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ATI RN PROCTORED COMPREHENSIVE PREDICTOR FORM A NUR 441 QUESTIONS WITH ANSWERS RATED A
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ATI RN PROCTORED COMPREHENSIVE PREDICTOR FORM A NUR 441 QUESTIONS WITH ANSWERS RATED A
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ATI RN PROCTORED COMPREHENSIVE PREDICTORFORM A NUR 441 QUESTIONS WITH ANSWERS
RATED A
• A nurse is caring for a patientwho is at 33 weeks of gestation following an
amniocentesis. The nurse should monitor the patientfor which of the
followingcomplications?
• Vomiting
• Hypertension
• Epigastric pain
• Contractions
• A nurse is providing teaching to an older adult patientabout methods to
promotenighttime sleep. Which of the following instructions should the nurse
include?
• Stay in bed at least 1 hr if unable to fall asleep
• Take a 1 hr nap during the day
• Perform exercises prior to bedtime
• Eat a light snack before bedtime
• A nurse on a telemetry unit is caring for a patientwho becomes unconscious and whose
monitor displays ventricular tachycardia. Which of the following actions should the nurse
take first after determining the patientdoes not have a palpablepulse?
• Assess heart sounds
• Defibrillate
• Establish IV access
• Administer epinephrine
• A nurse is admitting a patientwho 1 week postpartum and reports excessive vaginalbleeding.
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 actionsshould the nurse take to gather the
client’s admission data?
• Have the client’s child translate
• Allow the client’s partner to translate
• Request a female interpreter through the facility
• Ask a nursing student who speaks the same language as the patientto translate
• A nurse is caring for a patientwho is febrile (High fever). To reduce the client’s fever,the
nurse applies a cooling blanket. Which of the following findings indicates the patientis
having an adverse reaction to the cooling?
• Flushing
• Tachycardia
• Restlessness
•
,• A nurse is caring for a patientwho has deep-vein-thrombosis of the left
lowerextremity. Which of the following actions should the nurse take? (Exhibit)
• Position the patientwith the affected extremity lower than the heart
• Withhold heparin IV infusion PTT- 30-40 seconds; x2 if on heparin
• Administer acetaminophen
• Massage the affected extremity every 4 hr
• A nurse is reviewing assessment data from several clients. For which of
thefollowing clients should the nurse recommend referral to a dietitian?
• An older adult patientwho has a BMI of 24 (18.5-24.9)
• A patientwho has a nonhealing leg ulcer (diet isn’t good)
• An older adult patientwho has presbyopia (age related far-sightness)
• A patientwho has an albumin level of 3.7 g/dL (normal 3.4-5.4)
• A nurse is providing discharge teaching to a patientwho has a chronic kidney disease and is
receiving hemodialysis. Which of the following instructions should the nurse include in the
teaching?
• Eat 1 g/kg of protein per day
• Take magnesium hydroxide for indigestion
• Drink at least 3 L of fluid daily-
• Consume foods high in potassium- restrict
• A nurse is caring for a patientwho is receiving intermittent enteral tube feedings.Which
of the following places the patientat risk for aspiration?
• Sitting in a high-Fowler’s position during the feeding
• A history of gastroesophageal reflux disease
• Receiving a high osmolarity formula
• A residual of 65 mL 1 hr postprandial?
• ?A nurse is providing prenatal teaching to a patientwho is at 12 weeks of gestation.The
nurse should tell the patientthat she will undergo which of the following screening tests at
16 weeks of gestation?
• Chorionic villus sampling- as early as 8 weeks
• Cervical cultures for chlamydia- 1st appointment.
• Nonstress test -28 weeks
• Maternal serum alpha-fetoprotein- 16 to 18 weeks
,• A nurse is caring for a patientwho is on bed rest. The nurse should recognize thatwhich of
the following findings is a complication of immobility?
• Decreased serum calcium levels- increased serum calcium
• Increased blood pressure- hypotension
• Swollen area on calf
• Urinary frequency-
• 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. Whichof the following actions
should the nurse expect from the leader during the session?
• The leader encourages group members to remain silent until questions arecalled for
• The leader lecture about medication adverse effects to the group members
• The leader allows the group to discuss whatever they would like to
regardingtheir medications
• The leader has group members vote on what they would like to learn aboutduring
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 nurseinclude in the
teaching?
• “You can add the medication to a half-cup of your child’s favorite juice.”
• “Repeat the dose if your child vomits within 1 hour after taking medication.”X
• “Limit your child’s potassium intake while she is taking this medication.”
• “Have your child drink a small glass of water after swallowing the
medication.”
• A nurse is providing teaching to a patientwho has a depressive disorder and a new
prescription for phenelzine. Which of the following foods should the nurse instructthe
patientto avoid?
• Grapefruit
• Spinach
• Cottage cheese- cream cheese ok.
• Smoked salmon TYRAMINE!
• A nurse is planning care for a patientwho 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 dayshould the
nurse include in the client’s dietary plan? (Round to the nearest whole number)
• 68
• A nurse is planning care for a patientwho has bipolar disorder and is
experiencingmania. Which of the following interventions should the nurse include in
the plan?
• Encourage the patientto spend time in the day room
• Withdraw the client’s TV privileges if he does not attend group therapy
• Encourage the patientto take frequent rest periods
• Place the patientin seclusion when he exhibits signs of anxiety
, • 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?
• Initiate a discussion with clients about ways to cope with changes in familydynamics
• Encourage clients to establish a timeline for their own grieving process
• Discourage clients from sharing negative aspects of their relationship
withthe deceased persons
• Assist clients in identifying ways suicide could have been prevented
• A nurse manager observes two staff nurses reviewing the computer records of a
patientwho is not under their care. Which of the following actions should the
nursemanager take first?
• Instruct the nurses to close the client’s computer record
• Request the nurses present an in-service on patientconfidentiality
• Advise the nurses to read the facility’s confidentiality policy
• Place documentation of the nurses’ actions in the personnel file
• A nurse is reviewing the medical record of a patientwho has schizophrenia and istaking
clozapine. Which of the following findings should the nurse identify as a contraindication
to the administration of clozapine?
• Heart rate 58/min
• Fasting blood glucose 100 mg/dL
• Hgb 14 g/dL
• WBC count 2,900/mm3- also agranulocytosis same thing or soar
throat. Clozapine has to do with WBC bruh
• A nurse is caring for several clients on a medical-surgical unit. For which of thefollowing
nurses activities is it required that the nurse use sterile gloves?
• Inserting an NG tube
• Administering total parenteral nutrition through a central venous accessdevice
• Initiating IV access
• Performing tracheostomy care
• A nurse is caring for a patientwho is at 11 weeks of gestation. Which of the
following immunizations should the nurse ?
• Influenza
• Measles, mumps and rubella
• Human papilloma virus
• Varicella
• A nurse is inserting an indwelling catheter for a male client. Which of the
followingactions should the nurse take?
• Perform the cleansing procedure with a fresh swab two times
• Lift the penis so that it is perpendicular to the client’s body
• Cleanse the tip of the penis in a side-to-side motion
• Pick up the catheter 13 cm (5 cm) from its tip
• A nurse is providing teaching to a patientwho is at 14 weeks of gestation about findings to
report to the provider. Which of the following findings should the nurseinclude in the
teaching?
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