 61. A nurse is caring for a client who has a prescription for 1 unit of packed RBCs. Five minutes after beginning the transfusion, the client becomes febrile with chills. After stopping the transfusion, which of the following actions should the nurse take? A. Place the blood bag in a biohazard bag before discarding. B. Document the reaction in the medical record. C. Administer epinephrine subcutaneously. D. Infuse 500 mL lactated Ringer's IV. **only Normal saline is use with transfusions 62. A nurse is providing teaching to a client who is breastfeeding and experiencing engorgement. Which of the following recommendations should the nurse include? A. Apply warm compresses on the breasts before feedings. B. Allow the infant to nurse on one breast per feeding, C. Take aspirin to reduce pain and swelling. D. Wear a tight-fitting underwire bra. 63. A nurse is providing teaching to the parent of a child who has a recently inserted central venous access device. Which of the following statements by the child's family member indicates an understanding of the teaching? A. "Will replace the dressing in 24 hours with an occlusive dressing." B. "If my child develops an elevated temperature. I will contact you." C. "I can expect my child to resume playing sports within 48 hours." D. "I should encourage a daily shower to keep the insertion site clean." 64. A nurse is caring for a client who tells the nurse that he feels he is being discharged from the facility too soon. Which of the following state by the nurse demonstrates client advocacy? A. "I know you will be able to recover faster at home." B. "I will contact your insurance company to see if they will pay for you to be here longer." C. "Your provider understands your illness and is acting according to your best interests." D. "I will tell the provider about your concerns." 65. A nurse is planning care for a child who has neutropenia due to leukemia. Which of the following interventions should the nurse include in the plan of care? A. Monitor the child for indications of active bleeding. B. Prepare the child for a platelet transfusion. W C. Screen the child's visitors for active infections. D. Initiate a low-protein diet for the child. 66. A nurse is assessing a client who is 30 min postoperative following an arterial thrombectomy. Which of the following findings is the priority for the nurse to report? A. Chest pain B. Cool, moist skin C. Incisional pain 13 D. Muscle spasms 67. A nurse is providing teaching to a client who has heart failure and a new prescription for furosemide. Which of the following statements should the nurse make? A. "Rise slowly when getting out of bed." B. "Taking furosemide can cause you to be overhydrated." C. "Eat foods that are high in sodium." D. "Taking furosemide can cause your potassium levels to be high." 68. A nurse is teaching a client who had a left below-the-knee amputation 3 days ago. The nurse should identify that which of the following statements by the client indicates an understanding of the teaching? A. "I will change the wrapping on my left leg once a day at home." B. "I can elevate my left leg on a pillow while lying in bed." C. "I should avoid moving the joints in my left leg." D. "I might still experience the feeling of numbness and tingling in my left foot." 69. A nurse is helping to prepare a client in the operating room prior to a surgical procedure. Which of the following actions should the nurse take? A. Minimize conversation with the client to reduce anxiety. B. Provide padding to the pressure point areas when positioning the client. C. Leave the client's arms and legs uncovered until after the induction of anesthesia. D. Remove the client's eyeglasses upon arrival to the operating room. 70. A nurse is preparing to measure the temperature of an infant. Which of the following actions should the nurse take? A. Place the tip of the thermometer under the center of the infant's axilla. B. Pull the pinna of the infant's ear forward before inserting the probe. C. Insert the oral thermometer in front of the infant's tongue D. Insert the probe 3.8 cm (1.5 in) into the infant's rectum. 