ATI PN Comprehensive Predictor Form C |Questions and Answers|With Correct Answers & Rationale

ATI PN Comprehensive Predictor Form C |Questions and
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Answers|With Correct Answers & Rationale vt vt vt vt vt




1 Anurse is caring for a client who has bipolar disorder and is experiencing acute
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mania. The nurse obtained a verbal prescription for restraints. Which of the
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following should the actions the nurse take?
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Document the client's condition every 15 minutes vt vt vt vt vt vt




2 A nursing planning care for a school-age child who is 4 hr postoperative
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following perforated appendicitis. Which of the following actions should the
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nurse include in the plan of care?
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Administer analgesics on a scheduled basis for the first 24 hr vt vt vt vt vt vt vt vt vt vt




3 Anurse is receiving a change-of-shift report for a group of clients. Which of the
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following clients should the nurse plan to assess first?
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A client who has a hip fracture and a new onset of tachypnea
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4 Anurse is preparing to apply a transdermal nicotine patch for a client. Which of the
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following actions should the nurse take?
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Wear gloves to apply the patch to the client's skin
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5 Anurse has just received a change-of-shift report for four clients. Which of the
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following clients should the nurse assess first?
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Aclient who was just given a glass of orange juice for a low blood glucose level
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6 Anurse is caring for a client who is receiving intermittent enteral tube feedings.
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Which of the following places the client at risk for aspiration?
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Ahistory of gastroesophageal reflux disease
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7 A nurse is reviewing the laboratory results for a client who has Cushing's
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disease. The nurse should expect the client to have an increase in which of the
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following laboratory values?
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Serum glucose level- increased
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, 8 A nurse is caring for a client who has severe preeclampsia and is receiving
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magnesium sulfate intravenously. The nurse discontinues the magnesium sulfate
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after the client displaces toxicity. Which of the following actions should the nurse
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take?
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Administer calcium gluconate IVvt vt vt




Rationale: Calcium gluconate is given for magnesium sulfate toxicity.Always have an
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injectable form of
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calcium gluconate available when administering magnesium sulfate by IV.
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9 Acharge nurse is teaching new staff members about factors that increase a
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,client's risk to become violent. Which of the following risk factors should the nurse
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include as the best predictor of future violence?
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Previous violent behavior vt vt




Risk factors also include: past history of aggression, poor impulse control, and violence.
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Comorbidity that leads to acts of violence (psychotic delusions, command hallucinations,
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violent angry reactions with cognitive disorders).
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10 Anurse is preparing to perform a sterile dressing change. Which of the
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following actions should the nurse take when setting up the sterile field?
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Place the cap from the solution sterile side up on clean surface
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11 A nurse is providing teaching to an older adult client about methods to
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promote nighttime sleep. Which of the following instructions should the nurse
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include?
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Eat a light snack before bedtime
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12 Ahome health nurse is preparing for an initial visit with an older adult client
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who lives alone. Which of the following actions should the nurse take first?
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Identify environmental hazards in the home
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13 Anurse is assessing the remote memory of an older adult client who has mild
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dementia. Which of the following questions should the nurse ask the client? "What
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high school did you graduate from"
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14 A nurse is providing teaching to an adolescent who has type 1 diabetes
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mellitus. Which of the following goals should the nurse include in the teaching?
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HbA1c level less than 7%
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15 Anurse is caring for a client who is 1 hr postoperative following rhinoplasty.
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Which manifestations require immediate action by the nurse?
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Increase in frequency of swallowing vt vt vt vt

, 16 Anurse is planning care for a preschool-age child who is in the acute phase of
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Kawasaki disease. Which of the following interventions should the nurse include
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in the plan of care?
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Monitor the child's cardiac status vt vt vt vt




17 A nurse is planning an educational program for high school students about
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cigarette smoking. Which of the following potential consequences of smoking is
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most likely to discourage adolescents from using tobacco?
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Use of tobacco decreases the level of athletic ability
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18 Anurse is assessing a client who is prescribed spironolactone. Which of the
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following laboratory values should the nurse monitor for this client?
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Serum potassium- diuretic that retains potassium= hyperkalemia risk
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19 Anurse has agreed to serve as an interpreter for an older adult client who is
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assigned to another nurse. Which of the following statements by the nurse
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indicates an understanding of this role?
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"I will let the client know that I am available as the interpreter."
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20 Anurse is performing assessments on newborns in the nursery. Which of the
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following findings should the nurse report to the provider?
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A two day old newborn who has a respiratory rate of 70 -->30 - 60 is normal
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21 A nurse is providing discharge instructions to a client who has a new
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prescription for haloperidol. Which of the following adverse effects should the
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nurse instruct the client to report to the provider?
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