Download NGN ATI RN Comprehensive Predictor Study Guide with 180 Practice Questions, Detailed Ratio and more Exams Nursing in PDF only on Docsity!
NGN ATI RN Comprehensive Predictor Study
Guide with 180 Practice Questions, Detailed
Ratio, Exams of Nutrition 2026 Graded A+|
Guaranteed Pass
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
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 C. Right direction/communication D. Right time
E. Right circumstances - ANSWER -B
C
E
A nurse is caring for a client who decides not to have surgery despite significant blockages in his coronary arteries. The nurse understands that this clients choice is an example of what principles? A. Fidelity 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 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
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
The ABC framework identifies, in order, the three basic needs for
sustaining life - ANSWER -Airway
Breathing Circulation Nurses must follow what code of standards in delegating and
assigning tasks - ANSWER -ANA codes of standards
What values would a nurse possess to be a client advocate? -
ANSWER -- caring
- autonomy
- respect
- empowerment What do the nurse need to keep in mind about the client when
being their advocate? - ANSWER -Client's religion & culture
When should planning discharge process begin? a. at time of admission b. 2 days after client is admitted c. whenever the nurse has the time to do planning
d. when the physician has the discharge order - ANSWER -A
What is an interdisciplinary team? - ANSWER -A group of health
care professionals from different disciplines
Fill in the blank:
- _______ 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?
- Positive Babinski.
- High-pitched cry.
- Bulging posterior fontanelle.
4. Pinpoint pupils. - ANSWER -
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
Which of the following nursing interventions is MOST important for a 45-year-old woman with rheumatoid arthritis?
- Provide support to flexed joints with pillows and pads.
- Position her on her abdomen several times a day.
- Massage the inflamed joints with creams and oils.
- Assist her with heat application and ROM exercises. -
ANSWER -
The nurse is caring for a young adult admitted to the hospital with a severe head injury. The nurse should position the patient
- with his neck in a midline position and the head of the bed elevated 30°.
- side-lying with his head extended and the bed flat.
- in high Fowler's position with his head maintained in a neutral position.
- in semi-Fowler's position with his head turned to the side. -
ANSWER -
The nurse is teaching a 40-year-old man diagnosed with a lower motor neuron disorder to perform intermittent self-catheterization at home. The nurse should instruct the client to
- use a new sterile catheter each time he performs a catheterization.
- perform the Valsalva maneuver(holding breath and bearing down) before doing the catheterization.
- perform the catheterization procedure every 8 hours.
- limit his fluid intake to reduce the number of times a
catheterization is needed. - ANSWER -
A client is being discharged with sublingual nitroglycerin (Nitrostat). The client should be cautioned by the nurse to
- take the medication five minutes after the pain has started.
- stop taking the medication if a stinging sensation is absent.
- take the medication on an empty stomach.
4. avoid abrupt changes in posture. - ANSWER -
A 38-year-old woman is returned to her room after a subtotal thyroidectomy for treatment of hyperthyroidism. Which of the following, if found by the nurse at the patient's bedside, is nonessential?
- Potassium chloride for IV administration.
- Calcium gluconate for IV administration.
- Tracheostomy set-up.
4. Suction equipment. - ANSWER -
A nurse recognizes that an initial positive outcome of treatment for a victim of sexual abuse by one parent would be that the client
- Alteration in communication related to decrease in thought
processes - ANSWER -
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?
- Protein.
- Fats.
- Carbohydrates.
4. Magnesium. - ANSWER -
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
- monitor vital signs, especially blood pressure, every 30 minutes.
- remain at the client's side to provide reassurance.
- tell the client the name of the medication and its effects.
- monitor the anticholinergic effects of the medication. -
ANSWER -
The nurse is caring for clients in the skilled nursing facility. Which of the
following clients require the nurse's IMMEDIATE attention?
- A client admitted for a cerebral vascular accident (CVA) whose prescription for warfarin (Coumadin) expired two days ago.
- A client in pain who was receiving morphine in an acute care institution and was transferred with a prescription for acetaminophen with codeine.
- A client who has dysuria and foul-smelling, cloudy, dark amber urine.
- An immunosuppressed client who has not received an influenza
immunization. - ANSWER -
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?
- The staff maintains a calm manner when interacting with the client.
- The staff attends to client's physical needs as necessary.
- The staff helps the client identify thoughts or feelings that occurred prior to the onset of the anxiety.
- The staff assesses the client's need for medication or seclusion if other
interventions have failed to reduce anxiety. - ANSWER -
- Restlessness and increased heart rate.
4. Hostility and increased blood pressure. - ANSWER -
A 59-year-old woman with bipolar disorder is receiving haloperidol (Haldol) 2 mg PO tid. She tells the nurse, "Milk is coming out of my breasts." Which of the following responses by the nurse is BEST?
- "You are seeing things that aren't real."
- "Why don't we go make some fudge."
- "You are experiencing a side effect of Haldol."
- "I'll contact your physician to change your medication." -
ANSWER -
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
- before breakfast.
- with dinner.
- with food.
4. at hs. - ANSWER -
. If a client develops cor pulmonale (right-sided heart failure), the nurse would expect to observe
- increasing respiratory difficulty seen with exertion.
- cough productive of a large amount of thick, yellow mucus.
- peripheral edema and anorexia.
4. twitching of extremities. - ANSWER -
The nurse is performing triage on a group of clients in the emergency department. Which of the following clients should the nurse see FIRST?
- A 12-year-old oozing blood from a laceration of the left thumb due to cut on a rusty metal can.
- 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.
- A 49-year-old with a compound fracture of the right leg who is complaining of severe pain.
- A 65-year-old with a flushed face, dry mucous membranes, and a blood sugar of
470 mg/dL. - ANSWER -
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,
- "Take another deep breath, hold it, and then cough deeply -
ANSWER -
A young woman is transferred to a psychiatric crisis unit with a diagnosis of a dissociative disorder. The nurse knows which of the following comments by the client is MOST indicative of this disorder?
- "I keep having recurring nightmares."
- "I have a headache and my stomach has bothered me for a week."
- "I always check the door locks three times before I leave home."
- "I don't know who I am and I don't know where I live." -
ANSWER -
A 23-year-old man is admitted with a subdural hematoma and cerebral edema after a motorcycle accident. Which of the following symptoms should the nurse expect to see INITIALLY?
- Unequal and dilated pupils.
- Decerebrate posturing.
- Grand mal seizures.
4. Decreased level of consciousness. - ANSWER -
. The nursing team includes two RNs, one LPN/LVN, and one nursing
assistant. The nurse should consider the assignments appropriate if the nursing assistant is assigned to care for
- a client with Alzheimer's requiring assistance with feeding.
- a client with osteoporosis complaining of burning on urination.
- a client with scleroderma receiving a tube feeding.
- a client with cancer who has Cheyne-Stokes respirations. -
ANSWER -
An elderly client is returned to her room after an open reduction and internal fixation of the left femoral head after a fracture. It is MOST important for the nursing care plan to include that the client
- eat a high-protein, low-residue diet.
- lie on her unoperated side.
- exercise her arms and legs.
4. cough and deep breathe. - ANSWER -
Which of the following is a correctly stated nursing diagnosis for a client with abruptio placentae?
- Infection related to obstetrical trauma.
- Potential for fetal injury related to abruptio placentae.
- Potential alteration in tissue perfusion related to depletion of fibrinogen.
4. Fluid volume deficit related to bleeding. - ANSWER -
