ATI PN COMPREHENSIVE PREDICTOR FORM A EXAM
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180 NGN QUESTIONS AND VERIFIED ANSWERS & RATIONALES
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WELL GRADED, BEST ATI COMPREHENSIVE
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1. A nurse is assisting in the care of a client who is 1 hr postpartum.
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Exhibit 1 Nurses' n n n
Notes 1200: n
Large amount of lochia rubra noted on perineal pad. Fundus boggy at two fingerbreadths
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above the umbilicus.Oxytocin 20 units being administered via continuous IV infusion
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1215:
Large amount of lochia rubra with several large clots noted. Client reports feeling anxious
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. Skin cool and clammy. Provider notified.
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Exhibit 2 Vital n n n
Signs 1200:
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1
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,Temperature 37.5° C (99.5° F)Heart rate 92/minRespiratory: Select the 6 actions the nurse s
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hould take. n
Weigh the perineal pads.
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Insert an indwelling urinary catheter. Administer m
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ethylergonovine.
Provide emotional support.
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Administer oxygen at 12 L/min via nonrebreather face mask. Firml
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y massage the uterine fundus.
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When taking action for the client, the nurse should firmly massage the uterine fundus, adm
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inister methylergonovine, weigh the perineal pads, provide emotional support, insert an in
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dwelling urinary catheter, and administer oxygen at 12 L/min via nonrebreather face mask. T
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he nurse should identify that the client is experiencing a postpartum hemorrhage, which re
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quires immediate intervention to prevent hemor- rhagic shock.
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2. A nurse is collecting data from a client who is scheduled for surgery. Exhibit 1
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2
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,Vital Signs 0630:
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Temperature 36.9° C (98.5° F)Heart rate 74/minRespiratory rate 20/minBlood pressure 1
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22/76 mmHgOxygen saturation 96% on room air
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0730:
Temperature 36.9° C (98.5° F)Heart rate 76/minRespiratory rate 20/minBlood pressure 1
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28/78 mmHgOxygen saturation 95% on room air
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3
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, Exhibit 2 n
Nurses' Notes 06 n n
30:
Client reports restlessness and inability to sleep more than 3 to 4 hr per night for the last w
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eek. Cli: Click to highlight the data collection findings that the nurse should report to the pr
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ovider prior to the procedure. To deselect a finding, click on the finding again.
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Hemoglobin level Allergy n n
Family history n
When collecting data from the client and analyzing cues, the nurse should determine the clien
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t's hemoglobin level, latex allergy, and family history of malignant hyperther-
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n mia should be reported to the provider. When the client's hemoglobin level is below the exp
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ected range, the client might require blood products during the intraoperative phase. The clie
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nt's allergy to avocados and bananas can indicate an allergy to latex products and should be
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reported to the provider. The surgical team will need to remove all latex products from the o
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perating room. During the intraoperative phase, the nurses must be diligent in monitoring t
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4
n/n42
n n n n n n
180 NGN QUESTIONS AND VERIFIED ANSWERS & RATIONALES
n n n n n n n n
WELL GRADED, BEST ATI COMPREHENSIVE
n n n n
1. A nurse is assisting in the care of a client who is 1 hr postpartum.
n n n n n n n n n n n n n n
Exhibit 1 Nurses' n n n
Notes 1200: n
Large amount of lochia rubra noted on perineal pad. Fundus boggy at two fingerbreadths
n n n n n n n n n n n n n n
above the umbilicus.Oxytocin 20 units being administered via continuous IV infusion
n n n n n n n n n n
1215:
Large amount of lochia rubra with several large clots noted. Client reports feeling anxious
n n n n n n n n n n n n n
. Skin cool and clammy. Provider notified.
n n n n n n
Exhibit 2 Vital n n n
Signs 1200:
n
1
n/n42
,Temperature 37.5° C (99.5° F)Heart rate 92/minRespiratory: Select the 6 actions the nurse s
n n n n n n n n n n n n n
hould take. n
Weigh the perineal pads.
n n n
Insert an indwelling urinary catheter. Administer m
n n n n n n
ethylergonovine.
Provide emotional support.
n n
Administer oxygen at 12 L/min via nonrebreather face mask. Firml
n n n n n n n n n
y massage the uterine fundus.
n n n n
When taking action for the client, the nurse should firmly massage the uterine fundus, adm
n n n n n n n n n n n n n n
inister methylergonovine, weigh the perineal pads, provide emotional support, insert an in
n n n n n n n n n n n
dwelling urinary catheter, and administer oxygen at 12 L/min via nonrebreather face mask. T
n n n n n n n n n n n n n
he nurse should identify that the client is experiencing a postpartum hemorrhage, which re
n n n n n n n n n n n n n
quires immediate intervention to prevent hemor- rhagic shock.
n n n n n n n
2. A nurse is collecting data from a client who is scheduled for surgery. Exhibit 1
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2
n/n42
,Vital Signs 0630:
n n
Temperature 36.9° C (98.5° F)Heart rate 74/minRespiratory rate 20/minBlood pressure 1
n n n n n n n n n n
22/76 mmHgOxygen saturation 96% on room air
n n n n n n
0730:
Temperature 36.9° C (98.5° F)Heart rate 76/minRespiratory rate 20/minBlood pressure 1
n n n n n n n n n n
28/78 mmHgOxygen saturation 95% on room air
n n n n n n
3
n/n42
, Exhibit 2 n
Nurses' Notes 06 n n
30:
Client reports restlessness and inability to sleep more than 3 to 4 hr per night for the last w
n n n n n n n n n n n n n n n n n n
eek. Cli: Click to highlight the data collection findings that the nurse should report to the pr
n n n n n n n n n n n n n n n n
ovider prior to the procedure. To deselect a finding, click on the finding again.
n n n n n n n n n n n n n
Hemoglobin level Allergy n n
Family history n
When collecting data from the client and analyzing cues, the nurse should determine the clien
n n n n n n n n n n n n n n
t's hemoglobin level, latex allergy, and family history of malignant hyperther-
n n n n n n n n n n
n mia should be reported to the provider. When the client's hemoglobin level is below the exp
n n n n n n n n n n n n n n n
ected range, the client might require blood products during the intraoperative phase. The clie
n n n n n n n n n n n n n
nt's allergy to avocados and bananas can indicate an allergy to latex products and should be
n n n n n n n n n n n n n n n n
reported to the provider. The surgical team will need to remove all latex products from the o
n n n n n n n n n n n n n n n n
perating room. During the intraoperative phase, the nurses must be diligent in monitoring t
n n n n n n n n n n n n n
4
n/n42