ATI PN COMPREHENSIVE PREDICTOR REVIEW FORMS: A, B & C COMBINED 100% Verified With Rational | Exams Nursing | Docsity (2024)

Download ATI PN COMPREHENSIVE PREDICTOR REVIEW FORMS: A, B & C COMBINED 100% Verified With Rational and more Exams Nursing in PDF only on Docsity! Created on:11/29/2018 Page 1 ATI PN COMPREHENSIVE PREDICTOR REVIEW FORMS: A, B & C COMBINED 100% Verified With Rationales 2024/2025 RATIONALE . A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel (AP) and the nurses on next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements should the charge nurse make to resolve this conflict? A."I need to talk to you about unit expectations regarding delegating and completing tasks." B. "Several staff members have commented that you don't do your fair share of the work.". C. "If you don't do your share of the work, I will have to inform the nurse manager." D. "You have been very inconsiderate of others by not completing your share of the work." 2. A nurse is providing care for a surgeon on a medical-surgical unit. A nurse from another unit asks the nurse about the surgeon’s medical diagnosis. The nurse responds that he is unable to provide the information requested. The nurse is displaying which of the following ethical principles? A. Utility B. Paternalism C. Justice Created on:11/29/2018 Page 2 D. Nonmaleficence 3. While caring for a client, the nurse experiences a needle stick injury. Which of the following actions should the nurse take first? A. Complete an incident report. B. Request the risk manager obtain consent for HIV testing from the client. C.Wash the site of injury with soap and water. D. Consent to postexposure treatment with antiretroviral medications. 4. When planning delegation of tasks to AP a nurse considers the five rights of delegations. Which of the following should the nurse consider when using one of the five rights of delegation? - The AP has the knowledge and skill to perform the tasks 5. A nurse is caring for a client who has named a person to serve as his health care proxy. The client states he needs clarification about this type of advance directives. Which of the following statements by the client indicates a need for clarification? - I have to choose a family member as my health proxy ATI PN COMPREHENSIVE PREDICTOR REVIEW FORMS: A, B & C COMBINED Latest 2020/21 and 100% Verified With Rationales RATIONALE Created on:11/29/2018 Page 5 B. Report the behavior to the nurse manager. ATI PN COMPREHENSIVE PREDICTOR REVIEW FORMS: A, B & C COMBINED Latest 2020/21 and 100% Verified With Rationales RATIONALE Created on:11/29/2018 Page 6 C. Create a written document of the incident and store the document in a safe place. . D. Seek help from a trustworthy friend. 14. A nurse in a long-term care facility has assigned a task to an assistive personnel (AP). The AP refuses to perform the task. Which of the following is an appropriate statement for the nurse to make? A. "I feel you are being inconsiderate of the other team members." B. "I have to let the director of nursing know about this situation." C."I need to talk to you about the unit policies regarding client assignments." D."You always get your choice of assignment and don't work your fair share." 15. A nurse is caring for a client who is participating in a research study for an experimental chemotherapy medication. After three treatments, the experimental medication is discontinued due to evidence of rapidly advancing kidney failure. The nurse should understand discontinuing this medication demonstrates which of the following ethical principles? A. Veracity B. Autonomy C. Fidelity D. Nonmaleficence 16. A nurse overhears two assistive personnel (AP) from the medical-surgical unit discussing a hospitalized client while in the cafeteria. Which of the following is the priority nursing action? A.Quietly tell the APs that this is not appropriate. ATI PN COMPREHENSIVE PREDICTOR REVIEW FORMS: A, B & C COMBINED Latest 2020/21 and 100% Verified With Rationales RATIONALE Created on:11/29/2018 Page 7 \B. Ask the nurse manager to provide an inservice program about confidentiality to the staff on the unit. ATI PN COMPREHENSIVE PREDICTOR REVIEW FORMS: A, B & C COMBINED Latest 2020/21 and 100% Verified With Rationales RATIONALE Created on:11/29/2018 Page 10 24. A nurse is caring for a client who falls in his room. After the nurse assesses the client, notifies the client’s provider, and completes an incident report, which of the following actions should the nurse take? A.Make a copy of the incident report for the provider. B.Submit the incident report to the risk manager. C.Place the incident report in the client's chart. D.Document in the chart that an incidence report has been filed. 