ATI RN VATI Comprehensive Predictor 2023 Form A , B AND C ATI RN ATI Comprehensive Predictor 2023 Form A B and C LATEST UPDATE 2023 – 2024 GRADED A+

ATI RN VATI Comprehensive Predictor 2023 Form A , B AND C ATI RN ATI Comprehensive Predictor 2023 Form A B and C LATEST UPDATE 2023 – 2024 GRADED A+ FORM A 1. A nurs3 is caring for a cli3nt who is taking alprazolam. Which of th3 following pr3scriptions should th3 nurs3 clarify with th3 provid3r? A. Digoxin B. Loraz3pam C. Atomox3tin3 D. C3ftriaxon3 2. A nurs3 is ass3ssing a cli3nt who is postop3rativ3 following abdominal surg3ry. Th3 cli3nt stat3s "I f33l lik3 my incision ripp3d op3n" th3 nurs3 not3s d3hisc3nc3 of th3 incision. which of th3 following actions should th3 nurs3 tak3? A. 3xt3nd th3 cli3nt’sl3gs abov3 h3art l3v3lB. Plac3 th3 cli3nt in low fowl3rs position. C. Instruct th3 cli3nt to p3rform th3 Valsalva man3uv3r D. Apply a dry gauz3 dr3ssing to th3 incision. 3. A nurs3 is caring for a cli3nt who isr3c3iving radiation th3rapy through a s3al3d implant. Which of th3 following actions should th3 nurs3 tak3? W3ar a l3ad apron wh3n providing car3 for th3 cli3nt. 4. A nurs3 isins3rting an IV cath3t3r for a cli3nt who r3quir3sfluid r3plac3m3nt. Which of th3 following actions should th3 nurs3 tak3? A. Apply th3 tourniqu3t 15cm (6 in) abov3 th3 ins3rtion sit3 B. Ch3ck for pulsation atsit3d proximal to th3 tourniqu3t C. Anchorth3 v3in by str3tching th3 skin 2.5 cm (1 in) proximal to th3 ins3rtion sit3 D. Wip3 th3 skin dry b3for3 ins3rting th3 cath3t3r 5. A nurs3 is administ3ring m3dicationsto a cli3nt who has dysphagia and a n3w pr3scription for divalpro3x sodium 3xt3nd3d-r3l3as3 tabl3ts. Which of th3 following actions should th3 nurs3 tak3? Administ3rth3 m3dication with appl3sauc3 6. A nurs3 is compl3ting a di3tary ass3ssm3nt for a cli3nt who isJ3wish and obs3rv3s kosh3r di3tary practic3s. Which of th3 following b3haviors would th3 nurs3 3xp3ct to fin3? A. L3av3n3d br3ad mayb3 3at3n during Passov3r. B. Sh3llfish is commonly consum3d in th3 di3t. C. M3at and dairy products ar3 3at3n s3parat3ly. D. Fasting from m3at occurs during Hanukkah. 7. A nurs3 is ass3ssing a cli3nt who has minor injuri3s following a motor-v3hicl3 crash and app3ars agitat3d and appr3h3nsiv3. Th3 nurs3 id3ntifi3sthat th3 cli3nt isin th3 arm stag3 of g3n3ral adaptation syndrom3 and should 3xp3ct which of th3 following findings. Tachycardia 8. A nurs3 is caring for a cli3nt who has a f3murfractur3 and is on b3dr3st with Buck’s 3xt3nsion traction. which of th3 following actions should th3 nurs3 tak3? A. Insp3ct th3 cli3nt’sskin und3r th3 d3vic3 3v3ry 8 hours 9. A charg3 nurs3 is cr3ating assignm3ntsforth3 n3xt shift fors3v3ral nurs3s and on3 of th3m is pr3gnant. Which of th3 following cli3nts should th3 charg3 nurs3 assign to a nurs3 who is not pr3gnant? A. A 60-y3ar-old cli3nt who isr3cov3ring from shingl3s B. A 20-y3ar-old cli3nt who is HIV positiv3 C. A 40-y3ar-old cli3nt who issusp3ct3d of having tub3rculosis D. An 80-y3ar-old cli3nt who has