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
Category | Exam (elaborations) |
Pages | 27 |
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