ATI Comprehensive Predictor Exam (QUESTIONS AND ANSWERS) (2020) | (Complete Solution Guides)

ATI Comprehensive Predictor Exam (QUESTIONS AND ANSWERS) (2020) | (Complete Solution Guides)

. 1.       A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate intravenously. The nurse discontinues the magnesium sulfate after the client displaces toxicity. Which of the following actions should the nurse take?

a.       Position the client supine

b.      Prepare an IV bolus of dextrose 5% in water c.       Administer methylergonovine IM

d.       Administer calcium gluconate IV

Calcium gluconate is given for magnesium sulfate toxicity. Always have an injectable form of calcium gluconate available when administering magnesium sulfate by IV.

2.       A charge nurse is teaching new staff members about factors that increase a client’s risk to become violent. Which of the following risk factors should the nurse include as the best predictor of future violence?

a.       Experiencing delusions b.      Male gender

c.     Previous                                                          violent                                                    behavior

d.      A history of being in prison

Risk factors also include: past history of aggression, poor impulse control, and violence. Comorbidity that leads to acts of violence (psychotic delusions, command hallucinations, violent angry reactions with cognitive disorders).

Individual Assessment for Violence

3.   A nurse is preparing to perform a sterile dressing change. Which of the following actions should the nurse take when setting up the sterile field?

a.     Place                   the                            cap      from               the       solution           sterile  side      up on   clean             surface

b.      Open the outermost flap of the sterile kit toward the body→ flap AWAY from the body's first

c.       Place the sterile dressing within 1.25 cm (0.5in) of the edge of the sterile field → 2.5 cm

(1-inch) border around any sterile drape or wrap that is considered contaminated.

d.      Set up the sterile field 5 cm (2 in) below waist level→ it says BELOW waist level; should be ABOVE waist level

4.   A nurse is providing teaching to an older adult client about methods to promote nighttime sleep. Which of the following instructions should the nurse include?

a.     Eat        a                                         light                  snack  before bed      time

b.      Stay in bed at least 1 hr if unable to fall asleep c.       Take a 1 hr nap during the day

d.      Perform exercises prior to bedtime

5.   A home health nurse is preparing for an initial visit with an older adult client who lives alone. Which of the following actions should the nurse take first?

a.       Educate the client about current medical diagnosis b.      Refer the client to a meal delivery program

c.     Identify environmental            hazards           in         the       home

d.      Arrange for client transportation to follow