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VIRTUAL ATI PREDICTOR GREEN LIGHT VERSION B
NEWEST 2024 ACTUAL EXAM COMPLETE 180
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
A nurse is caring for a client who has deep vein thrombosis of the left
lower extremity. Which of the following action should nurse take? There
are 3 tabs that contain separate categories of data.
a) Position the client with the affected extremity lower than the heart
b) Administration of acetaminophen
c) Massage the affected extremity every 4 hrs.
d) Withhold heparin IV infusion - ANSWER- d) Withhold heparin IV
infusion
Is caring for clients was a new prescription for enoxaparin for the
prevention of DVT. Which of the following is an appropriate action by
the nurse?
a) Expel air bubble at the top of the prefilled syringe
b) Massage the injection site to evenly distribute the medication
c) Inject the medication the lateral abdominal wall
d) Administer an NSAID for injection site discomfort - ANSWER- c)
Inject the medication the lateral abdominal wall
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Nurses caring for four clients. Which of the following client data should
the nurse report to the provider?
a) A client who has a pleurisy and reports pain of 6 on a scale of 0 to 10
when coughing
b) Client was a total of 110 mL of serosanguineous fluid from the
Jackson Pratt drain within the first 24 hour following surgery
c) Client who is 4 hrs postoperative and has a heart rate of 98 per minute
d) The client was a prescription for chemotherapy and an absolute
neutrophil count of 75/mm3 - ANSWER- d) The client was a
prescription for chemotherapy and an absolute neutrophil count of
75/mm3
Nurses caring for client was in end-stage osteoporosis and is reporting
severe pain. Clients respiratory rate is 14 per minute. Which of the
following medications should the nurse expect to be the highest priority
to administer to the client?
a) Promethazine
b) Hydromorphone
c) Ketorolac
d) Amitriptyline - ANSWER- b) Hydromorphone
A nurse is caring for a client who has DVT. Which of the following
instructions the nurse include in the plan of care?
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a) Live with the clients fluid intake to 1500 mL per day
b) Massage place affected extremity to relieve pain
c) Apply cold packs of clients affected extremity
d) Elevate the client's affected extremity when in bed - ANSWER- d)
Elevate the client's affected extremity when in bed
A nurse is caring for a client who is receiving oxytocin IV for
augmentation of labor. The client's contractions are occurring every 45
seconds with a nine seconds duration in the fetal heart rate is 170 to
180/minute. Which of the following actions should nurse take?
a) Discontinue oxytocin infusion
b) Increased oxytocin infusion
c) Decreased oxytocin infusion
d) Maintain oxytocin infusion - ANSWER- a) Discontinue oxytocin
infusion
A nurse is admitting a client who is in labor and at 38 wks of gestation
to the maternal newborn unit. The client has a history of herpes simplex
virus 2. Which of the following questions is most appropriate for the
nurse to ask the client?
a) Have your membranes ruptured?
b) How far apart are your contractions?
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c) Do you have any active lesions?
d) Are you positive for beta strap? - ANSWER- c) Do you have any
active lesions?
Nurse is providing teaching for child prescribed ferrous sulfate. Which
of the following instructions should the nurse include?
a) Take with meals
b) Take at bedtime
c) Take with a glass of milk
d) Take with a glass of orange juice - ANSWER- d) Take with a glass of
orange juice
Four clients present to the emergency department. The nurse should plan
to see which of the following clients first?
a) A 6 year old client whose left shoulder is dislocated
b) A 26 year old client for sickle cell disease and a severe joint pain
c) A 76 year old client was confused, febrile and has foul smelling urine
- uti
d) A 50- year old client who has slurred speech, is disoriented, and
reports a headache - stroke - ANSWER- d) A 50- year old client who
has slurred speech, is disoriented, and reports a headache - stroke
VIRTUAL ATI PREDICTOR GREEN LIGHT VERSION B
NEWEST 2024 ACTUAL EXAM COMPLETE 180
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
A nurse is caring for a client who has deep vein thrombosis of the left
lower extremity. Which of the following action should nurse take? There
are 3 tabs that contain separate categories of data.
a) Position the client with the affected extremity lower than the heart
b) Administration of acetaminophen
c) Massage the affected extremity every 4 hrs.
d) Withhold heparin IV infusion - ANSWER- d) Withhold heparin IV
infusion
Is caring for clients was a new prescription for enoxaparin for the
prevention of DVT. Which of the following is an appropriate action by
the nurse?
a) Expel air bubble at the top of the prefilled syringe
b) Massage the injection site to evenly distribute the medication
c) Inject the medication the lateral abdominal wall
d) Administer an NSAID for injection site discomfort - ANSWER- c)
Inject the medication the lateral abdominal wall
,2|Page
Nurses caring for four clients. Which of the following client data should
the nurse report to the provider?
a) A client who has a pleurisy and reports pain of 6 on a scale of 0 to 10
when coughing
b) Client was a total of 110 mL of serosanguineous fluid from the
Jackson Pratt drain within the first 24 hour following surgery
c) Client who is 4 hrs postoperative and has a heart rate of 98 per minute
d) The client was a prescription for chemotherapy and an absolute
neutrophil count of 75/mm3 - ANSWER- d) The client was a
prescription for chemotherapy and an absolute neutrophil count of
75/mm3
Nurses caring for client was in end-stage osteoporosis and is reporting
severe pain. Clients respiratory rate is 14 per minute. Which of the
following medications should the nurse expect to be the highest priority
to administer to the client?
a) Promethazine
b) Hydromorphone
c) Ketorolac
d) Amitriptyline - ANSWER- b) Hydromorphone
A nurse is caring for a client who has DVT. Which of the following
instructions the nurse include in the plan of care?
,3|Page
a) Live with the clients fluid intake to 1500 mL per day
b) Massage place affected extremity to relieve pain
c) Apply cold packs of clients affected extremity
d) Elevate the client's affected extremity when in bed - ANSWER- d)
Elevate the client's affected extremity when in bed
A nurse is caring for a client who is receiving oxytocin IV for
augmentation of labor. The client's contractions are occurring every 45
seconds with a nine seconds duration in the fetal heart rate is 170 to
180/minute. Which of the following actions should nurse take?
a) Discontinue oxytocin infusion
b) Increased oxytocin infusion
c) Decreased oxytocin infusion
d) Maintain oxytocin infusion - ANSWER- a) Discontinue oxytocin
infusion
A nurse is admitting a client who is in labor and at 38 wks of gestation
to the maternal newborn unit. The client has a history of herpes simplex
virus 2. Which of the following questions is most appropriate for the
nurse to ask the client?
a) Have your membranes ruptured?
b) How far apart are your contractions?
, 4|Page
c) Do you have any active lesions?
d) Are you positive for beta strap? - ANSWER- c) Do you have any
active lesions?
Nurse is providing teaching for child prescribed ferrous sulfate. Which
of the following instructions should the nurse include?
a) Take with meals
b) Take at bedtime
c) Take with a glass of milk
d) Take with a glass of orange juice - ANSWER- d) Take with a glass of
orange juice
Four clients present to the emergency department. The nurse should plan
to see which of the following clients first?
a) A 6 year old client whose left shoulder is dislocated
b) A 26 year old client for sickle cell disease and a severe joint pain
c) A 76 year old client was confused, febrile and has foul smelling urine
- uti
d) A 50- year old client who has slurred speech, is disoriented, and
reports a headache - stroke - ANSWER- d) A 50- year old client who
has slurred speech, is disoriented, and reports a headache - stroke
