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ATI COMPREHENSIVE PREDICTOR LATEST
EXAM(2025)WITH CORRECT ANSWERS
AREADY GRADED A+
...
The client threatened suicide to
teacher at school
...
Which of the following actions should the nurse
take first?
a
...

b
...

c
...

d
...
- CorreCt Answers -c
...


A nurse is caring for a client who is receiving intermittent enteral tube
feedings
...
Give 100 mL of water with every feeding
...
Obtain gastric residuals every 24 hr
...
Position the head of bed at 30 degrees during feeding
...
Mix the clients medications with the tube feedings - CorreCt Answers -c
...


A nurse is caring for a 7 month-old infant who is being treated for severe
dehydration
...
Skin turgor displays tenting
b
...
Cool, mottled skin
d
...
Flat anterior fontanel

A nurse is providing teaching to a client who has esophageal cancer and is
scheduled to start radiation therapy
...
Remove dye markings after each radiation treatment
...
Apply a warm compress to the irradiated site
...
Wear clothing over the area of radiation treatment
...
Use a washcloth to bathe the treatment area
...
Wear
clothing over the area of radiation treatment
...
Which of the following
instructions should the nurse provide

a
...
"
b
...
"
c
...
"
d
...
" - CorreCt
Answers -b
...
"

175 A nurse receives a change-of-shift report on four clients
...
A client who had a hip arthroplasty reports pain and erythema in his calf
b
...
A client who has Addison's disease with a blood glucose level of 75 mg/dL
d
...
A client who had a hip arthroplasty reports pain and
erythema in his calf

A nurse administers a dose of metoclopramide to a client prior to
chemotherapy treatment
...
Albuterol sulfate
b
...
Diphenhydramine
d
...
Diphenhydramine

A client who does not speak English arrives at the emergency department
accompanied by a child
...
Ask the assistive personnel to assist the client in signing consent for
treatment
b
...

c
...

d
...
- CorreCt
Answers -c
...


A nurse is caring for a client who has severe preeclampsia and is receiving
magnesium sulfate
intravenously
...
Which of
the following actions should the nurse take?
a
...

b
...
Administer calcium gluconate IV
...
Administer methylergonovine IM
...
Administer
calcium gluconate IV
...
The first day of the clients last period was October
...
0711 (July 7, 2011)

A nurse on a medical-surgical unit is receiving report on four clients
...
A client who is scheduled for chemotherapy and has a hemoglobin of 9
b
...
A client who is receiving a blood transfusion and reports low-back pain
d
...
A client who is receiving a blood transfusion and reports lowback pain
A nurse is observing bonding to the client her newborn
...
Which of the
following findings should indicate that the medication is effective?
a) Weight loss
b) Decreased blood pressure
c) Absence of seizures
d) Decrease inflammation - CorreCt Answers -a) Weight loss

A nurse is planning discharge teaching for cord care for the parent of a
newborn
...
Which of the following findings
indicates decreased cardiac output?
a) Shivering
b) Oliguria
c) Bradypnea
d) Constricted pupils - CorreCt Answers -b) Oliguria

A nurse is assisting with mass casualty triage: explosion at a local factory
...
Which of the following clients
should the nurse assess first?
a) A client who has illeal conduit and mucus in the pouch
b) Client pleasant arteriovenous additional vibration palpated
c) A client whose chronic kidney disease with cloudy diasylate outflow

d) A client was transurethral resection of the prostate with a red tinged
urine in the bag - CorreCt Answers -c) A client whose chronic kidney
disease with cloudy diasylate outflow

A nurse is caring for a client just received the first dose of lisinopril
...
The nurse is reviewing the monitor tracing and
notes early decelerations
...
The nurse
should identify which of the following laboratory values as in an indication
for hemodialysis?
a) glomerular filtration rate of 14 mL/ minute
b) BUN 16 mg/DL
c) serum magnesium 1
...
0 mg/dL - CorreCt Answers -a) glomerular
filtration rate of 14 mL/ minute

