ATI comprehensive predictor
. If a customer develops cor pulmonale (right-sided heart failure), the nurse
could expect to take a look at
1. Growing respiration problem seen with exertion.
2. Cough effective of a large quantity of thick, yellow mucus.
3. Peripheral edema and anorexia.
Four. Twitching of extremities. - ANS-three
. The nursing team includes RNs, one LPN/LVN, and one nursing
assistant. The nurse have to don't forget the assignments appropriate if the
nursing assistant is assigned to take care of
1. A client with Alzheimer's requiring help with feeding.
2. A customer with osteoporosis complaining of burning on urination.
3. A customer with scleroderma receiving a tube feeding.
Four. A consumer with cancer who has Cheyne-Stokes respirations. - ANS-1
A 23-year-vintage guy is admitted with a subdural hematoma and cerebral
edema after a motorbike twist of fate. Which of the subsequent signs need to
the nurse anticipate to look INITIALLY?
1. Unequal and dilated students.
2. Decerebrate posturing.
Three. Grand mal seizures.
4. Decreased degree of cognizance. - ANS-4
A 23-12 months-vintage female at 32-weeks gestation is visible inside the outpatient
medical institution. Which of the subsequent findings, if assessed by the nurse, would
indicate a likely hassle?
1. The purchaser's urine test is high-quality for glucose and acetone.
2. The customer has 1+ pedal edema in each ft at the end of the day.
Three. The consumer complains of an increase in vaginal discharge.
Four. The client says she feels strain towards her diaphragm when the toddler moves. - ANS-1
A 38-12 months-old lady is lower back to her room after a subtotal
thyroidectomy for treatment of hyperthyroidism. Which of the subsequent, if
determined by means of the nurse at the affected person's bedside, is nonessential?
1. Potassium chloride for IV administration.
2. Calcium gluconate for IV management.
Three. Tracheostomy set-up.
Four. Suction gadget. - ANS-1
A fifty nine-year-old girl with bipolar disorder is receiving haloperidol
(Haldol) 2 mg PO tid. She tells the nurse, "Milk is popping out of my
,breasts." Which of the subsequent responses via the nurse is BEST?
1. "You are seeing matters that aren't real."
2. "Why do not we pass make a few fudge."
three. "You are experiencing a side impact of Haldol."
four. "I'll touch your health practitioner to change your medication." - ANS-three
A 69-12 months-old customer is undergoing his 2d exchange of intermittent
peritoneal dialysis (IPD). Which of the subsequent could require an
intervention through the nurse?
1. The client complains of ache for the duration of the inflow of the dialysate.
2. The consumer complains of constipation.
3. The dialysate outflow is cloudy.
4. There is blood-tinged fluid across the intra-abdominal catheter. - ANS-three
A charge nurse is discussing the responsibility of nurses carig for clients who've C. Difficile.
Which of the following information must the nurse include in the coaching?
A) Assign the consumer to a room with a bad air-glide system
b) Use alcohol-based hand sanitizer whilst leaving the clients room
c) clean contaminated surfaces in the customers room with a phenol solution
d) have family participants put on a gown and gloves when traveling - ANS-D
A customer identified with dementia wanders the halls of the locked nursing unit all through the
day. To make sure the purchaser's protection whilst walking in the halls, the nurse ought to do
which of the following?
1. Administer PRN haloperidol (Haldol) to decrease the want to stroll.
2. Assess the purchaser's gait for stability.
Three. Restrain the customer in a geriatric chair.
4. Administer PRN lorazepam (Ativan) to offer sedation. - ANS-2
A customer has a history of oliguria, high blood pressure, and peripheral edema.
Current lab values are: BUN -25, K+ -four.Zero mEq/L. Which nutrient ought to be
restrained in the purchaser's weight loss plan?
1. Protein.
2. Fats.
Three. Carbohydrates.
