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ATI RN VATI Comprehensive Predictor 2019 Form B
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ATI RN VATI Comprehensive Predictor 2019 Form B
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ATI RN VATI Comprehensive Predictor2019 Form B
A nurse is caring for a client who had abdominal surgery 24 hr ago. Which of the
following actions is the nurse's priority? - ANSWER ==Assist with deep breathing and
coughing
A nurse is talking with a client who has stage IV breast cancer. The nurse should
recognize which of the following statements by the client as a constructive use of a
defense mechanism? - ANSWER =="I told my doctor that I would like to start a
support group for other women who are sick in my community"
A nurse is caring for a client who has immunosuppression and a continuous IV infusion.
Which of the following actions should the nurse take? - ANSWER ==Monitor the
client's mouth every 8 hr
A nurse is caring for a 2 month old infant who has Hirschsprung disease (HD). Which of
the following areas should the nurse assess for manifestations of HD? - ANSWER
==C
The nurse should assess the infant's abdomen for distention and visible peristalsis,
which are manifestations of HD
A nurse at a mental health clinic is caring for four clients. The nurse should recognize
the following clients is using dissociation as a defense mechanism? - ANSWER ==A
client who was abused as a child describes the abuse as if it happened to someone
else
A nurse is providing teaching to a client who has a new diagnosis of type 1 diabetes
mellitus. The nurse should instruct the client to monitor for which of the following
findings as a manifestation of hypoglycemia? - ANSWER ==irritability
A nurse in an outpatient mental health clinic is caring for four clients. The nurse should
recognize that which of the following clients is effectively using sublimation as a defense
mechanism? - ANSWER ==A client who channels their energy into a new hobby
following the loss of their job
A hospice nurse is consulting with a client and her family about receiving home
services. Which of the following statements should the nurse identify as an indication
that the family understands home hospice care? - ANSWER =="We can expect the
hospice nurse to provide support for us after our mother's death"
,A nurse is caring for a client who has active tuberculosis. Which of the following actions
should the nurse take? - ANSWER ==Assign the client to a private room with negative
air pressure
A nurse is providing teaching to a client who is at 24 weeks of gestation and is schedule
for a 3 hour oral glucose tolerance test. Which of the following instructions should the
nurse include in the teaching? - ANSWER =="You will need to fast the night before
the test"
A nurse on a pediatric unit has received change of shift report for four children. Which of
the following children should the nurse assess first? - ANSWER ==A 10 year old child
who is awaiting surgery for an appendectomy and experienced sudden relief from pain
A nurse in a community center is providing an education session to a group of clients
about ovarian cancer. Which of the following manifestations of ovarian cancer should
the nurse include in the teaching? - ANSWER ==Abdominal bloating
A nurse is caring for a client who is postoperative after receiving moderate (conscious)
sedation. The client suddenly becomes restless and reports feeling lightheaded. Which
of the following actions should the nurse take? - ANSWER ==Check the client's
oxygen saturation level
A nurse is working in an emergency department is triaging four clients. Which of the
following clients should the nurse recommend for treatment first? - ANSWER ==A
middle adult client who has unstable vital signs
A nurse is providing teaching for a client who has a fracture of the right fibula with a
short leg cast in place and a new prescription for crutches. The client is non-weight
bearing for 6 weeks. Which of the following instructions should the nurse include in the
teaching? - ANSWER ==Use a three-point gait
A nurse is preparing to initiate IV access for an older adult client. Which of the following
sites should the nurse select when initiating the IV for this client? - ANSWER ==Radial
vein of the inner arm
A nurse is planning to delegate client care tasks to an AP. Which of the following tasks
should the nurse plan to delegate to the AP? - ANSWER ==Perform gastrostomy
feedings through a client's established gastrostomy tube
A nurse is caring for a newborn immediately after delivery. Which of the following
interventions should the nurse implement to prevent heat loss by conduction? -
ANSWER ==Use a protective cover on the scale when weighing the infant
A nurse is caring for a client who is receiving a continuous heparin infusion. Which of
the following laboratory tests should the nurse review prior to adjusting the client's
heparin? - ANSWER ==aPTT
,A nurse administers an incorrect dose of medication to a client. The nurse recognized
the error immediately and completes and incident report. Which of the following facts
related to the incident should the nurse document in the client's medical record? -
ANSWER ==Time the medication was given
A nurse is providing education to the parent of a school age child who has asthma.
