D. "I can hold my cellphone on the same side of my body as the ICD" - ANSWERSB. "I
ATI RN Comprehensive Predictor will wear loose clothing around my ICD"
10. A nurse is reviewing the laboratory findings of a client who has diabetes
1. A nurse in a pediatric unit is preparing to insert an IV catheter for 7-year- mellitus and reports that she has been following her (unable to read) care.
old. Which of the following actions should the nurse take? The nurse should identify which of the following findings indicates a need to
A. (Unable to read) revise the client's plan of care.
B. Tell the child they will feel discomfort during the catheter insertion. A. Serum sodium 144 mEq/
C. Use a mummy restraint to hold the child during the catheter insertion. B. (Unable to read)
D. Require the parents to leave the room during the procedure. - ANSWERSB. Tell the C. Hba1c 10 %
child they will feel discomfort during the catheter insertion. D. Random serum glucose 190 mg/dl. - ANSWERSC. Hba1c 10 %
12. A nurse is teaching a newly licensed nurse about therapeutic techniques
to use when leading a group on a mental health unit. Which of the following 100. A nurse is providing teaching to a client who has heart failure and a new
group facilitation techniques should the nurse include in the teaching? prescription for furosemide. Which of the following statements should the
A. Share personal opinions to help influence the group's values nurse make?
B. Measure the accomplishments of the group against a previous group A. "Taking furosemide can cause your potassium levels to be high"
C. Yield in situations of conflicts to maintain group harmony B. "Eat foods that are high in sodium"
D. Use modeling to help the clients improve their interpersonal skills - ANSWERSD. C. "Rise slowly when getting out of bed"
Use modeling to help the clients improve their interpersonal skills D. "Taking furosemide can cause you to be overhydrated" - ANSWERSC. "Rise slowly
when getting out of bed"
13. A nurse is planning for a client who practices Orthodox Judaism. The
client tells the nurse that (Unable to read) Passover holiday. Which of the 101. A nurse is planning a teaching session for a client who is postoperative
following action should the nurse include in the plan of care? following a colon resection. Which of the following actions should the nurse
A. Provide chicken with cream sauce. take first?
B. Avoid serving fish with fins and scales. A. Providing written material for the client to read
C. Provide unleavened bread. B. Plan a short instruction about coughing and deep breathing.
D. Avoid serving foods containing lamb. - ANSWERSC. Provide unleavened bread. C. Determine the client's current pain level.
2. A nurse is caring for a client who has arteriovenous fistula Which of the D. Instruct the client about dietary restrictions. - ANSWERSC. Determine the client's
following findings should the nurse report? current pain level.
A. Thrill upon palpation.
B. Absence of a bruit. 102. A nurse is caring for a client who has chronic pancreatitis. Which of the
C. Distended blood vessels following dietary recommendations should the nurse make?
D. Swishing sound upon auscultation. - ANSWERSB. Absence of a bruit. A. Coffee with creamer.
3. A nurse is providing discharge teaching for a client who has an B. Lettuce with sliced avocados.
implantable cardioverter defibrillator which of the following statements C. Broiled skinless chicken breast with brown rice.
demonstrates understanding of the teaching? D. Warm toast with margarine. - ANSWERSC. Broiled skinless chicken breast with
A. "I will soak in the tub rather and showering" brown rice.
B. "I will wear loose clothing around my ICD" 20. A nurse in the PACU is caring for a client who reports nausea. Which of
C. "I will stop using my microwave oven at home because of my ICD" the following actions should the nurse take first?
A. Turn the client on their side.
,B. Administer an analgesic D. Assess pressure points every 24 hr - ANSWERSA. Place the client upright on a
C. Administer antiemetic donut-shaped cushion
D. Monitor the client's vital signs. - ANSWERSA. Turn the client on their side.
27. A nurse is assessing a client who has major depressive disorder. Which of
21. A nurse is caring for a client who has a history of depression and is the following findings should the nurse identify as the priority (Most
experiencing a situational crisis. Which of the following actions should the important?)
nurse take first? A. The client changes the subject when future plans are mentioned.
