ATI, RN VATI Comprehensive Predictor 2019 Form B. Rated A

Document Content and Description Below

ATI, RN VATI Comprehensive Predictor 2019 Form B A nurse is assessing an infant who has water intoxication. Which of the following findings should the nurse expect? -Answer- bounding pulse A nurse... is discussing the z-track administration of hydroxyzine with a newly licensed nurse. Which of the following statements indicates the newly licensed nurse understands the purpose of the technique -Answer- a. This technique decreases the risk of subcutaneous infiltration 1. A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan? -Answer- a. Monitor the client for 1 hr after meals A nurse notices smoke coming from a client's room and discovers a fire in the wastebasket. After moving the client to safety, which of the followings is the priority action? -Answer- a. Close the fire door on the unit A nurse is assessing a client who has delirium due to a febrile illness. Which of the following findings should the nurse expect? -Answer- a. Hallucinations 1. A nurse is caring for a client following an open colectomy. Which of the following findings places the client at risk for delayed wound healing? -Answer- hyperemesis 1. A home health nurse is reviewing treatment goals with a client who has diabetes mellitus. The nurse should evaluate which of the following laboratory tests to determine effective long-term management of blood glucose levels? -Answer- A1C 1. A nurse is caring for a client who has neutropenia due to HIV. Which of the following precautions should the nurse take while caring for this client? -Answer- a. Use a dedicated stethoscope 1. A nurse is caring for a client who reports difficulty falling asleep at night. Which of the following actions should the nurse take? -Answer- Tell the client to avoid drinking fluids 1 hr before bedtime 1. A nurse is planning care for a newborn who has hyperbilirubinemia and is to receive phototherapy. Which of the following interventions should the nurse include? -Answera. Place the newborn 45 cm from the light source 1. A nurse is planning care for a client who has schizophrenia and is having difficulty expressing their feelings. Which of the following referrals should the nurse make? - Answer- social worker1. A nurse is caring for a client who has heart failure and has started taking a loop diuretic. Which of the following findings indicates the client is experiencing an adverse effect of the medication -Answer- decreased reflexes 1. At the start of an evening shift on a cardiac unit, a licensed practical nurse brings the nurse a list of client reports. Which of the following client reports should the nurse assess first? -Answer- indigestion 1. A nurse is caring for a client who has just returned to the unit following a bronchoscopy. Which of the following actions by the assistive personnel requires the nurse to intervene? -Answer- offer oral fluids to the client 1. A nurse on a medical unit has just received change-of-shift report. Which of the following clients should the nurse assess first? -Answer- a. A 68 year old client who had a myocardial infarction 2 days ago and reports chest pain as a 4 on a scale of 0 to 10 1. A nurse is assessing a client prior to performing a blood draw. The nurse should identify that an allergy to which of the following food can indicate that the client has an allergy to latex? -Answer- avocados 1. A nurse is preparing to witness a client's signature on an informed consent for a total knee arthroplasty. Which of the following client statements indicates the nurse should contact the surgeon? -Answer- a. I am thankful there are no serious complications from this type of surgery 1. A nurse is admitting a client who has antisocial personality disorder. Which of the following client behaviors should the nurse identify as consistent with this disorder? - Answer- a. Uses others for personal gain 1. A nurse is teaching the parent of a school-age child who has scabies about the application of permethrin 5% cream. The nurse should include which of the following as a potential adverse effect of the medication? -Answer- burning 1. A nurse is teaching a client who has a new prescription for digoxin. Which of the following statements should the nurse include in the teaching? -Answer- muscle weakness 1. A nurse is planning teaching for a client who is at 10 weeks of gestation and has a history of urinary tract infections. Which of the following information should the nurse plan to include in the teaching about UTI prevention? -Answer- a. Empty the bladder before and after intercourse 1. A nurse is providing discharge teaching to a client who is postpartum and plans to breastfeed. Which of the following should the nurse recommend the client increase in their diet during lactation? -Answer- a. Calcium1. A nurse is providing teaching about preventing mastitis to a client who is postpartum and breastfeeding her newborn. Which of the following instructions should the nurse include? -Answer- a. Try to have your baby empty your breasts with each feeding." 