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2025-2026 ATI RN COMPREHENSIVE PREDICTOR EXAM (V2) ACTUAL 75Qs&As|LATEST UPDATE|GRADED A+, Exams of Nursing

2025-2026 ATI RN COMPREHENSIVE PREDICTOR EXAM (V2) ACTUAL 75Qs&As|LATEST UPDATE|ALREADY GRADED A+

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2024/2025

Available from 04/14/2025

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2025-2026 ATI RN COMPREHENSIVE PREDICTOR
EXAM (V2) ACTUAL 75Qs&As|LATEST
UPDATE|ALREADY GRADED A+
1.
The nurse cares for a client diagnosed with superficial partial thickness burn. The
nurse should assign the client to a room with which client?
A.
A client diagnosed with Cushing’s Syndrome.
B.
A client Diagnosed with cellulitis of the left leg.
C.
A Client diagnosed with acute peritonsillar abscess.
D.
A client diagnosed with acute pelvic inflammatory disease.
ANS:->>> A
2.
The nurse observes client care on a geriatric unit. The nurse should intervene in
which situation?
a.
A student nurse assist the client out of bed toward the clients strong side.
b.
A student nurse assist the client to sit on the side of the bed by lifting the client’s
shoulders and swinging the client’s legs over the edge of the bed.
c.
A student nurse assists the client to stand from a sitting position by grasping the
client’s elbows.
d.
Two student nurses use a draw sheet to turn a client in the bed.
ANS:->>> C
3.
The nurse evaluates the results of the client’s purified protein derivative (PPD) 2 ½
days after the injection. The nurse noted the induration is 4 mm. which action by the nurse is
most appropriate?
a.
Inform the client the results are negative
b.
Obtain the names of the client’s closest contacts.
c.
Determine the HIV status of the client.
d.
Wait and additional 24 hours to read the results.
ANS:->>> A
4.
The nurse cores for the client with a history of schizophrenia. The nurse expects to
note which speech pattern?
a.
Repetition of the words used by the nurse.
b.
Rapid, coherent conversation about unrelated topics.
c.
Immediately answering questions appropriately.
d.
Slow, purposeful answers to the nurses questions.
ANS:->>> A
5.
The nurse cares for a 6-month-old infant. The parents report that the infant had
severe diarrhea for twelve hours. The nurse anticipates which finding?
a.
Normal skin elasticity.
b.
Depresses anterior fontanel.
c.
Pale yellow urine.
d.
Absent bowel sounds.
ANS:->>> B
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Download 2025-2026 ATI RN COMPREHENSIVE PREDICTOR EXAM (V2) ACTUAL 75Qs&As|LATEST UPDATE|GRADED A+ and more Exams Nursing in PDF only on Docsity!

