ATI RN VATI
COMPREHENSIVE
PREDICTOR FORM A
• A client who has a diagnosis of complete placenta previa
is admitted to the labor and delivery suite
at 36 weeks gestation with contractions 5 min in frequency and 1
min in duration. Which of the
following actions should the nurse take?
,• Rupture the amniotic sac
• Medicate the client for pain
• Prepare the client for a cesarean section
• Perform a vaginal exam ANSWER Prepare the client for a
cesarean section
• A nurse enters a client's room and finds the client lying on
the floor in a puddle of water. Which of
the following statements should the nurse document in an
incident report?
• Client fell out of bed because an assistive personnel left
the rails of the bed down
• Client's roommate thinks the client is confused and fell when
getting out of bed
• Client appears to have slipped in water but reports no
injuries
,• Client found lying on the floor near the bedside table
ANSWER Client found lying on the floor near the bedside
table
• A charge nurse on a pediatric unit is making assignments
for a float nurse from the medical unit.
Which of the following clients is appropriate to assign to the float
nurse?
• A 10-year-old client who has pneumonia and is
receiving respiratory treat- ments
• A 4-year-old client who has a Wilms tumor and is receiving
chemotherapy
• An 8-month-old client who is scheduled for a surgical
repair of a ventricular septal defect tomorrow
• A 14-year-old client who is scheduled for discharge
today following place- ment of a Herrington rod ANSWER
, Aa110-year-
olda1clienta1whoa1hasa1pneumoniaa1anda1isa1receivinga1respiratorya1tre
atments
• Aa1nursea1isa1preparinga1toa1administera1vancomycina1toa1aa1
clienta1whoa1hasa1ana1infecteda1wound.a1Thea1nurse
shoulda1plana1toa1monitora1fora1whicha1ofa1thea1followinga1adversea1re
actions?
• Hepatotoxicity
• Ototoxicity
• Hypercalcemia
• Hypertension ANSWER Ototoxicity
• Aa1nursea1isa1assessinga1ana1infanta1whoa1hasa1watera 1 i
ntoxication.a1Whicha 1 ofa 1 thea1followinga1findingsa1should
thea1nursea1expect?
a1
• Generalizeda 1 edema
COMPREHENSIVE
PREDICTOR FORM A
• A client who has a diagnosis of complete placenta previa
is admitted to the labor and delivery suite
at 36 weeks gestation with contractions 5 min in frequency and 1
min in duration. Which of the
following actions should the nurse take?
,• Rupture the amniotic sac
• Medicate the client for pain
• Prepare the client for a cesarean section
• Perform a vaginal exam ANSWER Prepare the client for a
cesarean section
• A nurse enters a client's room and finds the client lying on
the floor in a puddle of water. Which of
the following statements should the nurse document in an
incident report?
• Client fell out of bed because an assistive personnel left
the rails of the bed down
• Client's roommate thinks the client is confused and fell when
getting out of bed
• Client appears to have slipped in water but reports no
injuries
,• Client found lying on the floor near the bedside table
ANSWER Client found lying on the floor near the bedside
table
• A charge nurse on a pediatric unit is making assignments
for a float nurse from the medical unit.
Which of the following clients is appropriate to assign to the float
nurse?
• A 10-year-old client who has pneumonia and is
receiving respiratory treat- ments
• A 4-year-old client who has a Wilms tumor and is receiving
chemotherapy
• An 8-month-old client who is scheduled for a surgical
repair of a ventricular septal defect tomorrow
• A 14-year-old client who is scheduled for discharge
today following place- ment of a Herrington rod ANSWER
, Aa110-year-
olda1clienta1whoa1hasa1pneumoniaa1anda1isa1receivinga1respiratorya1tre
atments
• Aa1nursea1isa1preparinga1toa1administera1vancomycina1toa1aa1
clienta1whoa1hasa1ana1infecteda1wound.a1Thea1nurse
shoulda1plana1toa1monitora1fora1whicha1ofa1thea1followinga1adversea1re
actions?
• Hepatotoxicity
• Ototoxicity
• Hypercalcemia
• Hypertension ANSWER Ototoxicity
• Aa1nursea1isa1assessinga1ana1infanta1whoa1hasa1watera 1 i
ntoxication.a1Whicha 1 ofa 1 thea1followinga1findingsa1should
thea1nursea1expect?
a1
• Generalizeda 1 edema