1. A nurse is caring for a client who reports chest pain. Which of the following findings indicates myocardial damage? -Answer- a. Troponin I 1.8 ng/mL 1. A nurse is providing teaching about car seat safety to the parent of a term newborn. Which of the following statements by the parent indicates an understanding of the teaching? -Answer- a. "I should place my baby's car seat rear-facing until 6 months of age." 1. A nurse is performing high-frequency chest compressions using a mechanical chest compression device for a child who has cystic fibrosis. Which of the following findings indicates the treatment has been effective? -Answer- a. The child has increased sputum production 1. A nurse is caring for a client following a possible exposure to anthrax. Which of the following actions should the nurse take? -Answer- antitoxin 1. A nurse is caring for a client who has a newly implanted sealed internal radiation device to treat cervical cancer. Which of the following is an appropriate action for the nurse to take? -Answer- a. Keep a 3 foot distance from the radiation implant A nurse is admitting a client to the medical-surgical unit. Which of the following actions should the nurse take first? -Answer- a. Observe the client's level of mobility 1. A nurse at a public health clinic is caring for a group of clients. Which of the following should the nurse identify as a reportable diagnosis to the CDC? -Answer- hep A 1. A charge nurse is evaluating the time management skills of a newly licensed nurse. Which of the following actions should the charge nurse identify as an effective time management skill? -Answer- a. Completes activities for one client before moving to the next client 1. A nurse is caring for a client who has opioid use disorder and is experiencing withdrawal. Which of the following findings should the nurse expect? -Answer- a. Hyperreflexia 1. A nurse is planning to perform wound irrigation for a client who has an open secondary wound. When creating a sterile field, which of the following actions should the nurse take? -Answer- a. Hold the bottle of sterile solution with the palm over the label while pouring1. A nurse is planning care for a client who has a sealed radiation implant and is to remain in the hospital for 1 week. Which of the following should the nurse include in the plan of care? -Answer- a. Wear a dosimeter film badge while in the client's room 1. A nurse is assessing a client who was brought to the emergency department by his adult child. The client has visible contusions on all four extremities. Which of the following actions should the nurse take? -Answer- a. Report the incident to Adult Protective Services 1. A nurse is assessing a client who is postoperative following abdominal surgery. The client states, "I feel like my incision ripped open." The nurse notes dehiscence of the incision. Which of the following actions should the nurse take? -Answer- a. Extend the client's legs above heart level 1. A nurse is providing teaching to the parent of a 6 month old infant who is teething and having difficulty sleeping. Which of the following instructions should the nurse include? - Answer- a. Administer acetaminophen drops to your child before bedtime 1. A nurse is providing dietary teaching to a client who has an increased cholesterol level. Which of the following foods should the nurse recommend? -Answer- egg whites 1. A home health nurse is teaching a guardian about administering tube feedings to their 3 month old infant. Which of the following information should the nurse include in the teaching? -Answer- a. Allow the infant to suck on a pacifier during feedings 1. A charge nurse is creating assignments for the next shift for several nurses and one of the nurses is pregnant. Which of the following clients should the charge nurse assign to a nurse who is not pregnant? -Answer- a. A 60 year old client who is recovering from shingles 1. A nurse is assessing a client who has a magnesium level of 4.4 mEq/L. Which of the following findings should the nurse expect? -Answer- a. Hypotension 1. A nurse is reviewing the medical record of a client who has a new prescription for gentamicin. The nurse should identify that concurrent use with which of the following current medications can increase the client's risk for ototoxicity? -Answer- a. Furosemide 1. A nurse is performing triage following a natural disaster. Which of the following clients should the nurse identify as the highest priority to receive care? -Answer- a. A client who has a traumatic arm amputation 1. A nurse is assessing a client who is gravida 2, para 1. The client is at 41 weeks of gestation and is receiving oxytocin for the augmentation of labor. The nurse should decrease the infusion rate for which of the following findings? -Answer- a. Contractions occur every 90 seocnds1. A nurse is caring for a client who has constricted pupils, delayed reflexes, and decreased blood pressure. The nurse should identify that these findings are potential