ATI RN Comprehensive Predictor 2019 Form A

1. A nurse in a pediatric unit is preparing to insert an IV catheter

for 7-year-old. Which of the following actions should the nurse

take?

1. Tell the child they will feel discomfort during the catheter insertion.

2. A nurse is caring for a client who has arteriovenous fistula

Which of the following findings should the nurse report?

Absence of a bruit.

3. A nurse is providing discharge teaching for a client who has an

implantable cardioverter defibrillator which of the following

statements demonstrates understanding of the teaching?

1. “I will wear loose clothing around my ICD”

4. A nurse is caring for a client who is at 14 weeks gestation and

reports feelings of ambivalence about being pregnant. Which of the

following responses should the nurse make?

1. “Describe your feelings to me about being pregnant”

5. A nurse is planning care for a client who has a prescription for

a bowel- training program following a spinal cord injury. Which

of the following actions should the nurse include in the plan of

care?

1. Administer a rectal suppository 30 minutes prior to scheduled

defecation times.

6. A nurse is caring for a client who is in active labor and requests

pain management. Which of the following actions should the nurse

take?

1. Place the client in a warm shower.

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7. a nurse in an emergency department is performing triage for

multiple clients following a disaster in the community. To which of

the following types of injuries should the nurse assign the highest

priority?

1. Below-the knee amputation

8. a nurse manager is updating protocols for the use of belt

restraints. Which of the following guidelines should the nurse

include?

1. Document the client’s condition every 15 min

9. A nurse is teaching an in-service about nursing leadership. Which

of the following information should the nurse include about an

effective leader?

1. Acts as an advocate for the nursing unit.

10. A nurse is reviewing the laboratory findings of a client who has

diabetes mellitus and reports that she has been following her

(unable to read) care. The nurse should identify which of the

following findings indicates a need to revise the client’s plan of care.

1. Hba1c 10 %

11. A nurse in a provider’s office is reviewing the laboratory results

of a group of clients. The nurse should identify that which of the

following sexually transmitted infections is a nationally notifiable

infectious disease that should be reported to the state health

department?

1. Chlamydia

12. A nurse is teaching a newly licensed nurse about therapeutic

techniques to use when leading a group on a mental health unit.

Which of the following group facilitation techniques should the

nurse include in the teaching?

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1. Use modeling to help the clients improve their interpersonal skills

13. A nurse is planning for a client who practices Orthodox Judaism.

The client tells the nurse that (Unable to read) Passover holiday.

Which of the following action should the nurse include in the plan of

care?

1. Provide unleavened bread.

14. A nurse is caring for a client who has a pulmonary embolism.

The nurse should identify the effectiveness of the treatment

1. The client reports feeling less anxious.

15. A nurse in an emergency department is assessing a client who

reports ingesting thirty diazepam tablets (Unable to read) a

respiratory rate of 10/min. After securing the client’s airway and

initiating an IV, which of the following actions should the nurse do

next.

1. Administer flumazenil to the client.

16. A nurse in an emergency department is caring for a client who

reports cocaine use 1hr ago. Which of the following findings

should the nurse expect?

1. Elevated temperature

17. A nurse is assessing a newborn who has a blood glucose level

of 30 mg/dl. Which of the following manifestations should the

nurse expect?

A. Jitteriness

18. A nurse in a pediatric clinic is reviewing the laboratory test

results of a school age child. Which of the following findings

should the nurse report to the provider?

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1. WBC 14,000/mm3

19. A charge nurse is teaching a newly licensed nurse about clients

designating a health care proxy in situations that require a durable

power of attorney for heal care (DPSHC). Which of the following

information should the charge nurse include?

1. “The proxy can make treatment decisions if the client is under

anesthesia.”

20. A nurse in the PACU is caring for a client who reports nausea.

Which of the following actions should the nurse take first?

1. Turn the client on their side.

21. A nurse is caring for a client who has a history of depression and

is experiencing a situational crisis. Which of the following actions

should the nurse take first?

1. Confirm the client’s perception of the event

22. A nurse is caring for a client who has bipolar disorder and is

experiencing acute mania. The nurse obtained a verbal

prescription for restraints. Which of the following should the

actions should the nurse take?

1. Document the client’s condition every 15 minutes.

25. A nurse is working on a surgical unit is developing a care plan

for a client who has paraplegia. The client has an area of

nonblanchable erythema over his ischium. Which of the

following interventions should the nurse include in the care

plan?

1. Place the client upright on a donut-shaped cushion

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