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NGN ATI RN COMPREHENSIVE
PREDICTOR EXAM 202 5 LATEST 180
QUESTIONS WITH DETAILED VERIFIED
SOLUTIONS AND RATIONALE /A+ GRADE
ASSURED
A nurse is preparing to reposition a client who has a stroke. Which action should the nurse take? a. Evaluate the client's ability to help with repositioning b. Reposition client without the use of assistive device c. Raise the side rails on both sides of the client's bed during reposition d. Discuss the client's preferences for determining a reposition schedule - ...ANSWER...a. Evaluate the client's ability to help with repositioning A nurse is providing discharge teaching to a client who is post-op following the repair of a detached retina. Which statements by the client indicate understanding of the teaching? a. I can go jogging after 2 weeks b. I should bend at the waist when putting on my shoes c. I can lift objects that are less than 10 lbs d. I can resume activities, such as sewing - ...ANSWER...c. I can lift objects that are less than 10 lbs
A nurse is giving discharge teaching about home care of a surgical incision to a client who speaks a different language. The nurse communicating using an interpreter. Which action should the nurse take? a. Speak slowly when talking to the interpreter b. Pause in the middle of sentence c. Speak directly to the client d. Use gestures to convey meaning - ...ANSWER...c. Speak directly to the client A nurse is teaching a client who has new prescription for enoxaparin. Which pain med should the nurse include that can be taken concurrently with enoxaparin? a. Ibuprofen b. Naproxen sodium c. Acetaminophen d. Aspirin - ...ANSWER...c. Acetaminophen A nurse is receiving report for a group of clients. Which clients should the nurse assess first? a. A client who has epidural analgesia and weakness in the lower extremities b. A client who has a hip fracture and a new onset of tachypnea c. A client who has sinus arrhythmia and is receiving cardiac monitoring d. A client who has DM and an HbA1c of 6.8% - ...ANSWER...b. A client who has a hip fracture and a new onset of tachypnea
A quality control control nurse is reviewing med prescription for a group of clients. Which prescription is correct? a. Tetracycline 200 mg PO b. Epoetin alfa 150 units/kg three times weekly c. Digoxin 0.25 mg PO daily d. Cimetidine PO twice daily - ...ANSWER...c. Digoxin 0.25 mg PO daily A nurse is providing in-service about client evacuation during a fire. Which of the following clients should be evacuate first? a. A client who is ambulating and receiving O b. A client who has a fracture and is balance suspension traction ...ANSWER...a. A client who is ambulating and receiving O A nurse is planning care for an older adult client who has dementia. Which interventions should the nurse include? (SATA) a. Give one simple direction at a time b. Refute client's delusions using logic c. Allow client to choose among a variety of activities each day d. Reinforce orientation to time, place, person c. A client who is bedridden and wears hearing aid d. A client who uses a wheelchair and is confuse -
e. Establish eye contact when communicating with the client - ...ANSWER...a. Give one simple direction at a time d. Reinforce orientation to time, place, person e. Establish eye contact when communicating with the client A nurse is providing discharge teaching to the partner of a client who has a trache. Which info should the nurse include? a. How to operate portable suction machine b. How to secure trache tube with ties at the back of the neck c. How to change the nondisposable trache tube daily d. How to change trache dressing using clean technique
- ...ANSWER...a. How to operate portable suction machine A nurse care for a client who report xerostomia after radiation therapy to the mandible. Which actions should the nurse take? a. Suggest rinsing his mouth with an alcohol- based mouth wash b. Provide humidification of the room air c. Offer the client saltine cracker between meal d. Instruct client on the use of esophageal speech - ...ANSWER...b. Provide humidification of the room air
sounds hypoactive. Client guards abdomen and grimaces during palpation. Report last bowel movement was yesterday. Denies recent illnesses. Takes no prescribed meds. Client alert and oriented x
- ...ANSWER...- Client presents for evaluation of severe pain in upper abdomen that radiates into his back
- States pain began approximately 12 hr ago and is worse when he is supine or after he eat
- Sclera noted to be yellow
- Abdomen firm, bowel sounds hypoactive
- Client guards abdomen and grimaces during palpation A nurse from an emergency department is caring for a client. Specify if the finding is consistent with pancreatitis or peritonitis. (NGN) Bloody stools Hyperbilirubinemia Abdominal pain Elevated WBC - ...ANSWER...Bloody stools: PE Hyperbilirubinemia: PA Abdominal pain: PA, PE Elevated WBC: PA, PE A nurse from an emergency department is caring for a client. Complete the following sentence (NGN) The nurse should first address the client's _____