manifestations of which of the following? -Answer- a. Opioid intoxication 1. A nurse is precepting a nursing student who brings the following client observations to the nurse's attention. Which of the following clients should the nurse assess first? - Answer- a. A client who is coughing up pink-tinged sputum following a bronchoscopy and lung biopsy 1 hr ago 1. A nurse manager is reviewing documentation standards with a group of newly licensed nurses. Which of the following statements should the nurse manager include in the teaching? -Answer- a. Include the complete name of the medication morphine sulfate 1. A community health nurse is performing a vision screening on a 4 month old infant. When shining a light source into the infant's visual field, which of the following is an expected finding? -Answer- the infant closes their eyes 1. A nurse is teaching a client and their family about home hospice care. Which of the following information should the nurse include in the teaching? -Answer- a. Hospice care improves quality of life through palliative care 1. A nurse is preparing to administer eye drops to a client. Which of the following nursing actions is appropriate? -Answer- a. Use aseptic technique and drop the medication into the conjunctival sac 1. A nurse manager at a public health clinic is concerned about the rising number of sexually transmitted infections in the community. The purpose of which of the following is to generate new ideas to address the public health concern? -Answer- a. A brainstorming session with nurses 1. A nurse is teaching a group of farmworkers who work with pesticide about minimizing exposure. Which of the following information should the nurse include in the teaching? - Answer- a. Change clothes after working in the field 1. A nurse is caring for a client who has cirrhosis of the liver. Which of the following actions should the nurse take? -Answer- a. Monitor for abdominal ascites 1. A nurse is caring for a client who is receiving systematic desensitization therapy to treat agoraphobia. Which of the following client statements should indicate to the nurse that the treatment has been effective? -Answer- a. I was able to sit on a park bench for 30 minutes1. A nurse is caring for a client who is receiving a blood transfusion at 125mL/hr and develops a hemolytic reaction. Which of the following actions should the nurse perform? -Answer- a. Infuse 0.9% sodium chloride IV 1. A nurse is caring for a client who had a partial laryngectomy and is receiving continuous enteral feedings at 65mL/hr through a gastrostomy tube. Which of the following findings requires immediate intervention by the nurse? -Answer- a. The gastric residual volume is 250 mL following 2 hr of infusion 1. A nurse is providing postoperative teaching to a client who has a newly-inserted pacemaker. Which of the following statements by the client indicates that the teaching has been effective? -Answer- a. I will go to my cardiologist's office when the battery needs to be changed 1. A nurse in a mental health facility is evaluating the effectiveness of mechanical restraints for a client who threw a chair in the day room. The nurse should identify which of the following findings as an indication to remove the restraints? -Answer- a. The client apologizes for their aggressive behavior 1. A nurse is preparing to administer an IV bolus of albumin 5% to a client who is receiving a continuous IV infusion. After confirming compatibility, which of the following actions should the nurse take? -Answer- a. Occlude the IV tubing above the injection port 1. A nurse is caring for a client who is postpartum and has a new prescription for methylergonovine for vaginal bleeding refractory to fundal massage and oxytocin. When reviewing the client's medical history, the nurse should recognize which of the following diagnoses as a contraindication to the administration of methylergonovine? -Answerhypertensio 1. A nurse is caring for a client who has a prescription for vancomycin 1 g IV every 12 hr. The client is scheduled to have the morning dose at 0700. The nurse should schedule the trough level to be drawn at which of the following times? -Answer- 1800 1. A nurse is performing a skin assessment for a client who is on bedrest. Which of the following actions should the nurse take to prevent a pressure injury? -Answer- a. Apply a donut ring pillow under the client's sacral area 1. A nurse from the State Health Development is instructing a group of nurses regarding reportable infections. Which of the following infections should the nurse report to the Centers for Disease Control and Prevention? -Answer- lyme disease 1. A home health nurse is admitting a client who is prescribed peritoneal dialysis. Which of the following actions should the nurse take first? -Answer- a. Demonstrate how to perform the procedure1. A nurse is performing an admission assessment for a client who is to undergo a colonoscopy. The client informs the nurse that he took his prescribed medications before coming to the clinic. Which of the following medications is the priority to report to the provider? -Answer- a. Metformin 1. A client asks the nurse if it is safe to take a glucosamine supplement. The nurse should assess for which of the following potential contraindications? -Answer- shellfish allergy 1. A nurse is providing discharge teaching to a client who has schizophrenia and is starting therapy with clozapine. Which of the following is the highest priority for the client to report to the provider? -Answer- fever 1. 