Which of the following statements by the parent indicates an understanding of the
teaching? - ANSWER =="I will make sure my child receives a yearly influenza
immunization"
A nurse is caring for a client who has type 1 diabetes mellitus and reports severe ankle
pain after falling off a step stool at home. Which of the following prescriptions should the
nurse clarify with the provider? - ANSWER ==Apply a cold pack to the client's ankle
for 30 min every hour
A nurse is assessing a client who has a major depressive disorder and is taking
amitriptyline. Which of the following findings should the nurse identify as an adverse
effect of the medication? - ANSWER ==Blurred vision
A nurse is caring for a client who has signed an informed consent form to receive
electroconvulsive therapy (ECT). The client states to the nurse "I'm not sure about this
now. I'm afraid it's too risky." Which of the following responses should the nurse make?
- ANSWER =="You have the right to change your mind about the procedure at any
time"
A nurse is preparing to administer mannitol 0.2 g/kg IV bolus over 5 min as a test dose
to a client who has severe oliguria. The client weighs 198 lb. What is the amount in
grams the nurse should administer? - ANSWER ==18 g
A nurse is preparing to administer an IM injection to a client who is obese. Which of the
following actions should the nurse plan to take? - ANSWER ==Use the ventrogluteal
site
A nurse is providing discharge teaching to a client who is to receive home oxygen
therapy. Which of the following instructions should the nurse include in the teaching? -
ANSWER ==Wear clothing made with cotton fabrics while oxygen is in use
A nurse is providing teaching to the guardians of a newborn about measures to prevent
sudden infant death syndrome (SIDS). Which of the following guardian statements
indicates an understanding of the teaching? - ANSWER =="I will not allow anyone to
smoke near my baby"
A nurse is assessing a client following a vaginal delivery and notes heavy loch and a
boggy fundus. Which of the following medications should the nurse expect to
administer? - ANSWER ==Oxytocin
, A nurse on a medical-surgical unit is caring for a client who has a new diagnosis of
terminal cancer. The client tells the nurse that they would like to go home to be with
family and loved ones. Which of the following actions should the nurse take? -
ANSWER ==Make a referral for social services
A nurse is caring for a client who has a clogged percutaneous gastrostomy feeding
tube. Which of the following actions should the nurse take first? - ANSWER
==Change the position of the client
A nurse is creating a plan of care for a client who has left-sided weakness following a
stroke. Which of the following interventions should the nurse include in the plan? -
ANSWER ==Support the client's left arm on a pillow while sitting
A nurse is preparing to assist with a thoracentesis for a client who has pleurisy. The
nurse should plan to perform which of the following actions? - ANSWER ==Instruct
the client to avoid coughing during the procedure
A charge nurse is providing an educational session about infection control for a group of
staff nurses. Which of the following statements by one of the staff nurses indicated an
understanding of isolation precautions? - ANSWER =="A client who requires airborne
precautions should be placed in a negative pressure airflow room"
A nurse is providing dietary teaching to a client who has a new prescription for
phenelzine. Which of the following food recommendations should the nurse make? -
ANSWER ==Broccoli
Yogurt
Cream cheese
Clients who take phenelzine, an MAOI, should not eat foods that contain tyramine.
Broccoli, yogurt, and cream cheese do not contain tyramine.
A nurse is assessing an older adult client who has pneumonia. Which of the following
findings should the nurse expect? - ANSWER ==Acute confusion
An older adult client who has pneumonia will also typically have acute confusion,
fatigue, lethargy, and anorexia.
A nurse is providing teaching about home care to the parents of a child who has autism
spectrum disorder. Which of the following instructions should the nurse include? -
ANSWER ==Use a reward system to modify the child's behavior
A nurse is preparing to administer lactated ringer's 1,500 mL IV to infuse at 50 mL/hr.
The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual
IV infusion to deliver how many gtt/min? - ANSWER ==13 gtt/min
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