ATI RN Comprehensive Predictor 2023 Retake 1 Proctored Exam

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Question 1 of 38Single-Select Multiple Choice

An older client with a history of heart failure is admitted with influenza and requests assistance to sit up in bed to eat lunch. The nurse observes the unlicensed assistive personnel (UAP) wearing a gown and gloves to assist the client.

Which action should the nurse take?

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Question 2 of 38Single-Select Multiple Choice

A nurse is assessing a client who has a chest tube with a water seal drainage system.
Upon assessment, the nurse notes tidaling in the water seal.
Which of the following is an explanation for the tidaling?

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Question 3 of 38Single-Select Multiple Choice

A charge nurse is teaching a newly licensed nurse about medication administration.
Which of the following information should the charge nurse include?

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Question 4 of 38Single-Select Multiple Choice

A nurse in an emergency department is assessing a client who reports ingesting thirty diazepam tablets 20 minutes ago.
The client is lethargic and 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 take next?

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Question 5 of 38Single-Select Multiple Choice

A nurse is providing discharge instructions to a client who has a new prescription for haloperidol.
Which of the following adverse effects should the nurse instruct the client to report to the provider?

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Question 6 of 38Single-Select Multiple Choice

A nurse is caring for an adolescent client who has cystic fibrosis.
Which of the following actions should the nurse instruct the client to take prior to initiating postural drainage?

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Question 7 of 38Single-Select Multiple Choice

A nurse is preparing an in-service for a group of nurses about malpractice issues in nursing.
Which of the following examples should the nurse include in the teaching as an example of malpractice?

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Question 8 of 38Single-Select Multiple Choice

A nurse is performing a neurological examination on a client as part of a complete physical assessment.
The nurse should identify that cranial nerve XI is intact when the client performs which of the following actions?

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Question 9 of 38Single-Select Multiple Choice

A nurse is planning care for a client who is receiving continuous enteral tube feedings through an open system.
Which of the following interventions should the nurse include in the plan of care?

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Question 10 of 38Single-Select Multiple Choice

A nurse is working with a client who has an anxiety disorder and is in the orientation phase of the therapeutic relationship.
Which of the following statements should the nurse make during this phase?

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Question 11 of 38Single-Select Multiple Choice

A nurse manager is updating protocols for the use of belt restraints.
Which of the following guidelines should the nurse manager include?

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Question 12 of 38Single-Select Multiple Choice

A nurse is assessing a client who has a possible right pneumothorax.
Which of the following findings should the nurse expect?

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Question 13 of 38Single-Select Multiple Choice

A nurse is implementing seizure precautions for a client who has had a tonic-clonic seizure.
Which of the following interventions should the nurse include in the plan of care?

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Question 14 of 38Single-Select Multiple Choice

A nurse is admitting a client to a medical-surgical unit.
When performing medication reconciliation for the client, which of the following actions should the nurse take?

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Question 15 of 38Single-Select Multiple Choice

A nurse is reviewing the medical history of a client who asks about the use of warfarin.
The nurse should identify which of the following findings as a contraindication for the administration of this medication?

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Question 16 of 38Single-Select Multiple Choice

A nurse is caring for a client who is in active labor.
The nurse should notify the provider for which of the following findings?

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Question 17 of 38Single-Select Multiple Choice

A home health nurse is planning care for a client who has Alzheimer's disease.
Which of the following actions should the nurse include in the plan of care?

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Question 18 of 38Single-Select Multiple Choice

A charge nurse on a medical-surgical unit is assisting with the emergency response plan following an external disaster in the community.
In anticipation of multiple client admissions, which of the following current clients should the nurse recommend for early discharge?

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Question 19 of 38Single-Select Multiple Choice

A nurse is caring for a client who has a placenta previa.
Which of the following findings should the nurse expect?

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Question 20 of 38Ordering / Sequencing

A nurse enters a client's room and sees a small fire in the client's bathroom.