25. A nurse in a provider’s office is reviewing the laboratory findings for a client who is scheduled for surgery. Which of the following findings requires follow up by the nurse? A.BUN 15 mg/dL B.Platelet count 60,000/mm3 C. WBC 6,000/mm3 D. Hemoglobin 14 g/dL 26. A coworker puts an arm around a nurse and says, “I bet you are a great lover.” Speaking to me like that makes me uncomfortable 27. A volunteer assigned to the pediatric unit reports to the charge nurse for an assignment. Which of the following assignments Transporting a school-age client who is in traction to another department 28. A nurse is working with an assitive personnel to care for a group of clients on the pediatric unit. Which Check to see if the elbow restraint is in place for an infant who is postoperative from a surgical correction of a clef t palate 29. . Following a tornado, a nurse is determining which of the clients assigned to her care can be discharged to free up beds for injured clients. Which of the following clients should the nurse recommend for discharge? ATI PN COMPREHENSIVE PREDICTOR REVIEW FORMS: A, B & C COMBINED Latest 2020/21 and 100% Verified With Rationales RATIONALE Created on:11/29/2018 Page 11 - A young adult client who has crown’s disease and is 1 day preoperative for an ileostomy. 30. A nurse is caring for a client who is preoperative. The nurse signs as a witness on the client’s consent form. Confirms the client appears competent to provide consent 31. A nurse is preparing to administer a soap suds enema to a client who has constipation. As the nurse explains the procedure, the client states, "The doctor didn't tell me I was supposed to receive an enemy." Which of the following nursing actions is appropriate at this time? Check the clients medical record for the providers prescription 32. A nurse on a medical-surgical unit is preparing to contact a provider about a client’s condition. The client is 6 hr postoperative from a total hysterectomy. The nurse notes the client’s postoperative oxygen saturation is 94% and her apical heart rate is 110. The nurse should include information about the client’s oxygen saturation level and heart rate in which component of the SBAR report? A. Situation B. Background C.Assessment D. Recommendation 33. A nurse on a medical-surgical unit is providing care for a group of clients. The nurse should delegate collection of which of the following specimens to the assistive personnel (AP)? ATI PN COMPREHENSIVE PREDICTOR REVIEW FORMS: A, B & C COMBINED Latest 2020/21 and 100% Verified With Rationales RATIONALE Created on:11/29/2018 Page 12 A. Wound drainage for culture B. Urine from an indwelling catheter ATI PN COMPREHENSIVE PREDICTOR REVIEW FORMS: A, B & C COMBINED Latest 2020/21 and 100% Verified With Rationales RATIONALE Created on:11/29/2018 Page 15 D. Prescribing naloxone to reverse the effects of the morphine ATI PN COMPREHENSIVE PREDICTOR REVIEW FORMS: A, B & C COMBINED Latest 2020/21 and 100% Verified With Rationales RATIONALE Created on:11/29/2018 Page 16 41. An assistive personnel comes to work with a new set of artificial nails. The nurse takes the ap to a private There is a higher risk of infection for our clients associated with artificial nails 42. A nurse is triaging clients in an urgent care clinic. Which of the following clients should the nurse have the provider care for immediately? A. An adolescent female client who is belligerent and has slurred speech B. A toddler who has a laceration on his forehead and is screaming C.A middle adult male who is diaphoretic and reports epigastric pain D.A young adult with a painful sunburn of his face and arms 43. A nurse is preparing to bathe a client. Which of the following actions should the nurse plan to take? A.Pull the curtain around the client's bed. B.Wash the client’s arms and hands first. C. Use a washcloth to wipe the client’s eyes from the outer canthus to the inner canthus. D. Fill the bath basin with tap water that is 39° C (102.2° F). 44. A nurse is preparing an in-service for an annual skills fair at a community medical facility about fire safety. Place the steps in the order in which they should be performed in the case of a fire emergency. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.) D. Rescue the clients. ATI PN COMPREHENSIVE PREDICTOR REVIEW FORMS: A, B & C COMBINED Latest 2020/21 and 100% Verified With Rationales RATIONALE Created on:11/29/2018 Page 17 A. Pull the fire alarm. ATI PN COMPREHENSIVE PREDICTOR REVIEW FORMS: A, B & C COMBINED Latest 2020/21 and 100% Verified With Rationales RATIONALE Created on:11/29/2018 Page 20 D."The AP can re-delegate a task to another AP who has similar work experience." 