NGN ATI RNCOMPREHENSIVE PREDICTOR 2019 Q & A.

NGN ATI RN
COMPREHENSIVE
PREDICTOR
2019
Q&A

, NGN ATI RN COMPREHENSIVE PREDICTOR 2019 QUESTIONS WITH
DETAILED CORRECT ANSWERS /A+ GRADE
1. 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. Loose stools
B. Jitteriness
C. Hypertonia
D. Abdominal distention
CORRECT ANWERS

B. Jitteriness


2. A nurse is assessing a client who is immediately post-operative following total hip arthroplasty,
which of the following considerations should the nurse take when positioning the client?
A. Place the client's heels directly against the bed mattress
B. Ensure that the client's hips remain in an abducted position.
C. Maintain the client in a supine position for the first 24 hr. after surgery.
D. Flex the client's hip up to 120° when sitting in a chair. –
CORRECT ANWERS
B. Ensure that the client's hips remain in an abducted position.


3. A nurse is assessing a client who is immediately postoperative following a subtotal
thyroidectomy. Which of the following should the nurse expect to administer?
A. Calcium gluconate.
B. Sodium bicarbonate.
C. Potassium chloride.

D. Sodium phosphate –
CORRECT ANWERS
A. Calcium gluconate.

,4. A nurse is caring for an adult client who has prescriptions for multiple medications.
Which of the following (Unable to read) as an age-related change that increases the risk for adverse
effects from this medication?
A. Rapid gastric emptying.
B. Prolonged medication half-life.
C. Increased medication elimination.

D. Decreased medication sensitivity. –
CORRECT ANWERS
B. Prolonged medication half-life.


5. A nurse manager is planning to promote client advocacy among staff in a medical unit.
Which of the following actions should the nurse take?

A. Encourage staff to implement the principle of paternalism when a client is having difficulty
making a choice.
B. Tell staff explain procedures to clients before obtaining informed consent.
C. Instruct unit staff to share personal experiences to help clients make decisions.

D. Develop a system for staff members to report safety concerns in the client care environment –
CORRECT ANWERS

D. Develop a system for staff members to report safety concerns in the client care environment


6. A nurse is preparing an in-service for a group of nurses about malpractice issues in nursing.
Which of the following examples should the nurse include in the teaching?
A. Leaving a nasogastric tube clamped after administering oral medication
B. Documenting communication with a provider in the progress notes of the client's medical
record
C. C. Administering potassium via IV bolus
D. D. Placing a yellow bracelet on a client who is at risk for falls –
CORRECT ANWERS

C. Administering potassium via IV bolus


A nurse is providing teaching about the gastrostomy tube feedings to the parents of a school age
child. Which

, of the following instructions should the nurse take?
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A. Administer the feeding over 30 min. XV XV XV XV XV




B. Place the child in as supine position after the feeding.
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C. Charge the feeding bag and tubing every 3 days.
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D. Warm the formula in the microwave prior to administration
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– CORRECT ANWERS
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A. Administer the feeding over 30 min. XV XV XV XV XV




7. A nurse is administering digoxin 0.125 mg Po to an adult client. For which of the follo
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wing findings should the nurse report to the provider?
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A. Potassium level 4.2 mEq/L. XV XV XV




B. Apical pulse 58/min. XV XV




C. Digoxin level 1 ng/ml. XV XV XV




D. Constipation for 2 days. – XV XV XV XV




CORRECT ANWERS XV C. Digoxin level 1 ng/ml.
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8. A nurse is providing discharge teaching to a client who has a new prescription for phenelzine.
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The nurse should instruct the client that it is safe to eat which of the following foods while tak
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ing this medication?
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A. Whole grain bread XV XV




B. Avocados

C. Smoked salmon XV




D. Pepperoni pizza XV




XV CORRECT ANWERS XV




A. Whole grain bread XV XV




9. A nurse is caring for an adolescent who has sickle-
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cell anemia. Which of the following manifestations indicates acute chest syndrome an
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d should be immediately reported to the provider?
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A. Substernal retractions. XV




B. Hematuria.
C. Temperature 37.9 C (100.2 F). XV XV XV XV