Comprehensive Predictor 2023 Exit ACCURATE TESTED VERSIONS OF THE EXAM FROM 2023, Exams of Nursing

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ATI Comprehensive Predictor 2023

Exit ACCURATE TESTED VERSIONS OF THE

EXAM FROM 2023TO 2024 | ACCURATE AND

VERIFIED ANSWERS | NEXT GEN FORMAT |

GUARANTEED PASSWITH 100 QUESTIONS

A nurse is developing a plan of care for a client who has schizophrenia and is experiencing auditory hallucinations. Which of the following actions should the nurse include in the plan? A. Ask the client directly what he is hearing. B. Avoid eye contact with the client. C. Encourage the client to lie down in a quiet room. D. Refer to the hallucinations as if they are real.

• CORRECT ANS-A. Ask the client directly what he is hearing. A nurse is providing teaching to an older adult client about methods to promote nighttime sleep. Which of the following instructions should the nurse include? A. Perform exercises prior to bedtime. B. Take a 1-hr nap during the day. C. Eat a light snack before bedtime. D. Stay in bed at least 1 hr if unable to fall asleep.
• CORRECT ANS-C. Eat a light snack before bedtime. A nurse is providing dietary teaching to a client who has a new diagnosis of irritable bowel syndrome. Which of the following recommendations should the nurse include?

A. Consume foods high in bran fiber. B. Increase intake of foods high in gluten. C. Increase intake of milk products. D. Sweeten foods with fructose corn syrup.

• CORRECT ANS-A. Consume foods high in bran fiber. A nurse is providing preoperative teaching to an older adult client who is scheduled for surgery. Which of the following actions should the nurse take to promote learning? A. Use a 12-point font when printing written materials for the client. B. Present the information to the client using abstract concepts. C. Connect new information with the client's past experiences. D. Speak loudly when addressing the client.
• CORRECT ANS-C. Connect new information with the client's past experiences. A nurse is assessing a client who has bipolar disorder and is experiencing a depressive episode. Which of the following findings should the nurse expect? A. Client reports auditory hallucinations. B. Client expresses illusions of grandeur. C. Moves quickly from one idea to the next. D. Inability to carry out a simple task.
• CORRECT ANS-D. Inability to carry out a simple task. A nurse is consulting a pharmacological reference about medication compatibility prior to administering warfarin to a client. Which of the following medications should the nurse identify as being incompatible with warfarin?

A. Naproxen. B. Magnesium hydroxide. C. Lisinopril. D. Propranolol.

• CORRECT ANS-A. Naproxen. A nurse is teaching dietary guidelines to a client who has celiac disease. Which of the following food choices is appropriate for this client? A. Potato pancakes. B. Wheat crackers. C. White flour tortillas. D. Canned barley soup.
• CORRECT ANS-A. Potato pancakes. A nurse is discussing discharge plans with an older adult client who lives alone and has left- sided weakness following a stroke. Which of the following information is the priority for the nurse to discuss? A. Choosing an agency to provide home physical therapy. B. Obtaining an alert system to get help in case of a fall. C. Providing information about available transportation resources. D. Reviewing information about support groups for individuals who have had a stroke. - CORRECT ANS-B. Obtaining an alert system to get help in case of a fall. A nurse is caring for a client who is experiencing expressive aphasia and right hemiparesis following a stroke. Which of the following actions by the nurse best promotes communication among staff caring for the client?

A. Recording the client's progress in the nurses' notes. B. Posting swallowing precautions at the head of the client's bed. C. Having interdisciplinary team meetings for the client on a regular basis. D. Noting changes in the treatment plan in the client's medical record.

• CORRECT ANS-C. Having interdisciplinary team meetings for the client on a regular basis. A nurse is caring for a client who has a stool culture that is positive for Clostridium difficile. Which of the following infection control precautions should the nurse take? A. Wear a face shield prior to entering the client's room. B. Place a mask on the client prior to transport. C. Use an alcohol-based hand rub following client care. D. Remove the protective gown while in the client's room.
• CORRECT ANS-D. Remove the protective gown while in the client's room. A nurse is caring for a client who experienced a traumatic brain injury 72 hr ago. Which of the following findings should the nurse identify as a potential indication of increased intracranial pressure? A. Tachycardia. B. Hypotension. C. Narrowed pulse pressure. D. Increasingly severe headache.
• CORRECT ANS-D. Increasingly severe headache. A nurse is caring for a client who is alert and oriented and is receiving continuous ECG monitoring. The cardiac rhythm strip shows a wavy baseline, no distinguishable P waves, and an increased heart rate. The nurse should identify the cardiac rhythm as which of the following?

