ATI RN Comprehensive Predictor 2024 A with NGN

A nurse is preparing to initiate intravenous fluids via an infusion pump for a client. Which of the following actions should the nurse take? - Check the expiration date of the safety inspection sticker of the pump. A nurse is caring for a client who has an implanted venous access port. Which of the following should the nurse use to access the port? - A non-coring needle A nurse is caring for a client who is near the end of life and is on complete bed rest. The client states that he needs to have a bowel movement, and the nurse offers a bedpan. The client states, "I've always used the bathroom." Which of the following responses should the nurse make? - "Tell me what concerns you have about using a bedpan." A nurse is providing an in service about client evacuation during a fire. Which of the following clients should the nurse instruct the staff to evacuate first? - A client who is ambulatory and receiving oxygen. A nurse is assessing a client who has a possible right pneumothorax. Which of the following findings should the nurse expect? - Reduced right-side breath sounds A nurse is caring for a client who is postoperative following a liver biopsy. In which of the following positions should the nurse place the client immediately following the procedure? - Right lateral A nurse is caring for a client who states he recently purchased lavender oil to use when he gets the flu. The nurse should recognize which of the following findings as a potential contraindication for using lavender? - The client has a history of asthma The nurse is providing discharge teaching to a client following a total gastrectomy. The nurse should instruct the client about which of the following medications? - Vitamin B12 ATI RN Comprehensive Predictor 2024 A with NGN Not all NGN questions are included here A nurse is teaching a newly licensed nurse about caring for clients in the emergency department. Which of the following actions should the nurse include when teaching about interacting with a client who is aggressive pacing and speaking loudly? - Tell the client, "you seem to be very upset" A nurse is teaching a client about family planning using the basal body temperature method. Which of the following instructions should the nurse include in the teaching? - Take your temperature immediately after waking and before getting out of bed A nurse is reading a tuberculin skin test for a client who received a purified protein derivative test 72 hr ago. Which of the following findings indicate a positive test? - An induration measuring 10 mm A nurse is caring for a client who has heart failure. Which of the following manifestations should the nurse expect? - Crackles in lungs A nurse is assessing a client who received hydromorphone 4 mg IV 15 minutes ago. The client has a respiratory rate of 10 b/m. The nurse should prepare to administer which of the following medications? - Naloxone A nurse is planning care for a school aged child who is 4 hours postoperative following appendicitis. Which of the following actions should the nurse include in the plan of care? - Administer analgesics on scheduled basis for 24 hours A nurse is caring for a client whose child died from cancer. The client states it's hard to go on without him. Which of the following questions should the nurse ask the client first? - "Are you thinking about ending your life?" A nurse is teaching a client about advanced directives. Which of the following statements by the client indicates an understanding of the teaching? - A living will is a document that includes my wishes about healthcare decisions A nurse is providing teaching to a client who is 14 weeks of gestation about findings to report to the provider. Which of the following findings should the nurse include in the teaching? - Swelling of the face The nurse is providing discharge instructions to a client who has a new prescription of haloperidol. Which of the following adverse effects should the nurse instruct the client to report to the provider? - Shuffling gait A charged nurse is monitoring a newly licensed nurse who was caring for a client who was receiving total parenteral nutrition (TPN). Which of the following assessments by the newly licensed nurse indicate an understanding of the procedure? - "I will hang a new bag of TPN and IV tubing every 24 hrs" A nurse is caring for a client who is in active labor and notes the FHR baseline has been 100 b/m for the past 15 minutes. The nurse should identify which of the following conditions as a possible cause of fetal bradycardia? - Maternal Hypoglycemia A nurse is assessing a client who has histrionic personality disorder. Which of the following manifestations should the nurse expect? - Self-centered behaviors A nurse in an emergency department is caring for a three-year old child who has suspected epiglottitis. Which of the following actions should the nurse take? - Prepare to assist in intubation In nurses teaching a client who is trying to conceive. Which of the following should the nurse instruct the client to increase in her diet to prevent a neural tube defect? - Folate A nurse is assessing a client who is postoperative and has a history of pulmonary embolism. Which of the following findings is a priority for the nurse to report to the provider? - Dyspnea A nurse is performing a neurological examination on the client as a part of a complete physical assessment. The nurse should identify the cranial nerve XI is intact when the client performs which of the following actions? - Shrugs his shoulders A nurse is preparing to admit a six year old with varicella to the pediatric unit. Which of the following actions should the nurse take? - Assign the child to a negative air pressure room A charge nurse is teaching