(NGN)ATI RN COMPREHENSIVE PREDICTOR 2023
TEST BANK/COMPREHENSIVE RN PREDICTOR WITH
NGN 500 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES|ALREADY GRADED
A+||BRAND NEW!!
A nurse is reviewing the ABG values of a client. The client has a pH of 7.2,
PaCO2 of 60 mm Hg, and HCO3- of 25 mEq/L. The nurse should identify that the
client has which of the following acid-base imbalances?
Respiratory alkalosis
Metabolic alkalosis
Respiratory acidosis
Metabolic acidosis – ANSWER- Respiratory acidosis
Rationale: A client who has respiratory acidosis will have a decreased pH below
the expected reference range of 7.35 to 7.45, an increased PaCO2 above the
expected reference range of 35 to 45 mm Hg, and an HCO3- within the expected
reference range of 22 to 26 mEq/L.
A nurse is caring for a client who has type 1 diabetes mellitus and reports severe
ankle pain after falling off a stepstool at home. Which of the following
prescriptions should the nurse clarify with the provider?
Obtain capillary blood glucose level every 2 hr.
Check the neurovascular status of the client’s lower extremities every hour.
Apply a cold pack to the client’s ankle for 30 min every hour.
Maintain the affected ankle elevated and immobilized. – ANSWER- Apply a cold
pack to the client’s ankle for 30 min every hour.
Rationale: The nurse should clarify a prescription for a cold pack to the client’s
ankle because type 1 diabetes mellitus is a contraindication for receiving cold
therapy. A client who has type 1 diabetes mellitus can have impaired circulation
due to arteriosclerosis and a loss of sensory perception due to neuropathy. Ice can
further impair circulation.
A nurse is caring for a client who has active tuberculosis (TB). Which of the
following actions should the nurse plan to take to prevent the transmission of the
disease?
Initiate contact precautions for the client upon admission.
Restrict visitors from entering the client’s room during hospitalization.
Wear a surgical mask while providing care for the client.
Have the client wear a surgical mask while being transported outside the room. –
ANSWER- Have the client wear a surgical mask while being transported outside
the room.
Rationale: A client who has active TB should wear a surgical mask while being
transported to prevent transmission of the disease.
A nurse manager is reviewing clients’ rights with the nurses on the unit. The nurse
manager should tell the nurses that informed consent promotes which of the
following ethical principles?
Autonomy
Nonmaleficence
Justice
Fidelity – ANSWER- Autonomy
Rationale: Autonomy refers to a client’s ability to make their own decisions about
treatment. Informed consent promotes autonomy by providing clients with
complete information about treatment.
A nurse is caring for a client who is taking valproic acid for seizure control. For
which of the following adverse effects should the nurse monitor and report?
Weight loss
Jaundice
Bradycardia
Polyuria – ANSWER- Jaundice
Rationale: The nurse should monitor the client for jaundice and report any
indication to the provider. Clients who take valproic acid are at risk for liver
damage, which can lead to jaundice.
For each potential provider’s prescription, click to specify if the potential
prescription is anticipated or contraindicated for the client.
Potential Order
Keep the client supine.
Oxygen therapy to keep oxygen saturation above 95%.
Maintain the client’s hips in flexion.
Keep the lights in the client’s room dim.
Cluster nursing care.
Monitor blood glucose every 4 hr.
Nurses’ Notes
Day 1, 1000:
Client presents to the emergency department (ED) with right-sided hemiparesis,
lethargy, and aphasia. The client’s symptoms started 1 hr prior to arrival at the ED.
Client received fibrinolytic therapy and was transferred to the ICU.
Day 2, 0800: