2023 RN Comprehensive Predictor with Answers (181 Solved Questions)

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RNComprehensivePredictor20231.A nurse is caring for a client who repeatedly refuses meals. The nurse overhears anassistive personnel (AP) telling the client,“If youdon’teat,I’llput restraints on yourwrists and feed you.” The nurse should intervene and explain to the AP that thisstatement constitutes which of the following torts? a.Malpracticeb.Battery- physicalc.Assault-verbald.Negligence2.A nurse is providing discharge instructions to the parent of a newborn. Which of thefollowing statement by the parent indicates an understanding of the teaching?a.Iwillsuctionmybaby’smouthbeforeIsuctionhisnose.b.I will lubricate the tip of the syringe with water prior to suction his nose.I should insert the syringe into the center of his mouth.I should compress the bulb after inserting it into the mouth.3.A nurse is providing discharge teaching about car seat safety to a parent of a newborn.Which of the following statements by the parent indicates an understanding of theteaching?I will place my baby in a forward- facing car seat in my back seat (facing therear)b.I can place my baby in the front seat with the airbag turned off. (dont putnewborn in front)c.Iwillpositionmybabyata45degreesangleinthecarseat.31 of 28d.I can turn my baby car seat around when she weighs 15 pounds.c.d.a.

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4.A nurse is planning care for a client who is in labor and has gonorrhea. Which of thefollowing actions should the nurse include in the plan for delivery?a.Instillerythromycinointmentintothenewborn'seyeApply miconazole vaginal cream to the mother prior to deliveryGive oral sulfadiazine to the mother prior to deliveryAdminister penicillin G procaine IM to the newborn5.A nurse is planning care for a client who has small-bore NG feeding tube in the jejenum.Which of the following is an appropriate action for the nurse to take to confirmplacement?Instill two drops of blue food coloring formulab.Reviewanabdominalx-rayreport.Verify the glucose level aspirated content.Auscultate for bubbling sound while injecting air through the tube.??? - ichose this but ima doblecheck , i thought about verifying the placement at the moment6.A charge nurse delegates to an AP the task of ambulating a client. At the end of the shift,the nurse discovers the client has not been ambulated. Which of the following actionsshould the nurse take first?a.Supervise the AP performing the taskb.Remind the AP of her assigned tasks.c.Evaluate why the client was not ambulated.Assesthesituationfirst.Yes.assess firstAmbulate the client on behalf of the AP.Rationale: Care for the client comes first, so ambulate the patient because AP did not. Thenyou can investigate why AP did not do the task.7.A nurse is caring for a client who has prescription for lactated ringer’s IV 4080/mL24hr.The nurse should set the IV infusion pump to deliver how many mL/hr to administer halfof the total volume in the first 8 hr?Half=2040whichneedtobeadministeredin8hrs.So2040ml/8hr=255ml/hr32 of 28b.c.d.a.c.d.d.

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c.d.8.A nurse is providing teaching to a client who DM about glycosylated hemoglobin bloodtest. Which of the following statement by the client indicated an understanding of thistest?I will need to drink a glucose solution to get an accurate resultb.I will need to fast prior to taking this testnot necessaryI will use the result of this test daily to modify my insulin dosage.d.IwillusethistesttomonitorhowwellIcontrolmybloodglucose.9.A nurse is caring for a client who has CVC and develops an air embolism. Which of thefollowing actions should the nurse take?a.Placetheclientinaleftlateraltrendelenburgposition.b.Prepare the client for chest tube insertion (I put this one. -Jackie)Instruct the client to perform valsalva maneuverRemove the client catheter.Rationale: Page 98 ATI Med Surg Book.10.A nurse is assessing a client who had a colostomy 24 hr ago. Which of the followingfinding is priority?a.THe client reports a pain level of 6b.Thestomaappearsdarkpurpleincolorc.The colostomy has had no outputd.The client refuses to look at the colostomyRationale: 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 client who has new prescription for enalapril. The client reporttingling and swelling around the mouth 1hr after receiving the medication. Which of thefollowing actions should the nurse take first?a.Notifytherapidresponseteam33 of 28a.c.