A. Confirm the client's perception of the event B. The client talks about being in pain constantly.
B. Notify the client's support system C. The client sleeping over 12 hr. each day.
C. Help the client identify personal strengths D. The client reports giving away personal items. - ANSWERSD. The client reports
D. Teach the client relaxation techniques - ANSWERSA. Confirm the client's perception giving away personal items.
of the event
28. A nurse is providing teaching about immunizations to a client who is
22. A nurse is caring for a client who has bipolar disorder and is experiencing pregnant. The nurse should inform the client that she can receive which of
acute mania. The nurse obtained a verbal prescription for restraints. Which the following immunizations during pregnancy? (Select all that apply)
of the following actions should the nurse take? A. Varicella vaccine.
A. Request a renewal of the prescription every 8 hr. B. Inactivated polio vaccine.
B. Check the client's peripheral pulse rate every 30 min C. Tetanus diphtheria and acellular pertussis vaccine
C. Obtain a prescription for restraint within 4 hr. D. Rubella vaccine.
D. Document the client's condition every 15 minutes. - ANSWERSD. Document the E. Inactivated influenza vaccine. - ANSWERSC,E
client's condition every 15 minutes.
29. A nurse is caring for a client who has end-stage kidney disease. The client's adult
24. A charge nurse on a medical-surgical unit is planning assignments for a child asks the nurse about becoming a living kidney donor for her father. Which of the
licensed practical nurse (LPN) who has been sent from the (Unable to read) following condition in the child's medical history should the nurse identify as a
unit due to a staffing shortage. Which of the following client should the nurse contraindication to the procedure?
delegate to the LPN? A. Amputation
A. A client who has an Hgb of 6.3 g/dl and a prescription for packed RBCs. B. Osteoarthritis
B. A client who sustained a concussion and has unequal pupils. C. Hypertension
C. A client who is postoperative following a bowel resection with an NG D. Primary glaucoma - ANSWERSC. Hypertension
tube set to continuous suction.
D. A client who fractured his femur yesterday and is experiencing
shortness of breath. - ANSWERSC. A client who is postoperative following a bowel
resection with an NG tube set to continuous suction. 103. A nurse is caring for a client who asks for information regarding organ
donation. Which of the following statement should the nurse make?
25. A nurse is working on a surgical unit is developing a care plan for a client who has A. "I cannot be a witness for your consent to donate."
paraplegia. The client has an area of nonbankable erythema over his ischium. Which of B. "Your name cannot be removed once you are listed on the organ donor
the following interventions should the nurse include in the care plan? list."
A. Place the client upright on a donut-shaped cushion C. "Your desire to be an organ donor must be documented in writing."
B. Teach the client to shift his weight every 15 min while sitting D. "You must be at least 21 years of age to become an organ donor." - ANSWERSC.
C. Turn and reposition the client every 3 hr while in bed "Your desire to be an organ donor must be documented in writing."
, that should be reported to the state health department?
104. A nurse is teaching a female client about personal hygiene. Which of A. Chlamydia
the client actions indicates an understanding the teaching? B. Human papillomavirus
A. The client takes a hot bubble bath every day. C. Candidiasis
B. The client wipes back to front when toileting. D. Herps simplex virus - ANSWERSA. Chlamydia
C. The client washes her perineum first when bathing.
D. The client brushes her teeth twice daily. - ANSWERSD. The client brushes her teeth 112. A nurse is caring for a client who is at 38 weeks gestation, is in active
twice daily. labor, and has ruptured membrane. Which of the following actions should the
nurse take?
107. A nurse is preparing to assess a 2-week-old newborn. Which of the A. Insert an indwelling urinary catheter.
following actions should the nurse plan to take? B. Apply fetal heart rate monitor.
A. Obtain the newborn's body temperature using a tympanic C. Initiate fundal massage.
thermometer. D. Initiate an oxytocin IV infusion. - ANSWERSB. Apply fetal heart rate monitor.
