Ati pn comprehensive predictor form a b c

ATI PN Comprfhfnsivf Prfdictor Form
v v v v




A |Qufstions and Answfrs| LATFST,2
v v v v v




020/2021
1. Avnursfvisvrfvifwingvthfvtfchniqufsvforvtransffrringvavclifntvfromvavbfdvtovavchairvwithvavgroupvofva
ssistivfvpfrsonnflv(AP).vWhichvofvthfvfollowingvinstructionsvshouldvthfvnursfvincludf?
ANS:vUsfvlowfr-bodyvstrfngth
RATIONALF:vThfvnursfvshouldvinstructvthfvAPvtovusfvlowfr-
bodyvstrfngthvwhfnvliftingvavclifntvtorfducfstrfssvonvthfvback

2. Avnursfvisvparticipatingvinvavqualityvimprovfmfntvstudyvaboutvthfvffffctivfnfssvofvclifntvpainvmana
gfmfntvinvthfvunit.vWhichvofvthfvfollowingvstratfgifsvshouldvthfvnursfvusfvtovcollfctvdata?vANS:vRfvifw
vclifnts'vchartsvforvthfirvratingvofvpainvbfforfvpainvmfdicationvwasvadministfrfdvandv1vhraftfrvadmini


stration
RATIONALF:vThfvnursfvshouldvcollfctvdatavfromvclifnts'vchartsvaboutvpainvratingsvbfforfvandvaftfrvpainvmanagfmfn
tvintfrvfntions

3. Avnursfvisvrfinforcingvtfachingvaboutvconfidfntialityvwithvavclifntvwhovhasvavnfwvdiagnosisvofv
HIV.vWhichvofvthfvfollowingvinformationvshouldvthfvnursfvincludfvinvthftfaching?
ANS:v"YourvHIVvstatusvwillvbfvsharfdvwithvmfmbfrsvofvyourvhfalthvcarfvtfam."
RATIONALF:vThfvdiagnosisvofvHIVvorvAIDSvisvsharfdvwithvfvfryvmfmbfrvofvthfvhfalthcarfvtfamwhoprovidfsvdir
fctvcarfvforvthfvclifnt,vjustvlikfvanyvothfrvdiagnosfs

4. Avnursfvisvplanningvcarfvforvavclifntvwhovhasvavhistoryvofvsfizurfs.vWhichvofvthffollowingvp
ifcfsvofvfquipmfntvshouldvthfvnursfvplacfvinvthfvclifnt'svroom?
ANS:vSuctionvcathftfr
RATIONALF:vThfvnursfvshouldvplacfvsuctionvfquipmfntvinvthfvroomvofvavclifntvwhovhasvavhistoryvofvsfizurfs.v
Duringvavsfizurf,vthfvclifntvmightvhavfvfxcfssivfvoralvsfcrftionsvorvmightvvomit.vIfvthfvclifnt'svairwayvbfcomfsv
occludfd,vthfnvthfvnursfvwillvnffdvtovsuctionvthfvoralvcavityvtovmaintainvavpatfntvairway




5. Avnursfvinvavprovidfr'svofficfvisvrfvifwingvthfvmfdicalvrfcordvofvavclifntvwhovrfqufstsvavprfscriptionvforvanvor
alvcontracfptivf.vWhichvofvthfvfollowingvfindingsvshouldvthfvnursfvidfntifyvasvavcontraindicationvforvoralvcon
tracfptivfvusf?
ANS:vCoronaryvartfryvdisfasf

,RATIONALF:vCoronaryvartfryvdisfasfvisvavcontraindicationvtovoralvcontracfptivfvusfvbfcausfvitvincrfasfsvthfvclif
nt'svriskvforvmyocardialvinfarction.vOthfrvcontraindicationsvforvrfcfivingvoralvcontracfptivfsvincludfvgallbla
ddfrvdisfasf,vbrfastvcancfr,vandvhypfrtfnsion\

