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Exam (elaborations)

RN ATI Capstone Comprehensive Predictor Form B.pdf Form B

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RN ATI Capstone Comprehensive Predictor Form B.pdf Form B 1. A nurseis assessing a newborn who has a blood glucose level of30 mg/dl. Which of thefollowingmanifestations should the nurse expect? A. Loose stoolsB. Jitteriness C. Hypertonia D. Abdominal distention 2. A nurseis assessing a client who is immediately post-operative following total hip arthroplasty, whichof the following considerations should the nurse take when positioning theclient? A. Placetheclient’s heels directly against the bed mattress B. Ensurethat theclient’s hips remain in an abducted position. C. Maintain theclient in a supine position for the first 24 hr. after surgery. D. Flextheclient’s hip up to 120° when sitting in a chair. 3. A nurseis assessing a client who is immediately postoperativefollowing a subtotal thyroidectomy. Which ofthe following should the nurse expect to administer? A. Calcium gluconate. B. Sodium bicarbonate. C. Potassium chloride. D. Sodium phosphate. 4. A nurse is caring for an adult client who has prescriptions for multiple medications. Which of the following(Unable to read) as an age-related change that increases the risk for adverseeffects from this medication? A. Rapid gastricemptying. lOMoAR cPSD| B. Prolonged medication half-life. C. Increased medication elimination. D. Decreased medication sensitivity. lOMoAR cPSD| 5. A nurse manager is planning to promoteclient advocacy among staff in a medical unit. Which of thefollowing actions should the nurse take? A. Encouragestaff to implement the principleof paternalism when a client is having difficulty making a choice. B. Tell staffexplain procedures toclients beforeobtaining informed consent. C. Instruct unit staff to share personalexperiences to help clients make decisions. D. Develop a system for staff members to report safety concerns in theclient careenvironment. 6. A nurseis preparing an in-servicefor a group of nurses about malpracticeissues in nursing. Which of thefollowing examples should the nurse include in the teaching? A. Leaving a nasogastrictubeclamped after administering oral medication B. Documenting communication with a provider in the progress notesof theclient’s medical record C. Administering potassium via IV bolus D. Placing a yellow bracelet on a client who is at risk for falls 7. A nurse is providing teaching about the gastrostomy tube feedings to the parents of a school age child. Whichof the following instructions should the nurse take? A. Administer the feeding over30 min. B. Placethe child in as supine position after thefeeding. C. Charge thefeeding bag and tubing every 3 days. D. Warm theformula in the microwave prior to administration. 8. A nurse is administering digoxin 0.125 mg Po to an adult client. For which of the following findings shouldthe nursereport to the provider? A. Potassium level 4.2 mEq/L. B. Apical pulse 58/min. C. Digoxin level 1 ng/ml. D. Constipation for 2 days. 9. A nurseis providing dischargeteaching to a client who has a new prescription for phenelzine. The nurse should instruct theclient that it is safe to eat which of thefollowing foods while taking this medication? A. Whole grain bread B. Avocados C. Smoked salmon D. Pepperoni pizza lOMoAR cPSD| 10. A nurse is caring for an adolescent who has sickle-cell anemia. Which of the following manifestations indicates acutechest syndrome and should beimmediately reported to the provider? A. Substernal retractions. B. Hematuria. C. Temperature37.9 C (100.2 F). D. Sneezing. 11. A nurse manager is updating protocols for the use of belt restraints. Which of the following guidelines shouldthe nurse include? A. Attach therestraint to the bed’s siderails. B. Attach a PRN restraint prescription forclients who are aggressive C. Document theclient’scondition every 15 min D. Removetheclient’srestraintsevery 4 hr 12. A nurse is preforming a gastric lavage for a client who has upper gastrointestinal bleeding. Which ofthe following action should the nurse take? A. Instill 500 ml of solution through the NGtube. B. Insert a large-bore NG tube. C. Use a cold irrigation solution. D. Instruct the client to lie on his right side. lOMoAR cPSD| 13. A nurse is providing care for a client who is in the advance stage of amyotrophic lateral sclerosis. (ALS).Which of the following referrals is the nurse’s priority? B. Psychologist. C. Social worker. D. Occupational therapist. E. Speech-language pathologist. 14.A nurse is reviewing thelaboratory results of a client who has rheumatoid arthritis. Which of thefollowingfindings should the nurse report to the provider? A. WBC count 8,000/mm3. B. Platelets 150,000/mm3. C. Aspartate aminotransferase 10 units/L. D. Erythrocytesedimentation rate75 mm/hr 15. A nurse is caring for a client who has generalized petechiae and ecchymoses. The nurse should expecta prescription for which of the following laboratory tests? A. Platelet count. B. Potassium level. C. Creatineclearance. D. Prealbumin

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