ATI Comprehensive Predictor "STUDY THIS ONE" 177 Questions with 100% Correct Answers 2022

ATI Comprehensive Predictor "STUDY THIS ONE" 177 Questions with 100% Correct Answers 2022 A nurse on a med surge unit has recieved change of shift report and will care for 4 clients. Which of the following clients nee ...

ATI Comprehensive Predictor "STUDY THIS ONE" 177 Questions with 100% Correct Answers 2022 A nurse on a med surge unit has recieved change of shift report and will care for 4 clients. Which of the following clients needs will the nurse assign to an AP? Feeding a client who was admitted 24 hours ago with aspiration pneumonia Reinforcing teaching with a client who is learning to walk with a quad cane Reapplying a condom catheter for a client who has urinary incontinence Applying a sterile dressing to a pressure ulcer - ✔✔C. Reapplying a condom catheter for a client who has urinary incontinence A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago to an AP. Which of the following info should the nurse share with the AP? Select all: the roommate is up independently The client ambulates with his slippers on over his antiembolic stockings The client uses a front wheeled walker when ambulating The client had pain meds 30 minutes ago The client is allergic to codeine the client ate 50 % of his breakfast this morning - ✔✔B. The client ambulates with his slippers on over his antiembolic stockings C. The client uses a front wheeled walker when ambulating D. The client had pain meds 30 minutes ago An RN is making assignments for client care to an LPN at the beginning of the shift. Which of the following assignments should the LPN question? Assisting a client who is 24 hr postop to use an incentive spirometerCollecting a clean catch urine specimen from a client who was admitted on the previous shift providing nasopharyngeal suctioning for a client who has pneumonia Replacing the cartridge and tubing on a PCA pump - ✔✔D. Replacing the cartridge and tubing on a PCA pump A nurse is preparing an inservice program about delegation. Which of the following elements should she identify when presenting the 5 rights of delegation. Select all: Right client Right supervision/evaluation Right direction/communication Right time Right circumstances - ✔✔B. Right supervision/evaluation C. Right direction/communication E. Right circumstances A nurse manager of a med surge unit is assigning care responsibilities for the oncoming shift. A client is waiting transfer back to the unit from the PACU following thoracic surgery. To which staff member should the nurse assign the client? Charge nurse RN LVN AP - ✔✔B. RN A nurse is caring for a client who decides not to have surgery despite significant blockages in his coronary arteries. The nurse understands that this clients choice is an example of what principles? Fidelity AutonomyJustice Nonmalificience - ✔✔A. Fidelity 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? Fidelity Autonomy Justice Beneficence - ✔✔D. Beneficience 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 Fidelity Autonomy Justice Nonmaleficence - ✔✔C. Justice 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 Fidelity Autonomy Justice Nonmaleficence - ✔✔D. Non-Malificence Which of the following situations can be identified as an ethical dilemma?A nurse on a med surge unit demonstrates signs of chemical impairment A nurse over hears another nurse telling an older adult client that if he doesnt stay in bed she will restrain him A family has conflicting feelings about the initiation of enteral tube feedings of their father who is terminally ill A client who is terminally ill hesitates to name her spouse on her durable power of attorney form - ✔✔C. A family has conflicting feelings about the initiation of enteral tube feedings of their father who is terminally ill 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? Positive Babinski. High-pitched cry. Bulging posterior fontanelle. Pinpoint pupils. - ✔✔2.High-pitched cry 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? A significant increase in pulse rate. A decrease in diastolic blood pressure. Temperature in excess of 98.6°F (37°C). Urine output of at least 30 cc per hour. - ✔✔4.Urine output of at least 30cc per hour. The client is exhibiting symptoms of myxedema. The nursing assessment should revealincreased pulse rate. decreased temperature. fine tremors. increased radioactive iodine uptake level. - ✔✔2. decreased temperature 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? Start an intravenous line for an oxytocin infusion. Obtain a signed consent prior to the procedure. Instruct client to push a button when she feels fetal movement. Attach a spiral electrode to the fetal head. - ✔✔3. Instruct client to push a button when she feels fetal movement. Which of the following nursing interventions is MOST important for a 45-year-old woman with rheumatoid arthritis? Provide support to flexed joints with pillows and pads. Position her on her abdomen several times a day. Massage the inflamed joints with creams and oils. Assist her with heat application and ROM exercises. - ✔✔4. Assist her with heat application and ROM exercises. The nurse is caring for a young adult admitted to the hospital with a severe head injury. The nurse should position the patientwith his neck in a midline position and the head of the bed elevated 30°. side-lying with his head extended and the bed flat. in high Fowler's position with his head maintained in a neutral position. in semi-Fowler's position with his head turned to the side. - ✔✔1. with his neck in a midline position and the head of the bed elevated 30°. 