ATI PN COMPREHENSIVE PREDICTOR FORM A,B AND C. Questions & Answers; Latest Updated A+ Score Solution

ATI PN COMPREHENSIVE PREDICTOR FORM

A,B AND C . QUESTIONS AND ANSWERS: LATEST

UPDATED

ATI PN COMPREHENSIVE PREDICTOR FORM A

1. A nurse is reviewing the techniques for transferring a client from a bed to

a chair with a group of assistive personnel (AP). Which of the following

instructions should the nurse include?

ANS: Use lower-body strength

RATIONALE: The nurse should instruct the AP to use lower-body strength when

lifting a client to reduce stress on the back

2. A nurse is participating in a quality improvement study about the

effectiveness of client pain management in the unit. Which of the following

strategies should the nurse use to collect data?

ANS: Review clients' charts for their rating of pain before pain medication was

administered and 1 hr after administration

RATIONALE: The nurse should collect data from clients' charts about pain ratings

before and after pain management interventions

3. A nurse is reinforcing teaching about confidentiality with a client who has

a new diagnosis of HIV. Which of the following information should the nurse

include in the teaching?

ANS: "Your HIV status will be shared with members of your health care team."

RATIONALE: The diagnosis of HIV or AIDS is shared with every member of the

healthcare team who provides direct care for the client, just like any other

diagnoses

4. A nurse is planning care for a client who has a history of seizures. Which

of the following pieces of equipment should the nurse place in the client's

room?

ANS: Suction catheter

RATIONALE: The nurse should place suction equipment in the room of a client who

has a history of seizures. During a seizure, the client might have excessive oral

secretions or might vomit. If the client's airway becomes occluded, then the nurse

will need to suction the oral cavity to maintain a patent airway

5. A nurse in a provider's office is reviewing the medical record of a client

who requests a prescription for an oral contraceptive. Which of the following

findings should the nurse identify as a contraindication for oral contraceptive

use? ANS: Coronary artery disease

RATIONALE: Coronary artery disease is a contraindication to oral contraceptive use

because it increases the client's risk for myocardial infarction. Other

contraindications for receiving oral contraceptives include gallbladder disease,

breast cancer, and hypertension\

6. A nurse is assisting with the care of a school-age child immediately

following surgery. The child weighs 21.8 kg (48 lb) and has a chest tube applied

to suction. Which of the following findings should the nurse report to the

provider? ANS: 250 mL of sanguineous drainage over the last 3 hr

RATIONALE: The nurse should recognize that if more than 3 mL/kg/her of

sanguineous drainage occurs for more than 3 consecutive hours following surgery,

it can indicate active hemorrhaging. Therefore, 250 mL of sanguineous drainage

from the child's chest tube is excessive and the nurse should report this finding to

the provider immediately

7. A nurse is collecting data from a client who is at 30 weeks of gestation

and has gestational diabetes. Which of the following findings should the nurse

report to the provider as an indication of hyperglycemia?

ANS: Polyuria

RATIONALE: The nurse should identify polyuria as an expected finding of

hyperglycemia and report this finding to the provider

8. A nurse is discussing home safety with a group of clients who have type 1

diabetes mellitus. Which of the following client statements indicates an

understanding of the teaching?

ANS: "I will dispose of my needles in a plastic laundry detergent container."

RATIONALE: The nurse should instruct the client to dispose of needles in a

puncture-proof container, such as a plastic laundry detergent container.

9. A nurse is caring for a client who has Alzheimer's disease. Which of the

following actions should the nurse take?

ANS: Encourage the client to reminisce about the past

RATIONALE: The client who has Alzheimer's disease has progressive loss of shortterm memory and might not be able to recall recent happenings and events. This

can lead to increased frustration. However, remote memory remains in place for

a longer period of time and can elicit feelings of happiness

10. A nurse is monitoring a client who is receiving telemetry. Which of the

following ECG findings should the nurse report to the provider?

ANS: PR interval 0.24 seconds

RATIONALE: An expected PR interval is 0.12 to 0.20 seconds. A prolonged PR

interval indicates a heart block; therefore, the nurse should report this

finding provider

11. A nurse on a medical unit is reviewing a client's medical record. Which of

the following procedures should the nurse identify requires the client to sign a

separate informed consent form? ANS: Lumbar puncture

RATIONALE: The nurse should identify that a client needs to provide consent for

general treatment, as well as a separate written, informed consent for any

treatment that has an element of risk, such as a lumbar puncture

12. A licensed practical nurse (LPN) is reviewing client assignments for the

upcoming shift. Which of the following clients should the LPN ask the charge

nurse to reassign to a registered nurse ( RN)?

ANS: A client who has a new colostomy and requires the development of a

teaching plan RATIONALE: Developing a client teaching plan is not within the scope

of practice for an LPN. The nurse should contact the nursing supervisor to inform

them of the client's need for a teaching plan regarding the new colostomy and

request that this client is reassigned to an RN. The scope of practice of an LPN

does allow the nurse to reinforce teaching once the plan has been established

13. A nurse is caring for a client who is recovering from a stroke and is

experiencing difficulty using eating utensils. The nurse should identify the need

for a referral to one of the following interprofessional team members?

ANS: Occupational therapist

RATIONALE: The nurse should identify the need for a referral to an occupational

therapist to teach the client how to use special eating utensils

14. A nurse is preparing to perform blood glucose monitoring for a client who

has type 1diabetes Mellitus. Which of the following actions should the nurse

take first?

ANS: Hold the finger for testing in a dependent position

RATIONALE: Evidence-based practice indicates that the nurse should first position

the testing site to enhance blood flow, which improves the ability to collect an

adequate specimen

15. A home health nurse is reinforcing teaching with a client about the use of

elastic stockings to decrease peripheral edema. Which of the following

instructions should the nurse include?

ANS: Apply the stockings in the morning

RATIONALE: The nurse should instruct the client to apply the elastic stockings in

the morning and remove them at the end of the day before bedtime

16.A nurse in a provider's office is reviewing pediculosis capitis

management and prevention strategies with the parent of a school-age

child. Which of the following strategies should the nurse include? (Select

all that apply.)

ANS:

Store the child's clothing in a separate cubicle when at

school. Boil brushes and combs in water for 10 min.

Dry bed linens and clothing in a hot dryer for at least 20 min.

RATIONALE:

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