ATI PN Comprehensive Predictor Form B_2020 / 2021_100% Correct Answers | ATI PN Comprehensive Predictor Form B_Graded A

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ATI PN Comprehensive Predictor Form B_2020 / 2021_100% Correct Answers | ATI PN Comprehensive Predictor Form B_Graded A A nurse is assisting with monitoring a client who is in labor and has spontaneo... us rupture of membranes following a vaginal examination. The provider reports the client's cervix is dilated to 1 cm with an unengaged presenting part. Which of the following actions should the nurse take? Correct Answer: Apply the external fetal heart rate monitor. A Nurse is collecting data from a client who has bipolar disorder and is experiencing acute mania. Which of the following findings is the nurse's priority? Correct Answer: lack of sleep A nurse is collecting data from a client who has an unprepared femur fracture and rates his pain as 8 on a scale of 0 to 10. The client is talking and caught with a visitor. Which of the following of the prescribed medication should the nurse administer? Correct Answer: Hydromorphone 5 mg orally. A nurse is reinforcing preoperative teaching with a client scheduled for a bowel retention with ileostomy. which of the following descriptions should the nurse give of the expected output from a mature ileostomy? Correct Answer: liquid with little odor A nurse is caring for a client who is 16 hr postoperative following a total hip arthroplasty. the client reports numbness, pain, and tingling in the affected leg. Which of the following actions should the nurse take first? Correct Answer: compare capillary refill in toes bilateraly A nurse is reinforcing teaching with a client who is bottle feeding he full-term newborn with formula. Which of the following instructions should the nurse include in the teaching? Correct Answer: Although is is unnecessary to be rigid about feeding times, six to eight feedings every 24 hrs should support a full-term newborn's nutrition adequately. Fewer feedings in the initial weeks could delay the estabilment of an adequate weight-gain pattern. A nurse is assisting with the plan of care for a client following a transurethral resection of the prostate. Which of the following interventions should the nurse include in the plan of care? Correct Answer: The nurse should irrigate the bladder using strict sterile technique and maintain closed catheter drainage system to minimize the rick of infection. A nurse is reinforcing teaching about ways to reduce solid fat consumption with a client who has an elevate cholesterol level. which of the following strategies should the nurse include in the teaching? Correct Answer: purchase beef that is a loin cut. A parent brings her adolescent son to an urgent care center and states. "He is high on something and needs help" The client is exhibiting agitation and paranoia and reports visual hallucinations. The nurse should suspect intoxication with which of the following substances? Correct Answer: Methamphetamines A nurse notices an assistive personnel taking a nap in the break room during he meal time. The AP appears drowsy while performing routine tasks. Which of the following actions should the nurse take? Correct Answer: Report the observations about the ap to the unit's nurse manager. A nurse is talking with a client whose son died in a motor-vehicle crash 2 weeks ago. The client states "I really thought I;d be back to my usual routines by now, but I can't think of anything else except my son is gone" Which of the following responses should the nurse make? Correct Answer: Grieving for your son is hard work. It will take as much time as you need to come to terms with your loss. A nurse is instructing an assistive personnel on the use of proper body mechanics when moving a client. which of the following statements by the assistive personnel should the nurse identify as an understanding of the teaching? Correct Answer: I will use a pull sheet to help slide the client toward me. A nurse is collecting data from a female client who has a new diagnosis of genital herpes. Which of the following findings should the nurse expect? Correct Answer: Painful erythematous vesicles. a school nurse is having a conversation with the parents of an adolescent. The nurse should identify which of the following situations as an ethical dilemma for the parents? Correct Answer: "We can't decide whether to try to homeschool our child or move her to a private school." A nurse is preparing to administer prednisone 1mg/kg PO to a preschooler who weights 20kg (44lb). Available is prednisone oral solution 5mg/1mL. How many mL should the nurse administer? Round Correct Answer: 4 mL A nurse is preparing to administer a rectal suppository to a school-age child. Which of the following action should the nurse plan to take? Correct Answer: Use one finger to insert the suppository past the anal sphincters. While administering a medication to a client, a nurse notices a frayed electrical cord connecting the client's continuous passive motion machine to the electrical outlet. Which of the following actions should the nurse take? Correct Answer: Remove the device from the client's room. A nurse is caring for a client who requests information bout advance directives. Which of the following responses should the nurse make? Correct Answer: "Advance directives are written instructions regarding end-of-life care." A nurse is reinforcing discharge teaching with a client following cataract surgery. Which of the following instructions should the nurse include in the teaching? Correct Answer: Sleep on the nonoperative side for 2 weeks. A nurse is preparing to administer a medication to a client when the client states " I'm sick of all there medication. I'm not taking any more today!" Which of the following actions should the nurse take? Correct Answer: Inform the