B. (Unable to read) FACES pain scale.
C. Auscultate the newborn's apical pulse for 60 seconds. 113. A home health nurse is preparing to make an initial visit to a family
D. Measure the newborn's head circumference over the eyebrows and following a referral from a local provider. Identify the sequence of steps the
below the occipital prominence. (NOT) - ANSWERSC. Auscultate the newborn's apical nurse should take when conducting a home visit. (Move the steps into the
pulse for 60 seconds. box on the right. Placing them in the order of performance)
A. Identify family needs interventions using the nursing process.
108. A nurse is caring for a client who has pneumonia and has gained 4.2 kg (9.3 lb) B. Record information about the home visit according to agency policy.
over the last 5 days. The client's laboratory values this morning are the following: WBC C. Contact the family to determine availability and readiness to make an
10,000/mm3, RBC 5.2 million/mm3, platelets 250,000/mm3, BUN, and serum creatinine appointment
2.1 mg/dL. The nurse should report these finding to which of the following members of D. Discuss plans for future visits with the family.
the interdisciplinary team? E. Clarify the reason for the referral with the provider's office. - ANSWERSC,E,A,B,D
A. Dietitian
B. Infection control nurse
C. Nephrologist
D. Cardiologist - ANSWERSC. Nephrologist 131. A nurse is caring for a client who has left-sided heart failure, and the
provider is concerned that the client might develop (Unable to read). Which of the
109. A nurse is caring for an infant who is in contact isolation and received a blood following actions should the nurse take?
transfusion. Which of the following actions is appropriate for the nurse to take to provide A. Maintain the client's oxygen saturation level at 89%.
cost-effective care? B. Place the client's lower extremities on two pillows.
A. Return unopened equipment to the supply center C. Recommended that the client follow a 3g sodium diet.
B. Leave the unused infusion pump in the room until discharge D. Place the client in high fowler's position. - ANSWERSD. Place the client in high
C. Stock the room with a 2-day supply of disposable diapers fowler's position.
D. Being in formula as needed - ANSWERSD. Being in formula as needed
132. A charge nurse is teaching a newly licensed nurse about the
11. A nurse in a provider's office is reviewing the laboratory results of a administration of total parenteral nutrition. Which of the following should the
group of clients. The nurse should identify that which of the following charge nurse include?
sexually transmitted infections is a nationally notifiable infectious disease A. "You will need to monitor the client's electrolytes daily"
ATI RN Comprehensive Predictor will wear loose clothing around my ICD"
10. A nurse is reviewing the laboratory findings of a client who has diabetes
1. A nurse in a pediatric unit is preparing to insert an IV catheter for 7-year- mellitus and reports that she has been following her (unable to read) care.
old. Which of the following actions should the nurse take? The nurse should identify which of the following findings indicates a need to
A. (Unable to read) revise the client's plan of care.
B. Tell the child they will feel discomfort during the catheter insertion. A. Serum sodium 144 mEq/
C. Use a mummy restraint to hold the child during the catheter insertion. B. (Unable to read)
D. Require the parents to leave the room during the procedure. - ANSWERSB. Tell the C. Hba1c 10 %
child they will feel discomfort during the catheter insertion. D. Random serum glucose 190 mg/dl. - ANSWERSC. Hba1c 10 %
12. A nurse is teaching a newly licensed nurse about therapeutic techniques
to use when leading a group on a mental health unit. Which of the following 100. A nurse is providing teaching to a client who has heart failure and a new
group facilitation techniques should the nurse include in the teaching? prescription for furosemide. Which of the following statements should the
A. Share personal opinions to help influence the group's values nurse make?
B. Measure the accomplishments of the group against a previous group A. "Taking furosemide can cause your potassium levels to be high"
C. Yield in situations of conflicts to maintain group harmony B. "Eat foods that are high in sodium"
D. Use modeling to help the clients improve their interpersonal skills - ANSWERSD. C. "Rise slowly when getting out of bed"
Use modeling to help the clients improve their interpersonal skills D. "Taking furosemide can cause you to be overhydrated" - ANSWERSC. "Rise slowly
when getting out of bed"
13. A nurse is planning for a client who practices Orthodox Judaism. The
client tells the nurse that (Unable to read) Passover holiday. Which of the 101. A nurse is planning a teaching session for a client who is postoperative
following action should the nurse include in the plan of care? following a colon resection. Which of the following actions should the nurse
A. Provide chicken with cream sauce. take first?
B. Avoid serving fish with fins and scales. A. Providing written material for the client to read
C. Provide unleavened bread. B. Plan a short instruction about coughing and deep breathing.
D. Avoid serving foods containing lamb. - ANSWERSC. Provide unleavened bread. C. Determine the client's current pain level.
