ATI RN Exit Predictor
. The nursing team includes two RNs, one LPN/LVN, and one nursing assistant. The nurse must
recollect the assignments suitable if the nursing assistant is assigned to take care of
(1. A patron with Alzheimer's requiring assistance with feeding.
2. A patron with osteoporosis complaining of burning on urination.
Three. A patron with scleroderma receiving a tube feeding.
4. A client with most cancers who has Cheyne-Stokes respirations.) - ANS-1. A consumer with
Alzheimer's requiring assistance with feeding.
A 23-12 months-vintage guy is admitted with a subdural hematoma and cerebral
edema after a bike coincidence. Which of the subsequent signs and symptoms ought to
the nurse expect to see INITIALLY?
1. Unequal and dilated pupils.
2. Decerebrate posturing.
Three. Grand mal seizures.
4. Decreased level of attention. - ANS-4. Decreased degree of focus.
A 23-12 months-old girl at 32-weeks gestation is seen inside the outpatient
health center. Which of the subsequent findings, if assessed by using the nurse, would
imply a likely trouble?
(1. The consumer's urine check is fine for glucose and acetone.
2. The consumer has 1+ pedal edema in both ft at the end of the day.
Three. The purchaser complains of an boom in vaginal discharge.
Four. The patron says she feels pressure towards her diaphragm while the baby movements.) -
ANS-1. The client's urine take a look at is nice for glucose and acetone.
A 38-12 months-antique woman is lower back to her room after a subtotal
thyroidectomy for remedy of hyperthyroidism. Which of the following, if observed by way of the
nurse on the patient's bedside, is nonessential? - ANS-1. Potassium chloride for IV
management.
A 59-year-antique girl with bipolar disease is receiving haloperidol (Haldol) 2 mg PO tid. She
tells the nurse, "Milk is popping out of my breasts." Which of the following responses with the aid
of the nurse is BEST? - ANS-three. "You are experiencing a aspect effect of Haldol."
A 69-12 months-antique patron is undergoing his second alternate of intermittent peritoneal
dialysis (IPD). Which of the subsequent could require an ntervention via the nurse? - ANS-3.
The dialysate outflow is cloudy.
,A fee nurse is discussing the responsibility of nurses being concerned for clients who've C.
Difficile. Which of the subsequent statistics need to the nurse include in the coaching?
(a. Assign the customer to a room with a terrible air-float device
b. Use alcohol-based hand sanitizer whilst leaving the clients room
c. Clean contaminated surfaces inside the clients room with a phenol solution
d. Have family members put on a robe and gloves whilst visiting) - ANS-d. Have circle of
relatives individuals put on a gown and gloves whilst touring
A purchaser identified with dementia wanders the halls of the locked nursing unit throughout the
day. To make certain the customer's protection even as taking walks within the halls, the nurse
ought to do which of the subsequent?
(1. Administer PRN haloperidol (Haldol) to lower the need to walk.
2. Assess the patron's gait for balance.
3. Restrain the customer in a geriatric chair.
Four. Administer PRN lorazepam (Ativan) to offer sedation.) - ANS-2. Assess the purchaser's
gait for stability.
A consumer has a records of oliguria, high blood pressure, and peripheral edema.
Current lab values are: BUN -25, K+ -four.0 mEq/L. Which nutrient need to be confined within
the patron's eating regimen?. - ANS-1. Protein
a customer has a brand new prescription for spironilactone (aldactone ) which of the
subsequent laboratory fee should the nurse identified as a motive to withhold the morning dose
of the medication and notify the company - ANS-serum potassium five.2
a client has prescription for valproic ( Depakote) which of the following laboratory cost must the
nurse count on monitor for the patron taking this medication - ANS-thrombocytes, amylase
depend and liver feature check
A patron is admitted with a diagnosis of acute appendicitis. When assessing the abdomen, the
nurse might expect to locate rebound tenderness at which vicinity?
(a. Left decrease quadrant
b. Left higher quadrant
c. Right upper quadrant
d. Right decrease quadrant) - ANS-D. Right decrease quadrant
A consumer is being discharged with sublingual nitroglycerin (Nitrostat).
The consumer ought to be recommended by the nurse to. - ANS-four. Avoid abrupt adjustments
in posture.
A client is given morphine 6 mg IV push for postoperative ache. Following administration of this
drug, the nurse observes the subsequent: pulse sixty eight, respirations eight, BP a hundred/68,
, consumer slumbering quietly. Which of the subsequent nursing movements is MOST
appropriate?
