[NGN] ATI RN COMPREHENSIVE PREDICTOR RETAKE EXAM 2024

A nurse is assessing a client who has received an antibiotic. The nurse should identify which of the following findings as an indication of a possible allergic reaction to the medication? A. Bradycardia b. Headache c. Joint pain d. Hypotension A nurse on a mental health unit is caring for a client who has schizophrenia and is experiencing auditory hallucinations telling them to hurt others. The client is refusing to take anti-psychotic medication. Which of the following responses should the nurse make? A."you should plan to take this medication for a few weeks." b. "you will regret it if you do not take this medication." c. "this medication will help you respond to the voices." d. "this medication will help you stop the voices you are hearing." A nurse is providing discharge teaching to a client following a total hip arthroplasty. Which of the following statements by the client indicates an understanding of the teaching. A. "i don't need to use a walker when walking around my house." b. "i will start my leg exercises 3 days after returning." c. "i won't cross my legs when sitting at a table." d. "i will bend at the hips when tying my shoes." A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis. Which of the following findings should the nurse report to the provider? A. Wbc count 8,000/mm b. Platelets 150,000/m c. Aspartate aminotransferase 10 units/l d. Erythrocyte sedimentation 75 mm/hr A nurse is suctioning the airway of a client who is receiving mechanical ventilation via an endotracheal tube. Which of the following findings should the nurse identify as an indication that suctioning has been effective? A. Presence of a productive cough b. Decreased peak inspiratory pressure c. Thinning of mucus secretions d. Flattening of the artificial airway cuff A nurse is caring for a client who is in a seclusion room following violent behavior. The client continues to display aggressive behavior. Which of the following actions should the nurse take? A. Stand within 30cm of the client when speaking to them b. Express sympathy for the client's situation c. Confront the client about his behavior d. Speak assertively to the client A nurse is caring for a client who is immediately postoperative following an adrenalectomy to treat cushing's disease. Which of the following actions is the nurses priority? A. Reposition the client for comfort every 2 hours b. Observe for any indications of infection c. Document amount and color of incisional drainage d. Monitor the client's fluid and electrolyte status A nurse is caring for a client who is scheduled for a surgical procedure and states "i don't want to have this surgery anymore." which of the following responses should the nurse make? A. "we can manage your care following the procedure without complications." b. "you have the right to refuse the procedure." c. "your doctor thinks this surgery is necessary." d. "let me review the procedure so you can understand what is going to happen." A nurse is evaluating a client who has borderline personality disorder. Which of the following behaviors indicates as an improvement in the client's condition? A. Impulsive behaviors b. Decreased clinging behaviors c. Liability of mood d. Dependent behavior A nurse is teaching a group of school-age children about healthy snack options. Which of the following should the nurse provide? A. Air-popped popcorn b. Milkshake with whole milk c. Baked potato chips d. Cheesecake A nurse is providing teaching to a client who has a new prescription for enoxaparin. Which of the following medications for pain relief should the nurse include in teaching that can be taken concurrently with enoxaparin? A. Naproxen sodium b. Ibuprofen c. Acetaminophen d. Aspirin A nurse is caring for a client who has fibromyalgia and requests pain medication. Which of the following medications should the nurse plan to administer? A. Colchicine b. Lorazepam c. Pregabalin d. Codeine A nurse is caring for a client who has congestive heart failure and is receiving furosemide and digoxin. Which of the following laboratory values indicate that the client is at risk for developing digoxin toxicity? A. Glucose 150 mg/dl b. Magnesium 1.3 meq/l c. Potassium 3.1 meq/l d. Sodium 134 meq/l A nurse is caring for a client who had an embolic stroke and has a prescription for aleteplase. Which of the following in the client's history should the nurse identify as a contraindication for receiving alteplase? A. Hip arthroplasty 1 week ago b. Obstructive sings disease c. Retinal detachment d. Acute kidney failure 6 months ago A nurse is providing discharge teaching for a client who has a new implantable cardioveter defibrillator (icd). Which of the following client statements demonstrates understanding of the teaching? A. "i will soak in the tub rather than showering." b. "i can hold my cellphone on the same side of my body as the icd." c. "i will wear loose clothing over my icd." d. "i will avoid using my microwave oven at home because of my icd." A nurse is assessing a client who is postoperative following abdominal surgery and has an indwelling urinary catheter that is