2. A nurse is caring for a client who has arteriovenous fistula Which of the D. Instruct the client about dietary restrictions. - ANSWERSC. Determine the client's
following findings should the nurse report? current pain level.
A. Thrill upon palpation.
B. Absence of a bruit. 102. A nurse is caring for a client who has chronic pancreatitis. Which of the
C. Distended blood vessels following dietary recommendations should the nurse make?
D. Swishing sound upon auscultation. - ANSWERSB. Absence of a bruit. A. Coffee with creamer.
3. A nurse is providing discharge teaching for a client who has an B. Lettuce with sliced avocados.
implantable cardioverter defibrillator which of the following statements C. Broiled skinless chicken breast with brown rice.
demonstrates understanding of the teaching? D. Warm toast with margarine. - ANSWERSC. Broiled skinless chicken breast with
A. "I will soak in the tub rather and showering" brown rice.
B. "I will wear loose clothing around my ICD" 20. A nurse in the PACU is caring for a client who reports nausea. Which of
C. "I will stop using my microwave oven at home because of my ICD" the following actions should the nurse take first?
A. Turn the client on their side.
,B. Administer an analgesic D. Assess pressure points every 24 hr - ANSWERSA. Place the client upright on a
C. Administer antiemetic donut-shaped cushion
D. Monitor the client's vital signs. - ANSWERSA. Turn the client on their side.
27. A nurse is assessing a client who has major depressive disorder. Which of
21. A nurse is caring for a client who has a history of depression and is the following findings should the nurse identify as the priority (Most
experiencing a situational crisis. Which of the following actions should the important?)
nurse take first? A. The client changes the subject when future plans are mentioned.
A. Confirm the client's perception of the event B. The client talks about being in pain constantly.
B. Notify the client's support system C. The client sleeping over 12 hr. each day.
C. Help the client identify personal strengths D. The client reports giving away personal items. - ANSWERSD. The client reports
D. Teach the client relaxation techniques - ANSWERSA. Confirm the client's perception giving away personal items.
of the event
28. A nurse is providing teaching about immunizations to a client who is
22. A nurse is caring for a client who has bipolar disorder and is experiencing pregnant. The nurse should inform the client that she can receive which of
acute mania. The nurse obtained a verbal prescription for restraints. Which the following immunizations during pregnancy? (Select all that apply)
of the following actions should the nurse take? A. Varicella vaccine.
A. Request a renewal of the prescription every 8 hr. B. Inactivated polio vaccine.
B. Check the client's peripheral pulse rate every 30 min C. Tetanus diphtheria and acellular pertussis vaccine
C. Obtain a prescription for restraint within 4 hr. D. Rubella vaccine.
D. Document the client's condition every 15 minutes. - ANSWERSD. Document the E. Inactivated influenza vaccine. - ANSWERSC,E
client's condition every 15 minutes.
29. A nurse is caring for a client who has end-stage kidney disease. The client's adult
24. A charge nurse on a medical-surgical unit is planning assignments for a child asks the nurse about becoming a living kidney donor for her father. Which of the
licensed practical nurse (LPN) who has been sent from the (Unable to read) following condition in the child's medical history should the nurse identify as a
unit due to a staffing shortage. Which of the following client should the nurse contraindication to the procedure?
delegate to the LPN? A. Amputation
A. A client who has an Hgb of 6.3 g/dl and a prescription for packed RBCs. B. Osteoarthritis
B. A client who sustained a concussion and has unequal pupils. C. Hypertension
C. A client who is postoperative following a bowel resection with an NG D. Primary glaucoma - ANSWERSC. Hypertension
tube set to continuous suction.
D. A client who fractured his femur yesterday and is experiencing
shortness of breath. - ANSWERSC. A client who is postoperative following a bowel
resection with an NG tube set to continuous suction. 103. A nurse is caring for a client who asks for information regarding organ
donation. Which of the following statement should the nurse make?
