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2019 ATI RN Pediatrics Comprehensive Predictor Exam NGN With Answers (132 Solved Questions) - Document preview page 1

2019 ATI RN Pediatrics Comprehensive Predictor Exam NGN With Answers (132 Solved Questions) - Page 1

Document preview content for 2019 ATI RN Pediatrics Comprehensive Predictor Exam NGN With Answers (132 Solved Questions)

2019 ATI RN Pediatrics Comprehensive Predictor Exam NGN With Answers (132 Solved Questions)

2019 ATI RN Pediatrics Comprehensive Predictor Exam NGN With Answers is an excellent resource for reviewing and analyzing past exam trends.

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2019 ATI RN Pediatrics Comprehensive Predictor Exam NGN With Answers (132 Solved Questions) - Page 1 preview imageNGN ATI RN COMPREHENSIVE PREDICTOR 2019QUESTIONS WITH DETAILED CORRECT ANSWERS /A+GRADEAnurseisassessinganewbornwhohasabloodglucoselevelof30mg/dl.Whichofthe followingmanifestationsshouldthenurseexpect?•Loosestools•Jitteriness•Hypertonia•Abdominaldistention-CORRECTANWERSB.JitterinessAnurseisassessingaclientwhoisimmediatelypost-operativefollowingtotalhiparthroplasty, whichofthefollowingconsiderationsshouldthenursetakewhenpositioningtheclient?•Placetheclient'sheelsdirectlyagainstthebedmattress•Ensurethattheclient'shipsremaininanabductedposition.•Maintaintheclientinasupinepositionforthefirst24hr.aftersurgery.•Flex the client's hip up to 120° when sitting in a chair.•-CORRECT ANWERS•B.Ensure that the client's hips remain in an abducted position.Anurseisassessingaclientwhoisimmediatelypostoperativefollowingasubtotalthyroidectomy. Which of the following should the nurse expect to administer?•Calciumgluconate.•Sodiumbicarbonate.•Potassiumchloride.•Sodiumphosphate-CORRECTANWERSA.Calciumgluconate.Anurseiscaringforanadultclientwhohasprescriptionsformultiplemedications.Whichofthefollowing(Unabletoread)asanage-relatedchangethatincreasestheriskforadverseeffectsfrom this medication?•Rapidgastricemptying.•Prolongedmedicationhalf-life.•Increasedmedicationelimination.•Decreased medication sensitivity.•-CORRECT ANWERS•B.Prolongedmedication half-life.Anursemanagerisplanningtopromoteclientadvocacyamongstaffinamedicalunit.Whichofthefollowingactionsshouldthenursetake?•Encouragestafftoimplementtheprincipleofpaternalismwhenaclientishavingdifficulty making a choice.
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2019 ATI RN Pediatrics Comprehensive Predictor Exam NGN With Answers (132 Solved Questions) - Page 2 preview image
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2019 ATI RN Pediatrics Comprehensive Predictor Exam NGN With Answers (132 Solved Questions) - Page 3 preview image•Tellstaffexplainprocedurestoclientsbeforeobtaininginformedconsent.•Instructunitstafftosharepersonalexperiencestohelpclientsmakedecisions.•Develop a system for staff members to report safety concerns in the clientcareenvironment-•CORRECT ANWERS•D.Developasystemforstaffmemberstoreport safety concerns in the clientcare environmentAnurseispreparinganin-serviceforagroupof nursesaboutmalpracticeissuesinnursing. Which of thefollowingexamplesshouldthenurseincludeintheteaching?