2019 RN Comprehensive Predictor with Answers (180 Solved Questions)

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RNComprehensivePredictor20191.A nurse is caring for a client who repeatedly refuses meals. The nurse overhears anassistivepersonnel(AP)tellingtheclient,“I fyoudon’teat,I’llputrestraintsonyourwrists and feed you.” The nurse should intervene and explain to the APthat thisstatement constitutes which of the following torts? a.Malpracticeb.Battery-physicalc.Assault-verbald.Negligence2.Anurseisprovidingdischargeinstructionstotheparentofanewborn.Whichofthefollowing statement by the parent indicates anunderstanding of the teaching?a.Iwillsuctionmybaby’smouthbeforeIsuctionhisnose.b.Iwilllubricatethetipofthesyringewithwaterpriortosuctionhisnose.I should insert the syringe into the center of his mouth.d.Ishouldcompressthebulbafterinsertingitintothemouth.3.Anurseisprovidingdischargeteachingaboutcarseatsafetytoaparentofanewborn.Which of the following statements by the parent indicates an understanding of theteaching?Iwillplacemybabyinaforward-facingcarseatinmybackseat(facingtherear)b.Icanplacemybabyinthefrontseatwiththeairbagturnedoff.(dontputnewborn in front)c.Iwillpositionmybabyata45degreesangleinthecarseat.31 of28d.Icanturnmybabycarseataroundwhensheweighs15pounds.c.a.

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4.Anurseisplanningcareforaclientwhoisinlaborandhasgonorrhea. Whichofthefollowing actions should the nurse include in the plan for delivery?a.Instillerythromycinointmentintothenewborn'seyeApplymiconazolevaginalcreamtothemotherpriortodeliveryGive oral sulfadiazine to the mother prior to deliveryAdminister penicillin G procaine IM to the newborn5.Anurseisplanningcareforaclientwhohassmall-boreNGfeedingtubeinthejejenum.Which of the following is an appropriate action for the nurse to take to confirmplacement?Instilltwodropsofbluefoodcoloringformulab.Reviewanabdominalx-rayreport.Verifytheglucoselevelaspiratedcontent.Auscultateforbubblingsoundwhileinjectingairthroughthetube.???-ichose this but ima doblecheck,ithoughtaboutverifyingtheplacementatthemoment6.AchargenursedelegatestoanAPthetaskofambulatingaclient.Attheendoftheshift,the nurse discovers the client has not been ambulated. Which of the following actionsshould the nurse take first?a.SupervisetheAPperformingthetaskb.RemindtheAPofherassignedtasks.c.Evaluate why the client was not ambulated.Assesthesituationfirst.Yes.assess firstAmbulatetheclientonbehalfoftheAP.Rationale:Carefortheclientcomesfirst,soambulatethepatientbecauseAPdidnot.Thenyou can investigate why AP did not do the task.7.A nurse is caring fora client who hasprescription for lactated ringer’s IV4080/mL24hr.ThenurseshouldsettheIVinfusionpumptodeliverhowmanymL/hrtoadministerhalfof the total volume in the first 8 hr?Half=2040whichneedtobeadministeredin8hrs.So2040ml/8hr=255ml/hr32 of28b.c.d.a.c.d.d.

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8.AnurseisprovidingteachingtoaclientwhoDMaboutglycosylatedhemoglobinbloodtest. Which of the following statement by the client indicated an understanding of thistest?Iwillneedtodrinkaglucosesolutiontogetanaccurateresultb.IwillneedtofastpriortotakingthistestnotnecessaryIwillusetheresultofthistestdailytomodifymyinsulindosage.d.IwillusethistesttomonitorhowwellIcontrolmybloodglucose.9.AnurseiscaringforaclientwhohasCVCanddevelopsanairembolism.Whichofthefollowing actions should the nurse take?b.Preparetheclientforchesttubeinsertion(Iputthisone.-Jackie)Instructtheclienttoperformvalsalvamaneuverd.Removetheclientcatheter.Rationale:Page98ATIMedSurgBook.10.Anurseisassessingaclientwhohadacolostomy24hrago.Whichofthefollowingfinding is priority?a.THeclientreportsapainlevelof6b.Thestomaappearsdarkpurpleincolorc.Thecolostomyhashadnooutputd.TheclientrefusestolookatthecolostomyRationale: Says notify provider when you see dark purple color which may indicate bloodsupply is compromised.http://www.atitesting.com/ati_next_gen/skillsmodules/content/ostomycare/equipment/stoma_and_peristo mal_skin_care.html11.A nurse is caring for a clientwho has new prescription for enalapril. The client reporttinglingandswellingaroundthemouth1hrafterreceivingthemedication.Whichofthefollowing actions should the nurse take first?a.Notifytherapidresponseteam33 of28a.c.c.a.Placetheclientinaleftlateraltrendelenburgposition.