48. A nurse is receiving change-of-shift report at the start of the shift. Which of the following statements by the nurse giving report indicates to the oncoming nurse that she should assume total care for the client, rather than assigning tasks to the assistive personnel (AP)? A. "The client’s family members have been present most of the day." B."The client’s blood pressure and pulse have been fluctuating throughout the day." Rationale:Knowing the client and the stability of his condition is a criterion to consider when delegating to the AP. To promote client safety, the more stable clients should be chosen when delegating tasks to APs. C. "The client discussed having prior thoughts of suicide." D. "The client works in the hospital radiology department." 49. A nurse checks with assistive personnel on the unit throughout the shift to determine if they are completing tasks. The nurse is demonstrating which of the following rights of delegation? A. Right circ*mstances. B. Right communication C. Right person D.Right supervision Rationale:The nurse is demonstrating the right supervision when she assesses how the tasks are being accomplished and if any improvements are needed. 50. A nurse is assigned a group of clients at the start of the shift. Which of the following clients should the nurse plan to care for first? ATI PN COMPREHENSIVE PREDICTOR REVIEW FORMS: A, B & C COMBINED Latest 2020/21 and 100% Verified With Rationales RATIONALE Created on:11/29/2018 Page 21 A. A client who needs assistance with a bath B. A client requesting a referral for home health services ATI PN COMPREHENSIVE PREDICTOR REVIEW FORMS: A, B & C COMBINED Latest 2020/21 and 100% Verified With Rationales RATIONALE Created on:11/29/2018 Page 22 urgent vs. nonurgent approach to client care, this is the client the nurse should care for first. Rationale:Clients who are administered morphine are at risk for respiratory distress. When using the C.A client asking about his PCA pump that contains morphine D.A client who has questions about his new prescription 51. At the beginning of the shift, an RN is preparing assignments for a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following tasks should the nurse assign to the LPN? A. Providing postmortem care for a client B. Measuring a client’s I&O C. Obtaining a client’s weight D.Inserting a nasogastric tube for a client Rationale:This is an appropriate task to assign to the LPN. It is not appropriate to assign this task to the AP. 52. A nurse on the pediatric unit is providing room assignments for children who are to be admitted to the unit. The nurse should plan to place a child who is postoperative from an appendectomy with which of the following clients? A. A child who is experiencing sickle cell crisis B. A child who has streptococcal pharyngitis C. A child who has a head injury D. A child who has a new diagnosis of type 1 diabetes mellitus Rationale:The nurse should place these clients together. It is appropriate because the child who has diabetes requires monitoring and teaching and the child who is postoperative from an appendectomy requires frequent assessments and interventions. ATI PN COMPREHENSIVE PREDICTOR REVIEW FORMS: A, B & C COMBINED Latest 2020/21 and 100% Verified With Rationales RATIONALE Created on:11/29/2018 Page 25 59. .A nurse is caring for a client who is dying. The nurse should incorporate the principle of nonmaleficence into practice by taking which of the following actions? A. Discussing advance directives with the client and the client's family B. Providing comfort care measures to the client C.Withholding a dose of narcotic pain medication when the client has respiratory depression Rationale:The principle of nonmaleficence is an obligation not to inflict harm. It is customary to ease a client's pain via the administration of narcotics. However, if the nurse believes the dose is potentially lethal or could hasten the client's death, the nurse should not administer the medication on the grounds of nonmaleficence. D.Allowing the client's family unlimited visitation at the time of death 60. A charge nurse is working with an assistive personnel (AP) who provides excellent care to client and is an effective team member. Which of the following actions should the nurse take first to recognize the AP’s contributions to client care? a. Detail the AP’s contribution to the nurse manager b. Tell other nurses what an effective team member the AP is. c. Give positive feedback directly to the AP d. Nominate the AP for the Employee of the month reward. 