A nurse is caring for an infant who has a prescription for continuous pulse
oximetry
...
Which of the following clients should the nurse plan to assess first?
a) Client placed in restraints to the aggressive behavior
b) A new limited client pleasures history of 4
...
Which of the
following statements by the nurse is an appropriate description of the use
of hypnosis during labor?
a) Hypnosis focuses on the biofeedback as a relaxation technique
b) Hypnosis promotes increased control of her pain perception during
contractions

c) Hypnosis uses therapeutic touch to reduce anxiety during labor
d) Hypnosis provides instruction to minimize pain - CorreCt Answers -b)
Hypnosis promotes increased control of her pain perception during
contractions

A nurse in a County Jail health clinic is leading group therapy session
...
Which of the
following is an example of reaction formation?
a) I steal things because it's the only way I can keep my mind off my bad
marriage
b) I can't believe I was accused of something I didn't do
c) I don't want talk about my feelings right now
...
Which of the following should the
nurse identify as a contraindication to medication?
a) Glaucoma
b) Hypertension
c) Polycythemia
d) Migraine headaches - CorreCt Answers -a) Glaucoma

The nurses is caring for a client recovering from an acute myocardial
infarction
...
Which of
the following laboratory values should nurse report to provider?
a) WBC 3,000/mm3
b) Hemoglobin 14 g/dl
c) Platelet 250,000/mm3
d) aPTT 30 seconds - CorreCt Answers -a) WBC 3,000/mm3

Home health nurse is carefully planned for Alzheimer's disease
...
Which of the
following findings should the
nurse report to provider first?

a) The client was cystic fibrosis and has a thick productive clock and reports
thirst
b) Client who has gastroenteritis and is lethargic and confused
c) The Client has diabetes mellitus has morning fasting Legal cost of 185 mg
over deal
d) The client was sick of signing it reports pain 15 minutes after receiving
oral analgesic - CorreCt Answers -b) Client who has gastroenteritis and is
lethargic and confused

A nurse is caring for a client was in the second trimester of pregnancy and
asks how to treat constipation
...
Which
is the following statements by
the client indicates an understanding of advanced directives? select all that
apply
a) I can't change my instructions once a minute
b) My doctor will need to approve my advance directives
c) I need an attorney to witness my signature on the advance directives
d) I have the right to refuse treatment

e) My health care proxy can make medical decisions for me - CorreCt
Answers -d) I have the right to refuse treatment
e) My health care proxy can make medical decisions for me

A nurse is caring for a client who is at 32 weeks gestation and has a history
of cardiac disease
...
Which of the following clients
should the nurse assign to an AP?
a) Client who has chronic obstructive pulmonary disease and needs
guidance on incentive spirometry
b) Client who has awoken following a bronchoscopy and requests a drink
c) Client who had a myocardial infarction 3 days ago reports chest
discomfort
d) Client who had a cerebrovascular accident two days ago and needs help
toileting - CorreCt Answers -d) Client who had a cerebrovascular accident
two days ago and needs help toileting

Nurse providing discharge teaching to the client who has schizophrenia and
is starting therapy with

clozapine
...

Which of the following action
requires intervention?
a) Providing a high protein snack
b) Assisting the child to reposition
c) Placing weights as a child's bed
d) Massaging pressure points-causes skin breakdown - CorreCt Answers -c)
Placing weights as a child's bed

A nurse is planning to delegate to an AP the fasting blood glucose testing
for a client who has diabetes
mellitus
...

b) Help the AP performed the blood glucose test
c) Assign the AP to ask the client is taking his diabetic medication today
d) Have AP check the medical record for prior blood glucose test results CorreCt Answers -a) Determine if the AP is qualified to perform the test
...
The client has disorganized, incoherent speech with loose
associations and religious content
...
Which of
the following findings are
associated with this diagnosis? Select all that apply
a) splenomegaly
b) Koplik spots
c) Malaise
d) Vertigo
e) Sore throat - CorreCt Answers -a) splenomegaly
c) Malaise
e) Sore throat

Nurse is performing dressing change for client was a sacral wound using
negative pressure wound
therapy
...


b) Normal saline
c) Don sterile gloves
d) Determine pain level - CorreCt Answers -d) Determine pain level

A nurses caring for client recovery from the bowel surgery who has
nasogastric tube connected to
low intermittent suction
...

Which of the following action should the nurse take?
a) Piggyback 0
...


