ATI PN COMPEHENSIVE PREDICTOR WITH NGN WITH  COMPLETE SOLUTIONS

ATI PN COMPEHENSIVE PREDICTOR WITH NGN WITH 
COMPLETE SOLUTIONS
A nurse is caring for a client who is in bed and experiencing a toni-clonic 
seizure. Which of the following actions should the nurse take? Place the 
bed in the lowest position
A nurse is preparing to irrigate a wound of a client who has methicillinresistant Staphylococcus aureus (MRSA).The nurse should use which of the 
following personal protective equipment? A face shield
A nurse is collecting data for a client who has been recieving 
medroxyprogesterone acetate (Depo- Provera) for the past 6 months. Which of 
the following statements made by the client should be reported to the 
provider? "I'm experiencing calf pain"
A nurse is reinforcing teaching with a new mother regarding the use of breast 
milk. Which of the following statements by the mother indicates an 
understanding of the teaching? "I can store my breast milk in the freezer 
for up to 6 months"
A nurse in a long-term care facility is caring for a client who has spinal cord 
injury. The client is demonstrating manifestations of autonomic dysreflexia. 
Which of the following actions should the nurse take first? Check the client 
for bladder distention.
Loosen the client's clothing.
A nurse is reinforcing dietary teaching with a client who has cholecystitis. 
Which of the following food choices should indicate that the client 
understands the teaching? Skim milk
A nurse is caring for a client who has a new mastectomy. Which of the 
following statements by the client should indicate to the nurse that the client 
is beginning to cope with the changes in her body image? I am afraid to 
discuss my concerns with my husband
An assistive personnel tells the charge nurse that her assignment is too 
demanding. She angrily tells the nurse to reassign one of her tasks to another 
AP. Which of the following actions should the nurse take to resolve the 
conflict? Ask the AP to discuss the issue in a private area
A nurse is supervising an assistive personnel (AP) obtain supplies for a client 
who is on seizure precautions. Which of the following materials should the AP 
place in the client's room? Oral Suction Equipment
A charge nurse on a mental health unit is supervising a newly licensed nurse. 
For which of the following actions by the newly licensed nurse should the 
supervising nurse intervene? Tells a client he will lose his phone privileges if 
he does not take his medication
A nurse is caring for a client who follows a kosher diet. Which of the following 
menu items should the nurse include in the meal tray? Roasted Salmon
A nurse is reviewing information about advance directives with a newly 
admitted client. Which of the following statements by the client indicates an 
understanding of the information? "Advance directives include a living will"
A nurse is collecting data from the caregiver of a client who has Alzheimer's 
disease. The caregiver reports the client has difficulty sleeping at night and 
wanders throughout the house. Which of the following interventions should 
the nurse recommend? Encourage the client to take frequent walks during 
the day
A nurse is assisting in the care of a client who is 8hr postpartum and has 
uterine atony with increased bleeding. Which of the following actions should 
the nurse take? (Select all that apply) Assist the client to empty her 
bladder
A nurse is reinforcing teaching with the support person of a client who is in 
the first stage of labor. Which of the following instructions should the nurse 
include regarding effleurage?"Gently stroke her abdomen during 
contractions"
A nurse is caring for an older adult client who is postoperative following a 
total hip arthroplasty. The client is incontinent of stool and urine. Which of the 
following actions should the nurse take to prevent skin breakdown? Use a 
moisture barrier on the client's skin
A nurse is caring for a client who has terminal cancer. Which of the following 
actions should the nurse take to promote the client's autonomy? Allow the 
client to choose treatment times
A nurse in a clinic is caring for a client who is at 40 weeks of gestation and 
experiences a sudden gush of vaginal fluids. Which of the following findings is 
evidence of an obstetric complication? Appears greenish-brown in color
A nurse is assisting with the care of an adolescent client immediately 
following a lumbar puncture. Which of the following actions should the nurse 
take? Inform the adolescent that he might experience a headache
A nurse is reinforcing teaching about advance directives with a client who 
has end-stage heart failure. Which of the following statements by the client 
indicates an understanding of the teaching? "I should discuss this 
document with my family after I sign it"
A nurse is caring for a client who has continuous bladder irrigation following 
a transurethral resection of the prostate. The nurse notices clots and dark red 
blood in the catheter collection bag. Which of the following actions should the 
nurse take?Irrigate the bladder with 20 to 30 mL of 0.9% sodium chloride
A nurse is planning to obtain a 12-lead ECG for a client who has a history of 
cardiac dysrhythmias. Which of the following actions should the nurse plan to 
take? Instruct the client to remain as still as possible during the recording
A nurse is reinforcing teaching with a client who has genital herpes. Which of 
the following information should the nurse include in the teaching? "You 
should increase fluid intake to relieve dysuria"
A nurse is preparing to empty a postoperative client's closed-wound drainage 
system. Which of the following actions should the nurse plan to take?
Compress the container before replacing the drainage plug
A nurse is reinforcing teaching with the parents of a toddler who has a new 
diagnosis of asthma and a prescription for montelukast. Which of the 
following instructions should the nurse include in the teaching? Administer 
the medication to the toddler each evening
A nurse in an acute mental health facility is caring for a newly admitted 
client. Which of the following should occur during the orientation phase of the 
nurse-client relationship? Defining responsibilities
A nurse is caring for a client who reports having a decrease in fetal 
movement following an external cephalic version 6 hr ago. The nurse 
identifies the fetus is in the right occiput anterior position. The nurse should 
place the fetal heart monitor on which of the following sites to auscultate the 
fetal heart rate? Lower left
A charge nurse is observing a newly licensed nurse perform suctioning for a 
client who has a tracheostomy. For which of the following actions by the 
newly licensed nurse should the charge nurse intervene? Suction for 30 
seconds
A nurse is reviewing the medication administration record of a client who 
takes atenolol PO and supplies a nitroglycerin transdermal patch daily. Which 
of the following interactions should the nurse monitor with this client?
Hypotension