ATI COMPREHENSIVE PREDICTOR
2023
A nurse manager is updating protocols for the use of belt restraints. 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 si...
ATI COMPREHENSIVE PREDICTOR 2023 A nurse manager is updating protocols for the use of belt restraints. 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 clients who are aggressive B. Document the client's condition every 15 minutes A nurse in a provider's office is reviewing the laboratory results for a group of clien ts. 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 si mplex virus 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. Jitteriness C. Hypertonia D. Abdominal distention B. Jitteriness A nurse i s 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 c lient identify personal strengths D. Teach the client relaxation techniques A. Confirm the client's perception of the event A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. The nurse obtained a verbal prescription fo r restraints. Which of the following actions should the nurse take? A. Request a renewal of the prescription every 8 hr. B. Check the client's peripheral pulse rate every 30 min C. Obtain a prescription for restraint within 4 hr. D. Document the client's condition every 15 minutes. D. Document the client's condition every 15 minutes A nurse is caring for a client who has end -stage kidney disease. The client's adult child asks the nurse about becoming a living kidney donor for her father. Which of the follo wing conditions in the child's medical history should the nurse identify as a contraindication to the procedure? A. Amputation B. Osteoarthritis C. Hypertension D. Primary glaucoma C. Hypertension A nurse is providing discharge teaching for a group of cli ents. The nurse should recommend a referral to a dietitian for which of the following clients? A. A client who has a prescription for warfarin and states "I will need to limit how much spinach I eat". B. A client who has gout and states, "I can continue t o eat anchovies on my pizza." C. A client who has a prescription for spironolactone and states "I will reduce my intake of foods that contain potassium". D. A client who has (Unable to read) and states "I'll plan to take my calcium carbonate with a full gl ass of water". B. A client who has gout and states, "I can continue to eat anchovies on my pizza." A nurse is assessing a client who is in active labor. Which of the following findings should the nurse report to the provider? A. Contractions lasting 80 se conds B. FHR baseline 170/min C. Early decelerations in the FHR D. Temperature 37.4C (99.3) B. FHR baseline 170/min A nurse is preparing to measure a temperature of an infant. Which of the following action should the nurse take? A. Place the tip of the th ermometer under the center of the infant's axilla. B. Pull the pinna of the infant's ear forward before inserting the probe. C. Insert the probe 3.8 cm (1.5in) into the infant's rectum. D. Insert the thermometer in front of the infant's tongue. A. Place th e tip of the thermometer under the center of the infant's axilla. A nurse is planning care for a client who has bipolar disorder and is experiencing mania. Which of the following interventions should the nurse include in the plan? A. Encourage the client to spend time in the day room B. Withdraw the client's TV privileges is the does not attend group therapy C. Encourage the client to take frequent rest periods D. Place the cline in seclusion when he exhibits signs of anxiety C. Encourage the client to tak e frequent rest periods A nurse is preparing an in -service for a group of nurses about malpractice issues in nursing. Which of the following examples should the nurse include in the teaching? A. Leaving a nasogastric tube clamped after administering oral medication B. Documenting communication with a provider in the progress notes of the client's medical records C. Administering potassium via IV bolus D. Placing a yellow bracelet on a client who is at risk for falls C. Administering potassium via IV bolus 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? A. Hyperthyroidism. B. Thrombophlebiti s. C. Diverticulosis. D. Hypocalcemia. B. Thrombophlebitis. A Nurse is working with a client who has an anxiety disorder and is in the orientation phase of the therapeutic relationship. Which of the following statements should the nurse make during this phase? A. "Let's talk about how you can change your response to stress." B. "We should establish our roles in the initial session." C. "Let me show you simple relaxation exercises to manage stress." D. "We should discuss resources to implement in your daily life." B. "We should establish our roles in the initial session." A nurse is teaching at a community health fair about electrical fire prevention. Which of the following information should the nurse include in the teaching? A. Use three pronged grounded plugs. B. Cover extension cords with a rug. C. Check for tingling sensations around the cord to ensure the electricity is working. D. Remove the plug from the socket by pulling the cord. A. Use three pronged grounded plugs. A nurse is providing teaching to a client who is at 14 weeks of gestation about findings to report to the provider. Which of the following findings should the nurse include in the teaching? A. Bleeding gums B. Faintness upon rising C. Swelling of the face D. Urinary frequency C. Swellin g of the face A nurse is reviewing the laboratory report of a client who has been receiving lithium carbonate for the past 12 months. The nurse notes a lithium level of 0.8 mEq/L. Which of the following orders from the provider should the nurse expect? A. Withhold the next dose. B. Increase the dosage. C. Discontinue the medication. D. Administer the medication. D. Administer the medication. A nurse is providing teaching to an older adult client about methods to promote nighttime sleep. Which of the follow ing instructions should the nurse include? A. Stay in bed at least 1hr if unable to fall asleep B. Take 1 hr nap during the day C. Perform exercise prior to bed D. Eat a light snack before bedtime D. Eat a light snack before bedtime A nurse is caring for a client who has fibromyalgia and requests pain medication. Which of the following medications should the nurse administer?
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