ATI PN COMPREHENSIVE PREDICTOR FORM B

1. A nurse is reinforcing teaching with a parent of a 4 month old infant during a home visit. Which of the following statements by the parent indicates an understanding of the teaching? I will use the cool mist vaporizer in my baby's room 2. A nurse is reinforcing teaching with a client who has a new prescription for verapamil. Which of the following instructions should the nurse include in the teachings? Change positions slowly 3. A nurse receives change of shift report for a group of clients. Which of the following clients should the nurse check first? A client admitted to the facility who has ascending Guillain barrel syndrome 4. A nurse is caring for a client who has chlamydial infection and the new prescription for doxycycline the client reports nausea and vomiting after starting medication. Which of the following recommendations should the nurse make? Take the medications with crackers 5. A nurse is caring for a client who is postoperative following joint replacement and has a new prescription for enoxaparin for which of the following adverse effects should the nurse monitor? Epistaxis 6. A nurse is collecting a health history from a parent of 4 year old child. Which of the following statements to be is the priority for the nurse to address? I have noticed that my child is withdrawn since we switched day care providers 7. A nurse is caring for a client who has heart failure and is taking furosemide. Which of the following findings should the nurse recognize as an adverse effect of this medication? hypokalaemia 8. A nurse is reinforcing teaching about home safety with a parent of a 12 month old infant. Which of the following statements by the parent indicates understanding of the teaching? I will turn pot handles to the side of the stove while cooking 9. A nurse in an inpatient psychiatric unit is caring for a client who was raised in an Asian culture which of the following communication techniques by the nurse demonstrates cultural sensitivity? Holding eye contact for brief instances 10. A nurse is checking for gastric residual volume (GRV) on a client who is scheduled to receive an intermitted enteral feeding the nurse finds the client to have a GRV greater than 250 ML on two consecutive measurements. Which of the following actions should the nurse take? Hold the feeding and recheck the GRV in 1 Hr 11. A nurse on a medical surgical unit is assigning tasks to assistive personnel (AP) which of the following tasks should the nurse delegate to the AP? Performing indwelling urinary catheter care 12. A nurse is caring for a client who has terminal cancer which of the following actions should the nurse take to promote the clients autonomy? Be honest with the client about prognosis 13. A nurse finds client's partner crying in the hallway the partner states I just don't know how I am to go on after my husband is gone. Which of the following responses should the nurse make? Explain to me more about how you are feeling 14. A nurse is caring for an adolescent client who has bulimia nervosa. Which of the following action should the nurse take? Observe the client during and after meals 15. A nurse is checking a client who is postoperative and has a midline abdominal incision. The nurse notes a separate of the incision. Which of the following actions should the nurse take? Place the client supine with the knee flexed 16. A nurse is caring for a school age child who has ADHD and is taking methylphenidate. The nurse should identify which of the following is the adverse effect of this medication? Tinnitus 17. A nurse is administering medication to a client. Which of the following actions should the nurse take? Verify with another nurse when calculating a new dose of medication 18. A nurse is preparing to administer protamine to a client. Which of the following therapeutic effects should the nurse expect to document in the clients medical record? Decreased clotting time 19. A nurse is caring for a client in a mental health facility who is pacing back and forth and wringing his hands. Which of the following actions should the nurse take? Walk with the client to the recreation room 20. A nurse is caring for a client who is 2 days postoperative following an above the knee amputation. Which of the following actions should the nurse take to promote progression toward independence and mobility for the client? Encourage the client to use the over the bed trapeze