ATI comprehensive predictor
. If a customer develops cor pulmonale (right-sided coronary heart failure), the nurse
might assume to study
1. Growing respiration problem seen with exertion.
2. Cough effective of a huge amount of thick, yellow mucus.
3. Peripheral edema and anorexia.
Four. Twitching of extremities. - ANS-3
. The nursing team consists of RNs, one LPN/LVN, and one nursing
assistant. The nurse ought to bear in mind the assignments suitable if the
nursing assistant is assigned to take care of
1. A customer with Alzheimer's requiring assistance with feeding.
2. A purchaser with osteoporosis complaining of burning on urination.
3. A customer with scleroderma receiving a tube feeding.
Four. A customer with cancer who has Cheyne-Stokes respirations. - ANS-1
A 23-12 months-antique man is admitted with a subdural hematoma and cerebral
edema after a bike coincidence. Which of the following signs and symptoms have to
the nurse assume to see INITIALLY?
1. Unequal and dilated scholars.
2. Decerebrate posturing.
Three. Grand mal seizures.
4. Decreased degree of awareness. - ANS-four
A 23-yr-antique girl at 32-weeks gestation is seen within the outpatient
sanatorium. Which of the following findings, if assessed through the nurse, might
suggest a likely hassle?
1. The purchaser's urine take a look at is fantastic for glucose and acetone.
2. The purchaser has 1+ pedal edema in both feet at the stop of the day.
3. The patron complains of an boom in vaginal discharge.
4. The customer says she feels stress against her diaphragm when the infant movements. -
ANS-1
A 38-12 months-antique woman is returned to her room after a subtotal
thyroidectomy for remedy of hyperthyroidism. Which of the following, if
determined with the aid of the nurse at the patient's bedside, is nonessential?
1. Potassium chloride for IV administration.
2. Calcium gluconate for IV administration.
3. Tracheostomy set-up.
4. Suction device. - ANS-1
A 59-yr-vintage girl with bipolar disease is receiving haloperidol
,(Haldol) 2 mg PO tid. She tells the nurse, "Milk is popping out of my
breasts." Which of the following responses by way of the nurse is BEST?
1. "You are seeing things that aren't real."
2. "Why do not we cross make a few fudge."
3. "You are experiencing a facet effect of Haldol."
4. "I'll touch your doctor to trade your medicinal drug." - ANS-three
A sixty nine-year-antique client is undergoing his second alternate of intermittent
peritoneal dialysis (IPD). Which of the subsequent might require an
intervention through the nurse?
1. The purchaser complains of pain all through the inflow of the dialysate.
2. The patron complains of constipation.
3. The dialysate outflow is cloudy.
Four. There is blood-tinged fluid around the intra-abdominal catheter. - ANS-three
A charge nurse is discussing the responsibility of nurses carig for clients who have C. Difficile.
Which of the following information have to the nurse consist of within the coaching?
A) Assign the patron to a room with a negative air-float gadget
b) Use alcohol-based totally hand sanitizer when leaving the customers room
c) smooth infected surfaces in the customers room with a phenol answer
d) have circle of relatives individuals put on a robe and gloves whilst traveling - ANS-D
A client recognized with dementia wanders the halls of the locked nursing unit in the course of
the day. To make certain the purchaser's protection at the same time as taking walks within the
halls, the nurse must do which of the following?
1. Administer PRN haloperidol (Haldol) to decrease the want to stroll.
2. Assess the consumer's gait for balance.
Three. Restrain the consumer in a geriatric chair.
4. Administer PRN lorazepam (Ativan) to provide sedation. - ANS-2
A consumer has a history of oliguria, high blood pressure, and peripheral edema.
Current lab values are: BUN -25, K+ -4.Zero mEq/L. Which nutrient ought to be
confined within the purchaser's food regimen?
1. Protein.
2. Fats.
Three. Carbohydrates.
