WITH VERIFIED QUESTIONS AND ANSWERS 100% ACCURATE
GRADED A+
ATI RN VATI COMPREHENSIVE
PREDICTOR FORM A&B EXAM
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A nurse is providing discharge instructions to a client who has a new prescription for warfarin. Which
of the following client statements should the nurse identify as an indication that the client
understands the teaching?
"I should report a change in the color of my stools."
"I can take acetaminophen to treat a headache."
"I will take a calcium supplement while taking this medication." "I
will return in a month to have my blood tested."
"I should report a change in the color of my stools."
A+ TEST BANK 1
,ATI RN VATI COMPREHENSIVE EXAM VERSION A AND B
WITH VERIFIED QUESTIONS AND ANSWERS 100% ACCURATE
GRADED A+
The nurse should inform the client that red, black, or tarry stools can indicate bleeding, an adverse
effect of warfarin, and the client should report these findings to the provider.
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The nurse should inform the client that taking acetaminophen can increase the risk for bleeding. The
nurse should inform the client that calcium supplements are not indicated while taking warfarin;
however, the client should maintain consistent intake of foods containing vitamin K. The nurse
should provide instructions to the client regarding monitoring requirements of the medication,
including daily blood draws for the first 5 days to establish appropriate warfarin dosage.
A nurse is assessing a client who has antisocial personality disorder. Which of the following
manifestations should the nurse expect?
Lack of remorse
Sensitivity to rejection
Extreme mood swings
Self-mutilating behavior
Lack of remorse
A client who has antisocial personality disorder is more likely to show a lack of remorse.
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A client who has narcissistic personality disorder is more likely to show sensitivity to rejection.
A client who has bipolar disorder is more likely to exhibit extreme mood swings.
A client who has a borderline personality disorder is more likely to exhibit self-mutilating behaviors.
A nurse is caring for an older adult client in the PACU following general anesthesia. Which of the
following findings should the nurse report to the provider?
A+ TEST BANK 2
,ATI RN VATI COMPREHENSIVE EXAM VERSION A AND B
WITH VERIFIED QUESTIONS AND ANSWERS 100% ACCURATE
GRADED A+
Urine output 120 mL in 4 hr
Systolic blood pressure 12 mm Hg lower than the preoperative level
Audible stridor
Normal sinus rhythm with an occasional premature ventricular contraction
Audible stridor
Audible stridor, or a high-pitched sound heard in the client's airway indicates edema, laryngeal
spasm, secretions, or some type of airway obstruction that could become life-threatening. The nurse
should report this finding to the provider.
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The nurse should monitor urinary output and report any amount less than 30 mL/hr.
The nurse should report blood pressure changes that are greater than a 15 to 20 mm Hg difference
from the client's baseline blood pressure.
Anesthesia medications and surgery, especially in older adult clients, are common causes of
premature ventricular contractions. The nurse should monitor the frequency of the premature
ventricular contractions but does not need to report this finding to the provider.
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A nurse is assessing a client who has skeletal traction for a femur fracture. Which of the following
findings should the nurse identify as the priority?
Muscle spasms of the affected extremity
A pain rating of 6 on a scale from 0 to 10
Upper chest petechiae
Ecchymosis over the fractured area
Upper chest petechiae
A+ TEST BANK 3
, ATI RN VATI COMPREHENSIVE EXAM VERSION A AND B
WITH VERIFIED QUESTIONS AND ANSWERS 100% ACCURATE
GRADED A+
The greatest risk to this client is organ damage from fat embolism syndrome, a life-threatening
complication of fractures. In fat embolism syndrome, a fat embolus enters the blood stream and can
obstruct blood vessels of a major organ, such as the lung, kidney, or brain. Manifestations include
petechiae on the upper torso, dyspnea, hypoxia, headache, lethargy, and confusion. Therefore, the
nurse should identify this as the priority finding.
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The nurse should reposition the client or check the weights to relieve the client's muscle spasms;
however, another finding is the priority.
The nurse should provide analgesia to relieve the client's moderate pain level; however, another
finding is the priority.
The nurse should identify ecchymosis over the fractured area as an expected finding due to localized
trauma and provide comfort measures; however, another finding is the priority.
A nurse is caring for a client who is 12 hr postoperative, is receiving PCA for pain control, and requires
a blood pressure check in 10 min. Which of the following staff members should the nurse assign to
collect this information?
An RN who is monitoring a client who started receiving a blood transfusion 5 min ago
An assistive personnel (AP) who just began performing a bed bath
A licensed practical nurse (LPN) who is reinforcing discharge instructions with a client
An assistive personnel (AP) who is assisting a client to return to bed
An assistive personnel (AP) who is assisting a client to return to bed
Performing a blood pressure check is within the range of function of an AP, and the AP should be
available to obtain a blood pressure within the specified time.
A+ TEST BANK 4