ATI comprehensive predictor STUDY...

Nclex readiness ScienceMedicineNursing joseph_Rood Save ATI comprehensive predictor STUDY...198 terms h_trtPreview VATI Comprehensive Predictor NCL...175 terms robncashPreview VATI Green Light Comprehensive fo...Teacher 432 terms TopQuality89Preview NCSBN 408 term AN What intervention is essential prior to starting a client on atorvastatin therapy?

• Assessing for muscle strength
• Assessing the client's dietary intake
• Determining if the client is on digoxin therapy
• Monitoring liver function tests
• Assessing the client's dietary intake

The nurse provides discharge instructions to a client at 14 weeks gestation who has received a prophylactic cervical cerclage. Which client statement indicates an understanding of teaching?

• "I need to be on bed rest for the duration of my pregnancy."
• "I will notify my health care provider if I start having low back aches."
• "Pelvic pressure is to be expected after cerclage placement."
• "The cerclage will be removed once my baby is at 28 weeks."
• "I will notify my health care provider if I start having low back aches."

During the first prenatal assessment, the client reports the last normal menstrual period starting on March 1 and ending on March 5, but also slight spotting on March 23. The client had unprotected intercourse on March 15. Using Naegele's rule, what is the estimated date of birth?

• December 8
• December 12
• December 22
• December 30
• December 8

A female client with liver cirrhosis and chronic anemia is hospitalized for a deep venous thrombosis. The client is receiving a heparin infusion and suddenly develops epistaxis. Which laboratory value would indicate that the heparin infusion needs to be turned off?

• Hematocrit of 30% (0.30)
• Partial thromboplastin time of 110 seconds
• Platelet count of 80,000/mm3 (80 x 109/L)
• Prothrombin time of 11 seconds
• Partial thromboplastin time of 110 seconds

A major earthquake has occurred. Local gas lines and water pipes are breaking with resulting fires and flooding in collapsed buildings. Multiple victims arrive at the triage area. Which client should the nurse care for first?

• Client with charred, leathery skin over entire back, chest, and legs
• Client with cool skin, shivering from sitting in water until rescued
• Client with diabetes who was unable to take prescribed insulin today
• Client with high-pitched, crowing inspiratory respirations
• Client with high-pitched, crowing inspiratory respirations

The nurse prepares to administer clozapine to a client with schizophrenia. Which client statement would require priority investigation before administering the medication?

• "I have gained a few pounds since I started this medication."
• "I have had a sore throat for 3 days and feel feverish today."
• "I have noticed increased salivation and drooling."
• "I often feel sleepy when I take this medication."
• "I have had a sore throat for 3 days and feel feverish today."

The post-anesthesia care unit nurse receives report on a client after abdominal surgery. What sounds would the nurse expect to hear when auscultating the bowel?

• Absent bowel sounds
• Borborygmi sounds
• High-pitched and gurgling sounds
• Swishing or buzzing sounds
• Absent bowel sounds

The nurse is admitting a client with a possible diagnosis of Guillain-Barré syndrome. When collecting data to develop a plan of care for the client, the nurse should give priority to which of the following items?

• Orthostatic blood pressure changes
• Presence or absence of knee reflexes
• Pupil size and reaction to light
• Rate and depth of respirations
• Rate and depth of respirations

The unlicensed assistive personnel on the cardiac floor reports to the registered nurse that during the first vital sign measurement on the shift, a client's blood pressure measured 198/102 mm Hg on the automated blood pressure machine. What action should the nurse take first?

• Have the unlicensed assistive personnel recheck the client's blood pressure
• Immediately notify the health care provider
• Obtain the client's PRN labetalol from the medication dispensing machine
• Recheck the client's blood pressure with a manual cuff
• Recheck the client's blood pressure with a manual cuff

The nurse is triaging clients in the emergency department. Which client needs to be seen first?

• 18-year-old female with fever, suprapubic pain, and dysuria
• 21-year-old male with diffuse abdominal pain and a rigid abdomen
• 64-year-old male with a pulsatile mass in the periumbilical area and back pain
• 75-year-old with nausea, fever, and left lower quadrant pain
• 64-year-old male with a pulsatile mass in the periumbilical area and back pain

The nurse working on an orthopedic unit is receiving report on 4 clients with recent fractures. Which client should the nurse assess first?