draining dark yellow urine at 25ml/hr. Which of the following interventions should the nurse anticipate? A. Clamp the catheter tubing for 30 min b. Initiate continuous bladder irrigation c. Obtain a urine specimen for culture and sensitivity d. Administer a fluid bolus A nurse is caring for a client who has experienced a stillbirth. Which of the following actions should the nurse take during the initial grieving process? A. Avoid talking to the client about the newborn b. Discourage the client from allowing friends to see the newborn c. Offer to take pictures of the newborn for the client d. Assure the client that she can have additional children A nurse is caring for a client who has a major burn injury. Which of the following actions is the nurses priority to prevent wound infections? A. Use sterile dressings for the wound care b. Apply topical antibiotics to the clients wound c. Place the client is protective isolation d. Maintain consistent hand washing by staff A nurse is speaking with the caregiver of a client who has alzheimers 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? A. Discuss methods of how to communicate with the client about problem solving behaviors b. Suggest that the caregiver seek a prescription for an antipsychotic medication for the client c. Assist the caregiver to arrange a daycare program for the client d. Recommend allowing the client to have time alone in their room throughout the day A nurse is caring for a client who is 1 hr postpartum and unable to urinate. Which of the following actions. Should the nurse take? A. Administer a benzodiazepine b. Perform a fundamental massage c. Place an ice pack o the client's perineum d. Place the clients hand in warm water A nurse on the medical-surgical unit is performing medication reconciliation for a newly admitted client. Which of the following actions should the nurse take? A. Compare a list of common medications to treat a condition to the actual prescriptions b. Compare the prescription to the allergy history of the client c. Compare the medication label to the provider's prescription on three occasions before administration d. Compare the client's list of home medication to the admission prescriptions written for the client A nurse is preparing to administer betamethasone to a client who is 25 weeks of gestation and has preterm labor. Which of the following findings should the nurse identify as an adverse effect of this medication? A. Hyperglycemia b. Uterine contractions c. Proteinuria d. Hypotension A nurse is preparing to perform a dressing change on a preschooler. Which of the following actions should the nurse take to prepare the child for the procedure? A. Explain in simple term how the procedure will affect the child b. Ask the parents to wait outside the room during the procedure c. Limit teaching sessions about the procedure to 20 mins d. Instruct the child in deep breathing methods prior to the procedure. A nurse is teaching a client about the oral administration of chlorpromazine. Which of the following information should the nurse include? A. Move slowly when standing from a sitting position. B. Expect loose stools as an adverse effect. C. Anticipate for an increase in saliva production. D. Monitor for an increase in the occurrence of hiccups. A nurse on a med sure unit is caring for a client who states that she plans to leave the facility ama. For which of the following actions by the nurse should the charge nurse intervene? A. Asks security to detain the client until the provider is notified. B. Asks the client what her plans are for follow-up care. C. Shows the client her abnormal lab results. D. Asks the client to sign a form releasing the hospital from legal accountability. A nurse is planning care for a client who has an l4 spinal injury. Which of the following interventions to prevent skin breakdown should the nurse include in the plan of care? A. Ask the client to shift his weight every 20 mins while sitting in a chair. B. Massage the reddened area over the bony prominences. C. Maintain hob at 45 degrees. D. Provide high fiber diet. A nurse is caring for a client who is 12 hour post op following a transurethral resection of the prostate. Which of the following findings should the nurse report to the provider? A. Burgundy colored urine. B. 5/10 pain c. Passage of small clots. D. Urgency to void. The nurse is caring for a client who is receiving 24-hour total parenteral nutrition (tpn) via a central line at 54 ml/hr. When initially assessing the client, the nurse notes that the tpn solution has run out and the next tpn solution is not available. What immediate action should the nurse take? A. Infuse normal saline at a keep vein open rate. B. Discontinue the iv and flush the port with heparin. C. Infuse 10 percent dextrose and water at 54 ml/hr. D. Obtain a stat blood glucose level and notify the healthcare provider. A nurse is caring for a client who is postpartum and requests info about contraception. Which of the following instructions should the nurse include? A. You should avoid vaginal spermicides while breastfeeding. B. The lactation amenorrhea method is effective for your first year. C. Place