A nurse is planning care for a newborn who has hyperbilirubinemia and is to receive phototherapy.
Which of the following interventions should the nurse include?
Place the newborn 45 cm (18 in) from the light source
3 an assistive personnel tells the nurse that several client measurements were ob...
ATI Predictor Test
2 A nurse is planning care for a newborn who has hyperbilirubinemia and is to receive phototherapy.
Which of the following interventions should the nurse include?
Place the newborn 45 cm (18 in) from the light source
3 an assistive personnel tells the nurse that several client measurements were obtained with morning
vital signs. Which of the following clients should the nurse plan to assess? Head injury HR 60
5 A community health nurse recognizes that the teen pregnancy rate in the community has increased.
Which of the following program-planning strategies should the nurse implement first?
Arrange a meeting with teenage mothers who are high school students in the community
6 After making morning rounds, the charge nurse on a surgical unit delegates the following task to the
assistive personnel, which of the following task does the nurse direct the AP to complete first?
Place an NPO sign on the door of a client scheduled surgery
7 A nurse is caring for a client who is receiving a localized epidural analgesia infusion. Which of the
following nursing actions is appropriate?
Covering insertion site with a transparent dressing
8 A nurse is performing disaster triage following a natural disaster. Which of the following should the
nurse identify as the highest priority to receive care?
A client who has agonal respirations
9 A nurse is planning to provide community education about viral hepatitis. Which of the following
should the nurse plan to include in the teaching?
Series of four hepatitis vaccines is recommended to prevent viral hepatitis
10 A nurse in the emergency department caring for a client who has abdominal pain. Which of the
following actions by nurse demarcates veracity?
The nurse explains the potential risks of treatment
11 A nurse is about to administer an injection to a client who states, “I don’t want that injection. The last
time I got that I was sore for a week.” The nurse goes ahead and administers the injection against the
client’s wishes. The nurse committed which of the following?
Battery
12 A home health nurse is assessing a client who is receiving from an acute myocardial infarction (MI).
Which of the following assessment findings should the nurse report to the provider as a possible
indication of left-sided heart failure?
Bilateral lung crackles
,13////
14 A nurse is caring for a group of clients. The nurse should request a referral for a speech language
pathologist for which of the following clients?
A client who has difficulty swallowing
15 A nurse is preparing to provide education about electroconvulsive therapy (ECT) for a client who has
major depressive disorder. Which of the following should the nurse include in the teaching?
A general anesthetic is administered prior to ECT treatments
16 A nurse is caring for a mother who prescribed methadone during pregnancy. The nurse should assess
the newborn for which of the following manifestations of neonatal abstinence syndrome
Tachypnea/irritability/tremors
17 A nurse is caring for a client following an open colectomy. Which of the following findings places the
client at risk for delayed wound healing?
Hyperemesis
18 A nurse who typically works on the postpartum unit is assigned to float to the maternal newborn
unit. The nurse is very anxious about floating and uncomfortable with the assignment the charge nurse
has selected. Which of the following actions is appropriate for nurse to take?
Ask the charge nurse to assign an experienced nurse to act as a resource
19 A client hospitalized for a bone marrow transplant is in protective isolation while undergoing total
body radiation and intense chemotherapy. The client’s sibling comes visit but has obvious
manifestations of an upper respiratory infection. Which of the following nursing actions is appropriate at
this time?
Allow the sibling to wave at the client through the window or door
20 A nurse is caring for a client following insertion of a subclavian nontunneled percutaneous central
venous catheter (CVC). The provider writes a prescription to initiate an IV infusion ringer’s lactate at 150
mL per hr. prior to starting the infusion, which of the following actions should the nurse take?
Review the chest x-ray report
21 A nurse is providing teaching to an adolescent client who has cystic fibrosis and has a prescription for
pancrealipase. Which of the following should the nurse include in the teaching?
Take with meals
22 A nurse is assessing laboratory values on a client who has taken an overdose of acetaminophen. The
nurse should expect which of the following laboratory values indicative of organ damage from the
overdose?