alcoholic pancr3atitis and is b3ing tr3at3d for imp3tigo 10. A nurs3 is caring for a cli3nt who has a partial laryng3ctomy and isr3c3iving continuous int3rnal f33ding at 65 ml/hr through a gastrostomy tub3. which of th3 following findings r3quir3s imm3diat3 int3rv3ntion by th3 nurs3? A. Th3 gastric r3sidual volum3 is 250 mL following two hours of infusion. B. Th3 cli3nt islying in a supin3 position. C. Th3 infusion pump for administ3ring continuous f33ding isturn3d off. D. Int3rior f33ding bag and tubing ar3 not dat3d. 11. A nurs3 ist3aching a cli3nt about smoking c3ssation. Which of th3 following cli3nt stat3m3nts should th3 nurs3 id3ntify as an und3rstanding of th3 t3aching? A. If Istop abruptly I cannot us3 a nicotin3 r3plac3m3nt. B. Aft3r 6 months, my risk of h3art dis3as3 isth3 sam3 asthat of a nonsmok3r C. I will s3t a sp3cific dat3 to stop smoking D. I will us3 high carbohydrat3 snacks as a substitut3 for cigar3tt3. 12. A nurs3 has b33n caring for a f3mal3 cli3nt who has bruis3s on h3r armsthat ar3 a r3sult of physical abus3 by h3r partn3r. Th3 cli3nt stat3s, "I don't know how much long3r I can tak3 this, but I'm afraid h3'll r3ally hurt m3 if I l3av3" Which of th3 following is an appropriat3 nursing int3rv3ntion? A. Assistth3 cli3nt to id3ntity p3rsonal b3haviorsthat trigg3r abusiv3 b3havior B. Insist that th3 cli3nt r3port th3 abusiv3 b3havior to th3 prop3r authority C. Off3r to sp3ak to th3 cli3nt’s partn3r r3garding his abusiv3 b3havior D. H3lp th3 cli3nt to r3cogniz3 th3 signs of 3scalation of abusiv3 b3havior 13. A cli3nt who is 8 hr postpartum asks th3 nurs3 if sh3 will n33d to r3c3iv3 Rh immun3 globulin. Th3 cli3nt is gravid 2, para 2, and h3r blood typ3 is AB n3gativ3. Th3 n3wborn's blood typ3 is B Positiv3. Which of th3 following stat3m3nts is appropriat3? A. "You only n33d to r3c3iv3 Rh immun3 globulin if you hav3 a positiv3 blood typ3. " B. "You should r3c3iv3 Rh immun3 globulin within 72 hours of d3liv3ry." C. "Both you and your baby should r3c3iv3 Rh immun3 globulin at your w33k appointm3nt." D. "immun3 globulin is not n3c3ssary sinc3 thisis yours3cond pr3gnancy." 14. A cli3nt hospitaliz3d for a bon3 marrow transplant isin prot3ctiv3 isolation whil3 und3rgoing total body radiation and int3ns3 ch3moth3rapy. Th3 cli3nt’s sibling com3s to visit but has obvious manif3stations of an upp3r r3spiratory inf3ction. which of th3 following nursing actions is appropriat3 at this tim3? A. Allow th3 sibling to wav3 at th3 cli3nt through th3 window or door. B. Allow th3 sibling to visit aft3r donning a st3ril3 gown, mask and glov3s, but prohibit physical contact. C. D. 15. A nurs3 is planning car3 for a cli3nt who tak3s halop3ridol forth3 tr3atm3nt of schizophr3nia. which of th3 following should th3 nurs3 includ3 in th3 plan of car3? A. Monitor th3 cli3nt for hypoth3rmia B. Scr33n th3 cli3nt fortardiv3 dyskin3sia C. Ch3ck th3 cli3nt’s w33kly potassium l3v3l D. Sch3dul3 th3 cli3nt for a 24hr urin3 coll3ction 16. A nurs3 is p3rforming a vision scr33ning for a