the transdermal birth control patch on your upper outer arm. D. You can continue to use the diaphragm you used before your pregnancy. A nurse in a providers office is reviewing the lab results of a group of clients. The nurse should identify that which of the following sti's is nationally notifiable infectious diseases and should be reported to the state health department? A. Chlamydia b. Candidiasis c. Herpes d. Hpv A nurse is caring for a client who has experienced a stroke and is moving in with their adult child. Which of the following actions should the nurse encourage the client and the family to take as they adjust to their new role? A. Decrease socialization. B. Encourage authoritative communication. C. Minimize open discussion. D. Implement firm but flexible boundaries. A nurse is teaching a newly licensed nurse about incident reports. Which of the following statements by the new nurse indicates an understanding of the teaching? A. They assist with unit quality improvement. B. They are used as a disciplinary tool for nurse evals. C. They assist the facility to achieve benchmark goals. D. They are mandatory government documentation. A nurse is using an iv pump for a newly admitted client. Which of the following actions should the nurse take? A. Check the cords of the iv tubing for fraying. B. Grasp the iv pump cord when unplugging. C. Remove the safety inspection sticker. D. Ensure that the electric outlet has 2 prongs for the iv pump. A nurse is providing teaching to a client who has otitis media and is 1 hour post op following a myringotomy. Which of the following statements should the nurse include in the teaching? A. You should not drink though a straw for 2 weeks. B. You can wash your hair 3 days after the procedure. C. You should blow your nose with your mouth closed. D. You should expect excessive ear drainage for about 48 hrs. A nurse manager is planning to teach staff about critical pathways. Which of the following information should the nurse plan to include? A. Nurses should discontinue the critical pathway if variances occur. B. Nurses notes are used to create the critical pathway. C. Critical pathways should reduce health care costs. D. Critical pathways have an unlimited timeframe for completion. A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone. Which of the following nursing interventions should the nurse include in the plan of care for this client? A. Flush iv tubing with hypertonic solution. B. Encourage oral hydration of 1,800 ml. C. Perform neuro checks. D. Weigh the client weekly. A nurse is reviewing the laboratory results of a client who is taking cyclosporine following a kidney transplant. Which of the following should the nurse report to the provider? A. Bun mg/dl b. Usg 1.023 c. Serum cr 1.6 mg/dl d. Urine ph 6.2 A nurse is caring for a client who is on fall precautions. Which of the following actions should the nurse take? A. Allow the client to walk unassisted near the nursing station. B. Establish an elimination schedule for the client. C. Silence the bed alarm when visitors are at the client's bedside. D. Raise all four side rails. A nurse is caring for a client who is receiving brachytherapy for endometrial cancer. Which of the following actions should the nurse take? A. Keep visitors at least 6 ft away from the client. B. Place the client's soiled bed linens in a biohazard bar outside the client's room. C. Wear an isolation gown when caring for the patient. D. Discard the radioactive source in the client's trash can. A nurse is receiving a telephone prescription from a provider for a client for pain control. Which of the entries should the nurse make in the med record? A, morphone 3 mg sc q 4 hr prn for pain b. Morphone 3 mg sq every 4 hr prn for pain c. Morphine 3 mg subqutaneous every 4 hr prn for pain d. Morphine 3.0 sq every 4 hr prn for pain A nurse is updating the plan of care for a client who has amyotrophic lateral sclerosis with dysphagia. Which of the following inter professional team members should the nurse identify as the priority consult? A. Speech pathologist. B. Dietician c. Ot d. Pt A nurse is caring for a client who has preeclampsia and is receiving mag sulfate. The client reports that she is experiencing difficulty breathing. Which of the following actions should the nurse take first? A. Assess the fhr. B. Discontinue the infusion. C. Administer calcium gluconate. D. Obtain the clients mag level. A nurse is caring for a client who is post op following a liver biopsy. In which of the following positions should the nurse place the client immediately following the procedure? A. Trendelburg b. Prone c. Right lateral d. High fowlers A nurse is caring for a client who is receiving enteral feedings through a nasoenteric tube and has aspirated fluid prior to the feeding. Which of the following findings should indicate to the nurse that the tube is positioned in the client's lung? A. Ph 1 b. Ph 8 c. Ph 6 d. Ph3 A nurse is performing wound care for a client who has abdominal incision. Which of the following techniques should the nurse implement. A. Irrigate the wound do you think a 10 ml syringe b. Cleanse the wound starting at the