Which of the following should the nurse identify as a benefit? (A/C?)
a) Systemic analgesic effect
b) increase in your metabolism
c) Decreased capillary permeability
d) Vasodilation - CorreCt Answers -c) Decreased capillary permeability

Nurse is developing discharge care plans for client has osteoporosis
...
Which is highest
priority?
a) The client has surgical hypoparathyroidism and positive Trousseau's sign
b) A client who was Clostridium difficile with acute diarrhea
c) A client who is acute kidney injury and urine with a low specific gravity
d) The client who has oral cancer and reports a sore on his gums - CorreCt
Answers -a) The client has surgical hypoparathyroidism and positive
Trousseau's sign

Nurses caring for a client was congestive heart failure
...
9 sodium chloride over 1 hr
c) Give the client enalapril 2
...
5 mg PO twice daily

A nurse is caring for a client who has a prescription for sertraline to treat
depression
...
The client states, "I don't know how much
longer I can take this, but I'm
afraid he'll really hurt me if I leave
...


b) Help the client to recognize the signs of escalation of abuse behavior
c) Assist the client to identify personal behaviors that trigger abusive
behavior
d) Assist the client to Reports abusive behavior to the proper authority CorreCt Answers -b) Help the client to recognize the signs of escalation of
abuse behavior

A client was having suicidal thoughts tells the nurse "It just does not seem
worth it anymore
...
Which of the following
assessment findings should
the nurse expect?
a) Decreased level consciousness
b) Unable to identify common objects
c) Poor problem solving ability
d) Preoccupation was somatic disturbances - CorreCt Answers -c) Poor
problem solving ability

A nurse is caring for a client who has deep vein thrombosis of the left lower
extremity
...

a) Position the client with the affected extremity lower than the heart
b) Administration of acetaminophen
c) Massage the affected extremity every 4 hrs
...
Which of the
following is an appropriate action by the nurse?
a) Expel air bubble at the top of the prefilled syringe
b) Massage the injection site to evenly distribute the medication
c) Inject the medication the lateral abdominal wall
d) Administer an NSAID for injection site discomfort - CorreCt Answers -c)
Inject the medication the lateral abdominal wall

Nurses caring for four clients
...
Clients respiratory
rate is 14 per minute
...
Which of the following
instructions the nurse include in the
plan of care?
a) Live with the clients fluid intake to 1500 mL per day
b) Massage place affected extremity to relieve pain
c) Apply cold packs of clients affected extremity
d) Elevate the client's affected extremity when in bed - CorreCt Answers -d)
Elevate the client's affected extremity when in bed

A nurse is caring for a client who is receiving oxytocin IV for augmentation
of labor
...
Which of the following actions should nurse take?

a) Discontinue oxytocin infusion
b) Increased oxytocin infusion
c) Decreased oxytocin infusion
d) Maintain oxytocin infusion - CorreCt Answers -a) Discontinue oxytocin
infusion

A nurse is admitting a client who is in labor and at 38 wks of gestation to
the maternal newborn
unit
...
Which of the
following questions is most
appropriate for the nurse to ask the client?
a) Have your membranes ruptured?
b) How far apart are your contractions?
c) Do you have any active lesions?
d) Are you positive for beta strap? - CorreCt Answers -c) Do you have any
active lesions?

Nurse is providing teaching for child prescribed ferrous sulfate
...
The nurse should plan
to see which of the following
clients first?
a) A 6 year old client whose left shoulder is dislocated
b) A 26 year old client for sickle cell disease and a severe joint pain
c) A 76 year old client was confused, febrile and has foul smelling urine
d) A 50- year old client who has slurred speech, is disoriented, and reports
a headache - CorreCt Answers -d) A 50- year old client who has slurred
speech, is disoriented, and reports a headache

A nurse is completing a dietary assessment for client who is Jewish and
observes kosher dietary practices
...

b) Shellfish is commonly consumed in the diet
...

d) Fasting from meat occurs during Hanukkah
...