2025 - 2026 ATI RN COMPREHENSIVE PREDICTOR

EXAM (V2) ACTUAL 75Qs&As|LATEST

UPDATE|ALREADY GRADED A+

  1. The nurse cares for a client diagnosed with superficial partial thickness burn. The nurse should assign the client to a room with which client? A. A client diagnosed with Cushing’s Syndrome. B. A client Diagnosed with cellulitis of the left leg. C. A Client diagnosed with acute peritonsillar abscess. D. A client diagnosed with acute pelvic inflammatory disease. ANS:->>> A
  2. The nurse observes client care on a geriatric unit. The nurse should intervene in which situation? a. A student nurse assist the client out of bed toward the clients strong side. b. A student nurse assist the client to sit on the side of the bed by lifting the client’s shoulders and swinging the client’s legs over the edge of the bed. c. A student nurse assists the client to stand from a sitting position by grasping the client’s elbows. d. Two student nurses use a draw sheet to turn a client in the bed. ANS:->>> C
  3. The nurse evaluates the results of the client’s purified protein derivative (PPD) 2 ½ days after the injection. The nurse noted the induration is 4 mm. which action by the nurse is most appropriate? a. Inform the client the results are negative b. Obtain the names of the client’s closest contacts. c. Determine the HIV status of the client. d. Wait and additional 24 hours to read the results. ANS:->>> A
  4. The nurse cores for the client with a history of schizophrenia. The nurse expects to note which speech pattern? a. Repetition of the words used by the nurse. b. Rapid, coherent conversation about unrelated topics. c. Immediately answering questions appropriately. d. Slow, purposeful answers to the nurses questions. ANS:->>> A
  5. The nurse cares for a 6 - month-old infant. The parents report that the infant had severe diarrhea for twelve hours. The nurse anticipates which finding? a. Normal skin elasticity. b. Depresses anterior fontanel. c. Pale yellow urine. d. Absent bowel sounds. ANS:->>> B
  1. The nurse cares for a client receiving hydrocodone every 6 hours prn for pain. The client reports pain at 1600. The nurse notes that the hydrocodone was last administered at 1200, and the nurse proceeds to administer hydromorphone at 1615. After discovering the error, how should the nurse record the occurrence? a. “Wrong pain tablet given early. Client will be monitored closely. Asleep now.” b. “Hydromorphone given instead of hydrocodone. Nursing supervisor aware of error.” c. Hydrocodone tablet ordered every 6 hours; pain medication given after 4 hours. Health care provider notified.” d. “Hydromorphone given at 1615; health care provider notified. B/P 122/80, RR 16.” ANS:->>> D
  2. The male client asks the nurse, “Why am I experiencing erectile dysfunction (ED)?” The nurse reviews the client’s medications. The nurse recognizes that which classification increases the risk for ED? a. Non-steroidal anti-inflammatory drugs. b. Antihypertensive medications. c. Anticoagulant medications. d. Histamine H2 inhibitors. ANS:->>> B
  3. The nurse in the hospital cafeteria overhears two nursing assistive personnel (NAP) discuss the client’s condition. What is the PRIORITY action for the nurse to take? a. Change the topic of the conversation. b. Report the employees to their nurse manager. c. Inform the employees about patient confidentiality and the client’s right to privacy. d. Meet with the employees at the end of the shift and tell them not to discuss clients in a public place. ANS:->>> C
  4. The nurse cares for a client diagnosed with dehydration. The plan of care indicates the client is to drink two ounces of fluid every hour. The nurse determines the goal is met if which is recorded on the intake and output (I&O) sheet for an eight-hour shift? a. 360 ml b. 160 ml c. 480 ml d. 240 ml 1 oz=30 ml; 60 oz*8= 480 ml ANS:->>> C
  5. The nurse and LPN/LVN care for clients on a medical-surgical unit. The RN should delegate which activity to the LPN/LVN? a. Follow up on the client’s report of chest and back itching two hours after starting a patient controlled analgesia pump. b. Provide instruction for the client receiving the first nicotine patch. c. Inform the health care provider of the client’s history of peptic ulcer disease prior to administration of streptokinase. d. Take the blood pressure and heart rate before administration of enalapril. ANS:->>> D

d. Polycythemia. ANS:->>> C

  1. The nurse provides care for the client diagnosed with pneumonia who has postural drainage twice a day. Which client response indicates to the nurse that treatment is effective? a. “My upset stomach is better.” b. “I am coughing up more sputum.” c. “My cough is better.” d. “I don’t feel feverish anymore.” ANS:->>> B
  2. The risk management department plans a program to reduce errors. Which is the most common cause of errors in medication administration? a. Failure to follow routine policy and procedures. b. Caring for too many clients. c. Responsible for administering numerous medications. d. Unfamiliar with monk of the new pharmaceuticals ordered. ANS:->>> A
  3. The nurse cares for the school-aged child newly diagnosed with type 1 diabetes. The nurse instructs the family that the child’s insulin needs will decrease during which situation? a. Active exercise b. Infection c. Emotional stress. d. Puberty. ANS:->>> A
  4. The nurse cares for the client receiving lactulose. The nurse determines the medication is effective if which is observed? a. The client’s weight increases by 5 pounds. b. The client denies shortness of breath. c. The client’s urinary output is 2000 ml daily. d. The client is alert and oriented to person, place and time. ANS:->>> D
  5. The nurse cares for the three-year-old prior to a surgical procedure. Which behavior indicates that the child is coping with preoperative preparation? a. The child hops around the room pretending to be a bunny while the nurse attempts to obtain a blood pressure reading. b. The child talks about the picture of a nurse and client while coloring the picture using a number of bright colored crayons. c. The child sits quietly reading a story about a boy who is going to have surgery while the nurse reviews the consent from the parents.

