Exam (elaborations) ATI RN The Comprehensive NCLEX-RN Review 19th Edition
RN COMPREHENSIVE ONLINE PRACTICE 2023 FORM A, B AND C COMPLETE /
ATI RN COMPREHENSIVE PREDICTOR
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VATI PN COMPREHENSIVE
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VATI PN COMPREHENSIVE PREDICTOR RETAKE EXAM
COMPLETE 150 QUESTIONS AND WELL ELABORATED
ANSWERS LATEST VERSION | GUARANTEED PASS A+
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A nurse is collecting data from a client who is in severe pain. Which of the following
questions should the nurse ask first?
A. How have you managed pain in the past?
B. Does anything make your pain worse?
C. Where is your pain located
D. Is the pain preventing you from performing any activities? - ANSWER: Where is
your pain located?
When using the urgent vs. Non-urgent approach to collect data from a client who is
having acute and severe pain, the nurse should first ask the client about location,
severity, and quality to identify appropriate nursing interventions for pain relief. The
nurse should collect more detailed data about the client's pain experiences after
administering pain med, when the clients pain level is tolerable.
A nurse is reinforcing discharge teaching about car seat safety with the guardian of a
newborn. Which of the following statements indicates an understanding of the
teaching?
A. I will secure the care seat in the car by using the seatbelt.
B. While traveling, I should use a blanket underneath my baby for padding.
C. When my baby is able to hold their head upright, I can turn the seat forward-
facing.
D. I can place the car seat in the front passenger seat as long as there is a working
airbag. - ANSWER: I will secure the car seat by using the seatbelt.
The nurse should instruct the guardian to secure the car seat by using the seatbelt.
A nurse is reinforcing teaching with a client who is bottle feeding their full-term
newborn with formula. Which of the following instructions should the nurse include
in the teaching?
A. Feeding the newborn at least every 3 to 4 hours.
B. Refrigerate formula that remains in the bottle.
C. Wake the newborn if she falls asleep during a feeding.
D. Prop the bottle with a folded towel for middle of the night feedings. - ANSWER:
Feed the newborn at least every 3 to 4 hours.
,Although it is unnecessary to be rigid about feeding times. 6 to 8 feedings every 24
hours should support a full-term newborn's needs adequately. Fewer feedings in the
initial weeks could delay the establishment of an adequate weight gain pattern.
A nurse is collecting data from a male who is scheduled for a left inguinal
herniorrhaphy. Which of the following findings is the priority for the nurse to report
to the provider?
A. An inguinal bulge when coughing.
B. Decreased bowel sounds
C. Swelling of the left groin area
D. Tenderness in the scrotum - ANSWER: Decreased bowel sounds.
The greatest risk to this bowel necrosis or perforation due to bowel obstruction or
strangulation. This is a surgical emergency. Therefore decreased bowel sounds are
the priority finding to report to the provider.
A nurse is reinforcing teaching with a client about taking warfarin to treat atrial
fibrillation. Which of the following statements by the client indicates an
understanding of the teaching?
A. If I need to floss my teeth, I can use wax-coated floss twice a day.
B. I'll take ibuprofen if I get a headache.
C. I'll use a safety razor to shave each day.
D. If I forget to take a dose, I can take it later on the same day. - ANSWER: If I forget
to take a dose, I can take it later on the same day.
A nurse in a long-term care facility is reviewing information about health care
associated infections with a newly licensed nurse. Which of the following
information should the nurse include?
A. Older adults are resistant to pathogens that cause infection.
B. Use alcohol-based antiseptic hand cleansers after caring for a client with
Clostridium difficile.
C. Prolonged use of corticosteroid is a risk factor for infection.
D. Blood pressure cuffs can be a source of endogenous infections. - ANSWER:
Prolonged use of corticosteroids is a risk factor for infection.
Prolonged use of corticosteroids places the client at risk for a health care associated
infection.
A nurse is collecting data from a client who has type 2 diabetes mellitus and is
concerned about weight gain during pregnancy. Which of the following responses
should the nurse make?