A nurse is in an ER caring for client of multiple wounds due to a motor
vehicle crash
...
- CorreCt Answers -a)
Apply direct pressure to bleeding wounds
c) Cover wounds with a sterile dressing
e) Determine date of last tetanus toxoid vaccination
...
Which of the
findings required further
evaluation?
a) Sodium 138
b) Creatinine 1
...
2 - CorreCt Answers -b) Creatinine 1
...
Which of the phone
following client statements indicates need for further teaching?
a) I understand the methadone tends to slow my breathing
b) I understand the methadone may cause me to have difficulty sleeping
c) I will avoid alcohol while I'm taking this medication
d) I'll change positions gradually especially from lying down to standing CorreCt Answers -b) I understand the methadone may cause me to have
difficulty sleeping

Which of the following client is appropriate for the nurse to refer to speech
therapy for swallowing
evaluation?

a) Premature infant with a poor suck reflex and failure to thrive
b) An older adults who has difficulty taking in fluids
c) Adolescent who anorexia who is cachectic
d) A middle aged adults was gastroesophageal reflux disease - CorreCt
Answers -b) An older adults who has difficulty taking in fluids

A nurse is caring for a group of clients
...
Which of the following medications to the nurses instruct the
client to discontinue 48 hrs
prior to the procedure?
a) Atorvastatin
b) Digoxin
c) Nifedipine
d) Metformin - CorreCt Answers -d) Metformin

The nurses assessing client with posttraumatic stress disorder
...
The clients
often agitated and frequently wanders the halls
...

b) Confront the client regarding unacceptable behavior
c) Maintain Nutritional requirements by offering finger foods
d) Stimulate the client by leaving the television on throughout the day CorreCt Answers -c) Maintain Nutritional requirements by offering finger
foods

A nurse on a mental health unit receives report on four clients
...

Which of the following actions
should the nurse take first?
a) Instill erythromycin ophthalmic ointment and the newborn's eyes
...

c) Weigh the newborn
...
Which of the following client
should the nurse attend to first?
a) A client who was admitted with asthma and has an SaO2 of 92% long
receiving oxygen at 1 L per
minute via nasal cannula
b) A client was admitted with angina and reports left arm pain of 4 on a
scale of 0 to 10
c) The client was type II diabetes mellitus in his blood with glucose level is
at 80 mg/dL
d) A client who had a gastric endoscopy and whose nasogastric tube is
draining 30 mL per hour of green
fluid - CorreCt Answers -b) A client was admitted with angina and reports
left arm pain of 4 on a scale of 0 to 10

A client at 38 weeks of gestation enters the emergency department
...

Which of the following delegated tasks should be reassigned?
a) An AP is to calculate intake and output every two hours for client in acute
renal failure
...

d) A licensed practical nurses to provide initial feeding for client who had a
cerebrovascular accident
...


A nurse caring for the client who has a cast due to a compound fracture to
the right ankle
...

Basing information below which of
the following is an appropriate nursing action? Click on the links of this
below for additional client
information
a) Offer the child a cup of chicken broth
...

c) Administer oral rehydration solutions
...
- CorreCt Answers c) Administer oral rehydration solutions
...
The nurse should
monitor which of the following
laboratory findings to determine the effectiveness of the medication?
a) Serum chloride
b) Uric acid level
c) Serum albumin
d) Magnesium level - CorreCt Answers -b) Uric acid level

A nurse is caring for a client on the cardiac care unit who is
hemodynamically unstable
...
Which of the following
should the nurse include when discussing contact precautions?
a) Scarlet fever
b) Herpes simplex
c) Varicella
d) Streptococcal pharyngitis - CorreCt Answers -b) Herpes simplex

A nurse assesses an older adult client with the decrease caloric intake and
weight loss
...

b) The client reports abdominal pain at a five on a scale of 0 to 10
...

d) The client reports a burning sensation in epigastric area
...


A nurse and an assistive personnel are caring for a group of clients
...

Which of the following infections should the nurse report to the CDC?
a) Candida albicans
b) Herpes simplex virus 2
c) staphylococcus aureus
d) Lyme disease - CorreCt Answers -d) Lyme disease

The nurse is assessing an adolescent client for sickle cell anemia
...
Which of the following findings requires further
assessment by nurse?

a) Glascow scale score a 15
b) Blood drainage on initial dressing measuring 3 cm
c) Report of dry mouth
d) Urinary output greater than fluid intake - CorreCt Answers -d) Urinary
output greater than fluid intake

A client with the left leg cast is using crutches for ambulation
...

d) Pushes up from a chair with crutches on the unaffected side
...
Which of
the following actions
should the nurse plan to take?
a) Use a designated stethoscope when caring for the toddler
...

c) Remove the disposable gown after leaving the toddler's room
d) Place the toddler in a room with negative air pressure
...