d. The child sits on the parent’s lap and sucks the child’s thumb while the nurse uses puppets to demonstrate the use of the pulse oximeter. ANS:->>> B

  1. The nurse instructs the client after a total hip arthroplasty. The client will utilize which assistive devices in the home? a. Wheelchair b. A long-handled shoehorn. c. A reaching device. d. A raised toilet seat. e. A trochanter roll. f. A shower bench. ANS:->>> B,C,D,F Note: total hip replacement is the same as arthroplasty
  2. The client reports vomiting and diarrhea for three days. Which assessment finding does the nurse anticipate? a. Bradycardia b. Decreased blood pressure. c. Peripheral edema. d. Moist crackles. ANS:->>> B
  3. The nurse cares for the client in active labor. The health care provider orders an oxytocin infusion. Which action should the nurse take FIRST after initiating the infusion? a. Time and record the length and strength of the contractions. b. Prepare the client for an emergency cesarean birth. c. Check the client’s perineum for bulging. d. Monitor the fetal heart rate. ANS:->>> A
  4. The intensive care nurse cares for the client two hours after a myocardial infarction is diagnosed. The nurse’s PRIORITY is to focus on which action? a. Relieve pain. b. Prevent embolism. c. Monitor the telemetry. d. Reduce apprehension. ANS:->>> A
  5. The home health nurse instructs the family how to “allergy-proof” their preschooler’s bedroom. The nurse determines teaching is successful if which of the following is observed? a. There are mini-blinds on the windows without curtains. b. The feather pillows are enclosed in double pillowcases. c. The child’s doll collection is displayed high on a shelf.

b. Auscultate the precordium for murmurs. (ENDOCARDITIS) c. Instruct the client about the importance of balancing rest and activity. d. Encourage the client to perform oral hygiene twice a day. ANS:->>> B

  1. The nurse instructs the client about stable angina. The nurse determines teaching is effective if the client makes which statement? a. Angina pain usually feels like being stabbed with a knife b. Each time I have angina, my heart is damaged. c. My chest pain can occur if I overexert myself. d. If I have chest pain, then I’m probably having another heart attack. ANS:->>> C
  2. The nurse cares for the client in pain. Which factor is MOST important to determine if the client is a candidate for patient controlled analgesia? a. The client has a surgical procedure of 30 minutes. b. Body mass index does not exceed 30 kg/m c. The clients has a history of chronic pain. d. The client is mentally alert. ANS:->>> D
  3. The nurse received report from the previous shift. Which client should the nurse see FIRST? a. The client recently admitted from the operating room who is drowsy and requesting something for pain. b. The client recently diagnosed with asthma with an O2 saturation of 97% c. The client scheduled for discharge later in the day and is reporting increased shortness of breath. d. The client who had an open cholecystectomy 24 hours ago with a temperature of 100 degrees ANS:->>> C
  4. The nurse reviews the arterial blood gas (ABG) report. The PH is 7.50; CO2 is 40mm; HCO3 is 30 mm. Which is the MOST important question to ask the client? Pg 234 a. Do you smoke? b. Do you have a history of emphysema? c. How long have you been vomiting? d. Do you take insulin for your diabetes? ANS:->>> C
  5. The nurse prepares a list of delegated tasks for the nursing assistive personnel (NAP). Which task would be APPROPRIATE? a. Feed the client diagnosed with dysphagia related to a stroke b. Assist the client one day postoperatively to ambulate following knee replacement. c. Turn and reposition the client diagnosed with quadriplegia. d. Obtain vital signs for the client whose last B/P was 188/