A. Atrial fibrillation. B. Ventricular asystole. C. Second-degree heart block. D. Sinus tachycardia.

• CORRECT ANS-A. Atrial fibrillation. A nurse is assessing the fontanels of an 8-month-old infant. Which of the following findings should the nurse recognize as an expected finding? A. The anterior fontanel is open. B. The posterior fontanel is open. C. Both fontanels show molding. D. Both fontanels are the same size.
• CORRECT ANS-A. The anterior fontanel is open. A nurse is planning care for a client who has acute appendicitis. Which of the following actions should the nurse plan to take? A. Administer a laxative to the client. B. Keep the client on NPO status. C. Place the client's head of bed flat. D. Apply heat to the client's abdomen.
  • CORRECT ANS-B. Keep the client on NPO status. A nurse is preparing to admit a 6-year-old with varicella to the pediatric unit. Which of the following actions should the nurse take? A. Assess the child for Koplik spots.

B. Assign the child to a negative air pressure room. C. Use droplet precautions when caring for the child. D. Administer aspirin to the child for fever.

• CORRECT ANS-B. Assign the child to a negative air pressure room. A nurse is caring for a client who asks for information regarding organ donation. Which of the following responses should the nurse make? A. "Your desire to be an organ donor must be documented in writing." B. "You must be at least 21 years of age to become an organ donor." C. "Your name cannot be removed once you are listed on the organ donor list." D. "I cannot be a witness for your consent to donate.
• CORRECT ANS-A. "Your desire to be an organ donor must be documented in writing." A nurse is providing care for a client who has esophageal cancer and has received radiation therapy. Which of the following findings should the nurse identify as the priority? A. Dysphagia. B. Xerostomia. C. Excoriation of the skin on the neck and chest. D. Client reports a pain level of 6 on a scale from 0 to 10.
• CORRECT ANS-A. Dysphagia. A nurse is collecting a sputum specimen from a client who has tuberculosis. Which of the following actions should the nurse take? A. Obtain the specimen immediately upon the client waking up. B. Ask the client to provide 15 to 20 mL of sputum into the container.

C. Wear sterile gloves to collect the specimen from the client. D. Wait 1 day to collect the specimen if the client cannot provide sputum.

• CORRECT ANS-A. Obtain the specimen immediately upon the client waking up. A nurse is teaching a client about a variety of stress management techniques. Which of the following instructions by the nurse is appropriate? A. "Talk to someone who you admire as the first step in using mindfulness techniques to relax." B. "Tighten your muscles before relaxing them when using muscle relaxation techniques." C. "Breathe in through your mouth and out through your nose when using deep breathing exercises." D. "Imagine a situation that has been stimulating for you when practicing guided imagery." - CORRECT ANS-B. "Tighten your muscles before relaxing them when using muscle relaxation techniques." A nurse is reporting a client's laboratory tests to the provider to obtain a prescription for the client's daily warfarin. Which of the following laboratory tests should the nurse plan to report to obtain the prescription for the warfarin? A. aPTT. B. Platelet count. C. Fibrinogen level. D. INR.
• CORRECT ANS-D. INR A nurse is planning care for a group of clients and is working with one licensed practical nurse (LPN) and one assistive personnel (AP). Which of the following actions should the nurse take first to manage her time effectively? A. Schedule daily activities.

B. Determine goals of the day .C. Delegate tasks to the AP. D. Develop an hourly time frame for tasks.

• CORRECT ANS-B. Determine goals of the day A nurse is preparing to administer three medications to a client who is receiving continuous enteral feeding through an NG tube. Which of the following actions is appropriate for the nurse to take? A. Use a syringe to allow the medications to flow by gravity. B. Flush the NG tube with 5 mL water. C. Dissolve the medications together. D. Add medication directly to enteral feeding.
  • CORRECT ANS-A. Use a syringe to allow the medications to flow by gravity. A nurse is assessing a client who has histrionic personality disorder. Which of the following manifestations should the nurse expect? A. Self-centered behavior. B. Suspicious of others. C. Callousness. D. Violates others' rights. - CORRECT ANS-A. Self-centered behavior. A nurse is caring for a client who has severe hypertension and is to receive nitroprusside via continuous IV infusion. Which of the following actions should the nurse plan to take? A. Keep calcium gluconate at the client's bedside. B. Attach an inline filter to the IV tubing.

