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ATI RNCOMPREHENSIVE PREDICTOR EXIT 2019 FORM B COMPLETE QNS & ANS .
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ATI RNCOMPREHENSIVE PREDICTOR EXIT 2019 FORM B COMPLETE QNS & ANS .
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ATI RNCOMPREHENSIVE PREDICTOR EXIT 2019FORM B COMPLETE QNS & ANS .
• A nurse is suctioning the airway of a client who is receiving mechanical
ventilation via an endotracheal tube. Which of the following findings
should the nurse identify as an indicationthat the suctioning has been
effective?
• Presence of a productive cough
• Decrease peak inspiratory pressure
• Flattening of the artificial airway cuff
• Thinning of mucus secretions
• A nurse is caring for a client who is in a seclusion room following violent
behavior. The clientcontinues to display aggressive behavior. Which of
the following actions should the nurse take?
• Speak assertively to the client
• Express sympathy for the client's situation
• Confront the client about this behavior
• Stand within 30 cm of the client when speaking with them
• A nurse is caring for a client who is immediately postoperative following an
adrenalectomy totreat Cushing's disease. Which of the following actions
is the nurse's priority?
• Monitor the client’s fluid and electrolyte status
• Observe for any indications of infection
• Reposition a client for comfort every 2 hours
• Document amount and color of the incision and drainage
• A nurse realizes that the wrong medication has been administered to a
client. Which of thefollowing actions should the nurse take first?
• Notify the provider
• Report the incident to the nurse manager
• Monitor vital signs
• Fill out an incident report
• A nurse is caring for a client who is scheduled for a surgical procedure and
states I don't wantto have the surgery anymore. Which of the following
responses should the nurse make?
• You have the right to refuse the procedure
• Your doctor thinks the surgery is necessary
• Let me review the procedure so you can understand what is going to happen
• We can manage your care following the procedure without complications ‘
,• A nurse is evaluating a client who has borderline personality
disorder. Which of the following behaviors indicates an
improvement in the client's condition?
• Decreased clinging behavior
• Impulsive behaviors
• Lability of mood
• Dependent behavior
• A nurse is teaching a group of school-age children about healthy snack
options. Which of the following snacks should the nurse include?
• Air popped popcorn
• Baked potato chips
• Milkshake made with whole milk
• Cheesecake
• A nurse is caring for a client who wears glasses. Which of the following
actions should thenurse take?
• Store the glasses in a labeled case
• Clean the glasses with hot water
• Clean the glasses with a paper towel
• Store the glasses on the bedside table.
• A nurse is caring for a client who has fibromyalgia and requested pain
medication. Which of thefollowing medications should the nurse plan to
administer?
• Pregabalin (Lyrica) - Nerve Pain Med
• Lorazepam
• Colchicine
• Codeine
• A nurse is caring for a client who has congestive heart failure and is
receiving furosemide and digoxin. Which of the following laboratory
values indicates that the client is at risk for developing digoxin toxicity?
• Potassium 3.1
• Glucose 150
• Magnesium 1.3 (Magnesium is 1.7 to 2.2)
• Sodium 134
• A nurse is caring for a client who has an embolic stroke and has a
new prescription foralteplase. Which of the following in the client's
history should the nurse identify as a contraindication to receiving
alteplase?
• Hip arthroplasty one week ago
, • Acute kidney failure 6 months ago
• Obstructive lung disease
• Retinal detachment
• A nurse is providing discharge teaching for a client who has a new
implantable cardioverter-defibrillator ICD. Which of the following client
statements demonstrates understanding of the teaching?
• I will wear loose clothing over my ICD
• I can hold my cell phone on the same side of my body as ICD
• I will avoid using my microwave oven at home because of the ICD
• I will soak in the tub rather than showering
• A nurse is assessing a client who is postoperative following abdominal
surgery and has anindwelling urinary catheter that is draining dark
yellow urine at 25 ml an hour. Which of the following interventions should
the nurse anticipate?
• Obtain a urine specimen for culture and sensitivity
• Initiate continuous bladder irrigation
• Administer a fluid bolus
• Clamp the catheter tubing for 30 minutes
•
• Offer to take pictures of the newborn for the client
• A nurse is caring for a client who has experienced a stillbirth.
Which of the followingactions should the nurse take during the
initial grieving process?
•
• Avoid talking to the client about the newborn
• Discourage the client from allowing friends to see the newborn
• Assured a client that she can have additional children
• A nurse is caring for a client who has a major burn injury. Which of the
following actions isthe nurse's priority to prevent wound infection?
• Maintain consistent hand washing by the staff
• Place a client in protective isolation
• Use sterile dressing for wound care
• Apply topical antibiotics to the client's wounds
• A nurse is planning care for a client who sustained a major burn over 20% of the
body.
Which of the following interventions should the nurse include is
important to support theclient’s nutritional requirements?
• Schedule meals at 6 hr
• Keep a calories amount for foods and beverages
, • Provide low-protein, high carbohydrates diet
• Maintain the calories intake as 1,500 per day
• A nurse is speaking with a caregiver of a client who has Alzheimer's
disease. The caregiver states, providing consistent care is very stressful
and is affecting all areas of my life. Which of the following actions should the
nurse take?
• Assist the caregiver to arrange for daycare program for the client
• Recommend allowing the client to have time alone in their room throughout the
day
• Discuss methods of how to communicate with the client about resolving problem
behaviors
• Suggest that the caregiver seek a prescription for an antipsychotic medication for
the client
• A nurse is caring for a client who is one hour postpartum and is unable to
urinate. Which ofthe following actions should the nurse take?
• Place the clients hands in warm water
• Administer a benzodiazepine
• Performing a fundal massage
• Place an ice pack on a client's perineum
•
• Compare the clients list of home medications to the admission prescriptions written for
the client
• A nurse in a medical-surgical unit is performing medication reconciliation for
a newly admittedclient. Which of the following actions should the nurse
take?
•
• A nurse is preparing to administer betamethasone to a client who is at 25
weeks of gestation and has preterm labor. Which of the following findings
should the nurse identify as an adverseeffect of this medication?
• Hyperglycemia
• A nurse is preparing to obtain a blood sample from a client who has
a central venouscatheter. Which of the following actions should the
nurse take? (Select all that apply)
• Flush the catheter with 0.9% sodium chloride
• Aspirate for blood return to access catheter patency
• Access the catheter using a large bore needle
• Apply force when resistance is met while flushing the catheter
• Apply a tourniquet above the catheter insertion site
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