ATI predictor 180 capstone ||Ques & Ans
A nurse in an emergency department completes an assessment on an adolescent client that has conduct
disorder. The client threatened suicide to teacher at school. Which of the following statements should
the nurse include in the assessment?
a) Tell me a...
ATI predictor 180 capstone ||Ques & Ans
A nurse in an emergency department completes an assessment on an adolescent client that has conduct
disorder. The client threatened suicide to teacher at school. Which of the following statements should
the nurse include in the assessment?
a) Tell me about your siblings
b) Tell me what kind of music you like
c) Tell me how often do you drink alcohol
d) Tell me about your school schedule - CORRECT ANSWER - c) Tell me how often do you drink alcohol
*A nurse is observing bonding to the client her newborn. Which of following actions by the client
requires the nurse to intervene?
a) Holding the newborn in an end face position
b) Asking the father to change the newborn's diaper c) Requesting the nurse take the newborn nursery
so she can rest
d) Viewing the newborn's actions to be uncooperative - CORRECT ANSWER - d) Viewing the newborn's
actions to be uncooperative
A nurse is caring for client who is taking levothyroxin. Which of the following findings should indicate
that the medication is effective?
a) Weight loss (this drug acts as T4 and will normalize the effects of hypothyroidism)
b) Decreased blood pressure
c) Absence of seizures
d) Decrease inflammation - CORRECT ANSWER - a) Weight loss (this drug acts as T4 and will normalize
the effects of hypothyroidism)
,4) A nurse is planning discharge teaching for cord care for the parent of a newborn. Which instructions
would you include in the teaching?
a) Contact provider if the cord still turns black (it's going to turn black)
b) Clean the base of the cord with hydrogen peroxide daily (clean with neutral pH cleanser)
c) Keep the cord dry until it falls off (cord should be kept clean and dry to prevent infection)
d) The cord stump will fall off in five days (cord falls off in 10-14 days) - CORRECT ANSWER - c) Keep the
cord dry until it falls off (cord should be kept clean and dry to prevent infection)
A nurse is assessing a client in the PACU. Which of the following findings indicates decreased cardiac
output?
a) Shivering
b) Oliguria
c) Bradypnea
d) Constricted pupils - CORRECT ANSWER - b) Oliguria
cardiac output normal range - CORRECT ANSWER - 4-8 L/min
A nurse is assisting with mass casualty triage: explosion at a local factory. Which of the following client
should the nurse identify as the priority?
a) A client that has massive head trauma
b) A client has full thickness burns to face and trunk c) A client with indications of hypovolemic shock
,d) A client with open fracture of the lower extremity - CORRECT ANSWER - c) A client with indications of
hypovolemic shock
7) A nurse is a receiving report on four clients. Which of the following clients should the nurse assess
first?
a) A client who has illegal conduit and mucus in the pouch
b) Client pleasant arteriovenous additional
c) A client whose chronic kidney disease with cloudy dialysate outflow
d) A client was transurethral resection of the prostate with a red tinged urine in the bag - CORRECT
ANSWER - c) A client whose chronic kidney disease with cloudy dialysate outflow
A nurse is caring for a client just received the first dose of lisinopril. The following is an appropriate
nursing intervention?
a) Place's cardiac monitoring
b) Monitor the clients oxygen saturation level
c) Provide standby assist with the client from bed
d) Encourage foods high in potassium - CORRECT ANSWER - c) Provide standby assist with the client
from bed
9) A nurse is caring for a client who is in labor and his seat is receiving electronic fetal monitoring. The
nurse is reviewing the monitor tracing and notes early decelerations. Which the following should the
nurse expect?
, a) Feta hypoxia
b) Abrupto placentae
c) Post maturity
d) Head Compression - CORRECT ANSWER - d) Head Compression
10) A nurse is caring for a client who has chronic kidney disease. The nurse should identify which of the
following laboratory values as in an indication for hemodialysis?
a) glomerular filtration rate of 14 mL/ minute
b) BUN 16 mg/DL
c) serum magnesium 1.8 mg mg/dl
d) Serum phosphorus 4.0 mg/dL - CORRECT ANSWER - a) glomerular filtration rate of 14 mL/ minute
11) A nurse is caring for an infant who has a prescription for continuous pulse oximetry. The following is
an appropriate action for the nurse to take?
a) Placed infant under radiant warmer
b) Move the probe site every 3 hours
c) Heat the skin one minute prior to placing the program
d) Placed a sensor on the index finger - CORRECT ANSWER - a) Placed infant under radiant warmer
A nurse in a mental health facility receives a change of shift report on for clients. Which of the following
clients should the nurse plan to assess first?
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