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ATI PNComprehensivepredictor part II, Exams of Nursing

The Courtauld Institute of Art, University of LondonNursing

ATI PNComprehensivepredictor part II ATI PNComprehensivepredictor part II ATI PNComprehensivepredictor part II

Typology: Exams

2024/2025

Available from 03/14/2025

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ATI PN Comprehensive predictor part II
1. Collecting a stool specimen two tests for occult blood can be assigned to a
<Ans> AP
2. A client is found lying on the floor next to a chair requires the nurse to complete
an <Ans> incident report.
3. A nurse is discharging a client who was admitted for newly diagnosed type 2 diabetes
mellitus. The client is independent and lives alone. The client should be referred to a
<Ans> diabetic support group
4. A nurse is caring for a client who has type 2 diabetes mellitus and a blood glucose
level of 60 mg/dL. For which of the following findings should the nurse monitor? <Ans>
Fasting plasma glucose level
5. A female client who is an abusive marriage has discusses with the nurse strategies to
prevent this abuse. Which of the following client statements indicate an understanding
of an appropriate strategy? <Ans> "I need to recognize the signs that my husband is
becoming abusive." c. "I need to identify what triggers my husband's anger to prevent his
abuse."
6. A charge nurse in a long-term care facility is preparing to administer noon insulin to
a client.The nurse observes that the assistive personnel (AP) has no documented the
client's blood glucose level. The nurse should determine if the has completed the
assignment <Ans> AP
7. A client is scheduled for an outpatient colonoscopy+ which of the following actions is a
nursing responsibility in the informed consent process? <Ans> Verify that there is a
signed and witnesses consent form in the client's chart
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ATI PN Comprehensive predictor part II

  1. Collecting a stool specimen two tests for occult blood can be assigned to a AP
  2. A client is found lying on the floor next to a chair requires the nurse to complete an incident report.
  3. A nurse is discharging a client who was admitted for newly diagnosed type 2 diabetes mellitus. The client is independent and lives alone. The client should be referred to a diabetic support group
  4. A nurse is caring for a client who has type 2 diabetes mellitus and a blood glucose level of 60 mg/dL. For which of the following findings should the nurse monitor? Fasting plasma glucose level
  5. (^) A female client who is an abusive marriage has discusses with the nurse strategies to prevent this abuse. Which of the following client statements indicate an understanding of an appropriate strategy? "I need to recognize the signs that my husband is becoming abusive." c. "I need to identify what triggers my husband's anger to prevent his abuse."
  6. A charge nurse in a long-term care facility is preparing to administer noon insulin to a client.The nurse observes that the assistive personnel (AP) has no documented the client's blood glucose level.The nurse should determine if the has completed the assignment AP
  7. A client is scheduled for an outpatient colonoscopy+ which of the following actions is a nursing responsibility in the informed consent process? Verify that there is a signed and witnesses consent form in the client's chart
  1. A nurse smells alcohol on the breath of an assistive personnel CAP) during report. The situation should be reported to the nurse manager
  2. A nurse from a medical-surgical unit is floating to a postpartum unit. An appropriate assignment for the nurse to accept would be a client who had a delivery 24 hrs ago cesarean
  3. A nurse in a provider's office is collecting data from a parent of an infant who is being screened for cystic fibrosis. stool would support a diagnosis of cystic fibrosis, Frothy
  4. When caring for an assigned group of clients, the nurse should wear when performing oral hygiene gloves
  5. .A nurse is preparing a client for surgery. The client tells the nurse that he is concerned about the safety of a large sum of money in his wallet. The nurse should contact to place the money in the facility safe security personell
  6. A nurse is caring for a client who is receiving heparin. Which of the following is the appropriate route of administration? Subcutaneously

