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ATI RN Comprehensive predictor 2023 Retake 1

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Total Questions : 188

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Question 1:

An older client with a history of heart failure is admitted with influenza and requests assistance to sit up in bed to eat lunch. The nurse observes the unlicensed assistive personnel (UAP) wearing a gown and gloves to assist the client.

Which action should the nurse take?

Answer and Explanation

A
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Question 2:

A nurse is assessing a client who has a chest tube with a water seal drainage system.
Upon assessment, the nurse notes tidaling in the water seal.
Which of the following is an explanation for the tidaling?

Answer and Explanation

A
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Question 3:

A charge nurse is teaching a newly licensed nurse about medication administration.
Which of the following information should the charge nurse include?

Answer and Explanation

A
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Question 4:

A nurse in an emergency department is assessing a client who reports ingesting thirty diazepam tablets 20 minutes ago.
The client is lethargic and has a respiratory rate of 10/min.
After securing the client's airway and initiating an IV, which of the following actions should the nurse take next?

Answer and Explanation

A
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Question 5:
A nurse is providing discharge instructions to a client who has a new prescription for haloperidol.
Which of the following adverse effects should the nurse instruct the client to report to the provider?
Answer and Explanation

A
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Question 6:

A nurse is caring for an adolescent client who has cystic fibrosis.
Which of the following actions should the nurse instruct the client to take prior to initiating postural drainage?

Answer and Explanation

A
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Question 7:
A nurse is preparing an in-service for a group of nurses about malpractice issues in nursing.
Which of the following examples should the nurse include in the teaching as an example of malpractice?
Answer and Explanation

A
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Question 8:
A nurse is performing a neurological examination on a client as part of a complete physical assessment.
The nurse should identify that cranial nerve XI is intact when the client performs which of the following actions?
Answer and Explanation

A
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Question 9:

A nurse is planning care for a client who is receiving continuous enteral tube feedings through an open system.
Which of the following interventions should the nurse include in the plan of care?

Answer and Explanation

A
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Question 10:
A nurse is working with a client who has an anxiety disorder and is in the orientation phase of the therapeutic relationship.
Which of the following statements should the nurse make during this phase?
Answer and Explanation

A
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Question 11:

A nurse manager is updating protocols for the use of belt restraints.
Which of the following guidelines should the nurse manager include?

Answer and Explanation

A
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Question 12:
A nurse is assessing a client who has a possible right pneumothorax.
Which of the following findings should the nurse expect?
Answer and Explanation

A
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Question 13:

 

A nurse is implementing seizure precautions for a client who has had a tonic-clonic seizure.
Which of the following interventions should the nurse include in the plan of care?

 

Answer and Explanation

A
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Question 14:
A nurse is admitting a client to a medical-surgical unit.
When performing medication reconciliation for the client, which of the following actions should the nurse take?
Answer and Explanation

A
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Question 15:
A nurse is reviewing the medical history of a client who asks about the use of warfarin.
The nurse should identify which of the following findings as a contraindication for the administration of this medication?
Answer and Explanation

A
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Question 16:
A nurse is caring for a client who is in active labor.
The nurse should notify the provider for which of the following findings?
Answer and Explanation

A
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Question 17:
A home health nurse is planning care for a client who has Alzheimer's disease.
Which of the following actions should the nurse include in the plan of care?
Answer and Explanation

A
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Question 18:

A charge nurse on a medical-surgical unit is assisting with the emergency response plan following an external disaster in the community.
In anticipation of multiple client admissions, which of the following current clients should the nurse recommend for early discharge?

Answer and Explanation

A
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Question 19:
A nurse is caring for a client who has a placenta previa.
Which of the following findings should the nurse expect?
Answer and Explanation

A
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Question 20:

A nurse enters a client's room and sees a small fire in the client's bathroom.

Identify the sequence of steps the nurse should take.

(Move the steps, placing them in the order of performance. Use all the steps.)

Answer and Explanation

Explanation

In the event of a fire, the nurse should prioritize safety and follow the facility’s emergency protocols, which typically align with the “RACE” acronym: Rescue: d. Transport the client to another area of the nursing unit. Ensure the client is safe from immediate danger. Alarm: c. Activate the facility’s fire alarm system. Alert others in the facility by activating the fire alarm. Confine: b. Close all nearby windows and doors. Prevent the spread of fire by closing doors and windows. Extinguish: a. Use the unit’s fire extinguisher to attempt to put out the fire. If it’s safe to do so, attempt to extinguish the fire using a fire extinguisher. Remember, the safety of the client and the nurse is the top priority. If the fire is too large or the situation too dangerous, the nurse should evacuate and wait for the fire department to handle the situation. Always follow the specific procedures of your healthcare facility.

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