ATI RN comprehensive predictor retake 2019 100 Correct Q & A ATI RN comprehensive predictor retake | ATI RN COMPREHENSIVE PREDICTOR RETAKE 2019 100% Correct | ATI RN COMPREHENSIVE PREDICTOR RETAKE

ATI RN comprehensive predictor retake 2019 100 Correct Q & A ATI RN comprehensive predictor retake | ATI RN COMPREHENSIVE PREDICTOR RETAKE 2019 100% Correct | ATI RN COMPREHENSIVE PREDICTOR RETAKE 1. A nurse is caring for a child with sickle cell anemia and is having a Vaso-occlusive crisis. Which intervention should the nurse implement first? D) Increase oral fluid 2. A nurse is caring for a 1-day-old newborns who has jaundice and is receiving phototherapy. Which of the following actions should the nurse take? Ensure that the newborn wears a diaper. 3. A nurse is preparing a client for a paracentesis. What action should the nurse take? Instruct the client to void prior to the procedure. 4. A nurse is providing dietary teaching to a client who has end-stage of kidney disease and a potassium level of 6. Which of the following is the best food the nurse to recommend? 1. Hard boiled eggs. 5. A director of nursing in a rehab facility is planning for measure of quality care provided. Which of the following should the nurse director plan to use after the client is discharged to gather information about quality of care? a. Outcome audit 6. A nurse is caring for a client who repeatedly refuses meals, a nurse overhears an AP telling the client “If you don’t eat, I’ll put restraint on you” … The nurse should intervene. a. Assault 7. A nurse is caring for a client who reports insomnia. Which of the following is a priority for the nurse to report to the provider? a. Wake up to urinate during the night. lOMoARcPSD| 8. A nurse is planning care for a client who has an L4 spinal cord injury. Which of the following interventions to prevent skin breakdown should the nurse include in the plan of care? a. Massage reddened area over bony prominences 9. charge nurse is teaching a group of newly licensed nurses about the correct use of restraints. Which of the following should the nurse include in the teaching? 1. Applying elbow immobilizers of an infant receiving cleft lip injury 10. A nurse preparing to initiate IV fluid via infusion pump to a client. Which of the following action should the nurse take? a. Check the expiration date? 11. A nurse is proving discharge instruction about newborn to client who is 2 days postpartum. Which of the following should be include? a. Use car seat when travelling by airplane 12. A nurse as identified task to delegate to a group of an AP. a. Evaluate to perform each task b. Communicate appropriate task to AP 13. Adverse effect of furosemide? a. Hearing loss 14. New diagnose of type 2 diabetes. Client readiness to learn: a. I like to wait when my partner is here so we can both learn together. 15. Diazepam overdose medication for reversal? a. Flumazenil lOMoARcPSD| 16. The nurse is planning a community health program about Parkinson’s disease. Which of the following intervention the nurse indicates as a tertiarily prevention strategy? a. Ambulation for client with Parkinson’s disease 17. A nurse is teaching a newly license nurse about incident report. Which of the following statement indicate understanding? a. They assist with quality improvement. 18. Peak expiratory flow meter teaching: Blow air as hard and quickly as possible. 19. A nurse is caring for an infant who has RSV. a. Suction prior to feeding. 20. A nurse is preparing to teach the parent of a child who has cystic fibrosis. Which of the following teaching should the nurse plan to include? a. Provide a diet high in protein and calories. 21. Taking Cyclosporine following a kidney transplant. Which Lab to report? a. Creatinine of 1.6 22. Auditory Hallucination teaching? a. Encourage the client listen to music. 23. A nurse is preforming a gastric lavage for a client who has upper gastrointestinal bleeding. Which of the following action should the nurse take? B. Insert a large-bore NG tube. 24. A nurse is planning care for a group of clients, which of the following measure should the nurse to manage time effectively? a. Gather supplies prior to completing a dressing change. lOMoARcPSD| 25. A nurse is teaching a group of newly licensed nurses about client advocacy. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching? a. “I will intervene if there is conflict between a client and his provider” 26. A nurse is assessing a client who is pregnant and has new diagnosis of hyperemesis gravidarum. Which of the following finding should the nurse expect? a. Urine output of 20 mL/Hr. 27. Apply physical restraint: a. to maintain the patency of an IV line 28. A nurse is assessing a client who has anorexia nervosa. Which of the following finding indicates effectiveness of the treatment plan? a. The client has clinical manifestation of dehydration 29. A nurse is assessing and older adult for social isolation. The nurse should identify that which of the following statement by the client indicates a risk for social isolation? a. My hearing aids have lost so I don’t attend Bingo like I used to. 30. A nurse is teaching a client who is pregnant and has a new prescription for Iron supplement. Which of the following statement should the nurse include? a. You might become constipated while taking this medication. 