Ati PN comprehensive predictor 2020/2021

Ati PN comprehensive predictor 2020/2021 1. A nurse is planning to obtain a 12-lead ECG for a client who has a history of cardiac dysrhythmias. Which of the following actions should the nurse plan to take? - tell the client to expect a mild stinging sensation during the test - attach a blood pressure cuff to the clients upper arm - assist the client to the orthopneic position - instruct the client to remain as still as possible during the recording 2. A home health nurse is conducting a home inspection for a client who is at risk for falls. Which of the following instructions should the nurse provide for the client? - place area rugs on slick floor surfaces - move the clients bed to the main floor of the house - keep lighting in the home dim -place the bedside table 2 feet away from the bed 3. A nurse is reinforcing teaching about common discomforts during the first trimester with a client who is at 10 weeks of gestation. Which of the following examples should the nurse include? - burning during urination - leukorrhea - swelling of the face - diarrhea 4. A nurse is monitoring a client who is postoperative. Which of the following actions should the nurse take when collecting data about the client's respirations? - count the client's respirations for 15 seconds - observe the movements of the client's chest wall - place the client in a supine position - inform the client when beginning to observe his respirations 5. A nurse is caring for a client who suddenly develops chest pain and dyspnea. Which of the following actions should the nurse take first? - place the client on bedrest - elevate the head of the client's bed - prepare the client for a ventilation perfusion scan - obtain the clients ABG levels 6. A community health nurse is assisting in the development of a brochure about hypertension. Which of the following actions should the nurse take? - explain medical terminology using basic, one-syllable words - present information from complex to simple - write the information at an 8th-grade reading level - use a 12 point font size 7. A nurse is reinforcing teaching with the support person of a client who is in the first stage of labor. Which of the following instructions should the nurse include regarding effleurage? - apply steady pressure with this tennis ball to her sacral area - help her to focus on an object in the room - gently stroke her abdomen during contractions - assist her to breathe in deeply at the beginning of each contraction 8. A nurse is planning to complete an incisional dressing change for a client who is postoperative following an open cholecystectomy. In which of the following areas should the nurse expect to find the client's incision? (you will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.) - PICTURE OF BODY - 9. A nurse is reinforcing teaching with a newly licensed nurse about transcribing medication prescriptions. Which of the following prescriptions should the newly licensed nurse identify is an accurate transcription? - Heparin 5000 U subcutaneous every 8 hr - MgSO4 10 g PO daily - Doxazosin .5 mg PO at bedtime - Lorazepam 0.5 mg PO PRN at bedtime 10.A nurse is reviewing laboratory data from a client who has diabetes mellitus.Which of the following laboratory tests is the most accurate indicator of long -term disease management? -Glycosylated hemoglobin. -Urine ketones. -Glucose tolerance test. -Fasting blood glucose 11. A nurse is reinforcing teaching with a client who has a new prescription for ciprofloxacin. Which of the following information should the nurse include in the teaching? - Restrict your daily fluid intake while taking this medication -take an antacid if the medication causes gastrointestinal upset - this medication can increase your risk for sunburn - expect to experience diarrhea while taking this medication 12. A charge nurse is discussing confidentiality requirements with a newly licensed nurse when sharing a client's medical information. Which of the following individuals should the charge nurse identify as appropriate with whom to share client information? -a nurse from another unit after a client commits suicide - a client's employer who is concerned about safety due to substance use - a social worker who is assigned to an involuntarily committed school-age client - a client’s partner after the client reports intimate partner abuse 13. A nurse is caring for a client who follows a kosher diet. Which of the following menu items should the nurse include on the tray? - clam chowder - shrimp salad - roasted salmon - pulled-pork sandwich 14. A nurse is caring for a client who has been admitted to the mental health unit. While reinforcing teaching about the clients prescribed medications, the nurse communicates truthfully about the adverse effects of the medications. Which of the following ethical concepts is the nurse exhibiting? - autonomy - beneficence - veracity - justice 15. A nurse on a mental health unit is reinforcing with a client who has anorexia nervosa. Which of the following statements by the client indicates an understanding of the teaching? - the treatment goal is to be within 60 percent of my ideal body weight - the staff will weight me every night before I go to bed - the staff will watch me closely for 1 hour after each meal - I should gain half of a pound per week to meet my treatment goal 16. A nurse is reinforcing teaching about preventing dental caries with the parent of a 12-month-old toddler. Which of the following instructions should the nurse provide?i - clean the teeth with a small, soft-bristled toothbrush - use a 5-inch strip of toothpaste on the toothbrush - position the bristles of your child’s toothbrush against the teeth at a 90-degree angle - floss between your child’s teeth before brushing 17. A nurse is caring for a client who has major depressive disorder and is taking an antidepressant. The nurse should identify which of the following findings as the priority to report to the provider? - the client neglects personal hygiene - the client is withdrawn and uncommunicative - the client has a sudden increase in energy - the client reports a change in sleeping patterns 18. A nurse in an acute care setting is preparing to administer medications to a client. Which of the following information should the nurse obtain to identify the client? - clients telephone number - name of the client’s provider - clients full medical diagnosis - room number of the client 19. A nurse overhears two assistive personnel discussing a client’s medical history in the hallway. Which of the following actions should the nurse take first? - speak to the staff members in private about the client confidentiality - report the incident to the charge nurse - participate in an in-service about client confidentiality - tell the staff members to stop their discussion 20. A nurse is caring for a child who has terminal cancer. Which of the following responses by the child’s school-age brother should the nurse expect? - alienates himself from his peers - believes his bad behavior is causing his brother’s death - regresses to an earlier developmental level - believes that his brother’s death will be reversible 21. A nurse is contributing to the plan of care for a client who has schizophrenia and is experiencing auditory hallucinations. The client reports hearing voices. Which of the following interventions should the nurse plan to take? - reinforce that, although the voices are real to the client, the nurse does not hear them - ensure that the client avoids other forms of auditory stimulations, such as music or television -provide extended periods of alone time for the client -discourage the client from discussing the hallucinations 22. A nurse is reinforcing teaching with the parents of a child who has ADHD and is taking methylphenidate. Which of the following statements by the parents indicates that the medication is effective? - our child has lost some weight since his last appointment - our child has a better grasp of reality - our child has increased his daily caloric intake - our child is able to complete his homework on time 23. A nurse is administering hydromorphone to a client who is experiencing postoperative pain. Which of the following findings is an adverse effect of this medication? - dilated pupils - tachypnea - urinary retention - hypertension 24. A male nurse is assigned to care for an older adult female client. The client tells the nurse that she wants a female nurse to care for her. Which of the following statements should the nurse make? - you will need to speak with the nurse manager about this - I care for other female clients and they do not mind having a male nurse - I will ask to have you assigned to a female nurse - I will get a female assistive personnel to provide your bath 25. A nurse is caring for a client who has a femur fracture with the leg in Buck’s traction.Which of the following actions should the nurse take? - Apply 6.8 kg(15 lb) of weight for use in traction. -Remove the weights for the 20 min for the clients report of severe pain. -Compare bilateral pedal pulses -Position the knot of the rope at the top of the pulley 26. A nurse at a provider’s office is caring for a client who is in the third trimester of pregnancy. Which of the following findings should the nurse report to the provider? - periodic numbness of the fingers - shortness of breath when climbing stairs - leukorrhea - blurred vision 27. A nurse is reinforcing teaching about healthy lifestyle changes with a female client who has mild hypertension. Which of the following statements by the client indicates an understanding of the teaching? - I can have two glasses of wine with dinner - I will set my blood pressure goal at 130 over 84 -I should decrease my salt intake to 2 grams per day - I should