ATI RN COMPREHENSIVE PREDICTOR 2020/2021 RETAKE

64. A nurse in a clinic is reviewing the health history of a client during her first prenatal visit. Which of the following findings indicates a risk for gestational diabetes mellitus? A. 1-hr glucose tolerance test if 128 mg/dL B. Previous miscarriage C. Delivery of a low birth-weight infant D. BMI of 31 65. A nurse is caring for a client who is incontinent and has a stage II pressure injury on their coccyx. Which of the following interventions should the nurse implement? A. Apply lotion to the skin every 4 hr. B. Reposition the client every 3 hr. C. Position the client laterally at 30 degrees. D. Have two facility personnel help to slide the client up in bed. 66. A nurse manager is developing a protocol for an urgent care clinic that often cares for clients who do not speak the same language as the clinic staff. Which of the following instructions should the nurse include? A. Offer clients translation services for a nominal fee. B. Use clients’ children to provide interpretation. C. Evaluate clients’ understanding at regular intervals. D. Direct questions to a medical interpreter. 67. A nurse is caring for an infant who is in contact isolation and received a blood transfusion. Which of the following actions is appropriate for the nurse to provide cost-effective care? A. Leave the unused infusion pump in the room until discharge. B. Bring in formula as needed. C. Return unopened equipment to the supply center. D. Stock the room with a 2-day supply of disposable diapers. 68. A nurse is caring for a client who has acute exacerbation of multiple sclerosis. Which of the following prescriptions should the nurse expect the provider to prescribe? A. Interferon beta-1a B. Enoxaparin C. Atorvastatin D. Amoxicillin 69. A nurse is speaking with the partner of a client who is in the early stage of Alzheimer’s disease. The partner tells the nurse that she is able to manage the client’s physical care, but she doesn’t want to leave him home alone while she travels for work. Which of the following referrals should the nurse make? A. Respite care B. Restorative care C. Hospice D. Rehabilitation facility 70. A nurse is assessing a school-age child who has moderate dehydration due to diarrhea and vomiting. Which of the following manifestations should the nurse expect? A. Orthostatic hypotension B. Decreased respirations C. Polyuria D. Bradycardia 71. A nurse is caring for a client who is at 14 weeks of gestation and reports feelings of ambivalence about being pregnant. Which of the following responses should the nurse make? A. “When did you start having these feelings?” B. “Have you discussed these feelings with your partner?” C. “You should discuss your feelings about being pregnant with your provider.” D. “Describe your feelings to me about being pregnant.” ...........................................................................CONTINUED