61. A nurse is assessing a group of clients for hospice services. The nurse should recommend hospice care for which of the following clients? A.A client who has diabetes mellitus and is having difficulty self-administering insulin because of poor eye sight B.A client who has terminal cancer and needs assistance with pain management Rationale:A client who has a terminal disease and who is deemed to have less than 6 months to live is eligible for hospice services. Hospice care provides the client with physical and psychological support, which includes management of symptoms, such as pain and dyspnea. C. A client who is recovering from a stroke and needs someone to provide care while his spouse is at work D. A client who has dementia and needs help with activities of daily living ATI PN COMPREHENSIVE PREDICTOR REVIEW FORMS: A, B & C COMBINED Latest 2020/21 and 100% Verified With Rationales RATIONALE Created on:11/29/2018 Page 26 62. A nurse is caring for a client who is confused and uncooperative. The client hit the nurse when she attempted to give him his medication. The nurse asks the charge nurse if she can restrain the client. The charge nurse should tell the nurse this action is a violation of the client’s rights and is an example of which of the following? A. Slander B. Invasion of privacy C. Defamation of character D.False imprisonment Rationale:Unlawfully restraining a client is false imprisonment. Clients have the right to refuse treatment. 63. A nurse on a medical-surgical unit is assigning tasks to an assistive personnel (AP). Which of the following tasks should the nurse delegate to the AP? (Select all that apply.) A.Demonstrate the technique to instill eye drops. B.Ambulate a client who has a cane. C.Irrigate a wound. D. Transfer a client to a stretcher. E.Record urinary output. 64. A nurse is planning care for four clients and is assigning task to LPN and an AP. Which of the following should the nurse assign to the LPN? - Reinforce teaching to a client to begin taking enoxaparin at home following a hip arthroplasty. 65. A nurse on a med surg unit has accepted a transfer to the ICU. Prior to transfer to ICU, the nurse completes online critical care and emergency nursing course. The nurse is demonstrating which of the following ethical principles? - nonmaleficence ATI PN COMPREHENSIVE PREDICTOR REVIEW FORMS: A, B & C COMBINED Latest 2020/21 and 100% Verified With Rationales RATIONALE Created on:11/29/2018 Page 27 Rationale:This statement is the background or context of the situation, which is the B step in the SBAR tool. The background portion should provide information that is pertinent to the current situation. Rationale:Making assignments requires knowing the physiologic status of the clients on the unit, such as 66. A nurse is planning to use the SBAR communication tool when calling a provider. Which of the following statements should the nurse include in the B step? A."The client should be seen by a neurologist." B."The client was found unconscious on the floor in her home." C. "There are no provider’s prescriptions available." D. "The client is disoriented. Pupils are slow to respond to light." 67. A charge nurse is making assignments for nursing personnel who will be caring for clients during the oncoming shift. Which of the following factors should the charge nurse consider? A. The most experienced nurse receives the more complex clients B. Personal comfort level in making the assignments C. Social relationships between nurses working the oncoming shift D.The physiologic status of the clients on the unit the stability of the clients' vital signs, the amount of health education they need, and the complexity of care involved. Clients who have an unstable physiologic status may require a higher level of skilled care. 68. A charge nurse is delegating tasks to nursing personnel on a 10-bed medical-surgical nursing unit. Which of the following assignments is an example of overdelegation? A. Assigning two assistive personnel (AP) to ambulate all clients B. Assigning a new graduate nurse to perform a wet-to-dry dressing change C.Assigning the most efficient AP to perform glucometer monitoring for each client D.Assigning the most competent RN to perform a central line dressing change ATI PN COMPREHENSIVE PREDICTOR REVIEW FORMS: A, B & C COMBINED Latest 2020/21 and 100% Verified With Rationales RATIONALE Created on:11/29/2018 Page 30 73. A nurse is caring for four postoperative clients. The nurse can delegate obtaining vital signs to an assistive personnel (AP) for which of the following clients? ATI PN COMPREHENSIVE PREDICTOR REVIEW FORMS: A, B & C COMBINED Latest 2020/21 and 100% Verified With Rationales RATIONALE Created on:11/29/2018 Page 31 Rationale:The state Nurse Practice Act identifies the skill or education level needed by a nurse to complete a task, as well as indicating items that can and cannot be delegated from a legal perspective. A. A client who is 1 hr postoperative following a thyroidectomy B. A client