NGN ATI RN COMPREHENSIVE PREDICTOR RETAKE GUIDE 2020 WITH VERIFIED SOLUTIONS/A+ GRADE ASSURED

A nurse is planning care for a client who has a prescription for a bowel- training program
following a spinal cord injury. Which of the following actions should the nurse include in
the plan of care?
A. Encourage a maximum fluid intake of 1,500 ml per day.
B. Increase the amount of refined grains in the client’s diet.
C. Provide the client with a cold drink prior to defecation.
D. Administer a rectalsuppository 30 minutes priorto scheduled
defecation times .
2. A nurse in a pediatric unit is preparing to insert an IV catheter for 7-year-old. Which of the
following actions should the nurse take?
A. (Unable to read)
B. Tell the child they will feel discomfort during the catheter insertion.
C. Use a mummy restraint to hold the child during the catheter insertion.
D. Require the parentsto leave the room during the procedure.
3. A nurse is caring for a client who has an arteriovenous fistula. Which of the following
findings should the nurse report?
A. Thrill upon palpation.
B. Absence of a bruit.
C. Distended blood vessels
D. Swishing sound upon auscultation.
4. A nurse is providing discharge teaching for a client who has a new implantable cardioverter
defibrillator (ICD). which of the following statements demonstrates understanding of the
teaching?
A. “I will soak in the tub rather and showering”
B. “I will wear loose clothing around my ICD”
C. “I will stop using my microwave oven at home because of my ICD”
D. “I can hold my cellphone on the same side of my body as the ICD”
NGN ATI RN COMPREHENSIVE PREDICTOR RETAKE GUIDE 2020
WITH VERIFIED SOLUTIONS/A+ GRADE ASSURED
5. A nurse is caring for a client who is at 14 weeks gestation and reports feelings of
ambivalence about being pregnant. Which of the following responses should the nurse
make?
A. “Describe your feelingsto me about being pregnant”
B. “You should discuss yourfeelings about being pregnant with your
provider”
C. “Have you discussed these feelings with your partner?”
D. “When did you start having these feelings?”
6. A nurse is caring for a client who isin active labor and requests pain management. Which
of the following actions should the nurse take?
A. Administer ondansetron.
B. Place the client in a warm shower.
C. Apply fundal pressure during contractions.
D. Assist the client to a supine position.
7. a nurse in an emergency department is performing triage for multiple clientsfollowing a
disaster in the community. To which of the following types of injuries should the nurse
assign the highest priority?
A. Below-the knee amputation
B. Fractured tibia
C. 95% full-thickness body burn
D. 10cm (4in) laceration to the forearm
8. A nurse is planning for a client who practices Orthodox Judaism. The client tellsthe nurse
that (Unable to read) Passover holiday. Which of the following action should the nurse
include in the plan of care?
A. Provide chicken with cream sauce.
B. Avoid serving fish with fins and scales.
C. Provide unleavened bread.
D. Avoid serving foods containing lamb.
9. A nurse is caring for a client who has a pulmonary embolism. How should the nurse should
identify the effectiveness of the treatment?
NGN ATI RN COMPREHENSIVE PREDICTOR RETAKE GUIDE 2020
WITH VERIFIED SOLUTIONS/A+ GRADE ASSURED
A. A chest x-ray reveals increased density in all Nelds.
B. The client reportsfeeling less anxious.
C. Diminished breath sounds are auscultated bilaterally
D. ABG results include Ph 7.48 PaO2 77 mm Hg and PaCO2 47 mm Hg.
10. A nurse in an emergency department is assessing a client who reports ingesting thirty
diazepam tablets and now has a respiratory rate of 10/min. After securing the client’s
airway and initiating an IV, which of the following actions should the nurse do next.
A. Monitor the client’sIV site forthrombophlebitis.
B. Administer Flumazenil to the client.
C. Evaluate the client forfurthersuicidal behavior.
D. Initiate seizure precautionsforthe client.
11. a nurse manager is updating protocols for the use of belt restraints. Which of the following
guidelines should the nurse include?
A. Remove the client’srestraint every 4hr
B. Document the client’s condition every 15 min
C. Attach the restrain to the bed’sside rails
D. Request a PRN restrain prescription for clients who are aggressive
12. A nurse isteaching an in-service about nursing leadership. Which of the following
information should the nurse include about an effective leader?
A. Acts as an advocate for the nursing unit.
B. (Unable to read) for the unit
C. Prioritiesstaff request over client needs.
D. Providesroutine client care and documentation.
13. A nurse is reviewing the laboratory findings of a client who has diabetes mellitus and
reportsthat she has been following her (unable to read) care. The nurse should identify
which of the following findings indicates a need to revise the client’s plan of care.
A. Serum sodium 144 mEq/
B. (Unable to read)
C. Hba1c 10 %
D. Random serum glucose 190 mg/dl.
14. A nurse in a provider’s office isreviewing the laboratory results of a group of clients. The
nurse should identify that which of the following sexually transmitted infectionsis a
NGN ATI RN COMPREHENSIVE PREDICTOR RETAKE GUIDE 2020
WITH VERIFIED SOLUTIONS/A+ GRADE ASSURED
nationally notifiable infectious disease that should be reported to the state health
department?
A. Chlamydia
B. Human papillomavirus
C. Candidiasis
D. Herps simplex virus
15. A nurse isteaching a newly licensed nurse about therapeutic techniquesto use when
leading a group on a mental health unit. Which of the following group facilitation
techniques should the nurse include in the teaching?
