NUR 2571 Comprehensive Predictor ATI 1st take Questions and Answers

1. A nurse is caring for a child with sickle cell anemia and is having a vaso-occlusive crisis. Which intervention should the nurse implement first? D) Increase oral fluid 2. A nurse is caring for a 1-day-old newborns who has jaundice and is receiving phototherapy. Which of the following actions should the nurse take? Ensure that the newborn wears a diaper. 3. A nurse is preparing a client for a paracentesis. What action should the nurse take? Instruct the client to void prior to the procedure. 4. A nurse is providing dietary teaching to a client who has end-stage of kidney disease and a potassium level of 6. Which of the following is the best food the nurse to recommend? 1. Hard boiled eggs. 5. A director of nursing in a rehab facility is planning for measure of quality care provided. Which of the following should the nurse director plan to use after the client is discharged to gather information about quality of care? a. Outcome audit 6. A nurse is caring for a client who repeatedly refuses meals, a nurse overhears an AP telling the client “If you don’t eat, I’ll put restraint on you” … The nurse should intervene. a. Assault 7. A nurse is caring for a client who reports insomnia. Which of the following is a priority for the nurse to report to the provider? a. Wake up to urinate during the night. 8. A nurse is planning care for a client who has an L4 spinal cord injury. Which of the following interventions to prevent skin breakdown should the nurse include in the plan of care? a. Massage reddened area over bony prominences 9. charge nurse is teaching a group of newly licensed nurses about the correct use of restraints. Which of the following should the nurse include in the teaching? 1. Applying elbow immobilizers of an infant receiving cleft lip injury 10. A nurse preparing to initiate IV fluid via infusion pump to a client. Which of the following action should the nurse take? a. Check the expiration date? 11. A nurse is proving discharge instruction about newborn to client who is 2 days postpartum. Which of the following should be include? a. Use car seat when travelling by airplane 12. A nurse as identified task to delegate to a group of an AP. a. Evaluate to perform each task b. Communicate appropriate task to AP 13. Adverse effect of furosemide? a. Hearing loss 14. New diagnose of type 2 diabetes. Client readiness to learn: a. I like to wait when my partner is here so we can both learn together. 15. Diazepam overdose medication for reversal? a. Flumazenil 16. The nurse is planning a community health program about Parkinson’s disease. Which of the following intervention the nurse indicates as a tertiarily prevention strategy? a. Ambulation for client with Parkinson’s disease 17. A nurse is teaching a newly license nurse about incident report. Which of the following statement indicate understanding? a. They assist with quality improvement. 18. Peak expiratory flow meter teaching: Blow air as hard and quickly as possible. 19. A nurse is caring for an infant who has RSV. a. Suction prior to feeding. 20. A nurse is preparing to teach the parent of a child who has cystic fibrosis. Which of the following teaching should the nurse plan to include? a. Provide a diet high in protein and calories. 21. Taking Cyclosporine following a kidney transplant. Which Lab to report? a. Creatinine of 1.6 22. Auditory Hallucination teaching? a. Encourage the client listen to music. 23. A nurse is preforming a gastric lavage for a client who has upper gastrointestinal bleeding. Which of the following action should the nurse take? B. Insert a large-bore NG tube. 24. A nurse is planning care for a group of clients, which of the following measure should the nurse to manage time effectively? a. Gather supplies prior to completing a dressing change. 25. A nurse is teaching a group of newly licensed nurses about client advocacy. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching? a. “I will intervene if there is conflict between a client and his provider” 26. A nurse is assessing a client who is pregnant and has new diagnosis of hyperemesis gravidarum. Which of the following finding should the nurse expect? a. Urine output of 20 mL/Hr. 27. Apply physical restraint: a. to maintain the patency of an IV line 28. A nurse is assessing a client who has anorexia nervosa. Which of the following finding indicates effectiveness of the treatment plan? a. The client has clinical manifestation of dehydration 29. A nurse is assessing and older adult for social isolation. The nurse should identify that which of the following statement by the client indicates a risk for social isolation? a. My hearing aids have lost so I don’t attend Bingo like I used to. 30. A nurse is teaching a client who is pregnant and has a new prescription for Iron supplement. Which of the following statement should the nurse include? a. You might become constipated while taking this medication. 31. Abdominal Assessment orders: a. Inspection; Auscultation; Percussion; Palpation. 32. First indication of Peritonitis? a. Abdominal pain 33. A nurse in an emergency department is caring for a 3-year-old child who has suspected epiglottitis. Which of the following action should the nurse take? a. Prepare client for intubation 34. A nurse is caring for a client who is 4 hours postpartum, client report urges to void but unable to void. Which of the following action should the nurse take? a. Massage the fundus 35. Screening an adolescent for idiopathic scoliosis, which of the following assessment should the nurse perform part of the screening? a. Measure the trunk location 36. Postpartum hemorrhage teaching? a. Inversion of the uterus. 37. A charge nurse is preparing to lead negotiations among nursing staff due to conflict about overtime requirements. Which of the following strategies should the nurse use to promote effective negotiation? a. Attempts to understand both sides of the situation. 38. Kosher diet tradition food choice? a. Scramble eggs and toast with milk. 39. A nurse is caring for client who is 11 weeks’ gestation, which of the following immunization sho