a newly licensed nurse about medication administration, which of the following information should the nurse include? - Inform client about the action of each medication prior to administering A nurse is planning care for a group of clients and is working with one licensed practical nurse (LPN) and one assistive personnel (AP). Which of the following actions should the nurse take first to manage her time effectively? - Determine goals for the day A nurse is inserting an indwelling catheter for a male client. Which of the following actions should the nurse take? - Lift the penis so that it is perpendicular to the client's body A nurse is caring for a client who has severe hypertension and is to receive Nitroprusside via continuous IV infusion. Which of the following actions should the nurse plan to take? - Protect the IV bag from exposure to light A Hospice nurse is visiting with a son of a client who has terminal cancer. The son reports sleeping very little during the past week due to caring for his mother. Which of the following responses should the nurse make? - I can give you information about respite care if you are interested. A nurse is speaking with a caregiver of a client who has Alzheimer's disease. The caregiver states providing constant care is very stressful and is affecting all areas of my life. Which of the following actions should the nurse take? - Assist the caregiver to arrange for day care program for the client. A nurse and assistive personnel AP are assigned to a group of clients on the unit. Which of the following clients should the nurse instruct the AP to report to the nurse? - A client who has a prescription for compression stockings and did not receive them A nurse planning care for a client who sustained a major burn over 20% of the body. Which of the following interventions should the nurse include to support the clients nutritional requirements? - Keep a calorie count for foods and beverages A nurse is caring for a client who is receiving radiation therapy and is experiencing anorexia. Which of the following actions should the nurse take? - Provided the client with cold foods rather than hot foods A nurse is teaching dietary guidelines to the client who has celiac disease. Which of the following food choices is appropriate for this client? - Potato pancakes A nurse is collecting a sputum specimen from a client who has tuberculosis. Which of the following actions should the nurse take? - Obtain the specimen immediately upon the client waking up A nurse is planning teaching for a client who has a newly implanted implantable cardioverter/defibrillator. Which of the following information should the nurse include? - Wear loose fitting clothing A nurse is planning care for a client who has acute appendicitis. Which of the following actions should the nurse plan to take? - Keep the client on NPO status A community health nurse is working with a family that is struggling to adapt following the loss of a family member. Which of the following actions should the nurse take first? - Determine the roles of individual family members A nurse in a clinic is planning care for a child who has ADHD and is taking atomoxetine. Which of the following laboratory values should the nurse monitor? - Liver function test A nurse is teaching a prenatal class about infection prevention at the Community Center. Which of the following statements by a client indicates an understanding of the teaching? - I can visit my nephew who has chicken pox five days after the sores have crusted My home health nurse is planning care for a client who has Alzheimer's Disease. Which of the following actions should the nurse include in the plan of care? - Place locks at the top of exterior doors A nurse is caring for a client who is receiving brachytherapy for endometrial cancer. Which of the following actions should the nurse take? - Keep visitors at least six feet away from the clients A nurse enters a client's room and sees a small fire in the client's bedroom. Identify the sequence of steps the nurse should take. - Transport the client to another area of the nursing unit activate the facilities fire alarm system close all the nearby windows and doors use the units fire extinguisher to attempt to put out the fire A nurse is discussing discharge plans with an older adult client who lives alone and has left sided weakness following a stroke. Which of the following information is a priority for the nurse to discuss? - Obtain an alert system to get help in case of a fall A nurse in a family health clinic is caring for a client who requests information regarding the correct use of condoms. Which of the following statements should the nurse make? - When using implanted contraceptive methods condom should also be used to protect against STDs. A nurse is assessing the fontanelles of an 8 month old infant. Which of the following findings should the nurse recognize as an expected finding? - The anterior fontanelle is open A nurse is obtaining the temperature of a newborn. Which of the following sites should the nurse use? - Axillary A nurse is providing care for a client who has esophageal cancer and has received radiation therapy. Which of the following findings should the nurse identify as the priority? - Dysphagia A nurse is assessing a client who has type one diabetes mellitus and was administered insulin lispro one hour ago. Which of the following manifestations indicates that the client might be experiencing hypoglycemia? - Confusion A nurse is preparing an in service for a group of nurses about malpractice insurance and nursing. Which of the following examples should the nurse include in the teaching as an example of malpractice? - Administering potassium via IV bolus A nurse is admitting a client to a medical