ATI Predictor Comprehensive Exam 2017 A
Question # 00805451
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Updated on: 05/10/2021 05:03 AM Due on: 05/10/2021

- A nurse in a long term care facility notices a client who has alzheimers disease standing at the exit doorsattheendofthe hallway.Theclientsappearstobeanxiousandagitated.Whichofthefollowing actions should the nurse take?
- Anurseisassistingwiththeplanofcare foraclientwhohasacontinenturinarydivision.Whichofthe following interventions should the nurse plan to implement to facilitate urinaryelimination?
- Anurseisassistingwithaeducationalprogramaboutcarrestraintsafetyforagroupofparents.Which of the following statements by a parent indicates an understanding of theinstructions?
- AnurseisreinforcingteachingaboutstrategiestopromoteeatingwithaclientwhohasCOPD.Which of the following instructions should the nurse include in theteaching?
- A nurse is supervising an assistive personnel who is preparing to remove her personal protective equipment after providing direct care to a client who requires airborne and contact precautions. The nurseshouldrecognizethattheAPunderstandstheprocedurewhensheremoveswhichofthefollowing PPEfirst?
- Anurseisinspectingtheskinofanewborn.Whichofthefollowingfindingsshouldthenursereportto theprovider
- Anurseiscontributingtoateachingplanforagroupofmaleadolescentsabouttheadverseeffectsof anabolic steroid use. Which of the following manifestations should the nurseinclude
- Anurseisreinforcingteachingwithanolderadultclientwhohasasevereleftsidedheartfailure. Which of the following statements should the nursemake
- Anurseinalongtermcarefacilityisdocumentingthecareofanolderclient.Whichofthefollowing information should the nurse include in the weekly nursing caresummary
- Anurseiscaringforaclientwhohasahead injury.Usingthegasgowcomascalecollectiondata,the nurse should obtain which of the followinginformation
- Ahomehealthnurseisreinforcingteachingwithaclientabouttheuseofelasticstockingsto decrease peripheral edema. Which of the following instructions should the nurseinclude?
- Anurseinaprovidersofficeisobtainingahealthhistoryfromaclientwhoisscheduledtoundergoa cardiac catheterization in 2 days. Which of the following questions isthe
- Anurseisplanningtoadministernystatinoralsuspensiontoaclientwhohasoralcandiasis.Whichof the following instructions should the nurse give to theclient
- Anurseispreparingtocarefortheassignedclientsonherupcomingshift.Whichofthefollowing time management strategies should the nurse plan touse?
- Anurseispreparingtowitnessaclientwhoisscheduled forsurgerysignainformedconsent.Which of the following actions should the nurse take?
- Anurseinaninpatientmentalhealthcliniciscaringfor anewlyadmittedclientwhohasalcoholuse disorder. During a therapy session, the client asks about alcoholics anonymous. Which of the following responses should the nursemake?
- Anurseisassistingwiththecareofaclientwhois2dayspostopfollowingatotalkneearthroplasty. Which of the following tasks should the nurse assign to an assistivepersonnel?
- Aclientinamentalhealthfacilityunjustlyaccusesanurseofstealingmoneyfromhisroom.Whichof the following therapeutic responses should the nursemake?
- A nurse is reinforcing teaching with a client who is receiving radiation therapy for cancer of the larynx.Whichofthefollowingstatementsmadebytheclientindicatesunderstandingoftheteaching?