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Obtain IV access.? ???-whats that drug that dilates bronchioles that areconstrictedincaseofananaphylactiRXN?ithoughtaboutthatthatswhyichosethis.DocumentfindingsElevatethelowerextremity.12.Anurseisadmittingaclientwhoistoundergoparacentesisforremovalofasceticfluid.Which of the following actions should the nurse take?Ensuretheclienthasafullbladderjustpriortotheprocedureb.Weighttheclientbeforeandaftertheprocedurec.Administeralow-volumehypertonicenemathenightbeforetheprocedured.Placetheclientinaside-lyingpositionfortheprocedureRationale:Paracentesisisaproceduredonetodrainascitesfluidintheabdominalwallusingatrocarandaneedle.Decreaseinweightcanbeadatatoassessifprocedurehasbeen effective to reduce weight and remove ascites fluid in the abdominal wall.13.Anurseisadmittingaclientwhotellsthenursehehasbroughtacopyofhisadvancedirectives. Which of the following actions should thenurse take?a.Placeacopyofthedocumentintheclient'smedicalrecord.b.Requestasocialworkertoreviewthedocumentwiththeclient(socialworkerdoes not need to review this)Ask the client to keep the document in his bedside table. (store itin a safeplace)D.Havetheproviderapprovethedocument.(doesnotneedtobeapprovedbyMD)14.Anurseisprovidingpreopteachingtoaclientwhoisscheduledforuterinesurgeryandasks about the reason for the indwelling urinary catheter. Which of the followingresponses should the nurse make?Thecatheterwillbeusedtoadministerpainmedicationaftersurgery.(notused for painmedication)b.Thecatheterwilldecompressyourbladderduringsurgery.ThecatheterwilldecreasetheriskforUTIfromsurgery.(riskforUTI)The catheter will immobilization after surgery.34 of28b.c.d.a.c.a.c.d.

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15.Anurseisdischargingaclientwhohasacolostomy.Theclientstatesthatshewouldliketo use her moisturizing soap to clean around the stoma.Which of the followingresponses by the nurse is appropriate?Itisacceptabletousethissoapifitmakesyoucomfortable.b.LubricantsinmoisturizingsoapscaninterferewithadhesionoftheapplianceYoumaywanttotryothersoapstodeterminewhatisthebesttocleanaroundthe stomaUseofmoisturizingsoapscancontributetoskininfections.(Iputthisone-Jackie)Rationale:Page240ofFundsATIbookMoisturizingsoapcaninterferewithadherenceofpouch.16.Anurseinaclinicisassessinga6-month-oldinfant.Whichofthefollowingfindingsshould the nurse report to the provider?a.RR26/min-(30-60isnormaltheycanbeisrespiratorydistressABCS)b.Pulse140/minc.Abdominalbreathing-theyarenormallyabdominalbreathersd.ClosedanteriorfontanelRationale:page7peds2016Newbornto1yearold:RR=30-35/min17.Aschoolnurseisteachingaparentaboutabsenceseizures.Whichofthefollowinginformation should the nurse include?“Thistypeofseizurecanbemistakenfordaydreaming”b.“Thechildusuallyhasanaurapriortoonset”c.Thistypeofseizurelast30-60sec”(beginandendabruptly)d.“Thistypeofseizurehasagradualonset”(generalizedonset)18.Anurseisprovidingteachingaboutcrutchsafetytoaclient.Whichofthefollowingclient actions indicates an understanding of the teaching?Theclientleansonbothcrutchestosupportbodyweight.(no)Theclientplacesthecrutches30cm(12in)tothefrontandsideofeachfootwhilestanding(6in)35 of28a.c.d.a.b.a.b.can be brief that(sometimes they aremistaken for daydreaming and may not be detected for months)

