ATI PN COMPREHENSIVE PREDICTOR RETAKE GUIDE WITH VERIFIED SOLUTIONS/A+ GRADE ASSURED

A nurse in a long term care facility notices a client who has Alzheimer’s disease standing at the
exit doors at the end of the hallway. The clients appear to be anxious and agitated. Which of the
following actions should the nurse take? - Answer - escort the client to a quiet area on the
nursing unit
rationale: a client who has Alzheimer disease experiences chronic confusion. Guiding the client
to a quiet, familiar area will help decrease agitation.
A nurse is assisting with the plan of care for a client who has a continent urinary division. Which
of the following interventions should the nurse plan to implement to facilitate urinary
elimination? - Answer - Use intermittent urinary catheterization for a client at regular intervals
A nurse is assisting with a educational program about car restraint safety for a group of parents.
Which of the following statements by a parent indicates an understanding of the instructions? -
Answer - My 12-year-old child should place the shoulder lap belt low across his hips
A nurse is reinforcing teaching about strategies to promote eating with a client who has COPD.
Which of the following instructions should the nurse include in the teaching? - Answer - Drink
high protein and high calorie nutritional supplements
A nurse is supervising an assistive personnel who is preparing to remove her personal protective
equipment after providing direct care to a client who requires airborne and contact precautions.
the nurse should recognize that the AP understands the procedure when she removes which of
the following PPE first? - Answer - Gloves
A nurse is caring for a client who is crying and states that his provider informed him that he has a
tumor and will need a biopsy. Which of the following responses should the nurse make? -
Answer - What have you done in the past to help yourself get through stressful situations
before?
A nurse is inspecting the skin of a newborn. Which of the following findings should the nurse
report to the provider - Answer - Generalized petechiae
*petechiae all over the newborn's body can indicate infection or a decreased platelet count
Norm Findings:
ATI PN COMPREHENSIVE PREDICTOR RETAKE
GUIDE WITH VERIFIED SOLUTIONS/A+ GRADE
ASSURED
-Milia - on the face-tiny, white, raised papules are sebaceous glands which secrete oil to lubricate
hair. resolve 2 to 4 weeks.
-Lanugo - fine, downy hair commonly covers the torso, upper extremities, ears, and forehead
gone in 2 wks.
-Mongolian spots-skin pigmentation on the back and buttocks, frequently found on newborns
with ethnic origins in Africa, Asia, or Latin America.
A nurse is contributing to a teaching plan for a group of male adolescents about the adverse
effects of anabolic steroid use. Which of the following manifestations should the nurse include -
Answer - Reduced height potential
A nurse is reinforcing teaching with an older adult client who has a severe left sided heart failure.
Which of the following statements should the nurse make - Answer - Rest 15 minutes between
activities
A nurse in a long term care facility is documenting the care of an older client. Which of the
following information should the nurse include in the weekly nursing care summary - Answer -
Hydration status
A nurse is caring for a client who has a head injury. using the gasgow coma scale collection data,
the nurse should obtain which of the following information - Answer - motor response
A home health nurse is reinforcing teaching with a client about the use of elastic stockings to
decrease peripheral edema. which of the following instructions should the nurse include? -
Answer - apply stockings in the morning
A nurse in a providers office is obtaining a health history from a client who is scheduled to
undergo a cardiac catheterization in 2 days. which of the following questions is the - Answer -
Do you know if your allergic to iodine
A nurse is planning to administer nystatin oral suspension to a client who has oral candiasis.
which of the following instructions should the nurse give to the client - Answer - Hold the
medication in your mouth for several minutes prior to swallowing
A nurse is preparing to care for the assigned clients on her upcoming shift. which of the
following time management strategies should the nurse plan to use? - Answer - prepare a
priority list of client needs for the shift
A nurse is preparing to witness a client who is scheduled for surgery sign a informed consent.
which of the following actions should the nurse take? - Answer - Ask the client if he
understands the procedure
a nurse in an inpatient mental health clinic is caring for a newly admitted client who has alcohol
use disorder. during a therapy session, the client asks about alcoholics anonymous. which of the
following responses should the nurse make? - Answer - What is your current understanding
about the purpose of AA