ATI Predictor Comprehensive Assessment A

A nurse is teaching a client who has a new prescription for metformin extended release tablets. Which of the following statements by the client indicates an understanding of the teaching? A nurse is assessing a client ...

A nurse is teaching a client who has a new prescription for metformin extended release tablets. Which of the following statements by the client indicates an understanding of the teaching? A nurse is assessing a client who is receiving enteral feeding via an NG tube. The client has developed hyperosmolar dehydration. Which of the following actions should the nurse take when administering the client’s findings? A nurse is providing discharge teaching to a client who has a new ostomy. Which of the following instructions should the nurse include? A nurse is teaching the parents of a school-age child who has sickle cell anemia about managing the disease at home which of the following instructions should the nurse include? A nurse is teaching about Safe Handling of formula to a client who is postpartum and chooses to bottle feed her newborn. Which of the following statements by the client indicates an understanding of the teaching? A nurse is assessing a child who is post-operative following a tonsillectomy. Which of the following findings should the nurse identify as the priority? A nurse is teaching a client who is pregnant about non-stress testing. Which of the following statements by the client indicates an understanding of the teaching? A nurse is monitoring a client who is receiving a transfusion of packed RBC's. The client reports chills, headaches, low back pain, and a feeling of tightness in his chest. The nurse should identify that the client has developed which of the following types of transfusion reactions? A nurse is caring for a client who is in the latent phase of Labor and reports severe back pain. The vaginal examination reveals that the cervix is dilated two centimeters, 25% effaced and -2 station. Which of the following interventions should the nurse implement? A nurse is teaching about how to suppress lactation with a client who is postpartum and bottle feeding her newborn. Which of the following instructions should the nurse include in the teaching? A nurse is preparing to administer medication to a client. What are the following identifiers should the nurse use to identify the client? A nurse is caring for a client who is taking antihypertensive medication and is moving from a supine to a seated position. Which of the following findings should indicate to the nurse that the client is experiencing orthostatic hypotension? While a nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube, the high-pressure alarm of the ventilator sounds. Which of the following actions should the nurse take? A nurse is preparing to insert an indwelling urinary catheter for a client. Which of the following actions should the nurse take first? A nurse is planning to administer packed RBC's to an older adult client who has a low hemoglobin level. Which of the following actions should the nurse plan to take? A new nurse in an acute mental health facility is teaching a client about potential adverse effects of transcranial magnetic stimulation. The nurse tells the client that he might not feel light-headed but that it should not affect his memory. The nurse is demonstrating which of the following ethical principles? A nurse is teaching a class about providing care within the legal scope of practice to a group of nurses. The nurse should include that which of the following procedures is outside the legal scope of practice for an RN? A nurse in an acute care facility is caring for a client who has anorexia nervosa. During the first week of care, which of the following actions should the nurse take? A nurse is planning care for a client who has sciatica and a prescription for a transcutaneous electrical nerve stimulation (TENS) unit. Which of the following referral should the nurse anticipate for the client? A nurse is teaching a client who has generalized anxiety disorder about ways to help manage stress. Which of the following instructions should the nurse give the client about using Progressive relaxation? A nurse is assessing a client who is at 37 weeks of gestation and reports sudden, severe abdominal pain with moderate vaginal bleeding and persistent uterine contraction. The client's blood pressure is 88 over 50 mmhg and her abdomen is rigid. The nurse should identify these findings as indicating which of the following complications? A home health nurse is planning care for an older adult client who has a vision loss and takes medication throughout the day. Which of the following actions should the nurse include in the plan? A nurse is planning care for a client who has a history of urinary tract infections UTIs and requires placement of an indwelling catheter. Which of the following actions should the nurse take to help minimize the client's risk of acquiring a UTI? a. Whoop the tubing so that is lower than the collection bag b. keep urine a bag at bladder level when ambulating c. secure the catheter to the client’s thigh d. obtain urinary samples by disconnecting the tubing connections A nurse at an acute care facility is teaching a client about fall risk prevention strategies for use during their stay at the facility. Which of the following statements by the client indicates