RN Comprehensive Predictor 2024 Form A, B, C, 2016 Test
C, ATI Compr.Exit Final, and RN Exit New Exam
A nurse offers pain meds to a client who is postop prior to ambulation. The nurse understands
that this aspect of care delivery is an example of which of the following ethical principles? A.
Fidelity
B. Autonomy
C. Justice
D. Beneficience D
A nurse is instructing a group of nursing students about the responsibilities involved with organ
donation and procurement. When the nurse explains that all clients waiting for a kidney
transplant have to meet the same qualifications, the students should understand that this aspect of
care delivery is an example of which ethical principle
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence C
A nurse questions a med prescription as too extreme and light of the clients advanced age and
unstable status. The nurse understands that this action is an example of which ethical principle
A. Fidelity
B. Autonomy
C. Justice
D. Nonmalificence D
Which of the following situations can be identified as an ethical dilemma?
A. A nurse on a med surg unit demonstrates signs of chemical impairment
B. A nurse over hears another nurse telling an older adult client that if he doesnt stay in bed she
will restrain him
C. A family has conflicting feelings about the initiation of enteral tube feedings of their father
who is terminally ill
D. A client who is terminally ill hesitates to name her spouse on her durable power of attorney
form C
,Most managers can be categorized as authoritative, democratic, and laissez
faire makes decisions of the group motivates by coercion
communication occurs down the chain of command
Work output by the staff is usually high-good for crisis situations and bureaucratic settings
Authoritative
includes the group when decisions are made
Motivates by supporting star achievements
Communication occurs up and down the chain of command
Work output by staff is usually of good quality-good when cooperation and collaboration is
necessary Democratic
makes very few decisions and does little planning
motivation is largely the responsibility of individuals staff members
Communication occurs up and down the chain of command and between group members
Work output is low unless an informal leader evolves from the group
*the use of any of these styles may be appropriate depending on the situation Laissez faire
The nurse should consider the hierarchy of human needs when prioritizing interventions, which
are? - Physiological needs first (oxygen, shelter, food)
- Safety & security needs (physical safety)
- Love and belonging
- Self esteem
- Self actualization
The ABC framework identifies, in order, the three basic needs for sustaining life Airway
Breathing
Circulation
Nurses must follow what code of standards in delegating and assigning tasks ANA codes of
standards
What values would a nurse possess to be a client advocate? - caring
- autonomy
- respect
- empowerment
,What do the nurse need to keep in mind about the client when being their advocate?
Client's religion & culture
When should planning discharge process begin? a.
at time of admission
b. 2 days after client is admitted
c. whenever the nurse has the time to do planning
d. when the physician has the discharge order A
What is an interdisciplinary team? A group of health care professionals from different
disciplines Fill in the blank:
1. _______ is used by interdisciplinary team to make health care decisions about clients with
multiple problems. 2. ________, which may take place at team meetings, allows the achievement
of results that the participants would be incapable of accomplishing if working alone. 1&2
= collaboration
What is the nurse's contribution to an interdisciplinary team? - knowledge of nursing care
& its management
- a holistic understanding of the client, her/his healthcare needs & healthcare systems.
A four-month-old infant is admitted to the pediatric intensive care unit with a
temperature of 105°F (40.5 °C). The infant is irritable, and the nurse
observes nuchal rigidity. Which assessment finding would indicate an increase
in intracranial pressure?
1. Positive Babinski.
2. High-pitched cry.
3. Bulging posterior fontanelle.
4. Pinpoint pupils. 2
A client is receiving total parenteral nutrition (TPN). To determine the client's
tolerance of this treatment, the nurse should assess for which of the
following?
1. A significant increase in pulse rate.
2. A decrease in diastolic blood pressure.
3. Temperature in excess of 98.6°F (37°C).
, 4. Urine output of at least 30 cc per hour. 4
The client is exhibiting symptoms of myxedema. The nursing
assessment should reveal 1. increased pulse rate.
2. decreased temperature.
3. fine tremors.
4. increased radioactive iodine uptake level. 2
A nonstress test is scheduled for a client at 34-weeks gestation who developed
hypertension, periorbital edema, and proteinuria. Which of the following
nursing actions should be included in the care plan in order to BEST prepare
the client for the diagnostic test?
1. Start an intravenous line for an oxytocin infusion.
2. Obtain a signed consent prior to the procedure.
3. Instruct client to push a button when she feels fetal movement.
4. Attach a spiral electrode to the fetal head. 3
Which of the following nursing interventions is MOST important for a 45-year-old
woman with rheumatoid arthritis?
1. Provide support to flexed joints with pillows and pads.
2. Position her on her abdomen several times a day.
3. Massage the inflamed joints with creams and oils.
4. Assist her with heat application and ROM exercises. 4 The nurse is caring for a young
adult admitted to the hospital with a
severe head injury. The nurse should position the patient
1. with his neck in a midline position and the head of the bed elevated 30°.
2. side-lying with his head extended and the bed flat.
3. in high Fowler's position with his head maintained in a neutral position. 4. in semi-Fowler's
position with his head turned to the side. 1 The nurse is teaching a 40-year-old man
diagnosed with a lower motor neuron disorder to perform intermittent self-catheterization at
home. The nurse should instruct the client to
1. use a new sterile catheter each time he performs a catheterization.
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