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G RN COMPREHENSIVE PREDICTOR STUDY GUIDE /
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GATI COMPREHENSIVE PREDICTOR STUDY 2019
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WITH ALL QUESTIONS CORRECTLY ANSWERED A+
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GRADED .. G G
A nurse is reviewing the ABG results of a client who has COPD.
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G The results include a pH of 7.3, PaO2 56 mm Hg, PaCO2 54
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G mm Hg, HCO 26 mEq/L, SaO2 87%. Which of the following is
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G the correct interpretation of these values? - ANSWER-
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G Uncompensated respiratory acidosis G G
Rationale: A pH of 7.3 is below the expected reference range
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G and indicates the client has acidosis. The PaCO2 of 54 mm Hg
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G is above the expected reference range, which, when combined
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G with the low pH, indicates that the acidosis has a respiratory
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G origin. The HCO3- of 26 mEq/L is within the expected reference
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G range, indicating that the acidosis is not metabolic in origin and
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,G the body has not yet corrected the imbalance through
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G compensation.
A nurse is assessing a client who has skeletal traction for a
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G femur fracture. Which of the following findings should the nurse
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G identify as the priority? - ANSWER- Upper chest petechiae
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Rationale: The greatest risk to this client is organ damage from
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G fat embolism syndrome, a life-threatening complication of
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G fractures. In fat embolism syndrome, a fat embolus enters the
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G blood stream and can obstruct blood vessels of a major organ,
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G such as the lung, kidney, or brain. Manifestations include
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G petechiae on the upper torso, dyspnea, hypoxia, headache,
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G lethargy, and confusion. Therefore, the nurse should identify this
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G as the priority finding.
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A nurse in an acute mental health facility is planning care for a
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G client who has anorexia nervosa. Which of the following
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,G interventions should the nurse include in the client's plan of
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G care? - ANSWER- Supervise the client during and after eating.
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Rationale: The nurse should monitor the client during and for 1
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G hr after meals to prevent the client from hiding food or purging.
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A nurse is preparing a sterile field in order to insert an indwelling
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G urinary catheter for a male client. Which of the following
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G techniques should the nurse use to maintain surgical aseptic
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G technique? - ANSWER- Set the catheter tray on the overbed
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G table at waist height.
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Rationale: To maintain sterility, the nurse should place the
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G catheter tray on a work surface at or above waist level.
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A nurse is caring for a child who is experiencing a tonic clonic
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G seizure. Which of the following actions should the nurse take? -
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G ANSWER- Place the child in a side-lying position.
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, Rationale: The nurse should place the child in a side-lying
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G position during a seizure to maintain a patent airway, decrease
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G the risk of aspiration, and facilitate drainage of oral secretions.
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A nurse manager is preparing a newly licensed nurse's
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G performance appraisal. Which of the following methods should
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G the nurse manager use to evaluate the nurse's time
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G management skills? - ANSWER- Maintain regular notes about
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G the nurse's time management skills.
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Rationale: Maintaining notes over a period of time provides a
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G comprehensive view of the nurse's abilities so the manager can
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G identify trends in the nurse's overall performance.
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A nurse is caring for a client who states, "My boss accused me
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G of stealing yesterday. I was so angry I went to the gym and
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