A nurse is planning care for client to prevent complications of immobility
...

c) Encourage client to lie supine prevent constipation
...
- CorreCt Answers -d) Remove anti embolism stockings for 3
hours each day to decreased skin breakdown
...

When determining
what action to take your should recognize that which of the following
ethical principles should be applied?
a) Utility
b) Paternalism
c) Veracity
d) Fidelity - CorreCt Answers -c) Veracity

A nurse is review in the prescription for doxazosin with a client
...

b) Increased dietary fiber to prevent constipation
...

d) Take this medication each morning
...


Addresses planning to provide teaching to young adult client who is
insomnia
...
- CorreCt Answers -d)
Consume a high carbohydrate snack at bedtime
...
Which
of the following infection control precautions is appropriate?
a) Wear a face shield prior into entering the room
...

c) Place the client in a negative pressure room
...
- CorreCt Answers -b)
Place the client private room
...
Which of the following intervention should the
nurse including the plan of care?
a) Perform active range of motion exercises
...

c) Suction the airway frequently
...
- CorreCt Answers -d) Maintain
the head at a midline position
...
Which of the
following findings
should the nurse expect?
a) White blood cell count at 12,500 mm3
b) Excessive salivation
c) +3 pitting edema
d) Platelets 95,000 mm3 - CorreCt Answers -d) Platelets 95,000 mm3

A nurse is caring for a client who has preeclampsia and is experiencing
postpartum hemorrhage
...

b) Misoprostol
c) Dinoprostone
d) Oxytocin - CorreCt Answers -a) Methylergonovine
...
Which of the following assessment
findings the nurse expect
to find?
a) Shortness of breath
b) Rebound tenderness
c) Atypical chest pain
d) Vomiting blood - CorreCt Answers -c) Atypical chest pain

A nurse is caring for a newborn who is under phototherapy lights
...

b) Apply lotion to expose skin
...

d) Discontinue breast-feeding during treatment
...


This is assessing clients as had a long arm cast
...
The client
has a respiratory rate of 9/min and is not responding to commands
...

b) Implement Positive pressure ventilation
...

d) administer flumazenil - CorreCt Answers -d) administer flumazenil

A nurses in a hospital cafeteria overhears two assistive personnel (AP)
discussing a client
...
Which of
following actions should the nurse
take first?
a) Report the AP's behavior to the supervisor
...

c) Provide the AP with written documentation regarding client
confidentiality
d) Tell the AP to discontinue their conversation - CorreCt Answers -d) Tell
the AP to discontinue their conversation

A community health nurse is teaching a group of adults about the
importance of health screenings
...
Which
of the following
prescription is given by the provider should the nurse clarify?
a) Over the fact that extremities and two pillows
...

c) wrap the affected extremity with a compression dressing
...


A nurse is providing dietary teachings for client who has hepatic
encephalopathy
...
Which of the following should the nurse include in the plan of care?
a) Remove dirty linens from the room after double bagging
...

d) Ensure family members remain at least 3 feet from the client
...
Which of the following client should the
nurse care for first?

a) A client to receive a chemotherapy treatment or first national
b) A client who has an appendectomy to these don't has diminished all
sounds
c) A client is hypothyroidism and his stuporous
d) A client who is a burn requiring a sterile dressing change - CorreCt
Answers -c) A client is hypothyroidism and his stuporous

The nurses planning care for newly admitted adolescent who has bacterial
meningitis
...
The
nurse should recognize that
the teaching has been effective when the client states
...
Which
of the following findings in the client's history is a contraindication to use in
combination oral
contraceptives?
a) thyroid disease
b) Allergy to penicillin
c) impaired liver function
d) abnormal blood glucose - CorreCt Answers -c) impaired liver function

The nurses providing teaching to a client who has mild persistent asthma
has been prescribed
montelukast
...

Which of the following
client should the nurse assess first?
a) A client who is receiving warfarin and has and INR of 3
...
Which of the following
findings is priority
a) Paradoxical pulse
b) dependent edema
c) Pericardial friction rub
d) Substernal chest pain - CorreCt Answers -a) Paradoxical pulse

A charge nurse is providing teaching to a new licensed nurse on how to
cleanup surfaces
contaminated with blood
...

