ATI RN COMPREHENSIVE PREDICTOR EXAM 2020 WITH VERIFIED SOLUTIONS/A+ GRADE ASSURED

A nurse is assessing a client who received 2 units of packed RBCs 48 hrs ago. Which of the
following findings should indicate to the nurse that the therapy has been effective?
Answer:
Hemoglobin 14.9 g/dL
The nurse should identify that packed RBCs are administered to clients who
have a decreased level of hemoglobin or hematocrit. This hemoglobin level is
within the expected reference range of 14 to 18 g/dL for males and 12 to 16 g/dL
for females, indicating the therapy has been effective.
A nurse working in an emergency department is triaging four clients. Which of the
followingclients should the nurse recommend for treatment first?
Answer:
A middle adult client who has unstable vital signs.
Using the stable vs unstable approach to client care, the nurse should recommend
priority treatment for the client who has unstable vital signs because this client
requires immediate treatment to reduce the risk of further injury or possible
death.
A nurse is caring for a client who has fluid volume overload. Which of the following
tasksshould the nurse delegate to the CNA?
Answer:
Measure the client’s daily weight
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It is within the CNAs range of function to measure a client’s daily weight, so the nurse
should delegate this task to them.
A nurse is preparing to administer mannitol 0.2g/kg IV bolus over 5 min as a test dose to a
client who has severe oliguria. The client weighs 198lb. What is the amount in grams the
nurse should administer?
Answer:
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18 g
A nurse is conduction a physical examination for an adolescent and is assessing the range of
motion of the legs. Which of the following images indicates the adolescent is abducting the hip
joint?
Answer:
In the correct image, the adolescent is abduction the hip joint by moving the leg away
from the midline of the body.
A nurse is caring for a client who has hyperthyroidism. Which of the following findings
shouldthe nurse expect?
Answer:
Tremors
Tremors are a manifestation of hyperthyroidism, along with tachycardia, diaphoresis,
weight loss, insomnia, and exophthalmia.
A nurse is assessing a school-aged child who has bacterial meningitis. Which of the following
findings should the nurse expect?
Answer:
Nuchal rigidity
This is a manifestation of bacterial meningitis.
A nurse is assessing a newborn’s heart rate. Which of the following actions should the nurse
take?
Answer:
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Auscultate the apical pulse at least 1 min.
The nurse should auscultate the apical pulse to obtain an accurate assessment of
heart rate and rhythm. Auscultation of a newborn’s heart sounds can be difficult
because of the rapid rate and the transmission of respiratory sounds.