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ATI PN COMPREHENSIVE PREDICTOR FORM C (180 Q&A) 100% CORRECT VERIFIED AND RATED 100% LATEST
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ATI PN COMPREHENSIVE PREDICTOR FORM C (180 Q&A) 100% CORRECT VERIFIED AND RATED 100% LATEST
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ATI PN COMPREHENSIVE PREDICTOR FORM C (180 Q&A) 100% CORREC|VERIFIED AND RATED 100% | LATEST
A nurse is caring for a patient who has bipolar disorder and is experiencing acute mania. The
nurse obtained a verbal prescription for restraints (15-30min). Which of the following should
the actions the nurse take?
• Request a renewal of the prescription every 8 hr.
• Check the patient’s peripheral pulse rate every 30 min
• Obtain a prescription for restraint within 4 hr.
• Document the patient’s condition every 15 minutes.
• A nursing planning care for a school-age child who is 4 hr postoperative following
perforated appendicitis. Which of the following actions should the nurse include in the plan
ofcare?
• Offer small amounts of clear liquids 6 hr following surgery
• Give cromolyn nebulizer solution every 6 hr
• Apply a warm compress to the operative site every 4 hr
• Administer analgesics on a scheduled basis for the first 24 hr
• A nurse is receiving change-of-shift report for a group of patients. Which of the
following patients should the nurse plan to assess first?
• A patient who has sinus arrhythmia and is receiving cardiac monitoring
• A patient who has diabetes mellitus and a hemoglobin A1C of 6.8%
• A patient who has epidural analgesia and weakness in the lower extremities
• A patient who has a hip fracture and a new onset of tachypnea
• A nurse is preparing to apply a transdermal nicotine patch for a patient. Which of
thefollowing actions should the nurse take?
• Shave hairy areas of skin prior to application
• Wear gloves to apply the patch to the patient’s skin
• Apply the patch within 1 hr of removing it from the protective pouch
• Remove the previous patch and place it in a tissue
• A nurse has just received change-of-shift report for four patients. Which of the
following patients should the nurse assess first?
• A patient who was just given a glass of orange juice for a low blood glucose level
• A patient who is schedule for a procedure in 1 hr (can wait)
• A patient who has 100 mL fluid remaining in his IV bag (can wait)
,• A patient who received a pain medication 30 min ago for postoperative pain
• A nurse is caring for a patient who is receiving intermittent enteral tube feedings.
Which ofthe following places the patient at risk for aspiration?
• A history of gastroesophageal reflux disease
• Receiving a high osmolarity formula
• Sitting in a high-Fowler’s position during the feeding
• A residual of 65 mL 1hr postprandial
• A nurse is reviewing the laboratory results for a patient who has Cushing’s disease.
The nurse should expect the patient to have an increase in which of the following laboratory
values?
• Serum glucose level- increased
• Serum calcium level-decreased
• Lymphocyte count- decreased immune system.
• Serum potassium level- decreased
• A nurse is caring for a patient who has severe preeclampsia and is receiving
magnesium sulfate intravenously. The nurse discontinues the magnesium sulfate after the
patient displaces toxicity. Which of the following actions should the nurse take?
• Position the patient supine
• Prepare an IV bolus of dextrose 5% in water
• Administer methylergonovine IM
• Administer calcium gluconate IV
• A charge nurse is teaching new staff members about factors that increase a patient’s
risk tobecome violent. Which of the following risk factors should the nurse include as the
best predictor of future violence?
• Experiencing delusions
• Male gender
• Previous violent behavior
• A history of being in prison
• A nurse is preparing to perform a sterile dressing change. Which of the following
actionsshould the nurse take when setting up the sterile field?
• Place the cap from the solution sterile side up on clean surface
• Open the outermost flap of the sterile kit toward the body
• Place the sterile dressing within 1.25 cm (0.5in) of the edge of the sterile field
,• Set up the sterile field 5 cm (2 in) below waist level
• A nurse is providing teaching to an older adult patient about methods to promote
nighttimesleep. Which of the following instructions should the nurse include?
• Eat a light snack before bedtime
• 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
• A home health nurse is preparing for an initial visit with an older adult patient who
livesalone. Which of the following actions should the nurse take first?
• Educate the patient about current medical diagnosis
• Refer the patient to a meal delivery program
• Identify environmental hazards in the home
• Arrange for patient transportation to follow-up appointments Rationale Priority:
Assessfirst.
• A nurse is assessing the remote memory of an older adult patient who has mild
dementia.Which of the following questions should the nurse ask the patient?
• “Can you tell me who visited you today?”
• “What high school did you graduate from
• “Can you list your current medications?”
• “What did you have for breakfast yesterday?”
• A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus. Which
ofthe following goals should the nurse include in the teaching
• HbA1c level greater than 8%
• Blood glucose level greater than 200 mg/dL at bedtime
• Blood glucose level less than 60 mg/dL before breakfast
• HbA1c level less than 7%
• A nurse is caring for a patient who is receiving phenytoin for management of grand
mal seizures and has a new prescription for isoniazid and rifampin. Which of the following
shouldthe nurse conclude if the patient develops ataxia and incoordination?
• The patient is experiencing an adverse reaction to rifampin
• The patient’s seizure disorder is no longer under control
• The patient is showing evidence of phenytoin toxicity
• The patient is having adverse effects due to combination antimicrobial therapy
, • A nurse is caring for a patient who is 1 hr postoperative following rhinoplasty. Which of
thefollowing manifestations requires immediate action by the nurse?
• Increase in frequency of swallowing
• Moderate sanguineous drainage on the drip pad
• Bruising to the face
• Absent gag reflex
• A nurse is planning care for a preschool-age child who is in the acute phase
Kawasakidisease. Which of the following interventions should the nurse include in the
plan of care?
• Give scheduled doses of acetaminophen every 6 hr
• Monitor the child’s cardiac status
• Administer antibiotics via intermittent IV bolus for 24 hr
• Provide stimulation with children of the same age in the playroom
• A nurse is planning an educational program for high school students about cigarette
smoking. Which of the following potential consequences of smoking is most likely to
discourageadolescents from using tobacco?
• Use of tobacco might lead to alcohol and drug abuse
• Smoking in adolescence increases the risk of developing lung cancer later in life
• Use of tobacco decreases the level of athletic ability
• Smoking in adolescence increases the risk of lifelong addiction
• A nurse is assessing a patient who is prescribed spironolactone. Which of the
following laboratory values should the nurse monitor for this patient?
• Total bilirubin
• Urine ketones
• Serum potassium
• Platelet count
• A nurse has agreed to serve as an interpreter for an older adult patient who is
assigned to another nurse. Which of the following statements by the nurse indicates an
understanding ofthis role?
• “I will let the patient know that I am available as the interpreter.”
• “I will receive a small fee for interpreting for this patient.”
• “I am glad I’m available today, but when I’m not, you can use a family member.”
• “I will let the patient know that an interpreter is unavailable during the night shift.”
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