1. A nurse is caring for a child with sickle cell anemia and is having a vaso-occlusive crisis.

Which intervention should the nurse implement first?

 D) Increase oral fluid

2. A nurse is caring for a 1-day-old newborns who has jaundice and is receiving

phototherapy. Which of the following actions should the nurse take?

Ensure that the newborn wears a diaper.

3. A nurse is preparing a client for a paracentesis. What action should the nurse take?

 Instruct the client to void prior to the procedure.

4. A nurse is providing dietary teaching to a client who has end-stage of kidney disease and

a potassium level of 6. Which of the following is the best food the nurse to recommend?

1. Hard boiled eggs.

5. A director of nursing in a rehab facility is planning for measure of quality care provided.

Which of the following should the nurse director plan to use after the client is discharged

to gather information about quality of care?

a. Outcome audit

6. A nurse is caring for a client who repeatedly refuses meals, a nurse overhears an AP

telling the client “If you don’t eat, I’ll put restraint on you” … The nurse should

intervene.

a. Assault

7. A nurse is caring for a client who reports insomnia. Which of the following is a priority

for the nurse to report to the provider?

a. Wake up to urinate during the night.

8. A nurse is planning care for a client who has an L4 spinal cord injury. Which of the

following interventions to prevent skin breakdown should the nurse include in the plan of

care?

a. Massage reddened area over bony prominences

9. charge nurse is teaching a group of newly licensed nurses about the correct use of

restraints. Which of the following should the nurse include in the teaching?

1. Applying elbow immobilizers of an infant receiving cleft lip injury

10. A nurse preparing to initiate IV fluid via infusion pump to a client. Which of the

following action should the nurse take?

a. Check the expiration date?

11. A nurse is proving discharge instruction about newborn to client who is 2 days

postpartum. Which of the following should be include?

a. Use car seat when travelling by airplane

12. A nurse as identified task to delegate to a group of an AP.

a. Evaluate to perform each task

b. Communicate appropriate task to AP

13. Adverse effect of furosemide?

a. Hearing loss

14. New diagnose of type 2 diabetes. Client readiness to learn:

a. I like to wait when my partner is here so we can both learn together.

15. Diazepam overdose medication for reversal?

a. Flumazenil 

16. The nurse is planning a community health program about Parkinson’s disease. Which of

the following intervention the nurse indicates as a tertiarily prevention strategy?

a. Ambulation for client with Parkinson’s disease

17. A nurse is teaching a newly license nurse about incident report. Which of the following

statement indicate understanding?

a. They assist with quality improvement.

18. Peak expiratory flow meter teaching: Blow air as hard and quickly as possible.

19. A nurse is caring for an infant who has RSV.

a. Suction prior to feeding.

20. A nurse is preparing to teach the parent of a child who has cystic fibrosis. Which of the

following teaching should the nurse plan to include?

a. Provide a diet high in protein and calories.

21. Taking Cyclosporine following a kidney transplant. Which Lab to report?

a. Creatinine of 1.6

22. Auditory Hallucination teaching?

a. Encourage the client listen to music.

23. A nurse is preforming a gastric lavage for a client who has upper gastrointestinal

bleeding. Which of the following action should the nurse take?

B. Insert a large-bore NG tube.

24. A nurse is planning care for a group of clients, which of the following measure should the

nurse to manage time effectively?

a. Gather supplies prior to completing a dressing change.

25. A nurse is teaching a group of newly licensed nurses about client advocacy. Which of the

following statements by a newly licensed nurse indicates an understanding of the

teaching?

a. “I will intervene if there is conflict between a client and his provider”

26. A nurse is assessing a client who is pregnant and has new diagnosis of hyperemesis

gravidarum. Which of the following finding should the nurse expect?

a. Urine output of 20 mL/Hr.

27. Apply physical restraint:

a. to maintain the patency of an IV line

28. A nurse is assessing a client who has anorexia nervosa. Which of the following finding

indicates effectiveness of the treatment plan?

a. The client has clinical manifestation of dehydration

29. A nurse is assessing and older adult for social isolation. The nurse should identify that

which of the following statement by the client indicates a risk for social isolation?

a. My hearing aids have lost so I don’t attend Bingo like I used to.

30. A nurse is teaching a client who is pregnant and has a new prescription for Iron

supplement. Which of the following statement should the nurse include?

a. You might become constipated while taking this medication.

