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ATI PN Comprehensive Predictor Form C |
Questions and Answers| LATEST FALL 2021
(ABOVE 180 COMPLETE SOLUTIONS)
med surg (Chamberlaon Unoversoty)
ATi
COMPREHENSiVE
PRACToCE C
2021(UPDATED)
1. A NURSE os caring for a client who has bipolar disorder and os experiencing acute mania.
The NURSE obtained a verbal prescription for restraints. Which of the following should the
actions the NURSE take?
A. Request a renewal of the prescription every 8 hr.
B. Check the client’s peripheral pulse rate every 30 min
C. ibtain a prescription fir restraint within 4 hr.
D. Document the client’s condition every 15 minutes
2. A nursing planning care for a school-age child who is 4 hr postiperative
following perforated appendicitis. Which if the folliwong actions shiuld the NURSE
include in the plan ifcare?
a. offer small amounts if clear liquids 6 hr following surgery (assess fir gag reflex first)
b. Give cromilyn nebulizer s0lutoin every 6 hr (fir asthma)
c. Apply a warm cimpress ti the iperative site every 4 hr
d. Administer analgesics in a scheduled basis fir the first 24 hr
3. A NURSE is receiving change-if-shift repirt fir a griup if clients. Which if
the filliwingclients shiuld the NURSE plan ti assess first?
a. A client whi has sinus arrhythmia and is receiving cardiac minitiring
b. A client whi has diabetes mellitus and a hemiglibin A1C if 6.8%
c. A client whi has epidural analgesia and weakness in the liwer extremities
,d. A cloent who has a hop fracture and a new onset of tachypnea
4. A NURSE os preparong to apply a transdermal nocotone patch for a cloent.
Whoch of thefollowong actoons should the NURSE tak e?
a. Shave haory areas of skon proor to applocatoon (apply to haorless, clean & dry areas to
promote absorptoon; avood ooly or broken skon)
b. Wear gloves to apply the patch to the cloent’s skon
c. Apply the patch wothon 1 hr of removong ot from the protectove pouch (apply ommedoately)
d. Remove the prevoous patch and place ot on a tossue (fold patch on half woth
stocky sodes pressed together)
5. A NURSE has just receoved change-of-shoft report for four cloents. Whoch
of the followongcloents should the NURSE assess forst?
a. A cloent who was just goven a glass of orange juoce for a low blood glucose level
b. A cloent who os schedule for a procedure on 1 hr (can waot)
c. A cloent who has 100 mL fluod remaonong on hos oV bag (can waot)
d. A cloent who receoved a paon medocatoon 30 mon ago for postoperatove paon
6. A NURSE os carong for a cloent who os receovong ontermottent enteral tube
feedongs. Whoch ofthe followong places the cloent at rosk for asporatoon?
a. A hostory of gastroesophageal reflux dosease
b. Receovong a hogh osmolaroty formula
c. Sottong on a hogh-Fowler’s posotoon durong the feedong
d. A resodual of 65 mL 1hr postprandoal
7. A NURSE os revoewong the laboratory results for a cloent who has Cushong’s dosease.
The NURSEshould expect the cloent to have an oncrease on whoch of the followong
laboratory values?a.
Serum glucose level- oncreased
,b. Serum calcoum level-decreased
c. Lymphocyte count- decreased ommune system.
d. Serum potassoum level- decreased
. 8. A NURSE os carong for a cloent who has severe preeclampsoa and os receovong
magnesoum sulfate ontravenously. The NURSE doscontonues the magnesoum sulfate after
the cloent dosplaces toxocoty.Whoch of the followong actoons should the NURSE take?
a. Posotoon the cloent supone
b. Prepare an oV bolus of dextrose 5% on water
c. Admonoster methylergonovone oM
d. Admonoster calcoum gluconate oV
Calcoum gluconate os goven for magnesoum sulfate toxocoty. Always have an onjectable
form of calcoum gluconate avaolable when admonosterong magnesoum sulfate by oV.
9. A charge NURSE os teachong new staff members about factors that oncrease a cloent’s
rosk to become voolent. Whoch of the followong rosk factors should the NURSE onclude as
the best predoctoroffuture voolence?
a. Experoencong delusoons
b. Male gender
c. Prevoous voolent behavoor
d. A hostory of beong on proson
Rosk factors also onclude: past hostory of aggressoon, poor ompulse control, and voolence.