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Obtain IV access.? ???- whats that drug that dilates bronchioles that areconstricted in case of an anaphylacti RXN ? i thought about that thats why i chosethis.Document findingsElevate the lower extremity.12.A nurse is admitting a client who is to undergo paracentesis for removal of ascetic fluid.Which of the following actions should the nurse take?Ensure the client has a full bladder just prior to the procedureb.WeighttheclientbeforeandaftertheprocedureAdminister a low-volume hypertonic enema the night before the procedurePlace the client in a side-lying position for the procedureRationale: Paracentesis is a procedure done to drain ascites fluid in the abdominal wallusing a trocar and a needle. Decrease in weight can be a data to assess if procedure hasbeen effective to reduce weight and remove ascites fluid in the abdominal wall.13.A nurse is admitting a client who tells the nurse he has brought a copy of his advancedirectives. Which of the following actions should the nurse take?a.Placeacopyofthedocumentintheclient'smedicalrecord.Request a social worker to review the document with the client (social workerdoes not need to review this)Ask the client to keep the document in his bedside table. (store it in a safeplace) D. Have the provider approve the document. (does not need to be approved byMD)14.A nurse is providing preop teaching to a client who is scheduled for uterine surgery andasks about the reason for the indwelling urinary catheter. Which of the followingresponses should the nurse make?The catheter will be used to administer pain medication after surgery. (notused for painmedication)b.Thecatheterwilldecompressyourbladderduringsurgery.The catheter will decrease the risk for UTI from surgery. (risk for UTI)The catheter will immobilization after surgery.34 of 28c.d.b.b.c.d.a.c.a.c.d.

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b.c.d.RR26/min-a.a.Itisacceptabletousethissoapifitmakesyoucomfortable.b.Lubricantsinmoisturizingsoapscaninterferewithadhesionofthesometimestheyaremistakenfordaydreamingandmaynotbedetectedformonths)15.A nurse is discharging a client who has a colostomy. The client states that she would liketo use her moisturizing soap to clean around the stoma. Which of the followingresponses by the nurse is appropriate?applianceYou may want to try other soaps to determine what is the best to clean aroundthe stomaUse of moisturizing soaps can contribute to skin infections. (I put this one -Jackie)Rationale: Page 240 of Funds ATI book Moisturizing soap can interfere with adherence ofpouch.16.A nurse in a clinic is assessing a 6-month-old infant. Which of the following findingsshould the nurse report to the provider?(30 - 60 is normal they can be is respiratory distress ABCS)Pulse 140/minAbdominal breathing- they are normally abdominal breathersClosed anterior fontanelRationale: page 7 peds 2016 Newborn to 1 year old: RR= 30-35/min17.A school nurse is teaching a parent about absence seizures. Which of the followinginformation should the nurse include?“Thistypeofseizurecanbe mistakenfordaydreaming”b.“Thechild usually has an aura prior toonset”c.This type of seizure last 30-60sec”( begin and end abruptly)d.“Thistype of seizure has a gradualonset”( generalized onset)18.A nurse is providing teaching about crutch safety to a client. Which of the followingclient actions indicates an understanding of the teaching?The client leans on both crutches to support body weight. (no)The client places the crutches 30cm (12in) to the front and side of each footwhile standing (6in)35 of 28c.d.a.b.a.b.canbe briefthat(

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36c.ContinuousbubblinginthewatersealchamberThe client flexes her elbows 10 degree when supporting weight by using thehandgrips. (30deg)d.Theclientkeepsheraxillae freeofpressure.(yesuseyourhandforpressure)19.A nurse is assessing a client who received a Mantoux skin test 72hr ago for TBscreening. Which of the following findings indicates a positive test?An area of ecchymosisA blister like areaAnelevatedhardenedarea.A cool, blanched area.Rationale: Page 136 of MEDSURG ATI BOOK. An induration (palpable, raised, hardenedarea) of 10 mm or greater in diameter indicates a positive skin test.20.A nurse is caring for a client who has a chest tube drainage. Which of the followingfindings indicates the nurse the presence of an air leak?Gentle bubbling in the suction chamberb.Fluid rising with inspiration and falling with expiration in the water sealchamberD. Serosanguineous fluid in the drainage collection chamber.Rationale:ATI Med Surg book page 106. Monitor the water seal chamber for continuousbubbling (air leak finding). 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 medicationreconciliation for the client. Which of the following actions should the nurse take?a.Comparenewprescriptionwiththelistofmedicationstheclientsreports.Encourage the client to make his own list after he returns to his home.Exclude nutritional supplements from the list of medication the clients reports.Include any adverse effects of the medication the client might develop.22.A nurse is caring for a toddler who has cancer and is experiencing stomatitis fromchemotherapy. Which of the following intervention should nurse implement?Apply viscous lidocaine.of 28b.c.a.b.c.d.a.d.b.c.d.a.Providesoft,nonacidicfood

