ATI predictor 180 capstone

ATI9predictor91809capstone

1. A9nurse9in9an9emergency9department9completes9an9assessment9on9an9ado
lescent9client9that9has9conduct9disorder.9The9client9threatened9suicide9to9tea
cher9at9school.9Which9of9the9following9statements9should9the9nurse9include9in9
the9assessment?

a) Tell9me9about9your9siblings
b) Tell9me9what9kind9of9music9you9like
c) Tell9me9how9often9do9you9drink9alcohol
d) Tell9me9about9your9school9schedule:9c)9Tell9me9how9often9do9you9drink9alcohol
2. *A9nurse9is9observing9bonding9to9the9client9her9newborn.9Which9of9following
9actions9by9the9client9requires9the9nurse9to9intervene?



a) Holding9the9newborn9in9an9end9face9position
b) Asking9the9father9to9change9the9newborn's9diaper9c)9Requesting9the9nurse
9take9the9newborn9nursery9so9she9can9rest

d)9Viewing9the9newborn's9actions9to9be9uncooperative:9d)9Viewing9the9newborn's
ctions9to9be9uncooperative
3. A9nurse9is9caring9for9client9who9is9taking9levothyroxin.9Which9of9the9following
9findings9should9indicate9that9the9medication9is9effective?



a) Weight9loss9(this9drug9acts9as9T49and9will9normalize9the9effects9of9hypothy-
9roidism)

b) Decreased9blood9pressure
c) Absence9of9seizures
d) Decrease9inflammation:9a)9Weight9loss9(this9drug9acts9as9T49and9will9normali
ze9the9effects9of9hypothyroidism)
4. 4)9A9nurse9is9planning9discharge9teaching9for9cord9care9for9the9parent9of9a
9newborn.9Which9instructions9would9you9include9in9the9teaching?



a) Contact9provider9if9the9cord9still9turns9black9(it's9going9to9turn9black)

b) Clean9the9base9of9the9cord9with9hydrogen9peroxide9daily9(clean9with9neutral
9pH9cleanser)



c) Keep9the9cord9dry9until9it9falls9off9(cord9should9be9kept9clean9and9dry9to
9prevent9infection)



d) The9cord9stump9will9fall9off9in9five9days9(cord9falls9off9in910-
149days):9c)9Keep9the9cord9dry9until9it9falls9off9(cord9should9be9kept9clean9and9
19/968

, ATI9predictor91809capstone

dry9to9prevent9infection)




29/968

, ATI9predictor91809capstone

5. A9nurse9is9assessing9a9client9in9the9PACU.9Which9of9the9following9findings
9indicates9decreased9cardiac9output?



a) Shivering
b) Oliguria
c) Bradypnea
d) Constricted9pupils:9b)9Oliguria
6. cardiac9output9normal9range:94-89L/min
7. A9nurse9is9assisting9with9mass9casualty9triage:9explosion9at9a9local9factory.
9Which9of9the9following9client9should9the9nurse9identify9as9the9priority?



a) A9client9that9has9massive9head9trauma
b) A9client9has9full9thickness9burns9to9face9and9trunk9c)9A9client9with9indications
9of9hypovolemic9shock

d) A9client9with9open9fracture9of9the9lower9extremity:9c)9A9client9with9indicati
ons9of9hypovolemic9shock
8. 7)9A9nurse9is9a9receiving9report9on9four9clients.9Which9of9the9following9clients
9should9the9nurse9assess9first?



a) A9client9who9has9illegal9conduit9and9mucus9in9the9pouch

b) Client9pleasant9arteriovenous9additional

c) A9client9whose9chronic9kidney9disease9with9cloudy9dialysate9outflow

d) A9client9was9transurethral9resection9of9the9prostate9with9a9red9tinged9urine
9in9the9bag:9c)9A9client9whose9chronic9kidney9disease9with9cloudy9dialysate9out

flow
9. A9nurse9is9caring9for9a9client9just9received9the9first9dose9of9lisinopril.9The
9following9is9an9appropriate9nursing9intervention?



a) Place's9cardiac9monitoring
b) Monitor9the9clients9oxygen9saturation9level
c) Provide9standby9assist9with9the9client9from9bed
d) Encourage9foods9high9in9potassium:9c)9Provide9standby9assist9with9the9cli
ent9from9bed
10. 9)9A9nurse9is9caring9for9a9client9who9is9in9labor9and9his9seat9is9receiving
9electronic9fetal9monitoring.9The9nurse9is9reviewing9the9monitor9tracing9an

d9notes9early9decelerations.9Which9the9following9should9the9nurse9expect?
39/968

, ATI9predictor91809capstone

a) Feta9hypoxia
b) Abrupto9placentae
c) Post9maturity
d) Head9Compression:9d)9Head9Compression
11. 10)9A9nurse9is9caring9for9a9client9who9has9chronic9kidney9disease.9The9nurse
9should9identify9which9of9the9following9laboratory9values9as9in9an9indication9fo

r9hemodialysis?

a) glomerular9filtration9rate9of9149mL/9minute

b) BUN9169mg/DL

c) serum9magnesium91.89mg9mg/dl

d) Serum9phosphorus94.09mg/dL:9a)9glomerular9filtration9rate9of9149mL/9minut
12. 11)9A9nurse9is9caring9for9an9infant9who9has9a9prescription9for9continuous
9pulse9oximetry.9The9following9is9an9appropriate9action9for9the9nurse9to9take

?

a) Placed9infant9under9radiant9warmer
b) Move9the9probe9site9every939hours
c) Heat9the9skin9one9minute9prior9to9placing9the9program
d) Placed9a9sensor9on9the9index9finger:9a)9Placed9infant9under9radiant9warmer
13. A9nurse9in9a9mental9health9facility9receives9a9change9of9shift9report9on9for
9clients.9Which9of9the9following9clients9should9the9nurse9plan9to9assess9first

?

a) Client9placed9in9restraints9to9the9aggressive9behavior

b) A9new9limited9client9pleasures9history9of94.59kg9weight9loss9in9the9past9two
9months



c) Client9is9receiving9a9PRN9dose9of9health9heard9all9two9hours9ago9for
9increased9anxiety



d) Applied9he'll9be9receiving9his9first9ECT9treatment9today:9a)9Client9placed9
in9restraints9to9the9aggressive9behavior
14. 13)9A9nurse9working9at9the9clinic9is9teaching9a9group9of9clients9who9are9p
regnant9on9the9use9of9nonpharmacological9pain9management.9Which9of9the9f
49/968