71. A nurse is assessing the grief response of a client whose child died 6 months ago. Which of the following client statements should the nurse report to the provider as an indication of major depressive disorder? A. "I am unable to feel any joy since my child died." B. "I am angry that my child died." C. "know that I will be reunited with my child someday." D. "I feel guilty because my child died." 72. A nurse is interviewing the partner of a client who was admitted in the manic phase of bipolar disorder. The partner states. "I don't know what to do. Everything has been happening so quickly." Which of the following responses by the nurse is therapeutic? A. "You did the right thing by bringing your partner in for treatment." B. "You should make sure your partner takes the prescribed medication." C. "Can you talk about what was happening with your partner at home?" D. "Why do you think your partner's symptoms are progressing so quickly" 73. A nurse in a clinic is assessing a 6-month-old Infant. Which of the following findings should the nurse report to the provider? A. Closed anterior fontanel ** posterior -closes around 2 months, anterior at 12-18 mths B. Pulse 140/min C. Abdominal breathing D. Respiratory rate 26/min 74. A nurse is caring for a client who is recovering from an amputation of her right arm below the elbow. Which of the following information should the nurse report to the occupational therapist? A. The client lives in a two-story home. B. The client's parent is in a skilled nursing facility. C. The client is allergic to penicillin D. The client has two small children at home. 75. A nurse caring for a client who received a large amount of heparin IV in error. Which of the following laboratory values should the nurse obtain? A. Ferritin level B. Albumin level C. INR D. aPTT 76. A nurse is performing an initial assessment of a newborn. Which of the following actions should the nurse take to prevent any heat loss through conduction? A. Evaluate respirations by observing the newborn's uncovered chest for 1 min. B. Cover the scale with a warmed blanket before weighing the baby. C. Place the newborn's crib away from of an air vent to perform the assessment. D. Perform the assessment immediately after birth before removing amniotic fluid. 76. A client's partner tells a staff nurse that he overheard laboratory staff discussing the results of the client's biopsy report while on the elevator Which of the following actions should the nurse take? A. Review confidentiality policies with laboratory employees. B. Report the information to the charge nurse. C. Contact the laboratory manager regarding the situation D. Notify the facility's legal department 15 77. A nurse is teaching a client who has chronic low back pain about the use of alternative therapy to manage pain. Which of the following statements by the client indicates an understanding of the use of distraction? A. "I should apply my heating blanket to my back to reduce tension." B. "I will have electrodes inserted in my skin to treat the pain." C. "I should jog every morning to improve my circulation." D. "I will watch my favorite old movies when I want to reduce stress." 78. A nurse is teaching a client who has systemic lupus erythematosus (SLE). Which of the following statements by the client indicates an understanding of the teaching? A. "I will not be able to go for my daily walk." B. "I will cleanse my skin using a mild soap." C. "I should apply powder to my skin after showering." D. "I should check my skin once weekly for rashes." ** need to be done daily 79. A nurse is teaching a group of clients who are planning to have bariatric surgery. Which of the following statements by a client indicates an understanding of the teaching? A. "I will consume 48 ounces of carbonated beverages daily prior to the surgery." B. "I should reduce my daily caloric intake by 250 calories to lose 2 pounds each week after surgery." C. "I will need to lose 25 percent of my excess body weight prior to surgery. D. "I should wait 30 minutes after eating solid foods to drink beverages following surgery." 80. A nurse is teaching a client who is trying to conceive. Which of the following should the nurse instruct the client to increase in her diet to prevent a neural tube defect? A. Iron B. Calcium C. Folate D. Zinc 81. A nurse is caring for a client who is near the end of life and is on complete bed rest. The client states that he needs to have a bowel movement. and the nurse offers a bed pan. The client states. "I've always used the bathroom." Which of the following responses should the nurse make? A. "I will have the physical therapist ambulate you to the bathroom." B. "You have to use the bed pan for your own safety." C. "Make sure to use nearby furniture to support yourself when walking to the bathroom" D. "Tell me what concerns you have about using a bed pan." 82. A nurse is reviewing laboratory data from a client who has chronic kidney disease. Which of the following findings should the nurse expect? A. Increased