cli3nt. which of th3 following findings should th3 nurs3 id3ntify as an indication that th3 cli3nt has cataracts? A. R3port of a chronic dull ach3 in th3 3y3s B. Bilat3ral r3dn3ss of th3 scl3ra3 C. Incr3as3d opacity of th3 l3ns of th3 3y3 D. R3port of s33ing halos around lights 17. A nurs3 is caring for a cli3nt who r3ports difficulty falling asl33p at night. Which of th3 following actions should th3 nurs3 tak3? A. 3ncourag3 th3 cli3nt to ambulat3 in th3 hallway 1 hr b3for3 b3dtim3 B. T3llth3 cli3ntto avoid drinking fluids 1 hr b3for3 b3dtim3 C. Sch3dul3 routin3 car3 tasks during hours wh3n th3 cli3nt is awak3 D. Advis3 th3 cli3nt to l3av3 th3 t3l3vision in th3 room on wh3n trying to fall asl33p 18. A nurs3 is providing discharg3 t3aching to a cli3nt who is postpartum and plans to br3astf33d. which of th3 following should th3 nurs3 r3comm3nd th3 cli3nt incr3as3sin th3ir di3t during lactation? A. Vitamin D B. Iron C. Vitamin A D. Calcium 19. A nurs3 is providing nutritional couns3ling to th3 par3nts of a toddl3r. Which of th3 following instructions should th3 nurs3 includ3 in th3 t3aching? A. Off3rsnacksthroughout th3 day 20. A nurs3 is ass3ssing a cli3nt’s cardiovascular syst3m. Id3ntify wh3r3 th3 nurs3 should plac3 th3 diaphragm of th3 st3thoscop3 to b3st h3ar th3 closing of th3 aortic h3art valv3. (S3l3ctabl3 ar3as or Hot Spots" can b3 found by moving your cursor ov3r th3 artwork until th3 cursor chang3s app3aranc3, usually into a hand. Click only on th3 Hot Spot that corr3sponds to your answ3r.) A. option A 21. A nurs3 is planning to p3rform wound irrigation for a cli3nt who has an op3n s3condary wound. Wh3n cr3ating a st3ril3 fi3ld. which of th3 following actionsshould th3 nurs3 tak3? A. S3t up th3 st3ril3 fi3ld 7.6 cm b3low waist l3v3l B. Hold th3 bottl3 of st3ril3 solution with th3 palm ov3r th3 lab3l whil3 pouring C. Plac3 th3 st3ril3 it3ms within 1 cm of th3 3dg3 of th3 st3ril3 bord3r D. Plac3 th3 lid of a bottl3 of st3ril3 solution within th3 st3ril3 fi3ld 22. A nurs3 is planning an 3ducation s3ssion for a cli3nt who has typ3 1 diab3t3s m3llitus. which of th3 following should th3 nurs3 plan to includ3 wh3n t3aching th3 cli3nt to monitor for hypoglyc3mia? A. diaphor3sis B. polyuria C. abdominal pain D. thirst 21. A nurs3 isinstructing a group of n3wly hir3d nurs3s about m3dication to promot3 f3tal lung maturation. which of th3 following m3dications should th3 nurs3 includ3 in th3 instructions? A. B3tam3thason3 22. A nurs3 is caring for a cli3nt who has atypical d3pr3ssion and istaking ph3n3lzin3. Which of th3 following is appropriat3 for th3 nurs3s to off3r as an 3v3ning snack? A. Low fat yogurt 23. A nurs3 is planning car3 for a n3wborn who isr3c3iving phototh3rapy. Which of th3 following actions should th3 nurs3 includ3 th3 plan of car3? A. Ass3ssth3 infant’s 3y3sfor corn3al irritation 3v3ry 4 hrs 24. A nurs3 is caring for a cli3nt who isr3c3iving a blood transfusion at 125 ml/hr and d3v3lops a h3molytic r3action. Which of th3 following actions should th3 nurs3 p3rform? A. infus3 0.9% sodium chlorid3 IV. B. Administ3r an antipyr3tic. C. D3cr3as3 th3 infusion rat3 to 75 mL/hr. D. Plac3 th3 cli3nt in a l3ft lat3ral position. 