•Leaving a nasogastric tube clamped after administering oral medicationB.Documentingcommunicationwithaproviderintheprogress notesoftheclient'smedical record•AdministeringpotassiumviaIVbolus•Placingayellowbraceletonaclientwhoisatriskforfalls•-CORRECTANWERSC.Administering potassium via IV bolusAnurseisprovidingteachingaboutthegastrostomytubefeedingstotheparentsofaschool age child. Whichofthefollowinginstructionsshouldthenursetake?•Administerthefeedingover30min.•Placethechildinassupinepositionafterthefeeding.•Chargethefeedingbagandtubingevery3days.•Warmtheformulainthemicrowavepriortoadministration•-CORRECTANWERS•Administerthefeedingover30min.Anurseisadministeringdigoxin0.125mgPotoanadultclient.Forwhich ofthefollowing findings shouldthenursereporttotheprovider?•Potassiumlevel4.2mEq/L.•Apicalpulse58/min.•Digoxinlevel1ng/ml.•Constipationfor2days.•-CORRECTANWERS•C.Digoxinlevel1ng/ml.Anurseisprovidingdischargeteachingtoaclientwhohasanewprescriptionforphenelzine. The nurse should instruct theclientthatitissafetoeatwhichofthefollowingfoodswhiletakingthismedication?•Wholegrainbread•Avocados•Smokedsalmon•Pepperonipizza-CORRECTANWERSA.Wholegrainbread
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2019 ATI RN Pediatrics Comprehensive Predictor Exam NGN With Answers (132 Solved Questions) - Page 4 preview imageA nurseis caringfor an adolescent who hassickle-cell anemia.Which of thefollowingmanifestationsindicatesacutechestsyndromeandshouldbeimmediatelyreportedtothe provider?•Substernalretractions.•Hematuria.•Temperature37.9C(100.2F).•Sneezing.-CORRECTANWERSA.SubsternalretractionsAnursemanagerisupdatingprotocolsfortheuseofbeltrestraints.Whichofthefollowing guidelines shouldthenurseinclude?•Attachtherestrainttothebed'ssiderails.•AttachaPRNrestraintprescriptionforclientswhoareaggressive•Documenttheclient'sconditionevery15min•Remove the client's restraints every 4 hr-CORRECT ANWERSC.Documentthe client's condition every 15 minAnurseispreformingagastriclavageforaclientwhohasuppergastrointestinalbleeding. Which ofthefollowingactionshouldthenursetake?•Instill500mlofsolutionthroughtheNGtube.•Insertalarge-boreNGtube.•Useacoldirrigationsolution.•Instruct the client to lie on his right side.-CORRECT ANWERSB.Insertalarge-bore NG tube.Anurseisprovidingcareforaclientwhoisintheadvancestageofamyotrophiclateralsclerosis. (ALS).Whichof thefollowingreferralsisthenurse'spriority?•Psychologist.•Socialworker.•Occupationaltherapist.•Speech-language pathologist.-CORRECT ANWERSE.Speech-languagepathologist.Anurseisreviewingthelaboratoryresultsofaclientwhohasrheumatoidarthritis.Whichofthefollowingfindingsshouldthenursereporttotheprovider?•WBCcount8,000/mm3.•Platelets150,000/mm3.•Aspartateaminotransferase10units/L.•Erythrocyte sedimentation rate 75 mm/hr-CORRECT ANWERSD.Erythrocytesedimentation rate 75 mm/hr
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2019 ATI RN Pediatrics Comprehensive Predictor Exam NGN With Answers (132 Solved Questions) - Page 5 preview imageAnurseiscaringforaclientwhohasgeneralizedpetechiaeandecchymoses.Thenurse should expectaprescriptionforwhichofthefollowinglaboratorytests?•Plateletcount.•Potassiumlevel.•Creatineclearance.•Prealbumin-CORRECTANWERSA.Plateletcount.Achargenurseonamedical-surgicalunitisassistingwiththeemergencyresponseplan following anexternaldisasterinthecommunity.Inanticipationofmultipleclientadmissions,whichofthefollowingcurrentclientsshouldthenurserecommendforearlydischarge?A.AclientwhohasCOPDandarespiratoryrateof44/min•Aclientwhohascancerwithasealedimplantforradiationtherapy.