calcium B. Increased bicarbonate C. Increased creatinine D. Increased hemoglobin 83. A nurse is obtaining a urine specimen from a client who has had an indwelling urinary catheter for three days. Which of the following actions should the nurse take after collecting the specimen? A. Place the specimen in a biohazard bag for transport. B. Wipe the outside of the specimen container with an alcohol swab. C. Obtain the specimen from the drainage collection bag. D. Remove gloves after labeling the specimen 84. A newly licensed nurse is reviewing the role of a nurse in disaster planning. Which of the following is an activity a nurse should engage in to assist in disaster preparedness? A. Vaccinate susceptible children and adults against smallpox. B. Assess types, levels, and scopes of disasters. C. Make quarantine preparations for those exposed to anthrax, D. Participate in community drills and mock events. 85. A nurse is caring for several clients on a medical-surgical unit. For which of the following nursing activities is it required that the nurse we use sterile gloves? A. Performing tracheostomy care B. Administering total parenteral nutrition through a central venous access device C. Inserting an NG tube D. Initiating IV access 86. A charge nurse is recommending postpartum clients for discharge following a local disaster. Which of the following clients should the nurse recommend for discharge first? A. A client who delivered precipitously 36 hr ago and has a second-degree perineal laceration B. A 15-year-old client who delivered via emergency cesarean birth 1 day ago C. A client who received 2 units of packed RBCs 6 hr ago for a postpartum hemorrhage D. A 42-year-old client who has preeclampsia and a BP of 166/110 mm Hg 87. A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis. Which of the following findings should the nurse report to the provider? A. Platelets 150,000/mm3 B. Erythrocyte sedimentation rate 75 mm/hr C. Aspartate aminotransferase 10 units/L D. WBC count 8,000/mm3 88. A nurse is discussing group treatment and therapy with a client. The nurse should include which of the following as being a characteristic of a therapeutic group? A. The group encourages clients to form dependent relationships. B. The group encourages members to focus on a particular issue. C. The group is organized in an autocratic structure. D. The group must be led by a licensed psychiatrist. 89. A nurse is providing teaching about home safety to the adult child of an older adult client who is postoperative following knee replacement surgery. Which of the following instructions should the nurse include? A. Place a throw rug over electrical cords. B. Encourage the client to avoid wearing shoes at home, C. Mark the edges of the doorway to the house with tape.??? D. Ensure that area rugs have rubber backs. 90. A nurse is assessing a client who is receiving packed RBCs. Which of the following findings indicates fluid overload? A. Dyspnea B. Thready pulse C. Low-back pain D. Hypotension 92. A nurse is admitting an older adult client who is transferring from another facility. The nurse notes pressure ulcers on the client's coccyx and abrasions around both wrists. Which of the following actions should the nurse take to address suspicions of elder abuse? A. Contact the family regarding the client's condition B. Inform the transferring agency of the client's condition. C. Notify risk management. D. Privately interview the client about the injuries. 93. A nurse is providing discharge teaching to a client who has a new prescription for phenelzine. The nurse should instruct the client that it is safe eat which of the following foods while taking this medication? A. Smoked salmon B. Pepperoni pizza C. Whole grain bread D. Avocados 94. A nurse is caring for an adolescent who has sickle-cell anemia. Which of the following manifestations indicates acute chest syndrome and should be immediately reported to the provider? A. Substernal retractions B. Sneezing C. Hematuria D. Temperature 37.9°C(100.2°F) 18 95. A nurse is talking with another nurse on the unit and smells alcohol on her breath. Which of the following actions should the nurse take? A. Notify the nursing supervisor about the suspected alcohol use. B. Inform another nurse on the unit about the suspected alcohol use. C. Confront the nurse about the suspected alcohol use. D. Ask the nurse to finish administering medications and then go home. 96. A nurse is caring for a newborn who is experiencing neonatal abstinence syndrome. Which of the following actions should the nurse take? A. Provide frequent stimulation for the newborn. B. Encourage frequent eye contact with the newborn during feedings C. Wrap the newborn loosely in a blanket. D. Decrease the lighting levels in the nursery. 