Pn Ati comprehensive predictor 2020 – 2024.LATEST VERSION GRADED A. REVISED 100% CORRECT
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Course
Nursing
Institution
Nursing
TEST
A nurse is observing an AP take a client's tympanic temperature. Which of the following actions should the nurse identify as an indication that the AP understands how to perform the procedure?
A. The AP points the probe posteriorly.
B. The AP positions the client facing her.
C....
Pn Ati comprehensive predictor 2020 –
2024.LATEST VERSION GRADED A.
REVISED 100% CORRECT
TEST
A nurse is observing an AP take a client's tympanic temperature. Which of the following
actions should the nurse identify as an indication that the AP understands how to
perform the procedure?
A. The AP points the probe posteriorly.
B. The AP positions the client facing her.
C. The AP pulls the pinna up and back.
D. The AP inserts the probe with a straightforward motion.
- ANSWER-C. The AP pulls the pinna up and back.
TEST
A charge nurse is monitoring a group of assistive personnel AP regarding the use of
gloves in contact precaution isolation. For which of the following actions by an AP
should the charge nurse intervene?
a. Washes hands after removing gloves
b. Removes gloves last after other personal protective equipment
c. Pulls gloves off inside-out when task are completed
d. Changes gloves between tasks for the same client
- ANSWER-b. Removes gloves last after other personal protective equipment
Rationale:
Donning PPE
Gown ○ Mask ○ Goggles ○ Gloves
Removing PPE
Gloves ○ Goggles ○ Gown ○ Mask
A nurse is preparing to delegate client care to an assistive personnel AP. Which of the
following information should the nurse verify prior to delegation?
a. The AP's years of experience
b. The client's length of facility stay
,Pn Ati comprehensive predictor 2020 –
2024.LATEST VERSION GRADED A.
REVISED 100% CORRECT
c. The client's age
d. The AP's job description
- ANSWER-d. The AP's job description
TEST
A charge nurse in a long-term care facility observes an assistive personnel (AP) arriving
late to his shift and slurring his words. The charge nurse suspects the AP has alcohol
intoxication and remove the AP from performing client care. Which of the following
actions the nurse takes when reporting the incident?
A. Write a clear description of the incident.
B. Request the risk manager to follow through with the report.
C. Interview other staff members about the incident.
D. Report the in
- ANSWER-A. Write a clear description of the incident.
Rationale:
Identify the AP behavior of concern and write with proper documentation with full detail
about the suspected intoxication. Alcohol tests should not be performed through a
charge nurse unless reasonable cause. Request risk manager to do alcohol testing for
reasonable cause. the risk manager is the right person who is communicating with risk
policies and processes for an organization. witness with risk manager. If an AP alcohol
test is positive send them for rehabilitation or depend upon organization employes'
policies. because AP alcohol use behavior makes the clients at risk and their job
performance. This situation should be handled carefully when employees with alcohol
intoxication.
TEST
A nurse is assisting with the plan of care for an older adult client who has dementia and
is experiencing nocturnal confusion. Which of the following actions should the nurse
take to decrease the client's risk for injury?
a. Activate a bed alarm.
b. Keep overhead lights on through the night.
,Pn Ati comprehensive predictor 2020 –
2024.LATEST VERSION GRADED A.
REVISED 100% CORRECT
c. Encourage napping during the daytime.
d. Minimize contact with the client.
- ANSWER-a. Activate a bed alarm.
TEST
A nurse is collecting data from a client who is at 12 weeks of gestation. The client states,
"We've been trying to get pregnant for several months, but now I'm not sure I'm ready."
Which of the following responses should the nurse make?
a. "Many women experience feelings of ambivalence during pregnancy."
b. "I wouldn't worry about it if I were you. You'll be a good mother."
c. "You need to talk to a therapist about how you're feeling."
d. "Why do you feel that way if you've been trying
- ANSWER-a. Many women experience feelings of ambivalence during pregnancy.
Rationale:
The nurse should respond with option A: "Many women experience feelings of
ambivalence during pregnancy." This response validates the client's feelings and
reassures her that it is normal to have mixed emotions during pregnancy. The other
options may dismiss the client's feelings, suggest unnecessary actions, or potentially
make the client feel judged or defensive. It's important to provide empathetic and non-
judgmental care in such situations.
A charge nurse in a long-term care facility is developing a performance improvement
plan for an assistive personnel (AP). Which of the following actions should the nurse
take when developing the plan? (Select all that apply.)
a. Ask the nurse supervisor to review the plan.
b. Performance goals on peer comments.
c. Include the performance standard that the AP should meet.
d. Set a specific time frame for meeting performance goals.
e. Request clients complete an evaluation about the AP's qual
- ANSWER-c. Include the performance standard that the AP should meet.
, Pn Ati comprehensive predictor 2020 –
2024.LATEST VERSION GRADED A.
REVISED 100% CORRECT
d. Set a specific time frame for meeting performance goals.
TEST
A nurse in a clinic is caring for a client who is at 40 weeks gestation and experiences a
sudden gush of vaginal fluids. Which of the following findings is evidence of an obstetric
complication?
A. Has a pH of 7
B. Appears greenish-brown in color
C. Preceded by bloody mucus
D. Turns a nitrazine strip blue –
ANSWER-B. Appears greenish-brown in color
Rationale:
The evidence of an obstetric complication in this case would be if the vaginal fluid
appears greenish-brown in color. This could indicate the presence of meconium, which
is the baby's first stool. Meconium in the amniotic fluid can be a sign of fetal distress. If a
pregnant woman notices greenish-brown discharge, she should contact her doctor right
away. The other options you mentioned are generally not indicative of an obstetric
complication:
A pH of 7: Amniotic fluid is normally alkaline with a pH greater than 7.1.
A nitrazine test can be used to differentiate between amniotic fluid (pH > 7.1) and
normal vaginal discharge (pH < 4.5). If the strip turns blue, it indicates that the fluid is
likely amniotic fluid, which could mean that the woman's water has broken.
Preceded by bloody mucus: The passage of a bloody mucus plug, or "bloody show,"
can be a normal sign of impending labor
TEST
A nurse is contributing to the plan of care for a client who has COPD. which of the
following interventions should the nurse make?
A. Provide the client with 3 large meals each day.
B. Limit fluid intake to 1,000 mL daily.
C. Place the client in an orthopneic position.
D. Encourage the client to cough and deep breathe once every 8 hours
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