ATI RN VATI Comprehensive Predictor 2019 Form B

A nurse is caring for a client who had abdominal surgery 24 hr ago. Which of the following actions is the nurse's priority? Correct Ans ~ Assist with deep breathing and coughing A nurse is talking with a client who has stage IV breast cancer. The nurse should recognize which of the following statements by the client as a constructive use of a defense mechanism? Correct Ans ~ "I told my doctor that I would like to start a support group for other women who are sick in my community" A nurse is caring for a client who has immunosuppression and a continuous IV infusion. Which of the following actions should the nurse take? Correct Ans ~ Monitor the client's mouth every 8 hr A nurse is caring for a 2 month old infant who has Hirschsprung disease (HD). Which of the following areas should the nurse assess for manifestations of HD? Correct Ans ~ C The nurse should assess the infant's abdomen for distention and visible peristalsis, which are manifestations of HD A nurse at a mental health clinic is caring for four clients. The nurse should recognize the following clients is using dissociation as a defense mechanism? Correct Ans ~ A client who was abused as a child describes the abuse as if it happened to someone else A nurse is providing teaching to a client who has a new diagnosis of type 1 diabetes mellitus. The nurse should instruct the client to monitor for which of the following findings as a manifestation of hypoglycemia? Correct Ans ~ irritability A nurse in an outpatient mental health clinic is caring for four clients. The nurse should recognize that which of the following clients is effectively using sublimation as a defense mechanism? Correct Ans ~ A client who channels their energy into a new hobby following the loss of their job A hospice nurse is consulting with a client and her family about receiving home services. Which of the following statements should the nurse identify as an indication that the family understands home hospice care? Correct Ans ~ "We can expect the hospice nurse to provide support for us after our mother's death" A nurse is caring for a client who has active tuberculosis. Which of the following actions should the nurse take? Correct Ans ~ Assign the client to a private room with negative air pressure A nurse is providing teaching to a client who is at 24 weeks of gestation and is schedule for a 3 hour oral glucose tolerance test. Which of the following instructions should the nurse include in the teaching? Correct Ans ~ "You will need to fast the night before the test" A nurse on a pediatric unit has received change of shift report for four children. Which of the following children should the nurse assess first? Correct Ans ~ A 10 year old child who is awaiting surgery for an appendectomy and experienced sudden relief from pain A nurse in a community center is providing an education session to a group of clients about ovarian cancer. Which of the following manifestations of ovarian cancer should the nurse include in the teaching? Correct Ans ~ Abdominal bloating A nurse is caring for a client who is postoperative after receiving moderate (conscious) sedation. The client suddenly becomes restless and reports feeling lightheaded. Which of the following actions should the nurse take? Correct Ans ~ Check the client's oxygen saturation level A nurse is working in an emergency department is triaging four clients. Which of the following clients should the nurse recommend for treatment first? Correct Ans ~ A middle adult client who has unstable vital signs A nurse is providing teaching for a client who has a fracture of the right fibula with a short leg cast in place and a new prescription for crutches. The client is non-weight bearing for 6 weeks. Which of the following instructions