an understanding of the teaching? A nurse is caring for a client who is taking disulfiram for alcohol-use disorder and reports ingestion of alcohol. For which of the following adverse effects should the nurse monitor? A nurse at the health department is providing anticipatory guidance to a parent of a one month or a year-old infant. The nurse should inform the parent that the infant should receive which of the following immunizations at the age of two months? A Nurse is assisting in the selection of foods for a client who has dysphagia caused by a stroke. Which of the following foods should the nurse recommend? A community health nurse is providing education to a group of older adults about immunizations. Which of the following immunizations should the nurse recommend? A nurse is caring for a client who is postoperative following a mitral balloon valvuloplasty. Which of the following areas should the nurse auscultate to assess for mitral areas of the heart? (you will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.) A nurse is planning care for a client who is experiencing benzodiazepine toxicity. The nurse should plan to administer which of the following medications? A nurse is admitting a client to the medical-surgical unit. The patient self-determination act requires the nurse to perform which of the following actions during the admission process? A nurse is assessing a client who is postoperative following orthopedic surgery. Which of the following findings should the nurse identify as an indication of paralytic Ileus? A nurse is performing an administered admission assessment of a school-age child who has spina bifida. the parents state that a child is allergic to latex. The nurse should assess further for cross sensitivity to which of the following Foods? A nurse is planning care for a client who is at 32 weeks of gestation and has severe pre- eclampsia. Which of the following actions should the nurse plan to take? A nurse is documenting admission data for a client in an acute care facility. Which of the following actions should the nurse take? A client on an acute mental health unit states to a nurse, tie a bow. Row the boat. Now I know. Whoa! I see you, you the nurse should document that the client is exhibiting which of the following speech alterations? A nurse is caring for a client who has Crohn's disease. The nurse calculates that the client BMI is 17.2. The nurse should document that the clients wait status is being within which of the following categories? A nurse is planning post-operative care for a client who is scheduled for a thoracotomy with chest tube placement. Which of the following pieces of equipment should the nurse plan to have at the client's bedside? A nurse is providing discharge teaching to a client who has Gerd. Which of the following information should the nurse include? A nurse is part of a task force planning to audit a facilities nursing unit concerning adherence to hand hygiene protocols. Which of the following steps should the task force take first? A nurse is planning educational materials for a client who has a new pacemaker. Which of the following information should a nurse include? A nurse is providing discharge teaching to a client who is 1-day postoperative following a right modified radical mastectomy. Which of the following instructions should the nurse include in the teaching? A nurse is planning care for a client prior to an amniocentesis. Which of the following actions should the nurse include in the plan of care? A nurse is assessing a 24-month-old toddler at a well-child checkup. Which of the following findings indicates to the nurse that the toddler has a developmental delay? A nurse in an emergency department is administering naloxone to a client who had a heroin overdose. The nurse should identify which of the following assessment findings as an indication that the medication is reversing the effects of the opioid overdose? A nurse is caring for a client following an involuntary admission to an acute mental health facility. The client states, I'm afraid they will give me drugs that put me to sleep. Which of the following statements should the nurse make? A nurse is caring for a client who is preoperative for cataract removal. Which of the following statements by the client indicates an understanding of the procedure? A nurse is planning care for a client who is undergoing brachytherapy for a low dose radiation implant for treatment of prostate cancer. Which of the following interventions should the nurse include in the client's plan of care? A nurse is teaching a client about using transdermal scopolamine to treat motion sickness. Which of the following instructions should the nurse include? A nurse is admitting a school-age child who has bacterial meningitis. Which of the following types of isolation precautions should the nurse initiate? A nurse is planning assignments for an upcoming shift. Which of the following tasks should the nurse delegate to an assistive Personnel? (select all that apply.) A nurse is interpreting a cardiac Rhythm strip from a client who has recurrent episodes of syncope. Which of the following images indicates the client has atrial fibrillation? A community health nurse is planning an educational program on Lyme disease or the general public. Which of the following statements should the nurse include in the program? A nurse is admitting a client