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36Theclientflexesherelbows10degreewhensupportingweightbyusingthehandgrips. (30deg)Theclientkeepsheraxillaefreeofpressure.19.AnurseisassessingaclientwhoreceivedaMantouxskintest72hragofor TBscreening. Which of the following findings indicates apositive test?AnareaofecchymosisA blister like areaAnelevatedhardenedarea.A cool, blanched area.Rationale:Page136ofMEDSURGATIBOOK.Aninduration(palpable,raised,hardenedarea) of 10 mm or greater in diameter indicates apositiveskin test.20.Anurseiscaringforaclientwhohasachesttubedrainage.Whichofthefollowingfindings indicates the nurse the presence of an air leak?Gentlebubblinginthesuctionchamberb.ContinuousbubblinginthewatersealchamberFluidrisingwithinspirationandfallingwithexpirationinthewatersealchamberD.Serosanguineousfluidinthedrainagecollectionchamber.Rationale:ATIMedSurgbookpage106.Monitorthewatersealchamberforcontinuousbubbling (air leakfinding). If observed, locate the source of the air leak, and interveneaccordingly (tighten the connection, replace drainage system).21.A nurse is admitting a client to a med-surg unit. When performing medicationreconciliationfortheclient.Whichofthefollowingactionsshouldthenursetake?Encourage the client to make his own list after he returns to his home.Excludenutritionalsupplementsfromthelistofmedicationtheclientsreports.Include any adverse effects of the medication the client might develop.22.Anurseiscaringforatoddlerwhohascancerandisexperiencingstomatitisfromchemotherapy. Which of the following intervention should nurse implement?Applyviscouslidocaine.b.Providesoft,nonacidicfoodof28a.Comparenewprescriptionwiththelistof medicationstheclientsreports.c.d.a.b.c.d.a.c.d.b.c.d.a.yes use your hand for pressure)(

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Giveperoxidemouthwashes.Administer antiemetics23.A nurse is teaching the family of an infant who has decreased cardiacoutput tocongenitalheartdisease.Whichofthefollowinginstructionshouldthenurseincludeinthe teaching?Observeformanifestationsofhungerinordertofeedtheinfantbeforecryingoccurskeep crying to a minimum, crying increases workloadof heartBathetheinfantandchangethebedlinensdailytoreducetheriskofinfection.maintain the infant in supine position when sleeping.Performinfantcareactivitiesfrequentlyandintermittentlythroughouttheday.24.Anurseisprovidingteachingtoaparentofachildwhohasvaricella.Whichofthefollowing statements should the nurse include in the teaching?“Yourchildcanreturntoschoolafteranegativetiterresult.”“Yourchildcanreturntoschool24hoursafterbeginningantibiotics.”c.“Yourchildcanreturntoschooloncethelesionshavecrustedover.”“Your child can return to school once the fever has subsided.”25.Anurseisprovidinganin-serviceaboutclientevacuationduringafire.Whichofthefollowing clients should the nurse instruct the staff to evacuate first?AclientwhohasafractureandisinbalancedsuspensiontractionA client who uses a wheelchair and is confusedAclientwhoisbedriddenandwearsahearingaidd.Aclientwhoisambulatoryandreceivingoxygen→RESCUE26.Anurseiscaringforfourclients.Whichofthefollowingclientdatashouldthenursereport to the provider?Aclientwhois4hrpostoperativeandhasaheartrateof98/minAclientwhohasatotalof110mLofserosanguineousfluidfromaJackson-Prattdrainwithinthefirst24hrfollowingsurgeryc.Aclientwhohasaprescriptionforchemotherapyandanabsoluteneutrophilcount of 75/mm3Aclientwhohaspleurisyandreportspainofa6onascaleof0to10whencoughing37 of28c.d.a.b.c.d.a.b.d.a.b.c.a.b.d.

