Keiser University, Port Saint Lucie

NUR 3525

ATI Predictor Comprehensive Assessment 2019 A

1)A nurse is teaching a client who has a new prescription for metformin

Which of the following statements by the client indicates an understanding of the teaching?

2. 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?

3. A nurse is providing discharge teaching to a client who has a new ostomy. Which of the following instructions should the nurse include?

4. 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?

5. 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?

6. 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?

7. 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?

8. 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?

9. 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?

10. 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?

11. A nurse is preparing to administer medication to a client. What are the following identifiers should the nurse use to identify the client?

12. 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?

13. 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?

14. A nurse is preparing to insert an indwelling urinary catheter for a client. Which of the following actions should the nurse take first?

15. 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?

16. 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?

17. 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?

18. 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?

19. 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?

20. 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?

21. 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?

22. 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?

23. 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?

24. 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?

25. 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?

26. 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?

27. A community health nurse is providing education to a group of older adults about immunizations. Which of the following immunizations should the nurse recommend?

28. 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?  

29. A nurse is planning care for a client who is experiencing benzodiazepine toxicity. The nurse should plan to administer which of the following medications?

30. 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?

31. 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?

32. 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?

33. 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?

34. A nurse is documenting admission data for a client in an acute care facility. Which of the following actions should the nurse take?

35. 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?

36. 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?

37. 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?

38. A nurse is providing discharge teaching to a client who has Gerd. Which of the following information should the nurse include?

39. 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?

40. A nurse is planning educational materials for a client who has a new pacemaker. Which of the following information should a nurse include?

41. 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?

42. 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?

43. 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?

44. 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?

45. 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?

46. 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?

47. 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?

48. A nurse is teaching a client about using transdermal scopolamine to treat motion sickness. Which of the following instructions should the nurse include?

49. A nurse is admitting a school-age child who has bacterial meningitis. Which of the following types of isolation precautions should the nurse initiate?

50. 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?

51. 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?

52. 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?

53. 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?

54. 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?

55. 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?

56. a school nurse is using the Weber test to check a child. Which of the following actions should the nurse take?

57. 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?

58. 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?

59. 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?

60. 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?

61. 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?

62. 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?

63. 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?

64. 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?

65. 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?

67. 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?

68. 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?

69. 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?

70. A nurse is caring for a client who is 2 days postpartum. Which of the following findings should the nurse report to the provider?

71. 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?

72. 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?