25. A nurse is working on a surgical unit is developing a care plan for a client who has A. "I cannot be a witness for your consent to donate."
paraplegia. The client has an area of nonbankable erythema over his ischium. Which of B. "Your name cannot be removed once you are listed on the organ donor
the following interventions should the nurse include in the care plan? list."
A. Place the client upright on a donut-shaped cushion C. "Your desire to be an organ donor must be documented in writing."
B. Teach the client to shift his weight every 15 min while sitting D. "You must be at least 21 years of age to become an organ donor." - ANSWERSC.
C. Turn and reposition the client every 3 hr while in bed "Your desire to be an organ donor must be documented in writing."
, that should be reported to the state health department?
104. A nurse is teaching a female client about personal hygiene. Which of A. Chlamydia
the client actions indicates an understanding the teaching? B. Human papillomavirus
A. The client takes a hot bubble bath every day. C. Candidiasis
B. The client wipes back to front when toileting. D. Herps simplex virus - ANSWERSA. Chlamydia
C. The client washes her perineum first when bathing.
D. The client brushes her teeth twice daily. - ANSWERSD. The client brushes her teeth 112. A nurse is caring for a client who is at 38 weeks gestation, is in active
twice daily. labor, and has ruptured membrane. Which of the following actions should the
nurse take?
107. A nurse is preparing to assess a 2-week-old newborn. Which of the A. Insert an indwelling urinary catheter.
following actions should the nurse plan to take? B. Apply fetal heart rate monitor.
A. Obtain the newborn's body temperature using a tympanic C. Initiate fundal massage.
thermometer. D. Initiate an oxytocin IV infusion. - ANSWERSB. Apply fetal heart rate monitor.
B. (Unable to read) FACES pain scale.
C. Auscultate the newborn's apical pulse for 60 seconds. 113. A home health nurse is preparing to make an initial visit to a family
D. Measure the newborn's head circumference over the eyebrows and following a referral from a local provider. Identify the sequence of steps the
below the occipital prominence. (NOT) - ANSWERSC. Auscultate the newborn's apical nurse should take when conducting a home visit. (Move the steps into the
pulse for 60 seconds. box on the right. Placing them in the order of performance)
A. Identify family needs interventions using the nursing process.
108. A nurse is caring for a client who has pneumonia and has gained 4.2 kg (9.3 lb) B. Record information about the home visit according to agency policy.
over the last 5 days. The client's laboratory values this morning are the following: WBC C. Contact the family to determine availability and readiness to make an
10,000/mm3, RBC 5.2 million/mm3, platelets 250,000/mm3, BUN, and serum creatinine appointment
2.1 mg/dL. The nurse should report these finding to which of the following members of D. Discuss plans for future visits with the family.
the interdisciplinary team? E. Clarify the reason for the referral with the provider's office. - ANSWERSC,E,A,B,D
A. Dietitian
B. Infection control nurse
C. Nephrologist
D. Cardiologist - ANSWERSC. Nephrologist 131. A nurse is caring for a client who has left-sided heart failure, and the
provider is concerned that the client might develop (Unable to read). Which of the
109. A nurse is caring for an infant who is in contact isolation and received a blood following actions should the nurse take?
transfusion. Which of the following actions is appropriate for the nurse to take to provide A. Maintain the client's oxygen saturation level at 89%.
cost-effective care? B. Place the client's lower extremities on two pillows.
A. Return unopened equipment to the supply center C. Recommended that the client follow a 3g sodium diet.
B. Leave the unused infusion pump in the room until discharge D. Place the client in high fowler's position. - ANSWERSD. Place the client in high
C. Stock the room with a 2-day supply of disposable diapers fowler's position.
D. Being in formula as needed - ANSWERSD. Being in formula as needed
132. A charge nurse is teaching a newly licensed nurse about the
11. A nurse in a provider's office is reviewing the laboratory results of a administration of total parenteral nutrition. Which of the following should the
group of clients. The nurse should identify that which of the following charge nurse include?
sexually transmitted infections is a nationally notifiable infectious disease A. "You will need to monitor the client's electrolytes daily"
