ATI Predictor Form A

A nurse in a pediatric unit is preparing to insert an IV catheter for 7-year-old. Which of the following actions should the nurse take?

• Tell the child they will feel discomfort during the catheter insertion

• Use a mummy restraint to hold the child during the catheter insertion.

• Require the parents to leave the room during the procedure.

A nurse is caring for a client who has arteriovenous fistula Which of the following findings should the nurse report?

• Thrill upon palpation

• Absence of a bruit

• Distended blood vessels

• Swishing sound upon auscultation.

A nurse is providing discharge teaching for a client who has an implantable cardioverter defibrillator which of the following statements demonstrates understanding of the teaching?

• “I will soak in the tub rather and showering”

• “I will wear loose clothing around my ICD”

• “I will stop using my microwave oven at home because of my ICD”

• “I can hold my cellphone on the same side of my body as the ICD”

A nurse is caring for a client who is at 14 weeks gestation and reports feelings of ambivalence about being pregnant. Which of the following responses should the nurse make?

• “Describe your feelings to me about being pregnant”

• “You should discuss your feelings about being pregnant with your provider”

• “Have you discussed these feelings with your partner?”

• “When did you start having these feelings?”

A nurse is planning care for a client who has a prescription for a bowel- training program following a spinal cord injury. Which of the following actions should the nurse include in the plan of care?

• Encourage a maximum fluid intake of 1,500 ml per day.

• Increase the amount of refined grains in the client’s diet.

• Provide the client with a cold drink prior to defecation.

• Administer a rectal suppository 30 minutes prior to scheduled defecation times

Tags

NGSS.HS-LS1-3

A nurse is caring for a client who is in active labor and requests pain management. Which of the following actions should the nurse take?

• Administer ondansetron

• Place the client in a warm shower.

• Apply fundal pressure during contractions.

• Assist the client to a supine position.

A nurse in an emergency department is performing triage for multiple clients following a disaster in the community. To which of the following types of injuries should the nurse assign the highest priority?

• Below-the knee amputation

• Fractured tibia

• 95% full-thickness body burn

• 10cm (4in) laceration to the forearm

A nurse manager is updating protocols for the use of belt restraints. Which of the following guidelines should the nurse include?

• Remove the client’s restraint every 4hr

• Document the client’s condition every 15 min

• Attach the restrain to the bed’s side rails

• Request a PRN restrain prescription for clients who are aggressive

A nurse is teaching an in-service about nursing leadership. Which of the following information should the nurse include about an effective leader?

• Acts as an advocate for the nursing unit.

• Priorities staff request over client needs.

• Provides routine client care and documentation

A nurse is reviewing the laboratory findings of a client who has diabetes mellitus and reports that she has been following her (unable to read) care. The nurse should identify which of the following findings indicates a need to revise the client’s plan of care

• Serum sodium 144 mEq/

• Hba1c 10 %

• Random serum glucose 190 mg/dl.