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Give peroxide mouth washes.Administer antiemetics23.A nurse is teaching the family of an infant who has decreased cardiac output tocongenital heart disease. Which of the following instruction should the nurse include inthe teaching?Observeformanifestationsofhungerinordertofeedtheinfantbeforecryingoccurskeep crying to a minimum, crying increases workload of heartBathe the infant and change the bed linens daily to reduce the risk of infection.maintain the infant in supine position when sleeping.Perform infant care activities frequently and intermittently throughout the day.24.A nurse is providing teaching to a parent of a child who has varicella. Which of thefollowing statements should the nurse include in the teaching?“Yourchild can return to school after a negative titerresult.”“Yourchild can return to school 24 hours after beginningantibiotics.”c.“Yourchildcanreturntoschooloncethelesionshavecrustedover.”“Your child can return to school once the fever has subsided.”25.A nurse is providing an in-service about client evacuation during a fire. Which of thefollowing clients should the nurse instruct the staff to evacuate first?A client who has a fracture and is in balanced suspension tractionA client who uses a wheelchair and is confusedA client who is bedridden and wears a hearing aidd.Aclientwhoisambulatoryandreceivingoxygen→RESCUE26.A nurse is caring for four clients. Which of the following client data should the nursereport to the provider?A client who is 4 hr postoperative and has a heart rate of 98/minA client who has a total of 110 mL of serosanguineous fluid from a Jackson-Pratt drain within the first 24 hr following surgeryc.Aclientwhohasaprescriptionforchemotherapyandanabsoluteneutrophilcount of 75/mm3A client who has pleurisy and reports pain of a 6 on a scale of 0 to 10 whencoughing37 of 28c.d.a.b.c.d.a.b.d.a.b.c.a.b.d.

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PRIORITYAFTERABCS27.A community health nurse is working with a family that is struggling to adapt followingthe loss of a family member. Which of the following actions should the nurse take first?Encourage the family to assign specific tasks to individual family members.b.Determinetherolesofindividualfamilymembers.Assist the family to establish a daily routineRefer the family to a grief support group.Rationale: Assess first.28.A nurse is planning to delegate tasks to an A P. Which of the following tasks should thenurse assign to the AP?Record the client's BP reading by 1000- documenting VS is RNS jobObtain a client temp prior to surgery- this CT is unstable since they are goingto surgeryReposition a client- i didn't choose this because certain disease require clientsto be in certain positions.d.Measureaclient'surineoutput29.A community health nurse is planning a program to address substance use in theadolescent population. Which of the following interventions should the nurse include asa method of secondary prevention?Facilitate referrals to substance use treatment programs (tertiary)Create anti-substance use media messagesc.EstablishanearlydetectionprogramforsubstanceuseProvide education about the danger of substance abuse. (Primary)Rationale: Secondary preventions: Includes screening such as early detection.30.A nurse in an ER is planning care for a client who has abdominal trauma from a MVC.Which of the following provider prescription should the nurse implement first?Administer RBCb.PlacealargeboreIVcatheterinanupperextremity-IVFLUIDREPLACEMENTISc.Insert an indwelling urinary catheterd.Obtain a specimen for ABG analysis38 of 28c.d.d.a.a.b.c.a.b.a.

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31.A nurse is assessing a client who has a stage IV pressure ulcer and is undergoingtreatment prescribed by a wound care consultant. For which of the following findingsshould the nurse contact the consultant to revise the plan of care?a.Weightlossof5%in10daysB.A ppearance of pink tissue under escharc.Hgb 15 g/dLd.A lbumin level 4.0 g/dL32.A nurse is assessing a client who is receiving magnesium sulfate for preeclampsiawhich of the following is the nurse's priority?a.U rinary output 35 ml/hr-> 30 ml is normalb.2 + deep tendon reflexes+2 is normal3 or 4 is ABNORMALd’thyperreflexia. c.3 + pedal edemad.Respiratoryrate10/min-normalrate12-20ATIPHARM33.A nurse is developing a plan of care for an older adult client who has hearing loss.Which of the following instructions the nurse include in the plan?A.Increase the pitch of voice when speaking to the client l ow pitchB.Avoid using hand motions when speaking to the clientC.RephrasestatementsthattheclientmisunderstandsD.Ask the client to confirm an understanding of the instructions by nodding. (I put thisone -Jackie)34 A nurse is collaborating with social services in the discharge planning for a young adultclient who is below the poverty income level and will require home IV therapy. Which ofthe following resources the nurse recommend (SATA)A.Medicare Part A→must be 65 older (A; hospital care, home care, hospice, andskilled)B.MedicaidC.Adult day careD.Foodstamps39 of 28

