NGN 2023 ATI PN Comprehensive Predictor Form A_Questions & Answers with Rationale

NGN 2023 ATI PN Comprehensive Predictor Form A_Questions & Answers with Rationale 1. A nurse in a provider's office is reviewing the medical record of a client who requests aprescription for an oral contraceptive. Which of the following findings should the nurseidentify as a contraindication for oral contraceptive use? ANS: Coronary artery disease RATIONALE: Coronary artery disease is a contraindication to oral contraceptive use because it increases the client's risk for myocardial infarction. Other contraindications forreceiving oral contraceptives include gallbladder disease, breast cancer, and hypertension 2. A nurse is assisting with the care of a school-age child immediately following surgery.The child weights 21.8 kg (48 lb) and has a chest tube applied to suction. Which of thefollowing findings should the nurse report to the provider? ANS: 250 mL of sanguineous drainage over the last 3 hr RATIONALE: The nurse should recognize that if more than 3 mL/kg/her of sanguineousdrainage occurs for more than 3 consecutive hours following surgery, it can indicate active hemorrhaging. Therefore, 250 mL of sanguineous drainage from the child's chest tube is excessive and the nurse should report this finding to the provider immediately 3. A nurse is collecting data from a client who is at 30 weeks of gestation and has gestational diabetes. Which of the following findings should the nurse report to theprovider as an indication of hyperglycemia? ANS: Polyuria RATIONALE: The nurse should identify polyuria as an expected finding ofhyperglycemia and report this finding to the provider 4. A nurse is discussing home safety with a group of clients who have type 1 diabetes mellitus. Which of the following client statements indicates an understanding of theteaching? ANS: "I will dispose of my needles in a plastic laundry detergent container." RATIONALE: The nurse should instruct the client to dispose of needles in a puncture-proof container, such as a plastic laundry detergent container. 5. A nurse is caring for a client who has Alzheim