A. Your weight gain should be the same as for someone without diabetes.
,B. Weight gain should be 2 pounds during the first trimester and 2 pounds per week
thereafter.
C. Weight reduction during pregnancy is often necessary for clients who have
diabetes.
D. Your weight gain should average between 10 and 15 pounds. - ANSWER: Your
weight gain should be the same as for someone without diabetes.
A client who is pregnant and has diabetes mellitus should gain the same amount of
weight as a client without diabetes mellitus.
Whether a cleint has dm or not, a pregnant client should gain 2.2-4.4 lbs the first
trimester. Then, 1 lb per week during the duration of pregnancy.
A nurse is caring for a client who is 1 day postoperative and is unable to ambulate.
Which of the following actions should the nurse take to promote the client's venous
return?
A. Encourage the client to cough and deep breath
B. Maintain a sequential compression device.
C. Elevate the head of the bed.
D. Massage the client's legs. - ANSWER: Maintain a sequential compression device.
Sequential compression devices promote venous return by providing intermittent
periods of compression of the leg.
Massaging the clients legs is contraindicated due to risk of dislodging a thrombus.
A nurse is caring for a female client who has an indwelling urinary catheter. Which of
the following actions should the nurse take?
A. Cleanse the catheter at the insertion site with an alcohol wipe daily.
B. Gently irrigate the catheter and bladder once per shift.
C. Wipe the drainage port with an antiseptic after emptying urine from the bag.
D. Ensure the urinary catheter bag is maintained at the level of insertion. - ANSWER:
Wipe the drainage port with an antiseptic after emptying urine from the bag.
To prevent the spread of infection when emptying the drainage bag, the nurse
should cleanse the clients drainage port with an antiseptic wipe to remove any
residual urine prior to securing the spout back in place.
A nurse at a long-term care facility is caring for a client who requires oral suctioning.
Which of the following supplies should the nurse plan to use for the task?
A. Water-soluble lubricant
B. Yankauer catheter
C. Chlorhexidine gluconate
D. Artificial oral airway - ANSWER: Yankauer catheter.
, A yankauer catheter is a clean suction catheter used when performing oral and
oropharyngeal suctioning to remove secretions from the clients mouth to facilitate
breathing or obtain a sample of diagnostic evaluation.
A nurse is collecting data from a client who has iron deficiency anemia. Which of the
following findings should the nurse expect?
A. Bradycardia
B. Decreased respiratory rate
C. Pink mucous membranes
D. Difficulty concentrating - ANSWER: Difficulty concentrating.
In clients who have iron deficiency anemia, body cells do not receive the required
oxygen because there's less hemoglobin for binding. The nurse should recognize that
impaired oxygenation of brain tissue can lead to dizziness and difficulty
concentrating.
A nurse manager is preparing to complete a performance analysis for a group of
assistive personnel (AP). The manager asks a staff nurse for feedback on each AP's
abilities. Which of the following actions should the staff nurse take?
A. Limit comments to information about each AP's performance in the last month.
B. Focus the feedback on the strengths of each AP.
C. Compare the AP to each other when describing their behaviors.
D. Discuss how each AP's actions measure against the job description. - ANSWER:
Discuss how each AP's actions measure against the job description.
To provide objective information, the staff nurse should compare the behavior of
each AP to the facility job description. The nurse can provide specific information
about how each AP either meets the standard or demonstrated a need for
improvement.
A nurse is reviewing a client's electronic medical record and finds that an assistive
personnel (AP) recorded the client's temperature as 35.3 C (95.5 F) 2 hours earlier.
which of the following actions should the nurse take first?
A. Check the client's temperature.
B. Notify the client's provider.
C. Instruct the AP to cover the client with a blanket.
D. Review the procedure with the AP. - ANSWER: Check the client's temperature.
A nurse on an acute care unit is collecting data from a school-age child who has
cystic fibrosis (CF). Which of the following findings is the priority for the nurse to
report to the provider?
A. Reports lack of appetite.
B. Frothy stools with a foul odor.
C. Height at the 55th percentile for age and gender.
D. Report of gastroesophageal reflux. - ANSWER: Reports lack of appetite.
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