who is 2 hr postoperative following an abdominal hysterectomy C.A client who is 3 days postoperative following gastric bypass surgery Rationale:The client’s physiologic status and stability of vital signs are considerations when assigning vital signs to an AP. This client is 3 days postoperative and his condition would have stabilized by this time. D.A client who is 3 days postoperative following a craniotomy 74. A nurse is planning to delegate tasks to a licensed practical nurse (LPN). Which of the following entities is important for the nurse to understand when delegating tasks to the LPN? A.The state Nurse Practice Act B. The National Association for Practical Nurse Education and Services C. The National Council of State Boards of Nursing Decision Tree D. The Omnibus Budget Reconciliation Act of 1987 75. A charge nurse delegates to a licensed practical nurse (LPN) the task of changing a client’s dressing. Several hours later the client reports the dressing has not been changed. Which of the following actions should the charge nurse take? a. Report the issue to the unit manager b. Change the client’s dressing c. Reassigns the tasks to another nurse. d. Verify the LPN knows how to do a dressing charge. ATI PN COMPREHENSIVE PREDICTOR REVIEW FORMS: A, B & C COMBINED Latest 2020/21 and 100% Verified With Rationales RATIONALE Created on:11/29/2018 Page 32 76. A nurse is planning client care for herself and an assistive personnel (AP) working with her. Which of the following tasks should the nurse plan to perform? ATI PN COMPREHENSIVE PREDICTOR REVIEW FORMS: A, B & C COMBINED Latest 2020/21 and 100% Verified With Rationales RATIONALE Created on:11/29/2018 Page 35 B. Blended family C. Nuclear family D. Intergenerational family 81. A nurse enters a client’s room and finds the client pulseless. The family has requested a do-not- resuscitate (DNR) order from the provider, but he has not written the order yet. Which of the following actions should the nurse take? A.Call the emergency response team. B.Seek immediate help from the risk manager C.Call the provider for a stat DNR order. D.Respect the family’s wishes and do nothing. 82. A nurse and an assistive personnel (AP) are providing care for four clients who were admitted to the medical-surgical unit on the previous shift. The nurse should delegate meal assistance for which of the following clients to the AP? A.A client who has a lumbosacral spinal tumor B. A client who has Guillain-Barre syndrome C. A client who has amyotrophic lateral sclerosis (ALS) D. A client who has systemic sclerosis 83. A nurse is planning to delegate a task to an assistive personnel (AP). Which of the following actions should the nurse plan to take? A.Assess the AP’s ability to follow the client’s teaching plan. B.Determine the social skills of the AP. C.Evaluate the ability of the AP to work with peers. ATI PN COMPREHENSIVE PREDICTOR REVIEW FORMS: A, B & C COMBINED Latest 2020/21 and 100% Verified With Rationales RATIONALE Created on:11/29/2018 Page 36 D.Provide a clear description of the task to the AP. ATI PN COMPREHENSIVE PREDICTOR REVIEW FORMS: A, B & C COMBINED Latest 2020/21 and 100% Verified With Rationales RATIONALE Created on:11/29/2018 Page 37 84. A nurse is teaching a class on torts. The nurse should instruct the class that administering an antibiotic medication to a competent client after the client has refused it is an example of which of the following torts? A. Assault Rationale:Assault is the act of verbally threatening a client. A nurse who verbally threatens to give a medication to a client without the client’s consent is committing assault. B. False imprisonment Rationale:False imprisonment is detaining a client against her will without legal warrant. A nurse who administers a chemical restraint without the client’s consent is committing false imprisonment. C. Negligence Rationale:Negligence is a breach of duty that results in harm to the client. A nurse who administers an incorrect medication to a client is committing professional negligence. D.Battery Rationale:Battery is physical contact without the client’s consent. Administering a medication against a client’s wishes is an example of battery. 85. A nurse is obtaining informed consent from a client who is preoperative. Which of the following actions should the nurse take? (Select all that apply.) A. Establish that the client is able to pay for the surgical procedure. B. Explain the surgical procedure to the client. C.Validate the signature is authentic. D. Verify the client understands the surgical procedure. E.Confirm that the consent is voluntary. 