ATI PN Comprehensive Predictor |

Questions and Answers | LATEST,

2020

1. A nurse in a provider's office is reviewing the medical record of a client who requests a

prescription for an oral contraceptive. Which of the following findings should the nurse

identify as a contraindication for oral contraceptive use?

ANS: Coronary artery disease

RATIONALE: Coronary artery disease is a contraindication to oral contraceptive use

because it increases the client's risk for myocardial infarction. Other contraindications for

receiving oral contraceptives include gallbladder disease, breast cancer, and hypertension

2. A nurse is assisting with the care of a school-age child immediately following surgery.

The child weights 21.8 kg (48 lb) and has a chest tube applied to suction. Which of the

following findings should the nurse report to the provider?

ANS: 250 mL of sanguineous drainage over the last 3 hr

RATIONALE: The nurse should recognize that if more than 3 mL/kg/her of sanguineous

drainage occurs for more than 3 consecutive hours following surgery, it can indicate

active hemorrhaging. Therefore, 250 mL of sanguineous drainage from the child's chest

tube is excessive and the nurse should report this finding to the provider immediately

3. A nurse is collecting data from a client who is at 30 weeks of gestation and has

gestational diabetes. Which of the following findings should the nurse report to the

provider as an indication of hyperglycemia?

ANS: Polyuria

RATIONALE: The nurse should identify polyuria as an expected finding of

hyperglycemia and report this finding to the provider

4. A nurse is discussing home safety with a group of clients who have type 1 diabetes

mellitus. Which of the following client statements indicates an understanding of the

teaching?

ANS: "I will dispose of my needles in a plastic laundry detergent container."

RATIONALE: The nurse should instruct the client to dispose of needles in a punctureproof container, such as a plastic laundry detergent container.

5. A nurse is caring for a client who has Alzheimer's disease. Which of the following

actions should the nurse take?

ANS: Encourage the client to reminisce about the past

RATIONALE: The client who has Alzheimer's disease has progressive loss of short-term

memory and might not be able to recall recent happenings and events. This can lead to

increased frustration. However, remote memory remains in place for a longer period of

time and can elicit feelings of happiness

6. A nurse is monitoring a client who is receiving telemetry. Which of the following ECG

findings should the nurse report to the provider?

ANS: PR interval 0.24 seconds

RATIONALE: An expected PR interval is 0.12 to 0.20 seconds. A prolonged PR interval

can indicate a heart block; therefore, the nurse should report this finding provider

7. A nurse on a medical unit is reviewing a client's medical record. Which of the following

procedures should the nurse identify requires the client to sign a separate informed

consent form?

ANS: Lumbar puncture

RATIONALE: The nurse should identify that a client needs to provide consent for

general treatment as well as a separate written informed consent for any treatment that

has an element of risk, such as a lumbar puncture

8. A nurse is reviewing the techniques for transferring a client from a bed to a chair with a

group of assistive personnel (AP). Which of the following instructions should the nurse

include?

ANS: Use lower-body strength

RATIONALE: The nurse should instruct the AP to use lower-body strength when lifting

a client to reduce stress on the back

9. A nurse is participating in a quality improvement study about the effectiveness of client

pain management on the unit. Which of the following strategies should the nurse use to

collect data?

ANS: Review clients' charts for their rating of pain before pain medication was

administered and 1 hr after administration

RATIONALE: The nurse should collect data from clients' charts about pain ratings

before and after pain management interventions

10. A nurse is reinforcing teaching about confidentiality with a client who has a new

diagnosis of HIV. Which of the following information should the nurse include in the

teaching?

ANS: "Your HIV status will be shared with members of your health care team."

RATIONALE: The diagnosis of HIV or AIDS is shared with every member of the health

care team who provides direct care for the client, just like any other diagnosis