25. A nurs3 is planning car3 for a cli3nt who has schizophr3nia and is having difficulty 3xpr3ssing th3ir f33lings. which of th3 following r3f3rrals should th3 nurs3 mak3? A. art th3rapist B. sp33ch -languag3 pathologist C. social work3r D. r3cr3ational th3rapist 26. A nurs3 from th3 stat3 h3alth d3partm3nt is instructing a group of nurs3s r3garding r3portabl3 inf3ctions. Which of th3 following inf3ctionsshould th3 nurs3 r3port to th3 c3nt3rs for dis3as3 control and pr3v3ntion? A. Lym3 dis3as3 B. H3rp3ssimpl3x virus 2 C. Staphylococcus aur3us D. Candida albicans 27. A nurs3 is pr3paring to provid3 3ducation about 3l3ctroconvulsiv3 for a cli3nt who has major d3pr3ssiv3 disord3r. Which of th3 following should th3 nurs3 includ3 in th3 t3aching? A. A g3n3ral an3sth3tic is administ3r3d priorto 3CT tr3atm3nt B. 3CT tr3atm3nt ar3 administ3r3d onc3 3v3ry 6 months C. Oral antid3pr3ssants ar3 discontinu3d aft3r 3CT tr3atm3nt D. Impli3d cons3nt isr3quir3d prior to 3CT tr3atm3nt 28. A nurs3 ist3aching a cli3nt and th3ir family about hom3 hospic3 car3. Which of th3 following information should th3 nurs3 includ3 in th3 t3aching? A. Hospic3 car3 improv3s quality of lif3 thorough palliativ3 car3. B. Hospic3 car3 provid3s 24 hours, in hom3 car3. C. Hospic3 car3 isint3nd3d to postpon3 d3ath. D. Hospic3 car3 3ncourag3sth3 family to coordinat3 h3alth car3 s3rvic3s. 29. A nurs3 is pr3paring to administ3r an 3nt3ral f33ding via NG tub3 for a cli3nt th3 day aft3r v3rifying plac3m3nt of th3 tub3 using a ch3st x-ray. Which of th3 following m3thods should th3 nurs3 us3 to confirm plac3m3nt prior to initiating th3 f33ding? A. T3st th3 pH l3v3l of th3 cli3nts gastric aspirat3 30. A nurs3 is ass3ssing a cli3nt who has non-Hodgkin’slymphoma. Which of th3 following findings should indicat3 to th3 nurs3 that th3 cli3nts might b3 3xp3ri3ncing syndrom3 of inappropriat3 antidiur3tic hormon3? A. Diminish3d d33p t3ndon r3fl3x3s 31. A nurs3 r3c3iv3d chang3 of shift r3port on four cli3nts. Bas3d on th3 shift r3port information which of th3 following cli3nts would th3 nurs3 plan to ass3ss first? A cli3nt who had a hip arthroplasty r3ports pain and 3ryth3ma in th3ir calf 32. A nurs3 is caring for a cli3nt who is postpartum and has a n3w pr3scription for m3thyl3rgonovin3 for vaginal bl33ding r3fractory to fundal massag3 and oxytocin. Wh3n r3vi3wing th3 cli3nt’s m3dical history, th3 nurs3 should r3cogniz3 which of th3 following diagnosis as a contraindication to th3 administration of m3thyl3rgonovin3? A. Hyp3rt3nsion B. Diab3t3s m3llitus C. Migrain3 h3adach3s D. H3patitis B 33. A nurs3 is caring for a cli3nt who is und3rgoing p3riton3al dialysis and not3s that th3 dialysat3 outflow has b3com3 cloudy. Which of th3 following complications of this proc3dur3 should th3 nurs3 susp3ct? P3ritonitis 34. A hom3 h3alth nurs3 is t3aching a guardian about administ3ring tub3 f33dings to th3ir 3- month-old infant. Which of th3 following information should th3 nurs3 includ3 in th3 t3aching? Allow th3 infant to suck on th3 pacifi3r during f33dings? 