ANS:->>> C

  1. The nurse cares for the client diagnosed with anorexia nervosa. The nurse should include which in the client’s plan of care? a. Allow as much time as needed for each meal. b. Observe client during and one hour after each meal. c. Explain the importance of an adequate diet. d. Use a random pattern for weigh assessments. ANS:->>> B
  2. The nurse cares for the client diagnosed with obsessive-compulsive personality disorder (OCD). Which does the nurse expect the client to demonstrate? a. Doubts, fears, and indecisiveness b. Marked emotional maturity. c. An elaborate delusional system. d. Rapid, frequent mood swings. ANS:->>> A
  3. The nurse prepares to administer medications. Which medication cannot be given directly intravenously? a. 50%dextrose b. Potassium chloride (KCI) c. Furosemide (Lasix) d. Calcium gluconate. ANS:->>> B
  4. The nurse cares for a client diagnosed with pancreatic cancer. When talking to the client about the diagnosis, the nurse anticipates the client will make which statement? a. How can I have cancer when I don’t hurt anywhere on my entire body? b. I’ve been feeling fine and didn’t go to the doctor until my skin was kind of yellow. c. I should have known something was wrong when I gained 10 pounds in six weeks. d. My last couple of bowel movements have look almost black in color. ANS:->>> B
  5. The parent of an adolescent diagnosed with hemophilia calls the nurse to discuss the adolescent’s desire to participate in sports. Which activity should the nurse recommend? a. Soccer b. Gymnastics c. Swimming d. Snowboarding ANS:->>> C
  6. The nurse prepares to administer medications to the following clients. Which medication should the nurse pass FIRST?

a. Check the location of the fundus twice a shift. b. Help the mother to ambulate shortly after delivery. c. Assist the mother with changing the perineal pad. d. Inform the mother about appropriate cord cake. e. Assist the mother with breast-feeding. f. Instruct the mother about cleansing the perineum. ANS:->>> B,C

  1. Two days after a short leg cast was applied for a fractured tibia, the client reports new, severe pain over the calf area. Which action should the nurse take FIRST? a. Instruct the client to elevate the leg above the heart. b. Obtain a cast cutter and elastic compression bandages c. Contact the health care provider. d. Assess bilateral deep tendon reflexes. ANS:->>> C
  2. The nurse counsels the client diagnosed with herpes simplex virus (HSV) infection. Which suggestion by the nurse BEST meet the client’s needs to cope with this diagnosis? a. Pamphlets about the disease and treatment. b. Web sites containing sexual transmitted disease (STD) information. c. Contact information for a local support group. d. Information about promising drug research. ANS:->>> C
  3. The nurse prepares the 3 year old for discharge after a tonsillectomy. The nurse recommends the parents offer the child which food during the first 24 hours? a. Cherry popsicle b. Vanilla milkshake c. Lemon-lime soft drink d. Cream of tomato soup. ANS:->>> C
  4. The client receives enteral nutrition at 50 ml/hour due to dysphagia. Which nursing action diagnosis would be the priority? a. Risk for fluid volume excess. b. Risk for electrolyte imbalance. c. Risk for imbalanced nutrition. Less than body requirements. d. Risk for aspiration. ANS:->>> D
  5. The charge nurse has received change-of-shift report on a medical-surgical unit. Which activity can be delegated to an LPN/LVN? a. Transfuse platelets for a client. b. Change a dressing on a client with a stage IV pressure ulcer. c. Initiate discharge teaching for the client whose B/P was 88/64 an hour ago. d. Obtain vital signs on a client whose BP was 88/64 an hour ago.

e. Irrigate an urinary catheter. f. Administer water through a gastrostomy tube. ANS:->>> B,D,E,F