• Client who has a femur fracture with a rash of pin-sized red spots on the chest and increased restlessness
• Client who has purulent drainage oozing from a skeletal traction pin insertion site and a temperature of 100.8 F (38.2 C)
• Client with a hip fracture receiving continuous IV saline with bilateral 2+ pitting leg edema and a blood pressure of 176/89 mm Hg
• Client with a rib fracture who is breathing at a rate of 23/min and is reporting 8/10 pain that is worse with inspiration
• Client who has a femur fracture with a rash of pin-sized red spots on the chest and increased restlessness

The nurse plans discharge teaching for a client with active herpes lesions who has a new prescription for oral acyclovir and topical lidocaine.What information will the nurse include in the teaching plan?

• Adhesive bandaging should remain on the lesions to prevent virus shedding
• Blood tests will be drawn to ensure the virus is eradicated
• Condoms should be used during intercourse until the lesions are healed
• Gloves should be used to apply the medication to the lesions
• Gloves should be used to apply the medication to the lesions

The nurse receives an obese client in the postanesthesia care unit who underwent a procedure under general anesthesia. The nurse notes an oxygen saturation of 88%. Which is the most appropriate initial intervention?

• Assess pupillary response
• Auscultate lung sounds
• Inform anesthesia professional
• Perform head tilt and chin lift
• Perform head tilt and chin lift

A newly reassigned nurse enters a hospital room at the beginning of the shift and finds the client unconscious and unresponsive. Resuscitation is initiated and then continued by the rapid response team. The nurse realizes that there is a do not resuscitate (DNR) prescription posted in the client's chart. Which action is correct?

• Stop all resuscitation activity immediately
• Continue resuscitation until DNR status is verified with health care provider
• If client shows any signs of life, follow advanced cardiovascular support protocol until stable
• Once resuscitation has begun, complete it regardless of client code status
• Stop all resuscitation activity immediately

A client recently diagnosed with a major depressive disorder reports use of herbal supplements. It is most important for the nurse to provide education about which supplement reported by the client?

• Echinacea
• Garlic
• Glucosamine
• St John's wort
• St John's wort

A nurse is caring for a college athlete who was recently diagnosed with moderate persistent asthma. Which common asthma trigger should the nurse teach this client to avoid?

• Latex-containing products
• Penicillin antibiotics
• Secondhand cigarette smoke
• Strenuous physical activity
• Secondhand cigarette smoke

A client with a diagnosis of schizophrenia with catatonia has recently been admitted to the psychiatric unit. Which of the following is the priority nursing diagnosis?

• Impaired social interaction
• Impaired verbal communication
• Risk for deficient fluid volume
• Risk for impaired skin integrity
• Risk for deficient fluid volume

The nurse is caring for 4 clients. Based on the assessment data, which client does the nurse anticipate the health care provider transferring to the intensive care unit?

• 36-year-old with alcohol abuse who is prescribed IV lorazepam every 3 hours for agitation and has a blood pressure of 190/98 mm Hg and

serum magnesium level of 1.5 mEq/L (0.75 mmol/L)

• 56-year-old with stable angina who has chest and jaw pain relieved with nitroglycerin, blood pressure of 98/70 mm Hg, and dizziness when

getting up

• 60-year-old with chronic kidney disease who has a blood pressure of 168/88 mm Hg, serum creatinine level of 5.0 mg/dL (442 µmol/L), and

reports nausea and itching

• 82-year-old with pressure injury who has a change in mental status, temperature of 96.4 F (35.8 C), pulse of 110/min, and blood pressure of

96/72 mm Hg

• 82-year-old with pressure injury who has a change in mental status, temperature of 96.4 F (35.8 C), pulse of 110/min, and blood pressure of

96/72 mm Hg The charge registered nurse (RN) on a medical-surgical unit is responsible for making assignments. Which assignment made by the RN is most appropriate?

• A licensed practical nurse (LPN) assigned to a client receiving blood transfusions
• A student nurse assigned to a client who requires frequent intravenous pain medication
• An LPN assigned to a client 2 days postoperative appendectomy scheduled to be discharged today
• An RN assigned to a client 1 day postoperative repair of a compound fracture
• An RN assigned to a client 1 day postoperative repair of a compound fracture