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

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

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    2019 ATI RN Pediatrics Comprehensive Predictor Exam NGN With Answers (132 Solved Questions), page 3•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 4A 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 5Anurseiscaringforaclientwhohasgeneralizedpetechiaeandecchymoses.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 6oncontactprecautions.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•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-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 9conditionsshouldthenurserecognizeasacontraindicationtotheuseofoxytocin.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 10D. "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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