97. A nurse and an assistive personnel (AP) are assigned a group of clients on the unit. Which of the following clients should the nurse instruct the AP to report to the nurse? A. A client who has a prescription for compression stockings and did not receive them B. A client who consumes all the food from their meal tray C. A client who requests assistance to use the bedside commode D. A client who requests to sit in the bedside chair while watching TV 98. A nurse is providing teaching to a client who is experiencing preterm contractions and dehydration. Which of the following statements should the nurse make? A. "Dehydration can increase the risk for preterm labor." B. "Dehydration is treated with calcium supplements." C. "Dehydration is associated with gastroesophageal reflux." D. "Dehydration is caused by a decreased hemoglobin and hematocrit. *the contrary increase 99. A nurse is preparing a change-of-shift report for an adult female client who is postoperative. Which of the following client Information should the nurse include in the report? A. RBC 4.4 million/mm3 B. Hgb 12.8 g/dL C. Platelets 100,000/mm ** normal 150,000- 400,000 D. Potassium 4.2 mEq/L 100. A nurse is performing gastric lavage for a client who has upper gastrointestinal bleeding. Which of the following actions should the nurse take? A. Instruct the client to lie on his right side. No - Intubate, ET tube stabilizer, Lt lateral, large bore, verify placement, aspirate gastric content , use warm NSS, charcol. B. Use a cold irrigation solution. 19 C. Insert a large bore NG tube. D. Instill 500 mL of solution through the NG tube. 101. A nurse is caring for a client who is experiencing acute mania. Which of the following foods should the nurse provide for this clients? A. Oatmeal with butter B. Peanut butter sandwich C. Celery sticks D. Chicken noodle soup 102. A nurse is providing discharge teaching to a female client who has tuberculosis and a new prescription for rifampin. Which of the following information should the nurse include? A. "You should avoid sun exposure while taking this medication." B. "You should avoid getting pregnant for 6 months after stopping this medication." C. "Your urine will be orange while taking this medication." D. "Weight gain is an expected adverse effect of this medication." 103. A nurse is preparing to initiate IV therapy for an older adult client. Which of the following actions should the nurse plan to take? A. Apply a tourniquet firmly above the insertion site. B. Use a 22-gauge catheter for insertion??? This is correct C. Clean the site using vigorous friction. D. Select a vein on the back of the hand. 104. A nurse is assessing a newborn who has a blood glucose level of 30 mg/dL. Which of the following manifestations should the nurse expect? Newborn BSL 40-50 A. Abdominal distention B. Hypertonia C. Loose Stools D. Jitteriness 105. A nurse is planning care for a client who is postoperative following a total hip arthroplasty. Which of the following actions should the nurse plan to take when positioning the client? A. Flex the client's hip up to 120° when sitting in a chair. B. Maintain the client in a supine position for the first 24 hr after surgery. C. Ensure that the client's hip remains in an abducted position. D. Place the client's heels directly against the bed mattress. 106. A nurse is reviewing legal issues in health care with a group of newly licensed nurses. Which of the following recommendations should the nurse make? A. Ensure that each client has a living will on file prior to treatment. ** not always pt has living will B. Overestimate clients' acuity to prevent short staffing. C. Place copies of incident reports in clients' medical records. D. Obtain personal professional liability insurance coverage 107. A nurse is assessing a client who has bipolar disorder and is experiencing a depressive episode. Which of the following findings should the nurse expect? A. Client expresses illusions of grandeur B. Inability to carry out a simple task C. Moves quickly from one idea to the next D. Client reports auditory hallucinations 108. A nurse is caring for a client who is newly diagnosed with pancreatic cancer and has questions about the disease. To research the disease, the nurse should identify that which of the following electronic databases has the most comprehensive collection of nursing journal articles? A. MEDLINE B. CINAHL C. ProQuest D. Health Source 109. A nurse in the emergency department is assessing a newly admitted client who is experiencing drooling and hoarseness following a burn injury. Which of the following actions should the nurse take first? A. Obtain a blood specimen for ABG analysis. B. Insert an 18-gauge IV catheter. C. Apply 100% humidified oxygen D. Obtain a baseline ECG. 110. A staff education nurse is evaluating a group of nurses during a new employee orientation on the use of proper body mechanics when lifting. Which of the following images indicates the appropriate use of ergonomic principles? 