Exam (elaborations) ATI RN The Comprehensive NCLEX-RN Review 19th Edition
RN COMPREHENSIVE ONLINE PRACTICE 2023 FORM A, B AND C COMPLETE /
ATI RN COMPREHENSIVE PREDICTOR
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ATI RN COMPREHENSIVE PREDICTOR NEWEST 2024 TEST
BANK 10 LATEST VERSIONS
A nurse overhears two assistive personnel (AP) discussing care for a client while in
the elevator. Which of the following actions should the nurse take?
A. Contact the client's family about the incident.
B. Notify the client's provider about the incident.'C. File a complaint with the
facility's ethics committee.
D. Report the incident to the AP's charge nurse. - ANSWER: D. Report the incident to
the AP's charge nurse.
A nurse is planning care for a client who is receiving hemodialysis. Which of the
following actions should the nurse include in the plan of care?
A. Withhold all medications until after dialysis
B. Rehydrate with dextrose 5% in water for orthostatic hypotension.
C. Check the vascular access site for bleeding after dialysis.
D. Give an antibiotic 30 min before dialysis. - ANSWER: C. Check the vascular access
site for bleeding after dialysis.
A nurse in the emergency department is caring for a client who reports intimate
partner violence. Which of the following interventions is the nurse's priority?
A. Develop a safety plan with the client
B. (Unable) options for reporting the incident.
C. Refer the client to a community support group.
D. Determine if the client has any injuries. - ANSWER: D. Determine if the client has
any injuries.
A nurse is caring for a client who is in active labor and note the FHR baseline has
been 100/min for the past 15 min. The nurse should identify which of the following
conditions as a possible cause of fetal bradycardia?
A. Maternal fever
B. Fetal anemia
C. Maternal hypoglycemia
D. Chorioamnionitis - ANSWER: C. Maternal hypoglycemia
A nurse is assessing a school-age child who has a urinary tract infection. Which of the
following findings should the nurse expect?
A. Periorbital edema.
B. Decreased frequency of urination. C. Enuresis.
D. Diarrhea. - ANSWER: C. Enuresis.
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. Assist the client to a supine position. - ANSWER: B. Place the client in a warm
shower.
A nurse in an emergency department is performing triage for multiple clients
following a disaster in the community. To which of the following types of injuries
should the nurse assign the highest priority?
Below-the knee amputation
Fractured tibia
95% full-thickness body burn
10cm (4in) laceration to the forearm - ANSWER: Below-the knee amputation
a nurse manager is updating protocols for the use of belt restraints. Which of the
following guidelines should the nurse include?
Remove the client's restraint every 4hr
Document the client's condition every 15 min
Attach the restrain to the bed's side rails
Request a PRN restrain prescription for clients who are aggressive - ANSWER:
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?
Acts as an advocate for the nursing unit.
(Unable to read) for the unit
Priorities staff request over client needs.
Provides routine client care and documentation. - ANSWER: Acts as an advocate for
the nursing unit.
A nurse is reviewing the laboratory findings of a client who has diabetes mellitus and
reports that she has been following her (unable to read) care. The nurse should
identify which of the following findings indicates a need to revise the client's plan of
care.
Serum sodium 144 mEq/
(Unable to read)
Hba1c10%
Random serum glucose 190 mg/dl. - ANSWER: Hba1c10%
A nurse in a provider's office 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?
Chlamydia
Human papillomavirus
Candidiasis
Herps simplex virus - ANSWER: Chlamydia
,A nurse is teaching a newly licensed nurse about therapeutic techniques to use when
leading a group on a mental health unit. Which of the following group facilitation
techniques should the nurse include in the teaching?
a. Share personal opinions to help influence the group's values
b. Measure the accomplishments of the group against a previous group
c. Yield in situations of conflicts to maintain group harmony
d. Use modeling to help the clients improve their interpersonal skills - ANSWER: d.
Use modeling to help the clients improve their interpersonal skills
A nurse is planning for a client who practices Orthodox Judaism. The client tells the
nurse that (Unable to read) Passover holiday. Which of the following action should
the nurse include in the plan of care?
a. Provide chicken with cream sauce.
b. Avoid serving fish with fins and scales.
c. Provide unleavened bread.
d. Avoid serving foods containing lamb. - ANSWER: c. Provide unleavened bread.
A nurse is caring for a client who has a pulmonary embolism. The nurse should
identify the effectiveness of the treatment
A chest x-ray reveals increased density in all fields.
The client reports feeling less anxious.
Diminished breath sounds are auscultated bilaterally
ABG results include Ph 7.48 PaO2 77 mm Hg and PaCO2 47 mm Hg. - ANSWER: The
client reports feeling less anxious.
A nurse in an emergency department is assessing a client who reports ingesting
thirty diazepam tablets (Unable to read) a respiratory rate of 10/min. After securing
the client's airway and initiating an IV, which of the following actions should the
nurse do next.
Monitor the client's IV site for thrombophlebitis.
Administer flumazenil to the client.
Evaluate the client for further suicidal behavior.
Initiate seizure precautions for the client. - ANSWER: Administer flumazenil to the
client.
A nurse in an emergency department is caring for a client who reports cocaine use
1hr ago. Which of the following findings should the nurse expect?
Hypotension
Memory loss
Slurred speech
Elevated temperature - ANSWER: Elevated temperature
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 - ANSWER: B. Jitteriness
A nurse in a pediatric clinic is reviewing the laboratory test results of a school age
child. Which of the following findings should the nurse report to the provider?
Hgb 12.5 g/dl
Platelets 250,000/mm3
Hct 40%
WBC 14,000/mm3 - ANSWER: WBC 14,000/mm3
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 following information should the charge nurse include?
"The proxy should make health care decisions for the client regardless of the client's
ability to do so."
"The proxy can make financial decisions if the need arises."
"The proxy can make treatment decisions if the client is under anesthesia."
"The proxy should manage legal issues for the client." - ANSWER: "The proxy can
make treatment decisions if the client is under anesthesia."
A nurse in the PACU is caring for a client who reports nausea. Which of the following
actions should the nurse take first?
Turn the client on their side.
Administer an analgesic
Administer antiemetic
Monitor the client's vital signs. - ANSWER: Turn the client on their side.
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?
Confirm the client's perception of the event
Notify the client's support system
Help the client identify personal strengths
Teach the client relaxation techniques - ANSWER: 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 for restraints. Which of the
following should the 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. - ANSWER: Document the
client's condition every 15 minutes.
A nurse is caring for a client who has end-stage of kidney disease. The client adult
child asked about becoming a living donor for his father. Which of the following
condition - ANSWER:
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