4. Magnesium. - ANS-1
a patron has a new prescription for spironilactone ( aldactone ) which of the subsequent
laboratory value should the nurse recognized as a cause to withhold the morning dose of the
drugs and notify the issuer - ANS-serum potassium 5.2
, a consumer has prescription for valproic ( Depakote) which of the following laboratory cost need
to the nurse count on screen for the customer taking this medicine - ANS-thrombocytes,
amylase depend and liver feature test
A purchaser is admitted with a diagnosis of acute appendicitis. When assessing the abdomen,
the nurse would expect to find rebound tenderness at which place?
A) Left lower quadrant
b) Left top quadrant
c) Right higher quadrant
d) Right lower quadrant - ANS-D
A patron is being discharged with sublingual nitroglycerin (Nitrostat).
The consumer need to be suggested with the aid of the nurse to
1. Take the medication five mins after the pain has commenced.
2. Forestall taking the medication if a stinging sensation is absent.
3. Take the medicine on an empty stomach.
4. Keep away from abrupt adjustments in posture. - ANS-four
A consumer is given morphine 6 mg IV push for postoperative pain.
Following management of this drug, the nurse observes the following:
pulse 68, respirations 8, BP 100/68, purchaser snoozing quietly. Which of the
following nursing actions 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 customer is receiving overall parenteral nutrients (TPN). To decide the
patron's tolerance of this treatment, the nurse should assess for which of the
following?
1. A considerable growth in pulse charge.
2. A lower in diastolic blood stress.
Three. Temperature in extra of 98.6°F (37°C).
Four. Urine output of as a minimum 30 cc in keeping with hour. - ANS-four
A customer is scheduled for a left decrease lobectomy. The doctor has
ordered diazepam (Valium) 2 mg IM for anxiety. The nurse would decide
that the drugs is appropriate if the consumer presentations which of the
following signs and symptoms?
1. Agitation and decreased degree of consciousness.
2. Lethargy and decreased respiration price.
3. Restlessness and accelerated heart fee.
Four. Hostility and accelerated blood pressure. - ANS-3
. If a customer develops cor pulmonale (right-sided heart failure), the nurse
could expect to take a look at
1. Growing respiration problem seen with exertion.
2. Cough effective of a large quantity of thick, yellow mucus.
3. Peripheral edema and anorexia.
Four. Twitching of extremities. - ANS-three
. The nursing team includes RNs, one LPN/LVN, and one nursing
assistant. The nurse have to don't forget the assignments appropriate if the
nursing assistant is assigned to take care of
1. A client with Alzheimer's requiring help with feeding.
2. A customer with osteoporosis complaining of burning on urination.
3. A customer with scleroderma receiving a tube feeding.
Four. A consumer with cancer who has Cheyne-Stokes respirations. - ANS-1
A 23-year-vintage guy is admitted with a subdural hematoma and cerebral
edema after a motorbike twist of fate. Which of the subsequent signs need to
the nurse anticipate to look INITIALLY?
1. Unequal and dilated students.
2. Decerebrate posturing.
Three. Grand mal seizures.
4. Decreased degree of cognizance. - ANS-4
A 23-12 months-vintage female at 32-weeks gestation is visible inside the outpatient
medical institution. Which of the subsequent findings, if assessed by the nurse, would
indicate a likely hassle?
1. The purchaser's urine test is high-quality for glucose and acetone.
2. The customer has 1+ pedal edema in each ft at the end of the day.
Three. The consumer complains of an increase in vaginal discharge.
Four. The client says she feels strain towards her diaphragm when the toddler moves. - ANS-1
A 38-12 months-old lady is lower back to her room after a subtotal
thyroidectomy for treatment of hyperthyroidism. Which of the subsequent, if
determined by means of the nurse at the affected person's bedside, is nonessential?
1. Potassium chloride for IV administration.
2. Calcium gluconate for IV management.
Three. Tracheostomy set-up.