•Aclientwhoisreceivingheparinfordeep-veinthrombosis•Aclientwhois1daypostoperativefollowingavertebroplasty•-CORRECTANWERSD.Aclientwhois1daypostoperativefollowingavertebroplastyAnurseiscaringforaclientwhoiscomatoseandhasadvancedirectivesthatindicatethe client does notwantlife-sustainingmeasures.Theclient'sfamilywanttheclienttohavelife-sustainingmeasures. Which of thefollowingactionshouldthenursetake?A.Arrangeforanethicscommitteemeetingtoaddressthefamily'sconcerns.B.Supportthefamily'sdecisionandinitiatelife-sustainingmeasures.C.Completeanincidentreport.D. Encourage the family to contact an attorney-CORRECT ANWERSA.Arrangefor an ethics committee meeting to address the family's concerns.Anurseiscaringforaclientwhowearsglasses.Whichof thefollowingactionsshouldthe nursetake?A.Storetheglassesinalabeledcase.B.Cleantheglasseswithhotwater.C.Cleantheglasseswithapapertowel.D. Store the glasses on the bedside table-CORRECT ANWERSA.Storetheglasses in a labeled case.Anurseisteachingagroupofnewlylicensednursesaboutmeasurestotakewhencaring for a client who is
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2019 ATI RN Pediatrics Comprehensive Predictor Exam NGN With Answers (132 Solved Questions) - Page 6 preview imageoncontactprecautions.Whichofthefollowingshouldthenurseincludeintheteaching?A.Removetheprotectivegownaftertheclient'sroom.B.Placetheclientinaroomwithnegativepressure.C.Weargloveswhenprovidingcaretothe client.D.Wearamaskwhenchangingthelinensintheclient'sroom.-CORRECTANWERSC.Weargloveswhenprovidingcaretothe client.Anurseisplanningoncareforaclientwhoisrecoveringfromanacutemyocardialinfarction that occurred3daysago.Whichofthefollowinginstructionsshouldthenurseinclude?•PerformanECGevery12hr.•Placetheclientinasupinepositionwhileresting.•Drawatroponinlevelevery4hr.•Obtain a cardiac rehabilitation consultation.••-CORRECT ANWERS•D.Obtainacardiac rehabilitation consultation.Thenurseisreviewingthemedicalrecordofaclientwhoisrequestingcombinationoralcontraceptives.Whichof thefollowing conditions intheclient'shistoryis acontradictionto the use of oralcontraceptives?•Hyperthyroidism.•Thrombophlebitis.•Diverticulosis.•Hypocalcemia.-CORRECTANWERSB.ThrombophlebitisAnurseiscaringforaclientwhorequestthecreationofalivingwill.Whichofthefollowing actionsshouldthenursetake?•Scheduleameetingbetweenthehospitalethicscommitteeandtheclient.•Evaluatetheclient'sunderstandingoflife-sustainingmeasures.•Determinetheclient'spreferencesaboutpostmortemcare.•Request a conference with the client's family.•-CORRECT ANWERS•B.Evaluate the client's understanding of life-sustaining measures.Anurseisprovidingteachingtoaclientwhoisat14weeksofgestationaboutfindingsto report totheprovider.Whichofthefollowingfindignsshouldthenurseincludeintheteaching?•Bleedinggums
