30 Questions
Which of the following actions should the nurse include in the plan of care for a client with a prescription for a bowel-training program following a spinal cord injury?
Administer a rectal suppository 30 minutes prior to scheduled defecation times
Which of the following actions should the nurse take when caring for a client who is in active labor and requests pain management?
Place the client in a warm shower
To which of the following types of injuries should the nurse assign the highest priority when performing triage for multiple clients following a disaster in the community?
95% full-thickness body burn
Which of the following guidelines should the nurse include when updating protocols for the use of belt restraints?
Assist the client to a supine position
Which of the following actions should the nurse take when caring for a client who is in active labor and requests pain management?
Place the client in a warm shower
To which of the following types of injuries should the nurse assign the highest priority when performing triage for multiple clients following a disaster in the community?
95% full-thickness body burn
What is the first step the nurse should take to administer an autologous blood product to a client?
Ensure that the client's identification band matches the number on the blood unit.
Which of the following prescription orders should the nurse contact the provider for clarification?
Triamcinolone acetonide 100 mcg/inhalation two puffs TID
What is the appropriate action for the nurse to take when caring for a client who requires seclusion to prevent harm to others on the unit?
Provide the client with a safe, quiet environment to de-escalate.
What should the nurse do to identify a client before administering an autologous blood product?
Ensure that the client's identification band matches the number on the blood unit.
Which of the following medication prescriptions should the nurse contact the provider for clarification?
Triamcinolone acetonide 100 mcg/inhalation two puffs TID
What is the appropriate action for the nurse to take when caring for a client who requires seclusion to prevent harm to others on the unit?
Provide the client with a safe, quiet environment to de-escalate.
What is the priority action for the nurse working in a rehabilitation facility developing a discharge plan for a client with left-sided hemiplegia?
Ensure that the client has a referral for physical therapy.
Which client should be closest to the nurse's station in a mental health unit?
A client who has an anxiety disorder and is experiencing moderate anxiety.
What action should a nurse take when preparing to measure an infant's temperature?
Pull the pinna of the infant’s ear forward before inserting the probe.
In a scenario with contractions lasting 80 seconds, FHR baseline of 170/min, and early decelerations, what should a nurse do for a client with bipolar disorder experiencing mania?
Provide a quiet environment and reduce stimuli.
For a client with left-sided hemiplegia, which action should a nurse avoid?
Using the affected side to assist in tasks to promote recovery.
When planning care for a client with depressive disorder, what is the most appropriate nursing intervention?
Exploring past successes and strengths with the client.
Which finding should the nurse expect in a school-age child with a urinary tract infection?
Enuresis
Which client should the nurse recommend for early discharge in anticipation of multiple admissions following an external disaster?
A client with cancer receiving radiation therapy
If a client weighs 80 kg and the nurse is preparing to administer dopamine hydrochloride 4 mcg/kg/min, with a solution of 800 mg in 250 ml, what should the IV infusion rate be set to? (Round to the nearest whole number)
6 mL/hr
Which statement should the nurse include when providing teaching to the parents of a newborn regarding genetic screening?
This test should be performed after your baby is 24 hours old.
Which statement is not true regarding the administration of dopamine hydrochloride?
It is available as a solution of 800 mg in 250 ml.
What is the primary concern for a client who is 1 day postoperative following a vertebroplasty?
Risk of bleeding
Which of the following medical conditions in the child should the nurse identify as a contraindication for becoming a living kidney donor for their father?
Hypertension
For which client should the nurse recommend a referral to a dietitian?
A client taking spironolactone who needs to reduce potassium intake
What should the hospice nurse's response be to the son of the client with terminal cancer, who is experiencing sleep deprivation due to caregiving?
"I can give you information about respite care if you are interested."
A client with end-stage kidney disease is considering a living kidney donation from their child. Which statement by the child should raise concern for the nurse?
"I've had hypertension since my late 20s, but it's managed with medication."
Which statement by a client indicates a need for dietary counseling from a dietitian?
"I can continue to eat anchovies on my pizza since I have gout."
What is the most appropriate response from the hospice nurse to the son of the client with terminal cancer who is experiencing sleep deprivation due to caregiving?
"I can provide information about respite care services if you are interested."
Prepare for the ATI RN Comprehensive Predictor 2023 with questions related to planning care for clients with various health conditions, such as spinal cord injuries. Test your knowledge on nursing interventions and client care strategies.
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