31. Abdominal Assessment orders: a. Inspection; Auscultation; Percussion; Palpation. 32. First indication of Peritonitis? a. Abdominal pain lOMoARcPSD| 33. A nurse in an emergency department is caring for a 3-year-old child who has suspected epiglottitis. Which of the following action should the nurse take? a. Prepare client for intubation 34. A nurse is caring for a client who is 4 hours postpartum, client report urges to void but unable to void. Which of the following action should the nurse take? a. Massage the fundus 35. Screening an adolescent for idiopathic scoliosis, which of the following assessment should the nurse perform part of the screening? a. Measure the trunk location 36. Postpartum hemorrhage teaching? a. Inversion of the uterus. 37. A charge nurse is preparing to lead negotiations among nursing staff due to conflict about overtime requirements. Which of the following strategies should the nurse use to promote effective negotiation? a. Attempts to understand both sides of the situation. 38. Kosher diet tradition food choice? a. Scramble eggs and toast with milk. 39. A nurse is caring for client who is 11 weeks’ gestation, which of the following immunization should the nurse recommends? a. Inactivated Influenza vaccine b. Tetanus diphtheria and acellular pertussis vaccine. lOMoARcPSD| 40. A home health nurse is preparing to make an initial visit to a family home from a local provider. Identify the sequence of the step the nurse should take when conducting a home visit. A. 3) Identify family needs interventions using the nursing process. B. 4) Record information about the home visit according to agency policy. C. 2) Contact the family to determine availability and readiness to make an appointment D. 5) Discuss plans for future visits with the family. E. 1) Clarify the reason for the referral with the provider’s office. E C A B D 41. A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate. The nurse should identify that which of the following finding as sign of magnesium toxicity. a. Hyperventilation 42. Newborn that has been circumcised. Which of the following instruction should the nurse include in the teaching? a. Apply petroleum jelly at each diaper changes 43. Discharge teaching for client with type 1 diabetes about preventing diabetic-ketoacidosis: a. I should check my blood sugar twice a day 44. The nurse is caring for a client who is obese, the client is crying “everyone is staring at me because my weight”, which of the following is the proper response should the nurse make? a. Do you feel uncomfortable around others? 45. A nurse is teaching about preventative measures to a female client who has chronic urinary tract infections. Which of the following interventions should the nurse include in the teaching? a. Void every 4 hours. 46. A nurse is teaching a client who has heart failure about engaging in exercise program. Which of the following statement by the client indicates an understanding of teaching? a. Make sure you can still talk while exercising 47. Leave against medical advice: a. Ask the client to sign a form. 48. A nurse is assessing a client who has opioid use disorder. Which of the following should the nurse expect for opioid withdrawal? a. Tachycardia lOMoARcPSD| 49. Client with COPD? a. Give the client autonomy and scheduling activity 50. Anti-embolic stocking: a. Make sure the client stockings are biding. 51. Pressure ulcer where Coccyx fat is visible is: a. Stage 3 52. Oxycodone? a. Avoid grapefruit juice 53. A nurse mangaer is reviewing documentation with a newly licensed nurse. Which of the following notations by the newly licensed nurse indicates an understanding of the teaching? a. “Administered 8 u regular insulin sq.” 54. Dressing change in a child? a. Explain in simple term how the procedure is going to affect the child. 55. Phenelzine what can you eat? a. Whole grain bread 56. A nurse is caring for a client who is at 38 weeks gestation, is in active labor, and has ruptured membrane. Which of the following actions should the nurse take? a. Apply fetal heart rate monitor 57. Teaching about security computerized? a. Information technology will install a firewall to protect client information. 58. Client advocacy a. …a client gets a second opinion for diagnosis. 59. A nurse is preparing discharge information for a client who has type 2 diabetes mellitus. Which of the following resources should the nurse provide to the client? a. Food exchange lists for meal planning from the American Diabetes Association 60. A nurse is caring for a client wo has severe hypertension and is to receive nitroprusside via continuous IV infusion. Which of the following actions should the nurse plan to take? a. (Limit or remove?) IV bag from exposure to light. 