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2019 ATI RN Pediatrics Comprehensive Predictor Exam NGN With Answers (132 Solved Questions) - Page 7 preview image•Faintnessuponrising•Swellingoftheface•Urinaryfrequency-CORRECTANWERSC.SwellingofthefaceAnurseiscaringforaclientfollowingapplicationofacast.Whichofthefollowingactions should thenursetakefirst?•Placeanicepackoverthecast.•Palpatethepulsedistaltothecast.•Teachtheclientto keepthecastcleananddry.•Position the casted extremity on a pillow.•-CORRECT ANWERS•B.Palpatethepulse distal to the cast.Anurseiscaringforaclientwhohasvisionloss.Whichofthefollowingactionsshouldthe nursetake?(Selectallthatapply)•Keepobjectsintheclient'sroominthesameplace.•Ensurethereishigh-wattagelightingintheclient'sroom.•Approachtheclientfromtheside.•Allowextratimefortheclienttoperformtasks.•Touch the client gently to announce presence.•-CORRECT ANWERS•A.Keepobjects in the client's room in the same place.B.Ensurethereishigh-wattagelightingintheclient'sroom.D.Allowextratimefortheclienttoperformtasks.Anurseiscaringforaclientwhoisnewlydiagnosedwithpancreaticcancerandhasquestions aboutthedisease.Toresearchthenurseshouldidentifythatwhichofthefollowingelectronicdatabase has themostcomprehensivecollectionofnursing(Unabletoread)articles?A.MEDLINEB.CINAHL.C.ProQuest.D.HealthSource.-CORRECTANWERSB.CINAHLAnurseinanemergencydepartmentisassessingnewlyadmittedclientwhoisexperiencing droolingandhoarsenessfollowingaburninjury.Whichof thefollowingshouldactionsshouldthenurse take first?A.ObtainabaselineECG.B.Obtainablood specimenforABGanalysis.C.Insertan18-gaugeIVcatheter.D. Administer 100% humidified oxygen
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2019 ATI RN Pediatrics Comprehensive Predictor Exam NGN With Answers (132 Solved Questions) - Page 8 preview image-CORRECT ANWERSD.Administer100%humidified oxygenAnurseisplanningcareforaclientwhohasunilateralparalysisanddysphagiafollowing arighthemisphericstroke.Whichofthefollowinginterventionsshouldthenurseincludein the plan?A.Placefoodontheleftsideoftheclient'smouthwhenheisreadytoeat.B.Providetotalcareinperformingtheclient'sADLs.C.Maintaintheclientonbedrest.D. Place the client's left arm on a pillow while he is sitting-CORRECT ANWERSD.Place the client's left arm on a pillow while he is sittingAnurseiscaringforaclientwhoisinaseclusionroomfollowingviolentbehavior.Theclient continues todisplayaggressivebehavior.Whichofthefollowingactionsshouldthenursetake?A.Confronttheclientaboutthisbehavior.B.Expresssympathyfortheclient'ssituation.C.Speakassertivelytotheclient.D.Standwithin30cm(1ft)oftheclientwhenspeakingwiththem-CORRECTANWERSA. Confront the client about this behavior.Anurseiscaringforaclientwhoisreceivingbrachytherapyfortreatmentofprostatecancer. Which of thefollowingactionsshouldthenursetake?A.Cleanseequipmentbeforeremovalfromtheclient'sroom.B.Limittheclient'svisitorsto30minperday.C.Discardtheclient'slinensinadoublebag.D. Discard the radioactive source in a biohazard bag-CORRECT ANWERSB.Limit the client's visitors to 30 min per day.Anurseisdevelopingaplanofcareforaclientwhohasschizophreniaandisexperiencing auditoryhallucinations.Whichofthefollowingactionsshouldthenurseincludeintheplan?A.AsktheclientdirectlywhatheishearingB.EncouragetheclienttoliedowninaquietroomC.AvoideyecontactwiththeclientD. Refer to the hallucinations as if they are real-CORRECT ANWERSA.Asktheclient directly what he is hearingAnurseiscaringforaclientwhoisinlaborandrequiresaugmentationoflabor.Whichof the following