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27.Acommunityhealthnurseisworkingwithafamilythatisstrugglingtoadaptfollowingtheloss ofafamily member.Whichofthefollowing actions should thenursetakefirst?Encouragethefamilytoassignspecifictaskstoindividualfamilymembers.b.Determinetherolesofindividualfamilymembers.c.Assistthefamilytoestablishadailyroutined.Refer the family to a grief support group.Rationale: Assess first.28.AnurseisplanningtodelegatetaskstoanA P.Whichofthefollowingtasksshouldthenurse assign to the AP?Recordtheclient'sBPreadingby1000-documentingVSisRNSjobObtainaclienttemppriortosurgery-thisCTisunstablesincetheyare goingto surgeryRepositionaclient-ididn'tchoosethisbecausecertaindiseaserequireclientsto be in certain positions.d.Measureaclient'surineoutput29.A community health nurse is planning a program to address substance use in theadolescentpopulation.Whichofthefollowinginterventionsshouldthenurseincludeasa method of secondary prevention?Facilitatereferralstosubstanceusetreatmentprograms(tertiary)Createanti-substanceusemediamessagesc.Establishanearlydetectionprogramforsubstanceused.Provideeducationaboutthedangerofsubstanceabuse.(Primary)Rationale: Secondary preventions: Includes screening such as early detection.30.AnurseinanERisplanningcareforaclientwhohasabdominaltraumafromaMVC.Which of the following provider prescription should the nurse implement first?AdministerRBCb.PlacealargeboreIVcatheterinanupperextremity-IVFLUIDREPLACEMENTISc.Insertanindwellingurinarycatheterd.ObtainaspecimenforABGanalysis38 of28a.a.b.c.a.b.a.PRIORITYAFTERABCS

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31.A nurse is assessing a client who has a stage IV pressure ulcer and is undergoingtreatmentprescribedbyawoundcareconsultant.Forwhichofthefollowingfindingsshould the nurse contact theconsultant to revise the plan of care?a.Weightlossof5%in10daysB.Appearanceofpinktissueunderescharc.Hgb15g/dLd.Albuminlevel4.0g/dL32.Anurseisassessingaclientwhoisreceivingmagnesiumsulfateforpreeclampsiawhich of the following isthe nurse's priority?a.Urinaryoutput35ml/hr->30 mlisnormalb.2+deeptendonreflexes+2isnormal3or4isABNORMALd’thyperreflexia.c.3+pedaledemad.Respiratoryrate10/min-normalrate12-20ATIPHARM33.Anurseisdevelopingaplanofcareforanolderadultclientwhohashearingloss.Which of the following instructions the nurse include in the plan?A.IncreasethepitchofvoicewhenspeakingtotheclientlowpitchB.AvoidusinghandmotionswhenspeakingtotheclientC.RephrasestatementsthattheclientmisunderstandsD.Asktheclienttoconfirmanunderstandingoftheinstructionsbynodding.(Iputthisone-Jackie)34Anurseiscollaboratingwithsocialservicesinthedischargeplanningforayoungadultclient who is below the poverty income level and will require home IV therapy. Which ofthe following resources the nurse recommend (SATA)A.MedicarePartA→mustbe65older(A;hospitalcare,homecare, hospice,andskilled)B.MedicaidC.AdultdaycareD.Foodstamps39 of28

