ATI PN Comprehensive Predictor | Questions and Answers | LATEST, 2021
1. A nurse in a long-term care facility is assisting with an in-service for newly hired assistive personnel about legal issues within the facility.
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ATI PN Comprehensive Predictor | Questions and Answers | LATEST, 2021
1. A nurse in a long-term care facility is assisting with an in-service for newly hired assistive personnel about legal issues within the facility. Which of the following should the nurse include as an example of assault?
ANS: Informing a client the nurse is going to administer an injection even though the client refuses
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2. A nurse is collecting data from who is severe pain. Which of the following questions should the nurse ask first?
ANS: "Where is your pain located?"
3. A nurse is reviewing the laboratory results for a client who is at 29 weeks gestation. For which of the following results should the nurse notify the provider?
ANS: Platelet count 95,000 mm3
4. A nurse is performing a dressing change for a client who had abdominal surgery 5 days ago. The nurse notes organs protruding from the incision. Which of the following actions should the nurse take?
ANS: Cover the exposed area with sterile, saline-soaked dressings.
5. A nurse is speaking with the adult daughter of a client who has Alzheimer's disease. The daughter states, "I love my dad, but caring for him is wearing me out." Which of the following response should the nurse make?
ANS: "Let's discuss how caring for your father is afollowingecting your health.
6. A nurse is contributing to the plan of care for a care for a client who has chest tube connected to a closed drainage system. Which of the following actions should the nurse include in the plan of care?
ANS: Maintain the drainage system below the level of the client's chest.
7. A nurse in an acute mental health facility is caring for a client who has borderline personality disorder and reports. "I am going to kill my girlfriend when I get out of here." Which of the following actions should the nurse take?
ANS: Notify the client's care team of the threats against the partner
8. A nurse is admitting a client who is at high risk for suicide. Which of the following actions is the nurse's priority?
ANS: Search the client's personal belongings
9. A nurse is caring for a client who is 1 day postoperative and is unable to ambulate. Which of the following actions should the nurse take to promote the client's venous return?
ANS: Maintain the sequential compression device.
10. A nurse on an acute care unity is collecting data from a school-age Child who has cystic fibrosis. Which of the following findings is the priority for the nurse?
ANS: Reports lack of appetite
11. a nurse working in a provider's ofollowingice receives a phone call from the parent of a school-age child who has varicella. The parent asked the nurse when the child can return to school. Which of the following responses should the nurse make?
ANS: "When the lesions have scabbed over."
12. A nurse in a pediatric clinic is collecting the data from a school-age child whose injuries are inconsistent with the parent's stated cause. Which of the following actions should the nurse take?
ANS: Report the suspected abuse to a appropriate agency.
13. A nurse is collecting data from a middle adult female client who is taking melatonin. Which of the following responses to the med should the nurse expect?
ANS: Improved sleep
14. A nurse on a pediatric unit is collecting data from four newly admitted clients. Which of the following clients should the nurse identify as being at risk for urinary retention?
ANS: A school-age child who has allergic rhinitis and is taking diphenhydramine.
15. A nurse is preparing to administer purified protein derivative (PPD) to a client who has suspected TB. Which of the following actions should the nurse plan to take?
ANS: Ensure the injection produces a wheal on the skin
16. A client who is diagnosed with Parkinson's disease verbalizes frustration due to increase difollowingiculty with ambulation. Which of the following responses should the nurse take?
ANS: Perform active ROM with your arms and legs two times a day.
17. a Nurse is collecting data from a client who has multiple fractures following a motor-vehicle crash. For which of the following client statements
ANS: "I am so frustrated. I cannot even open my milk carton for breakfast."
18. A nurse is caring for a client who is 4 hr postoperative following a total thyroidectomy. Which of the following manifestations should the nurse report to the provider as indicating possible hypocalcemia?
ANS: Tingling of fingers
19. A nurse is caring for a client who has a Penrose drain. To ensure proper placement and functioning of the drain, which of the following should the nurse expect to observe?
ANS: The safety pin is present at the distal end of the drain.
20. A community health nurse is helping to reinforce teaching about hepatitis A with a group of employees at a childcare facility. Which of the following characteristics should the nurse identify as an external factor that can impede learning for the participants?
ANS: Poor lighting in the learning setting
21. A nurse is observing newly licensed nurse who is providing tracheostomy care for a client. The nurse identifies proper performance of the procedure when the newly licensed nurse selects which of the following solutions to clean the inner cannula?
ANS: Hydrogen peroxide
22. A nurse is caring for a client who has right sided heart failure. The client's partner expresses concern the the client will die. Which of the following responses should the nurse make?
ANS: "It is difollowingicult to see someone so sick. What have you been told about your partner's prognosis?"
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