bottom and moving upward c. Cleanse the section of the drain using a circular motion towards the center d. Irrigate the wound with a low pressure flow of solution A nurse on an antepartum unit is prioritizing care for multiple clients. Which of the following client should the nurse see first? A. A client who is at 36 weeks of gestation and has a biophysical profile score of eight b. A client who has preeclampsia and reports of a persistent headache A nurse is caring for a client who is recovering from an amputation of her right arm above the elbow. Which of the following information should the nurse report to the occupational therapist? A. The clients parent is in a skilled nursing facility b. The client has two small children at home c. The client is allergic to penicillin d. The client lives in a two-story home A nurse is caring for a client who has major depressive disorder. The client tells the nurse "no one cares about me. I'm completely alone." which of the following responses should the nurse make? A. "you should join a community support group." b. "what makes you think that?" c. "don't worry. You should be feeling better in a couple of weeks." d. "can you give me an example of how others are making you feel this way?" A nurse is caring for a client who has sustained a severe head trauma and has significant bleeding from the nose. Which of the following actions should the nurse take first? A. Repair for a ct scan b. Insert a peripheral iv c. Establish a patent airway d. Apply direct pressure to the nose A nurse is reviewing the rhythm strip of a client who is experiencing sinus arrhythmia. Which of the following findings should the nurse expect? A. Inconsistent p-wave formation b. Ventricular an arterial rate 120 per minute c. Pr interval of 0.30 seconds d. P to qrs ratio 1:1 A nurse is admitting a client who has dementia to a long-term care facility. The client tells the nurse that she lived in this facility years ago and took care of all the residents by herself. The nurse should document this as which of the following findings? A. Confabulation b. Agnosia c. Projection d. Perseveration A nurse is reviewing home recommendations with a client who is postoperative following knee surgery. Which of the following recommendations should the nurse make? A. Place a handrail in the entryway of the house b. Place a towel on the floor outside of the shower c. Ensure that all rug areas are rubber backed d. Where are slippers with cloth souls A nurse is caring for a client who is postoperative following total hip arthroplasty. Which of the following action should the nurse take to prevent dislocation of the prosthesis? A. Raise the head of the clients bed by to a high fowlers position b. Elevate the clients affected leg on a pillow when in bed c. Position the client sneeze slightly higher than the hips went up in a chair d. Keep an abduction pillow between the clients legs A nurse in the pediatric clinic is teaching a newly hired nurse about the varicella zoster virus. Which of the following information should the nurse include? A. Children who are varicella should be placed on droplet precautions. B. Children who are varicella are contagious for days before the first vesicle irruption. C. Children who are varicella are contagious until the vesicles are crested. D. Children who are varicella to receive the herpes zoster vaccine. A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the nurse take? A. Teach the client how to meditate. B. Sit with a client to provide a sense of security. C. Encourage the client to watch television. D. Administer a dose of atomoxetine. A nurse is teaching a newly licensed nurse about ergonomic principles. Which of the following actions by the newly licensed nurse indicates that there is an understanding of the teaching? A. Stand with feet together when lifting a client up in bed. B. Places a gait belt around the clients upper chest before assisting a client to stand. C. Uses a mechanical lift device to move a client from the bed to a chair. D. Raises the clients under the bed before pulling the client up. A nurse is planning care for a client who has a chest tube. Which of the following intervention should the nurse include in the plan? Select all that apply. A. Maintain the collection chamber above the level of the clients waste. B. Mark the drainage output on the collection chamber hourly. C. Clamp the chest tube every two hours to assess the amount of drainage.. D. Add water to the water seal chamber as it evaporates. E. Strip the chest tube vigorously to dislodge blood clots. The nurse is reviewing the medical record of a client who has a prescription for intermittent heat therapy for a foot injury. Which of the following findings should the nurse identify as a contradiction to heat therapy? A. Osteoarthritis b. Peripheral neuropathy c. Abdominal aortic aneurysm d. Phlebitis A charge nurse is recommending postpartum clients for discharge following a local disaster. Which of the following clients should the nurse recommend for discharge first? A. A 15-year-old client who delivered via emergency cesarean birth one day ago. B. A 42-year-old client who has preeclampsia