ATI PN Comprehensive PredictorForm B 180 Questions and Answers LATEST APRIL 2023

1. A nurse in a long-term care facility is assisting with an inservice for newly hired assistive personnel about legal issues within the facility. WhichofIthe following should the nurse include as an example ofIassault? ANS: Informing a client the nurse is going to administer an injection even though the client refuses . 2. A nurse is collecting data from who is severe pain. Which ofIthe following questions should the nurse ask first? ANS: "Where is your pain located?" 3. A nurse is reviewing the laboratory results for a client who is at 29 weeks gestation. For which of the following results should the nurse notify the provider? ANS: Platelet count 95,000 mm3 4. A nurse is performing a dressing change for a client who had abdominal surgery 5 day s ago. The nurse notes organs protruding from the incision. Which of the following act ions should the nurse take? ANS: Cover the exposed area with sterile, saline-soaked dressings. 5. A nurse is speaking with the adult daughter ofIa client who has Alzheimer's disease. T he daughter states, "I love my dad, but caring for him is wearing me out." Which of th e following response should the nurse make? ANS: "Let's discuss how caring for your father is afollowingecting your health. 6. A nurse is contributing to the plan ofIcare for a care for a client who has chest tube co nnected to a closed drainage system. Which ofIthe following actions should the nurse i nclude in the plan of care? ANS: Maintain the drainage system below the level ofIthe client's chest. 7. A nurse in an acute mental health facility is caring for a client who has borderline personality disorder and reports. "I am going to kill my girlfriend when I get out ofIhere." Which ofIthe following actions should the nurse take? ANS: Notify the client's care team of the threats against the partner 8. A nurse is admitting a client who is at high risk for suicide. Which ofIthe following actions is the nurse's priority? ANS: Search the client's personal belongings 9. A nurse is caring for a client who is 1 day postoperative and is unable to ambulate. W hich ofIthe following actions should the nurse take to promote the client's venous return? ANS: Maintain the sequential compression device. 10. A nurse on an acute care unity is collecting data from a school- age Child who has cystic fibrosis. Which ofIthe following findings is the priority for the nurse? ANS: Reports lack ofIappetite 11. a nurse working in a provider's ofollowingice receives a phone call from the parent ofIa schoolage child who has varicella. The parent asked the nurse when the child can return to school. Which ofIthe following responses should the nurse make? ANS: "When the lesions have scabbed over." 12. A nurse in a pediatric clinic is collecting the data from a schoolage child whose injuries are inconsistent with the parent's stated cause. Which ofIthe following actions should the nurse take? ANS: Report the suspected abuse to a appropriate agency. 13. A nurse is collecting data from a middle adult female client who is taking melatonin.Which ofIthe following responses to the med should the nurse expect? ANS: Improved sleep 14. A nurse on a pediatric unit is collecting data from four newly admitted clients. Which ofIthe following clients should the nurse identify as being at risk for urinary retention?ANS: A schoolage child who has allergic rhinitis and is taking diphenhydramine. 15. A nurse is preparing to administer purified protein derivative (PPD) to a client who ha s suspected TB. Which ofIthe following actions should the nurse plan to take? ANS: Ensure the injection produces a wheal on the skin 16. A client who is diagnosed with Parkinson's disease verbalizes frustration due to increas e difollowingiculty with ambulation. Which ofIthe following responses should the nurs e take? ANS: Perform active ROM with your arms and legs two