111. A nurse is caring for a client who has fibromyalgia and requests pain medication. Which of the following medications should the nurse plan administer? A. B. Codeine C. Colchicine 21 D. Lorazepam 112. A nurse is caring for a client who has generalized petechiae and ecchymoses. The nurse should expect a prescription for which of the following laboratory tests? A. Prealbumin B. Creatinine clearance C. Platelet count D. Potassium level 113. A nurse is caring for a client following application of a cast. Which of the following actions should the nurse take first? A. Position the casted extremity on a pillow. B. Teach the client to keep the cast clean and dry. C. Palpate the pulse distal to the cast. D. Place an ice pack over the cast. 114. A nurse is counseling a group of clients from a town that was affected by a hurricane 6 months ago. For which of the following clients should the nurse initiate a referral to assess for the presence of posttraumatic stress disorder? (Select all that apply.) A. A client who has frequent nightmares about the hurricane. B. A client who describes having persistent feelings of anger about the hurricane. C. A client who expresses a realization that life will not return to the way it was before the hurricane. D. A client who moved to an apartment located on higher ground than her previous home. E. A client who describes feeling disconnected from those around him following the hurricane. 115. A nurse is caring for a client who has a pressure injury on the coccyx. Which of the following findings should indicate to the nurse that the wound is a stage III pressure injury? A. Subcutaneous fat is visible. B. Slough and eschar are present. C. Bone is exposed within the wound. D. The skin is reddened and intact. 116. A nurse in an emergency department is assessing a client who has major depressive disorder. Which of the following actions should the nurse take first? (Click on the exhibit tabs for additional Information about the client. There are three tabs that contain separate categories of data.) Exhibit 1 22 Vital Signs: Temperature 37.30 C (99.10 F), Pulse 90/min, Respiratory rate 18/min, BP 140/90 mm/Hg A. Administer ondansetron to the client for nausea. B. Obtain a blood glucose level. C. Obtain the client's weight. D. Implement seizure precautions for the client. 117. A nurse is giving an Intramuscular injection to a newborn who was delivered at 38 weeks of gestation. Which of the following pain scales should the nurse use to assess the newborn's pain? A. Neonatal Infant Pain Scale (NIPS) B. visual analog scale (VAS) C. FACES pain rating scale D. Premature Infant Pain Profile (PIPP) 118. A nurse is teaching a client about using a 3-point gait for crutch-walking. Which of the following actions by the client indicates understanding of the teaching? A. Places weight on the axilla when advancing crutches B. Applies full weight on the affected side when advancing crutches C. Uses both crutches when advancing the affected leg D. Advances the affected leg first prior to the nonaffected leg 119. A charge nurse is assigning client care tasks for the upcoming shift. Which of the following tasks should the charge nurse assign to an RN? A. Inserting an endotracheal tube B. Obtaining blood cultures from a central catheter C. Inserting an epidural catheter D. Performing a thoracentesis 120. A nurse is preparing to administer eye drops to a school-age child, Identify the actions the nurse should take. (Move the steps into the box on the right placing them in the order of performance. Use all the steps.) Place the child in a sitting position Ask the child to look upward. Pull the lower eyelid downward. Instill the drops of medication. Apply pressure to the lacrimal punctum 23 121. A nurse is preparing to perform a sterile wound irrigation and dressing change for a client. Which of the following actions by the nurse indicates a break in surgical aseptic technique? A. Putting on sterile gloves after preparing the sterile field B. Applying a sterile gown after applying a sterile mask C. Balancing the bottle on the sterile basin while pouring the liquid D. Placing the supplies on the sterile field and leaving a 1-inch perimeter 122. A nurse is planning teaching for a client who has a new diagnosis of HIV. Which of the following information should the nurse include about preventing the spread of the infection? A. Wash soiled clothes in cold water B. Buy disposable dishes for daily use. C. Clean blood-contaminated surfaces with bleach D. Use condoms with a petroleum-based lubricant. 