ATI PN Comprehensive predictor part II
Questions and answers.
Collecting a stool specimen two tests for occult blood can be assigned to a ____ - (correct answer) - AP
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cxcx
A client is found lying on the floor next to a chair requires the nurse to complete an - (correct answer) -
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
incident report.
cxcx cx
A nurse is discharging a client who was admitted for newly diagnosed type 2 diabetes mellitus. The clien
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
t is independent and lives alone. The client should be referred to a _____ - (correct answer) -
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
diabetic support group
cxcx cx cx
A nurse is caring for a client who has type 2 diabetes mellitus and a blood glucose level of 60 mg/
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
dL. For which of the following findings should the nurse monitor? - (correct answer) -
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
Fasting plasma glucose level
cxcx cx cx cx
A female client who is an abusive marriage has discusses with the nurse strategies to prevent this abuse.
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
Which of the following client statements indicate an understanding of an appropriate strategy? -
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
(correct answer) -
cx cx cx
"I need to recognize the signs that my husband is becoming abusive." c. "I need to identify what trigger
cxcx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
s my husband's anger to prevent his abuse."
cx cx cx cx cx cx cx
A charge nurse in a long-
cx cx cx cx cx
term care facility is preparing to administer noon insulin to a client. The nurse observes that the assistiv
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
e personnel (AP) has no documented the client's blood glucose level. The nurse should determine if the
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
___ has completed the assignment - (correct answer) - AP
cx cx cx cx cx cx cx cx cxcx
A client is scheduled for an outpatient colonoscopy+ which of the following actions is a nursing responsi
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
bility in the informed consent process? - (correct answer) -
cx cx cx cx cx cx cx cx cx
Verify that there is a signed and witnesses consent form in the client's chart
cxcx cx cx cx cx cx cx cx cx cx cx cx cx cx
,A nurse smells alcohol on the breath of an assistive personnel CAP) during report. The situation should b
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
e reported to the ______ - (correct answer) - nurse manager
cx cx cx cx cx cx cx cx cxcx cx
A nurse from a medical-
cx cx cx cx
surgical unit is floating to a postpartum unit. An appropriate assignment for the nurse to accept would b
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
e a client who had a ____delivery 24 hrs ago - (correct answer) - cesarean
cx cx cx cx cx cx cx cx cx cx cx cx cx cxcx
A nurse in a provider's office is collecting data from a parent of an infant who is being screened for cysti
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
c fibrosis. ____stool would support a diagnosis of cystic fibrosis, - (correct answer) - Frothy
cx cx cx cx cx cx cx cx cx cx cx cx cx cxcx
When caring for an assigned group of clients, the nurse should wear ____ when performing oral hygiene
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
- (correct answer) - gloves
cx cx cx cx cxcx
.A nurse is preparing a client for surgery. The client tells the nurse that he is concerned about the safety
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
of a large sum of money in his wallet. The nurse should contact ______ to place the money in the facility
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
safe - (correct answer) - security personell
cx cx cx cx cx cxcx cx
A nurse is caring for a client who is receiving heparin. Which of the following is the appropriate route of
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
administration? - (correct answer) - Subcutaneously cx cx cx cx cxcx
A nurse is reinforcing teaching about car seat safety to the parents of a newborn, The nurse should instr
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
uct the parents to place the car seat in a ____ position in the back seat - (correct answer) - rear-facing.
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cxcx
A nurse is caring for a client and recognizes the client's rights to confidentiality have been breached in w
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
hich of the following situations? - (correct answer) -
cx cx cx cx cx cx cx cx
A hospital risk manager includes information from a client's medical record in
cxcx cx cx cx cx cx cx cx cx cx cx cx
A nurse is caring for a client who had a femoral-
cx cx cx cx cx cx cx cx cx cx
popliteal bypass graft 2 days ago. When monitoring peripheral pulses, the nurse is unable to locate a pul
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
se on the affected leg. The nurse should notify _____ of the finding - (correct answer) -
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
The charge nurse
cxcx cx cx
A nurse is caring for a full-
cx cx cx cx cx cx
term newborn who was circumcised 6 hours ago, which of the following findings indicates that the new
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
born is experiencing pain? - (correct answer) - Furrowed Brow
cx cx cx cx cx cx cx cxcx cx
A nurse is reinforcing teaching with a client about organ donation. Which of the following client stateme
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
nts indicated a need for further teaching? - (correct answer) -
cx cx cx cx cx cx cx cx cx cx
"My doctor should decide if my organs will be donated."
