NGNATIRN
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COMPREHENSIVE
PREDICTOR
2019
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Q&A
, NGN ATI RN COMPREHENSIVE PREDICTOR 2019 QUESTIONS WITH
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DETAILED CORRECT ANSWERS /A+ GRADE v v v v v
1. A nurse is assessing a newborn who has a blood glucose level of 30 mg/dl. Which of
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the following
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manifestations should the nurse expect? v v v v
A. Loose stools v
B. Jitteriness
C. Hypertonia
D. Abdominal distention v
CORRECT ANWERS
v v
B. Jitteriness
v
2. A nurse is assessing a client who is immediately post-operative following total hip
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arthroplasty, which of the following considerations should the nurse take when positioning
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the client?
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A. Place the client's heels directly against the bed mattress
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B. Ensure that the client's hips remain in an abducted position.
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C. Maintain the client in a supine position for the first 24 hr. after surgery.
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D. Flex the client's hip up to 120° when sitting in a chair.
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– CORRECT ANWERS
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B. Ensure that the client's hips remain in an abducted position.
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3. A nurse is assessing a client who is immediately postoperative following a
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subtotal thyroidectomy. Which of the following should the nurse expect to
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administer?
v
A. Calcium gluconate. v
B. Sodium bicarbonate. v
C. Potassium chloride. v
D. Sodium phosphate – v v
CORRECT ANWERS
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A. Calcium gluconate. v
,4. A nurse is caring for an adult client who has prescriptions for multiple medications.
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Which of the following (Unable to read) as an age-related change that increases the risk for adverse
v v v v v v v v v v v v v v v v
effects from this medication?
v v v v
A. Rapid gastric emptying.
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B. Prolonged medication half-life. v v
C. Increased medication elimination. v v
D. Decreased medication sensitivity. – v v v
CORRECT ANWERS
v v
B. Prolonged medication half-life. v v
5. A nurse manager is planning to promote client advocacy among staff in a medical
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unit. Which of the following actions should the nurse take?
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A. Encourage staff to implement the principle of paternalism when a client is having
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difficulty making a choice.
v v v v
B. Tell staff explain procedures to clients before obtaining informed consent.
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C. Instruct unit staff to share personal experiences to help clients make decisions.
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D. Develop a system for staff members to report safety concerns in the client care environment
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– CORRECT ANWERS
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D. Develop a system for staff members to report safety concerns in the client care environment
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6. A nurse is preparing an in-service for a group of nurses about malpractice issues in
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nursing. Which of the following examples should the nurse include in the teaching?
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A. Leaving a nasogastric tube clamped after administering oral medication
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B. Documenting communication with a provider in the progress notes of the client's
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medical record v v
C. C. Administering potassium via IV bolus v v v v
D. D. Placing a yellow bracelet on a client who is at risk for falls v v v v v v v v v v v v
– CORRECT ANWERS
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C. Administering potassium via IV bolus v v v v
A nurse is providing teaching about the gastrostomy tube feedings to the parents of a school age
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child. Which
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, of the following instructions should the nurse take?
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A. Administer the feeding over 30 min. v v v v v
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. v v v v v
7. A nurse is administering digoxin 0.125 mg Po to an adult client. For which of the
v v v v v v v v v v v v v v v
following findings should the nurse report to the provider?
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A. Potassium level 4.2 mEq/L. v v v
B. Apical pulse 58/min.v v
C. Digoxin level 1 ng/ml. v v v
D. Constipation for 2 days. – v v v v
CORRECT ANWERS v C. Digoxin level 1 ng/ml.
v v v v
8. A nurse is providing discharge teaching to a client who has a new prescription for phenelzine.
v v v v v v v v v v v v v v v
The nurse should instruct the client that it is safe to eat which of the following foods while taking
v v v v v v v v v v v v v v v v v v
this medication?
v v
A. Whole grain bread v v
B. Avocados
C. Smoked salmon v
D. Pepperoni pizza v
CORRECT ANWERS
v v
A. Whole grain bread v v
9. A nurse is caring for an adolescent who has sickle-cell anemia. Which of the following
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manifestations indicates acute chest syndrome and should be immediately reported to
v v v v v v v v v v v
the provider?
v v
A. Substernal retractions. v
B. Hematuria.
C. Temperature 37.9 C (100.2 F). v v v v
v v
COMPREHENSIVE
PREDICTOR
2019
v
Q&A
, NGN ATI RN COMPREHENSIVE PREDICTOR 2019 QUESTIONS WITH
v v v v v v v
DETAILED CORRECT ANSWERS /A+ GRADE v v v v v
1. A nurse is assessing a newborn who has a blood glucose level of 30 mg/dl. Which of
v v v v v v v v v v v v v v v v
the following
v v
manifestations should the nurse expect? v v v v
A. Loose stools v
B. Jitteriness
C. Hypertonia
D. Abdominal distention v
CORRECT ANWERS
v v
B. Jitteriness
v
2. A nurse is assessing a client who is immediately post-operative following total hip
v v v v v v v v v v v v
arthroplasty, which of the following considerations should the nurse take when positioning
v v v v v v v v v v v v
the client?