123. A nurse is caring for a client who is comatose and has advance directives that indicate the client does not want life-sustaining measures. The client's family wants the client to have life-sustaining measures. Which of the following actions should the nurse take? A. Arrange for an ethics committee meeting to address the family's concerns. B. Complete an Incident report C. Support the family's decision and initiate life-sustaining measures. D. Encourage the family to contact an attorney. 124. A nurse is screening food brought in by a family member for a client who takes phenelzine. The nurse should instruct the family member that which of the following foods can cause an interaction with this medication? A. Cottage cheese B. Bologna sandwich C. Orange gelatin D. Iceberg lettuce salad 125. A nurse is providing teaching to a client who has a new prescription for warfarin. The nurse should include that which of the following medications can increase the effects of warfarin? A. Oral contraceptives B. Nafcillin ** antibiotic –may decrease the effect of warfarin C. Aspirin D. Vitamin 126. A nurse is providing teaching to a client who is scheduled for radiation therapy to treat esophageal cancer. Which of the following statements should the nurse make? A. "Soften foods with gravy and sauces." B. "Drink mostly clear liquids." C. "Use commercial mouthwashes to rinse your mouth" D. "Warm up foods before eating." 127. A nurse is caring for a 1-month-old Infant who has manifestations of severe dehydration and a prescription for parenteral fluid therapy. The guardian asks, "What are the indications that my baby needs an IV?" Which of the following responses should the nurse make? A. "Your baby needs an IV because she is breathing slower than normal." B. "Your baby needs an IV because she is not producing tears." C. "Your baby needs an IV because her fontanels are bulging." D. "Your baby needs an IV because her heart rate is decreased." 128. A nurse is providing discharge teaching to a group of clients. The nurse should recommend a referral to a dietitian for which of the following clients? A. A client who has osteoporosis and states, "I’ll plan to take my calcium carbonate with a full glass of water." B. A client who has gout and states. "I can continue to eat anchovies on my pizza." C. A client who has a prescription for spironolactone and states. "I will reduce my intake of foods that contain potassium." D. A client who has a prescription for warfarin and states. "I will need to limit how much spinach Teat." 129. A nurse is assessing a client who has left-sided heart failure. Which of the following findings should the nurse identify as a manifestation pulmonary congestion? A. Jugular vein distention B. Bradypnea NO ** breathing rate lower C. Frothy, pink sputum D. weight gain 130. A nurse is admitting a client who does not speak the same language as the nurse and is scheduled for outpatient surgery. Which of the following actions should the nurse take? A. Explain the procedure to the client through an interpreter. B. Provide a consent form that is written in the client's own language. C. Request a family member to interpret the information. D. Help the client look up the information about the procedure on the Internet. 131. A nurse is preparing to admit a client who is 35 weeks of gestation for evaluation of fetal well-being due to potential preterm labor. Which of the following pieces of equipment should the nurse use to evaluate the fetal heart rate? A. Ultrasound transducer B. Toco transducer 25 C. Intrauterine pressure catheter D. Spiral electrode 132. A nurse is receiving a telephone prescription from a provider for a client who requires additional medication for pain control. Which of the following entries should the nurse make in the medical record? A. "Morphine 3.0 mg sub q every 4 hr PRN for pain." B. "Morphine 3 mg SQ every 4 hr PRN for pain." C. "Morphine 3 mg subcutaneous every 4 hr PRN for pain." D. "Morphine 3 mg SC 24 hr PRN