cxcx cx cx cx cx cx cx cx cx cx
A Client who is prescribed metoprolol (Lopressor) for hypertension tells the nurse, "I don't want to take
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
this medication because it makes me tired all the time." Which of the following is the appropriate respo
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
nse? - (correct answer) - "Let's talk with your doctor about other options."
cx cx cx cx cxcx cx cx cx cx cx cx cx
, A nurse is preparing to administer an IM injection to a client. To reduce the risk of needle stick injury, th
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
e nurse should dispose of the used needle immediately in a puncture proof_______ - (correct answer) -
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
sharps container
cxcx cx
The client requires assistance to pay for dressing supplies needs ___ assistance - (correct answer) -
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
interdisciplinary
cxcx
A client who is 24 hour postoperative suddenly develops chest pain, dyspnea, anxiety, diaphoresis, and c
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
ough. Which of the following actions should the nurse take first? - (correct answer) -
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
Elevate the head of the client's bed.
cxcx cx cx cx cx cx cx
A nurse is caring for a 17-
cx cx cx cx cx cx
year old client who is admitted for an emergency appendectomy. Which of the following is an appropria
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
te action by the nurse in obtaining informed consent? - (correct answer) -
cx cx cx cx cx cx cx cx cx cx cx cx
Obtain verbal consent from the client while waiting for the parents to arrive. b. Witness the signature o
cxcx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
f the client's parent when he arrives. c. Have the client's older sibling give consent if a parent is not avail
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
able. d. Delay the procedure if the provider cannot contact the parents
cx cx cx cx cx cx cx cx cx cx cx
.A nurse has delegated care to an assistive personnel. At the end of the shift, the Ap asks the nurse to en
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
ter data for her because the AP has forgotten her password and needs to leave. The nurse should tell th
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
e AP to contact the ___ dept. for charting assistance - (correct answer) - IT
cx cx cx cx cx cx cx cx cx cx cx cx cx cxcx
A nurse is reinforcing discharge teaching to a client following a gastrectomy, to prevent dumping syndro
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
me, which of the following foods should the nurse instruct the client to avoid? - (correct answer) -
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
Ice Cream
cxcx cx
A nurse is caring for a client admitted with shortness of breath who will be undergoing arterial blood gas
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
testing. This test will indicate how much ____ is building up in the blood. - (correct answer) - ACID
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cxcx
A nurse manager is seeking ways to increase cost-
cx cx cx cx cx cx cx cx
effectiveness on the unit. In which of the following client care situations should the nurse manager inter
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
vene? - (correct answer) - Nurse discards a bottle of sterile saline after it has been open for 24 hours
cx cx cx cx cxcx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
A nurse is collecting data from a client who reports recent weight loss and a Chronic cough that is now p
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
roducing blood- cx
streaked sputum. For which of the following should the nurse expect the client to have diagnostic testin
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
g? - (correct answer) - Lung cancer and emphysema
cx cx cx cx cxcx cx cx cx
A nurse is caring for an older adult client with a decreased level of consciousness. The nurse should Uses
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
a sponge_____to cleanse the inside of the mouth. - (correct answer) - toothete
cx cx cx cx cx cx cx cx cx cx cx cx cxcx
.A nurse in a long-
cx cx cx cx
term care facility nuts that the assistive personnel lack knowledge of blood glucose monitoring, The nurs
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
e should bring this observation to the attention of which of the following personnel? - (correct answer) -
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
charge nurse
cxcx cx
Questions and answers.