C. Protect the IV bag from exposure to light. D. Monitor blood pressure every 2 hr. - CORRECT ANS-C. Protect the IV bag from exposure to light. A nurse in a PACU is transferring care of a client to a nurse on the medical-surgical unit. Which of the following statements should the nurse include in the hand-off report? A. "The estimated blood loss was 250 milliliters." B. "The client was intubated without complications." C. "The client is a member of the board of directors." D. "There was a total of 10 sponges used during the procedure." - CORRECT ANS-A. "The estimated blood loss was 250 milliliters." A nurse is caring for a client who has end-stage kidney disease. The client's adult child asks the nurse about becoming a living kidney donor for their parent. Which of the following conditions in the child's medical history should the nurse identify as a contraindication to the procedure? A. Amputation. B. Primary glaucoma. C. Hypertension. D. Osteoarthritis. - CORRECT ANS-C. Hypertension. A nurse is planning care for a client who is to receive alteplase recombinant for a thrombus in the coronary artery. Which of the following actions should the nurse include in the plan of care? A. Observe for bruising of the skin. B. Administer medications intramuscularly. C. Monitor vital signs every 4 hours

D. Provide a diet low in protein - CORRECT ANS-A. Observe for bruising of the skin. A nurse in a prenatal clinic is teaching a client about nonpharmacological pain management during labor. Which of the following statements by the client indicates an understanding of the teaching? A. "The nurse will initiate acupuncture when I arrive at the unit." B. "My nurse can teach me biofeedback at the beginning of labor." C. "A transcutaneous electrical nerve stimulator will help with pelvic pressure." D. "I can use my ultrasound picture as a focal point during contractions." - CORRECT ANS-C. "A transcutaneous electrical nerve stimulator will help with pelvic pressure." A nurse is speaking with the caregiver of a client who has Alzheimer's disease. The caregiver states, "Providing constant care is very stressful and is affecting all areas of my life." Which of the following actions should the nurse take? A. Recommend allowing the client to have time alone in their room throughout the day. B. Discuss methods of how to communicate with the client about resolving problem behaviors. C. Assist the caregiver to arrange for a daycare program for the client. D. Suggest that the caregiver seek a prescription for an antipsychotic medication for the client. - CORRECT ANS-C. Assist the caregiver to arrange for a daycare program for the client. A nurse is receiving change-of-shift report for a group of clients. Which of the following clients should the nurse plan to assess first? A. A client who has epidural analgesia and weakness in the lower extremities. B. A client who has diabetes mellitus and an HbA1c of 6.89%. C. A client who has a hip fracture and a new onset of tachypnea. D. A client who has sinus arrhythmia and is receiving cardiac monitoring. - CORRECT ANS-C. A client who has a hip fracture and a new onset of tachypnea.

A charge nurse is monitoring a newly licensed nurse who is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following statements by the newly licensed nurse indicates an understanding of the procedure? A. "I will monitor the client's blood glucose level every 8 hours." B. "I will hang a new bag of TPN and IV tubing every 24 hours." C. "I will increase the rate of the TPN infusion to ensure the correct amount is given." D. "I will obtain the client's weight every other day. - CORRECT ANS-A. "I will monitor the client's blood glucose level every 8 hours." A nurse is caring for a client who is in the active phase of labor and has decided to have a natural childbirth. Which of the following pain management techniques should the nurse suggest? A. Have the client exhale deeper than she inhales to promote adequate ventilation. B. Provide information about the use of hydrotherapy during labor. C. Encourage the client to have the family exit the room when the pain is unbearable. D. Inform the client that using pharmacological pain management will not impact the delivery. - CORRECT ANS-B. Provide information about the use of hydrotherapy during labor. A nurse is caring for a client who speaks a different language than the nurse and is using an interpreter. Which of the following actions should the nurse take when working with the interpreter? A. Direct statements to the interpreter. B. Speak in a normal voice at a natural pace. C. Use gestures when speaking with the client. D. Pause in the middle of sentences. - CORRECT ANS-B. Speak in a normal voice at a natural pace.