86. A nurse is discussing emergency response with a newly licensed nurse. The nurse should identify which of the following as a triage officer during the time of a disaster? A. Members of the Federal Emergency Management Agency (FEMA) B. Responding law enforcement officers C. Representatives from the American Red Cross D. Nurses and other emergency medical personnel ATI PN COMPREHENSIVE PREDICTOR REVIEW FORMS: A, B & C COMBINED Latest 2020/21 and 100% Verified With Rationales RATIONALE Created on:11/29/2018 Page 40 90. A nurse is teaching a newly licensed nurse about methods to reduce costs of client care. Which of the following statements by the newly licensed nurse indicates understanding of the teaching? A. "I should wait to empty my client’s drainable colostomy until it is three-fourths full." B. "I should delegate providing closed irrigation to the assistive personnel (AP)." C."I should encourage clients to receive an annual flu immunization." D. "I should recommend that my clients who have an established tracheostomy use sterile technique at home to provide ostomy care." 91. A nurse in an emergency department receives report from an emergency responder who states a client is being transported following exposure to a "dirty bomb". The nurse should prepare to care for a client that has been exposed to which of the following types of agents? A. Chemical Rationale:The emergency department nurse should be prepared for a client following exposure to chemical agents; however, this type of agent is not referred to as a "dirty bomb." B. Anthrax Rationale:Anthrax is a bacterium that is used in bioterrorism. It is not included in a "dirty bomb." C.Radiologic Rationale:A "dirty bomb" combines radiologic agents with an explosive device, resulting in immediate effects of radiation exposure. D.Sarin Rationale:Sarin is a gas that affects the central nervous system. It is not included in a "dirty bomb." 92. A nurse working in an emergency department is caring for a client who has been exposed to sarin gas following a bioterrorism attack. Which of the following interventions should the nurse plan to take? A.Vigorously rub the skin following a decontamination shower. B.Initiate seizure precautions. C.Provide respiratory support with a plastic oral airway. D.Prepare to administer amyl nitrate. ATI PN COMPREHENSIVE PREDICTOR REVIEW FORMS: A, B & C COMBINED Latest 2020/21 and 100% Verified With Rationales RATIONALE Created on:11/29/2018 Page 41 93. A nurse in the emergency department is triaging clients following a mass casualty event. The nurse should identify which of the following clients as emergent? ATI PN COMPREHENSIVE PREDICTOR REVIEW FORMS: A, B & C COMBINED Latest 2020/21 and 100% Verified With Rationales RATIONALE Created on:11/29/2018 Page 42 A.A client who has a punctured femoral artery B. A client who has multiple fractures C. A client who has a red rash over his abdomen D. A client who reports severe flank pain radiating to the groin 94. A nurse manager received a client request not to have a specific staff nurse care for her while at the acute care facility. Which of the following is the appropriate action by the nurse manager? A.Ask other staff nurses about the level of care the specific staff nurse provides. B.Address the concern with the specific staff nurse. C. Recommend the specific staff nurse be transferred to another unit. D. Notify the human resources department about the request. 95. A nurse finds that a client did not receive a scheduled dose of furosemide (Lasix). Which of the following should the nurse include in the incident/variance report? (Select all that apply.) A.The date of the incident B. The name of the provider who prescribed the medication C. The potential adverse effects of the medication D.The time the client was to receive the medication E.The client's vital signs 96. A nurse is caring for a client who has a history of dementia. The client is alert and oriented to person, place, and time, and has advance directives. The client is scheduled for a procedure that requires informed consent. Which of the following persons should sign the informed consent? A.The client's partner B.The client Rationale:If the client appears competent, and understands the procedure, the client can sign for informed consent. The nurse should verify that the client gives consent voluntarily, the signature on the consent is the client's, and the client appears competent. If the client were disoriented and not competent, the person who has durable power of attorney should sign informed consent. C. The client's daughter, who is the primary caregiver ATI PN COMPREHENSIVE PREDICTOR REVIEW FORMS: A, B & C COMBINED Latest 2020/21 and 100% Verified With Rationales RATIONALE Created on:11/29/2018 Page 45 E.Apply an ambulation alarm to the client's leg. 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