Collecting a stool specimen two tests for occult blood can be assigned to a ____ - (correct answer) - AP
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cxcx
A client is found lying on the floor next to a chair requires the nurse to complete an - (correct answer) -
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
incident report.
cxcx cx
A nurse is discharging a client who was admitted for newly diagnosed type 2 diabetes mellitus. The clien
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
t is independent and lives alone. The client should be referred to a _____ - (correct answer) -
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
diabetic support group
cxcx cx cx
A nurse is caring for a client who has type 2 diabetes mellitus and a blood glucose level of 60 mg/
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
dL. For which of the following findings should the nurse monitor? - (correct answer) -
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
Fasting plasma glucose level
cxcx cx cx cx
A female client who is an abusive marriage has discusses with the nurse strategies to prevent this abuse.
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
Which of the following client statements indicate an understanding of an appropriate strategy? -
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
(correct answer) -
cx cx cx
"I need to recognize the signs that my husband is becoming abusive." c. "I need to identify what trigger
cxcx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
s my husband's anger to prevent his abuse."
cx cx cx cx cx cx cx
A charge nurse in a long-
cx cx cx cx cx
term care facility is preparing to administer noon insulin to a client. The nurse observes that the assistiv
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
e personnel (AP) has no documented the client's blood glucose level. The nurse should determine if the
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
___ has completed the assignment - (correct answer) - AP
cx cx cx cx cx cx cx cx cxcx
A client is scheduled for an outpatient colonoscopy+ which of the following actions is a nursing responsi
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
bility in the informed consent process? - (correct answer) -
cx cx cx cx cx cx cx cx cx
Verify that there is a signed and witnesses consent form in the client's chart
cxcx cx cx cx cx cx cx cx cx cx cx cx cx cx
,A nurse smells alcohol on the breath of an assistive personnel CAP) during report. The situation should b
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
e reported to the ______ - (correct answer) - nurse manager
cx cx cx cx cx cx cx cx cxcx cx
A nurse from a medical-
cx cx cx cx
surgical unit is floating to a postpartum unit. An appropriate assignment for the nurse to accept would b
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
e a client who had a ____delivery 24 hrs ago - (correct answer) - cesarean
cx cx cx cx cx cx cx cx cx cx cx cx cx cxcx
A nurse in a provider's office is collecting data from a parent of an infant who is being screened for cysti
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
c fibrosis. ____stool would support a diagnosis of cystic fibrosis, - (correct answer) - Frothy
cx cx cx cx cx cx cx cx cx cx cx cx cx cxcx
When caring for an assigned group of clients, the nurse should wear ____ when performing oral hygiene
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
- (correct answer) - gloves
cx cx cx cx cxcx
.A nurse is preparing a client for surgery. The client tells the nurse that he is concerned about the safety
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
of a large sum of money in his wallet. The nurse should contact ______ to place the money in the facility
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
safe - (correct answer) - security personell
cx cx cx cx cx cxcx cx
A nurse is caring for a client who is receiving heparin. Which of the following is the appropriate route of
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
administration? - (correct answer) - Subcutaneously cx cx cx cx cxcx
A nurse is reinforcing teaching about car seat safety to the parents of a newborn, The nurse should instr
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
uct the parents to place the car seat in a ____ position in the back seat - (correct answer) - rear-facing.
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cxcx
A nurse is caring for a client and recognizes the client's rights to confidentiality have been breached in w
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
hich of the following situations? - (correct answer) -
cx cx cx cx cx cx cx cx
A hospital risk manager includes information from a client's medical record in
cxcx cx cx cx cx cx cx cx cx cx cx cx
A nurse is caring for a client who had a femoral-
cx cx cx cx cx cx cx cx cx cx
popliteal bypass graft 2 days ago. When monitoring peripheral pulses, the nurse is unable to locate a pul
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
se on the affected leg. The nurse should notify _____ of the finding - (correct answer) -
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
The charge nurse
cxcx cx cx
A nurse is caring for a full-
cx cx cx cx cx cx
term newborn who was circumcised 6 hours ago, which of the following findings indicates that the new
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
born is experiencing pain? - (correct answer) - Furrowed Brow
cx cx cx cx cx cx cx cxcx cx
A nurse is reinforcing teaching with a client about organ donation. Which of the following client stateme
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
nts indicated a need for further teaching? - (correct answer) -
cx cx cx cx cx cx cx cx cx cx
"My doctor should decide if my organs will be donated."