2 hr postoperative following an ileal conduit procedure bladder cancer -Answerdusky colored stoma 1. Administer an injection to a client when the client states, "I dont want that injection. The last time I got that was sore for a week -Answer- battery 1. Assessing client who systemic lupus erythematous SLE which of the following is an expected findings -Answer- dry rasied fasical rash 1. Caring for a client who has a new prescription for chlorpromazine by IM injection - Answer- a. check ortho bp 1 hr after administration 1. Charge nurse on pediatric unit is making assignments for a float nurse from the medical unit. Pt to see first? -Answer- a. a 10-year old who has pneumonia and is receiving respiratory treatments. 1. Child who is unresponsive has increased intracrainal pressure -Answer- pad rails 1. A client hopitialized for a bone marrow transplant is in protective isolation while undergoing total body radiation and intense chemotherapy. The clients sibling comes to visit but has obvious manifestations of an upper respiratory infection. -Answer- a. Allow the sibling to visit after donning a sterile gown, mask, gloves but prohibits physical contact 1. Client who has given birth to a stillborn -Answer- a. Acknowledging the reality of the nb death 1. Client who is receving a controlled epidural analgesia infusion -Answer- a. Covering the insertion site with a transparent dressing 1. delegates the following tasks to the assistive personnel bathe four clients distribute fresh water obtain morning vital signs -Answer- a. set a clear time frame for the completion of each task1. Diagnosis of antisocial personality disorder -Answer- a. poor impulse control 1. Haloperidol for the treatment of schizophrenia -Answer- a. screen the client for tardive dyskinesia 1. In patient psychiatric unit is setting short-term goals for an adolescent who was admitted for treatment of anorexi nervosa -Answer- a. The client will develop personalized meal plan 1. A nurse in a pediatric unit is caring for a group of clients. Which of the following diseases should the nurse implement droplet precautions? -Answer- a. Pertussis 1. A nurse in the emergency department is caring for a client following a motor vehicle crash. priority? -Answer- c spine 1. A nurse is admitting a client who has chronic gout what med should the nurse admin? -Answer- allopurinol 1. nurse is admitting an unidentified female who was brought to the emergency department -Answer- 3 month old 1. A nurse is caring for a client who has a typical depression and is taking phenelzine. what can you eat? -Answer- low fat yogurt 1. A nurse is caring for a client who is manic. Which of the following activities is appropriate for the nurse to suggest? -Answer- taking walks 1. a nurse is caring for a client who is receiving gentamicin. Which of the following findings indicates the client is developing toxicity -Answer- a. tinnitus 1. nurse is caring for a client who will be, receiving a transfusion of platelets -Answer- a. Decrease in bleeding from puncture sites 1. nurse is caring for a client with fractured ribs, has developed thrombophlebitis, and is being treated with a heparin drip. The client develops hematuria and has an activated partial thromboplastin time aPTT of 100 seconds -Answer- turn off heparin drip 1. A nurse is caring for a postoperative client. Which of the following interventions will reduce the risk of deep-vein thrombosis -Answer- boots 1. nurse is caring for a preschool-age child who has a short-leg, plaster cast applied 1 hr ago. -Answer- pillow1. a nurse is interviewing a client who presents with multiple injuries that are consistent with intimate partner abuse. After establishing trust and rapport, which of the following should the nurse say? -Answer- lets talk about what happened to you 1. a nurse is teaching a prenatal class about evidence of effective breastfeeding to a group of parent -Answer- swallowing sounds are audible stool are yellow and seedy after 7 days maternal breasts become soft following feeds 1. Windshield survey -Answer- religous A nurse is reviewing the lab report of a client who has a mag level of 1.0mEq/L. Which of the following should the nurse expect? -Answer- Cardiac dysrrhythmia A nurse is caring for a client who has breast cancer and has been receiving chemotherapy. which of the lab values will you report to the provider? -Answer- WBC 3,000 A nurse is planning teaching for a client who is at 10 weeks of gestation and has a history of urinary tract infections. Which of the following