Which of the following
actions in response take?
a) instruct the client to lift her chin when swallowing
b) discourage the client from coughing during feedings
c) Sit at or below the clients eye level during feedings
...


A nurses caring for a client who repeatedly refuses meals
...
"If you don't eat, I'll put restraints on your
wrists and feed you
...
The charge nurse
should intervene when a newly licensed nurse does which of the following?
a) Re-Evaluate priorities halfway through the shift
b) Delegate changing sterile dressing for licensed practical nurse
c) Groups activities for the Same client

d) Works on several tasks simultaneously - CorreCt Answers -d) Works on
several tasks simultaneously

A nurse is monitoring the client during an IV urography procedure
...
which of the following
task is appropriate for the nurse to delegate?
a) Just the flow rate of the clients oxygen tank
b) Collecting urine sample
c) Measuring the clients pain level
d) Monitoring blood glucose levels - CorreCt Answers -b) Collecting urine
sample

A nurse is assessing a client wasn't following vital signs: Oral temperature
of 37
...
Apical
pulse rate of 80/min, radial pulse rate 62/min, respiratory rate of 16/min,
and blood pressure of 132/40 mm
Hg
...
Which of
the following situations
requires completion of an incident report?
a) A client who is absent gag reflex following a bronchoscopy
b) A client whose IV pump has malfunctioned
c) A client who requires insertion of NG tube due to a bowel obstruction
d) A client who is absent bell sounds following a gastrectomy - CorreCt
Answers -b) A client whose IV pump has malfunctioned

A nurse is caring for a client who has diabetes insipidus and is receiving
desmopressin
...
Which of the following statements by the client indicates a need
for further instruction by the
nurse?
a) I can wear support bra
b) I will play cold compression my breasts
c) I will manually express breastmilk

d) I can take a mild analgesic - CorreCt Answers -c) I will manually express
breastmilk

A nurses caring for client in preterm labor who is receiving magnesium
sulfate by continuous IV
infusion
...
Which
of the following
findings are indicative of cold stress?
a) Respiratory rate of 60 per minute
b) Jitteriness of the hands
c) Diaphoretic
d) Bounding peripheral pulses in all extremities - CorreCt Answers -b)
Jitteriness of the hands

nurse is planning care for four clients
...
A client who is dry, black eschar on the heel
b
...
The client was reddened skin area with blanching around the coccyx

d
...
A client
who is wearing an arm cast and reports numb fingers

A nurse is caring for a male adolescent client who has heart failure
...
Which of the following actions should the nurse plan to take?
a
...
Administer ferrous sulfate
c
...
Withhold digoxin (0
...
0) - CorreCt Answers -d
...
82
...
Which
of the following clinical
manifestations are associated with this finding?
a
...
Thirst
c
...
Shakiness - CorreCt Answers -b
...
Which of the following allergies is a contraindication to the
medication?
a
...
Milk

c
...
Peanuts - CorreCt Answers -a
...
The nurse asks
the client to interpret the
following statement, "When the cat's away, the mice will play"
...
The nurse should document this
finding which of the following in
the client's chart?
a
...
Associative looseness
c
...
Concrete thinking - CorreCt Answers -d
...
Which
of the following
assessment findings required immediate intervention by the nurse?
a
...
Weight increase of two kg/day
c
...
6°C
d
...
Weight increase
of two kg/day

A nurse in the telemetry unit is receiving the laboratory findings for adult
male client who's been

treated for myocardial function
...
Troponin 1 (TNI) 8 ng/ml
b
...
Alanine aminotransferase (ALT 45 unit/L
d
...
Troponin
1 (TNI) 8 ng/ml

A nurse is reviewing the results of an ABG performed on a client with
chronic emphysema
...
paO2 level of 89 mm Hg
b
...
HCO2 level of 25 mEq/L
d
...
37 - CorreCt Answers -b
...
The nurse should
include which of the
following in the teaching?
a
...
"
b
...
"
c
...
"
d
...
" - CorreCt
Answers -a
...
"

A nurse is caring for a client who has a prescription for vancomycin 1 g IV
every 12 hr
...
The nurse should schedule
the trough level to be drawn
at which of the following times?
a
...
0900
c
...
1800 - CorreCt Answers -d
...
Which of the
following should the nurse plan to include when teaching the client to
monitor for hypoglycemia?
a
...
polyuria
c
...
thirst - CorreCt Answers -a
...
The nurse should recognize that
which of the following clinical
findings are associated with this infection?
a
...
Profuse milky white discharge

c
...
Low grade fever - CorreCt Answers -b
...

