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Ati RN Vati Comprehensive Predictor Form A Exam Questions and Correct Answers
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A nurse is caring for a full-term newborn immediately following birth. Which of the following actions should the nurse take first? A. Instill erythromycin ophthalmic ointment in the newborn's eyes B. Weigh the newborn C. Place identification bracelets on the newborn D. Dry the newborn - CORRECT ANSWER Dry the newborn
A charge nurse is creating assignments for the next shift for several nurses and one of the nurses is pregnant. Which of the following clients should the charge nurse assign to a nurse who is not pregnant? A. A 60 year old client who is recovering from shingles B. A 20 year old client who is HIV positive C. A 40 year old client who is suspected of having tuberculosis D. An 80 year old client who has alcoholic pancreatitis and is being treated for impetigo - CORRECT ANSWER A 60 year old client who is recovering from shingles A charge nurse is evaluating the time management skills of a newly licensed nurse. Which of the following actions should the charge nurse identify as an effective time management skill? A. Delegates creation of a client's teaching plan to a licensed practical nurse B. Completes activities for one client before moving to the next client C. Focuses on activities rather than objectives D. Skips break times to catch up on charting - CORRECT ANSWER Completes activities for one client before moving to the next client A charge nurse is providing teaching to a newly licensed nurse on how to clean surfaces contaminated with blood. Which of the following agents should the nurse include in the teaching? A. Hydrogen peroxide B. Isopropyl alcohol C. Chlorine bleach
B. This discussion is only appropriate in a private area C. Please stop this discussion D. Did you know you can be liable if you breach confidentiality - CORRECT ANSWER Please stop this discussion A client asks the nurse if it is safe to take a glucosamine supplement. The nurse should assess for which of the following potential contraindications? A. Shellfish allergy B. History of smoking C. Cardiac dysrhythmia D. Family history of malignant hyperthermia - CORRECT ANSWER Shellfish allergy A client has just returned to the nursing unit following cardiac catheterization. In the immediate postprocedure period, which of the following is the priority nursing action? A. Monitoring the insertion site for infection B. Checking for orthostatic hypotension C. Forcing fluids D. Immobilizing the affect extremity - CORRECT ANSWER Immobilizing the affect extremity A client who has a diagnosis of complete placenta previa is admitted to the labor and delivery suite at 36 weeks gestation with contractions 5 min in frequency and 1 min in duration. Which of the following actions should the nurse take? A. Rupture the amniotic sac
B. Medicate the client for pain C. Prepare the client for a cesarean section D. Perform a vaginal exam - CORRECT ANSWER Prepare the client for a cesarean section A client who is having suicidal thoughts tells the nurse, "It just does not seem worth it. Why not end my misery?" Which of the following responses by the nurse is appropriate? A. Why do you think your like is not worth it anymore? B. You can trust me and tell me what you are thinking? C. I need to know what you mean by misery? D. Do you have to plan to end your life? - CORRECT ANSWER Do you have to plan to end your life? A community health nurse is performing a vision screening on a 4-month-old infant. When shining a light source into the infant's visual field, which of the following is an expected finding? A. The infant's eyes turn toward the light B. The infant's head turns away from the light C. The infant's eyes remain focused toward the floor D. The infant closes their eyes - CORRECT ANSWER The infant closes their eyes A community health nurse is teaching a group of restaurant workers about hepatitis A. Which of the following statements should the nurse make? A. Manifestations first appear 6 months after exposure to the virus B. With immunizations, your risk of contracting hepatitis A is reduced by half
The client has two school-age children and a limited support system. Which of the following is the priority nursing action? A. Inform the client of available community resources B. Assist the client in finding childcare options C. Agree upon short-term goals for the client D. Ask the client about their understanding of the diagnosis - CORRECT ANSWER Inform the client of available community resources A home health nurse is performing an in-home fall assessment for a client. Which of the following findings should the nurse identify as a potential hazard for the client? A. Electrical cords secured to the baseboards B. A computer chair with wheels that lock C. A standard toilet seat in the bathroom D. Carpeted floors in the kitchen - CORRECT ANSWER Carpeted floors in the kitchen A home health nurse is reviewing treatment goals with a client who has diabetes mellitus. The nurse should evaluate which of the following laboratory tests to determine effective long- term management of blood glucose levels?