information should the nurse plan to include in the teaching about UTI prevention? -Answer- Empty the bladder before and after intercourse A nurse is teaching a client about nutritional intake. include in the teaching -AnswerCarbs should be atleast 45%-65% of you caloric intake A nurse is performing high-frequency chest compressions using a mechanical chest compression device for a child who has cystic fibrosis. Which of the following findings indicates the treatment has been effective? -Answer- The child has increased sputum production A nurse is discussing the z-track administration of hydroxyzine with a newly licensed nurse. Which of the following statements indicates the newly licensed nurse understands the purpose of the technique? -Answer- This technique decreases the risk of subcutaneous infiltration A nurse is caring for a client who has heart failure and has started taking a loop diuretic. Which of the following findings indicates the client is experiencing an adverse effect of the medication -Answer- Decreased reflexes client who had a CVA. perform to prevent foot dropping -Answer- Place positing boots on the client's feet A nurse in a provider's office is teaching a client 16 weeks of gestation and has a new prescription for ferrous sulfate. What should the nurse include in the teaching -AnswerTake you iron with fluids other than coffee and teaA nurse is caring for a client who has a newly implanted sealed internal radiation device to treat cervical cancer. Which of the following is an appropriate action for the nurse to take? -Answer- Keep a 3 foot distance from the radiation implant A charge nurse is evaluating the time management skills of a newly licensed nurse. Which of the following actions should the charge nurse identify as an effective time management skill? -Answer- Completes activities for one client before moving to the next client A nurse is performing an admission assessment for a client who is to undergo a colonoscopy. The client states he took all his meds before coming. which of the following medication is priority to report to the provider -Answer- Clopidegrel Four clients to an emergency department. The nurse should plan to see which of the following first? -Answer- 50-year old client who has slurred speech, disoriented and reports a headache placenta previa. Which of the following client findings should the nurse include? - Answer- Bring red vaginal bleeding A nurse is caring for a client who has constricted pupils, delayed reflexes, and decreased blood pressure. The nurse should identify that these findings are potential manifestations of which of the following? -Answer- Opioid intoxication A nurse in a clinic is teaching a client who is postmenopausal about estrogen therapy. What should the nurse include in the teaching -Answer- estrogen therapy increase the risk for thrombus formation A nurse administers a dose of metoclopramide to a client prior to a chemotherapy treatment. The client develops uncontrolled contraction of the head and neck muscles. Which of the following medications should the nurse administer -Answerdiphenhydramine A nurse on a med-surg unit is caring for a group of clients. Which of the following clients would benefit from a three-way indwelling catheter -Answer- female who is prone to development of blood clots in the urine A nurse is assessing the vital signs of a newborn who was born 8hrs ago. Which of the following findings require interventions by the nurse? -Answer- blood pressure windshield survey -Answer- The availability of religious facilities. A nurse is caring for a postoperative client. Which of the following interventions will reduce the risk of DVT -Answer- apply venous plexus foot pumpsA nurse is providing teaching about car seat safety to the parent of a term newborn. Which of the following statements by the parent indicates an understanding of the teaching? -Answer- "I should place a rolled blanket along each side of my baby's head in the car seat." A nurse is providing teaching about nutrition to the parents of a preschooler who has chronic renal failure. Which of the following indicates understanding teaching -Answer- I should limit my child's intake of protein A nurse is assessing a client who has COPD and experienced recent weight loss. Which of the following findings should the nurse report to the provider? -AnswerCoughing and wheezing after eating Risk for metabolic alkalosis -Answer- A client who has severe hyperemesis At the start of an evening shift on a cardiac unit, a licensed practical nurse brings the nurse a list of client reports. Which of the following client reports should the nurse assess first? -Answer- Indigestion A nurse is assessing an infant who has water intoxication. Which of the following findings should the nurse expect? -Answer- elevated urine specific gravity A nurse is caring for a group of clients in an inpatient mental health facility. Which of the following task should the nurse delegate to the AP -Answer- Sit with the client who has anorexia nervosa during