in a bp of 166/110 mm hg c. A client who delivered precipitously and has second-degree perineal laceration. D. A client who has received two units of rbc six hours ago for a postpartum hemorrhage. A nurse is providing teaching about crutch safety to a client. Which of the following client actions indicates an understanding of the teaching?. A. The client flexes for elbows 10° when supporting weight by using the hand grips. B. The client places the crutches 30 cm to the front and side of each foot while standing. C. The client leads on both crutches to support body weight. D. The client keeps her axillae free of pressure. A nurse is preparing the body of a client who has died for the family to view. Which of the following action should the nurse take? A. Place the pillow under the clients head. B. Remove the clients dentures. C. Remove the client identification tags. D. Place the client arms across her chest. A nurse is reviewing annual education requirements for fire safety. Identify the sequence that the nurse should use while operating a fire extinguisher. Unlock the handle by pulling on the pin, point the hose at the base of the fire, squeeze the handles together, sweep the extinguisher from side to side. A nurse is reviewing legal issues in healthcare with a group of newly licensed nurses. Which of the following recommendations to the nurse make? A. Ensure that the client has a livingwell on file prior to treatment. B. Please copies of internet reports in the clients medical records. C. Obtain personal professional liability insurance coverage. D. Overestimate the clients acuity to prevent short staffing. The nurse is caring for a client who speaks a language different than the nurse. Which of the following action should the nurse make? A. Review the facility policy about the use of an interpreter. B. Direct attention toward the interpreter when speaking to the client. C. Request a family member or a friend to interpret information to the client. D. Request an interpreter of a different sex from a client. A nurse in the emergency department is caring for a client following a motor vehicle crash. Which of the following findings should the nurse identify as a manifestation of hypovolemic shock? A. Decreased respiratory rate. B. Change in level of consciousness. C. Increased urine output. D. Hyperactive deep tendon reflexes. A nurse is caring for a client following application of a cast. Which of the following action should the nurse take first? A. Position the cast of extremity on a pillow. B. Place an ice pack over the cast. C. Teach the client to keep the cast clean and dry. D. Palpate the pulse distal to the cast. A nurse is performing a gate assessment on a client to evaluate the clients ability to perform adls. Which of the following findings indicates a standard gate? A. The client looked at the floor when walking. B. The clients shoulders are rounded slightly forward. C. The client heels touch the ground before their toes. D. The clients dominant foot bears more weight. A nurse on a mental health unit is caring for a client who has suicidal ideation. Which of the following action should the nurse take? A. Place the client in a group therapy session. B. Avoid discussing suicidal thoughts with a client. C. Give the client a radio to listen to in his room. D. Established a no suicide contract with the client. A nurse is providing teaching about nutrition therapy to a client who is experiencing anorexia due to chemotherapy treatment. Which of the following statements should the nurse make? A. Snack frequently on fresh fruit. B. Add water to soups to increase volume. C. Avoid adding butter to foods. D. Add grated cheese to vegetable dishes. A nurse is providing teaching to a client who has a new diagnosis of type one diabetes mellitus about administering nph and regular insulin together in one injection. Which of the following instruction should the nurse include? A. Inject air into the vastus lateralis. B. Draw up the regular insulin prior to nph. C. Use a 15° angle for the injection. D. Roll the syringe gently to ensure mixture of the insulins. A nurse is caring for a client who has a calcium level of 8 mg/dl. Which of the following action should the nurse take? A. Request a prescription for magnesium citrate. B. Request a prescription for furosemide. C. Place the client on a low calcium diet. D. Place the client on seizure precautions. A nurse is caring for a client who has schizophrenia and is experiencing delusions. Which of the following actions should the nurse take? A. Encourage the client to rest quietly in bed twice per day. B. Direct long conversation about the delusions toward reality based topics. C. Allow the client unlimited time to discuss the delusions when they occur. D. Avoid assessing the client's delusions. A nurse is conducting a health promotion class about the use of oral contraceptives. Which of the following disorders is a contradiction for oral contraceptive use? A. Asthma b. Fibromyalgia c. Hypertension d. Fibrocystic breast condition A nurse in the emergency department is triaging victims of a house fire. Which of the following clients should the nurse