A. 3-hr oral glucose tolerance test B. HbA1c C. Fasting blood glucose test D. Urinalysis for ketone - CORRECT ANSWER HbA1c A home health nurse is teaching a guardian about administering tube feedings to their 3- month- old infant. Which of the following information should the nurse include in the teaching? A. Allow the infant to suck on a pacifier during feedings B. Place enough formula for 12 hr in the feeding container C. Change the tube feeding setup every 36 hr D. Flush the tube with 30 mL of water between feedings - CORRECT ANSWER Allow the infant to suck on a pacifier during feedings A nurse at a public health clinic is caring for a group of clients. Which of the following should the nurse identify as a reportable diagnosis to the CDC? A. Herpes simplex virus (HSV) type 1 B. Hepatitis A
B. Obtain the abdominal girth now and every 4 hr C. Assess and document the level of consciousness every hour D. Measure the amount of gastric drainage every 2 hr - CORRECT ANSWER Measure the amount of gastric drainage every 2 hr A nurse discovers that the wrong dosage of a medication was given to a client. When determining what action to take, the nurse should recognize that which of the following ethical principles should be applied? A. Utility B. Paternalism C. Fidelity D. Veracity - CORRECT ANSWER Veracity A nurse enters a client's room and finds the client lying on the floor in a puddle of water. Which of the following statements should the nurse document in an incident report? A. Client fell out of bed because an assistive personnel left the rails of the bed down B. Client's roommate thinks the client is confused and fell when getting out of bed C. Client appears to have slipped in water but reports no injuries
D. Client found lying on the floor near the bedside table - CORRECT ANSWER Client found lying on the floor near the bedside table A nurse from the State Health Development is instructing a group of nurses regarding reportable infections. Which of the following infections should the nurse report to the Centers for Disease Control and Prevention? A. Herpes simplex virus 2 B. Candida albicans C. Staphylococcus aureus D. Lyme disease - CORRECT ANSWER Lyme disease A nurse in a mental health clinic is observing clients in the day room. The nurse sits down to talk with an adolescent client who was admitted with clinical depression. After a few minutes of conversation, the adolescent asks the nurse, "Why did you choose to talk to me out of this room full of kids?" Which of the following responses by the nurse is therapeutic? A. You looked like you would be the most likely to talk back with me B. Let's go see what activities are going on outside
D. Lean in slightly when speaking to the client - CORRECT ANSWER Lean in slightly when speaking to the client A nurse in a newborn nursery is performing assessments on four neonates that are all less than 24 hr old. The nurse should plan to notify the provider of which of the following findings? A. Head circumference 1 cm greater than chest B. Positive Babinski reflex on bilateral feet C. Passage of meconium stool D. Pinna below the outer canthus of the eye - CORRECT ANSWER Pinna below the outer canthus of the eye A nurse in a postpartum unit is caring for several clients. After receiving a change of shift report, which of the following clients should the nurse assess first? A. A client who is 2 days postpartum and whose fundus is 2 fingerbreadths below the umbilicus B. A client who is 1 day postpartum and has not voided in 8 hr C. A client who is 3 days postpartum and has not had a bowel movement since prior to admission
D. A client who is 4 days postpartum and has lochia serosa - CORRECT ANSWER A client who is 3 days postpartum and has not had a bowel movement since prior to admission A nurse in a residential mental health facility is planning care for a new client who has obsessive compulsive disorder. Which of the following is appropriate for the nurse to include in the plan of care? A. Work with the client to create a flexible daily schedule B. Gradually decrease the time allowed for ritualistic behavior C. Offer solutions to assist in problem solving D. Teach the client to meditate about obsessive thoughts - CORRECT ANSWER Gradually decrease the time allowed for ritualistic behavior A nurse in a substance use unit spends an equal amount of time with each of his assigned clients, even though some of the clients have committed serious crimes. Which of the following ethical principles is the nurse demonstrating? A. Justice B. Autonomy C. Nonmaleficence
A nurse in the labor and delivery unit is reviewing medications for a group of clients. Which of the following medications places the fetus at risk for teratogenic effects? A. Levothyroxine for hypothyroidism B. Phenytoin for seizure disorder C. Magnesium oxide for constipation D. Ferrous sulfate for chronic anemia - CORRECT ANSWER Phenytoin for seizure disorder A nurse in the recovery room is assessing a client who has a new chest tube. The nurse finds that the water seal is no longer tidaling. The nurse should identify the finding as resulting from which of the following? A. An air leak noted at the insertion site B. The tubing may be kinked C. Water needs to be added to the suction-control chamber D. The suction is set too low - CORRECT ANSWER The tubing may be kinked A nurse is admitting a client to the medical-surgical unit. Which of the following actions should the nurse take first?
A nurse is analyzing the laboratory data on a client who has dehydration. Which finding should the nurse anticipate in a client who has fluid volume deficit? A. Decreased serum osmolarity B. Decreased hematocrit C. Elevated blood urea nitrogen D. Lower urine specific gravity - CORRECT ANSWER Elevated blood urea nitrogen A nurse is assessing a client 1 week after a successful bone marrow transplant. The client reports peeling of skin on her hands and feet. The nurse should recognize this desquamation as an indication of which of the following complications? A. Failure to engraft B. Veno-occlusive disease C. Graft-versus-host disease D. Pancytopenia - CORRECT ANSWER Graft-versus-host disease A nurse is assessing a client in the PACU. Which of the following findings indicates decreased cardiac output?
A. Oliguria B. Constricted pupils C. Shivering D. Bradypnea - CORRECT ANSWER Oliguria A nurse is assessing a client prior to performing a blood draw. The nurse should identify that an allergy to which of the following food can indicate that the client has an allergy to latex? A. Peanuts B. Shellfish C. Avocados D. Eggs - CORRECT ANSWER Avocados A nurse is assessing a client who has a calcium deficiency. The nurse should identify that the client is at risk for which of the following conditions? A. Tetany B. Anemia C. Kidney stones D. Osteoarthritis - CORRECT ANSWER Tetany
