Independent Study-
Nursing (Nassau
Community College)
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, lOMoAR c PS D| 12 23 173 1
ATI Predictor Comprehensive Assessment 2019 A
69. A nurse is speaking with the partner of a client who is the early stage of Alzheimer’s disease. The partner tells the nurse that she is
able to manage the client’s physical care, but she doesn’t want to leave him alone while she travels for work. Which of the following
referrals should the nurse make?
Restorative care Hospice
Respite care
Rehabilitation facility
70. 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 nurse include in the teaching?
“Limit your child’s potassium intake while she is taking this medication.” “You can add the medication to a half-cup of your child favorite juice.”
“Repeat the dose if your child vomits within 1 hour after taking the medication.”
“Have your child drink a small glass of water after swallowing the medication.”
71. A nurse is caring for a client who is recovering from an amputation of her right arm below the elbow. Which of the following
information should the nurse report to the occupational therapist? The client has two small children at home The client lives in a
two story home
The client is allergic to penicillin
The clients parent is in a skilled nursing facility
72. A nurse is caring for a client following application of a cast. Which of the following actions should the nurse take first?
Teach the client to keep the cast clean and dry Place an ice pack over the cast
Position the casted extremity on a pillow e. Palpate the pulse distal to the cast
73. A nurse is caring for a client following application of a cast. Which of the following action should the nurse Take First? Teach
the client to keep the cast clean and dry. Place an ice pack over the cast.
Position the casted extremity on a pillow. d. Palpate the pulse distal to the cast.
74. A nurse is preparing to assist with the lumbar puncture of an infant. The nurse should plan to place the infant in which of the
following positions?
Prone Trendelenburg
d. Flexed side lying
e. Seini fowler’s
A nurse is teaching a client who has a new prescription for metformin extended release tablets.
Which of the following statements by the client indicates an understanding of the teaching?
a. I will avoid crushing this medication
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A nurse is assessing a client who is receiving enteral feeding via an NG tube. The client has developed hyperosmolar dehydration. Which of the
following actions should the nurse take when administering the client’s findings?
a. Switch to a lactose-free formula.
A nurse is providing discharge teaching to a client who has a new ostomy. Which of the following instructions should the nurse include?
a. Empty your ostomy pouch when it is half full
A nurse is teaching the parents of a school-age child who has sickle cell anemia about managing the disease at home which of the following
instructions should the nurse include?
a. Apply cold compresses too painful areas
A nurse is teaching about Safe Handling of formula to a client who is postpartum and chooses to bottle feed her newborn. Which of the following
statements by the client indicates an understanding of the teaching?
a. I should boil tap water for 2 minutes and call it before I mix it with powdered formula
A nurse is assessing a child who is post-operative following a tonsillectomy. Which of the following findings should the nurse identify as the
priority?
a. Frequent swallowing
A nurse is teaching a client who is pregnant about non-stress testing. Which of the following statements by the client indicates an understanding of
the teaching?
a. During this test, I will punch a button if the baby moves
A nurse is monitoring a client who is receiving a transfusion of packed RBC's. The client reports chills, headaches, low back pain, and a feeling
of tightness in his chest. The nurse should identify that the client has developed which of the following types of transfusion reactions? a.
Acute hemolytic
A nurse is caring for a client who is in the latent phase of Labor and reports severe back pain. The vaginal examination reveals that the cervix is
dilated two centimeters, 25% effaced and -2 station. Which of the following interventions should the nurse implement?
1. Request the provider prescribe a pudendal nerve block
A nurse is teaching about how to suppress lactation with a client who is postpartum and bottle feeding her newborn. Which of the following
instructions should the nurse include in the teaching?
a. You should wear a snug fitting bra continuously for 72 hours
A nurse is preparing to administer medication to a client. What are the following identifiers should the nurse use to identify the client?
a. Room number
A nurse is caring for a client who is taking antihypertensive medication and is moving from a supine to a seated position. Which of the following
findings should indicate to the nurse that the client is experiencing orthostatic hypotension?
a. The clients systolic blood pressure decreases by 25 mmHg
While a nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube, the high-pressure alarm of the ventilator
sounds.
Which of the following actions should the nurse take?
o
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