- Lung sound
- Pain lv
- Bowel sound followed by client's _____
- Blood sugar
- BP
- Temp - ...ANSWER...Lung sound and temp A nurse from an emergency department is caring for a client. Specific if the prescription is anticipated or contraindicated. (NGN)
- Administer famotidine 20 mg via intermittent IV BID
- Insert an indwelling catheter
- Administer Lactated Ringer's 1 l via IV bolus
- Insert a NG tube and maintain low intermittent suction
- ...ANSWER...- Administer famotidine 20 mg via intermittent IV BID: An
- Insert an indwelling catheter: Co
- Administer Lactated Ringer's 1 l via IV bolus: An
- Insert a NG tube and maintain low intermittent suction: An A nurse from an emergency department is caring for a client. Select 3 statements the nurse should include in the teaching about self-care. (NGN) a. Notify your provider if you experience vomiting or diarrhea b. Limit alcohol intake to no more than 1 drink per day c. You should eat foods that are low in fat d. You can drink beverages that contain caffeine e. You should eat foods high in protein - ...ANSWER...a. Notify your provider if you experience vomiting or diarrhea c. You should eat foods that are low in fat
a. Head circumference exceeds chest circumference b. Palpable fontanels c. Natural loss of deciduous teeth d. Nontender, protruding abdomen - ...ANSWER...d. Nontender, protruding abdomen A nurse manager is updating protocols for the use of belt restrain. Which guidelines should the nurse manager include? a. Remove client's restrain q4h b. Document client's condition every 15 min c. Request a PRN restraint prescription for clients who are aggressive d. Attach the restraint to the bed's side rails - ...ANSWER...b. Document client's condition every 15 min A nurse in ED care for a client who has a closed head injury. Which action should the nurse take first? a. Determine client's Glasgow coma scale b. Insert an indwelling catheter for client c. Administer mannitol IV bolus to client d. Prepare client for a brain MRI - ...ANSWER...a. Determine client's Glasgow coma scale A nurse in a PACU is transferring care of a client to a nurse on med-surg unit. Which statement should the nurse include in the report? a. The estimated blood loss was 250 ml b. Client is a member of the board of directors
A home health nurse is caring for a child who has lyme disease. Which of the following is an appropriate action c. There was a total of 10 sponges used during the procedure d. Client was intubated without complications - ...ANSWER...a. The estimated blood loss was 250 ml A nurse in ED care for a client following a motor- vehicle crash. Client's Glasgow scale rating is 15. Which finding should the nurse expect? a. Client oriented x b. Client open eyes to sound c. Client is unable to obey commands d. Client withdraws from pain - ...ANSWER...a. Client oriented x for the nurse to take a. Ensure the state health department has been notified b. Administer antitoxin c. Educate the family to avoid sharing personal belongings d. Assess for skin necrosis - ...ANSWER...a. Ensure the state health department has been notified A nurse is caring for a client who has been admitted to the hospital. (NGN) - ...ANSWER...- Provide frequent rest periods
- Restrict client sodium intake
- Advise client to avoid using soap and alcohol based lotions
c. Hold the bottle in the center of the sterile field when pouring the solution d. Hold the irrigation solution bottle with the label facing away from the palm of the hand - ...ANSWER...a. Remove the cap and place it sterile- side up on a clean surface A nurse is creating a plan of care for a female client who has recurrent urinary tract infections. Which of the following interventions should the nurse include in the plan a. Wear loose-fitting underwear b. Take a bubble bath after intercourse c. Drink four 240 ml (8 oz) glasses of water each day d. Void every 5- 6 hr during the day - ...ANSWER...a. Wear loose-fitting underwear A nurse is caring for a newborn. Fiil in the blank (NGN) The client at risk for developing _____ and _____ a. Hypoglycemia b. Bronchopulmonary dysplasia c. Transient tachypnea of the newborn d. Tachycardia - ...ANSWER...Tachypnea of the newborn and hypoglycemia. A nurse is caring for an infant who has gastroenteritis. Which of the following assessment findings should the nurse report to the provider? a. Pale and a 24 - hr fluid deficit of 30 mL