A nurse is teaching a prenatal class about infection prevention at a community center. Which of the following statements by a client indicates an understanding of the teaching? A. "I should take antibiotics when I have a virus." B. "I should wash my hands for 10 seconds with hot water after working in the garden." C. "I can clean my cat's litter box during my pregnancy." D. "I can visit my nephew who has chickenpox 5 days after the sores have crusted. - CORRECT ANS-D. "I can visit my nephew who has chickenpox 5 days after the sores have crusted. A nurse is caring for a client whose child died from cancer. The client states, "It's hard to go on without him." Which of the following questions should the nurse ask the client first? A. "What has helped you through difficult times in the past?" B. "Is there anyone you would like involved in your care?" C. "Has anyone in your family committed suicide?" D. "Are you thinking about ending your life?" - CORRECT ANS-D. "Are you thinking about ending your life?" A nurse is preparing to initiate intravenous fluids via infusion pump for a client. Which of the following actions should the nurse take? A. Check the expiration date on the safety inspection sticker of the pump. B. Verify that the extension cord for the pump is ungrounded. C. Report the pump has a frayed cord and proceed with the infusion. D. Obtain a surge protector that can accommodate the pump and several other appliances. - CORRECT ANS-A. Check the expiration date on the safety inspection sticker of the pump.

A nurse is assessing a client following an esophagogastroduodenoscopy. Which of the following findings should the nurse report to the provider? A. Belching. B. Abdominal pain. C. Sore throat. D. Flatulence. - CORRECT ANS-B. Abdominal pain. A nurse is creating a plan of care for a client who has paranoid personality disorder and refuses to take their medication. Which of the following interventions should the nurse include in the plan? A. Mix the medication with the client's food items. B. Speak in a neutral tone when addressing the client. C. Limit the client's opportunities to socialize with others. D. Rotate staff members caring for the client. - CORRECT ANS-B. Speak in a neutral tone when addressing the client. A nurse is caring for a male client who has a spinal cord injury. Which of the following techniques should the nurse use when providing perineal care? A. Wash the penis from the scrotum to the tip using a spiral motion. B. Use water with no soap to prevent skin irritation. C. Don sterile gloves to prevent infection. D. Discard the washcloth after cleansing the urethral meatus - CORRECT ANS-B. Use water with no soap to prevent skin irritation. A nurse in a family health clinic is caring for a client who requests information regarding the correct use of condoms. Which of the following statements should the nurse make?

A. "Use of a petroleum-based lubricant with a condom increases the condom's effectiveness." B. "When using implanted contraceptive methods, condoms should also be used to protect against STDs." C. "Condoms are equally effective for birth control with or without the use of vaginal spermicides." D. "Ensure that the condom fits snugly over the tip of the penis." - CORRECT ANS-B. "When using implanted contraceptive methods, condoms should also be used to protect against STDs." A community health nurse is working with a group of clients. The nurse practices the ethical principle of distributive justice by performing which of the following tasks? A. Ensuring that a client who is homeless receives preventive medical care. B. Being honest with the parents of a child about the need to report suspected abuse. C. Accepting the decision of an older adult client to live alone in her home. D. Keeping a promise to visit with a client who is housebound after the delivery of care. - CORRECT ANS-A. Ensuring that a client who is homeless receives preventive medical care. A nurse is teaching a client about family planning using the basal body temperature method. Which of the following instructions should the nurse include in the teaching? A. "Take your temperature within 30 minutes after your first morning void." B. "Take your temperature 1 hour after getting out of bed." C. "Take your temperature every night before going to bed." D. "Take your temperature immediately after waking and before getting out of bed." - CORRECT ANS-D. "Take your temperature immediately after waking and before getting out of bed." A nurse is preparing a client to undergo a cardiac catheterization. Which of the following tasks should the nurse perform prior to the procedure?

