Virtual ATI predictor (Green
Light)/Latest Update/ 179
Questions and Correct
Answers/2024/Guaranteed Pass
A nurse is caring for a client who is at 33 weeks of gestation following an
amniocentesis. The nurse should monitor the client for which of the
following complications?
A. Vomiting
B. Hypertension
C. Epigastric pain
D. Contractions - -D. Contractions
-A nurse is providing teaching to an older adult client about methods to
promote nighttime
sleep. Which of the following instructions should the nurse include?
A. Stay in bed at least 1 hr if unable to fall asleep
B. Take a 1 hr nap during the day
C. Perform exercises prior to bedtime
D. Eat a light snack before bedtime - -D. Eat a light snack before
bedtime
-A nurse on a telemetry unit is caring for a client who becomes
unconscious and whose monitor displays ventricular tachycardia. Which
of the following actions should the nurse take first after determining the
client does not have a palpable pulse?
A. Assess heart sounds
B. Defibrillate
C. Establish IV access
D. Administer epinephrine - -B. Defibrillate
-A nurse is admitting a client who 1 week postpartum and reports
excessive vaginal bleeding. The nurse does not speak the same
language as the client. The client's partner and 10-year-old child are
accompanying her. Which of the following actions should the
nurse take to gather the client's admission data?
A. Have the client's child translate
B. Allow the client's partner to translate
C. Request a female interpreter through the facility
D. Ask a nursing student who speaks the same language as the client to
translate - -C. Request a female interpreter through the facility
-A nurse is caring for a client who is febrile. To reduce the client's fever,
the nurse applies a cooling blanket. Which of the following findings
indicates the client is having an adverse reaction to the cooling?
a. Flushing
,b. Tachycardia
c. Restlessness
d. Shivering - -d. Shivering
-A nurse is caring for a client who has deep-vein-thrombosis of the left
lower extremity. Which of the following actions should the nurse take?
(Exhibit)
A. Position the client with the affected extremity lower than the heart
B. Withhold heparin IV infusion PTT- 30-40 seconds; x2 if on heparin
C. Administer acetaminophen
D. Massage the affected extremity every 4 hr - -B. Withhold heparin IV
infusion PTT- 30-40 seconds; x2 if on heparin
-A nurse is reviewing assessment data from several clients. For which of
the following clients should the nurse recommend referral to a dietitian?
A. An older adult client who has a BMI of 24
B. A client who has a nonhealing leg ulcer
C. An older adult client who has presbyopia
D. A client who has an albumin level of 3.7 g/dL (normal 3.4-5.4) - -B. A
client who has a nonhealing leg ulcer
-8. A nurse is providing discharge teaching to a client who has a chronic
kidney disease and is receiving hemodialysis. Which of the following
instructions should the nurse include in the teaching?
a. Eat 1 g/kg of protein per day
b. Take magnesium hydroxide for indigestion
c. Drink at least 3 L of fluid daily-
Consume foods high in potassium- restrict - -a. Eat 1 g/kg of protein per
day
-A nurse is caring for a client who is receiving intermittent enteral tube
feedings. Which of
the following places the client at risk for aspiration?
A. Sitting in a high-Fowler's position during the feeding
B. A history of gastroesophageal reflux disease
C. Receiving a high osmolarity formula
D. A residual of 65 mL 1 hr postprandial? - -B. A history of
gastroesophageal reflux disease
-?A nurse is providing prenatal teaching to a client who is at 12 weeks
of gestation. The nurse should tell the client that she will undergo which
of the following screening tests at 16 weeks of gestation?
A. Chorionic villus sampling- as early as 8 weeks
B. Cervical cultures for chlamydia- 1st appointment.
C. Nonstress test -28 weeks
D. Maternal serum alpha-fetoprotein- 16 to 18 weeks - -D. Maternal
serum alpha-fetoprotein- 16 to 18 weeks
-A nurse is caring for a client who is on bed rest. The nurse should
recognize that which of
,the following findings is a complication of immobility?
A. Decreased serum calcium levels- increased serum calcium
B. Increased blood pressure- hypotension
C. Swollen area on calf
D. Urinary frequency- - -C. Swollen area on calf
-12. A nurse in acute care mental health facility is participating in a
medication-education group. The leader of the group uses a laissez-faire
leadership style. Which of the following actions should the nurse expect
from the leader during the session?
A .The leader encourages group members to remain silent until
questions are called for
B. The leader lecture about medication adverse effects to the group
members
c. The leader allows the group to discuss whatever they would like to
regarding their
medications
d. The leader has group members vote on what they would like to learn
about during the session - -d. The leader has group members vote on
what they would like to learn about during the session
-A nurse is providing teaching about digoxin administration to the
parents of a toddler who has heart failure. Which of the following
statements should the nurse include in the teaching?
A "You can add the medication to a half-cup of your child's favorite
juice."
B "Repeat the dose if your child vomits within 1 hour after taking
medication." X
C "Limit your child's potassium intake while she is taking this
medication."
D "Have your child drink a small glass of water after swallowing the
medication." - -D "Have your child drink a small glass of water after
swallowing the medication."
