ATI RN PROCTORED COMPREHENSIVE PREDICTOR Form A| 1. A nurse is caring for a client who is at 33 weeks of gestation following an amniocentesis. The nurse should monitor the client for which of the following complications? a. Vomiting b. Hypertension c. Epigastric pain d. Contractions 2. A nurse is providing teaching to an older adult client about methods to promote nighttime sleep. Which of the following instructions should the nurse include? a. Stay in bed at least 1 hr if unable to fall asleep b. Take a 1 hr nap during the day c. Perform exercises prior to bedtime d. Eat a light snack before bedtime 3. A nurse on a telemetry unit is caring for a client who becomes unconscious and whose monitor displays ventricular tachycardia. Which of the following actions should the nurse take first after determining the client does not have a palpable pulse? a. Assess heart sounds b. Defibrillate c. Establish IV access d. Administer epinephrine 4. A nurse is admitting a client who 1 week postpartum and reports excessive vaginal bleeding. The nurse does not speak the same language as the client. The client’s partner and 10-year-old child are accompanying her. Which of the following actions should the nurse take to gather the client’s admission data? a. Have the client’s child translate b. Allow the client’s partner to translate c. Request a female interpreter through the facility d. Ask a nursing student who speaks the same language as the client to translate 5. A nurse is caring for a client who is febrile (High fever). To reduce the client’s fever, the nurse applies a cooling blanket. Which of the following findings indicates the client is having an adverse reaction to the cooling? a. Flushing b. Tachycardia c. Restlessness d. Shivering (Hypothermic) 6. A nurse is caring for a client who has deep-vein-thrombosis of the left lower extremity. Which of the following actions should the nurse take? (Exhibit) a. Position the client with the affected extremity lower than the heart b. Withhold heparin IV infusion PTT- 30-40 seconds; x2 if on heparin c. Administer acetaminophen d. Massage the affected extremity every 4 hr 7. A nurse is reviewing assessment data from several clients. For which of the following clients should the nurse recommend referral to a dietitian? a. An older adult client who has a BMI of 24 (18.5-24.9) b. A client who has a nonhealing leg ulcer (diet isn’t good) c. An older adult client who has presbyopia (age related far-sightness) d. A client who has an albumin level of 3.7 g/dL (normal 3.4-5.4) 8. A nurse is providing discharge teaching to a client who has a chronic kidney disease and is receiving hemodialysis. Which of the following instructions should the nurse include in the teaching? a. Eat 1 g/kg of protein per day b. Take magnesium hydroxide for indigestion c. Drink at least 3 L of fluid dailyd. Consume foods high in potassium- restrict 9. A nurse is caring for a client who is receiving intermittent enteral tube feedings. Which of the following places the client at risk for aspiration? a. Sitting in a high-Fowler’s position during the feeding b. A history of gastroesophageal reflux disease c. Receiving a high osmolarity formula d. A residual of 65 mL 1 hr postprandial? 10. ?A nurse is providing prenatal teaching to a client who is at 12 weeks of gestation. The nurse should tell the client that she will undergo which of the following screening tests at 16 weeks of gestation? a. Chorionic villus sampling- as early as 8 weeks b. Cervical cultures for chlamydia- 1 st appointment. c. Nonstress test -28 weeks d. Maternal serum alpha-fetoprotein- 16 to 18 weeks 11. A nurse is caring for a client who is on bed rest. The nurse should recognize that which of the following findings is a complication of immobility? a. Decreased serum calcium levels- increased serum calcium b. Increased blood pressure- hypotension c. Swollen area on calf d. Urinary frequency12. A nurse in acute care mental health facility is participating in a medication-education group. The leader of the group uses a laissez-faire leadership style. Which of the following actions should the nurse expect from the leader during the session? a. The leader encourages group members to remain silent until questions are called for b. The leader lecture about medication adverse effects to the group members c. The leader allows the group to discuss whatever they would like to regarding their medications d. The leader has group members vote on what they would like to learn about during the session 13. A nurse is providing teaching about digoxin administration to the parents of a toddler who has heart failure. Which of the following statements should the nurse include in the teaching? a. “You can add the medication to a half-cup of your child’s favorite juice.” b. “Repeat the dose if your child vomits within 1 hour after taking medication.” X c. “Limit your child’s potassium intake while she is taking this medication.” d. “Have your child drink a small glass of water after swallowing the medication.” 14. A nurse is providing teaching to a client who has a depressive disorder and a new prescription for phenelzine. Which of the following foods should the nurse instruct the client to avoid? a. Grapefruit b. Spinach c. Cottage cheese- cream cheese ok. d. Smoked salmon TYRAMINE! 15. A nurse is planning care for a client who has COPD and weighs 99 lb. The provider has prescribed a diet of a 1.5 g protein/kg/day. How many grams of protein per day should the nurse include in the client’s dietary plan? (Round to the nearest whole number) a. 68 16. A nurse is planning care for a client who has bipolar disorder and is experiencing mania. Which of the following interventions should the nurse include in the plan? a. Encourage the client to spend time in the day room b. Withdraw the client’s TV privileges if he does not attend group therapy c. Encourage the client to take frequent rest periods d. Place the client in seclusion when he exhibits signs of anxiety