- AnurseisusingtheFLACCscaletodeterminethelevelofpain foran11montholdinfantwhois postop.Whichofthefollowingfactorsshouldthenurseconsiderwhenusingthispainscale
- Anurseisreviewingthetechniquesfortransferringaclientfrombedtochairwithagroupof assistive personnel. Which of the following instructions should the nurseinclude
- Anurseisreinforcingtachingwithaclientwhoistoselfadministerepoetinalfa.Whichofthe following instructions should the nurseinclude
- A nurse is collecting data from a 5 year old child at a well child visit. The parents reports that the childishavingfrequentnightmares.Whichofthefollowingstatementsbytheparentindicatestothe nurse that the child is experiencing sleep terrors rather thannightmares
- Anurseassistingwiththecareofaschoolagechildimmediatelyfollowingsurgery.Thechildweighs 21.8kgandhasachesttubeappliedtosuction.Whichofthefollowingfindingsshouldthenursereport to theprovider
- Anurseisreinforcingteachingaboutadvanceddirectiveswithaclient.Whichofthefollowing statements by the client indicates an understanding of theteaching
- Anurseisassistingwiththeadmissionofaclientwhohasrubeola.Whichofthefollowing transmission-based precautions should the nurse plan to initiate for thisclient
- A nurse is administering morning medications to clients on the unit. A client questions the nurse regardingamedicationthatshedoesnotrecognize.Whichofthefollowingactionsshouldthenursetake first
- Anurseinanurgentcarecliniciscollectingdatafromfourclients.Whichofthefollowingclients should the nurse recommend for treatment
- Anurseentersaclientsroomandseessmokecomingfromawastebasketnexttothebed.Whichof the following actions should the nurse take first
- Anurseiscaring foraclientwhoisinthefinalstagesofcancer.Whichofthefollowingsituations should the nurse identify as an ethicaldilemma
- Anurseisreinforcingteachingwithanolderadultclientwhohasosteoarthritis.Whichofthe following instructions should the nurseincludes
- Anurseinaurgentcarecliniciscaring forachildwhohasaminorburnonhispalmaftertouching the burner on a hot stove. Which of the following actions should the nursetake?
- Anurseonamedicalunitisreviewingaclientsmedicalrecord.Whichofthefollowingprocedures should the nurse identify requires the client to sign a separate informedconsent
- Anurseisreinforcingteachingaboutmanagingmanifestationsofanxietywithaclientwhohas generalized anxiety disorder. Which of the following information should the nurseinclude
- Anurseisperformingadressingchangeforaclientwhois3dayspostop.Whichofthefollowing findings should the nurse report to theprovider
- Anurseinalongtermcarefacilityiscollectingdatafromaclientwhohasbeenreceivingbetaxololto treat glaucoma. Which of the following findings in an adverse effect of thismedication
- A nurse in an outpatient surgery center is reinforcing discharge teaching with a client following a lithotripsyforuricacidstones.Whichofthefollowinginstructionsshouldthenurseplantoincludeinthe teaching?
- Anurseiscaring foraclientwhoisscheduled foraperitonealdialysis.Whichofthefollowingactions should the nurse takefirst
- A nurse in a providers office is reinforcing teaching with a client who is to follow a 2000mg sodium restricteddiet.Whichofthefollowingclientfoodselectionsindicatesanunderstandingoftheteaching
- Anurseenterstheroomofanadolescentclientandfindshimonthefloorexperiencingatonicclonic seizure. Which of the following actions should the nurse take when the seizuresubsides
- Anurseispreparingtoperformabladderscanforaclient.Whichofthefollowingactionsshouldthe nursetake?
- Anurseisassistingwiththeadmissionofanolderadultclient.Whichofthefollowingactionsshould the nurse takefirst
- A nurse is contributing to the plan of care for a client who has a prescription for range of motion exercisesoftheshoulder.Whichofthefollowingexercisesshouldthenurserecommendtopromote shoulderhyper-extension
- Anurseisreceivingchangeofshiftreportforfourclients.Thenurseshouldplantocollectdatafrom which of the following clientsfirst
- Anurseinaprovidersofficeiscaringforaclientwhoisat34weeksofgeststion.Whichofthe following instructions should the nurse anticipate providing to theclient?
- Anurseiscollectingdatafromanolderadultclientwhohasagastriculcer.Whichofthefindings should the nurse identify as a complication to report to theprovider?
- A nurse is assisting with planning palliative care for a client who has stage IV cancer and is in the activestageofdying.Whichofthefollowinginterventionsshouldthenurseincludeintheplanofcare
- A nurse is discussing the use of epidural analgesia with a newly licensed nurse. Which of the followingstatementsbythenewlylicensednurseindicatesanunderstandingofthismethodofpain control?
- Anurseiscontributingtotheplanofcarefor aclientwhoisreceivingcontinuousbladderirrigation immediately following a transurethral resection of the prostate. Which of the following interventions should the nurseinclude
- Anurseiscaring foraclientwhoisscheduled foramastectomythefollowingday.Theclientistearful and tells the nurse that she is not ready to have this procedure done at this time. Which of the following responses should the nirsemake?