Four. Suction gadget. - ANS-1
A fifty nine-year-old girl with bipolar disorder is receiving haloperidol
(Haldol) 2 mg PO tid. She tells the nurse, "Milk is popping out of my
,breasts." Which of the subsequent responses via the nurse is BEST?
1. "You are seeing matters that aren't real."
2. "Why do not we pass make a few fudge."
three. "You are experiencing a side impact of Haldol."
four. "I'll touch your health practitioner to change your medication." - ANS-three
A 69-12 months-old customer is undergoing his 2d exchange of intermittent
peritoneal dialysis (IPD). Which of the subsequent could require an
intervention through the nurse?
1. The client complains of ache for the duration of the inflow of the dialysate.
2. The consumer complains of constipation.
3. The dialysate outflow is cloudy.
4. There is blood-tinged fluid across the intra-abdominal catheter. - ANS-three
A charge nurse is discussing the responsibility of nurses carig for clients who've C. Difficile.
Which of the following information must the nurse include in the coaching?
A) Assign the consumer to a room with a bad air-glide system
b) Use alcohol-based hand sanitizer whilst leaving the clients room
c) clean contaminated surfaces in the customers room with a phenol solution
d) have family participants put on a gown and gloves when traveling - ANS-D
A customer identified with dementia wanders the halls of the locked nursing unit all through the
day. To make sure the purchaser's protection whilst walking in the halls, the nurse ought to do
which of the following?
1. Administer PRN haloperidol (Haldol) to decrease the want to stroll.
2. Assess the purchaser's gait for stability.
Three. Restrain the customer in a geriatric chair.
4. Administer PRN lorazepam (Ativan) to offer sedation. - ANS-2
A customer has a history of oliguria, high blood pressure, and peripheral edema.
Current lab values are: BUN -25, K+ -four.Zero mEq/L. Which nutrient ought to be
restrained in the purchaser's weight loss plan?
1. Protein.
2. Fats.
Three. Carbohydrates.
4. Magnesium. - ANS-1
a patron has a new prescription for spironilactone ( aldactone ) which of the subsequent
laboratory value should the nurse recognized as a cause to withhold the morning dose of the
drugs and notify the issuer - ANS-serum potassium 5.2
, a consumer has prescription for valproic ( Depakote) which of the following laboratory cost need
to the nurse count on screen for the customer taking this medicine - ANS-thrombocytes,
amylase depend and liver feature test
A purchaser is admitted with a diagnosis of acute appendicitis. When assessing the abdomen,
the nurse would expect to find rebound tenderness at which place?
A) Left lower quadrant
b) Left top quadrant
c) Right higher quadrant
d) Right lower quadrant - ANS-D
A patron is being discharged with sublingual nitroglycerin (Nitrostat).
The consumer need to be suggested with the aid of the nurse to
1. Take the medication five mins after the pain has commenced.
2. Forestall taking the medication if a stinging sensation is absent.
3. Take the medicine on an empty stomach.
4. Keep away from abrupt adjustments in posture. - ANS-four
A consumer is given morphine 6 mg IV push for postoperative pain.
Following management of this drug, the nurse observes the following:
pulse 68, respirations 8, BP 100/68, purchaser snoozing quietly. Which of the
following nursing actions 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 customer is receiving overall parenteral nutrients (TPN). To decide the
patron's tolerance of this treatment, the nurse should assess for which of the
following?
1. A considerable growth in pulse charge.
2. A lower in diastolic blood stress.
Three. Temperature in extra of 98.6°F (37°C).
Four. Urine output of as a minimum 30 cc in keeping with hour. - ANS-four
A customer is scheduled for a left decrease lobectomy. The doctor has
ordered diazepam (Valium) 2 mg IM for anxiety. The nurse would decide
that the drugs is appropriate if the consumer presentations which of the
following signs and symptoms?
1. Agitation and decreased degree of consciousness.
2. Lethargy and decreased respiration price.
3. Restlessness and accelerated heart fee.
Four. Hostility and accelerated blood pressure. - ANS-3
