ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+., Exams of Nursing

Download ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. and more Exams Nursing in PDF only on Docsity! ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. What can be delegated to Assistive personnel (AP)? - Answer - ADLs - bathing - grooming - dressing - ambulating - feeding (w/o swallow precautions) - positioning - bed making - specimen collection - I&O - VS (stable clients A nurse on a med surge unit has recieved change of shift report and will care for 4 clients. Which of the following clients needs will the nurse assign to an AP? A. Feeding a client who was admitted 24 hours ago with aspiration pneumonia B. Reinforcing teaching with a client who is learning to walk with a quad cane C. Reapplying a condom catheter for a client who has urinary incontinence D. Applying a sterile dressing to a pressure ulcer - Answer C A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago to an AP. Which of the following info should the nurse share with the AP? Select all: A. the roommate is up independently B. The client ambulates with his slippers on over his antiembolic stockings C. The client uses a front wheeled walker when ambulating D. The client had pain meds 30 minutes ago ATI comprehensive predictor Test with Best Solutions 2023 RATED A+. ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. E. The client is allergic to codeine F. the client ate 50 % of his breakfast this morning - Answer B C D An RN is making assignments for client care to an LPN at the beginning of the shift. Which of the following assignments should the LPN question? A. Assisting a client who is 24 hr postop to use an incentive spirometer B. Collecting a clean catch urine specimen from a client who was admitted on the previous shift C. providing nasopharyngeal suctioning for a client who has pneumonia D. Replacing the cartridge and tubing on a PCA pump - Answer D A nurse is preparing an inservice program about delegation. Which of the following elements should she identify when presenting the 5 rights of delegation. Select all: A. Right client B. Right supervision/evaluation ATI comprehensive predictor Test with Best Solutions 2023 RATED A+. ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. B. Autonomy C. Justice D. Nonmalificience - Answer A A nurse offers pain meds to a client who is postop prior to ambulation. The nurse understands that this aspect of care delivery is an example of which of the following ethical principles? A. Fidelity B. Autonomy C. Justice D. Beneficience - Answer D A nurse is instructing a group of nursing students about the responsibilities involved with organ donation and procurement. When the nurse explains that all clients waiting for a kidney transplant have to meet the same qualifications, the students should understand that this aspect of care delivery is an example of which ethical principle A. Fidelity B. Autonomy ATI comprehensive predictor Test with Best Solutions 2023 RATED A+. ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. C. Justice D. Nonmaleficence - Answer C A nurse questions a med prescription as too extreme and light of the clients advanced age and unstable status. The nurse understands that this action is an example of which ethical principle A. Fidelity B. Autonomy C. Justice D. Nonmalificence - Answer D Which of the following situations can be identified as an ethical dilemma? A. A nurse on a med surge unit demonstrates signs of chemical impairment B. A nurse over hears another nurse telling an older adult client that if he doesnt stay in bed she will restrain him C. A family has conflicting feelings about the initiation of enteral tube feedings of their father who is terminally ill D. A client who is terminally ill hesitates to name her spouse on her durable power of attorney form - Answer C ATI comprehensive predictor Test with Best Solutions 2023 RATED A+. ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. Most managers can be categorized as - Answer authoritative, democratic, and laissez faire makes decisions of the group motivates by coercion communication occurs down the chain of command Work output by the staff is usually high-good for crisis situations and bureaucratic settings - Answer Authoritative includes the group when decisions are made Motivates by supporting star achievements Communication occurs up and down the chain of command Work output by staff is usually of good quality-good when cooperation and collaboration is necessary - Answer Democratic makes very few decisions and does little planning motivation is largely the responsibility of individuals staff members ATI comprehensive predictor Test with Best Solutions 2023 RATED A+. ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. What is an interdisciplinary team? - Answer A group of health care professionals from different disciplines Fill in the blank: 1. _______ is used by interdisciplinary team to make health care decisions about clients with multiple problems. 