exercise for 15 minutes two times per week 28. A nurse is reinforcing teaching with a client who is undergoing radiation therapy to the neck. Which of the following instructions should the nurse include in the teaching? - cleanse the neck by rubbing with a washcloth - limit fluid intake to 750 mL per day - avoid exposing the neck to the cold -eat three large meals each day 29. MISSING - 30. A nurse is reinforcing teaching with a client who has primary open-angle glaucoma and a new prescription for timolol eye drops. Which of the following statements by the client indicates an understanding of the teaching? - this medication will dilate my eyes - this medication will darken the color of my eyes - I should check my heart rate while taking this medication - I should take a zinc supplement while taking this medication 31. A nurse is collecting data from a 9-year-old child during a well-child visit. Which of the following findings should the nurse expect? - expresses conflict over independence and control - grasps concepts of cause-and-effect - demonstrates self-centered thinking - displays emotional detachment from parents 32. A nurse is reinforcing teaching with a client who is about to start using an albuterol metered-dose inhaler. Which of the following instructions should the nurse include in the teaching? - tilt your head forward while inhaling - exhale immediately after inhaling - take three quick breaths while depressing the canister - close your mouth around the mouthpiece 33. A charge nurse is monitoring a group of assistive personnel (AP) regarding the use of gloves in contact isolation. For which of the following actions by an AP should the charge nurse intervene? - removes gloves last after other personal protective equipment - washes hands after removing gloves - pulls gloves off inside-out when tasks are completed - changes gloves between tasks for the same client 34. A nurse is performing nasopharyngeal suctioning for an adult client. Which of the following techniques should the nurse use? - apply suction while inserting the catheter - apply intermittent suction for 30 seconds - wait 1 minute between suctioning attempts - insert the catheter 10 cm (4 in) 35. A nurse is caring for a client who recently gave birth to her first child. The newborn is crying and the client states. “ I can't seem to do anything right. What should I do?” Which of the following responses should the nurse make? - babies need to cry soon after they are born to develop their lungs -let me show you how to swaddle and cuddle him, then you try -if I turn him on his side, maybe he’ll go back to sleep -I’ll take him back to the nursery, so you can get some rest 36. A nurse is caring for a group of clients.Which of the following clients should the nurse recognize is experiencing fluid volume excess? -A client has a urinary tract infection with bladder distention two fingerbreadths below the umbilicus. -A client who has heart failure and has had orthopnea for 2 days -A client who has COPD and an oxygen saturation of 92% -A client who is 1 day postoperative and has an Hgb level of 16 g/dl 37. A nurse in an acute care setting is assisting in collecting client information to include in a referral for a physical therapist. Which of the following information should the nurse plan to include? - family medical therapy -medications taken prior to admission -medical health insurance claims -physical assessment findings 38. A nurse is preparing to give a change-of-shift report on a client who is 2 days postoperative following a total knee arthroscopy. Which of the following information about the client should the nurse include in the report? - preferred bath time -time of last pain medication -steps required for dressing change -admission vital signs 39. A nurse is reviewing the medical record of a client who has COPD. Which of the following laboratory findings indicates a need to request a dietary referral for the client? - prealbumin 13 mg/dL - sodium 138 mEq/L - potassium 3.5 mEq/L -total calcium 10 mg/dL 40. A nurse is reviewing the home medications of a client who recently had transient ischemic attacks and is to begin taking clopidogrel. The nurse should instruct the client that which of the following over-the-counter medications interacts adversely with clopidogrel? - Ranitidine -Naproxen -Vitamin D3 -Docusate sodium 41. A nurse is preparing to delegate client care to an assistive personnel (AP). Which of the following information should the nurse verify prior to delegation? - the client’s age -the client’s length of facility stay -the AP’s years of experience -the AP’s job description 42. A nurse is reinforcing discharge teaching with a client who has a prescription for home oxygen therapy. Which of the following statements by the client indicates an understanding of the teaching? - I will increase the flow rate if I feel short of breath -I can use synthetic blankets