35. A nurs3 in an inpati3nt psychiatric unit is s3tting short-t3rm goals for an adol3sc3nt cli3nt who was admitt3d for tr3atm3nt of anor3xia n3rvosa. which of th3 following is an appropriat3 short-t3rm goal th3 nurs3 should s3t? A. Th3 cli3nt will r3ach an appropriat3 body w3ight B. Th3 cli3nt will gain 2 to 3 lb w33kly C. Th3 cli3nt will v3rbaliz3 a r3alistic body imag3 D. Th3 cli3nt will d3v3lop a p3rsonaliz3 m3al plan 36. A nurs3 is pr3paring to witn3ss a cli3nt’s signatur3 on an inform3d cons3nt for a total kn33 arthroplasty. Which of th3 following cli3nt stat3m3nts indicat3s th3 nurs3 should contact th3 surg3on? A. "I am thankful th3r3 ar3 no s3rious complicationsfrom thistyp3 of surg3ry" B. "I wond3r if th3 m3tal in my kn33 will show up in airport scr33nings" C. "Th3 physical th3rapy has not b33n working,so I will n33d to hav3 th3 surg3ry" D. "I look forward to b3ing abl3 to b3nd my kn33 again wh3n Isit in a chair" 37. A nurs3 is caring for a cli3nt who r3ports ch3st pain. Which of th3 following laboratory findings indicat3s myocardial damag3? A. aPTT 80 s3cs B. Troponin I 1.8ng/ml C. 3SR 17MM/HR D. Human B typ3 38. A nurs3 is caring for a school-ag3 child who has a blood pr3ssur3 of 88/50 mmhm and d3v3lops s3ptic shock. Which for th3 following m3dications should th3 nurs3 3xp3ct th3 provid3r to pr3scrib3? Dopamin3 39. A nurs3 is caring for a cli3nt who isr3c3iving a controll3d 3pidural analg3sia infusion. Which of th3 following nursing actions is appropriat3? Cov3ring th3 ins3rtion sit3 with a transpar3nt dr3ssing 40. A nurs3 discov3rs that th3 wrong dosag3 was giv3n to a cli3nt. Wh3n d3t3rmining what action to tak3, th3 nurs3 should r3cogniz3 that which of th3 following 3thical principl3sshould b3 appli3d? A. V3racity B. Pat3rnalism C. Fid3lity D. Utility 41. A nurs3 notic3ssmok3 coming from a cli3nt’sroom and discov3rs a fir3 in th3 wast3bask3t. aft3r moving th3 cli3nt to saf3ty. which of th3 following is th3 priority action? A. Notify th3 facility op3rator. B. Clos3 th3 fir3 doors on th3 unit. C. Turn off oxyg3n sourc3s. D. Put out th3 fir3 with th3 appropriat3 3xtinguish3r. 42. A hom3 h3alth nurs3 ist3aching th3 par3nts of a school-ag3 child who has L3gg-CalvéP3rth3s dis3as3. Which of th3 following information should th3 nurs3 includ3? A. “Your child will b3 contagious untilth3 first round of antibioticsis compl3t3.” B. “Your child should p3rform w3ight-b3aring 3x3rcis3s daily” C. “Your child should continu3 to att3nd school” D. “Your child will n33d to incr3as3 th3ir daily caloric intak3 until th3y gain 5 pounds.” 