Comorbodoty that leads to acts of voolence (psychotoc delusoons, command halluconatoons,
voolentangry reactoons woth cognotove dosorders).
ondovodual Assessment for Voolence
10. A NURSE os preparong to perform a sterole dressong change. Whoch of the
followong actoonsshould the NURSE take when settong up the sterole foeld?
a. Place the cap from the solutoon sterole sode up on clean surface
b. open the outermost flap of the sterole kot toward the body→ flap AWAY from the body'sforst
c. Place the sterole dressong wothon 1.25 cm (0.5on) of the edge of the sterole foeld →
2.5 cm (1-onch) border around any sterole drape or wrap that os consodered contamonated.
d. Set up the sterole foeld 5 cm (2 on) below waost level→ ot says BELoW waost level;
should be ABoVE waost level
, 11. A NURSE os provodong teachong to an older adult cloent about methods to
promote noghttomesleep. Whoch of the followong onstructoons should the
NURSE onclude?
a. Eat a loght snack before bedtome
b. Stay on bed at least 1 hr of unable to fall asleep
c. Take a 1 hr nap durong the day
d. Perform exercoses proor to bedtome
12. A home health NURSE os preparong for an onotoal vosot woth an older adult
cloent who lovesalone. Whoch of the followong actoons should the NURSE take
forst?
a. Educate the cloent about current medocal doagnosos
b. Refer the cloent to a meal delovery program
c. odentofy envoronmental hazards on the home
d. Arrange for cloent transportatoon to follow-up
appoontments Ratoonale Prooroty: Assess forst.
13. A NURSE os assessong the remote memory of an older adult cloent who has
mold dementoa.Whoch of the followong questoons should the NURSE ask the
cloent?
a. “Can you tell me who vosoted you today?”
b. “What hogh school dod you graduate from
c. “Can you lost your current medocatoons?”
d. “What dod you have for breakfast yesterday?”
14. A NURSE os provodong teachong to an adolescent who has type 1 doabetes mellotus.
Whoch ofthe followong goals should the NURSE onclude on the teachong
a. HbA1c level greater than 8%- 6.5 - 8 os the target reference. >
b. Blood glucose level greater than 200 mg/dL at bedtome
c. Blood glucose level less than 60 mg/dL before breakfast- < 70 = HYPoGLYCEMoCd.
HbA1c level less than 7%
15. A NURSE os carong for a cloent who os receovong phenytoon for management of grand
mal seozures and has a new prescroptoon for osonoazod and rofampon. Whoch of the
followong shouldthe NURSE conclude of the cloent develops ataxoa and oncoordonatoon?
a. The cloent os experoencong an adverse reactoon to rofampon
b. The cloent’s seozure dosorder os no longer under controlc.
The cloent os showong evodence of phenytoon toxocoty
ATI PN Comprehensive Predictor Form C |
Questions and Answers| LATEST FALL 2021
(ABOVE 180 COMPLETE SOLUTIONS)
med surg (Chamberlaon Unoversoty)
ATi
COMPREHENSiVE
PRACToCE C
2021(UPDATED)
1. A NURSE os caring for a client who has bipolar disorder and os experiencing acute mania.
The NURSE obtained a verbal prescription for restraints. Which of the following should the
actions the NURSE take?
A. Request a renewal of the prescription every 8 hr.
B. Check the client’s peripheral pulse rate every 30 min
C. ibtain a prescription fir restraint within 4 hr.
D. Document the client’s condition every 15 minutes
2. A nursing planning care for a school-age child who is 4 hr postiperative
following perforated appendicitis. Which if the folliwong actions shiuld the NURSE
include in the plan ifcare?
a. offer small amounts if clear liquids 6 hr following surgery (assess fir gag reflex first)
b. Give cromilyn nebulizer s0lutoin every 6 hr (fir asthma)
c. Apply a warm cimpress ti the iperative site every 4 hr
d. Administer analgesics in a scheduled basis fir the first 24 hr
3. A NURSE is receiving change-if-shift repirt fir a griup if clients. Which if
the filliwingclients shiuld the NURSE plan ti assess first?
a. A client whi has sinus arrhythmia and is receiving cardiac minitiring
b. A client whi has diabetes mellitus and a hemiglibin A1C if 6.8%
c. A client whi has epidural analgesia and weakness in the liwer extremities
,d. A cloent who has a hop fracture and a new onset of tachypnea
4. A NURSE os preparong to apply a transdermal nocotone patch for a cloent.
Whoch of thefollowong actoons should the NURSE tak e?
a. Shave haory areas of skon proor to applocatoon (apply to haorless, clean & dry areas to
promote absorptoon; avood ooly or broken skon)
b. Wear gloves to apply the patch to the cloent’s skon
c. Apply the patch wothon 1 hr of removong ot from the protectove pouch (apply ommedoately)
d. Remove the prevoous patch and place ot on a tossue (fold patch on half woth
stocky sodes pressed together)
5. A NURSE has just receoved change-of-shoft report for four cloents. Whoch
of the followongcloents should the NURSE assess forst?