-A nurse is providing teaching to a client who has a depressive disorder
and a new prescription for phenelzine. Which of the following foods
should the nurse instruct the
client to avoid?
A. Grapefruit
B. Spinach
C. Cottage cheese- cream cheese ok.
D. Smoked salmon - -D. Smoked salmon
-A nurse is planning care for a client who has COPD and weighs 99 lb.
The provider has prescribed a diet of a 1.5 g protein/kg/day. How many
grams of protein per day should the nurse include in the client's dietary
plan? (Round to the nearest whole number - -a. 68
, -A nurse is planning care for a client who has bipolar disorder and is
experiencing mania. Which of the following interventions should the
nurse include in the plan?
A. Encourage the client to spend time in the day room
B. Withdraw the client's TV privileges if he does not attend group
therapy X
C. Encourage the client to take frequent rest periods
D. Place the client in seclusion when he exhibits signs of anxiety X - -C.
Encourage the client to take frequent rest periods
-A parish nurse is leading a support group for clients whose family
members have committed suicide. Which of the following strategies
should the nurse plan to use during the group session?
a Encourage clients to establish a timeline for their own grieving process
b. Initiate a discussion with clients about ways to cope with changes in
family
dynamics
c Discourage clients from sharing negative aspects of their relationship
with the
deceased persons
d Assist clients in identifying ways suicide could have been prevented - -
b. Initiate a discussion with clients about ways to cope with changes in
family
-A nurse manager observes two staff nurses reviewing the computer
records of a client who is not under their care. Which of the following
actions should the nurse manager take first?
a Instruct the nurses to close the client's computer record
b Request the nurses present an in-service on client confidentiality
c. Advise the nurses to read the facility's confidentiality policyd.
d. Place documentation of the nurses' actions in the personnel file - -a
Instruct the nurses to close the client's computer record
-A nurse is reviewing the medical record of a client who has
schizophrenia and is taking clozapine. Which of the following findings
should the nurse identify as a contraindication to the administration of
clozapine?
a. Heart rate 58/min
b. Fasting blood glucose 100 mg/dL
c. Hgb 14 g/dL
d. WBC count 2,900/mm3- also agranulocytosis same thing or soar
throat. - -d. WBC count 2,900/mm3- also agranulocytosis same thing or
soar throat.
-A nurse is caring for several clients on a medical-surgical unit. For
which of the following nurses activities is it required that the nurse use
sterile gloves?
a. Inserting an NG tube
b. Administering total parenteral nutrition through a central venous
access device
Light)/Latest Update/ 179
Questions and Correct
Answers/2024/Guaranteed Pass
A nurse is caring for a client who is at 33 weeks of gestation following an
amniocentesis. The nurse should monitor the client for which of the
following complications?
A. Vomiting
B. Hypertension
C. Epigastric pain
D. Contractions - -D. Contractions
-A nurse is providing teaching to an older adult client about methods to
promote nighttime
sleep. Which of the following instructions should the nurse include?
A. Stay in bed at least 1 hr if unable to fall asleep
B. Take a 1 hr nap during the day
C. Perform exercises prior to bedtime
D. Eat a light snack before bedtime - -D. Eat a light snack before
bedtime
-A nurse on a telemetry unit is caring for a client who becomes
unconscious and whose monitor displays ventricular tachycardia. Which
of the following actions should the nurse take first after determining the
client does not have a palpable pulse?
A. Assess heart sounds
B. Defibrillate
C. Establish IV access
D. Administer epinephrine - -B. Defibrillate
-A nurse is admitting a client who 1 week postpartum and reports
excessive vaginal bleeding. The nurse does not speak the same
language as the client. The client's partner and 10-year-old child are
accompanying her. Which of the following actions should the
nurse take to gather the client's admission data?
A. Have the client's child translate
B. Allow the client's partner to translate
C. Request a female interpreter through the facility
D. Ask a nursing student who speaks the same language as the client to
translate - -C. Request a female interpreter through the facility
-A nurse is caring for a client who is febrile. To reduce the client's fever,
the nurse applies a cooling blanket. Which of the following findings
indicates the client is having an adverse reaction to the cooling?
a. Flushing
,b. Tachycardia
c. Restlessness
d. Shivering - -d. Shivering
-A nurse is caring for a client who has deep-vein-thrombosis of the left
lower extremity. Which of the following actions should the nurse take?
(Exhibit)
A. Position the client with the affected extremity lower than the heart
B. Withhold heparin IV infusion PTT- 30-40 seconds; x2 if on heparin
C. Administer acetaminophen
D. Massage the affected extremity every 4 hr - -B. Withhold heparin IV
infusion PTT- 30-40 seconds; x2 if on heparin
-A nurse is reviewing assessment data from several clients. For which of
the following clients should the nurse recommend referral to a dietitian?