Which of the following
foods should be included when initiating feeding?
a
...
oatmeal
c
...
toast - CorreCt Answers -b
...
Which of the following clients
should the nurse attend to
first?
a
...
A client who has dark, foul-smelling urine with a urine output of 320 mL
in the last 8 hr
c
...
A client who has a productive cough and an oral temperature of 36° C
(96
...
A client who reports tingling in the fingers
following a thyroidectorny

A nurse is caring for a client who has lactose intolerance and has eliminated
dairy products from
his diet
...
spinach

b
...
ground beef
d
...
spinach

A client who is 8 hr postpartum asks the nurse if she will need to receive Rh
immune globulin
...
The newborns
blood type is B positive
...
You only need to receive Rh immune globulin if you have a positive blood
type
...
You should receive Rh immune globulin within 72 hours of delivery
...
"Both you and your baby should receive Rh immune globulin at your week appointment
...
"immune globulin is not necessary since this is your second pregnancy
...
You should receive Rh immune globulin within 72
hours of delivery
...
The mother states, I never should have let him take the car
...
You had no way of knowing this would happen
...
Most parents blame themselves when losing a child
...
Tell me why you feel this is your fault
...
You appear to be feeling overwhelmed" - CorreCt Answers -d
...

Which of the following
client statements indicates an understanding of the teaching?
a
...
"
b
...
"
c
...
"
d
...
"
e
...
" CorreCt Answers -a
...
"

A nurses is teaching post-operative care with the parents of a toddler
following a cleft palate
repair
...
Provide an orthodontic pacifier for comfort
...
Offer fluids by using a straw
...
Cleanse suture line with a cotton tip swab
...
Remove elbow splints periodically to perform range of motion
...
Remove elbow splints periodically to perform range of motion
...
Which of the following tasks can the nurse
delegate to an assistive
personnel?

a
...

b
...

c
...

d
...
Perform chest
compressions during cardiac resuscitation
...
The nurse should recommend that the
protocol include which of the
following as a clinical manifestation of smallpox?
a
...
Ptosis of the eyelids
c
...
Rash in the mouth - CorreCt Answers -d
...
Which of the following
actions is appropriate by the
nurse?
a
...

b
...

c
...
open the flow clamp to the irrigating fluid infusion tubing
...
Apply sterile gloves

A nurse is caring for a client who has been taking haloperidol for several
years
...
Lipsmacking
b
...
Clang association
d
...
Lipsmacking

A nurse is planning care for a client who has Alzheimers disease and
demonstrates confusion and
wandering behavior
...
Place the client in seclusion when she is confused
...
Request a prescription for PRN restraints when the client is wandering
...
Dim the lighting in the clients room
...
Leave one side rail up on the clients bed - CorreCt Answers -d
...
Which of the
following laboratory tests is an indicator of long-term disease
management?
a
...
Glycosylated hemoglobin
c
...
Fasting blood glucose - CorreCt Answers -b
...
Which of the
following tasks should the
nurse delegate to an assistive personnel?
a
...

b
...

c
...

d
...
- CorreCt Answers -d
...


A nurse is caring for a client who has been taking propranolol
...
sodium 130 mEq/L
b
...
Potassium 5
...
Pulse 54/min - CorreCt Answers -d
...
Which
of the following is an
appropriate response by the nurse?
a
...
"
b
...
"

c
...
"
d
...
" - CorreCt
Answers -c
...
"

A nurse is caring for a client who has human immunodeficiency virus (HIV)
with neutropenia
...
Wear an N95 respirator while caring for the client
...
Use a dedicated stethoscope for the client
...
Insert an indwelling urinary catheter to monitor urinary output
...
Monitor the client's vital signs every 8 hr
...
Use a
dedicated stethoscope for the client
...
Which of the following
laboratory findings
indicates hypervolemia?
a
...
Urine specific gravity 1
...
serum calcium 10 mg/dL
d
...
Urine specific gravity 1
...
Which of
the following
situations should the nurse recognize as a safety hazard?
a
...
A clients bedside table placed across the foot of the bed
c
...
A call light extension cord pinned to the bedspread - CorreCt Answers -a
...
The clients daughter
is crying and tells the
nurse that she feels guilty for leaving her father in the hospital
...
I'd like to know more about what's bothering you
...
"Why are you feeling this way"
c
...
"
d
...
" - CorreCt Answers -a
...
"