interdisciplinary

  1. A client who is 24 hour postoperative suddenly develops chest pain, dys- pnea, anxiety, diaphoresis, and cough. Which of the following actions should the nurse take first? Elevate the head of the client's bed.
  2. A nurse is caring for a 17-year old client who is admitted for an emergency appendectomy.Which of the following is an appropriate action by the nurse in obtaining informed consent? Obtain verbal consent from the client while waiting for the parents to arrive. b. Witness the signature of the client's parent when he arrives. c. Have the client's older sibling give consent if a parent is not available. d. Delay the procedure if the provider cannot contact the parents
  3. .A nurse has delegated care to an assistive personnel. At the end of the shift, the Ap asks the nurse to enter data for her because the AP has forgotten her password and needs to leave.The nurse should tell the AP to contact the dept. for charting assistance IT
  1. A nurse is reinforcing discharge teaching to a client following a gastrec- tomy, to prevent dumping syndrome, which of the following foods should the nurse instruct the client to avoid? Ice Cream
  2. A nurse is caring for a client admitted with shortness of breath who will be undergoing arterial blood gas testing. This test will indicate how much is building up in the blood. ACID
  3. A nurse manager is seeking ways to increase cost-effectiveness on the unit. In which of the following client care situations should the nurse manager intervene? Nurse discards a bottle of sterile saline after it has been open for 24 hours
  4. A nurse is collecting data from a client who reports recent weight loss and a Chronic cough that is now producing blood-streaked sputum. For which of the following should the nurse expect the client to have diagnostic testing? Lung cancer and emphysema
  5. A nurse is caring for an older adult client with a decreased level of con- sciousness. The nurse should Uses a sponge to cleanse the inside of the mouth. toothete
  6. .A nurse in a long-term care facility nuts that the assistive personnel lack knowledge of blood glucose monitoring,The nurse should bring this observation to the attention of which of the following personnel? charge nurse
  7. A nurse is reinforcing discharge teaching for a client admitted with an acute myocardial infarction, which of the following activities is appropriate for the client to participate in during the first two weeks following discharge? - Walking
  8. .A nurse is providing anticipatory guidance to the parent of a 6-year old child, which of the following statements by the parent indicated an under- standing of
  1. A nurse is reinforcing teaching with the parents of a 4-month-old infant during a home visit. Which of the following findings in the infant's room indicates a need for further teaching? The infant is lying in the crib with a stuffed animal
  2. .A nurse is caring for a client who has hepatitis B, When caring for the client, which of the following actions places the nurse at highest risk for acquiring hepatitis B? Performing oral hygiene
  3. A nurse is reinforcing discharged teaching with the family of a client who has dependent personality disorder. The family should for making the client's decisions Assume responsibility
  4. A nurse is reinforcing teaching with school staff about streptococcal infection of the pharynx, the nurse should instruct the staff that the period of contagion for children who have this infection is which of the following? From onset of symptoms until 24hrs of antibiotic therapy.
  5. A nurse is caring for a client who is 2 days postoperative following a partial bowel resection_The client reports that the "felt something pop" when he sneezed,The nurse observes an evisceration, After calling for assistance, which of the following actions should the nurse take first? Cover the wound with sterile saline-soaked gauze
  6. A nurse is caring for a client who is in balanced skeletal traction for a leg fracture. what 2 things should the nurse expect to be included in the care plan? Increase counter traction every 24 hr. d. Inspect the ropes, knots, and pulleys every 8 hrs
  7. (^) A nurse is using contact precautions while caring for a toddler. Which of the following actions should the nurse take? Use a designated stethoscope for the toddler
  8. A client's daughter calls the nurse requesting information about her moth- er's

condition, the client's chart does not specify that information can be released to the daughter, which of the following is an appropriate response by the nurse? "You will need to contact your mother directly about her condition."

  1. A nurse is reviewing the immunization records of a 9 year old child during a routine physical exam, which of the following should indicate to the nurse the child is not current with the minimum required immunization? One MMR vaccine
  2. A nurse is reinforcing teaching with a new mother on facility security measure, which of the following statements by the mother indicates that the teaching was effective? "I will have an identification band that matches the one my baby wears."

inch) from the edge of the sterile field.

  1. A nurse is collecting data from an adolescent client who is a victim of sexual abuse.The nurse recognizes the use of the defense mechanism of suppression when the client states "I guess I have to take some of the blame because of the way my friends and I dress."
  2. A nurse is providing home care to a client and is reinforcing teaching regarding home safety. Which of the following by the client indicates a need for further teaching? "I will walk barefoot to prevent slipping." d. "I will check my smoke alarms once a month."
  1. A Client with emphysema asks the nurse why he has difficulty exhaling, Which of the following statements by the nurse is appropriate? "Your windpipe is inflamed and constricted."
  2. A nurse is caring for a client who was admitted 12 hours ago and is experiencing acute alcohol withdrawal, which of the following is an expected finding for the client? Irritability.
  3. A nurse is caring for a client who is in active labor and is accompanied by her partner.The client and her partner tell the nurse they were unable to attend Which of the following responses by the nurse supports the partner's involvement during labor? "Breathing with your partner will help her to relax during contractions."
  4. .A client is prescribed 2g of ampicillin, The pharmacy dispenses this med- ication in 500 mg tablets. Which of the following should the nurse give the client? 4 tablets
  5. A nurse is planning tracheostomy care for a client in a long-term care facil- ity. Which of the following actions should the nurse plan to take first? Remove the tracheostomy inner cannula
  6. A nurse in a provider's office is reinforcing teaching with the parents of a school-age child who has an active case of pediculosis capitis, which of the following should be included in the teaching? Wash the bed linens in hot water. d. Clean the child's toys with 1 10 bleach solution.
  7. A nurse caring for the mother of a newborn finds the client crying in her room, the client tells the nurse, "I don't think I can handle caring for a baby." Which of the

increase in vaginal bleeding.Which of the following actions should the nurse plan to take first? Massage the fundus. d. Obtains the client's vital signs.