surgical unit. When performing medication reconciliation for the client, which of the following actions should the nurse take? - Compare new prescriptions with the list of medications the client reports A nurse is caring for an adolescent client who has cystic fibrosis. Which of the following actions should the nurse instruct the client to take prior to initiating postural drainage? - Use an albuterol inhaler A nurse is working with a client who has an anxiety disorder and is in the orientation phase of the therapeutic relationship. Which of the following statements should the nurse make during this phase? - We should establish our roles in the initial session A nurse manager is planning a staff in service to address advocacy in client care. The nurse should promote which of the following practices during the in service? SATA - Encouraging clients to seek further information from the provider Addressing client needs when providing resources Promoting health care access A nurse is implementing seizure precautions for a client who has had a tonic clonic seizure. Which of the following interventions should the nurse include in the plan of care? - Insert an IV saline lock A nurse is caring for a male client who has a spinal cord injury. Which of the following techniques should the nurse use when providing perineal care? - Use water with no soap to prevent skin irritation A nurse is reviewing the medical history of a client who asks about the use of warfarin. The nurse should identify which of the following findings as a contraindication for administration of this medication? - Recent eye surgery A nurse is caring for a client who is experiencing expressive aphasia and right hemiparesis following a stroke. Which of the following actions by the nurse best promotes communication among the staff caring for the client? - Having interdisciplinary team meetings for the client on a regular basis The nurse is preparing a client to undergo a cardiac catheterization. Which of the following tasks should the nurse perform prior to the procedure? - Obtain a CBC with differential A nurse is caring for a client who has a new diagnosis of chlamydia trachomatis. Which of the following actions should the nurse take? - Report the infection to the state Department of Health A nurse in an acute mental health care facility is prioritizing care for multiple clients. Which of the following clients should the nurse see first? - A client who is taking clozapine to treat schizophrenia and report a sore throat A nurse is receiving a change of shift report for a group of clients. Which of the following clients should the nurse plan to assist first? - A client who has a hip fracture and a new onset of tachypnea A nurse is assessing the coping strategies of a client who has recently retired. Which of the following statements by the client indicates that the client is using compensation as a defense mechanism? - Since I retired, i have entered many gardening competitions A nurse is assessing the client who has a chest tube with a water seal drainage system. Upon assessment the nurse notes tidaling in the water seal. Which of the following is an explanation for the tidaling? - The system is working properly A nurse is teaching a group of school age children about healthy snack options. Which of the following snacks should the nurse include? - Air popped popcorn The nurse is teaching a client who is pregnant and has genital herpes simplex virus (HSV). Which of the following statements should the nurse include in the teaching? - You will need to have a cesarean birth if there are any visible lesions A nurse is caring for a client who has a stool culture that is positive for C. Diff. Which of the following infection control precautions should the nurse take? - Remove the protective gown while in the clients room A nurse is providing preoperative teaching to a client about the administration of morphine via PCA pump. Which of the following statements by the client indicates an understanding of the teaching? - I will receive a limited amount of pain medication when i press the button A nurse is caring for a client who is alert and oriented and is receiving continuous ECG monitoring. The cardiac rhythm strip shows a wavy baseline, no distinguishable P waves, and an increased heart rate. The nurse identified the cardiac rhythm as which of the following? - Atrial fibrillation A nurse is preparing to administer the first dose of cefazolin via intermittent IV infusion to a client. Which of the following actions should the nurse take first? - Review the clients allergy history A nurse is caring for a client who is on bed rest. The nurse should recognize that which of the following findings is a complication of immobility? - Swollen area on calf A nurse is preparing to administer 3 medications to a client who is receiving continuous enteral feeding through the Ng tube. Which of the following actions is appropriate for the nurse to take? - Use a syringe to allow the medications to flow by gravity A nurse is caring for a client who has end stage kidney disease. The client's adult child asks the nurse about becoming a living kidney donor for their parents. Which of the following conditions in the child's medical history should the nurse identify as a contraindication to the procedure? - Hypertension A nurse is teaching about preventative measures to a female client who has chronic urinary tract infections. Which of the following instructions should the nurse include in the teaching? - Drink 2 liters of water per day A nurse is caring for a client who is postoperative following total hip arthroplasty. Which of the following actions should the nurse take to prevent dislocation of the prosthesis? - Keep an abduction pillow between the client's legs