2. ________, which may take place at team meetings, allows the achievement of results that the participants would be incapable of accomplishing if working alone. - Answer 1 & 2 = collaboration What is the nurse's contribution to an interdisciplinary team? - Answer - knowledge of nursing care & its management - a holistic understanding of the client, her/his healthcare needs & healthcare systems. A four-month-old infant is admitted to the pediatric intensive care unit with a temperature of 105°F (40.5 °C). The infant is irritable, and the nurse observes nuchal rigidity. Which assessment finding would indicate an increase in intracranial pressure? 1. Positive Babinski. ATI comprehensive predictor Test with Best Solutions 2023 RATED A+. ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. 2. High-pitched cry. 3. Bulging posterior fontanelle. 4. Pinpoint pupils. - Answer 2 A client is receiving total parenteral nutrition (TPN). To determine the client's tolerance of this treatment, the nurse should assess for which of the following? 1. A significant increase in pulse rate. 2. A decrease in diastolic blood pressure. 3. Temperature in excess of 98.6°F (37°C). 4. Urine output of at least 30 cc per hour. - Answer 4 The client is exhibiting symptoms of myxedema. The nursing assessment should reveal 1. increased pulse rate. 2. decreased temperature. 3. fine tremors. ATI comprehensive predictor Test with Best Solutions 2023 RATED A+. ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. 4. increased radioactive iodine uptake level. - Answer 2 A nonstress test is scheduled for a client at 34-weeks gestation who developed hypertension, periorbital edema, and proteinuria. Which of the following nursing actions should be included in the care plan in order to BEST prepare the client for the diagnostic test? 1. Start an intravenous line for an oxytocin infusion. 2. Obtain a signed consent prior to the procedure. 3. Instruct client to push a button when she feels fetal movement. 4. Attach a spiral electrode to the fetal head. - Answer 3 Which of the following nursing interventions is MOST important for a 45-year-old woman with rheumatoid arthritis? 1. Provide support to flexed joints with pillows and pads. 2. Position her on her abdomen several times a day. 3. Massage the inflamed joints with creams and oils. 4. Assist her with heat application and ROM exercises. - Answer 4 ATI comprehensive predictor Test with Best Solutions 2023 RATED A+. ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. 1. acknowledges willing participation in an incestuous relationship. 2. reestablishes a trusting relationship with his/her other parent. 3. verbalizes that s/he is not responsible for the sexual abuse. 4. describes feelings of anxiety when speaking about sexual abuse. - Answer 3 An adolescent client is ordered to take tetracycline HCL (Achromycin) 250 mg PO bid. Which of the following instructions should be given to this client by the nurse? 1. "Take the medication on a full stomach, or with a glass of milk." 2. "Wear sunscreen and a hat when outdoors." 3. "Continue taking the medication until you feel better." 4. "Avoid the use of soaps or detergents for two weeks." - Answer 2 After a client develops left-sided hemiparesis from a cerebral vascular accident (CVA), there is a decrease in muscle tone. Which of the following nursing diagnoses would be a priority to include in his care plan? 1. Alteration in mobility related to paralysis. ATI comprehensive predictor Test with Best Solutions 2023 RATED A+. ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. 2. Alteration in skin integrity related to decrease in tissue oxygenation. 3. Alteration in skin integrity related to immobility. 4. Alteration in communication related to decrease in thought processes - Answer 2 A client has a history of oliguria, hypertension, and peripheral edema. Current lab values are: BUN -25, K+ -4.0 mEq/L. Which nutrient should be restricted in the client's diet? 1. Protein. 2. Fats. 3. Carbohydrates. 4. Magnesium. - Answer 1 An extremely agitated client is receiving haloperidol (Haldol) IM every 30 minutes while in the psychiatric emergency room. The MOST important nursing intervention is to 1. monitor vital signs, especially blood pressure, every 30 minutes. 2. remain at the client's side to provide reassurance. ATI comprehensive predictor Test with Best Solutions 2023 RATED A+. ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. 3. tell the client the name of the medication and its effects. 4. monitor the anticholinergic effects of the medication. - Answer 1 The nurse is caring for clients in the skilled nursing facility. Which of the following clients require the nurse's IMMEDIATE attention? 1. A client admitted for a cerebral vascular accident (CVA) whose prescription for warfarin (Coumadin) expired two days ago. 2. A client in pain who was receiving morphine in an acute care institution and was transferred with a prescription for acetaminophen with codeine. 