ATIComprehensivePredictor

A TIComprehensivePredictor

ATI Comprehensive Predictor

A nurse is assessing a client who received 2 units of packed RBCs 48 hrs ago. Which of the

following findings should indicate to the nurse that the therapy has been effective?

Answer:

Hemoglobin 14.9 g/dL

The nurse should identify that packed RBCs are administered to clients who

have a decreased level of hemoglobin or hematocrit. This hemoglobin level is

within the expected reference range of 14 to 18 g/dL for males and 12 to 16 g/dL

for females, indicating the therapy has been effective.

A nurse working in an emergency department is triaging four clients. Which of the

followingclients should the nurse recommend for treatment first?

Answer:

A middle adult client who has unstable vital signs.

Using the stable vs unstable approach to client care, the nurse should recommend

priority treatment for the client who has unstable vital signs because this client

requires immediate treatment to reduce the risk of further injury or possible

death.

A nurse is caring for a client who has fluid volume overload. Which of the following

tasksshould the nurse delegate to the CNA?

Answer:

Measure the client’s daily weight

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It is within the CNAs range of function to measure a client’s daily weight, so the nurse

should delegate this task to them.

A nurse is preparing to administer mannitol 0.2g/kg IV bolus over 5 min as a test dose to a

client who has severe oliguria. The client weighs 198lb. What is the amount in grams the

nurse should administer?

Answer:

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18 g

A nurse is conduction a physical examination for an adolescent and is assessing the range of

motion of the legs. Which of the following imagesindicates the adolescent is abducting the hip

joint?

Answer:

In the correct image, the adolescent is abduction the hip joint by moving the leg away

from the midline of the body.

A nurse is caring for a client who has hyperthyroidism. Which of the following findings

shouldthe nurse expect?

Answer:

Tremors

Tremors are a manifestation of hyperthyroidism, along with tachycardia, diaphoresis,

weight loss, insomnia, and exophthalmia.

A nurse is assessing a school-aged child who has bacterial meningitis. Which of the following

findings should the nurse expect?

Answer:

Nuchal rigidity

This is a manifestation of bacterial meningitis.

A nurse is assessing a newborn’s heart rate. Which of the following actions should the nurse

take?

Answer:

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Auscultate the apical pulse at least 1 min.

The nurse should auscultate the apical pulse to obtain an accurate assessment of

heart rate and rhythm. Auscultation of a newborn’s heart sounds can be difficult

because of the rapid rate and the transmission of respiratory sounds.

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