client of the possible consequences of the medication refusal. a nurse is contributing to the plan of care for a client who is on suicide precautions. Which of the following interventions should the recommend? Correct Answer: Encourage the client to sign a no-harm contract. A nurse is reinforcing reaching for a preoperative client on how to use an incentive spirometer. Which of the following actions by the client indicates an understanding of the teaching? Correct Answer: The client attempts to elevate the cylinder by inhaling deeply. A nurse is reviewing laboratory reports for a client who has an Escherichia Coli infection and is receiving gentamicin. Which of the following results should the nurse report to the provider before administering the next dose? Correct Answer: Creatinine 2.5 mg/dL A nurse working in a community clinic is caring for an adolescent who has infectious mononucleosis. The client asks the nurse to explain how the disease was acquired. The nurse should explain that an individual acquires this disease by which of the following. Correct Answer: Sharing eating utensils with an infected person A nurse is reinforcing reaching with a client about a planned thoracentesis. Which of the following information should the nurse include in the teaching? Correct Answer: You will need to be monitored for 1 hour after the procedure." A nurse is caring for a client who has schizophrenia and is experiencing auditory hallucinations. Which of the following actions should the nurse take? Correct Answer: Offer the client headphones to listen to music. A nurse is reinforcing teaching with a client about taking warfarin to treat atrial fibrillation. Which of the following statements by the client indicates an understanding of the teaching? Correct Answer: If I forget to take a dose, I can take it later on the same day." A nurse is working with an interpreter to explain a diagnostic procedure to a client who doesn't speak the same language as the nurse. Which of the following actions should the nurse take? Correct Answer: Ensure the interpreter is culturally compatible with the client. A nurse is contributing to the discharge plan for a client who had a knee arthroplasty. Which of the following actions should the nurse identify as the priority? Correct Answer: Check the client's mobility A nurse is collecting data from a client who is 24 hr post op from an open colon resection, has a clamped NG tube, and is resuming a clean liquid diet. Which of the following findings should the nurse report to the provider? Correct Answer: Client reports vomiting green-tinged fluid. A nurse in a long term care facility is using validation therapy with a client who has dementia. The client becomes agitated and asks why his wife who died several years ago has not visited him. Which of the following responses should the nurse make? Correct Answer: You must miss your wife. Let's take a walk and you can tell me about her. a Nurse is caring for a client who is post op following an open reduction with internal fixation of the ankle. The client report pain and the nurse notes that the affected extremity is cool, pale, and has a weak pulse. The nurse calls the surgical assistant who responds "it has always been like that" Which of the following actions should the nurse take first? Correct Answer: Notify the nursing supervisor. a nurse is collecting data from a client who has Tourette syndrome. The client reports taking haloperidol 0.5 mL orally 3 times a day at home. Which of the following components of the prescription should the nurse question? Correct Answer: Dosage A nurse is reinforcing teaching with a newborn's parents about umbilical cord card. Which of the following statements by a parent indicates an understanding of the instruction? Correct Answer: "I will give our baby sponge baths until the cord falls off." A nurse who is facilitating a support group notices that one client in the group is extremely talkative, to the point where others in the group have difficulty sharing their own ideas. Which of the following strategies should the nurse use to facilitate the group process with this client? Correct Answer: Speak privately to the client about this behavior. A nurse at a clinic is performing vision testing for a client following a head injury. Which of the following findings should the nurse identify as a problem with pupil accommodation? Correct Answer: Lack of change in pupil size when the client looks from a far to a near object. A nurse is reinforcing teaching with a client who has cancer and a new prescription for fentanyl transdermal patches. Which of the following statements by the client indicates an understanding of the teaching? Correct Answer: "I will fold the patch with the adhesive sides inward before discarding it." A nurse is contributing to the plan of care for a client who had a vaginal delivery 4 hours ago and has a 4th degree perineal laceration. Which of the following actions should the nurse recommend? Correct Answer: Instruct the client to use a sitz bath at least twice a day. A nurse is collecting data from a client who sustained spinal cord injuries from fractures to the t1 and t2 vertebrae. Which of the following client outcomes should the nurse expect? Correct Answer: Flexes and extends the shoulders A nurse assisting with a childbirth class is discussing non pharmacological strategies used during labor. Which of the following statements by a client indicates an understanding of cutaneous stimulation? Correct Answer: "I should use counterpressure for back pain during labor." A nurse is assisting with the admission of a client who has major depressive disorder. Which of the ff communication technique should the nurse use to establish a trusting relationship with the client? Correct Answer: Offering general leads [Show More]

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