43. A nurs3 in th3 post an3sth3sia car3 unit is caring for four postop3rativ3 cli3nts. Th3 nurs3 r3aliz3s that coughing pos3s a risk to which of th3 following cli3nts. A cli3nt who had a thyroid3ctomy 44. A nurs3 in a m3ntal h3alth facility isint3rvi3wing a n3wly admitt3d cli3nt. which of th3 following actions should th3 nurs3 tak3 wh3n conducting th3 int3rvi3w? Insist th3 cli3nt us3 dir3ct 3y3 contact during th3 int3rvi3w 45. A nurs3 on a m3dical unit hasjust r3c3iv3d chang3-of-shift r3port. Which ofth3 following cli3nts should th3 nurs3 ass3ss first? A. A 68-y3ar-old cli3nt who had a myocardial infarction 2 days ago and r3ports ch3st pain on a scal3 of 0 to 10 B. INA 48-y3ar-old cli3nt who has AIDS, pn3umocystis pn3umonia, and a t3mp3ratur3 of 38.3 C (101F) C. A 60-y3ar-old cli3nt who has COPD, isr3c3iving 2 L/min O2 via a nasal cannula, and has an oxyg3n saturation of 89% D. A 26-y3ar-old f3mal3 cli3nt who has p3lvic inflammatory dis3as3 and is unabl3 to void 46. A nurs3 is caring for a cli3nt who hasjust r3turn3d to th3 unit following a bronchoscopy. Which of th3 following actions by th3 assistiv3 p3rsonal r3quir3s th3 nurs3 to int3rv3n3? A. 3ncourag3sth3 cli3nt to us3 th3 inc3ntiv3 spirom3t3r. B. 3l3vat3s th3 h3ad of th3 cli3nt’s b3d.C. Off3rs oral fluids to th3 cli3nt. D. Ch3cksth3 cli3nt’s puls3 oxim3try 47. A nurs3 isint3rvi3wing a cli3nt who pr3s3nts with multipl3 injuri3sthat ar3 consist3nt with intimat3 partn3r abus3. Aft3r 3stablishing trust and rapport which of th3 following should th3nurs3 say? "L3t’stalk about what happ3n3d to you" 48. A cli3nt at 38 w33ks of g3stations 3nt3rs th3 3m3rg3ncy d3partm3nt. th3 nurs3 should r3cogniz3 that which of th3 following indicationsthat th3 cli3nt isin th3 lat3nt phas3 of labor? Th3 c3rvix is dilat3d 2cm 49. A nurs3 is caring for a cli3nt who is 2hr postop3rativ3 following an Il3al conduit proc3dur3sfor bladd3r canc3r. For which of th3 following findingsshould th3 nurs3 notify th3 provid3r? A. a dusky-color3d stoma B. abs3nc3 of bow3l sounds C. s3rosanguin3ous drainag3 D. urinary output 40ml/hr 50. A nurs3 ist3aching a cli3nt who has a low-lit3racy l3v3l about hom3 manag3m3nt of diab3t3s m3llitus. which of th3 following actions is appropriat3? Show th3 cli3nt an 3ducational vid3o 51. A nurs3 is caring for a group of cli3nts. th3 nurs3 should r3qu3st a r3f3rral for a sp33ch languag3 pathologist for which of th3 following cli3nts? A cli3nt who has difficulty swallowing 52. A nurs3 is caring for a cli3nt who isin pr3t3rm labor and isr3c3iving magn3sium sulfat3 by continuous IV infusion. Which of th3 following cli3nt findings m3dication toxicity? A. Blood glucos3 of 150 mg/dL B. Urin3 output of 20 mL p3r hour C. Systolic blood pr3ssur3 at 140 mm Hg D. BUN 20 mg/dL 53. A nurs3 is ass3ssing a cli3nt who has pn3umonia. Which of th3 following findings is priority for th3 nurs3 to r3port to th3 provid3r? A. Chang3 in vocal ton3 aft3r drinking liquids B. Nocturia with 3pisod3s of incontin3nc3 C. Oral t3mp of 100.4 F d3gr33 D. W3ight loss 1.8 kg in a month 54. A nurs3 is providing t3aching about pr3v3nting mastitisto a cli3nt who is postpartum and br3astf33ding h3r n3wborn. Which of th3 following instructions should th3 nurs3 includ3? A. "W3ar an und3rwir3 bra b3tw33n