ATI PN Comprehensive Predictor Form A | Questions and Answers| LATEST UPDATED 2022/2023

89. A nurse is caring for a client who is scheduled for peritoneal dialysis. Which of the following actions should the nurse take first? ANS: Ensure the dialysate solution is at room temperature RATIONALE: Evidence-based practice indicates the nurse should administer the dialysate solution at a temperature of 98.6; therefore, the first action the nurse should take to warm the prescribed solution 90. A nurse is reviewing the laboratory report of a client who is 2 days postoperative following thoracic surgery. Which of the following laboratory results should the nurse report to the provider? ANS: WBC 25,000/mm RATIONALE: The nurse should identify a WBC of 25,000/mm is above the expected reference range and is an indication that the client might have a postoperative infection;therefore, the nurse should report this finding to the provider 91. A nurse in a long-term care facility is reviewing standard precaution guidelines with an assistive personnel (AP). The nurse should instruct the AP to use which of the following to clean up a blood spill? ANS: Chlorine bleach solution RATIONALE: The nurse should instruct the AP to use a bleach solution to clean up a blood spill. A 1:10 bleach-to-water solution will destroy all bloodborne pathogens 92. A nurse is reinforcing teaching with a client who has a new prescription for phenytoin. Which of the following instructions should the nurse include as a measure to assist with the possible adverse effects of this medication? ANS: Perform daily gum massage RATIONALE: Gingival hyperplasia is a common adverse effect of this medication. Massaging the gums will help minimize this effect 93. A nurse is monitoring a client who is receiving IV fluids. For which of the following findings should the nurse stop the infusion? ANS: Edema above the catheter insertion site RATIONALE: Edema above the catheter site indicates infiltration. The nurse should stop the IV infusion 94. A nurse is contributing to the plan of care for a client who has viral meningitis. Which of the following interventions should the nurse include? ANS: Place the client in a private room RATIONALE: The nurse should place a client who has viral meningitis in a private room to prevent the transmission of the virus. Direct contact with a contaminated surface or the saliva, mucus, or feces of the person who has the infection transmits viral meningitis 95. A nurse is reviewing the medical history of a client who is scheduled for colonoscopy to establish a diagnosis of diverticulitis. Which of the following findings should the nurse identify as increasing the client's risk for developing diverticular disease? ANS: Chronic constipation RATIONALE: Diverticular disease is a disorder in which pouches or saclike projections occur in the bowel mucosa through weakened areas of the muscular layer of the intestines. The nurse should identify chronic constipation as a risk factor for diverticular disease 96. A nurse is making assignments for the upcoming shifts. Which of the following tasks should the nurse plan to delegate to an assistive personnel(AP)? ANS: Perform post mortem care for a client who died 1 hr ago RATIONALE: Performing post mortem care is within the range of function for an AP. Therefore, the nurse should delegate this task to an AP 97. A nurse is caring for a client who is in the final stages of cancer. Which of the following client situations should the nurse identify as an ethical dilemma? ANS: The client asks the nurse to help them die peacefully in their sleep RATIONALE: This situation presents an ethical issue for the nurse because the client is asking for a variation of active euthanasia, also known as assisted suicide, which is in violation of the Code of Ethics for Nurses. The nurse is legally and ethically unable to support this decision by the client and should ask for assistance with this dilemma