ATI RN Comprehensive Predictor 2019 A
A nurse is caring for a client who is in active labor and requests pain management. Which of the following actions should the nurse take?
A. Administer ondansetron.
B. Place the client in a warm shower.
C. Apply fundal pressure during contractions.
D...
A nurse is caring for a client who is in active labor and requests pain management.
Which of the following actions should the nurse take?
A. Adm inister ondansetron.
B. Place the client in a warm shower.
C. Apply fundal pressure during contractions.
D. Assist the client to a supine position.ANSWER B. Place the client in a warm shower.
a nurse manager is updating protocols for the use of belt rest raints. Which of the
following guidelines should the nurse include?
A. Remove the client's restraint every 4hr
B. Document the client's condition every 15 min
C. Attach the restrain to the bed's side rails
D. Request a PRN restrain prescription for client s who are aggressiveANSWER B.
Document the client's condition every 15 min
A nurse is teaching an in -service about nursing leadership. Which of the following
information should the nurse include about an effective leader?
A. Acts as an advocate for the nursing unit.
B. (Unable to read) for the unit
C. Priorities staff request over client needs.
D. Provides routine client care and documentation.ANSWER A. Acts as an advocate for
the nursing unit.
A nurse in a provider's off ice is reviewing the laboratory results of a group of clients.
The nurse should identify that which of the following sexually transmitted infections is a
nationally notifiable infectious disease that should be reported to the state health
department?
A. Chlamydia
B. Human papillomavirus
C. Candidiasis
D. Herps simplex virusANSWER A. Chlamydia
A nurse is assessing a newborn who has a blood glucose level of 30 mg/dl. Which of the
following manifestations should the nurse expect?
A. Loose stools
B. Jitteri ness
C. Hypertonia
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D. Abdominal distentionANSWER B. Jitteriness
A charge nurse is teaching a newly licensed nurse about clients designating a health
care proxy in situations that require a durable power of attorney for heal care
(DPSHC). Which of the fol lowing information should the charge nurse include?
A. "The proxy should make health care decisions for the client regardless of the client's
ability to do so."
B. "The proxy can make financial decisions if the need arises."
C. "The proxy can make treatme nt decisions if the client is under anesthesia."
D. "The proxy should manage legal issues for the client."ANSWER C. "The proxy can
make treatment decisions if the client is under anesthesia."
A nurse is caring for a client who has a history of depression and is experiencing a
situational crisis. Which of the following actions should the nurse take first?
A. Confirm the client's perception of the event
B. Notify the client's support system
C. Help the client identify personal strengths
D. Teach the client relaxation techniquesANSWER A. Confirm the client's perception of
the event
A nurse is providing discharge teaching for a group of clients. The nurse should
recommend a referral to a dietitian
A. A client who has a prescription for w arfarin and states "I will need to limit how much
spinach I eat".
B. A client who has gout and states, "I can continue to eat anchovies on my pizza."
C. A client who has a prescription for spironolactone and states "I will reduce my intake
of foods that co ntain potassium".
D. A client who has (Unable to read) and states "I'll plan to take my calcium carbonate
with a full glass of water".ANSWER B. A client who has gout and states, "I can continue
to eat anchovies on my pizza."
A nurse is preparing to measu re a temperature of an infant. Which of the following
action should the nurse take?
A. Place the tip of the thermometer under the center of the infant's axilla.
B. Pull the pinna of the infant's ear forward before inserting the probe. -down and
back
C. Ins ert the probe 3.8 cm (1.5in) into the infant's rectum.
D. Insert the thermometer in front of the infant's tongue.ANSWER A. Place the tip of
the thermometer under the center of the infant's axilla.
The nurse is reviewing the medical record of a client who is requesting combination oral
contraceptives. Which of the following conditions in the client's history is a contradiction
to the use of oral contraceptives?
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