A. An older adult client who has a BMI of 24
B. A client who has a nonhealing leg ulcer
C. An older adult client who has presbyopia
D. A client who has an albumin level of 3.7 g/dL (normal 3.4-5.4) - -B. A
client who has a nonhealing leg ulcer
-8. A nurse is providing discharge teaching to a client who has a chronic
kidney disease and is receiving hemodialysis. Which of the following
instructions should the nurse include in the teaching?
a. Eat 1 g/kg of protein per day
b. Take magnesium hydroxide for indigestion
c. Drink at least 3 L of fluid daily-
Consume foods high in potassium- restrict - -a. Eat 1 g/kg of protein per
day
-A nurse is caring for a client who is receiving intermittent enteral tube
feedings. Which of
the following places the client at risk for aspiration?
A. Sitting in a high-Fowler's position during the feeding
B. A history of gastroesophageal reflux disease
C. Receiving a high osmolarity formula
D. A residual of 65 mL 1 hr postprandial? - -B. A history of
gastroesophageal reflux disease
-?A nurse is providing prenatal teaching to a client who is at 12 weeks
of gestation. The nurse should tell the client that she will undergo which
of the following screening tests at 16 weeks of gestation?
A. Chorionic villus sampling- as early as 8 weeks
B. Cervical cultures for chlamydia- 1st appointment.
C. Nonstress test -28 weeks
D. Maternal serum alpha-fetoprotein- 16 to 18 weeks - -D. Maternal
serum alpha-fetoprotein- 16 to 18 weeks
-A nurse is caring for a client who is on bed rest. The nurse should
recognize that which of
,the following findings is a complication of immobility?
A. Decreased serum calcium levels- increased serum calcium
B. Increased blood pressure- hypotension
C. Swollen area on calf
D. Urinary frequency- - -C. Swollen area on calf
-12. A nurse in acute care mental health facility is participating in a
medication-education group. The leader of the group uses a laissez-faire
leadership style. Which of the following actions should the nurse expect
from the leader during the session?
A .The leader encourages group members to remain silent until
questions are called for
B. The leader lecture about medication adverse effects to the group
members
c. The leader allows the group to discuss whatever they would like to
regarding their
medications
d. The leader has group members vote on what they would like to learn
about during the session - -d. The leader has group members vote on
what they would like to learn about during the session
-A nurse is providing teaching about digoxin administration to the
parents of a toddler who has heart failure. Which of the following
statements should the nurse include in the teaching?
A "You can add the medication to a half-cup of your child's favorite
juice."
B "Repeat the dose if your child vomits within 1 hour after taking
medication." X
C "Limit your child's potassium intake while she is taking this
medication."
D "Have your child drink a small glass of water after swallowing the
medication." - -D "Have your child drink a small glass of water after
swallowing the medication."
-A nurse is providing teaching to a client who has a depressive disorder
and a new prescription for phenelzine. Which of the following foods
should the nurse instruct the
client to avoid?
A. Grapefruit
B. Spinach
C. Cottage cheese- cream cheese ok.
D. Smoked salmon - -D. Smoked salmon
-A nurse is planning care for a client who has COPD and weighs 99 lb.
The provider has prescribed a diet of a 1.5 g protein/kg/day. How many
grams of protein per day should the nurse include in the client's dietary
plan? (Round to the nearest whole number - -a. 68
, -A nurse is planning care for a client who has bipolar disorder and is
experiencing mania. Which of the following interventions should the
nurse include in the plan?
A. Encourage the client to spend time in the day room
B. Withdraw the client's TV privileges if he does not attend group
therapy X
C. Encourage the client to take frequent rest periods
D. Place the client in seclusion when he exhibits signs of anxiety X - -C.
Encourage the client to take frequent rest periods
-A parish nurse is leading a support group for clients whose family
members have committed suicide. Which of the following strategies
should the nurse plan to use during the group session?
a Encourage clients to establish a timeline for their own grieving process
b. Initiate a discussion with clients about ways to cope with changes in
family
dynamics
c Discourage clients from sharing negative aspects of their relationship
with the
deceased persons
d Assist clients in identifying ways suicide could have been prevented - -
b. Initiate a discussion with clients about ways to cope with changes in
family
-A nurse manager observes two staff nurses reviewing the computer
records of a client who is not under their care. Which of the following
actions should the nurse manager take first?
a Instruct the nurses to close the client's computer record
b Request the nurses present an in-service on client confidentiality
c. Advise the nurses to read the facility's confidentiality policyd.
d. Place documentation of the nurses' actions in the personnel file - -a
Instruct the nurses to close the client's computer record
-A nurse is reviewing the medical record of a client who has
schizophrenia and is taking clozapine. Which of the following findings
should the nurse identify as a contraindication to the administration of
clozapine?
a. Heart rate 58/min
b. Fasting blood glucose 100 mg/dL
c. Hgb 14 g/dL
d. WBC count 2,900/mm3- also agranulocytosis same thing or soar
throat. - -d. WBC count 2,900/mm3- also agranulocytosis same thing or
soar throat.
-A nurse is caring for several clients on a medical-surgical unit. For
which of the following nurses activities is it required that the nurse use
sterile gloves?
a. Inserting an NG tube
b. Administering total parenteral nutrition through a central venous
access device