31. Abdominal Assessment orders:

a. Inspection; Auscultation; Percussion; Palpation.

32. First indication of Peritonitis?

a. Abdominal pain

33. A nurse in an emergency department is caring for a 3-year-old child who has suspected

epiglottitis. Which of the following action should the nurse take?

a. Prepare client for intubation

34. A nurse is caring for a client who is 4 hours postpartum, client report urges to void but

unable to void. Which of the following action should the nurse take?

a. Massage the fundus

35. Screening an adolescent for idiopathic scoliosis, which of the following assessment

should the nurse perform part of the screening?

a. Measure the trunk location

36. Postpartum hemorrhage teaching?

a. Inversion of the uterus.

37. A charge nurse is preparing to lead negotiations among nursing staff due to conflict about

overtime requirements. Which of the following strategies should the nurse use to promote

effective negotiation?

a. Attempts to understand both sides of the situation.

38. Kosher diet tradition food choice?

a. Scramble eggs and toast with milk.

39. A nurse is caring for client who is 11 weeks’ gestation, which of the following

immunization should the nurse recommends?

a. Inactivated Influenza vaccine

b. Tetanus diphtheria and acellular pertussis vaccine.

40. A home health nurse is preparing to make an initial visit to a family home from a local

provider. Identify the sequence of the step the nurse should take when conducting a home

visit.

A. 3) Identify family needs interventions using the nursing process.

B. 4) Record information about the home visit according to agency policy.

C. 2) Contact the family to determine availability and readiness to make an appointment

D. 5) Discuss plans for future visits with the family.

E. 1) Clarify the reason for the referral with the provider’s office.

E C A B D

41. A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate.

The nurse should identify that which of the following finding as sign of magnesium

toxicity.

a. Hyperventilation

42. Newborn that has been circumcised. Which of the following instruction should the nurse

include in the teaching?

a. Apply petroleum jelly at each diaper changes

43. Discharge teaching for client with type 1 diabetes about preventing diabetic-ketoacidosis:

a. I should check my blood sugar twice a day

44. The nurse is caring for a client who is obese, the client is crying “everyone is staring at

me because my weight”, which of the following is the proper response should the nurse

make?

a. Do you feel uncomfortable around others?

45. A nurse is teaching about preventative measures to a female client who has chronic

urinary tract infections. Which of the following interventions should the nurse include in

the teaching?

a. Void every 4 hours.

46. A nurse is teaching a client who has heart failure about engaging in exercise program.

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

a. Make sure you can still talk while exercising

47. Leave against medical advice:

a. Ask the client to sign a form.

48. A nurse is assessing a client who has opioid use disorder. Which of the following should

the nurse expect for opioid withdrawal?

a. Tachycardia 

ATI RN COMPREHENSIVE PREDICTOR 2019 RETAKE 1. A nurse is assessing a client who hasreceived an antibiotic. The nurse should identify which of the following findings as an indication of a possible allergic reaction to the medication? A. Bradycardia B. Headache C. Joint pain D. Hypotension 2. A nurse on a mental health unit is caring for a client who has schizophrenia and is experiencing auditory hallucinations telling them to hurt others. The client is refusing to take anti-psychotic medication. Which of the following responses should the nurse make? A. “You should plan to take this medication for a few weeks.” B. “You will regret itif you do not take this medication.” C. “This medication will help you respond to the voices. D. “This medication will help you stop the voices you are hearing.” 3. A nurse is providing care for a patient who has depression and isto have electroconvulsive therapy. Which of the following conditions should the nurse identify as increasing the client’s risk for complications? A. Hyperthyroidism B. Renal calculi C. Diabetes mellitus D. Cardiac dysrhythmias 4. A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis. Which of the following findings should the nurse report to the provider? A. WBC count 8,000/mm B. Platelets 150,000/mm C. Aspartate aminotransferase 10 units/L D. Erythrocyte sedimentation 75 mm/hr 5. A nurse is suctioning the airway of a client who is receiving mechanical ventilation via an endotracheal tube. Which of the following findings should the nurse identify as an indication that suctioning has been effective? A. Presence of a productive cough B. Decreased peak inspiratory pressure C. Thinning of mucous secretions D. Flattening of the artificial airway cuff

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