  1. A nurse is caring for a client with diabetes mellitus who has an order for daily morning insulin before breakfast.The client refuses his blood glucose check at
  2. Which of the following actions should the nurse take? Reinforce client teaching.
  3. A nurse in a long-term care facility is reviewing a client's laboratory re- sults, The client's potassium level is 5_8 mEq/L. Which of the following findings should the nurse expect? Abdominal cramps.
  4. A nurse is collecting data during a well-child visit of a 12-month-old infant The child unable to go from a lying to sitting position would require further evaluation
  5. A nurse is caring for a client who is receiving IV therapy, The nurse sus- pects fluid infiltration, Which of the following findings should the nurse expect at the insertion site? EDEMA
  6. A nurse is caring for a client who is newly diagnosed with type 1 diabetes mellitus. The nurse should recognize that the client needs a referral for diabet- ic education when the client States that he will treat hypoglycemic reactions with 15g of carbohydrates
  7. A nurse is reinforcing discharge instructions regarding umbilical cord care to the mother of a newborn.The mother should wait until the cord falls off to give the baby a tub bath.
  8. .A nurse in a long term care facility is planning to perform hygiene care for a newly admitted male client with Parkinson's disease who is ambulatory. Which of the

following is an appropriate statement by the nurse prior to starting routine care? Do you usually take your bath in the morning or in the evening?

  1. .A client who is participating in an anger management session explains that his recent behaviors are related to his job loss. Which of the following defense mechanisms is the client using? Rationalization
  1. A newly admitted client tells the nurse that he does not have an advance directive. The nurse should Provide the client with information about advance directives. written
  2. A nurse is observing a client who is in the manic phase of bipolar disorder. The client states, "Don't need to eat today. Where's the money? Time to write that speech." The nurse should document this as which of the following? Flight of ideas.
  3. A nurse is reinforcing dietary teaching to a client who has end-stage renal failure.The nurse should instruct the pt. to reduce the intake of what 2 things - calcium and sodium
  4. A nurse is assisting with the admission of a client who attempted suicide. When the nurse processes the client's belongings, which of the following items

should the nurse remove from the client's suitcase? b. Perfume d. Emery Boards.

  1. A nurse is collecting data from a client at an urgent care clinic.The client tells the nurse that she hasn't been able to sleep since the death of her father 2 days ago. The nurse should discuss that have worked for the client previously - coping skills.
  2. A nurse is planning care for a client who is 6 hours postoperative following a right knee arthroplasty. The nurse should place a under the client's surgical knee. Place a pillow under the client's surgical knee
  3. A nurse in pediatric clinic is reviewing the history of a 11-year-old child. What 2 immunizations should the nurse anticipate administering? Rotavirus c. meningococcal conjugate
  4. A nurse is caring for a client who was recently diagnosed with paranoid schizophrenia and is taking risperidone (risperdal). if the client says, " Our son's symptoms will stop as soon as he begins his medications." this indicates a need for further teaching.
  5. A nurse is caring for a newly postoperative client who has unilateral breath sounds and asymmetrical chest expansion. The nurse should recognize these findings are indicative of which of the following and should be reported to the provider? Atelectasis
  6. A nurse is planning care for a client with delirium. Providing the client with activities that vary daily are affecting his recovery
  1. A nurse in a long-term care facility is caring for an older adult client who has a history of hypertension. What 2 things are indicative of transient ischemic attacks? Pain radiating down the left arm c. sudden loss of vision in one eye.
  2. A nurse is caring for a client experiencing alcohol withdrawal. Which of the following medications should the nurse anticipate administering? Lorazepam (ativan)
  3. A nurse is caring for a client who has borderline personality disorder.The client states, "I look forward to seeing you in the morning because the night nurse treats me badly." Which of the following behaviors is the client likely demonstrating? splitting
  4. A nurse is planning a health-promotion program for high school stu- dents. Smoking causes on the teeth and hands unattractive stains
  5. A nurse is caring for a school-age child whose family adheres to a vegan diet in the home, The nurse should recognize the child is at risk for deficiency of which of the following? Vitamin D
  6. A nurse is caring for a client who has esophageal cancer. A gastrostomy tube is in place and the client is receiving continuous tube feedings. Which of the following actions should the nurse take? Keep the head of the bed elevated at least 30 degrees.
  7. A nurse is reinforcing teaching with a group of expectant parents regard- ing the proper use of car seat, Which of the following statements by a parent indicates an understanding of the teaching? I can place a rolled towel on each side of my newborn's head until he can hold his head up."
  8. A nurse is preparing to apply a pulse oximeter to a client's finger. Which of the following actions should the nurse take before applying the sensor? - Check the client's capillary refill.
  1. A nurse is caring for a client who is asking about the technique of effleurage and its use in labor and delivery.Which of the following responses should the nurse make regarding this technique? "It is a light stroking of the skin during a uterine contraction."
  2. A nurse is administering hydromorphone (Dilaudid) to a client who is experiencing postoprerative pain. Which of the following is an adverse effect of this medication? Urinary Retention
  3. A nurse is administering medication. A client states, "I know that the Inderal helps my blood pressure, but I don't like the way it makes me feel, I don't think I'll take it today." Which of the following actions should the nurse take? Ask the client to describe what he is experiencing