(1. Allow the consumer to sleep undisturbed.
2. Administer oxygen thru facemask or nasal prongs.
3. Administer naloxone (Narcan).
4. Place epinephrine 1:1,000 on the bedside.) - ANS-3. Administer naloxone (Narcan).
A customer is receiving total parenteral vitamins (TPN). To determine the
consumer's tolerance of this remedy, the nurse ought to assess for which of the Following? -
ANS-4.Urine output of at least 30cc per hour.
A patron is scheduled for a left lower lobectomy. The doctor has ordered diazepam (Valium) 2
mg IM for tension. The nurse might decide that the drugs is suitable if the consumer
presentations which of the subsequent signs? - ANS-three. Restlessness and increased
coronary heart rate.
A client is waiting switch lower back to the unit from the PACU following thoracic surgical
procedure. To which body of workers member ought to the nurse assign the consumer? -
ANS-B. RN
A client returns to his room following a myelogram. The nursing care plan ought to consist of
which of the subsequent?. - ANS-1. Encourage oral fluid intake.
A client ought to acquire a dose of flumazenil ( romazicon) to treat symptoms of -
ANS-benzodiazepine overdose
a patron who has parkinson's sickness is prescribed levodopa/carbidopa ( sinemet) and
pramipexole ( Mirapex) for which of the subsequent must the nurse display this patron -
ANS-orthostatic hypotension
a client who's start taking lithium carbonate month in the past tell the nurse she has just all
started taking multiply every day doses of ibuprofen ( motrin) for anxiety headache. Need to the
patron avoid ibuprofen. Why or why no longer ? - ANS-what , if any is the suitable action for the
nurse to take NSAIDS consisting of ibuprofen boom the renal reabsorption of lithium carbonate ,
in all likelihood main to lithium carbonate toxicity . Therefor this client could keep away from
NSAIDS . The nurse have to notify the company of patron headache and ibuprofen us
A consumer with a peptic ulcer had a partial gastrectomy and vagotomy (Billroth I). In planning
the discharge teaching, the customer must be suggested by way of the nurse about which of the
subsequent?
(1. Sit up for as a minimum half-hour after ingesting.
2. Avoid fluids among food.
3. Increase the intake of high-carbohydrate foods.
. The nursing team includes two RNs, one LPN/LVN, and one nursing assistant. The nurse must
recollect the assignments suitable if the nursing assistant is assigned to take care of
(1. A patron with Alzheimer's requiring assistance with feeding.
2. A patron with osteoporosis complaining of burning on urination.
Three. A patron with scleroderma receiving a tube feeding.
4. A client with most cancers who has Cheyne-Stokes respirations.) - ANS-1. A consumer with
Alzheimer's requiring assistance with feeding.
A 23-12 months-vintage guy is admitted with a subdural hematoma and cerebral
edema after a bike coincidence. Which of the subsequent signs and symptoms ought to
the nurse expect to see INITIALLY?
1. Unequal and dilated pupils.
2. Decerebrate posturing.
Three. Grand mal seizures.
4. Decreased level of attention. - ANS-4. Decreased degree of focus.
A 23-12 months-old girl at 32-weeks gestation is seen inside the outpatient
health center. Which of the subsequent findings, if assessed by using the nurse, would
imply a likely trouble?
(1. The consumer's urine check is fine for glucose and acetone.
2. The consumer has 1+ pedal edema in both ft at the end of the day.
Three. The purchaser complains of an boom in vaginal discharge.
Four. The patron says she feels pressure towards her diaphragm while the baby movements.) -
ANS-1. The client's urine take a look at is nice for glucose and acetone.
A 38-12 months-antique woman is lower back to her room after a subtotal
thyroidectomy for remedy of hyperthyroidism. Which of the following, if observed by way of the
nurse on the patient's bedside, is nonessential? - ANS-1. Potassium chloride for IV
management.
A 59-year-antique girl with bipolar disease is receiving haloperidol (Haldol) 2 mg PO tid. She
tells the nurse, "Milk is popping out of my breasts." Which of the following responses with the aid
of the nurse is BEST? - ANS-three. "You are experiencing a aspect effect of Haldol."
A 69-12 months-antique patron is undergoing his second alternate of intermittent peritoneal
dialysis (IPD). Which of the subsequent could require an ntervention via the nurse? - ANS-3.
The dialysate outflow is cloudy.
,A fee nurse is discussing the responsibility of nurses being concerned for clients who've C.