for pain." 133. A nurse is preparing to assess a 2-week-old newborn. Which of the following actions should the nurse plan to take? A. Assess the newborn’s pain level using the FACES pain scale B. Obtain the newborn's body temperature using a tympanic thermometer, C. Auscultate the newborn's apical pulse for 60 seconds. D. Measure the newborn's head circumference over the eyebrows and below the occipital prominence 134. A community health nurse is reviewing laboratory reports for a group of clients. The nurse should identity that which of the following disorders is on the CDC's Nationally Notifiable Conditions list? A. Pediculosis capitis B. Bacterial vaginosis C. Lyme disease D. Respiratory syncytial virus 135. A nurse is caring for an infant who has diaper dermatitis. Which of the following actions should the nurse take? A. Wipe stool from the skin using store-bought baby wipes. B. Apply talcum powder to the irritated area. C. Wipe urine from the skin using a cool cloth. D. Apply zinc oxide ointment to the Irritated area. 136. A nurse is reviewing the medical record of a client who has a prescription for intermittent heat therapy for a foot Injury. Which of the following findings should the nurse identify as a contraindication for heat therapy? A. Peripheral neuropathy B. Phlebitis C. Osteoarthritis D. Abdominal aortic aneurysm 26 137. A nurse is providing discharge instructions to a client who has a new prescription for spironolactone. Which of the following instructions should the nurse include in the teaching? A. Take the medication in the morning. B. Administer a potassium supplement daily. C. Monitor weight once a week. D. Use a salt substitute with meals 138. A nurse is teaching a client who plans to begin following vegan dietary guidelines. Which of the following Information should the nurse include? A. Choose high-fat cheese as a meat substitute. B. Choose foods high in vitamin B12. C. Limit Intake of foods high in vitamin C. D. Limit Intake of nuts and legumes. 139. A nurse is reviewing the laboratory results of a client and notes increased values for hemoglobin, hematocrit, and urine osmolarity. The nurse should identify that these results are manifestations of which of the following client conditions? A. Anemia B. Acute renal failure C. Hepatic failure D. Dehydration ** fluid deficit 140. A nurse is planning care for a client who has unilateral paralysis and dysphagia following a right hemisphere stroke. Which of the following Interventions should the nurse include in the plan? A. Provide total care in performing the client's ADLs. B. Place food on the left side of the client's mouth when he is ready to eat. C. Place the client's left arm on a pillow while he is sitting. D. Maintain the client on bed rest. 141. A nurse in a mental health facility receives change-of-shift report for four clients. Which of the following clients should the nurse plan to assess first? A. A client placed in restraints due to aggressive behavior. B. A newly admitted client who has a history of 4.5 kg (10 lb) weight loss in the past 2 months. C. A client who will be receiving her first ECT treatment today. D. A client who received a PRN dose of haloperidol 2 hr ago for increased anxiety. 142. A nurse is planning care for a group of clients and is working with one licensed practical nurse (LPN) and one assistive personnel (AP). Which o following actions should the nurse take first to manage her time effectively? A. Delegate tasks to the AP. B. Determine goals of the day. 27 C. Schedule daily activities. D. Develop an hourly time frame for tasks. 143. A nurse is evaluating the response to the plan of care for a client who is grieving the death of a partner. Which of the following findings should the nurse identify as indicating that the client is experiencing maladaptive grieving? A. The client has joined a support group. B. The client openly expresses anger when discussing the partner's death. C. The client reports feelings of guilt about the partner's death. D. The client reports having good and bad days. 144. A nurse manager is planning to promote client advocacy among staff on a medical unit. Which of the following actions should the nurse plan to take? A. Instruct unit staff to share personal experiences to help clients make decisions. B. Develop a system for staff members to report safety concerns in the client care environment C. Encourage staff to implement the principle of paternalism when a client is having difficulty making a choice. D. Tell staff to explain procedures to clients before obtaining informed consent. 145.