v v
A. Place the client's heels directly against the bed mattress
v v v v v v v v
B. Ensure that the client's hips remain in an abducted position.
v v v v v v v v v
C. Maintain the client in a supine position for the first 24 hr. after surgery.
v v v v v v v v v v v v v
D. Flex the client's hip up to 120° when sitting in a chair.
v v v v v v v v v v v
– CORRECT ANWERS
v v v
B. Ensure that the client's hips remain in an abducted position.
v v v v v v v v v v
3. A nurse is assessing a client who is immediately postoperative following a
v v v v v v v v v v v
subtotal thyroidectomy. Which of the following should the nurse expect to
v v v v v v v v v v v
administer?
v
A. Calcium gluconate. v
B. Sodium bicarbonate. v
C. Potassium chloride. v
D. Sodium phosphate – v v
CORRECT ANWERS
v v
A. Calcium gluconate. v
,4. A nurse is caring for an adult client who has prescriptions for multiple medications.
v v v v v v v v v v v v v
Which of the following (Unable to read) as an age-related change that increases the risk for adverse
v v v v v v v v v v v v v v v v
effects from this medication?
v v v v
A. Rapid gastric emptying.
v v
B. Prolonged medication half-life. v v
C. Increased medication elimination. v v
D. Decreased medication sensitivity. – v v v
CORRECT ANWERS
v v
B. Prolonged medication half-life. v v
5. A nurse manager is planning to promote client advocacy among staff in a medical
v v v v v v v v v v v v v
unit. Which of the following actions should the nurse take?
v v v v v v v v v v
A. Encourage staff to implement the principle of paternalism when a client is having
v v v v v v v v v v v v
difficulty making a choice.
v v v v
B. Tell staff explain procedures to clients before obtaining informed consent.
v v v v v v v v v
C. Instruct unit staff to share personal experiences to help clients make decisions.
v v v v v v v v v v v
D. Develop a system for staff members to report safety concerns in the client care environment
v v v v v v v v v v v v v v
– CORRECT ANWERS
v v v
D. Develop a system for staff members to report safety concerns in the client care environment
v v v v v v v v v v v v v v v
6. A nurse is preparing an in-service for a group of nurses about malpractice issues in
v v v v v v v v v v v v v v
nursing. Which of the following examples should the nurse include in the teaching?
v v v v v v v v v v v v v
A. Leaving a nasogastric tube clamped after administering oral medication
v v v v v v v v
B. Documenting communication with a provider in the progress notes of the client's
v v v v v v v v v v v
medical record v v
C. C. Administering potassium via IV bolus v v v v
D. D. Placing a yellow bracelet on a client who is at risk for falls v v v v v v v v v v v v
– CORRECT ANWERS
v v v
C. Administering potassium via IV bolus v v v v
A nurse is providing teaching about the gastrostomy tube feedings to the parents of a school age
v v v v v v v v v v v v v v v v
child. Which
v v
, of the following instructions should the nurse take?
v v v v v v v
A. Administer the feeding over 30 min. v v v v v
B. Place the child in as supine position after the feeding.
v v v v v v v v v
C. Charge the feeding bag and tubing every 3 days.
v v v v v v v v
D. Warm the formula in the microwave prior to administration –
v v v v v v v v v
CORRECT ANWERS
v v
A. Administer the feeding over 30 min. v v v v v
7. A nurse is administering digoxin 0.125 mg Po to an adult client. For which of the
v v v v v v v v v v v v v v v
following findings should the nurse report to the provider?
v v v v v v v v v
A. Potassium level 4.2 mEq/L. v v v
B. Apical pulse 58/min.v v
C. Digoxin level 1 ng/ml. v v v
D. Constipation for 2 days. – v v v v
CORRECT ANWERS v C. Digoxin level 1 ng/ml.
v v v v
8. A nurse is providing discharge teaching to a client who has a new prescription for phenelzine.
v v v v v v v v v v v v v v v
The nurse should instruct the client that it is safe to eat which of the following foods while taking
v v v v v v v v v v v v v v v v v v
this medication?
v v
A. Whole grain bread v v
B. Avocados
C. Smoked salmon v
D. Pepperoni pizza v
CORRECT ANWERS
v v
A. Whole grain bread v v
9. A nurse is caring for an adolescent who has sickle-cell anemia. Which of the following
v v v v v v v v v v v v v v
manifestations indicates acute chest syndrome and should be immediately reported to
v v v v v v v v v v v
the provider?
v v
A. Substernal retractions. v
B. Hematuria.
C. Temperature 37.9 C (100.2 F). v v v v