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 use a new sterile catheter each time he performs a catheterization. perform the Valsalva maneuver "holding breath and bearing down" before doing the catheterization. perform the catheterization procedure every 8 hours. limit his fluid intake to reduce the number of times a catheterization is needed. - ✔✔2. perform the Valsalva maneuver "holding breath and bearing down" before doing the catheterization. A client is being discharged with sublingual nitroglycerin (Nitrostat). The client should be cautioned by the nurse to take the medication five minutes after the pain has started. stop taking the medication if a stinging sensation is absent. take the medication on an empty stomach. avoid abrupt changes in posture. - ✔✔4. avoid abrupt changes in posture. A 38-year-old woman is returned to her room after a subtotal thyroidectomy for treatment of hyperthyroidism. Which of the following, if found by the nurse at the patient's bedside, is nonessential? Potassium chloride for IV administration.Calcium gluconate for IV administration. Tracheostomy set-up. Suction equipment. - ✔✔1. Potassium chloride for IV administration. A nurse recognizes that an initial positive outcome of treatment for a victim of sexual abuse by one parent would be that the client acknowledges willing participation in an incestuous relationship. reestablishes a trusting relationship with his/her other parent. verbalizes that s/he is not responsible for the sexual abuse. describes feelings of anxiety when speaking about sexual abuse. - ✔✔3. verbalizes that s/he is not responsible for the sexual abuse. An adolescent client is ordered to take tetracycline HCL (Achromycin) 250 mg PO bid. Which of the following instructions should be given to this client by the nurse? "Take the medication on a full stomach, or with a glass of milk." "Wear sunscreen and a hat when outdoors." "Continue taking the medication until you feel better." "Avoid the use of soaps or detergents for two weeks." - ✔✔2. "Wear sunscreen and a hat when outdoors." After a client develops left-sided hemiparesis from a cerebral vascular accident (CVA), there is a decrease in muscle tone. Which of the following nursing diagnoses would be a priority to include in his care plan? Alteration in mobility related to paralysis. Alteration in skin integrity related to decrease in tissue oxygenation. Alteration in skin integrity related to immobility.Alteration in communication related to decrease in thought processes - ✔✔2. Alteration in skin integrity related to decrease in tissue oxygenation. A client has a history of oliguria, hypertension, and peripheral edema. Current lab values are: BUN -25, K+ -4.0 mEq/L. Which nutrient should be restricted in the client's diet? Protein. Fats. Carbohydrates. Magnesium. - ✔✔1. Protein An extremely agitated client is receiving haloperidol (Haldol) IM every 30 minutes while in the psychiatric emergency room. The MOST important nursing intervention is to monitor vital signs, especially blood pressure, every 30 minutes. remain at the client's side to provide reassurance. tell the client the name of the medication and its effects. monitor the anticholinergic effects of the medication. - ✔✔1. monitor vital signs, especially blood pressure, every 30 minutes. The nurse is caring for clients in the skilled nursing facility. Which of the following clients require the nurse's IMMEDIATE attention? A client admitted for a cerebral vascular accident (CVA) whose prescription for warfarin (Coumadin) expired two days ago. A client in pain who was receiving morphine in an acute care institution and was transferred with a prescription for acetaminophen with codeine.A client who has dysuria and foul-smelling, cloudy, dark amber urine. An immunosuppressed client who has not received an influenza immunization. - ✔✔1. A client admitted for a cerebral vascular accident (CVA) whose prescription for warfarin (Coumadin) expired two days ago. The nurse is observing care given to a client experiencing severe to panic levels of anxiety. The nurse would intervene in which of the following situations? The staff maintains a calm manner when interacting with the client. The staff attends to client's physical needs as necessary. The staff helps the client identify thoughts or feelings that occurred prior to the onset of the anxiety. The staff assesses the client's need for medication or seclusion if other interventions have failed to reduce anxiety. - ✔✔3. The staff helps the client identify thoughts or feelings that occurred prior to the onset of the anxiety. A 69-year-old client is undergoing his second exchange of intermittent peritoneal dialysis (IPD). Which of the following would require an intervention by the nurse? The client complains of pain during the inflow of the dialysate. The client complains of constipation. The dialysate outflow is cloudy. There is blood-tinged fluid around the intra-abdominal catheter. - ✔✔3. The dialysate outflow is cloudy. The clinic nurse is performing diet teaching with a 67-year-old client with acute gout. The nurse should teach the client to limit his intake of red meat and shellfish.cottage cheese and ice cream. fruit juices and milk. fresh fruits and uncooked vegetables. - ✔✔1. red meat and shellfish. A client is scheduled for a left lower lobectomy. The physician has ordered diazepam (Valium) 2 mg IM for anxiety. The nurse would determine that the medication is appropriate if the client displays which of the following symptoms? Agitation and decreased level of consciousness. Lethargy and decreased respiratory rate. Restlessness and increased heart rate. Hostility and increased blood pressure. - ✔✔3. Restlessness and increased heart rate. A 59-year-old woman with bipolar disorder is receiving haloperidol (Haldol) 2 mg PO tid. She tells the nurse, "Milk is coming out of my breasts." Which of the following responses by the nurse is BEST? "You are seeing things that aren't real." "Why don't we go make some fudge." "You are experiencing a side effect of Haldol." "I'll contact your physician to change your medication." - ✔✔3. "You are experiencing a side effect of Haldol." The physician orders ranitidine hydrochloride (Zantac) 150 mg PO qd for a client. The nurse should advise the client the BEST time to take this medication is before breakfast. with dinner. with food. at hs. - ✔✔4.at hsIf a client develops cor pulmonale (right-sided heart failure), the nurse would expect to observe increasing respiratory difficulty seen with exertion. cough productive of a large amount of thick, yellow mucus. peripheral edema and anorexia