  1. The nurse presents information about misuse of medications to the senior citizen group. Which client response indicates a safe medication practice? a. It is okay to use someone else’s medication if it is similar to my prescription. b. If I miss a dose of medication, I should not double up on the next dose. c. Combining prescribed medicines with other the counter ones is cost-saving. d. Sometimes we have prescriptions from several doctors out of necessity. ANS:->>> B
  2. The nurse cares for the client in the emergency department. The client’s friends state the client inhaled varnish remover and passed out. The nurse notices a rash around the client’s nose and mouth, axillary temperature 97.8 degrees, pulse 66, respiration 12, blood pressure 168/88, pulse oximetry 98%. Which action should the nurse take FIRST? a. Provide oxygen 2L per nasal cannula. b. Evaluate pupillary response. c. Listen to heart sounds d. Place patient in supine position. ANS:->>> B Increased Intracranial Pressure: opposite of shock; increase BP, decreased Pulse and Decreased Respirations. Pupils don’t respond.
  3. Which indicates to the nurse that a 41 - year-old woman who is 5’5’’ tall is obese? a. Waist circumference is 75 cm b. Wait to hip ratio is 0. c. Body mass index is 31 kg/m d. Weight is 124 lbs. ANS:->>> C More than 30, more than 25 overweight. Less than 19 underweight.
  4. The nurse cares for the client reporting a burning sensation and itching of the right eye. On examination, the eye is red, with watery yellow discharge. The nurse understands which is the MOST likely cause of the client’s symptoms? a. Conjunctivitis b. Foreign body in the eye c. Allergic reaction d. Corneal abrasion ANS:->>> A
  5. The nurse cares for the infant diagnosed with hydrocephalus immediately after placement of a ventriculoperitoneal (VP) shunt. The nurse should place the infant in which position? a. High Fowler’s Position b. Supine lying on the non-operative side