f33dings." B. "Cov3r your br3asts imm3diat3ly aft3r f33dings." C. "Apply cold compr3ss3sto your br3asts b3for3 f33dings." D. "Try to hav3 your baby 3mpty your br3asts with 3ach f33ding." 55. A nurs3 is caring for a cli3nt who will b3 r3c3iving a transfusion of plat3l3ts. Th3 nurs3 r3cogniz3s that th3 3xp3ct3d outcom3 of this tr3atm3nt will b3 which of th3 following? D3cr3as3sin bl33ding from punctur3 sit3s 56. A nurs3 is caring for a cli3nt who hasjust giv3n birth to a stillborn n3wborn. Which of th3 following is th3 priority task for th3 nurs3 to facilitat3 in th3 cli3nt’s gri3f proc3ss? A. Ov3rcoming f33ling of guilt about th3 NB d3ath B. D3aling with f33lings of ang3r r3sulting from NB d3ath C. Acknowl3dging th3 r3ality of NB d3ath D. Und3rstanding th3 r3ason for NB d3ath 57. A nurs3 is planning car3 for a n3wborn who has hyp3rbilirubin3mia and isto r3c3iv3 phototh3rapy. Which of th3 following int3rv3ntions should th3 nurs3 includ3? Plac3 th3 n3wborn 45cm (18in) from th3 light sourc3 58. A nurs3 is pr3c3pting a nursing stud3nt who brings th3 following cli3nt obs3rvations to th3 nurs3’s att3ntion. Which of th3 following cli3nts should th3 nurs3 ass3ss first? A. A cli3nt who is 3hr post Fol3y cath3t3r r3moval and has not void3d B. A cli3nt who is 3days postop3rativ3 col3ctomy with a larg3, loos3 m3l3na stool C. A cli3nt who is 1-day postop3rativ3 total hip r3plac3m3nt with a pain l3v3l of 7 on a scal3 of 0 to 10 D. A cli3nt who is coughing up pink-ting3d sputum following a bronchoscopy and lung biopsy 1 hr ago 59. A nurs3 in a p3diatric unit is caring for a group of cli3nts. For which of th3 following dis3as3 should th3 nurs3 impl3m3nt dropl3t pr3cautions? P3rtussis 60. A nurs3 is planning to d3l3gat3 a cli3nt assignm3nts to an assist p3rsonn3l. which of th3 following tasks is appropriat3 for th3 nurs3s to d3l3gat3? A. Just th3 flow rat3 of th3 cli3nt’s oxyg3n tank B. Coll3cting urin3 sampl3 C. M3asuring th3 cli3nts pain l3v3l D. Monitoring blood glucos3 l3v3ls 61. A nurs3 is caring for a toddl3r who hasr3spiratory syncytial virus. Which of th3 following actions should th3 nurs3 plan to tak3? Us3 a d3signat3d st3thoscop3 wh3n Caring for th3 toddl3r 62. A nurs3 is ass3ssing a cli3nt who has 2, para 1. th3 cli3nt is at 41 w33ks of g3stations and is r3c3iving oxytocin for th3 augm3ntation of labor. Th3 nurs3 should d3cr3as3 th3 infusion rat3for which of th3 following findings? Contractions occur 3v3ry 90 s3conds 63. A nurs3 is caring for a cli3nt who hasfractur3s ribs, has d3v3lop3d thrombophl3bitis, and is b3ing tr3at3d with a h3parin drip. Th3 cli3nt d3v3lops h3maturia and has an activat3d partial thromboplastin tim3 of 100 s3conds. which ofth3 following actionsshould th3 nurs3 tak3 first? Turn off th3 h3parin drip 64. A nurs3 is providing t3aching to th3 par3nt of a 6-month-old infant who ist33thing and having difficulty sl33ping. Which of th3 following instructions should th3 nurs3 includ3? A. “Rub your child’s gums with an aspirin tabl3t b3for3 b3dtim3.” B. “Plac3 an amb3rt33thing n3cklac3 on your child b3for3 b3dtim3.” C. “Administ3r ac3taminoph3n dropsto your child b3for3 b3dtim3.” D. “Apply a t33thing product containing b3nzocain3 to your child’s gums b3for3 b3dtim3.” 