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2019 ATI RN Pediatrics Comprehensive Predictor Exam NGN With Answers (132 Solved Questions) - Page 9 preview imageconditionsshouldthenurserecognizeasacontraindicationtotheuseofoxytocin.A.Diabetesmellitus.B.Shoulderpresentation.C.Posttermwitholigohydramnios.D.Chorioamnionitis-CORRECTANWERSC.Posttermwitholigohydramnios.Anurseispreparingtoperformasterilewoundirrigationanddressingchangeforaclient. Which of thefollowingactionsbythenurseindicatesabreakinsurgicalaseptictechnique?A.ApplyingasterilegownafterapplyingasterilemaskB.BalancingthebottleonthesterilebasinwhilepouringtheliquidC.Placingthesuppliesonthesterilefieldandleavinga1-inchperimeterD.Puttingonsterileglovesafterpreparingthesterilefield-CORRECTANWERSB.BalancingthebottleonthesterilebasinwhilepouringtheliquidAnurseisassessingaclientwhohasleft-sidedheartfailure.Whichof thefollowingshould the nurseidentifyasamanifestationofpulmonarycongestion?A.Frothy,pinksputum.B.Jugularveindistention.C.Weightgain.D.Bradypnea-CORRECTANWERSD.BradypneaAnurseisteachingaprenatalclassaboutinfectionpreventionatacommunitycenter.Whichofthefollowingstatementsbyaclientindicatesanunderstandingoftheteaching?A."Icanvisitmynephewwhohaschickenpox5daysafterthesoreshavecrusted."B."Icancleanmycat'slitterboxduringmypregnancy."C."IshouldtakeantibioticswhenIhaveavirus."D."Ishouldwashmyhandsfor10secondswithhotwaterafterworkinginthegarden."-CORRECT ANWERSA."Icanvisitmynephewwhohaschickenpox5daysafterthe sores have crusted."Anurseiscaringfora5-month-oldinfantwhohasmanifestationsofseveredehydrationand a prescriptionforpaternalfluidtherapy.Theguardianasks."Whataretheindicationsthatmybabyneeds an IV?" Which ofthefollowingresponsesshouldthenursemake?A."YourbabyneedsanIVbecausesheisnotproducinganytears"B."YourbabyneedsanIVbecauseherfontanelsarebudging"C."YourbabyneedsanIVbecausesheisbreathingslowerthannormal"
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2019 ATI RN Pediatrics Comprehensive Predictor Exam NGN With Answers (132 Solved Questions) - Page 10 preview imageD. "Your baby needs an IV because her heart rate is decreasing"-CORRECTANWERSA."YourbabyneedsanIVbecausesheisnotproducinganytears"Anurseisprovidingteachingtoaclientwhohasheartfailureandanewprescriptionforfurosemide.Whichofthefollowingstatementsshouldthenursemake?A."Takingfurosemidecancauseyourpotassiumlevelstobehigh"B."Eatfoodsthatarehighinsodium"C."Riseslowlywhengettingoutofbed"D."Takingfurosemidecancauseyoutobeoverhydrated"-CORRECTANWERSC."Riseslowlywhengettingoutofbed"Anurseiscreatingaplanofcareforanewlyadmittedclientwhohasobsessive-compulsive disorder. Whichofthefollowinginterventionsshouldthenursetake?A.Allowtheclientenoughtimetoperformrituals.B.Givetheclientautonomyinschedulingactivities.C.Discouragetheclientfromexploringirrationalfears.D.Providenegativereinforcementforritualisticbehaviors-CORRECTANWERSA.Allowtheclientenoughtimetoperformrituals.Anurseiscaringforaclientwhohasdepression andreportstakingST.John'swortalong with citalopram.Thenurseshouldmonitortheclientforwhichofthefollowingconditionsasaresultofan interaction betweenthesesubstances?A.SerotoninsyndromeB.TardivedyskinesiaC.Pseudoparkinsonism.D.Acutedystonia.-CORRECTANWERSA.SerotoninsyndromeAnurseisassessingaclientwhoisreceivingpackedRBCs.Whichofthefollowingfindings indicate fluidoverload?A.Lowbackpain.B.Dyspnea.C.Hypotension.D.Threadypulse-CORRECTANWERSB.Dyspnea.Anurseiscalculatingaclient'sexpecteddateofdelivery.Theclient'slastmenstrualperiod began on April
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