ANS:->>> C

  1. The nurse cares for the client with a pacemaker. When monitoring pacemaker functions, which should the nurse assess FIRST? a. Incision site b. Apical pulse c. Blood pressure d. Electrocardiogram (ECG) ANS:->>> D
  2. The adolescent diagnosed with acute mania is started on lithium. Which behavior indicates to the nurse the medication is effective? a. Decreased euphoria and slower rate of speech noted. b. Increased interest in sexual activity. c. Improved appetite and stable weight. d. Increased social interaction noted during meal times. ANS:->>> A
  3. The nurse suspects that the client with severe uterine bleeding is in the early stages of shock. Which is the PRIORITY nursing action? a. Apply super absorbent perineal pads. b. Establish intravenous access. c. Administer oxygen per nasal cannula. d. Place the client in Trendelenburg position. ANS:->>> C
  4. When providing respiratory care for the client with a tracheostomy, it is MOST important for the nurse to take which action? a. Keep the trach cuff inflated during suctioning. b. Apply suction as the catheter is being inserted. c. Instill acetylcysteine just prior to suctioning. d. Preoxygenate the client prior to suctioning. ANS:->>> D
  5. The nurse provides care to a client diagnosed with cirrhosis. Which is the BEST explanation for the development of edema? a. Decreased concentration of plasma albumin. b. Decreased production of aldosterone causing sodium and water retention. c. Shunting of the blood from the portal vessels into the lower pressure vessels. d. Inadequate formation, use and storage of vitamin K. ANS:->>> A With cirrhosis there is malnutrition, with malnutrition there is decreased albumin, with decreased albumin there is edema.
  1. Nurses working in hospital environments should follow which guideline related to effective hand washing? a. Use a petroleum-based lotion for prevention of dryness. b. Have the water temperature as hot as tolerated. c. Clean under artificial nails prior to starting shift. d. Wash for at least fifteen seconds covering all surfaces. ANS:->>> D
  2. The nurse cares for the primigravida during the transition phase of labor. Which is MOST important for the nurse to include in the client’s plan of care? a. Provide feedback to reduce client’s anxiety. b. Assess client’s emotional reaction to impending parenthood. c. Catheterize client is unable to void for 2 hours. d. Provide comfort measures including position changes. ANS:->>> D
  3. The nurse cares for the client diagnosed with a hearing impairment. Which is a PRIORITY action for the nurse to take? a. Talk with a raised voice. b. Utilize more hand gestures. c. Speak at a slightly slower pace. d. Use more facial expressions. ANS:->>> C
  4. The nurse cares for the newborn with a port wine stain covering the face and half the body. The nurse notes that the mother refuses to look at the newborn. Which response by the nurse is MOST appropriate? a. Allow the mother to recover from the fatigue of delivery and then bring the newborn to her. b. Empathetically the mother not to blame herself for the newborn’s appearance. c. Talk to the family about the situation and encourage the family to comfort the other. d. Reinforce the health care provider’s explanation of the defect and allow time for the mother to discuss her fears. ANS:->>> D
  5. The nurse reviews a diet containing broiled catfish, baked green beans, a roll, a brownie, and tea. The nurse identifies this diet is most appropriate for which condition? a. Celiac disease. b. Type 1 diabetes. c. Acute pancreatitis. d. Crohn’s disease. ANS:->>> D
  6. The nurse cares for a toddler diagnosed with croup. The nurse notes the toddler’s respiratory and heart rates have increased significantly. Sub sternal and intercostal
  1. The nurse instructs the client to expectorate into a sterile container.
  2. The nurse performs hand hygiene and dons clean gloves. Answer#
  3. The nurse cares for a three-year-old child diagnosed with severe anemia. The nurse observes weakness and fatigue. Which will the nurse expect to observe?
  4. Cool, clammy skin.
  5. Elevated blood pressure.
  6. Cyanosis of the nailbeds.
  7. Increased heart rate. Answer#
  8. The nurse cares for a child following corrective surgery for tetralogy of Fallot. The nurse should include which in the child’s plan of care?
  9. Place the child in a private room near the nursing station.
  10. Restrict visitors with exception of the child’s parents.
  11. Limit the child’s physical activity to sitting in a chair at bedside.
  12. Instruct the child’s parent about food allowed on a 2 gram sodium diet. Answer# (low in sodium high in potassium because they will be on cardiac meds)
  13. The nurse cares for a client diagnosed with pneumonia. The client receives intravenous antibiotic therapy twice daily. The client reports three liquid stools the past six hours. Which action should the nurse take FIRST?
  14. Obtain an order for loperamide.
  15. Encourage increased consumption of fruit juices.
  16. Collect a stool sample for Clostridium Difficile.
  17. Complete a diet history of the past 3 days. Answer#
  18. A nurse in the pediatric clinic receives a call from a parent stating, “it looks like my 10 - year-old has chickenpox, but my child had the immunization”. Which response by the nurse is BEST
  19. “You should keep the child home for the next week”.
  20. The child will need a booster vaccine once the vesicles have disappeared”.
  21. “If your child had the vaccination, it can’t be chickenpox”.
  22. Give aspirin every 4 hours for fever or discomfort”. Answer#
  23. After receiving report from the evening shift charge nurse, which client should the nurse see FIRST?
  24. A 69 - year – old diagnosed with chronic obstructive pulmonary disease requesting a sleeping pill.
  25. A 52 - year old client diagnosed with pancreatitis reporting abdominal pain.
  26. A 67 - year old client diagnosed with pneumonia with a pulse oximeter reading of 88%
