ATI RN VATI Comprehensive Predictor with NGN

A nurse is discussing the z-track administration of hydroxyzine with a newly licensed nurse. Which of the following statements indicates the newly licensed nurse understands the purpose of the technique a. This technique decreases the risk of subcutaneous infiltration 1. A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan? a. Monitor the client for 1 hr after meals A nurse is assessing a client who has delirium due to a febrile illness. Which of the following findings should the nurse expect? a. Hallucinations 1. A nurse is caring for a client following an open colectomy. Which of the following findings places the client at risk for delayed wound healing? uncontrolled pain? 1. A home health nurse is reviewing treatment goals with a client who has diabetes mellitus. The nurse should evaluate which of the following laboratory tests to determine effective long-term management of blood glucose levels? A1C 1. A nurse is planning care for a newborn who has hyperbilirubinemia and is to receive phototherapy. Which of the following interventions should the nurse include? a. Place the newborn 45 cm from the light source 1. A nurse is planning care for a client who has schizophrenia and is having difficulty expressing their feelings. Which of the following referrals should the nurse make? art therapy 1. A nurse is caring for a client who has heart failure and has started taking a loop diuretic. Which of the following findings indicates the client is experiencing an adverse effect of the medication decreased reflexes 1. At the start of an evening shift on a cardiac unit, a licensed practical nurse brings the nurse a list of client reports. Which of the following client reports should the nurse assess first? indigestion 1. A nurse on a medical unit has just received change-of-shift report. Which of the following clients should the nurse assess first? a. A 68 year old client who had a myocardial infarction 2 days ago and reports chest pain as a 4 on a scale of 0 to 10 1. A nurse is preparing to witness a client's signature on an informed consent for a total knee arthroplasty. Which of the following client statements indicates the nurse should contact the surgeon? a. I am thankful there are no serious complications from this type of surgery 1. A nurse is teaching a client who has a new prescription for digoxin. Which of the following statements should the nurse include in the teaching? muscle weakness 1. A nurse is planning teaching for a client who is at 10 weeks of gestation and has a history of urinary tract infections. Which of the following information should the nurse plan to include in the teaching about UTI prevention? a. Empty the bladder before and after intercourse 1. A nurse is providing teaching about car seat safety to the parent of a term newborn. Which of the following statements by the parent indicates an understanding of the teaching? a. "I should place my baby's car seat rear-facing until 6 months of age." 1. A nurse is performing high-frequency chest compressions using a mechanical chest compression device for a child who has cystic fibrosis. Which of the following findings indicates the treatment has been effective? a. The child has increased sputum production 1. A nurse is caring for a client who has a newly implanted sealed internal radiation device to treat cervical cancer. Which of the following is an appropriate action for the nurse to take? a. Keep a 3 foot distance from the radiation implant 1. A nurse at a public health clinic is caring for a group of clients. Which of the following should the nurse identify as a reportable diagnosis to the CDC? hep A 1. A nurse is planning to perform wound irrigation for a client who has an open secondary wound. When creating a sterile field, which of the following actions should the nurse take? a. Hold the bottle of sterile solution with the palm over the label while pouring 1. A nurse is planning care for a client who has a sealed radiation implant and is to remain in the hospital for 1 week. Which of the following should the nurse include in the plan of care? a. Wear a dosimeter film badge while in the client's room 1. A nurse is assessing a client who was brought to the emergency department by his adult child. The client has visible contusions on all four extremities. Which of the following actions should the nurse take? a. Report the incident to Adult Protective Services 1. A nurse is assessing a client who is postoperative following abdominal surgery. The client states, "I feel like my incision ripped open." The nurse notes dehiscence of the incision. Which of the following actions should the nurse take? a. Extend the client's legs above heart level 1. A nurse is providing teaching to the parent of a 6 month old infant who is teething and having difficulty sleeping. Which of the following instructions should the nurse include? a. Administer acetaminophen drops to your child before bedtime 1. A nurse is providing dietary teaching to a client who has an increased cholesterol level. Which of the following foods should the nurse recommend? egg whites 1. A nurse is assessing a client who has a magnesium level of 4.4 mEq/L. Which of the following findings should the nurse expect? a. Hypotension 1. A nurse is performing triage following a natural disaster. Which of the following clients should the nurse identify as the highest priority to receive care? a. A client who has a traumatic arm amputation 1. A nurse is teaching a client and their family about home hospice care. Which of the following information should the nurse include in the teaching? a. Hospice care improves quality of life through palliative care 1. A nurse manager at a public health clinic is concerned about the rising number of sexually transmitted infections in the community. The purpose of which of the following is to generate new ideas to address the public health concern? a. A brainstorming session with nurses 1. A nurse is caring for a client who has cirrhosis of the liver. Which of the following actions should the nurse take? a. Monitor for abdominal ascites 1. A nurse is caring for a client who is receiving a blood transfusion at 125mL/hr and develops a hemolytic reaction. Which of the following actions should the nurse perform? a. Infuse 0.9% sodium chloride IV 1. A nurse in a mental health facility is evaluating the effectiveness of mechanical restraints for a client who threw a chair in the day room. The nurse should identify which of the following findings as an indication to remove the restraints? a. The client apologizes for their aggressive behavior 1. A nurse is caring for a client who is postpartum and has a new prescription for methylergonovine for vaginal bleeding refractory to fundal massage and oxytocin. When reviewing the client's medical history, the nurse should recognize which of the following diagnoses as a contraindication to the administration of methylergonovine? hypertension 1. A nurse is caring for a client who has a prescription for vancomycin 1 g IV every 12 hr. The client is scheduled to have the morning dose at 0700. The nurse should schedule the trough level to be drawn at which of the following times? 1800 1. A nurse from the State Health Development is instructing a group of nurses regarding reportable infections. Which of the following infections should the nurse report to the Centers for Disease Control and Prevention? lyme disease 1. A client asks the nurse if it is safe to take a glucosamine supplement. The nurse should assess for which of the following potential contraindications? shellfish allergy 1. A nurse is providing discharge teaching to a client who has schizophrenia and is starting therapy with clozapine. Which of the following is the highest priority for the client to report to the provider? fever 1. 2 hr postoperative following an ileal conduit procedure bladder cancer dusky colored stoma