Four. Magnesium. - ANS-1
a customer has a new prescription for spironilactone ( aldactone ) which of the following
laboratory price ought to the nurse identified as a cause to withhold the morning dose of the
medicine and notify the company - ANS-serum potassium five.2
, a patron has prescription for valproic ( Depakote) which of the subsequent laboratory fee must
the nurse count on monitor for the customer taking this remedy - ANS-thrombocytes, amylase
remember and liver characteristic take a look at
A client is admitted with a diagnosis of acute appendicitis. When assessing the stomach, the
nurse could expect to find rebound tenderness at which region?
A) Left lower quadrant
b) Left top quadrant
c) Right upper quadrant
d) Right decrease quadrant - ANS-D
A purchaser is being discharged with sublingual nitroglycerin (Nitrostat).
The customer must be suggested by means of the nurse to
1. Take the drugs five mins after the pain has started.
2. Stop taking the drugs if a stinging sensation is absent.
3. Take the drugs on an empty stomach.
Four. Avoid abrupt changes in posture. - ANS-4
A client is given morphine 6 mg IV push for postoperative pain.
Following administration of this drug, the nurse observes the subsequent:
pulse sixty eight, respirations eight, BP 100/68, patron slumbering quietly. Which of the
following nursing movements is MOST suitable?
1. Allow the patron to sleep undisturbed.
2. Administer oxygen thru facemask or nasal prongs.
Three. Administer naloxone (Narcan).
Four. Place epinephrine 1:1,000 on the bedside. - ANS-3
A client is receiving total parenteral nutrients (TPN). To determine the
client's tolerance of this treatment, the nurse ought to verify for which of the
following?
1. A full-size boom in pulse rate.
2. A lower in diastolic blood stress.
Three. Temperature in extra of ninety eight.6°F (37°C).
Four. Urine output of as a minimum 30 cc consistent with hour. - ANS-four
A client is scheduled for a left decrease lobectomy. The physician has
ordered diazepam (Valium) 2 mg IM for anxiety. The nurse could determine
that the medication is suitable if the patron presentations which of the
following signs and symptoms?
1. Agitation and decreased stage of cognizance.
2. Lethargy and decreased respiration price.
Three. Restlessness and extended coronary heart charge.
4. Hostility and accelerated blood pressure. - ANS-three
. If a customer develops cor pulmonale (right-sided coronary heart failure), the nurse
might assume to study
1. Growing respiration problem seen with exertion.
2. Cough effective of a huge amount of thick, yellow mucus.
3. Peripheral edema and anorexia.
Four. Twitching of extremities. - ANS-3
. The nursing team consists of RNs, one LPN/LVN, and one nursing
assistant. The nurse ought to bear in mind the assignments suitable if the
nursing assistant is assigned to take care of
1. A customer with Alzheimer's requiring assistance with feeding.
2. A purchaser with osteoporosis complaining of burning on urination.
3. A customer with scleroderma receiving a tube feeding.
Four. A customer with cancer who has Cheyne-Stokes respirations. - ANS-1
A 23-12 months-antique man is admitted with a subdural hematoma and cerebral
edema after a bike coincidence. Which of the following signs and symptoms have to
the nurse assume to see INITIALLY?
1. Unequal and dilated scholars.
2. Decerebrate posturing.
Three. Grand mal seizures.
4. Decreased degree of awareness. - ANS-four
A 23-yr-antique girl at 32-weeks gestation is seen within the outpatient
sanatorium. Which of the following findings, if assessed through the nurse, might
suggest a likely hassle?
1. The purchaser's urine take a look at is fantastic for glucose and acetone.
2. The purchaser has 1+ pedal edema in both feet at the stop of the day.
3. The patron complains of an boom in vaginal discharge.
4. The customer says she feels stress against her diaphragm when the infant movements. -
ANS-1
A 38-12 months-antique woman is returned to her room after a subtotal
thyroidectomy for remedy of hyperthyroidism. Which of the following, if
determined with the aid of the nurse at the patient's bedside, is nonessential?
1. Potassium chloride for IV administration.
2. Calcium gluconate for IV administration.
3. Tracheostomy set-up.
4. Suction device. - ANS-1
A 59-yr-vintage girl with bipolar disease is receiving haloperidol
,(Haldol) 2 mg PO tid. She tells the nurse, "Milk is popping out of my
breasts." Which of the following responses by way of the nurse is BEST?