to the medical-surgical unit. The patient self-determination act requires the nurse inform which of the following actions during the admission process? A nurse is teaching a client how to care for his behind the ear hearing aid. Which of the following statements by the client indicates an understanding of the teaching? a nurse is caring for a client who is postpartum and expresses concern about how her preschool-age son will react to having a baby sister. Which of the following strategies should the nurse suggest? A nurse is caring for a 3-year-old toddler who has dehydration. Which of the following findings should the nurse report to the provider? A nurse is teaching a class about using niacin to reduce LDL cholesterol. The nurse should include in the teaching that which of the following conditions is a contraindication for receiving this medication? a school nurse is using the Weber test to check a child. Which of the following actions should the nurse take? A nurse is reviewing the medical record of a client who has a prescription for misoprostol for induction of Labor. Which of the following findings is a contraindication for administration of this medication? A nurse is reviewing the results of laboratory screenings for a nine-month-old infant. Which of the following results should the nurse report to the provider? A nurse is teaching a client who has a new prescription for sertraline to treat depression. For which of the following findings should the nurse instruct the client to Monitor and Report immediately as indicating serotonin syndrome? A community health nurse is developing a plan of care for an older adult client who has Type 2 diabetes mellitus and lives independently in a Royal area. Which of the following interventions should the nurse include? A nurse in a provider's office is monitoring the laboratory results of a client who has type 1 diabetes mellitus. Which of the following results and the case of the client demonstrates acceptable glycemic control? A nurse is providing dietary teaching to the guardian of a preschooler who has celiac disease. Which of the following foods should the nurse recommend including the preschoolers’ diet? A nurse is caring for a client who has a peritoneal catheter that requires a dressing change. Identify the sequence of actions the nurse should take. (the steps into the box on the right, placing them in the order of the performance. Using all the steps.) A case manager is performing a home visit for a client following a stroke. The client’s partner is providing care in the home. The client's partner states that she sometimes feels exhausted. For which of the following referral should the case manager recommend for the caregiver? A nurse is reviewing the laboratory results of a client who is receiving Total parenteral Nutrition. Which of the following results should the nurse identify as an identification for the client has developed a common complication of this nutritional therapy? a nurse is teaching a newly licensed nurse about advance directives. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? A nurse is assessing a client for an allergy spider administering the Influenza vaccine. The nurse should identify that an allergy to which of the following Foods is a contraindication to receiving this vaccine? A nurse is caring for a client who has deep vein thrombosis and a new prescription for an anti- embolic stocking. Which of the following actions should the nurse take? A nurse is inserting a short peripheral IV catheter for a client who is requires IV fluids. Which of the following actions should the nurse take? A charge nurse is evaluating a newly licensed nurse who is caring for a client who has measles. Which of the following actions by the newly licensed nurse should the charge nurse intervene? A nurse is caring for a client who is 2 days postpartum. Which of the following findings should the nurse report to the provider? A nurse is observing an assistive Personnel (AP) measure blood pressure from the right arms of the group of clients. The nurse should instruct the AP to measure the blood pressure in the left arm of which of the following clients? A nurse is caring for a female client who requires bed rest and reports difficulty urinating into a bedpan. Which of the following actions should the nurse take? A charge nurse observes smoke coming from a trash receptacle and the units waiting room. Which of the following actions should the nurse take first? A nurse is caring for a client who has diabetic ketoacidosis. During the shift, the client receives 0.45% sodium chloride IV at 500 mL over hours for 3 hours. Then at 200 mL/ hour for 3 hours. And then dextrose 5% in water at 75 mL / hour for 2 hours. What is the total volume the nurse should document for the client’s IV fluid intake? (round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) A nurse is teaching a client who is at 20 weeks of gestation about how to manage Harbor. Which of the following instructions should the nurse include? A nurse is assessing a client who is taking Digoxin to treat chronic heart failure. Which of the following findings should indicate to the nurse that the client is developing Digoxin toxicity? A charge nurse is observing an assistive Personnel perform delegated tasks. What of the following actions by the AP requires a charge nurse to intervene? a nurse is caring for four children in an emergency department. Which of the following clients should the nurse assess first? 