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NUR 2571 Comprehensive Predictor ATI 1st take Questions and Answers

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1. A nurse is caring for a child with sickle cell anemia and is having a vaso-occlusive crisis. Which intervention should the nurse implement first? D) Increase oral fluid 2. A nurse is caring for a 1-day-old newborns who has jaundice and is receiving phototherapy. Which of the following a...

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  • May 18, 2022
  • 87
  • 2021/2022
  • Exam (elaborations)
  • Questions & answers
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, 1. A nurse is caring for a child with sickle cell anemia and is having a vaso-occlusive crisis.

Which intervention should the nurse implement first?

D) Increase oral fluid

2. A nurse is caring for a 1-day-old newborns who has jaundice and is

receiving phototherapy. Which of the following actions should the nurse

take?

Ensure that the newborn wears a diaper.

3. A nurse is preparing a client for a paracentesis. What action should the nurse take?

Instruct the client to void prior to the procedure.

4. A nurse is providing dietary teaching to a client who has end-stage of kidney disease and

a potassium level of 6. Which of the following is the best food the nurse to recommend?

1. Hard boiled eggs.



5. A director of nursing in a rehab facility is planning for measure of quality care provided.

Which of the following should the nurse director plan to use after the client is discharged

to gather information about quality of care?

a. Outcome audit

6. A nurse is caring for a client who repeatedly refuses meals, a nurse overhears an

AP telling the client “If you don’t eat, I’ll put restraint on you” … The nurse should

intervene.

a. Assault

7. A nurse is caring for a client who reports insomnia. Which of the following is a priority

for the nurse to report to the provider?

a. Wake up to urinate during the night.

,8. A nurse is planning care for a client who has an L4 spinal cord injury. Which of the

following interventions to prevent skin breakdown should the nurse include in the plan of

care?

a. Massage reddened area over bony prominences

9. charge nurse is teaching a group of newly licensed nurses about the correct use
of restraints. Which of the following should the nurse include in the teaching?

1. Applying elbow immobilizers of an infant receiving cleft lip injury

10. A nurse preparing to initiate IV fluid via infusion pump to a client. Which of the

following action should the nurse take?

a. Check the expiration date?

11. A nurse is proving discharge instruction about newborn to client who is 2 days

postpartum. Which of the following should be include?

a. Use car seat when travelling by airplane

12. A nurse as identified task to delegate to a group of an AP.

a. Evaluate to perform each task

b. Communicate appropriate task to AP

13. Adverse effect of furosemide?

a. Hearing loss

14. New diagnose of type 2 diabetes. Client readiness to learn:

a. I like to wait when my partner is here so we can both learn together.

15. Diazepam overdose medication for reversal?

a. Flumazenil

, 16. The nurse is planning a community health program about Parkinson’s disease. Which

of the following intervention the nurse indicates as a tertiarily prevention strategy?

a. Ambulation for client with Parkinson’s disease

17. A nurse is teaching a newly license nurse about incident report. Which of the following

statement indicate understanding?

a. They assist with quality improvement.

18. Peak expiratory flow meter teaching: Blow air as hard and quickly as possible.

19. A nurse is caring for an infant who has RSV.

a. Suction prior to feeding.

20. A nurse is preparing to teach the parent of a child who has cystic fibrosis. Which of

the following teaching should the nurse plan to include?

a. Provide a diet high in protein and calories.

21. Taking Cyclosporine following a kidney transplant. Which Lab to report?

a. Creatinine of 1.6

22. Auditory Hallucination teaching?

a. Encourage the client listen to music.

23. A nurse is preforming a gastric lavage for a client who has upper
gastrointestinal bleeding. Which of the following action should the nurse take?
B. Insert a large-bore NG tube.


24. A nurse is planning care for a group of clients, which of the following measure should

the nurse to manage time effectively?

a. Gather supplies prior to completing a dressing change.

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