ATI RN VATI COMPREHENSIVE PREDICTOR 2019 FORUM B WITH BEST SOLUTIONS

ATI RN VATI COMPREHENSIVE PREDICTOR 2019 FORUM B WITH BEST SOLUTIONS 1. A nurse is caring for a client following an open colectomy. Which of the following findings places the client at risk for delayed wound healing? - ANSWERhyperemesis 1. A home health nurse is reviewing treatment goals with a client who has diabetes mellitus. The nurse should evaluate which of the following laboratory tests to determine effective long-term management of blood glucose levels? - ANSWERA1C 1. A nurse is caring for a client who has neutropenia due to HIV. Which of the following precautions should the nurse take while caring for this client? - ANSWER-a. Use a dedicated stethoscope 1. A nurse is caring for a client who reports difficulty falling asleep at night. Which of the following actions should the nurse take? - ANSWER-Tell the client to avoid drinking fluids 1 hr before bedtime 1. A nurse is planning care for a newborn who has hyperbilirubinemia and is to receive phototherapy. Which of the following interventions should the nurse include? - ANSWER-a. Place the newborn 45 cm from the light source 1. A nurse is planning care for a client who has schizophrenia and is having difficulty expressing their feelings. Which of the following referrals should the nurse make? - ANSWER-social worker A nurse is assessing an infant who has water intoxication. Which of the following findings should the nurse expect? - ANSWER-bounding pulse A nurse is discussing the z-track administration of hydroxyzine with a newly licensed nurse. Which of the following statements indicates the newly licensed nurse understands the purpose of the technique - ANSWER-a. This technique decreases the risk of subcutaneous infiltration 1. A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan? - ANSWER-a. Monitor the client for 1 hr after meals A nurse notices smoke coming from a client's room and discovers a fire in the wastebasket. After moving the client to safety, which of the followings is the priority action? - ANSWER-a. Close the fire door on the unit A nurse is assessing a client who has delirium due to a febrile illness. Which of the following findings should the nurse expect? - ANSWER-a. Hallucinations 1. A nurse is caring for a client who has heart failure and has started taking a loop diuretic. Which of the following findings indicates the client is experiencing an adverse effect of the medication - ANSWER-decreased reflexes 1. At the start of an evening shift on a cardiac unit, a licensed practical nurse brings the nurse a list of client reports. Which of the following client reports should the nurse assess first? - ANSWER-indigestion 1. A nurse is caring for a client who has just returned to the unit following a bronchoscopy. Which of the following actions by the assistive personnel requires the nurse to intervene? - ANSWER-offer oral fluids to the client 1. A nurse on a medical unit has just received change-of-shift report. Which of the following clients should the nurse assess first? - ANSWER-a. A 68 year old client who had a myocardial infarction 2 days ago and reports chest pain as a 4 on a scale of 0 to 10 1. A nurse is assessing a client prior to performing a blood draw. The nurse should identify that an allergy to which of the following food can indicate that the client has an allergy to latex? - ANSWER-avocados 1. A nurse is preparing to witness a client's signature on an informed consent for a total knee arthroplasty. Which of the following client statements indicates the nurse should contact the surgeon? - ANSWER-a. I am thankful there are no serious complications from this type of surgery 1. A nurse is admitting a client who has antisocial personality disorder. Which of the following client behaviors should the nurse identify as consistent with this disorder? - ANSWER-a. Uses others for personal gain 1. A nurse is teaching the parent of a school-age child who has scabies about the application of permethrin 5% cream. The nurse should include which of the following as a potential adverse effect of the medication? - ANSWER-burning 1. A nurse is teaching a client who has a new prescription for digoxin. Which of the following statements should the nurse include in the teaching? - ANSWER-muscle weakness 1. A nurse is planning teaching for a client who is at 10 weeks of gestation and has a history of urinary tract infections. Which of the following information should the nurse plan to include in the teaching about UTI prevention? - ANSWER-a. Empty the bladder before and after intercourse 1. A nurse is providing discharge teaching to a client who is postpartum and plans to breastfeed. Which of the following should the nurse recommend the client increase in their diet during lactation? - ANSWER-a. Calcium 1. A nurse is providing teaching about preventing mastitis to a client who is postpartum and breastfeeding her newborn. Which of the following instructions should the nurse include? - ANSWER-a. Try to have your baby empty your breasts with each feeding." 1. A nurse is caring for a client who reports chest pain. Which of the following findings indicates myocardial damage? - ANSWER-a. Troponin I 1.8 ng/mL 1. A nurse is providing teaching about car seat safety to the parent of a term newborn. Which of the following statements by the parent indicates an understanding of the teaching? - ANSWER-a. "I should place my baby's car seat rear-facing until 6 months of age."