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Ati rn comprehensive predictor
Questions With Answers
Multiple Choices (A-D)
Expert Verified Solution with rational
, Question 1
A client with a diagnosis of complete placenta previa is admitted to the labor and
delivery suite at 36 weeks gestation with contractions 5 minutes apart and lasting 1
minute. Which of the following actions should the nurse take?
A) Rupture the amniotic sac
B) Medicate the client for pain
C) Prepare the client for a cesarean section
D) Perform a vaginal exam
Answer: C
Rationale: In a complete placenta previa, the placenta completely covers the cervical
os, and vaginal delivery is contraindicated due to the high risk of hemorrhage.
Question 2
A nurse enters a client's room and finds the client lying on the floor in a puddle of
water. Which statement should the nurse document in the incident report?
A) Client fell out of bed because an assistive personnel left the rails down
B) Client's roommate thinks the client is confused and fell when getting out of bed
C) Client appears to have slipped in water but reports no injuries
D) Client found lying on the floor near the bedside table
Answer: D
Rationale: Incident reports should contain objective, factual information only, not
assumptions or blame.
Question 3
A nurse is assessing a client who has received an antibiotic. Which of the following
findings should the nurse identify as an indication of a possible allergic reaction?
A) Bradycardia
B) Headache
C) Joint pain