cxcx cx cx cx cx cx cx cx cx cx
A Client who is prescribed metoprolol (Lopressor) for hypertension tells the nurse, "I don't want to take
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
this medication because it makes me tired all the time." Which of the following is the appropriate respo
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
nse? - (correct answer) - "Let's talk with your doctor about other options."
cx cx cx cx cxcx cx cx cx cx cx cx cx
, A nurse is preparing to administer an IM injection to a client. To reduce the risk of needle stick injury, th
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
e nurse should dispose of the used needle immediately in a puncture proof_______ - (correct answer) -
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
sharps container
cxcx cx
The client requires assistance to pay for dressing supplies needs ___ assistance - (correct answer) -
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
interdisciplinary
cxcx
A client who is 24 hour postoperative suddenly develops chest pain, dyspnea, anxiety, diaphoresis, and c
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
ough. Which of the following actions should the nurse take first? - (correct answer) -
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
Elevate the head of the client's bed.
cxcx cx cx cx cx cx cx
A nurse is caring for a 17-
cx cx cx cx cx cx
year old client who is admitted for an emergency appendectomy. Which of the following is an appropria
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
te action by the nurse in obtaining informed consent? - (correct answer) -
cx cx cx cx cx cx cx cx cx cx cx cx
Obtain verbal consent from the client while waiting for the parents to arrive. b. Witness the signature o
cxcx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
f the client's parent when he arrives. c. Have the client's older sibling give consent if a parent is not avail
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
able. d. Delay the procedure if the provider cannot contact the parents
cx cx cx cx cx cx cx cx cx cx cx
.A nurse has delegated care to an assistive personnel. At the end of the shift, the Ap asks the nurse to en
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
ter data for her because the AP has forgotten her password and needs to leave. The nurse should tell th
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
e AP to contact the ___ dept. for charting assistance - (correct answer) - IT
cx cx cx cx cx cx cx cx cx cx cx cx cx cxcx
A nurse is reinforcing discharge teaching to a client following a gastrectomy, to prevent dumping syndro
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
me, which of the following foods should the nurse instruct the client to avoid? - (correct answer) -
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
Ice Cream
cxcx cx
A nurse is caring for a client admitted with shortness of breath who will be undergoing arterial blood gas
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
testing. This test will indicate how much ____ is building up in the blood. - (correct answer) - ACID
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cxcx
A nurse manager is seeking ways to increase cost-
cx cx cx cx cx cx cx cx
effectiveness on the unit. In which of the following client care situations should the nurse manager inter
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
vene? - (correct answer) - Nurse discards a bottle of sterile saline after it has been open for 24 hours
cx cx cx cx cxcx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
A nurse is collecting data from a client who reports recent weight loss and a Chronic cough that is now p
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
roducing blood- cx
streaked sputum. For which of the following should the nurse expect the client to have diagnostic testin
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
g? - (correct answer) - Lung cancer and emphysema
cx cx cx cx cxcx cx cx cx
A nurse is caring for an older adult client with a decreased level of consciousness. The nurse should Uses
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
a sponge_____to cleanse the inside of the mouth. - (correct answer) - toothete
cx cx cx cx cx cx cx cx cx cx cx cx cxcx
.A nurse in a long-
cx cx cx cx
term care facility nuts that the assistive personnel lack knowledge of blood glucose monitoring, The nurs
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
e should bring this observation to the attention of which of the following personnel? - (correct answer) -
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
charge nurse
cxcx cx