A. Share personal opinionsto help influence the group’s values
B. Measure the accomplishments of the group against a previous group
C. Yield in situations of conflictsto maintain group harmony
D. Use modeling to help the clientsimprove their interpersonal skills
16. A nurse in an emergency department is caring for a client who reports cocaine use 1hr ago.
Which of the following findings should the nurse expect?
A. Hypotension
B. Memory loss
C. Slurred speech
D. Elevated temperature
17. A nurse is assessing a newborn who has a blood glucose level of 30 mg/dl. Which of the
following manifestations should the nurse expect?
A. Loose stools
B. Jitteriness
C. Hypertonia
D. Abdominal distention
18. A nurse in a pediatric clinic isreviewing the laboratory test results of a school age child.
Which of the following findings should the nurse report to the provider?
A. Hgb 12.5 g/dl
B. Platelets 250,000/mm3
C. Hct 40%
D. WBC 14,000/mm3
NGN ATI RN COMPREHENSIVE PREDICTOR RETAKE GUIDE 2020
WITH VERIFIED SOLUTIONS/A+ GRADE ASSURED
19. A charge nurse is teaching a newly licensed nurse about clients designating a health care
proxy in situations that require a durable power of attorney for heal care (DPSHC). Which
of the following information should the charge nurse include?
A. “The proxy should make health care decisionsfor the client regardless of the client’s
ability to do so.”
B. “The proxy can make financial decisionsif the need arises.”
C. “The proxy can make treatment decisions if the client is under anesthesia”
D. “The proxy should manage legal issuesfor the client”
20. A nurse in the PACU is caring for a client who reports nausea. Which of the following
actions should the nurse take first?
A. Turn the client on their side.
B. Administer an analgesic
C. Administer antiemetic
D. Monitor the client’s vitalsigns.
21. A nurse is caring for a client who has a history of depression and is experiencing a
situational crisis. Which of the following actions should the nurse take first?
A. Confirm the client’s perception of the event
B. Notify the client’ssupport system
C. Help the client identify personalstrengths
D. Teach the client relaxation techniques
22. A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. The
nurse obtained a verbal prescription for restraints. Which of the following actions should
the nurse take?
A. Request a renewal of the prescription every 8 hr.
B. Check the client’s peripheral pulse rate every 30 min
C. Obtain a prescription forrestraint within 4 hr.
D. Document the client’s condition every 15 minutes.
NGN ATI RN COMPREHENSIVE PREDICTOR RETAKE GUIDE 2020
WITH VERIFIED SOLUTIONS/A+ GRADE ASSURED
A. Place the client upright on a donut-shaped
cushion
23. A charge nurse on a medical-surgical unit is planning assignments for a licensed practical
nurse (LPN) who has been sent from the (Unable to read) unit due to a staffing shortage.
Which of the following client should the nurse delegate to the LPN?
A. A client who has an Hgb of 6.3 g/dl and a prescription for packed RBCs.
B. A client who sustained a concussion and has unequal pupils.
C. A client who is postoperative following a bowel resection with an NG
tube set to continuous suction .
D.Aclient
who fractured hisfemur yesterday and is experiencing shortness of breath.
24. A nurse working on a surgical unit is developing a care plan for a client who has paraplegia.
The client has an area of no blanchable erythema over his ischium. Which of the following
interventions should the nurse include in the care plan?
B. Teach the client to shift his weight every 15 min while sitting
C. Turn and reposition the client every 3 hr while in bed
D. Assess pressure points every 24 hr
25. A nurse is caring for a client who is dilated to 10 cm and pushing. Which of the following
pain-management (Unable to read) a safe option for the client?
A. Naloxone hydrochloride.
B. Spinal anesthesia.
C. Pudendal block.
D. Butorphanol tartrate.
26. C
27. A nurse is assessing a client who has major depressive disorder. Which of the following
findings should the nurse identify which statement made by the client as the priority to
follow up on?
A. The client changesthe subject when future plans are mentioned.
B. The client talks about being in pain constantly.
C. The clientsleeping over 12 hr. each day.
D. The client reports giving away personal items.
28. A nurse is providing teaching about immunizations to a client who is pregnant. The nurse
should inform the client that she can receive which of the following immunizations during
pregnancy? (Select all that apply)
NGN ATI RN COMPREHENSIVE PREDICTOR RETAKE GUIDE 2020
WITH VERIFIED SOLUTIONS/A+ GRADE ASSURED
A. Varicella vaccine.
B. Inactivated polio vaccine.
C. Tetanus diphtheria and acellular pertussis vaccine
D. Rubella vaccine.
E. Inactivated influenza vaccine.
29. A nurse is caring for a client who has end-stage kidney disease. The client’s adult child asks
the nurse about becoming a living kidney donor for her father. Which of the following
condition in the child’s medical history should the nurse identify as a contraindication to the
procedure?
A. Amputation
B. Osteoarthritis
C. Hypertension
E. Primary glaucoma
30. A nurse is providing discharge teaching for a group of clients. The nurse should recommend
a referral to a dietitian
A. A client who has a prescription for warfarin and states “I will need to limit how much
B. A client who has gout and states, “I can continue to eat anchovies on
my pizza.”
C. A
client who has a prescription forspironolactone and states “I will reduce my intake of
foods that contain potassium”.
D. A client who has (Unable to read) and states “I’ll plan to take my calcium carbonate with
a full glass of water”.