Identify the sequence of steps the nurse should take.

(Move the steps, placing them in the order of performance. Use all the steps.)

Move each option into the correct order.

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Question 21 of 38Single-Select Multiple Choice

A nurse is caring for a client who has an implanted venous access port.
Which of the following should the nurse use to access the port?

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Question 22 of 38Single-Select Multiple Choice

A nurse is planning care for a client who is scheduled to receive a transfusion of packed RBCs.
Which of the following actions should the nurse plan to take?

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Question 23 of 38Single-Select Multiple Choice

A hospice nurse is visiting with the son of a client who has terminal cancer.
The son reports sleeping very little during the past week due to caring for his mother.
Which of the following responses should the nurse make?

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Question 24 of 38Single-Select Multiple Choice

A nurse is assessing a client who received hydromorphone 4 mg IV 15 min ago.
The client has a respiratory rate of 10/min.
The nurse should prepare to administer which of the following medications? .

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Question 25 of 38Single-Select Multiple Choice

A nurse is planning care for a school-age child who is 4 hr postoperative following appendicitis.
Which of the following actions should the nurse include in the plan of care?

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Question 26 of 38Single-Select Multiple Choice

A home care nurse is making a follow-up visit with a client who has COPD and is using a compressed oxygen system in his home.
Which of the following actions should the nurse take?

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Question 27 of 38Single-Select Multiple Choice

A nurse in an outpatient mental health clinic is assessing an adolescent client.
The nurse should expect the adolescent to be in which of the following of Erikson's stages of psychosocial development?

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Question 28 of 38Single-Select Multiple Choice

A nurse is providing preoperative teaching to a client about the administration of morphine via a PCA pump.
Which of the following statements by the client indicates an understanding of the teaching?

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Question 29 of 38Single-Select Multiple Choice

A nurse in an emergency department is caring for a client who is actively bleeding from a stab wound to the thigh.
Which of the following actions should the nurse take?

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Question 30 of 38Single-Select Multiple Choice

A nurse is caring for a client who repeatedly refuses meals.
The nurse overhears an assistive personnel (AP) telling the client, "If you don't eat, I'll put restraints on your wrists and feed you." The nurse should intervene and explain to the AP that this statement constitutes which of the following torts?

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Question 31 of 38Multiple-Select / Select All That Apply (SATA)

A nurse manager is planning a staff in-service to address advocacy in client care.
The nurse should promote which of the following practices during the in-service? (Select all that apply.)

(Select All that Apply.)

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Question 32 of 38Single-Select Multiple Choice

A nurse is assessing a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate 4 hr ago.
The nurse notes pink-tinged urine in the drainage bag.
Which of the following actions should the nurse take?

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Question 33 of 38Single-Select Multiple Choice

A nurse is caring for a client who is postoperative following total hip arthroplasty.
Which of the following actions should the nurse take to prevent dislocation of the prosthesis?

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Question 34 of 38Single-Select Multiple Choice

A nurse is assessing a 5-year-old child who has diabetes insipidus and is receiving desmopressin.
Which of the following findings should the nurse identify as an indication that the medication is effective?

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Question 35 of 38Single-Select Multiple Choice

A nurse is caring for a client who has pneumonia and tells the nurse, "I feel like an elephant is sitting on my chest." The client is weak and unable to walk.
After the nurse initiates chest pain protocol, which of the following is the priority diagnostic test?

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Question 36 of 38Single-Select Multiple Choice

A nurse is caring for a client who states he recently purchased lavender oil to use when he gets the flu.
The nurse should recognize which of the following findings as a potential contraindication for using lavender?

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Question 37 of 38Single-Select Multiple Choice

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?

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Question 38 of 38Single-Select Multiple Choice

A nurse in a long-term care facility is admitting a client who has dementia.
Which of the following actions should the nurse take to reduce the risk for client injury?

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