  1. A 78 year old client diagnosed with coronary artery disease with a blood pressure of 155/88. Answer# SAO2 95 - 99%
  2. A nurse in the oncology clinic receives messages from four clients. Which client should the nurse see FIRST?
  3. A client diagnosed with testicular cancer requests information about sperm banking prior to starting chemotherapy.
  4. A client diagnosed with non-Hodgkin’s lymphoma reports facial swelling.
  5. A client diagnosed with colorectal cancer receiving chemotherapy reports tingling in the fingers.
  6. A client who had a radical neck dissection notices whitish patches in the mouth. Answer# ABC
  7. The nurse develops a plan of care for the client diagnosed with osteoporosis. Which is the best description on the PRIORITY goal?
  8. Maintenance of body weight.
  9. Improved nutritional intake.
  10. Knowledge of medication side effects.
  11. Prevention of falls and accidents. Answer#
  12. The nurse determines which lunch menu is the BEST choice for a patient diagnosed with fluid volume excess?
  13. Turkey on wheat bread, carrot sticks, chocolate cake, 6 oz iced tea.
  14. Sit-fry rice with soy sauce, green beans, ice cream, 6 oz water.
  15. Pimento cheese with crackers, grapes, cookies, 4 oz diet soda.
  16. Grilled cheese sandwich, dill pickle, apple, 4 oz tomato juice. Answer# LOW SODIUM DIET, WATER FOLLOWS SALT
  17. The nurse teaches the mother of a 3 - month-old infant. When planning accident prevention, the nurse emphasizes which goal?
  18. Electric outlets will be covered with plugs.
  19. All small objects will be removed from the floor.
  20. Crib rails will be kept in the highest position.
  21. Toxic substances will be moved from lower storage. Answer#
  22. The nurse obtains a health history for the school-age child diagnosed with asthma. It is most important for the nurse to follow up on which statement made by the child?
  23. “I use a vaporizer in my room every night”.
  24. “I play football and basketball”.
  25. “I live in a rural area”.
  1. Aerobic exercises.
  2. Listening to soft music. Answers#1,4,5,
  3. The health department nurse cares for the client diagnosed with tuberculosis and positive HIV status, sharing concerns over financial and childcare issues and life expectancy.Which referral is MOST appropriate for this client?
  4. A non-denominational chaplain.
  5. Financial counselor at a non-profit agency.
  6. Social worker from social services department.
  7. The director of the local homeless shelter. Answer#
  8. The adolescent tells the school nurse she is planning to start sexual relations with her boyfriend. Which is the BEST response by the nurse?
  9. “I can make a referral to a gynecologist for you”.
  10. “Have you discussed this decision with your parents?”
  11. “Surely you understand I’ll have to let your parents know”.
  12. “How do you plan on paying for contraceptives? Answer#
  13. The nurse cares for the client after colostomy surgery. Eight hours after surgery, what observation would the nurse expect?
  14. A dusky-red appearance of the stoma.
  15. Absence of any output from the colostomy.
  16. Bright bloody drainage from the nasogastric tube.
  17. Presence of hyperactive bowel sounds. Answer#
  18. The nurse care for the clients in the Sleep Study Unit. The nurse recognizes which client is at GREATEST risk for developing obstructive sleep apnea?
  19. 30 year old male, works nightshift as a security guard.
  20. 50 year old female, smokes two packs/day.
  21. 60 year old male, 55 pounds over ideal weight.
  22. 40 year old female, active alcoholic. Answer#
  23. The client after radical prostatectomy expresses concern related to ongoing urinary incontinence. Which response by the nurse is BEST?
  24. Have you been doing Kegel exercises?
  25. It is important to anticipate leakage and stay close to a bathroom at all times.
  26. Drinking more fluids with your meals will decrease the need to void.
  27. Avoiding caffeine and alcohol may reduce bladder irritation. Answer#
  1. The client reports severe lower back pain radiating down the left leg. The client identifies the pain as 9 on a 0 - 10 scale and states, “It feels like I’ve been stuck with a hot poker”. Which order should the nurse anticipate?
  2. Opioid analgesic.
  3. Nonsteroidal anti-inflammatory drugs.
  4. Immunosupressant agent.
  5. Topical nonopioid analgesic. Answer#
  6. The nurse on the pediatric unit receives report from the previous shift. Which client should be seen FIRST?
  7. The 8 year old newly diagnosed with type 1 diabetes with a blood sugar of 285 mg/dl.
  8. The 2 year old diagnosed with asthma whose pulse oximeter reading is 97%.
  9. The 6 year old recovering from an appendectomy with a temperature of 100. degrees F (37.9 degrees C).
  10. The 10 year old with cerebral palsy with a newly placed enteral nutrition Answer# RISK FOR DKA
  11. The nurse instructs the client receiving enoxaparin (LOVENOX). Which client response indicates teaching is EFFECTIVE?
  12. I will inject the medication into the far left or right side of my abdomen every day.
  13. I can take ibuprofen if I am feeling pain.
  14. The antidote to enoxaparin is Vitamin K.
  15. I am taking enoxaparin to dissolve blood cloths. Answer#1 (ANTIDOTE: Protamine sulfate)
  16. The nurse cares for the client receiving acyclovir. The nurse knows acyclovir is used to treat which condition?
  17. Herpes simplex.
  18. Contact dermatitis.
  19. Candidiasis.
  20. Psoriasis. Answer#
  21. The nurse admits the 6-month old infant diagnosed with hypovolemia secondary to diarrhea. The physician orders KCL 1 mEq per kg/body weight in 250 ml 0.9% saline. Prior to administering the medication, which action should the nurse take FIRST?
  22. Validate the baby has wet a diaper.
  23. Determine the possible causes for the diarrhea.
  24. Offer the electrolyte solution orally.
  25. Arrange for a central line catheter placement. Answer# No PEE no K!!!!!!