ATI Comprehensive Predictor
with NGN/Latest
Update/137Questions and
Correct Solutions/A+ Graded
A home health nurse is caring for a child who has Lyme disease. Which
of the following is an appropriate action for the nurse to take? - -Ensure
the state health department has been notified.
-A nurse is caring for a client who has a vented NG tube set to low
intermittent suction and has vomited. Which of the following actions
should the nurse perform first? - -Evaluate functioning of the suction
device.
-While performing a routine assessment, a nurse notices fraying onto
the electrical cord of a client's continuous passive motion (CPM)device.
Which of the following actions should the nurse take first? - -Remove the
device from the room.
-A nurse is setting up a sterile field to perform wound irrigation for a
client. Which of the following actions should the nurse take when
pouring the sterile solution? - -Remove the cap and place it sterile side
up on a clean surface.
-A nurse is creating a plan of care for a female client who has recurrent
urinary tract infections. Which of the following interventions should the
nurse include in the plan? - -Wear loose fitting underwear.
-A nurse is caring for an infant who has gastroenteritis. Which of the
following assessments findings should the nurse report to the provider?
- -Sunken fontanels and dry mucous membranes.
-A nurse is conducting health promotion education regarding
contraindications to combination oral contraceptive use to a group of
women. Which of the following conditions should the nurse include in
the teaching? - -Hypertension
-A nurse is providing teaching to a client who has a depressive disorder
and a new prescription for amitriptyline. Which of the following
statements by the client indicates understanding of the teaching? - -"I
know it will be a couple of weeks before the medication helps me feel
better."
-A nurse is caring for a client who is immobile. Which of the following
interventions is appropriate to prevent contracture? - -Align a trochanter
wedge between the client's legs.
, -A nurse is assessing a client who is postoperative following abdominal
surgery and has an indwelling urinary catheter that is draining dark
yellow urine at 25 mL/hr. Which of the following interventions should the
nurse anticipate? - -Obtain a urine specimen for culture and sensitivity
-A nurse is reporting a client's laboratory tests to the provider to obtain
a prescription for the client's daily warfarin. Which of the following
laboratory tests should the nurse plan to report to obtain the
prescription for the warfarin? - -INR
-A nurse is assessing a client who is taking haloperidol and is
experiencing pseudoparkinsonism. Which of the following findings
should the nurse document as a manifestation of pseudoparkinsonism? -
-Shuffling gait
-A nurse is caring for a client who is experiencing expressive aphasia
and right hemiparesis following a stroke. Which of the following actions
by the nurse best promotes communication among staff caring for the
client? - -Having interdisciplinary team meetings for the client on a
regular basis.
-A nurse is caring for a 2-year-old toddler. Which of the following food
choices should the nurse recommend to promote independence in
eating? - -Banana slices
-A nurse on a medical-surgical unit is notified that a mass casualty
event has occurred in the community. Which of the following actions
should the nurse plan to take? - -Recommend to the provider specific
acute care clients for discharge.
-A nurse is receiving change-of-shift report for four clients. Which of the
following clients should the nurse assess first? - -A client who was just
given a glass of orange juice for low blood glucose level.
-A nurse is performing postmortem care for a recently deceased client
prior to the client's family visit. Which of the following actions should the
nurse plan to take? - -Hold the client's eyes shut for a few seconds.
-A nurse is admitting a client who has schizophrenia. The client states,
"I'm hearing voices." Which of the following responses is the priority for
the nurse to state? - -"What are the voices telling you?"
-A nurse is administering furosemide IV bolus to a client who has fluid
volume excess. The nurse should recognize which of the following as an
indication that the medication has been effective? - -Weight loss
-A nurse is caring for a client who requires nasotracheal suctioning.
Identify the sequence the nurse should follow to perform suctioning. - -
1. Turn on the suction and set the pressure.
with NGN/Latest
Update/137Questions and
Correct Solutions/A+ Graded
A home health nurse is caring for a child who has Lyme disease. Which
of the following is an appropriate action for the nurse to take? - -Ensure
the state health department has been notified.
-A nurse is caring for a client who has a vented NG tube set to low
intermittent suction and has vomited. Which of the following actions
should the nurse perform first? - -Evaluate functioning of the suction
device.
-While performing a routine assessment, a nurse notices fraying onto
the electrical cord of a client's continuous passive motion (CPM)device.
Which of the following actions should the nurse take first? - -Remove the
device from the room.
-A nurse is setting up a sterile field to perform wound irrigation for a
client. Which of the following actions should the nurse take when
pouring the sterile solution? - -Remove the cap and place it sterile side
up on a clean surface.
-A nurse is creating a plan of care for a female client who has recurrent
urinary tract infections. Which of the following interventions should the
nurse include in the plan? - -Wear loose fitting underwear.
-A nurse is caring for an infant who has gastroenteritis. Which of the
following assessments findings should the nurse report to the provider?
- -Sunken fontanels and dry mucous membranes.
-A nurse is conducting health promotion education regarding
contraindications to combination oral contraceptive use to a group of
women. Which of the following conditions should the nurse include in
the teaching? - -Hypertension
-A nurse is providing teaching to a client who has a depressive disorder
and a new prescription for amitriptyline. Which of the following
statements by the client indicates understanding of the teaching? - -"I
know it will be a couple of weeks before the medication helps me feel
better."
-A nurse is caring for a client who is immobile. Which of the following
interventions is appropriate to prevent contracture? - -Align a trochanter
wedge between the client's legs.
, -A nurse is assessing a client who is postoperative following abdominal
surgery and has an indwelling urinary catheter that is draining dark
yellow urine at 25 mL/hr. Which of the following interventions should the
nurse anticipate? - -Obtain a urine specimen for culture and sensitivity
-A nurse is reporting a client's laboratory tests to the provider to obtain
a prescription for the client's daily warfarin. Which of the following
laboratory tests should the nurse plan to report to obtain the
prescription for the warfarin? - -INR
-A nurse is assessing a client who is taking haloperidol and is
experiencing pseudoparkinsonism. Which of the following findings
should the nurse document as a manifestation of pseudoparkinsonism? -
-Shuffling gait
-A nurse is caring for a client who is experiencing expressive aphasia
and right hemiparesis following a stroke. Which of the following actions
by the nurse best promotes communication among staff caring for the
client? - -Having interdisciplinary team meetings for the client on a
regular basis.
-A nurse is caring for a 2-year-old toddler. Which of the following food
choices should the nurse recommend to promote independence in
eating? - -Banana slices
-A nurse on a medical-surgical unit is notified that a mass casualty
event has occurred in the community. Which of the following actions
should the nurse plan to take? - -Recommend to the provider specific
acute care clients for discharge.
-A nurse is receiving change-of-shift report for four clients. Which of the
following clients should the nurse assess first? - -A client who was just
given a glass of orange juice for low blood glucose level.
-A nurse is performing postmortem care for a recently deceased client
prior to the client's family visit. Which of the following actions should the
nurse plan to take? - -Hold the client's eyes shut for a few seconds.
-A nurse is admitting a client who has schizophrenia. The client states,
"I'm hearing voices." Which of the following responses is the priority for
the nurse to state? - -"What are the voices telling you?"
-A nurse is administering furosemide IV bolus to a client who has fluid
volume excess. The nurse should recognize which of the following as an
indication that the medication has been effective? - -Weight loss
-A nurse is caring for a client who requires nasotracheal suctioning.
Identify the sequence the nurse should follow to perform suctioning. - -
1. Turn on the suction and set the pressure.