- Anurseiscollectingdatafromaschoolagechildwhohashypoglycemia.Whichofthefollowing clinical manifestations should the nurseexpect?
- A nurse is assisting with a community education program for parents of preschoolers about recommendactivitiestopromotephysicaldevelopment.Whichofthefollowingstatementsshouldthe nursemake?
- AnursemonitoringaschoolagechildwhohasanemiaandisreceivingatransfusionofpackedRBCs. Which of the following statements by the child indicates a possible hemolytic transfusion reaction that the nurse should report to the charge nurse and theprovider?
- Anurseiscollectingdatafromaclientwhoisat30weeksofgestationandhasgestationaldiabetes. Thenurseshouldreportwhichofthefollowingfindingsasanindicationofhyperglycemia
- Anurseiscollectingdatafromaclientwhohaschronicpancreatitisandisreceivingpancrelipase. Whichofthefollowingindicatestheclientisexperiencingatherapeuticresponsetothemedication
- Anurseiscaringforaclientwhois12hrpostopfollowingatotalhiparthroplasty.Whichofthe following actions should the nurse take?
- Anurseinaprovidersofficeiscaringforfourclients.Whichofthefollowingclientsshouldthenurse seefirst?
- Anurseisreinforcingteachingwithaclientabouthowtoreplaceher2pieceostomy pouching system. The client tells the nurse that removing the skin barrier is painful. Which of the following strategies should the nursesuggest
- A nurse is instructing an assistive personnel about caring fora client who has hepatitis A and is incontinentofstool.Whichofthefollowinginfectioncontrolprecautionsshouldthenurseinstructthe aptouse
- Anurseisassistingintheplanofcareforaclientwhohasaviralmeningitis.Whichofthefollowing interventions should the nurse include in the plan ofcare?
- Anurseisreinforcingteachingregardingpubertywithagroupofprepubescentfemaleclients.Which of the following information should the nurse include in theteaching
- A nurse in a providers office is reviewing the medical record of a client who requests a prescription foranoralcontraceptive.Whichofthefollowingfindingsshouldthenurseidentifyasacontraindication for oralcontraceptiveuse?
- Anurseiscaring foraclientwhohasjustbeendiagnosedwithaterminalillness.Theclientstates,I havenothingtolivefor.Ijustcannotgoon.Whichofthefollowingresponsesshouldthenursemake?
- A nurse is contributing to the plan of care for a client who has a nasogastric tube and is receiving continuousenteralfeedings.Whichofthefollowinginterventionsshouldthenurseincludeintheplan
- Anurseiscaring foraclientwhoisat34weeksofgestationandhasmildpreeclampsia.Whichofthe following findings indicates a progression from mild to severepreeclampsia‘
- Anurseiscollectingdatafromaclientwhohaschronichepatitis.Inwhichofthefollowinglocations should the nurse expect the client to point to indicate hepatictenderness?
- Anurseiscaring foraclientwhoisscheduledtoundergoathoracentesisforaleftpleuraleffusion.In which of the following positions should the nurse place the client for theprovider?