Difficile. Which of the subsequent statistics need to the nurse include in the coaching?
(a. Assign the customer to a room with a terrible air-float device
b. Use alcohol-based hand sanitizer whilst leaving the clients room
c. Clean contaminated surfaces inside the clients room with a phenol solution
d. Have family members put on a robe and gloves whilst visiting) - ANS-d. Have circle of
relatives individuals put on a gown and gloves whilst touring
A purchaser identified with dementia wanders the halls of the locked nursing unit throughout the
day. To make certain the customer's protection even as taking walks within the halls, the nurse
ought to do which of the subsequent?
(1. Administer PRN haloperidol (Haldol) to lower the need to walk.
2. Assess the patron's gait for balance.
3. Restrain the customer in a geriatric chair.
Four. Administer PRN lorazepam (Ativan) to offer sedation.) - ANS-2. Assess the purchaser's
gait for stability.
A consumer has a records of oliguria, high blood pressure, and peripheral edema.
Current lab values are: BUN -25, K+ -four.0 mEq/L. Which nutrient need to be confined within
the patron's eating regimen?. - ANS-1. Protein
a customer has a brand new prescription for spironilactone (aldactone ) which of the
subsequent laboratory fee should the nurse identified as a motive to withhold the morning dose
of the medication and notify the company - ANS-serum potassium five.2
a client has prescription for valproic ( Depakote) which of the following laboratory cost must the
nurse count on monitor for the patron taking this medication - ANS-thrombocytes, amylase
depend and liver feature check
A patron is admitted with a diagnosis of acute appendicitis. When assessing the abdomen, the
nurse might expect to locate rebound tenderness at which vicinity?
(a. Left decrease quadrant
b. Left higher quadrant
c. Right upper quadrant
d. Right decrease quadrant) - ANS-D. Right decrease quadrant
A consumer is being discharged with sublingual nitroglycerin (Nitrostat).
The consumer ought to be recommended by the nurse to. - ANS-four. Avoid abrupt adjustments
in posture.
A client is given morphine 6 mg IV push for postoperative ache. Following administration of this
drug, the nurse observes the subsequent: pulse sixty eight, respirations eight, BP a hundred/68,
, consumer slumbering quietly. Which of the subsequent nursing movements is MOST
appropriate?
(1. Allow the consumer to sleep undisturbed.
2. Administer oxygen thru facemask or nasal prongs.
3. Administer naloxone (Narcan).
4. Place epinephrine 1:1,000 on the bedside.) - ANS-3. Administer naloxone (Narcan).
A customer is receiving total parenteral vitamins (TPN). To determine the
consumer's tolerance of this remedy, the nurse ought to assess for which of the Following? -
ANS-4.Urine output of at least 30cc per hour.
A patron is scheduled for a left lower lobectomy. The doctor has ordered diazepam (Valium) 2
mg IM for tension. The nurse might decide that the drugs is suitable if the consumer
presentations which of the subsequent signs? - ANS-three. Restlessness and increased
coronary heart rate.
A client is waiting switch lower back to the unit from the PACU following thoracic surgical
procedure. To which body of workers member ought to the nurse assign the consumer? -
ANS-B. RN
A client returns to his room following a myelogram. The nursing care plan ought to consist of
which of the subsequent?. - ANS-1. Encourage oral fluid intake.
A client ought to acquire a dose of flumazenil ( romazicon) to treat symptoms of -
ANS-benzodiazepine overdose
a patron who has parkinson's sickness is prescribed levodopa/carbidopa ( sinemet) and
pramipexole ( Mirapex) for which of the subsequent must the nurse display this patron -
ANS-orthostatic hypotension
a client who's start taking lithium carbonate month in the past tell the nurse she has just all
started taking multiply every day doses of ibuprofen ( motrin) for anxiety headache. Need to the
patron avoid ibuprofen. Why or why no longer ? - ANS-what , if any is the suitable action for the
nurse to take NSAIDS consisting of ibuprofen boom the renal reabsorption of lithium carbonate ,
in all likelihood main to lithium carbonate toxicity . Therefor this client could keep away from
NSAIDS . The nurse have to notify the company of patron headache and ibuprofen us
A consumer with a peptic ulcer had a partial gastrectomy and vagotomy (Billroth I). In planning
the discharge teaching, the customer must be suggested by way of the nurse about which of the
subsequent?
(1. Sit up for as a minimum half-hour after ingesting.
2. Avoid fluids among food.
3. Increase the intake of high-carbohydrate foods.