61. The nurse is teaching a group of clients at a community health fair about genetic disease. Which of the following statements by a client indicates an understanding of the teaching? C. “My family has genetic risk for breast cancer, so I am considering a total mastectomy” lOMoARcPSD| 62. National notifiable disease: a. Lyme disease. 63. Intracranial pressure following a brain injury? 64. Positive Skin TB test for a client: a. 10 65. A nurse is caring for a 5-month-old infant who has manifestations of severe dehydration and a prescription for paternal fluid therapy. The guardian asks. “What are the indications that my baby needs an IV?” Which of the following responses should the nurse make? A. “Your baby needs an IV because she is not producing any tears” 66. Postpartum hemorrhage medication: a. Methylergonovine 67. A nurse is planning care for a client who has unilateral paralysis and dysphagia following a right hemispheric stroke. Which of the following interventions should the nurse include in the plan? . Place the client’s left arm on a pillow while he is sitting. 68. Child has been sexually abused by family member. a. Use leading statement to obtain information from the child. 69. A nurse realizes that the wrong medication has been administered to a client. Which of the following actions should the nurse take first? a. Monitor vital signs. 70. Client partner recently died; the nurse stays with the client: a. Beneficent b. RN Comprehensive Predictor 2019 Form A 1. A nurse in a pediatric unit is preparing to insert an IV catheter for 7-year-old. Which of the following actions should the nurse take? 1. Tell the child they will feel discomfort during the catheter insertion. 2. A nurse is caring for a client who has arteriovenous fistula Which of the following findings should the nurse report? lOMoARcPSD| Absence of a bruit. 3. A nurse is providing discharge teaching for a client who has an implantable cardioverter defibrillator which of the following statements demonstrates understanding of the teaching? 1. “I will wear loose clothing around my ICD” 4. A nurse is caring for a client who is at 14 weeks gestation and reports feelings of ambivalence about being pregnant. Which of the following responses should the nurse make? 1. “Describe your feelings to me about being pregnant” 5. A nurse is planning care for a client who has a prescription for a bowel- training program following a spinal cord injury. Which of the following actions should the nurse include in the plan of care? 1. Administer a rectal suppository 30 minutes prior to scheduled defecation times. 6. A nurse is caring for a client who is in active labor and requests pain management. Which of the following actions should the nurse take? 1. Place the client in a warm shower. 7. a nurse in an emergency department is performing triage for multiple clients following a disaster in the community. To which of the following types of injuries should the nurse assign the highest priority? 1. Below-the knee amputation 8. a nurse manager is updating protocols for the use of belt restraints. Which of the following guidelines should the nurse include? 1. Document the client’s condition every 15 min 9. A nurse is teaching an in-service about nursing leadership. Which of the following information should the nurse include about an effective leader? 1. Acts as an advocate for the nursing unit. 10. A nurse is reviewing the laboratory findings of a client who has diabetes mellitus and reports that she has been following her (unable to read) care. The nurse should identify which of the following findings indicates a need to revise the client’s plan of care. 1. Hba1c 10 % lOMoARcPSD| 11. A nurse in a provider’s office is reviewing the laboratory results of a group of clients. The nurse should identify that which of the following sexually transmitted infections is a nationally notifiable infectious disease that should be reported to the state health department? 1. Chlamydia 12. A nurse is teaching a newly licensed nurse about therapeutic techniques to use when leading a group on a mental health unit. Which of the following group facilitation techniques should the nurse include in the teaching? 1. Use modeling to help the clients improve their interpersonal skills 13. A nurse is planning for a client who practices Orthodox Judaism. The client tells the nurse that (Unable to read) Passover holiday. Which of the following action should the nurse include in the plan of care? 1. Provide unleavened bread. 14. A nurse is caring for a client who has a pulmonary embolism. The nurse should identify the effectiveness of the treatment 1. The client reports feeling less anxious. 