A. Draw blood specimens for culture and sensitivity. B. Obtain a CBC with differential. C. Transport the client to radiology for a CT scan. D. Administer nitroglycerin 0.4 mg SL 30 min before the procedure. - CORRECT ANS-A. Draw blood specimens for culture and sensitivity. A nurse is assessing a client who is postoperative and has a history of pulmonary embolism. Which of the following findings is the priority for the nurse to report to the provider? A. Hypotension. B. Dyspnea. C. Dry cough. D. Tachycardia. - CORRECT ANS-A. Hypotension. A nurse is caring for a client who is near the end of life and is on complete bed rest. The client states that he needs to have a bowel movement and the nurse offers a bedpan. The client states, "I've always used the bathroom." Which of the following responses should the nurse make? A. "Tell me what concerns you have about using a bedpan." B. "Make sure to use nearby furniture to support yourself when walking to the bathroom." C. "You have to use the bedpan for your own safety." D. "I will have the physical therapist ambulate you to the bathroom." - CORRECT ANS-A. "Tell me what concerns you have about using a bedpan." A nurse and an assistive personnel (AP) are assigned a group of clients on the unit. Which of the following clients should the nurse instruct the AP to report to the nurse? A. A client who has a prescription for compression stockings and did not receive them.

B. A client who consumes all the food from their meal tray. C. A client who requests to sit in the bedside chair while watching TV. D. A client who requests assistance to use the bedside commode. - CORRECT ANS-A. A client who has a prescription for compression stockings and did not receive them. A nurse is planning to delegate the fasting blood glucose testing for a client who has diabetes mellitus to an assistive personnel (AP). Which of the following actions should the nurse take? A. Have the AP check the medical record for prior blood glucose test results. B. Assign the AP to ask the client if she has taken her antidiabetic medication today. C. Determine if the AP has the skills to perform the test. D. Help the AP perform the blood glucose test. - CORRECT ANS-C. Determine if the AP has the skills to perform the test. A nurse is assessing a client who has type 1 diabetes mellitus and was administered insulin lispro 1 hr ago. Which of the following manifestations indicates that the client might be experiencing hypoglycemia? A. Acetone breath. B. Confusion. C. Polydipsia. D. Hot, dry skin. - CORRECT ANS-B. Confusion. A charge nurse is concerned about a recent increase in facility-acquired catheter infections. Which of the following actions should the nurse take first? A. Identify possible precipitating factors related to the infections. B. Meet with providers to discuss measures to decrease the infections. C. Revise the current policy for catheter care.

D. Schedule nursing staff training for infection control procedures. - CORRECT ANS-A. Identify possible precipitating factors related to the infections. A nurse in a long-term care facility is providing care for a client who has been receiving donepezil. Which of the following findings indicates that the medication is effective? A. Improved short-term memory. B. Enhanced mood. C. Can perform ADLs independently. D. Increased food intake - CORRECT ANS-A. Improved short-term memory. A nurse is reviewing the medical record of a client who has schizophrenia and is taking clozapine. Which of the following findings should the nurse identify as a contraindication to the administration of clozapine? A. Heart rate 58/min. B. Fasting blood glucose 100 mg/dL. C. WBC count 2,900/mm3. D. Hgb 14 g/dL. - CORRECT ANS-C. WBC count 2,900/mm3. A nurse is developing a plan of care for a client who has preeclampsia and is to receive magnesium sulfate via continuous IV infusion. Which of the following actions should the nurse include in the plan? A. Give the client protamine if signs of magnesium sulfate toxicity occur. B. Monitor the FHR via Doppler every 30 min. C. Restrict the client's total fluid intake to 250 mL/hr. D. Measure the client's urine output every hour. - CORRECT ANS-D. Measure the client's urine output every hour.

A nurse is providing teaching about digoxin administration to the parents of a toddler who has heart failure. Which of the following statements should the nurse include in the teaching? A. "You can add the medication to a half-cup of your child's favorite juice." B. "Limit your child's potassium intake while she is taking this medication." C. "Have your child drink a small glass of water after swallowing the medication." D. "Repeat the dose if your child vomits within 1 hour after taking the medication." - CORRECT ANS-A. "You can add the medication to a half-cup of your child's favorite juice." A nurse is providing teaching to a client about the adverse effects of sertraline. Which of the following adverse effects should the nurse include? A. Metallic taste in mouth. B. Increased urinary frequency. C. Dry cough. D. Excessive sweating. - CORRECT ANS-D. Excessive sweating. A nurse is caring for a client who is receiving intermittent enteral tube feedings. Which of the following factors places the client at risk for aspiration? A. Sitting in high-Fowler's position during the feeding. B. A history of gastroesophageal reflux disease. C. A residual of 65 mL 1 hr postprandial. D. Receiving a high-osmolarity formula. - CORRECT ANS-B. A history of gastroesophageal reflux disease. A nurse in an acute mental health care facility is prioritizing care for multiple clients. Which of the following clients should the nurse see first?