- Anurseisreinforcingteachingwithaclientwhohasasthmaandhasaprescriptionforthophylline which of the following statements should the nursemake
- Anurseisreinforcingteachingwithaclientwhohasanewprescription formetrondiazole.Thenurse shouldinstructtheclienttoexpertwhichofthefollowingadverseeffectswhiletakingthismedication
- AnurseisreinforcingpreopteachingwithaclientwhowillreceivemorphinethroughaPCApump after surgery. Which of the following information should the nurseinclude
- A home health nurse is collecting data from an older adult client who has generalized anxiety disorder.Theclientlivesathomewithherpartnerandasibling.Whichofthefollowingresponsesbythe clients partner is the priority for the nurse toaddress
- Anurseiscaring foragroupofclients.Thenurseshouldfilloutanincidentreport forwhichofthe followingsituations
- Anurseiscaringforaclientwhoisrecoveringfroma stroke andisexperiencingdifficultyusingeating utensils. The nurse should identify the need for a referral to which of the following interprofessional teammembers
- A nurse is caring for a client who is being discharged home after experiencing a cerebrovascular accident.Whichofthefollowingdocumentsshouldthenurseplantoincludewithdischargeinstructions
- Anurseinapediatricclinicreceivesaphonecallfromaparentwhosechildhasjustingestedthe contentsofafullbottleofacetaminophen.Whichofthefollowingresponsesshouldthenursemake
- Aclientisrequestinginformationfromanurseaboutcreatingahealthcareproxy.Whichofthe following statements should the nurse make
- Anurseispreparingtoperformvenipuncturetoobtainabloodsamplefromaclient.Whichofthe following actions should the nursetake
- Anurseisreviewingthelaboratoryreportsforaclientwhois2dayspostopfollowingthoracic surgery. Which of the following results should the nurse report to theprovider
- Anurseisassistingwiththetransferofaclienttoalongtermcare facility.Thenurseshouldreview whichofthefollowingsectionsoftheelectronicmedicalrecordtolocateinformationabouttheclients personal healthinsurance
- Anurseiscaring foraclientwhoisinaninpatientmentalhealthunitandhasdependentpersonality disorder. Which of the following client behaviors should the nurseexpect
- A nurse is monitoring a client who is receiving IV fluids. For which of the following findings should the nurse stop theinfusion
- Anurseisusinganinterpretertoreinforcedischargeteachingwithaclientwhodoesnotspeakthe same language as the nurse. Which of the following actions should the nursetake
- Anurseisassistingwiththedevelopmentofaninservice fornewlylicensednursesaboutseclusion. The nurse should identify the need to request a prescription for seclusion for which of the following situations
- Anurseiscaring foraclientwhohasaphobiaofelevators.Whichofthefollowingshouldthenurse recognize as indicative of a positive client response to a systemicdesensitization
- Anurseisassistingwiththecareofaclientwhoispostpartumandhasdeepveinthrombosis.The clienthasbeenreceivingheparinviaIVinfusion.Whichofthefollowingmedicationsshouldthenurse ensure is readily available
- Anurseiscontributingtotheplanofcare foraclientwhohaspneumonia.Whichofthefollowing entries should the nurse include in theplan
- Anurseinaprovidersofficeisreviewingpediculosiscapitismanagementandpreventionstrategies with the parent of a school aged child. Which of the following should the nurseinclude
- Anurseiscaringfor aclientwhohasagastrostomy tube.Whichofthefollowingactionsshouldthe nurse plan to take
- Anurseispreparingtoinsertanindwellingcatheter forafemaleadultclient. Cleanse the clients labia and meatus using a front to backmotion
- Anurseiscaringforaclientwhois4hrpostopfollowinggastrointestinalsurgeryandhasanNGtube for gastric decompression. Which of the following actions should the nursetake
- Anurseismonitoringaclientwhoisreceivinglactatedringers500mlivover4hr.Thedropfactorof the manual iv tubing is 10gtt/ml. The nurse should check that the manual iv infusion is delivering how manygtt/min?
- Anurseisassistingaclientwhoispostoptositonthesideofthebed.Whichofthefollowingactions should the nursetake
- Anurseisreinforcingteachingaboutatherapeuticdietwithaclientwhohasirondeficiencyanemia. Which of the following food items should the nurse recommend that the clientconsume
- Anurseiscaring fora3yearoldtoddleratawellchildvisit.Theparentstatesthatthechildwillnot eat a full meal. Which of the following responses should the nursemake?
- Anurseisreinforcingteachingwithaclientwhoisscheduled foran exerciseECGstresstest.Whichof the following actions should the nurse make?
- Anurseisassistingwiththecareofaclientwhohasaterminalillness.Theclientpracticesorthodox Judaism. Which of the following actions should the nursetake.