15. A nurse in an emergency department is assessing a client who reports ingesting thirty diazepam tablets (Unable to read) a respiratory rate of 10/min. After securing the client’s airway and initiating an IV, which of the following actions should the nurse do next. 1. Administer flumazenil to the client. 16. A nurse in an emergency department is caring for a client who reports cocaine use 1hr ago. Which of the following findings should the nurse expect? 1. Elevated temperature 17. A nurse is assessing a newborn who has a blood glucose level of 30 mg/dl. Which of the following manifestations should the nurse expect? B. Jitteriness 18. A nurse in a pediatric clinic is reviewing the laboratory test results of a school age child. Which of the following findings should the nurse report to the provider? 1. WBC 14,000/mm3 lOMoARcPSD| 19. A charge nurse is teaching a newly licensed nurse about clients designating a health care proxy in situations that require a durable power of attorney for heal care (DPSHC). Which of the following information should the charge nurse include? 1. “The proxy can make treatment decisions if the client is under anesthesia.” 20. A nurse in the PACU is caring for a client who reports nausea. Which of the following actions should the nurse take first? 1. Turn the client on their side. 21. A nurse is caring for a client who has a history of depression and is experiencing a situational crisis. Which of the following actions should the nurse take first? 1. Confirm the client’s perception of the event 22. A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. The nurse obtained a verbal prescription for restraints. Which of the following should the actions should the nurse take? 1. Document the client’s condition every 15 minutes. 25. A nurse is working on a surgical unit is developing a care plan for a client who has paraplegia. The client has an area of nonblanchable erythema over his ischium. Which of the following interventions should the nurse include in the care plan? 1. Place the client upright on a donut-shaped cushion 25. A nurse is caring for a client who is dilated to 10 cm and pushing. Which of the following pain-management (Unable to read) a safe option for the client? following is an appropriate nursing intervention? 1. Place the bedside table on the right side of the bed. 27. A nurse is assessing a client who has major depressive disorder. Which of the following findings should the nurse identify as the (Unable to read) (Most important?) 1. The client reports giving away personal items. 28. A nurse is providing teaching about immunizations to a client who is pregnant. The nurse should inform the client that she can receive which of the following immunizations during pregnancy? (Select all that apply) 1. Tetanus diphtheria and acellular pertussis vaccine lOMoARcPSD| 2. Inactivated influenza vaccine. 29. A nurse is caring for a client who has end-stage kidney disease. The client’s adult child asks the nurse about becoming a living kidney donor for her father. Which of the following condition in the child’s medical history should the nurse identify as a contraindication to the procedure? C. Hypertension 31. A hospice nurse is visiting with the son of a client who has terminal cancer. The son reports sleeping very little during the past week due to caring for his mother. Which of the following responses should the nurse make? 1. “I can give you information about respite care if you are interested.” 31. A nurse is assessing a child who is being treated for bacterial pneumonia. The nurse notes an increase in the child’s glucose. The nurse should identify this finding as an adverse effect of which of the following medications A. Methylprednisolone. 32. The nurse is providing teaching about folic acid to a client who is prima gravida. Which of the following information should the nurse include in the teaching? 1. “You can increase your dietary intake of folic acid by eating cereals and citrus fruits”. 33. A community health nurse is assessing an adolescent who is pregnant. Which of the following assessments is the nurse’s priority? A. Social relationship with peers. B. Plans for attending school while pregnant. C. (Unable to read) (Picked this one) Medicaid? D. Understanding of infant care. 34. A nurse manager is planning to teach staff about critical pathways. Which of the following information should the nurse include? 1. decrease health care costs. 35. A nurse is reviewing the medical record of a client who has schizophrenia. Which of the following should the nurse report to the provider? Exhibit 1 Blood pressure: 102/56 mm Hg. Heart rate: 95/min Respiratory rate: 18/min Temperature: 37.4C (99.3F) lOMoARcPSD| Exhibit 2 Medication Administration Record Clozapine 150 mg PO twice daily Benztropine 0.5 mg PO twice daily as needed for tremors. Exhibit 3 Nurse’s notes: Client reports feeling dizzy when changing positions, Reports weight gain of 1kg (2.2 lb.) in the past month. Also reports a sore throat for the past 3 days and dry mouth. Client ate 75% of breakfast and reports slightly nauseous. 1. Sore throat.