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E.Respitecare→Maybe?No.LOL.sorrypaul.(yeah,no)Young Adult-20-39Medicaid→lowsocioeconomicstatusandchildren.35.A nurse is reviewing legal issues in health care with a group of newlylicensed nurses. Which of the followingrecommendationsshould the nurse make?A.OverestimateclientsacuitytopreventshortstaffingB.Obtain personal professional liability insurance coverageC.Ensure that each client has a living will on file prior to treatment.D.Placecopiesofincidentreportsinclient'smedicalrecords.36.A nurse is caring for a client who is receiving intermittent enteral tubefeedings. Which of the following places theclient at risk for aspiration?a.Ahistoryofgastroesophagealrefluxdiseaseb.Receivingahighosmolarityformulac.Sittinginahigh-Fowler’spositionduringthefeedingd.Aresidualof65mL1hrpostprandialRationaleATIMSp309:Complications:AspirationofgastricsecretionCauses:Refluxofgastric fluids into the esophagus can be aspirated into the trachea.37.A charge nurse is observing a conflict between two nurses who both insist thatthe charge nurse favors the other when making assignments. Which of the followingconflict-resolution strategiesshould the charge nurse use?A.Encourage collaboration between thetwo nurses when making theassignmentsB.ArrangeforthenursestohaveasfewshiftstogetheraspossibleC.TellthenursesthattheassignmentswillbemoreequitableinthefutureD.AskeachnursetotaketurnsmakingtheassignmentsATILeadership15Opencommunicationamongstaff&b/wstaffandclientscanhelpdefray the need for conflict resolution.38.A nurse is caring for a client who has received afirst dose of losartan.Which ofthefollowing adverse effects shouldthe40noufrs2e8report to theprovider immediately?

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A.Angioedemaairway;A/EB.CoughC.HypotensionD.ItchingPharm252 forHTN,HF.(Cozaar)39.Anurseiscaringforaclientwhohascrohn’sdisease.Whichofthefollowingshouldthenurserecommendfortheclient?A.NavybeansB.BaconC.BananaD.Hard-boiledegg40.A nurse is evaluating a client’s understanding offood nutrition labels. Which ofthe following statements by the client indicate an understanding of the teaching?a.TheingredientwiththegreatestweightappearsfirstB.Foodmanufacturers provide nutritioninformation voluntarilyc.Itemservingsizeisconsistentfromonemanufacturertothenextd.Thedailyvaluesrelatetoa1,500caloriediet2,000http://www.mindfulbody.com/food/nutrition/nutritional-labels41.Anurseiscaringforapreschool-agechildwhohasinjuriesduetoabusebyherfather’spartner.Whichofthefollowingactionsbythenurseisappropriate?A.Limitvisitsbythefather’spartnerto30minB.Restructthechild’sinteractionwithotherchildrenontheunitC.Allowthefatherunlimitedvisitationwiththechildiassumefatherstillhastherighttoseehischild.Hedidn’tabusehim(Iputthisone-Jackie)D.Interviewthechildabouttheabusewiththefatherpresent.41 of28

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42.Anurseisreviewingaclient’smedicalrecord.Whichofthefollowingfindingsplacestheclientatincreasedforthedevelopmentofheartfailure?(SATA)A.AlcoholusedisorderB.OsteoarthritisC.SleepapneaD.DiabetesmellitusE.BMI2343.A nurse is caring for a client who has a history of depression and is experiencing asituational crisis. Which of the following actions should the nurse take first?A.TeachtheclientrelaxationtechniquesB.B.Confirmtheclient’sperceptionoftheeventC.Helptheclientidentifypersonalstrengths.D.Notifytheclient’ssupportperson.44.A nurse is administering furosemide IV bolus to a client who has fluid volumeexcess. The nurse should recognize which of the followingfindings as an indicationthat the medication has been effective?A.Increasedbloodpressure-LoopdiureticsdecreaseBPviamakingyouPEEALOtB.Decreasedinflammation-loopsarenotpainmedstheyareforBPC.Weightloss-excretesexcessfluidsd/tHFD.Decreasedpain-LoopsareforBP45.A nurse in an emergency department is assessing an adolescent who has conductdisorder.Whichofthefollowingquestionsisthepriorityforthenursetoasktheclient?A.“Howdoyougetalongwithyourpeersatschool?”B.“Do you have thoughts of harming yourself”-safety is number 1 when itcomes to priorityC.“Howdoyoumanageyourbehavior?”D.“Doyouhaveacriminalrecord?”46.A nurse is planning care for a client who has cancer and is about to receive low dosebrachytherapy via a vaginal implant applicator. Which of the following interventionsshould the nurse include in the plan of care?A.Ambulationfourtimesdai4ly2of28

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