- Anurseisworkinginanacutecarefacilitywhenanaturaldisasteroccurs.Thefacilitymustdischarge clientstoprovideroomfornewadmissions.Whichofthefollowingclientsshouldthenurserecommend to the charge nurse for discharge
- A nurse is caring for a newborn who is 1hr old. The mother received fentanyl 30 min before delivery. For which of the following adverse effects should the nurse monitor thenewborn
- Anurseisreinforcingdischargeteachingwithaclientwhohasaprescriptionfor home oxygen therapy via nasal cannula. Which of the following instructions should the nurseinclude
- A nurse is reinforcing teaching with a client who has hypertension and is beginning medication therapywithcaptopril.Whichofthefollowingoverthecountermedicationsshouldthenurseinstruct the client toavoid
- A nurse is assisting with the care of a client who has a terminal cancer. Which of the following statementsbytheclientsfamilyshouldindicatetothenursethattheyarecopingwiththeirsituation
- Anurseobservesaclientinlabor.Whichofthefollowinginterventionsshouldthenurse recommend for thisclient
- A nurse in a providers office is collecting growth and development data from a 7 month old infant duringawellchildvisit.Whichofthefollowingimagesshouldthenurseidentifyindicatesexpectedgross motor skills for the infant
- Anurseisdiscussinghome safety withagroupofclientswhohavetype1diabetesmellitus.Which of the following client statements indicates an understanding of teaching theclient
- Anurseispreparingtoadminamoxicillin875mgpoevery12hr.Theamountavailableisamoxicillin oral suspension 400mg/5ml. How many ml should the nurse administer perdose
- Anurseispreparingtoperformbloodglucosemonitoring foraclientwhohastype2diabetes mellitus. Which of the following actions should the nurse takefirst
- Anurseisreinforcingdischargeteachingwiththeparentsofaschoolagechildwhohassevere hemophilia A. Which of the following statements by the parents indicates an understanding of the teaching
- Anurseiscaring foranolderadultclientwhoisexperiencingdifficultysleeping.Whichofthe following actions should the nursetake
- Anurseisreinforcingteachingonselfadminofenoxaparin.Whichofthefollowinginstructions should the nurse give theclient
- AnurseistalkingwithaclientwhosaystheprovideragreedtoinitiateaDNRprescription.After leaving the clients room, which of the following actions should the nurse takefirst
- A nurse caring for a client who has hiv and lost 15% of his body weight in the last 3 months. The nurseshouldofferaservingofwhichofthefollowingfoodstoaddthemostproteintotheclientsdiet
- Anurseiscollectingdatafromanolderadultclientwhohasahipfracture.Whichofthefollowing findings should the nurseexpect
- Anurseisobservinganassistivepersonnelapplyantiembolicstockingsforaclientwhoisatriskfor deepveinthrombosis.WhichofthefollowingactionsindicatestheAPisapplyingthestockingscorrectly
- AnurseispreparingtoadminanIMimmunizationtoapreschooler. Whichofthefollowing statements should the nurse plan to make prior to performing theinjection
- Anurseiscaringforaclientwhoisrecoveringfromamotorvehiclecrash.Theclientsemployercalls to ask if the clients injuries will prevent him from returning to work. Which of the following responses should the nursemake
- Anurseiscaring foranewbornwhois12hrold.Whichofthefollowingstoolsshouldthenurse instruct the parents to expect during the first 24hr afterbirth
- Anurseisreinforcingteachingwithaclientwhohashypercholesterolemiaandanewprescription for atorvastatin. The nurse should instruct the client that which of the following findings is an adverse effect of this medication and should be reported to theprovider
- Anurseisassistingwiththeplanofcareforaclientwhohasbipolardisorderandisinthemanic phase. Which of the following activities should the nurse recommend for theclient
- AnurseisassistingwithadiscussionaboutSTI’s withagroupofadolescentsatahealthfair.Which of the following statements should the nursemake?