prioritize as emergent? A. Client who has a compound fracture of the femur b. Who has hypertension and reports chest pain c. Client who has severe abdominal pain d. Who has a deep laceration on both thighs A nurse is planning care for a group of clients. Which of the following methods for the nurse use to manage time effectively? A. Gather supplies prior to completing a dressing change b. Complete partial assessments on all patients before planning the day c. Prioritize activities based on the nurses needs d. Use break time to perform documentation. A nurse on a mental health unit is planning room assignments for four clients. Which of the following clients should the nurse assigned to room near the nurses station? A. A client who has a somatic system disorder and reports chronic pain b. Client who has an anxiety disorder and is experiencing moderate anxiety c. A client who has bipolar disorder and impaired social interactions d. A client who has a depressive disorder and reports feeling hopeless A nurse is assessing coping strategies of a client whose partner has alcohol use disorder. Which of the following findings indicates that the client is coping effectively? A. The client utilize strategies to enhance codependent behaviors b. The client attends regular counseling sessions c. The client exhibits sympathy to the partner d. The client ignores the partner when they are using alcohol A nurse is caring for a client who has graves' disease and is experiencing a thyroid storm. Which of the following actions is the nurses priority? A. Obtain the clients blood glucose b. Minister 0.9% sodium chloride c. Provide a cooling blanket d. Monitor the clients cardiac rhythm A nurse is providing preoperative teaching to a client about promoting circulation during the postoperative period. Which of the following instruction should the nurse include? A. Remain on bed rest for 24 hours following the procedure b. Use an incentive spirometer every four hours c. Participate in range of motion exercises d. It's a pillow under your knees while in bed A nurse is setting up a sterile field to perform wound irrigation for a client. Which of the following actions should the nurse take when pouring the sterile solution? A. Put the bottle in the center of the sterile field while pouring the solution. B. Hold the irrigation solution bottle with the label facing away from the palm of the hand. C. Placed the sterile gauze over areas of spilled solution within the sterile field d. Remove the cap in place at sterile side up on a clean surface. A nurse is conducting a home visit for a family who has two young children. The nurse notes several welts across the back of the legs of one of the children. Which of the following actions should the nurse take first? A. Contact child protective services b. Refer the parents to a self-help group c. Instruct the parents about methods of discipline d. Document clinical findings A nurse is teaching a client who is to undergo placement of a non-tunneled percutaneous central venous access device. Which of the following statements should the nurse include in the teaching? A. The provider will wear a mask while performing the procedure b. You should not eat or drink for four hours prior to the procedure c. Your head will be elevated as high as possible while the catheter is inserted d. Provider will give you pain medication before inserting the catheter What is caring for a client who is incontinent and has a stage two pressure injury on their coccyx. Which of the following intervention should the nurse implement? A. Apply lotion to the skin every four hours b. Position the client every three hours c. Position the client laterally at 30° d. Have two facility personnel help to slide the client up in bed A nurse manager is developing a protocol for an urgent care clinic that often cares for clients who do not speak the same language as the clinic staff. Which of the following instructions should the nurse include? A. Offer clients translation services for a nominal fee b. Use clients children to provide interpretation c. Evaluate clients understanding at regular intervals d. Direct questions to a medical interpreter A nurse is caring for an infant who is in contact isolation and received a blood transfusion. Which of the following actions is appropriate for the nurse to provide cost-effective care? A. Leave the unused infusion pump in the room until discharge b. Bring in formula as needed c. Return unopened equipment to the supply center d. Stock the room with a two day supply of disposable diapers A nurse is caring for a client who has acute exacerbation of multiple sclerosis. Which of the following prescription should the nurse expect the provider to prescribe? A. Interferon beta 1a b. Enoxaparin c. Atorvastatin d. Amoxicillin A nurse is speaking with the partner of a client who is in the early stage of alzheimer's disease. The partner tells the nurse that she is able to manage the clients physical care but she doesn't want to leave him alone while she travels for work. Which of the following referrals should the nurse make? A. Respite care b. Restrorative care c. Hospice d. Rehab facility