1. "You are seeing things that aren't real."
2. "Why do not we cross make a few fudge."
3. "You are experiencing a facet effect of Haldol."
4. "I'll touch your doctor to trade your medicinal drug." - ANS-three
A sixty nine-year-antique client is undergoing his second alternate of intermittent
peritoneal dialysis (IPD). Which of the subsequent might require an
intervention through the nurse?
1. The purchaser complains of pain all through the inflow of the dialysate.
2. The patron complains of constipation.
3. The dialysate outflow is cloudy.
Four. There is blood-tinged fluid around the intra-abdominal catheter. - ANS-three
A charge nurse is discussing the responsibility of nurses carig for clients who have C. Difficile.
Which of the following information have to the nurse consist of within the coaching?
A) Assign the patron to a room with a negative air-float gadget
b) Use alcohol-based totally hand sanitizer when leaving the customers room
c) smooth infected surfaces in the customers room with a phenol answer
d) have circle of relatives individuals put on a robe and gloves whilst traveling - ANS-D
A client recognized with dementia wanders the halls of the locked nursing unit in the course of
the day. To make certain the purchaser's protection at the same time as taking walks within the
halls, the nurse must do which of the following?
1. Administer PRN haloperidol (Haldol) to decrease the want to stroll.
2. Assess the consumer's gait for balance.
Three. Restrain the consumer in a geriatric chair.
4. Administer PRN lorazepam (Ativan) to provide sedation. - ANS-2
A consumer has a history of oliguria, high blood pressure, and peripheral edema.
Current lab values are: BUN -25, K+ -4.Zero mEq/L. Which nutrient ought to be
confined within the purchaser's food regimen?
1. Protein.
2. Fats.
Three. Carbohydrates.
Four. Magnesium. - ANS-1
a customer has a new prescription for spironilactone ( aldactone ) which of the following
laboratory price ought to the nurse identified as a cause to withhold the morning dose of the
medicine and notify the company - ANS-serum potassium five.2
, a patron has prescription for valproic ( Depakote) which of the subsequent laboratory fee must
the nurse count on monitor for the customer taking this remedy - ANS-thrombocytes, amylase
remember and liver characteristic take a look at
A client is admitted with a diagnosis of acute appendicitis. When assessing the stomach, the
nurse could expect to find rebound tenderness at which region?
A) Left lower quadrant
b) Left top quadrant
c) Right upper quadrant
d) Right decrease quadrant - ANS-D
A purchaser is being discharged with sublingual nitroglycerin (Nitrostat).
The customer must be suggested by means of the nurse to
1. Take the drugs five mins after the pain has started.
2. Stop taking the drugs if a stinging sensation is absent.
3. Take the drugs on an empty stomach.
Four. Avoid abrupt changes in posture. - ANS-4
A client is given morphine 6 mg IV push for postoperative pain.
Following administration of this drug, the nurse observes the subsequent:
pulse sixty eight, respirations eight, BP 100/68, patron slumbering quietly. Which of the
following nursing movements is MOST suitable?
1. Allow the patron to sleep undisturbed.
2. Administer oxygen thru facemask or nasal prongs.
Three. Administer naloxone (Narcan).
Four. Place epinephrine 1:1,000 on the bedside. - ANS-3
A client is receiving total parenteral nutrients (TPN). To determine the
client's tolerance of this treatment, the nurse ought to verify for which of the
following?
1. A full-size boom in pulse rate.
2. A lower in diastolic blood stress.
Three. Temperature in extra of ninety eight.6°F (37°C).
Four. Urine output of as a minimum 30 cc consistent with hour. - ANS-four
A client is scheduled for a left decrease lobectomy. The physician has
ordered diazepam (Valium) 2 mg IM for anxiety. The nurse could determine
that the medication is suitable if the patron presentations which of the
following signs and symptoms?
1. Agitation and decreased stage of cognizance.
2. Lethargy and decreased respiration price.
Three. Restlessness and extended coronary heart charge.
4. Hostility and accelerated blood pressure. - ANS-three