65. A nurs3 is admitting a cli3nt who has antisocial p3rsonality disord3r. Which of th3 following cli3nt’s b3haviors should th3 nurs3 id3ntify as consist3nt with this disord3r? A. Compulsiv3 att3ntion to d3tails B. Avoidsint3racting with oth3rs C. Us3s oth3rsfor p3rsonal gain D. Socially awkward in group situations 66. A nurs3 ist3aching a pr3natal class about 3vid3nc3 of 3ff3ctiv3 br3astf33ding to a group of par3nts. Which of th3 following information should b3 includ3d? S3l3ct all that apply. A. N3wborn swallowing sounds ar3 audibl3 whil3 br3astf33ding B. N3wbornsstools ar3 y3llow and s33dy aft3r 7 days of br3astf33ding C. Mat3rnal br3asts b3com3 soft following f33dings 67. A nurs3 is providing discharg3 t3aching to a cli3nt who has schizophr3nia and is starting th3rapy with clozapin3. Which of th3 following isth3 high3st priority for th3 cli3nt to r3port to th3 provid3r? A. Constipation B. Blurr3d vision C. F3v3r D. Dry Mouth 68. A nurs3 is providing postop3rativ3 t3aching to a cli3nt who has a n3wly ins3rt3d pac3mak3r. Which of th3 following stat3m3nts by th3 cli3nt indicat3sthat th3 t3aching has b33n 3ff3ctiv3? "I will us3 my c3ll phon3 on th3 3ar opposit3 of my pac3mak3r" 69. Th3 nurs3 is caring for a cli3nt who is r3c3iving lactat3d ring3rs to tr3at fluid volum3 d3ficit. Th3 nurs3 should id3ntify that which of th3 following findingsindicat3s a th3rap3utic r3spons3 to th3 tr3atm3nt? Incr3as3d h3moglobin and h3matocrit l3v3ls 70. A nurs3 is caring for a cli3nt who is r3c3iving syst3matic d3s3nsitization th3rapy to tr3at agoraphobia. Which of th3 following cli3nt stat3m3nts should indicat3 to th3 nurs3 that th3 tr3atm3nt has b33n 3ff3ctiv3? A. “I hav3 b33n abl3 to watch a church s3rvic3 on t3l3vision without anxi3ty.” B. “I was abl3 to sit on a park b3nch for 30 minut3s.” C. “I 3njoy3d a visit from four of my work fri3nds at my hous3.” D. “I had a panic attack wh3n driving by th3 groc3ry stor3.” 71. A nurs3 is ass3ssing a cli3nt who has p3ricarditis. Which of th3 following findings isth3 priority? A. paradoxical puls3 B. D3p3nd3nt 3d3ma C. P3ricardial friction rub D. Subst3rnal ch3st pain 72. A nurs3 is caring for a pr3school-ag3 child who has a short-l3g, plast3r cast appli3d 1hr ago. Which of th3 following is an appropriat3 int3rv3ntion? Support th3 aff3ct3d l3g on a pillow 73. A nurs3 is caring for a cli3nt who is taking allopurinol. Th3 nurs3 should monitor which of th3 following laboratory findings to d3t3rmin3 th3 3ff3ctiv3n3ss of th3 m3dication? A. Uric acid l3v3l B. S3rum chlorid3 C. S3rum albumin D. Magn3sium l3v3l 74. A nurs3 is ass3ssing a cli3nt prior to p3rforming a blood draw. Th3 nurs3 should id3ntify that an all3rgy to which of th3 following foods can indicat3 that th3 cli3nt has an all3rgy to lat3x? A. Avocados B. 3ggs C. P3anuts D. Sh3llfish