3. A client who has dysuria and foul-smelling, cloudy, dark amber urine. 4. An immunosuppressed client who has not received an influenza immunization. - Answer 1 The nurse is observing care given to a client experiencing severe to panic levels of anxiety. The nurse would intervene in which of the following situations? 1. The staff maintains a calm manner when interacting with the client. ATI comprehensive predictor Test with Best Solutions 2023 RATED A+. ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. 2. "Why don't we go make some fudge." 3. "You are experiencing a side effect of Haldol." 4. "I'll contact your physician to change your medication." - Answer 3 The physician orders ranitidine hydrochloride (Zantac) 150 mg PO qd for a client. The nurse should advise the client the BEST time to take this medication is 1. before breakfast. 2. with dinner. 3. with food. 4. at hs. - Answer 4 . If a client develops cor pulmonale (right-sided heart failure), the nurse would expect to observe 1. increasing respiratory difficulty seen with exertion. 2. cough productive of a large amount of thick, yellow mucus. 3. peripheral edema and anorexia. ATI comprehensive predictor Test with Best Solutions 2023 RATED A+. ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. 4. twitching of extremities. - Answer 3 The nurse is performing triage on a group of clients in the emergency department. Which of the following clients should the nurse see FIRST? 1. A 12-year-old oozing blood from a laceration of the left thumb due to cut on a rusty metal can. 2. A 19-year-old with a fever of 103.8°F (39.8°C) who is able to identify her sister but not the place and time. 3. A 49-year-old with a compound fracture of the right leg who is complaining of severe pain. 4. A 65-year-old with a flushed face, dry mucous membranes, and a blood sugar of 470 mg/dL. - Answer 2 The nurse in the outpatient clinic teaches a client with a sprained right ankle to walk with a cane. What behavior, if demonstrated by the client, would indicate that teaching was effective? ATI comprehensive predictor Test with Best Solutions 2023 RATED A+. ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. 1. The client advances the cane 18 inches in front of her foot with each step. 2. The client holds the cane in her left hand. 3. The client advances her right leg, then her left leg, and then the cane. 4. The client holds the cane with her elbow flexed 60°. - Answer 2 A client returns to his room following a myelogram. The nursing care plan should include which of the following? 1. Encourage oral fluid intake. 2. Maintain the prone position for 12 hours. 3. Encourage the client to ambulate after the procedure. 4. Evaluate the client's distal pulses on the affected side. - Answer 1 The nurse is caring for a patient following an appendectomy. The patient takes a deep breath, coughs, and then winces in pain. Which of the following statements, if made by the nurse to the patient, is BEST? 1. "Take three deep breaths, hold your incision, and then cough." 2. "That was good. Do that again and soon it won't hurt as much." ATI comprehensive predictor Test with Best Solutions 2023 RATED A+. ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. Which of the following is a correctly stated nursing diagnosis for a client with abruptio placentae? 1. Infection related to obstetrical trauma. 2. Potential for fetal injury related to abruptio placentae. 3. Potential alteration in tissue perfusion related to depletion of fibrinogen. 4. Fluid volume deficit related to bleeding. - Answer 4 An 8-year-old client is returned to the recovery room after a bronchoscopy. The nurse should position the client 1. in semi-Fowler's position. 2. prone, with the head turned to the side. 3. with the head of the bed elevated 45° and the neck extended. 4. supine, with the head in the midline position. - Answer 1 Which of the following assessment findings would indicate to the nurse the need for more sedation in a client who is withdrawing from alcohol ATI comprehensive predictor Test with Best Solutions 2023 RATED A+. ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. dependence? 1. Steadily increasing vital signs. 2. Mild tremors and irritability. 3. Decreased respirations and disorientation. 4. Stomach distress and inability to sleep. - Answer 1 The home care nurse is instructing a client recently diagnosed with tuberculosis. It is MOST important for the nurse to include which of the following as a part of the teaching plan? 1. During the first two weeks of treatment, the client should cover his mouth and nose when he coughs or sneezes. 2. It is necessary for the client to wear a mask at all times to prevent transmission of the disease. 3. The family should support the client to help reduce feeling of low self-esteem and isolation. 4. The client will be required to take prescribed medication for a duration of 6-9 ATI comprehensive predictor Test with Best Solutions 2023 RATED A+. ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. months. - Answer 4 The nurse's INITIAL priority when managing a physically assaultive client is to 1. restrict the client to the room. 2. place the client under one-to-one supervision. 3. restore the client's self-control and prevent further loss of control. 4. clear the immediate area of other clients to prevent harm. - Answer 3 A client with newly diagnosed type I diabetes mellitus is being seen by the home health nurse. The physician orders include: 1,200-calorie ADA diet, 15 units of NPH insulin before breakfast, and check blood sugar qid. When the nurse visits the client at 5 PM, the nurse observes the man performing a blood sugar analysis. The result is 50 mg/dL. The nurse would expect the client to be 1. confused with cold, clammy skin and a pulse of 110. 2. lethargic with hot, dry skin and rapid, deep respirations. ATI comprehensive predictor Test with Best Solutions 2023 RATED A+. ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. 4. Avoid eating large meals that are high in simple sugars and liquids. - Answer 4 A nurse is caring for a 37-year-old woman with metastatic ovarian cancer admitted for nausea and vomiting. The physician orders total parenteral nutrition (TPN), a nutritional consult, and diet recall. Which of the following is the BEST indication that the patient's nutritional status has improved after 4 days? 1. The patient eats most of the food served to her. 2. The patient has gained 1 pound since admission. 3. The patient's albumin level is 4.0mg/dL. 4. The patient's hemoglobin is 8.5g/dL. - Answer 3 A 23-year-old woman at 32-weeks gestation is seen in the outpatient clinic. Which of the following findings, if assessed by the nurse, would indicate a possible complication? 1. The client's urine test is positive for glucose and acetone. 2. The client has 1+ pedal edema in both feet at the end of the day. ATI comprehensive predictor Test with Best Solutions 2023 RATED A+. ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. 3. The client complains of an increase in vaginal discharge. 4. The client says she feels pressure against her diaphragm when the baby moves. - Answer 1 After abdominal surgery, a client has a nasogastric tube attached to low suctioning. The client becomes nauseated, and the nurse observes a decrease in the flow of gastric secretions. Which of the following nursing interventions would be MOST appropriate? 1. Irrigate the nasogastric tube with distilled water. 2. Aspirate the gastric contents with a syringe. 3. Administer an antiemetic medicine. 4. Insert a new nasogastric tube. - Answer 2 After sustaining a closed head injury and numerous lacerations and abrasions to the face and neck, a five-year-old child is admitted to the emergency room. The client is unconscious and has minimal response to noxious stimuli. Which of the following assessments, if observed by the nurse three hours after admission, should be reported to the physician? ATI comprehensive predictor Test with Best Solutions 2023 RATED A+. ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. 1. The client has slight edema of the eyelids. 2. There is clear fluid draining from the client's right ear. 3. There is some bleeding from the child's lacerations. 4. The client withdraws in response to painful stimuli. - Answer 2 The nurse is caring for a manic client in the seclusion room, and it is time for lunch. It is MOST appropriate for the nurse to take which of the following actions? 1. Take the client to the dining room with 1:1 supervision. 2. Inform the client he may go to the dining room when he controls his behavior. 3. Hold the meal until the client is able to come out of seclusion. 4. Serve the meal to the client in the seclusion room. - Answer 4 A client is given morphine 6 mg IV push for postoperative pain. Following administration of this drug, the nurse observes the following: pulse 68, respirations 8, BP 100/68, client sleeping quietly. Which of the following nursing actions is MOST appropriate? ATI comprehensive predictor Test with Best Solutions 2023 RATED A+. ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. a) place a warm compress over the IV site b) record the findings in the client's chart c) notify the client's primary care provider d) prepare to insert a new IV catheter - Answer A A nurse is caring for a client who has dementia. Which of the following interventions should the nurse take to minimize the risk for injury for this client? a) use a bed exit alarm system b) raise 4 side rails while client is in bed c) apply one soft wrist restraint d) dim the lights in the client's room - Answer A A nurse is implementing a plan of care for a client who is at risk for falls. Which of the following is an appropriate nursing action? a) implement a regular toileting schedule ATI comprehensive predictor Test with Best Solutions 2023 RATED A+. ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. b) encourage the client to wear athletic socks when ambulating c) place all 4 bed rails in the upright position c) require a family member to remain at the bedside - Answer A Which of the following techniques should the nurse use when performing nasotracheal suctioning for a client? a) insert the suction catheter while the client is swallowing b) apply intermittent suction when withdrawing the catheter c) place the catheter in a location that is clean and dry for later use d) hold the suction catheter with the clean, non-dominant hand - Answer B A nurse is caring for a client following an acute myocardial infarction. The client is concerned that providing self-care will be difficult due to extreme fatigue. Which of the following strategies should the nurse implement to promote the client's independence? a) request an occupational therapy consult to determine the need for assistive devices ATI comprehensive predictor Test with Best Solutions 2023 RATED A+. ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. b) assign assistive personnel to perform self-care tasks for client c) instruct the client to focus on gradually resuming self-care tasks d) ask the client if a family member is available to assist with his care - Answer C A nurse is reviewing the medical records of a client who has a pressure ulcer. Which of the following is an expected finding? a) serum albumin level of 3 g/dL b) HDL level of 90 mg/dL c) Norton scale score of 18 d) Braden scale score of 20 - Answer A A nurse is caring for a client who needs a 24-hr urine collection initiated. Which of the following client statements indicates an understanding of the procedure? a) "I had a bowel movement, but I was able to save the urine" b) "I have a specimen in the bathroom from about 30 minutes ago" c) "I flushed what I urinated at 7 am and have saved the rest since" ATI comprehensive predictor Test with Best Solutions 2023 RATED A+. ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. A nurse is providing teaching about a clear liquid diet. Which of the following should the nurse instruct the client to avoid? a) lemon-lime sports drinks b) ginger ale c) black coffee d) orange sherbet - Answer D A nurse is caring for a client who is having difficulty voiding following the removal in an indwelling urinary catheter. Which of the following interventions should the nurse take? a) assess for bladder distention after 6 hr b) encourage the client to use a bed pan in the supine position c) restrict the clients intake of oral fluids d) pour warm water over the clients perineum - Answer D ATI comprehensive predictor Test with Best Solutions 2023 RATED A+. ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. When caring for the client diagnosed with delirium, which condition is the most important for the nurse to investigate? 1. Cancer of any kind. 2. Impaired hearing. 3. Prescription drug intoxication. 4. Heart failure. - Answer 3 Which of the following is essential when caring for a client who is experiencing delirium? 1. Controlling behavioral symptoms with low-dose psychotropics. 2. Identifying the underlying causative condition or illness. 3. Manipulating the environment to increase orientation. 4. Decreasing or discontinuing all previously prescribed medications. - Answer 2 Which of the following is a realistic short-term goal to be accomplished in 2 to 3 days for a client with delirium? 1. Explain the experience of having delirium. 2. Resume a normal sleep-wake cycle. ATI comprehensive predictor Test with Best Solutions 2023 RATED A+. ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. 3. Regain orientation to time and place. 4. Establish normal bowel and bladder function. - Answer 3 A client diagnosed with dementia wanders the halls of the locked nursing unit during the day. To ensure the client's safety while walking in the halls, the nurse should do which of the following? 1. Administer PRN haloperidol (Haldol) to decrease the need to walk. 2. Assess the client's gait for steadiness. 3. Restrain the client in a geriatric chair. 4. Administer PRN lorazepam (Ativan) to provide sedation. - Answer 2 During a home visit to an elderly client with mild dementia, the client's daughter reports that she has one major problem with her mother. She says, "She sleeps most of the day and is up most of the night. I can't get a decent night's sleep anymore." Which suggestions should the nurse make to the daughter? Select all that apply. 1. Ask the client's physician for a strong sleep medicine. 2. Establish a set routine for rising, hygiene, meals, short rest periods, and bedtime. ATI comprehensive predictor Test with Best Solutions 2023 RATED A+. ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. - assigned identification number - telephone number - birth date or other personal-specific identifiers. Bar code scanners may be used to identify clients What are some things to teach about home safety with elderly patients? - Answer - Removing items that could cause the client to trip, such as throw rugs and loose carpets - Placing electrical cords and extension cords that against a wall behind furniture - Making sure that steps and sidewalks are in good repair - Placing grab bars near the toilet and in the tub or shower and installing a stool riser - Using a non-skid mat in the tub or shower - Placing a shower chair in the shower - Ensuring that lighting is adequate both inside and outside of the home A nurse is providing discharge instructions to a client who has a prescription for the use of oxygen in ATI comprehensive predictor Test with Best Solutions 2023 RATED A+. ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. his home. Which of the following should the nurse teach the client about using oxygen safely in his home? (Select all that apply.) A. Family members who smoke must be at least 10 ft from the client when oxygen is in use. B. Nail polish should not be used near a client who is receiving oxygen. C. A "No Smoking" sign should be placed on the front door. D. Cotton bedding and clothing should be replaced with items made from wool. E. A fire extinguisher should be readily available in the home. - Answer B C E A nurse is providing home safety instructions to a group of older adult clients. Match the safety risk with the appropriate instruction. ____ Passive smoking ____ Carbon monoxide poisoning ____ Food poisoning ATI comprehensive predictor Test with Best Solutions 2023 RATED A+. ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. A. Have water heaters inspected on an annual basis. B. Cook all meat at an appropriate temperature. C. Avoid enclosed areas with others who may be smoking. - Answer C A B When performing nasotracheal suctioning what technique should be used? - Answer Sterile asepsis bc the trachea is considered sterile and prevents infections A nurse educator is presenting a module on basic first aid for newly licensed home health nurses. The nurse educator evaluates the teaching as effective when the newly licensed nurse states the client who has heat stroke will have which of the following? A. Hypotension B. Bradycardia C. Clammy skin ATI comprehensive predictor Test with Best Solutions 2023 RATED A+. ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. What temperature should pork be cooked at - Answer 160 degrees What is the safest way to thaw out frozen foods - Answer In the refrigerator What are the precautions for vancomycin resistant enterococcus - Answer Standard precautions including hand washing and gloving should be followed What does a newborns poop look like - Answer If your baby is exclusively breastfed, her poop will be yellow or slightly green and have a mushy or creamy consistency What is appropriate for an adolescent in the hospital? - Answer Puzzles and books What is the proper nutrition during pregnancy - Answer - Folic acid is important for pregnancy, as it can help to prevent birth defects known as neural tube defects, including spina bifida - green leafy vegetables and brown rice ATI comprehensive predictor Test with Best Solutions 2023 RATED A+. ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. What should be avoided during pregnancy - Answer Do not take vitamin A supplements, or any supplements containing vitamin A (retinol), as too much could harm your baby What is the most appropriate method for contraception for an adolescent - Answer IUD or implant If a patient has anorexia nervosa and works out constantly - Answer Allow them to workout and continue their regimen What medications can be taken to help with smoking cessation - Answer Bupropion hydrochloride is a medicine for depression, but it also helps people quit smoking. Brand names include Zyban®, Wellbutrin®, Wellbutrin SR® and Wellbutrin XL® but this medication is also available as a generic. Varenicline (chantix) What are the five stages of grief - Answer denial anger bargaining ATI comprehensive predictor Test with Best Solutions 2023 RATED A+. ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. depression acceptance discrete and applies the letting go of an object or person before the loss as in the case of terminal illness individuals have the opportunity to greet before the actual loss - Answer anticipatory grief involves difficult progression through the expected stages of the grieving process grief work is prolonged and manifestations more severe client may develop suicidal ideation, intense feelings of guilt and lowered self- esteem somatic complaints persist for an extended period of time - Answer dysfunctional grief Signs for meningococcemia - Answer Vomiting, febrile, petechial rash (unstable) ATI comprehensive predictor Test with Best Solutions 2023 RATED A+. ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. What immunizations are CONTRAINDICATED for pregnant women + which SHOULD be given? - Answer Contraindicated = Herpes Zoster + Varicella + MMR (measles, mumps, rubella) Should give = TDaP (Tetanus, Diphtheria, Pertussis) Long term effects of NSAIDS (Ibuprofen) - Answer Gastric Ulcerations, perforations, hemorrhage, hypertension Alcohol Use Manifestations of Withdrawal - Answer Body burns 0.5 oz of alcohol per hour * Withdrawal appears within 4-12 hours * Irritability + Tremors + Anxiety * Nausea + Vomiting + HA * Diaphoresis * Sleep Disturbances * TACHYCARDIA + HTN ATI comprehensive predictor Test with Best Solutions 2023 RATED A+. ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. Use Benzodiazepines = tx Diazepam (Valium), lorazepam (Ativan), and chlordiazepoxide (Librium) When does Discharge planning begin? - Answer At Admission Case Management nursing involves: - Answer *Decreasing cost by improving client outcomes * Providing education to optimize health participation * Advocating for services + client's rights What is bipolar disorder? - Answer Bipolar disorder is a mood disorder with recurrent episodes of depression and mania. What comorbidities may be observed with a patient who is bipolar? - Answer Substance use disorder (experiences more rapid cycling), anxiety disorders, eating disorders, ADHD. ATI comprehensive predictor Test with Best Solutions 2023 RATED A+. ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. What therapy will be useful for patients with bipolar? - Answer Electroconvulsive therapy for the patient who is suicidal or rapid cycling who HAS taken Lithium and has proven ineffective. Used to subdue manic behavior. What kind of medications are indicated for abstinence maintenance of alcohol? - Answer Disulfiram (Antabuse), Naltrexone (Vivitrol), Acamprosate (Campral) Teaching points for naltrexone (Vivitrol)? - Answer Take with meals to supress GI distress. Monthly IM injections should be suggested for patients who have difficulty to adhering to the medication regimen. A nurse is caring for a client who underwent a subtotal gastrectomy. To manage dumping syndrome, the nurse should advise the client to: a) restrict fluid intake to 1 qt (1,000 ml)/day. b) drink liquids only between meals. c) don't drink liquids 2 hours before meals. d) drink liquids only with meals. - Answer B ATI comprehensive predictor Test with Best Solutions 2023 RATED A+. ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. After teaching a group of students about the various organs of the upper gastrointestinal tract and possible disorders, the instructor determines that the teaching was successful when the students identify which of the following structures as possibly being affected? a) Large intestine b) Ileum c) Stomach d) Liver - Answer C A nurse is caring for a client with active upper GI bleeding. What is the appropriate diet for this client during the first 24 hours after admission? a) Skim milk b) Nothing by mouth c) Regular diet d) Clear liquids - Answer B Bladder retraining for the treatment of urge incontinence: - Answer • Use timed voidings to increase intervals between voidings/decrease voiding frequency. • Perform pelvic floor (Kegel) exercises. ATI comprehensive predictor Test with Best Solutions 2023 RATED A+. ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. • Perform relaxation techniques. • Offer undergarments while the client is retraining. • Teach the client not to ignore the urge to void. • Provide positive reinforcement as client maintains continence. • Eliminate or decrease caffeine drinks. • Take diuretics in the morning. what are normal creatinine levels? what are normal BUN levels? - Answer 0.8-1.4 mg/dL 8-25 mg/dL What are total serum protein values (normals) - Answer 6-8 g/dL Describe pre-albumin - Answer this is the best tool for evaluating nutrition. it has a half-life of 2 days which is much shorter than albumin so it is much more accurate. (albumin's half-life is 2-3 weeks) what is normal pre-albumin values? ATI comprehensive predictor Test with Best Solutions 2023 RATED A+. ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. what are normal serum levels of magnesium ? what is a normal potassium serum level? - Answer 17-40 mg/dL 1.5-2.5 mEq/L (less than 1.5 is considered hypomagnesemia) 3.5-5.0 mEq/L (less than 3.5 is considered hypokalemia) what are good sources of folic acid? - Answer Excellent sources of folate include romaine lettuce, spinach, asparagus, turnip greens, mustard greens, calf's liver, parsley, collard greens, broccoli, cauliflower, beets, chicken liver and lentils. Sources of potassium - Answer beans, spinach, potatoes, dried apricots, acorn squash, yogurt, salmon, avocados, mushrooms and bananas what is important about the diet of someone taking ACE inhibitors? - Answer can result in high potassium levels. Limit potassium intake (beans, spinach, potatoes, dried apricots, acorn squash, yogurt, salmon, avocados, mushrooms and bananas) Taking Coumadin. Which foods should the client limit? - Answer Foods containing Vitamin K. Dark leafy greens (spinach), brussel sprouts, broccoli, asparagus, cabbage, pickels, prunes ATI comprehensive predictor Test with Best Solutions 2023 RATED A+. ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. a client should receive a dose of flumazenil ( romazicon) to treat symptoms of - Answer benzodiazepine overdose a nurse is reinforcing teaching to a client who is prescribed diazepam tor anxiety of the following statement indicated the client understand the teaching - Answer I will tell my doctor before I stop taking the medication a nurse is reinforcing teaching to a client who is starting amitriptyline ( Elavil) for treatment of depression which of the following should the nurse include - Answer 1. change position slowly to minimize dizziness 2. chewing sugarless gum to prevent dry mouth a client who is start taking lithium carbonate month ago tell the nurse she has just begun taking multiply daily doses of ibuprofen ( motrin) for tension headache. should the client avoid ibuprofen. why or why not ? - Answer what , if any is the appropriate action for the nurse to take NSAIDS such as ibuprofen increase the renal reabsorption of lithium carbonate , possibly leading to lithium carbonate toxicity . therefor this client would avoid NSAIDS . the nurse should notify the provider of client headache and ibuprofen us ATI comprehensive predictor Test with Best Solutions 2023 RATED A+. ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. a client has prescription for valproic ( Depakote) which of the following laboratory value should the nurse anticipate monitor for the client taking this medication - Answer thrombocytes, amylase count and liver function test alcohol withdrawal heroin withdrawal nicotine withdrawal alcohol abstinence opioid over dose - Answer chlordiazeproxide( Librium) methadone( dolophine) bupropion ( wellbutrin) disulfiram ( antabuse) naloxone (narcan) a client who has parkinson's disease is prescribed levodopa/carbidopa ( sinemet) and pramipexole ( Mirapex) for which of the following should the nurse monitor this client - Answer orthostatic hypotension ATI comprehensive predictor Test with Best Solutions 2023 RATED A+. ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. a nurse is preparing to care for a client in the surgical unit who will be receiving lorazapam ( ativan IV) . for what adverse effect should the nurse monitor this client - Answer the nurse should monitor the client respiratory depression a client has a new prescription for spironilactone ( aldactone ) which of the following laboratory value should the nurse recognized as a reason to withhold the morning dose of the medication and notify the provider - Answer serum potassium 5.2 a nurse is caring for a client who prescribed daily dose of both digoxin ( llanoxin ) and furosemide ( Lasix) . the client potassium level 3.2 mEq/L for which of the following medication interaction is the client at risk - Answer Toxic level of digoxin a nurse is reinforcing a teaching on a client who has a prescription for verapamil ( calan) which of the following statement by the client indicated need further teaching - Answer i should decrease the amount of calcium in my diet while taking the medication A nurse is caring for an older adult client who ahs a new prescription for digoxin and takes multiple other medications. Concurrent use of which of the following ATI comprehensive predictor Test with Best Solutions 2023 RATED A+. ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. upset stomach; black or dark-colored stools; or. temporary staining of the teeth. Baclofen (Lioresal) therapeutic outcome: - Answer Decrease the frequency and severity of muscle spasms (MS). What is the difference between respiratory acidosis and respiratory alkalosis? - Answer Acidosis refers to an excess of acid in the blood that causes the pH to fall below 7.35, and alkalosis refers to an excess of base in the blood that causes the pH to rise above 7.45. Bowel elimination how to get a specimen collection - Answer Collect stool specimens for serial fecal occult blood (guaiac) testing 3 times from 3 different defecations. Stool samples should come from fresh stools that are not contaminated with water or urine. Identifying manifestations of transient ischemic attacks - Answer symptoms r/t afffected area. Rapid onset of weakness, numbness, aphasia, visual field cuts. 1-2 clusters before stroke. ATI comprehensive predictor Test with Best Solutions 2023 RATED A+. ATI comprehensive predictor Test with Best Solutions latest update 2024 RATED A+. Musculoskeletal congenital disorders - Answer Monitor skin for breakdown areas and prevent pressure sores. The nurse caring for a child in Buck's skin traction will keep the: - Answer Child pulled up in bed Where should the cath bag be placed when urinary catheterization - Answer Make sure the catheter bag/system is at a level below the client's bladder to avoid reflux. What are the signs and symptoms of fluid volume deficit - Answer loss of total body Na. Causes include vomiting, excessive sweating, diarrhea, burns, diuretic use, and kidney failure. Clinical features include diminished skin turgor, dry mucous membranes, tachycardia, and orthostatic hypotension. What is the nursing action for dehiscence - Answer Cover with a sterile towel moistened with sterile saline; Have patient flex knees slightly and put in Fowler's . ATI comprehensive predictor Test with Best Solutions 2023 RATED A+.