1. A nurse is reviewing the laboratory results of a client who is taking cyclosporine following a kidney transplant. Which of the following findings should the nurse report? 2. A nurse is providing discharge instructions about a newborn safety to a client who is 2 days postpartum. Which of the following instructions should the nurse include? 3. Math question 4. A nurse is caring for a client who has major depressive disorder. The client tells the nurse, “No one cares about me. I’m completely alone”. Which of the following responses should the nurse make? 5. A nurse on a medical-surgical unit is caring for a client who states that she plans to leave the facility against medical advice. For which of the following actions by the nurse should the charge nurse intervene? 6. A nurse is a prenatal teaching to a client who is at 12 weeks of gestation. The nurse should tell the client she will undergo which of the following screening tests at 16 weeks of gestation? 7. A nurse is admitting a client who has schizophrenia and experiences occasional auditory hallucinations. The client states, “It’s hard not to listen to the voices.” Which of the following questions should the nurse ask the client? 8. A nurse is planning care for a client who sustained a major burn over 20% of the body. Which of the following interventions should the nurse include to support the client’s nutritional requirements? 9. A charge nurse is preparing to lead negotiations among nursing staff due to a conflict about overtime requirements. Which of the following strategies should the charge nurse use to promote effective negotiation? 10. A nurse is preparing to administer a NG tube feeding to a school-age child. Which of the following actions should the nurse plan to take? 11. A nurse is developing a plan of care for a client who has preeclampsia and is to receive magnesium sulfate via continuous IV infusion. Which of the following actions should the nurse include in the plan? 12. A nurse realizes that the wrong medication has been administered to a client. Which of the following actions should the nurse take first? 13. A nurse is providing teaching to a client about the adverse effects of sertraline. Which of the following adverse effects should the nurse include? 14. A nurse is caring for a client who is postoperative and has a chest tube drainage system. For which of the following findings should the nurse notify the provider? 15. A nurse is preparing to administer vancomycin IV to an adult. The client asks the nurse if the medication can be given 2 hr earlier. Which of the following statements should the nurse make? 16. A nurse in the emergency department is interviewing a client immediately following a sexual assault. Which of the following actions should the nurse take first? 17. A nurse is caring for a client who gestational hypertension and is experiencing toxic effects due to magnesium sulfate therapy. The nurse should anticipate administering which of the following medications? 18. A nurse is caring for a client who has end-stage kidney disease. The client’s adult child asks the nurse about becoming a living kidney donor for their parent. Which of the following conditions in the child’s medical history should the nurse identify as a contraindication to the procedure? 19. A nurse has identified tasks to delegate to a group of assistive personnel (AP) after receiving change-of-shift report. Identify the sequence of steps the nurse should follow when delegating tasks to the Aps. Put in order 20. A nurse is preparing to perform sterile wound irrigation and dressing change for a client. Which of the following actions by the nurse indicates a break in surgical aseptic technique? 21. A nurse is working with a client who has an anxiety disorder and is in the orientation phase of the therapeutic relationship. Which of the following statements should the nurse make during this phase? 22. A nurse is caring for a client who is receiving intermittent enteral tube feeding. Which of the following factors places the client at risk for aspiration? 23. A nurse is caring for a client who is 4 hr postpartum. The client reports an urge to void but is unable to void. Which of the following actions should the nurse take? 24. A nurse is caring for a client who has preeclampsia and is experiencing a postpartum hemorrhage. The nurse should expect the provider to prescribe which of the following medications? 25. A nurse is providing teaching to the parents of a newborn about newborn genetic screening. Which of the following statements should the nurse include in the teaching? 26. A nurse is preparing an in-service for a group of nurses about malpractice issues in nursing. Which of the following examples should the nurse include in the teaching? 27. A nurse is receiving change-of-shift report for a group of clients. Which of the following clients should the nurse assess first? 28. A nurse is preparing to insert an indwelling urinary catheter for a client. Which of the following actions should the nurse plan to take? 29. A nurse is planning care for a group of clients. Which of the following methods should the nurse use to manage time effectively? 30. A nurse is preparing to assist the provider with a paracentesis for a client who has ascites. Which of the following actions should the nurse plan to take?