A. A client who has obsessive-compulsive disorder and is upset about a change in daily routine. B. A client who is taking clozapine to treat schizophrenia and reports a sore throat. C. A client who has narcissistic personality disorder and is mocking others during group therapy. D. A client who has depressive disorder and requires assistance with ADLs. - CORRECT ANS-B. A client who is taking clozapine to treat schizophrenia and reports a sore throat. A nurse is caring for a client who is on bed rest. The nurse should recognize that which of the following findings is a complication of immobility? A. Swollen area on calf. B. Increased blood pressure. C. Decreased serum calcium levels. D. Urinary frequency. - CORRECT ANS-A. Swollen area on calf. A nurse is obtaining the temperature of a newborn. Which of the following sites should the nurse use? A. Rectal. B. Axillary. C. Tympanic. D. Oral. - CORRECT ANS-B. Axillary. A nurse is planning teaching for a client who has a newly implanted implantable cardioverter- defibrillator. Which of the following information should the nurse include? A. Expect to have a rapid pulse rate for the first few weeks. B. Return in two weeks for a follow-up MRI.

C. Resume tub baths and swimming after 24 hr. D. Wear loose-fitting clothing - CORRECT ANS-D. Wear loose-fitting clothing A nurse manager is addressing reports of conflict within a nursing unit. The nurse should identify which of the following situations as an example of interpersonal conflict? A. A nurse expresses concern that another shift works fewer holiday hours. B. A nurse has a personal difficulty with caring for clients who have HIV. C. A nurse experiences insulting comments directed at them by another nurse. D. A nurse submits a complaint about another department's handoff reporting. - CORRECT ANS- C. A nurse experiences insulting comments directed at them by another nurse. A nurse is caring for a client who has respiratory depression from an opioid administration. After administering naloxone to the client, which of the following findings should the nurse expect? A. Increased pain. B. Somnolence. C. Hyperglycemia. D. Hypoventilation. - CORRECT ANS-A. Increased pain. A nurse in an acute care mental health facility is placing a client in seclusion and restraints. Which of the following actions should the nurse plan to take? A. Request a provider to evaluate the client in person every 36 hr. B. Document the client's behavior every 15 min. C. Ensure that the prescription for restraints be renewed every 6 hr. D. Plan to monitor the client every 30 min while restrained. - CORRECT ANS-B. Document the client's behavior every 15 min.

A nurse is caring for a client who has a new diagnosis of Chlamydia trachomatis. Which of the following actions should the nurse take? A. Instruct the client to abstain from sexual intercourse for 1 month. B. Administer ceftriaxone via intermittent IV bolus. C. Schedule the client for retesting in 1 week. D. Report the infection to the state department of health. - CORRECT ANS-D. Report the infection to the state department of health. A nurse is teaching a client about advance directives. Which of the following statements by the client indicates an understanding of the teaching? A. "A living will is a document that includes my wishes about health care decisions." B. "Advance directives outline who inherits my material possessions in the event of my death." C. "My partner needs to be present as a witness when I sign a living will." D. "My provider will make my health care decisions if I complete advance directives." - CORRECT ANS-A. "A living will is a document that includes my wishes about health care decisions." A nurse is caring for a client who is receiving radiation therapy and is experiencing anorexia. Which of the following actions should the nurse take? A. Encourage the client to drink low-protein supplements. B. Serve the client's largest meal in the evening. C. Provide the client with cold foods rather than hot foods. D. Tell the client to drink two glasses of water with meals. - CORRECT ANS-C. Provide the client with cold foods rather than hot foods.