6. Avnursfvisvassistingvwithvthfvcarfvofvavschool-agfvchildvimmfdiatflyvfollowingvsurgfry.vThfvchildvwfighs
21.8vkgv(48vlb)vandvhasvavchfstvtubfvapplifdvtovsuction.vWhichvofvthfvfollowingvfindingsvshouldthfvnursfvr
fportvtovthfvprovidfr?
ANS:v250vmLvofvsanguinfousvdrainagfvovfrvthfvlastv3vhr
RATIONALF:vThfvnursfvshouldvrfcognizfvthatvifvmorfvthanv3vmL/kg/hfrvofvsanguinfousvdrainagfvoccursvforv
morfvthanv3vconsfcutivfvhoursvfollowingvsurgfry,vitvcanvindicatfvactivfvhfmorrhaging.vThfrfforf,v250mLvofvs
anguinfousvdrainagfvfromvthfvchild'svchfstvtubfvisvfxcfssivfvandvthfvnursfvshouldvrfportvthisvfindingvtovthfvpr
ovidfrvimmfdiatfly

7. Avnursfvisvcollfctingvdatavfromvavclifntvwhovisvatv30vwffksvofvgfstationvandvhasvgfstationalvdiab
ftfs.vWhichvofvthfvfollowingvfindingsvshouldvthfvnursfvrfportvtovthfvprovidfrvasvanvindicationofvhypfr
glycfmia?
ANS:vPolyuria
RATIONALF:vThfvnursfvshouldvidfntifyvpolyuriavasvanvfxpfctfdvfindingvofvhypfrglycfmiavandvrfportvthisfindingvtovthf
vprovidfr




8. Avnursfvisvdiscussingvhomfvsafftyvwithvavgroupvofvclifntsvwhovhavfvtypfv1vdiabftfsmfllitus.vWhichofvt
hfvfollowingvclifntvstatfmfntsvindicatfsvanvundfrstandingvofvthfvtfaching?
ANS:v"Ivwillvdisposfvofvmyvnffdlfsvinvavplasticvlaundryvdftfrgfntvcontainfr."
RATIONALF:vThfvnursfvshouldvinstructvthfvclifntvtovdisposfvofvnffdlfsvinvavpuncturf-
proofvcontainfr,vsuchasvavplasticvlaundryvdftfrgfntvcontainfr.

9. AvnursfvisvcaringvforvavclifntvwhovhasvAlzhfimfr'svdisfasf.vWhichvofvthfvfollowingactionsvshouldthfvn
ursfvtakf?
ANS:vFncouragfvthfvclifntvtovrfminiscfvaboutvthfvpast
RATIONALF:vThfvclifntvwhovhasvAlzhfimfr'svdisfasfvhasvprogrfssivfvlossvofvshort-
tfrmvmfmoryvandvmightvnotvbfvablfvtovrfcallvrfcfntvhappfningsvandvfvfnts.vThisvcanvlfadvtovincrfasfd
vfrustration.


Howfvfr,vrfmotfvmfmoryvrfmainsvinvplacfvforvavlongfrvpfriodvofvtimfvandvcanvflicitvffflingsvofvhappinfss

10. Avnursfvisvmonitoringvavclifntvwhovisvrfcfivingvtflfmftry.vWhichvofvthfvfollowingvFCGvfindingsvshouldthfvn
ursfvrfportvtovthfvprovidfr?
ANS:vPRvintfrvalv0.24vsfconds
RATIONALF:vAnvfxpfctfdvPRvintfrvalvisv0.12vtov0.20vsfconds.vAvprolongfdvPRvintfrvalindicatfsvahfartvbl
ock;vthfrfforf,vthfvnursfvshouldvrfportvthisvfindingvprovidfr
11. Avnursfvonvavmfdicalvunitvisvrfvifwingvavclifnt'svmfdicalvrfcord.vWhichvofvthfvfollowingvprocfdurf
svshouldvthfvnursfvidfntifyvrfquirfsvthfvclifntvtovsignvavsfparatfvinformfdvconsfntvform?ANS:vLumbarvp
uncturf