meals obtaining a culuture -Answer- 1. Assess the appearance of the wound 2. Obtain the specimen from granulation tissue of the wound 3. Place the swab in the culture tube. 4. Cleanse the would with 0.9% 5. Cover the wound with a sterile dressing A nurse is teaching the parent of a school-age child who has scabies about the application of permethrin 5% cream. The nurse should include which of the following as a potential adverse effect of the medication? -Answer- burning A community health nurse is performing a vision screening on a 4 month old infant. When shining a light source into the infant's visual field, which of the following is an expected finding? -Answer- the infant closes their eyes A nurse is caring for a client who has opioid use disorder and is experiencing withdrawal. Which of the following findings should the nurse expect? -Answerhyperreflexia The patient states they do not want the injection but the nurse gives it anyways - Answer- batteryClient taking phenelzine -Answer- cheddar cheese A home health nurse is reviewing treatment goals with a client who has diabetes mellitus. The nurse should evaluate which of the following laboratory tests to determine effective long-term management of blood glucose levels? -Answer- HbA1C A nurse manager at a public health clinic is concerned about the rising number of sexually transmitted infections in the community. The purpose of which of the following is to generate new ideas to address the public health concern? -Answer- A brainstorming session with nurses hip arthroplasty and notes the dressing is saturated with sanguineous drainage. Which of the following actions should the nurse take? -Answer- Reinforce the dressing with sterile gauze bathe four clients, distribute fresh water, and obtain the morning vital signs. At noon the nurse ask the AP to transport one client to physical therapy. The nurse delegate more effectively in the future? -Answer- Plan a more reasonable job assignment A nurse is preparing to administer enoxaprin to a client. Which of the following actions should the nurse plan to take? -Answer- Inject the medication in the lateral abdominal wall systemic lupus -Answer- dry raised facial rash common manifestation of food allergies -Answer- vomiting sterile field -Answer- open the first flap away from the body A nurse on a mental health unit receives report on four client. Which of the following clients should the nurse attend to first -Answer- A client who is having auditory hallucination and is becoming agitated A nurse is assessing a full-term newborn who is 24hr old. What should be reported to the provider -Answer- newborn neck is short and surrounded by skin folds A nurse on an orthopedic floor is completeing the morning assessments on several clients. Which client is more at risk for a fat embolism -Answer- 24 yr old male who has a casted femur fracture A community health nurse is caring for a client who request a referral for family therapy. The nurse should include who from interdisciplinary team? -Answer- Social workerA nurse manager is reviewing documentation standards with a group of newly licensed nurses. Which of the following statements should the nurse manager include in the teaching? -Answer- Include the complete name of the medication morphine sulfate A nurse is performing triage following a natural disaster. Which of the following clients should the nurse identify as the highest priority to receive care? -Answer- A client who has a traumatic arm amputation A nurse is caring for a client who is manic. Which of the following activities is appropriate for the nurse to suggest? -Answer- take a daily walk on the hospital grounds A nurse is teaching a group of farmworkers who work with pesticide about minimizing exposure. Which of the following information should the nurse include in the teaching? - Answer- Change clothes after working in the field A nurse is admitting a client to a med-surg unit. What action should the nurse take first - Answer- Assess the clients level of mobility A nurse is reviewing the medical records of four clients. Which of the following prescriptions correct documentation? -Answer- Enoxaparin 30 mg SC every 12 hr Adolescent who has anorexia nervosa -Answer- hypokalemia a nurse is preparing to discharge a newborn who has atrial septal defect. Who should the nurse expect the provider to recommend -Answer- occupational manager gentamicin toxicity -Answer- tinnitus A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan? -Answer- Monitor the client for 1 hr after meals A nurse is caring for a client following a possible exposure to anthrax. Which of the following actions should the nurse take? -Answer- Begin prophylactic treatment with ciprofloxacin Report to the CDC -Answer- Hepatitis A levels a depression in the skin 8mm deep -Answer- 4+edema A nurse is teaching a client who is at 35 week of gestation about amniocentesis. Which of the following statements should the nurse include in the [Show More]

Last updated: 2 years ago

Preview 1 out of 22 pages