- Anurseisinstructinganassistivepersonnelaboutcaring foranolderadultclientwhohasherpes zoster. Which of the following information should the nurseinclude
- Anurseispreparingtoperformtracheostomycareforaclient.Whichofthefollowingactions should the nurse takefirst
- A nurse in a long term care facility is reviewing standard precaution guidelines with an assistive personnel.ThenurseshouldinstructtheAPthatwhichofthefollowingshouldbeusedtocleanupa bloodspill
- Anurseinapediatriccliniciscollectingdatafromatoddler.Whichofthefollowingfindingsshould the nurse identify as possible physicalneglect
- Anurseisreviewingaclientsmedicationrecord.Herecognizesthatadoubledoseoforaldigoxin was given 1hr ago. Which of the following actions should the nurse takefirst
- Whenpreparingaclientforanenteralfeedinganursenoticesthatthepumpattheclientsbedside is warm to touch. Which of the following actions should the nursetake
- A nurse is working at a inpatient mental health facility is contributing to plan of care for a newly admittedpatientwhohasanorexianervosa.Whichofthefollowingactionsshouldthenurseincludein the plan ofcare
- A nurse is documenting client care in the medical record. Which of the following entries should the nursemake
- Anurseischecking reflexesofanewborn.Whichofthefollowingtechniquesshouldthenurseuse to elicit babinskireflex
- Anurseiscaringfor aclientwhoisreceivingtelemetry. WhichofthefollowingECGfindingsshould the nurse report to the chargenurse
- Anurseisreviewingvariousdefensemechanismswithnewlylicensednurse.Whichofthefollowing client statements should the nurse use as an example ofrationalization
I didn’t get a good grade because my teacher does not like me
- A nurse is caring for a client who reports an excruciating headache, nuchal rigidity, nausea and vomitingalongwithfeverandchills.Whichofthefollowingdiagnostictestshouldthenurseexpectthe provider toprescribe
- Anurseisreinforcingteachingwithaclientwhoisscheduledforalumbarpuncture.Whichofthe following statements should the nurse make
- Anurseiscaring for aclientwhohasasthmaandhasbeentakingmontelukast for1monthwhichof the following findings should indicate to the nurse the client is complying with thisregimen?
- A nurse is reinforcing teaching with a client who has a prescription for phenytoin. Which of the followinginstructionsshouldthenurseincludeasameasuretoassistwiththepossibleadverseeffectsof thismedication
- Anurseinanurgentcarecliniciscompletingaclientexamination.Afterlisteningtotheclients lungs, which of the following adventitious sounds should the nursedocument
- A nurse is monitoring a client who is 12hr postop following a cholecystectomy and received morphine30minagofor pain.Thenurseshouldidentifywhichofthefollowingfindingsasanadverse effect of themedication
- A nurse is reviewing the critical pathway of a client who is 4 days postop following a total knee arthroplasty.Theclientsvitalsignsareoraltemp102.4heartrate116/minrespiratoryrate24andblood pressure 152/92. Which of the following actions should the nursetake?
- Anurseisreviewinglaboratoryresultsforaclientwhoisreceivingmechanicalventilation.Whichof thefollowingfindingsshouldthenurserecognizeasapotentialcomplicationofmechanicalventilation
- Anurseisassistingwithaneducationalsessionforanewlylicensednursesaboutintimatepartner violence.Whichofthefollowingcharacteristicsshouldthenurseincludeasplacingavulnerableperson at risk for intimate partnerviolence
- Anurseiscollectingdatafromaclientwhohasschizophreniawhichofthefollowingstatementsby the client should the nurse identify asdelusional
- ALPNisreviewingherclientassignmentsfortheupcomingshift.Whichofthefollowingclients should the LNP ask the charge nurse reassign to a registerednurse
- Anurseiscaring foraclientwhoisexpressingsadnessaboutamputationofherleg72hragodueto trauma. The nurse must leave the room but promises to return as soon as possible. Which of the following ethical principles is the nurse demonstrating when he returns aspromised
- Anurseiscaring foraclientwhopracticesorthodoxjudaismandadherestoakosherdiet.Whichof the following food selections should the nurse expect to see on the clients mealtray
- Anurseispreparingtoadministeradoseofdigoxintoaclientwhoisreceivingcontinuoustube feedings. Which of the following actions should the nursetake
- Anurseiscollectingaurinespecimenfromafemaleclientwhohasiabetesinsipidus.Thenurse should expect which of the followingfindings
- Anurseisworkingonaunitwithanassistivepersonnel.WhichofthefollowingactionsbytheAP should the nurse recognize and report asassault
- Anurseisreinforcingteachingwithafemaleclientwhohastuberculosisandanewprescriptionfor rifampin.Whichofthefollowingstatementsbytheclientindicatesunderstandingoftheteaching
- Anurseisreinforcingteachingwithaclientwhohasalcoholusedisorderandistobegindisulfiram therapy. Which of the following statements should the nursemake
- Anurseiscaring foraclientwhoreportstwelveliquidstoolsinthepast8hr.Whichofthefollowing findings should indicate to the nurse that the client is experiencingdehydration

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Rating:
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Solution: ATI Predictor Comprehensive Exam 2017 A