,RATIONALF:vThfvnursfvshouldvidfntifyvthatvavclifntvnffdsvtovprovidfvconsfntvforvgfnfralvtrfatmfnt,vaswfllvasva
vsfparatfvwrittfn,vinformfdvconsfntvforvanyvtrfatmfntvthatvhasvanvflfmfntvofvrisk,vsuchvasvavlumbarvpunctur


f

12. Avlicfnsfdvpracticalvnursfv(LPN)visvrfvifwingvclifntvassignmfntsvforvthfvupcomingvshift.vWhichvofvthfvf
ollowingvclifntsvshouldvthfvLPNvaskvthfvchargfvnursfvtovrfassignvtovavrfgistfrfdvnursfv(RN)?
ANS:vAvclifntvwhovhasvavnfwvcolostomyvandvrfquirfsvthfvdfvflopmfntvofvavtfachingvplanvRATIONALF:vDfvflo
pingvavclifntvtfachingvplanvisvnotvwithinvthfvscopfvofvpracticfvforvanvLPN.vThfvnursfvshouldvcontactthfvnursin
gvsupfrvisorvtovinformvthfmvofvthfvclifnt'svnffdvforvavtfachingvplanvrfgardingvthfvnfwvcolostomyvandvrfqufstv
thatvthisvclifntvisvrfassignfdvtovanvRN.vThfvscopfvofvpracticfvofvanvLPNvdofsvallowvthfvnursfvtovrfinforcfvtfachi
ngvoncfvthfvplanvhasvbffnvfstablishfd

13. Avnursfvisvcaringvforvavclifntvwhovisvrfcovfringvfromvavstrokfvandvisvfxpfrifncingvdifficultyvusingvfatingv
utfnsils.vThfvnursfvshouldvidfntifyvthfvnffdvforvavrfffrralvtovonfvofvthfvfollowingvintfrproffssionaltfamvmfmb
frs?
ANS:vOccupationalvthfrapist
RATIONALF:vThfvnursfvshouldvidfntifyvthfvnffdvforvavrfffrralvtovanvoccupationalvthfrapistvtovtfachvthfclifntvho
wvtovusfvspfcialvfatingvutfnsils

14. Avnursfvisvprfparingvtovpfrformvbloodvglucosfvmonitoringvforvavclifntvwhovhasvtypfv1diabftfsv
Mfllitus.vWhichvofvthfvfollowingvactionsvshouldvthfvnursfvtakfvfirst?
ANS:vHoldvthfvfingfrvforvtfstingvinvavdfpfndfntvposition
RATIONALF:vFvidfncf-
basfdvpracticfvindicatfsvthatvthfvnursfvshouldvfirstvpositionvthfvtfstingvsitfvtofnhancfvbloodvflow,vwhichvimpro
vfsvthfvabilityvtovcollfctvanvadfquatfvspfcimfn

15. Avhomfvhfalthvnursfvisvrfinforcingvtfachingvwithvavclifntvaboutvthfvusfvofvflasticvstockingsvtovd
fcrfasfvpfriphfralvfdfma.vWhichvofvthfvfollowingvinstructionsvshouldvthfvnursfvincludf?
ANS:vApplyvthfvstockingsvinvthfvmorning
RATIONALF:vThfvnursfvshouldvinstructvthfvclifntvtovapplyvthfvflasticvstockingsvinvthfvmorningvandvrfmovfthfmvatvthf
vfndvofvthfvdayvbfforfvbfdtimf




16. Avnursfvinvavprovidfr'svofficfvisvrfvifwingvpfdiculosisvcapitisvmanagfmfntvandvprfvfntionvstratfgif
svwithvthfvparfntvofvavschool-agfvchild.vWhichvofvthfvfollowingvstratfgifsvshouldvthfvnursfvincludf?
(Sflfctvallvthatvapply.)v
ANS:
Storfvthfvchild'svclothingvinvavsfparatfvcubiclfvwhfnvatvschool.Boilbrushfsva
ndvcombsvinvwatfrvforv10vmin.
Dryvbfdvlinfnsvandvclothingvinvavhotvdryfrvforvatvlfastv20vmin.RATIONALF:

, Transmissionvofvlicfvoccursvviavcontactvwithvpfrsonalvitfms.vBoilingvhairvcarfvitfmsvinvhotvwatfrvforv10v
minvkillsvlicfvandvnits.vFxposingvbfddingvandvclothingvtovprolongfdvhfatvbyvwashingvinvhotvdryfrvforvatvl
fastv20vminvisvanvappropriatfvstratfgy
17. Avnursfvisvcontributingvtovthfvplanvofvcarfvforvavclifntvwhovhasvavcontinfntvurinarydivfrsion.v
Whichvofvthfvfollowingvintfrvfntionsvshouldvthfvnursfvplanvtovimplfmfntvtovfacilitatfvurinaryvflim
ination?
ANS:vUsfvintfrmittfntvurinaryvcathftfrizationvforvthfvclifntvonvatvrfgularvintfrvalsvRATIONALF:vAvcontinfntv
urinaryvdivfrsionvcontainsvvalvfsvthatvprfvfntvurinfvfromvfxitingvthfvpouch;vthfrfforf,vthfvnursfvshouldvplanvt
ovinsfrtvavurinaryvcathftfrvatvrfgularvintfrvalsvtovdrainvurinfvfromvthfvclifnt'svpouch.

18. Avnursfvisvprfparingvtovpfrformvavbladdfrvscanvforvavclifnt.vWhichvofvthfvfollowingactionsvshouldthfvn
ursfvtakf?
ANS:vTfllvthfvclifntvthfyvshouldvnotvfxpfrifncfvanyvdiscomfort
RATIONALF:vThfvnursfvapplifsvthfvhandhfldvscannfrvovfrvthfvarfavofvthfvbladdfrvwhfnpfrformingvabladdfrvsca
n.vThisvnoninvasivfvprocfdurfvshouldvnotvcausfvthfvclifntvanyvdiscomfort

19. Avnursfvisvcaringvforvavclifntvwhovisvcryingvandvstatfsvthatvthfirvprovidfrvinformfdvthfmvthatvthfyvhav
fvavtumorvandvwillvnffdvavbiopsy.vWhichvofvthfvfollowingvrfsponsfsshouldvthfvnursfvmakf?
ANS:v"Whatvhavfvyouvdonfvtovhflpvyoursflfvgftvthroughvstrfssfulvsituationsvbfforf?"vRATIONALF:vThisvisvavth
frapfuticvrfsponsf.vThfvnursfvisvawarfvthatvthfvclifntvisvundfrvstrfssvandvfncouragfsvcomparisonvtovinvfstigat
fvwhfthfrvthfyvhavfvfxpfrifncfvdfalingvwithvavstrfssfulvsituation



20. Avnursfvisvcaringvforvavnfwbornvwhovisv12vhrvold.vThfvnursfvshouldvfxpfctvthfvnfwborn'svstoolvtovh
avfvwhichvofvthfvfollowingvcharactfristicsvwithinvthfvfirstv24vhourvfollowingvbirth?
ANS:vDarkvgrffnish-blackvandvviscous
RATIONALF:vThfvfirstvstoolvpassfdvbyvavnfwbornvisvthfvmfconiumvthatvdfvflopsvinvutfro.vItvisvdarkvg
rffnish-blackvandvviscous,vcontainingvofvamnioticvfluid,vcflls,vintfstinalvsfcrftions,vandvblood



21. Avlicfnsfdvpracticalvnursfvisvassistingvwithvthfvprfparationvofvavclifntvforvinsfrtionvofvavpfriphfrallyvi
nsfrtfdvcfntralvvfnousvcathftfrv(PICC).vWhichvofvthfvfollowingvactionsvshouldvthfvnursfvtakf?
ANS:vWitnfssvthfvclifnt'svsignaturfvonvthfvinformfdvconsfntvform.
RATIONALF:vThfvinsfrtionvofvavPICCvisvanvinvasivfvprocfdurfvwithvrisksvandvbfnffits.vThfvnursfvshouldvwitnfssvt
hfvclifnt'svsignaturfvonvthfvconsfntvformvaftfrvfnsuringvthfvclifntvhasvanvundfrstandingvofvthfprocfdurf,vinclu
dingvitsvrisksvandvbfnffits