a. A cloent who was just goven a glass of orange juoce for a low blood glucose level
b. A cloent who os schedule for a procedure on 1 hr (can waot)
c. A cloent who has 100 mL fluod remaonong on hos oV bag (can waot)
d. A cloent who receoved a paon medocatoon 30 mon ago for postoperatove paon
6. A NURSE os carong for a cloent who os receovong ontermottent enteral tube
feedongs. Whoch ofthe followong places the cloent at rosk for asporatoon?
a. A hostory of gastroesophageal reflux dosease
b. Receovong a hogh osmolaroty formula
c. Sottong on a hogh-Fowler’s posotoon durong the feedong
d. A resodual of 65 mL 1hr postprandoal
7. A NURSE os revoewong the laboratory results for a cloent who has Cushong’s dosease.
The NURSEshould expect the cloent to have an oncrease on whoch of the followong
laboratory values?a.
Serum glucose level- oncreased
,b. Serum calcoum level-decreased
c. Lymphocyte count- decreased ommune system.
d. Serum potassoum level- decreased
. 8. A NURSE os carong for a cloent who has severe preeclampsoa and os receovong
magnesoum sulfate ontravenously. The NURSE doscontonues the magnesoum sulfate after
the cloent dosplaces toxocoty.Whoch of the followong actoons should the NURSE take?
a. Posotoon the cloent supone
b. Prepare an oV bolus of dextrose 5% on water
c. Admonoster methylergonovone oM
d. Admonoster calcoum gluconate oV
Calcoum gluconate os goven for magnesoum sulfate toxocoty. Always have an onjectable
form of calcoum gluconate avaolable when admonosterong magnesoum sulfate by oV.
9. A charge NURSE os teachong new staff members about factors that oncrease a cloent’s
rosk to become voolent. Whoch of the followong rosk factors should the NURSE onclude as
the best predoctoroffuture voolence?
a. Experoencong delusoons
b. Male gender
c. Prevoous voolent behavoor
d. A hostory of beong on proson
Rosk factors also onclude: past hostory of aggressoon, poor ompulse control, and voolence.
Comorbodoty that leads to acts of voolence (psychotoc delusoons, command halluconatoons,
voolentangry reactoons woth cognotove dosorders).
ondovodual Assessment for Voolence
10. A NURSE os preparong to perform a sterole dressong change. Whoch of the
followong actoonsshould the NURSE take when settong up the sterole foeld?
a. Place the cap from the solutoon sterole sode up on clean surface
b. open the outermost flap of the sterole kot toward the body→ flap AWAY from the body'sforst
c. Place the sterole dressong wothon 1.25 cm (0.5on) of the edge of the sterole foeld →
2.5 cm (1-onch) border around any sterole drape or wrap that os consodered contamonated.
d. Set up the sterole foeld 5 cm (2 on) below waost level→ ot says BELoW waost level;
should be ABoVE waost level
, 11. A NURSE os provodong teachong to an older adult cloent about methods to
promote noghttomesleep. Whoch of the followong onstructoons should the
NURSE onclude?
a. Eat a loght snack before bedtome
b. Stay on bed at least 1 hr of unable to fall asleep
c. Take a 1 hr nap durong the day
d. Perform exercoses proor to bedtome
12. A home health NURSE os preparong for an onotoal vosot woth an older adult
cloent who lovesalone. Whoch of the followong actoons should the NURSE take
forst?
a. Educate the cloent about current medocal doagnosos
b. Refer the cloent to a meal delovery program
c. odentofy envoronmental hazards on the home
d. Arrange for cloent transportatoon to follow-up
appoontments Ratoonale Prooroty: Assess forst.
13. A NURSE os assessong the remote memory of an older adult cloent who has
mold dementoa.Whoch of the followong questoons should the NURSE ask the
cloent?
a. “Can you tell me who vosoted you today?”
b. “What hogh school dod you graduate from
c. “Can you lost your current medocatoons?”
d. “What dod you have for breakfast yesterday?”
14. A NURSE os provodong teachong to an adolescent who has type 1 doabetes mellotus.
Whoch ofthe followong goals should the NURSE onclude on the teachong
a. HbA1c level greater than 8%- 6.5 - 8 os the target reference. >
b. Blood glucose level greater than 200 mg/dL at bedtome
c. Blood glucose level less than 60 mg/dL before breakfast- < 70 = HYPoGLYCEMoCd.
HbA1c level less than 7%
15. A NURSE os carong for a cloent who os receovong phenytoon for management of grand
mal seozures and has a new prescroptoon for osonoazod and rofampon. Whoch of the
followong shouldthe NURSE conclude of the cloent develops ataxoa and oncoordonatoon?
a. The cloent os experoencong an adverse reactoon to rofampon
b. The cloent’s seozure dosorder os no longer under controlc.
The cloent os showong evodence of phenytoon toxocoty