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E.Respite care→Maybe? No. LOL. sorry paul. (yeah, no)Young Adult- 20-39Medicaid→low socioeconomic status and children.35.A nurse is reviewing legal issues in health care with a group of newlylicensed nurses. Which of the following recommendations should the nursemake?A.Overestimate clients acuity to prevent short staffingB.Obtain personal professional liability insurance coverageC.Ensure that each client has a living will on file prior to treatment.D.Place copies of incident reports in client's medical records.36.A nurse is caring for a client who is receiving intermittent enteraltube feedings. Which of the following places the client at risk foraspiration?a.Ahistoryofgastroesophagealrefluxdiseaseb.Receiving a high osmolarity formulac.Sitting in a high-Fowler’sposition during the feedingd.A residual of 65 mL 1hr postprandialRationale ATI MS p309:Complications: Aspiration of gastric secretion Causes: Reflux ofgastric fluids into the esophagus can be aspirated into the trachea.37.A charge nurse is observing a conflict between two nurses who both insistthat the charge nurse favors the other when making assignments. Which of thefollowingconflict-resolution strategiesshould the charge nurse use?A.Encourage collaboration between thetwo nurses when makingtheassignmentsB.Arrange for the nurses to have as few shifts together as possibleC.Tell the nurses that the assignments will be more equitable in the futureD.Ask each nurse to take turns making the assignmentsATI Leadership 15 Open communication among staff & b/w staff and clients can helpdefray the need for conflict resolution.38.A nurse is caring for a client who has received afirst dose of losartan.Which of

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the following adverse effects should the4 0noufr s2e8report to the provider immediately?

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A.Angioedemaairway;A/EB.CoughC.HypotensionD.ItchingPharm 252 for HTN, HF. (Cozaar)39.A nurse is caring fora client who has crohn’sdisease. Which of thefollowing should the nurse recommend for the client?A.Navy beansB.BaconC.BananaD.Hard-boiled egg40.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.Food manufacturers provide nutritioninformation voluntarilyc.Item serving size is consistent from one manufacturer to the nextd.The daily values relate to a 1,500 calorie diet2 ,000http://www.mindfulbody.com/food/nutrition/nutritional-labels41.A nurse is caring for a preschool-age child who has injuries due toa buse byher father’s partner.Which of the following actions by the nurse isa ppropriate?A.Limit visits by thefather’spartner to 30 minB.Restruct thechild’sinteraction with other children on the unitC.Allowthe father unlimited visitation with the childi assume fatherstillhas the right to see his child. He didn’t abuse him(I put this one-Jackie)D.Interview the child about the abuse with the father present.41 of 28

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42.A nurse is reviewinga client’s medicalrecord. Which of the followingfindings places the client at increased for the development of heart failure? (SATA)A.AlcoholusedisorderB.OsteoarthritisC.SleepapneaD.DiabetesmellitusE.BMI 2343.A nurse is caring for a client who has a history of depression and is experiencinga situational crisis. Which of the following actions should the nurse take first?A.Teach the client relaxation techniquesB.B.Confirmtheclient’sperceptionoftheeventC.Help the client identify personal strengths.D.Notify theclient’ssupport person.44.A nurse is administering furosemide IV bolus to a client who has fluidvolume excess. The nurse should recognize which of the following findings as anindication that the medication has been effective?A.Increased blood pressure- Loop diuretics decrease BP via making you PEEALOtB.Decreased inflammation- loops are not pain meds they are for BPC.Weightloss-excretesexcessfluidsd/tHFD.Decreased pain - Loops are for BP45.A nurse in an emergency department is assessing an adolescent who has conductdisorder. Which of the following questions is thepriorityfor the nurse to ask the client?A.“Howdo you get along with your peers atschool?”B.“Do you have thoughts of harming yourself”- safety is number 1 whenit comes to priorityC.“Howdo you manage yourbehavior?”D.“Doyou have a criminalrecord?”46.A nurse is planning care for a client who has cancer and is about to receive lowdose brachytherapy via a vaginal implant applicator. Which of the following interventionsshould the nurse include in the plan of care?A.Ambulation four timesd a i4l y2 of 28

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