Alanine aminotransferase (ALT)
,23 A nurse on an orthopedic floor is completing morning assessments on several clients. Which of the
following clients has the greatest risk for fat embolism syndrome (FES)?
A 24-year-old male who has a casted femur fracture
24 A nurse is caring for a client who has end stage liver disease. The daughter of the client asks about
her father’s do-not-resuscitate request. Which of the following is a therapeutic response by the nurse?
“Tell me your feelings about your father’s prognosis”
25 A nurse is providing teaching to the parent of preschooler who was newly diagnosed with a latex
allergy. The nurse should discuss that a cross reaction may occur with which of the following foods?
Bananas
26 A nurse is planning to admit a client who has hyperthyroidism. Which of the following rooms is
appropriate for the nurse to assignment client to?
A room with a temperature of 20 degrees (68f)
27 A nurse has just returned to the nursing unit following cardiac catheterization. In the immediate
postprocedure period, which of the following is the priority nursing action?
Monitoring the insertion site for infection
28 A nurse is caring for an infant who is being treated for dehydration. Which of the following findings
indicate the treatment is effective?
Flat anterior fontanel
29 A nurse is reviewing medical for four clients. Which of the following represents appropriate
documentation?
Carafate 1 g PO 1 hr ac
30 A nurse in the clinic is providing information to a client who has mastitis of the left breast. The client
asks the nurse, “does this mean that I must stop nursing my baby?” which of the following is an
appropriate statement by the nurse?
“No, you can continue to nurse from both your breasts.”
31 A nurse in a mental health clinic is observing clients in the day room. The nurse sits down to talk with
an adolescent client who was admitted with clinical depression. After a few minutes of conversation, the
adolescent asks the nurse, “why did you choose to talk to me out of this room full of kids?” which of the
following responses by the nurse is therapeutic?
“you’re curious why I am interested in you and not the other?”
32 A nurse working in an inpatient mental health facility observes a client who is agitated and
threatening staff members in the day room. Which of the following actions should the nurse take first?
Accompany the client away from the common area
, 33 A client who is precepting a nursing student is brings the following client observation to the nurse’s
attention. Which of the following client should the nurse assess first?
A client who is 3 days postoperative colectomy with a large, loose melena stool
34 A nurse is planning teaching for a client who is at 10 weeks gestation and has a history of urinary
tract infections (UTIs). Which of the following information should the nurse plan to include in the
teaching about UTI prevention?
Empty the bladder before and after intercourse
35 A nurse in the emergency department is providing discharge teaching to a client who has a sprained
ankle. For the first 24 hr following injury, the nurse should instruct the client to do which of the
following?
Intermittently place ice on the ankle
36 After evaluating the morning laboratory results on several clients, the provider writes prescriptions
for four clients assigned to the nurse’s care. Which of the following prescriptions is the nurse’s highest
priority?
Administer vitamin K 10 mg IM to a client on warfarin with and INR of 6
37 a nurse is caring for a client who has ruptured ribs, has developed thrombophlebitis, and is being
treated with a heparin drip. The client develops hematuria and has an activated partial thromboplastin
time (aPTT) of 100 seconds. Which of the following should the nurse take first?
Turn off the heparin drip
38 A nurse is caring for a client who has a hearing impairment. When speaking to the client, the nurse
should incorporate which of the following communication methods?
Exaggerate lip movements
39 A nurse is reviewing morning values of several clients. Which of the following findings is the highest
priority for the nurse to report to the provider?
A client who is prescribed digoxin and furosemide and has a potassium level of 3.1 mEq/L
40 A nurse is caring for a client who has a new prescription for chlorpromazine by IM injection. Which of
the following is an appropriate action?
Check orthostatic blood pressure 1 hr after administration
41 A nurse is caring for a postoperative client. Which of the following interventions will reduce the risk
of deep-vein thrombosis?
Apply venous plexus foot pumps
42 A nurse is caring for a client who is manic. Which of the following activities is appropriate for the
nurse to suggest?
Taking a daily walk on the hospital grounds
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