A nurse is planning care for a client following gastric bypass surgery
...
start each meal with a protein source
...
Consume at least 25 g of fiber daily
...
Check your blood glucose level before each meal
...
Limit your meals to three times per day
...
start each
meal with a protein source
...
Which of the
following findings requires intervention by the nurse?
a
...
Drainage collection chamber is 1/3 full
c
...
Suction chamber pressure of -20 cm H20 - CorreCt Answers -c
...
A member of the clients family says to the nurse, "I
wonder when the doctor will
tell us what's going on" Which of the following actions should the nurse
take first
a
...

b
...

c
...

d
...
Ask the family what the provider has discussed with them

A nurse is performing a skin assessment on a client who has risk factors for
development of skin
cancer
...
scaly and red
b
...
firm and rubbery

d
...
asymmetric, with
variegated coloring

A nurse is interviewing an older adult client about the physiological
changes he has been
experiencing
...
Decreased sense of taste
b
...
Increased gastric secretions
d
...

Decreased sense of taste

A nurse in an intensive care unit is planning care for a client who has
alcohol withdrawal
syndrome
...
Administer disulfiram
...
Provide frequent orientation to time and place
...
Engage the client in group therapy
...
Perform gastric lavage
...
Provide frequent
orientation to time and place
...
Which of the
following is the most appropriate source for the nurse to consult?

a
...
Evidence-based practice data
c
...
Protocols in other hospitals - CorreCt Answers -b
...
Which of the following findings should the nurse
expect? (Select all that apply)
a
...
Syncope
c
...
Vertigo
e
...
Syncope
d
...
Which of the
following findings
should the nurse expect?
a
...
rapid speech
c
...
heightened perceptual field - CorreCt Answers -d
...
Which of the following
instructions
demonstrates appropriate communication of the task?
a
...
"
b
...
"
c
...
"
d
...
"
- CorreCt Answers -b
...
"

A nurse is caring for a client who has constricted pupils, delayed reflexes,
and decreased blood
pressure
...
Nicotine withdrawal
b
...
Alcohol withdrawal
27 of 28
d
...
Heroin intoxication

A nurse is assessing an older adult client who had a stroke
...
Abnormal movements of the mouth
b
...
Paralysis of the right arm
d
...
Abnormal movements of the
mouth

A nurse is assisting the provider with a paracentesis for a client who has
ascites
...
Document the procedure
...
Measure the drainage
...
Record the color of the drainage
...
Label the specimen
...
Label the specimen
...
Which of the following information
should the nurse include?
a
...

b
...

c
...

d
...
- CorreCt Answers -b
...


A nurse is caring for a client in an inpatient facility who tells the nurse that
she is leaving because

the facility policy prohibits smoking inside
...
Notify security to monitor the facility exits
...
Place the client in seclusion
...
Inform the client of the risks involved if she leaves
...
Call the provider for a discharge prescription
...

Inform the client of the risks involved if she leaves
...

Which of the following is a contraindication for administration?
a
...
Allergy to penicillin
c
...
Low-grade fever - CorreCt Answers -a
...
5 mL of medication intramuscularly to
an adult client
...
Ventrogluteal
b
...
Vastus lateralis
d
...
Ventrogluteal

A nurse is teaching a female client how to reduce the risk of urinary tract
infections (UTIs)
...
Wearing underwear with a cotton crotch
b
...
Using perfumed toilet paper
d
...
Using
perfumed toilet paper

A nurse is providing discharge instructions for a client who has a new
prescription for furosemide
...
"I will take my morning pills with food or milk
...
"I will weigh myself every day
...
"I will notify the nurse if I have muscle cramps
...
"I will limit my intake of fish
...
"I will limit my
intake of fish
...
Which
of the following client
conditions is a contraindication to this medication?
a
...
peptic ulcer disease
c
...
chrohn's disease - CorreCt Answers -a
...

Which of the following
actions should the nurse include in the plan of care?
a
...

b
...

c
...

d
...
- CorreCt Answers -d
...




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