b. Sunken fontanels and dry mucous membranes c. Decrease appetite and irritability d. Temperature 38 C and pulse rate of 124/min - ...ANSWER...b. Sunken fontanels and dry mucous membranes A nurse is conducting health promotion education regarding contraindication to combination oral contraceptive use to a group of women. Which of the following conditions should the nurse includes in the teaching? a. Hypertension b. Fibromyalgia c. Renal calculi d. Fibrocystic breast diseases - ...ANSWER...a. Hypertension A nurse is providing teaching to a client who has a depressive disorder and a new prescription for amitriptyline. Which of the following statements by the client indicates an understanding of the teaching? a. I can continue to take St. john wort while taking this medication b. I know it will be a couple of weeks before the medication helps me feel better c. I expect this medication to raise my blood pressure d. I should take this medication on an empty stomach - ...ANSWER...b. I know it will be a couple of weeks before the medication helps me feel better
A nurse is assessing a client ho is taking haloperidol and is experiencing pseudo parkinsonism. Which of the following is the signs of pseudo parkinsonism a. Serpentine limb movement b. Shuffling gait c. Nonreactive pupils d. Smacking lips - ...ANSWER...b. Shuffling gait A nurse care for client with expressive aphasia and right hemiparesis after a stroke. What is the best way to promotes communication among staff caring for the client? a. Posting swallow precautions at the head of client's bed b. Noting changes in the treatment plan in the client's medical record c. Recording the clients progress in the nurse's note d. Have interdisciplinary team meetings for the client on a regular basis - ...ANSWER...d. Have interdisciplinary team meetings for the client on a regular basis A nurse is caring for a 2 yo toddler. Which food choice should the nurse recommended to promote independence in eating? a. Banana slices b. Grapes c. Hot dog d. Popcorn - ...ANSWER...a. Banana slices
A nurse is performing postmortem care prior to the client's family visit. Which action should the nurse take? a. Cross patient's arms across their chest b. Hold client's eyes shut for a few seconds c. Place client in a high fowler's position A nurse on med-surge unit got notified that a mass casualty event has occurred. Which action should the nurse take? a. Act as a liaison between the facility and media b. Recommend to the provider specific acute care clients for discharge c. Determine the medical needs of incoming clients through the emergency department d. Call in additional med-surge unit nursing care staff - ...ANSWER...c. Determine the medical needs of incoming clients through the emergency department A nurse has received report for 4 clients. Who should the nurse see first? a. A client who is scheduled for a procedure in 1 hr b. A client who received a pain med 30 min ago fir post- op pain c. A client who has just given a glass of orange juice for a low blood glucose lv d. A client who has 100 ml of fluid remain in his IV bag
...ANSWER...c. A client who has just given a glass of orange juice for a low blood glucose lv
A nurse care for a coma client and is scheduled for a surgery. Which action should the nurse take? a. Send the unsigned informed consent to the facility's risk manager b. Determine if the client's health care surrogate is aware of the risks and benefits of the procedure c. Ensure that the client's family supports the provider's decision for surgery d. Determine if the procedure is medically necessary foe client - ...ANSWER...b. Determine if the client's health care surrogate is aware of the risks and benefits of the procedure A nurse is preparing to give IV vancomycin. The client ask if the med can be give 2 hr earlier. Which statement should the nurse make? a. I can start 30 min earlier b. I can adjust the time and schedule for when it's convenient for you c. I can infuse the med at a faster rate d. I have up to 2 hr after the usual schedule time to give you this med - ...ANSWER...a. I can start 30 min earlier A nurse care for a client who required seclusion to prevent harm to others on the unit. Which action should the nurse take? a. Document the client's behavior prior to being placed in seclusion b. Assess the client's behavior once every hr
A parish nurse is leading a support group for clients whose family members have committed suicide. Which strategies should the nurse use during the session? c. Offer fluids every 2hr d. Discuss with the client his inappropriate behavior prior to seclusion - ...ANSWER...c. Offer fluids every 2hr A nurse care for an adolescent who has hyperthermia. Which action should the nurse take? a. Administered oral acetaminophen b. Cover the adolescent with a thermal blanket c. Submerge the adolescent's feet in ice water d. Initiate seizure precaution - ...ANSWER...d. Initiate seizure precaution A nurse is caring for a client who asks for info about organ donation. Which responses should the nurse state? a. I cannot be a witness for your consent to donate b. You must be at least 21 yo to become an organ donor c. Your desire to be an organ donor must be documented in writing an organ donor must be documented in writing a. Encourage client to establish a timeline for their own grieving process d. Your name can't be removed once you are listed on the organ donor list - ...ANSWER...c. Your desire to be