A nurse in a clinic is planning care for a child who has ADHD and is taking atomoxetine. Which of the following laboratory values should the nurse monitor? A. Hemoglobin and hematocrit. B. Serum sodium and potassium. C. Liver function tests. D. Kidney function tests. - CORRECT ANS-C. Liver function tests. An occupational health nurse is providing teaching to a group of factory workers about proper lifting techniques. Which of the following statements should the nurse make? A. "Tighten abdominal muscles to improve balance." B. "Bend at the waist when lifting objects from the floor." C. "Keep your feet together to provide a tight base of support." D. "Keep objects away from your center of gravity while lifting." - CORRECT ANS-A. "Tighten abdominal muscles to improve balance." A nurse is caring for a client who is in active labor and notes the FHR baseline has been 100/min for the past 15 min. The nurse should identify which of the following conditions as a possible cause of fetal bradycardia? A. Maternal hypoglycemia. B. Fetal anemia. C. Chorioamnionitis. D. Maternal fever. - CORRECT ANS-A. Maternal hypoglycemia. A nurse is teaching about preventative measures to a female client who has chronic urinary tract infections. Which of the following instructions should the nurse include in the teaching?

A. "Soak in a warm bath every day." B. "Take an oral estrogen supplement." C. "Drink 2 liters of water per day." D. "Empty your bladder every 6 hours." - CORRECT ANS-C. "Drink 2 liters of water per day." A nurse is assessing the coping strategies of a client who has recently retired. Which of the following statements by the client indicates that the client is using compensation as a defense mechanism? A. "Since I retired, I have entered many gardening competitions." B. "I'm so glad I've retired because the work was making me sick and depressed." C. "I had to retire because my boss didn't like me." D. "There were lay-offs at my company, so I journaled about what I accomplished during my career. - CORRECT ANS-A. "Since I retired, I have entered many gardening competitions." A nurse is teaching a client who is trying to conceive. Which of the following should the nurse instruct the client to increase in her diet to prevent a neural tube defect? A. Iron. B. Calcium. C. Folate. D. Zinc. - CORRECT ANS-C. Folate. A school nurse is performing scoliosis screenings. The nurse should recognize which of the following clinical manifestations as an indication of scoliosis? A. Uneven shoulder and pelvic heights. B. Exaggerated curvature of the sacrum. C. Limited range-of-motion of the hips.

D. Mild pain in the hip region. - CORRECT ANS-A. Uneven shoulder and pelvic heights A nurse is teaching a group of school-age children about healthy snack options. Which of the following snacks should the nurse include? A. Baked potato chips. B. Milkshake made with whole milk. C. Air-popped popcorn. D. Cheesecake. - CORRECT ANS-C. Air-popped popcorn. A nurse is admitting an older adult client who is transferring from another facility. The nurse notes pressure ulcers on the client's coccyx and abrasions around both wrists. Which of the following actions should the nurse take to address suspicions of elder abuse? A. Contact the family regarding the client's condition. B. Notify risk management. C. Inform the transferring agency of the client's condition. D. Privately interview the client about the injuries. - CORRECT ANS-B. Notify risk management. A nurse is caring for a client who has heart failure. Which of the following manifestations should the nurse expect? A. Crackles in lungs. B. Decreased thirst. C. Poor skin turgor. D. Tachycardia. - CORRECT ANS-A. Crackles in lungs.

A nurse is caring for a client who has diabetes mellitus and is receiving long-acting daily insulin for blood glucose management. The nurse should anticipate administering which of the following types of insulin? A. Glargine insulin. B. NPH insulin. C. Insulin aspart. D. Regular insulin. - CORRECT ANS-A. Glargine insulin. A nurse is preparing to insert an IV catheter for a client. Which of the following actions should the nurse plan to take? A. Choose a vein that is palpable and straight. B. Select a site on the client's dominant arm. C. Apply a tourniquet below the venipuncture site. D. Elevate the client's arm prior to insertion. - CORRECT ANS-A. Choose a vein that is palpable and straight. A nurse is teaching a client who is pregnant and has genital herpes simplex virus (HSV). Which of the following statements should the nurse include in the teaching? A. "You should take 600 milligrams of ibuprofen every 8 hours for discomfort during an outbreak." B. "You will need to have a cesarean birth if there are any visible lesions." C. "Your baby's cord blood will be tested to determine if she has contracted HSV." D. "You can apply a cortisone cream to the lesions twice each day." - CORRECT ANS-B. "You will need to have a cesarean birth if there are any visible lesions." A nurse is caring for an infant who has coarctation of the aorta. Which of the following should the nurse identify as an expected finding?