on my bed -I will check my oxygen equipment at least once daily -I can use isopropyl alcohol to clean the nasal cannula when necessary 43. A nurse on a mental health unit observes a client yelling at another client. Which of the following actions should the nurse take first? - debrief staff members about the conflict -request security personnel restrain the client -place the client in seclusion -state expectations for the client’s behavior 44. A nurse is assisting with the development of an education program for a group of older adults. Which of the following actions should the nurse take first? - create handouts for participants -establish learning outcomes -determine the literacy level of participants -schedule a time to implement the program 45. A nurse is preparing to apply a thigh-length sequential compression device for a client who is postoperative. Which of the following actions should the nurse take? - position the client prone to apply the device -wrap the sleeve loosely around the clients lower leg -measure the circumference of the client’s upper leg -turn on the mechanical unit prior to applying the sleeve 46. A nurse is caring for a client who is on isolation precautions. Which of the following pieces of personal protective equipment should the nurse remove first? - mask -gown -gloves -eyewear 47. A nurse is using a glucometer to measure a client’s capillary blood glucose level. Which of the following actions should the nurse take? - select the central tip of a finger -keep the finger in a dependent position -test the first drop of blood that forms after the puncture -wear sterile gloves 48. A nurse is assisting with the care of a client who is 6 hr postoperative following a right knee arthroplasty. Which of the following actions should the nurse take? - maintain the head of the client’s bed in high-fowler’s position it becomes saturated -check the client’s pedal pulses every hour -remove the client’s dressing when it becomes saturated -place an abductor wedge under the client’s right knee 49. A nurse is contributing to the plan of care for a client who has ascites due to cirrhosis. Which of the following interventions should the nurse recommend to include in the plan? - keep the client’s daily protein intake below 0.8 g/kg -measure the client’s abdominal girth daily -restrict the client’s sodium intake to 3 g per day -position the client supine with his legs elevated 50. A nurse is preparing a vitamin K injection to give to a newborn. The newborn’s mother questions the purpose of the medication. Which of the following responses should the nurse make? - this medication will increase the immunity of your newborn -this medication will decrease the possibility of your newborn developing jaundice -this medication will decrease the risk of hemorrhage in your newborn -this medication will increase the absorption of nutrients in the intestine 51. A nurse is reinforcing teaching with a client who has Rx for ferrous sulfate elixir. Understanding teaching? - I will mix the medication with water - 52. A nurse is caring for a female client who has indwelling catheter with a urinary drainage system. Which of the following actions should the nurse take? -Coil the tubing on the bed above the collection bag - - - 53. A nurse is caring for four clients. Which of the following situations requires a signed consent form? - inserting a nasogastric tube - - - 54. A nurse is reinforcing teaching with a client who has GERD and a prescription for ranitidine. Which of the following statements by the client indicates an understanding of the teaching? - I have to take this medication on an empty stomach -I have to remain upright for 1 hour after taking the medication -I should expect my tongue to turn black after I take this medication -I should take this medication in the morning and at bedtime 55. A nurse is providing preoperative care to a client who reports he has no one at home to help him after his outpatient surgery. Which of the following actions should the nurse take? - assist with a referral to a home health care agency -call the provider about admitting the client to the facility overnight -contact the next of kin to assist the client at home -give the client a list of home care assistants to contact 56. A nurse is assisting with the admission of a client who has varicella zoster. Which of the following interventions should the nurse plan to implement? - administer aspirin if the client develops a fever -assign the client to a positive-airflow room -have visitors remain at least 0.91 m (3 feet) away from the client -initiate contact precautions for the client 57. A nurse is assisting with a prenatal examination of a client who is at 8 weeks of gestation. The nurse notes that the client’s vagina and vulva are a purplish color. The nurse should document this finding as which of the following? - chloasma -chadwick’s sign -ballottement -hegar’s sign