ATI PN Comprehensive Predictor Form A with rationale

ATI PN Comprehensive Predictor Form A with rationale ATI PN Comprehensive Predictor Form A with rationale KEY ANS= ANSWER RAT=RATIONALE 1) A nurse is reviewing the techniques for transferring a client from a bed to a chair with a group of assistive personnel (AP). Which of the following instructions should the nurse include? ANS: Use lower-body strength RAT: The nurse should instruct the AP to use lower-body strength when lifting a client to reduce stress on the back 2) A nurse is participating in a quality improvement study about the effectiveness of client pain management on the unit. Which of the following strategies should the nurse use to collect data? ANS: Review clients' charts for their rating of pain before pain medication was administered and 1 hr after administration RAT: The nurse should collect data from clients' charts about pain ratings before and after pain management interventions 3) A nurse is contributing to the plan of care for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate (TURP). Which of the following interventions should the nurse include? ANS: Maintain a drainage flow rate to keep the urine diluted to a reddish-pink color RAT: The nurse should maintain the flow rate of the bladder irrigation to keep the urine diluted to a reddish-pink color and the tubing free of clots and bleeding 4) A nurse is assisting with the care of a client who is postpartum and has a deep-vein thrombosis. The client has been receiving heparin IV infusion. Which of the following medications should the nurse ensure is readily available? ANS: Protamine sulfate RAT: The nurse should ensure that protamine sulfate is readily available. Protamine sulfate is the antidote used to reverse the anticoagulant effects of heparin 5) A nurse is reinforcing teaching with a client about how to replace their two-piece ostomy pouching system. The client tells the nurse that removing the skin barrier is painful. Which of the following strategies should the nurse suggest? ANS: Hold the skin taut while removing the barrier RAT: Gently and gradually peeling the skin barrier away while holding the skin taut minimizes discomfort and trauma to the peristomal skin 6) A nurse in an inpatient mental health facility is caring for a newly admitted client who has alcohol use disorder. During a therapy session, the client asks about Alcoholics Anonymous (AA). Which of the following resposes should the nurse make? ANS: "What is your current understanding about the purpose of AA?" RAT: The nurse should identify the client's understanding about the purpose of AA to provide further information about the program and meetings and to facilitate a referral if needed. For treatment to be successful, the nurse should involve the client in the care decision-making process. This ensures the treatment program meets the client's individual needs and demonstrates caring by the nurse 7) A nurse is performing a dressing change for a client who is 3 days postoperative. Which of the following findings should the nurse report to the provider? ANS: Yellow-green drainage at the incision line RAT: Yellow-green, purulent, or odorous drainage indicates the wound is infected. The nurse should report this finding to the provider 8) A nurse is providing comfort to the partner of a client who has died. Which of the following statements should the nurse make? ANS: "Journaling about your relationship might help with the grieving process." RAT: Journaling provides a means for the client to identify thoughts and feelings and to recognize and come to terms with the positive and negative aspects the client's relationship with their partner 9) A nurse is assisting with an educational session for newly licensed nurses about partner violence. Which of the following characteristics should the nurse include as placing a vulnerable person at risk for partner violence? ANS: Recent confirmation of pregnancy