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ATI Comprehensive Retake 2 Study Guide 2019 What can be delegated to Assistive personnel (AP)? - ADLs - bathing - grooming - dressing - ambulating - feedin... [Show More] g (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 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 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 [Show Less]
ATI Comprehensive Fundamentals Retake 2019 1.A nurse is planning care for a group of clients. Which of the following tasks should the nurse delegate to ... [Show More] an assistive personnel? A. Changing the dressing for a client who has a stage 3 pressure injury B. Determining a client's response to a diuretic C. Comparing radial pulses for a client who is postoperative D. Providing postmortem care to a client Postmortem care serves several purposes, including: preparing the patient for viewing by family. ensuring proper identification of the patient prior to transportation to the morgue or funeral home. providing appropriate disposition of patient's belongings. maintaining vital organs, if donation is planned.) 2. A nurse is conducting a health assessment for a client who takes herbal supplements. Which of the following statements by the client indicates an understanding of the use of the supplements? A. I take ginkgo biloba for a headache B. I take echinacea to control my cholesterol C. I use ginger when I get car sick D. I use garlic for my menopausal symptoms 3. A nurse is caring for a client who has influenza and isolation precautions in place. Which of the following actions should the nurse take to prevent the spread of infection? A. Wear a mask when working within 3 feet of the client B. Administer metronidazole C. Don protective eyewear before entering the room. D. Place the client in a negative airflow room. 4. A nurse obtains a prescription for wrist restraints for a client who is trying to pull out his NG tube. Which of the following actions should the nurse take? A. Attach the restraints securely to the side rails of the client's bed. B. Apply the restraints to allow as little movement as possible C.Allow room for two fingers to fit between the clients skin and the restraints D.Remove the restraints every 4 hr [Show Less]
RN Comprehensive Predictor Version 2 2019 180 Verified Questions and Answers 1. A nurse is planning care for a preschool-age child who is i... [Show More] n the acute phase of Kawasaki disease. Which of the following interventions should the nurse include in the plan of care? a. Give acetaminophen to control the child’s fever b. Monitor the client’s cardiac status (PEDS p120) c. Administer antibiotics via intermittent IV bolus for 24 hrs. d. Provide stimulation with children of the same age in the play room 2. A nurse observes a client on the psychiatric unit muttering and standing near a window. The client states, “The voices are telling me to jump.” Which of the following is an appropriate response by the nurse? a. “Do you recognize the voices as belonging to anyone you know?” b. “I understand the voices are frightening you, but I do not hear any voices.” c. “That can’t be true. The only voices in this room are yours and mine.” d. “You shouldn’t be afraid when you think the voices are telling you to hurt yourself.” 3. A nurse is caring for a client who is preparing his advance directives. Which of the following statements by the client indicates an understanding of advance directives? (Select all that apply.) a. “I need an attorney to witness my signature on the advance directives.” *(nurse witnesses it) b. “I have the right to refuse treatment.” (Leadership p38) c. “My doctor will need to approve my advance directives.” (just needs to write a prescription) d. “My health care proxy can make medical decisions for me.” (Leadership p38) e. “I can’t change my advance directives once submitted.” (yes, you can) 4. A client who is pregnant voices her concern that her 3-year-old son will feel left out once the newborn arrives. Which of the following statements by the nurse is appropriate? a. “Offer your son a gift when the baby receives one.” (Provide a gift from the infant to give the sibling) b. “Teach your son to change the baby’s diapers.” (Allow older siblings to help in providing care for the infant) c. “Tell your son to kiss the baby.” (Maternity p126: Let the sibling be one of the first to see the infant) d. “Move your son to a toddler bed when the baby arrives. (do this weeks prior to baby’s arrival) [Show Less]
ATI RN Comprehensive Predictor Retake 2019 1. A nurse is assessing a client who has received an antibiotic. The nurse should identify which of the followin... [Show More] g findings as an indication of a possible allergic reaction to the medication? A. Bradycardia B. Headache C. Joint pain D. Hypotension 2. A nurse on a mental health unit is caring for a client who has schizophrenia and is experiencing auditory hallucinations telling them to hurt others. The client is refusing to take anti-psychotic medication. Which of the following responses should the nurse make? A. “You should plan to take this medication for a few weeks.” B. “You will regret it if you do not take this medication.” C. “This medication will help you respond to the voices. D. “This medication will help you stop the voices you are hearing.” 3. A nurse is providing care for a patient who has depression and is to have electroconvulsive therapy. Which of the following conditions should the nurse identify as increasing the client’s risk for complications? A. Hyperthyroidism B. Renal calculi C. Diabetes mellitus D. Cardiac dysrhythmias 4. A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis. Which of the following findings should the nurse report to the provider? A. WBC count 8,000/mm B. Platelets 150,000/mm C. Aspartate aminotransferase 10 units/L D. Erythrocyte sedimentation 75 mm/hr 5. A nurse is suctioning the airway of a client who is receiving mechanical ventilation via an endotracheal tube. Which of the following findings should the nurse identify as an indication that suctioning has been effective? A. Presence of a productive cough B. Decreased peak inspiratory pressure C. Thinning of mucous secretions D. Flattening of the artificial airway cuff [Show Less]
ATI COMPREHENSIVE PREDICTOR 2019 FINAL EXAM FUNDAMENTALS Xerostomia, what is it & how do you treat it?: feeling of oral dryness - treat with sugarless c... [Show More] andy or gum Labs to check for pernicious anemia B12 Sign of mild anxiety Extreme focus What is remote memory loss? Inability to remember things from YEARS ago Heart failure dietary teaching Low sodium & fluid restriction Diverticulitis dietary teaching Low fiber Diverticulosis dietary teaching High fiber IBS dietary teaching High fiber Parents nervous about how their 3-year-old will act when newborn arrives. What can they do Provide gif t from the infant to the sibling Methylprednisolone sodium succinate lab to watch for? [Show Less]
ATI Fundamentals Exam Download for an A • 11 Latest Versions • Verified Questions and Answers • Best Document for Exam Preparation • 100 % Success ... [Show More] Guaranteed Complete and Latest Guide For ATI Fundamentals Exam 2021 [Show Less]
ATI Fundamentals 2019 Proctored Exam 1. A nurse is caring for a client who is scheduled to have his alanine aminotransferase (ALT) level checked. The cli... [Show More] ent asks the nurse to explain the laboratory test. Which of the following is an appropriate response by the nurse? a. “This test will indicate if you are at risk for developing blood clots b. “This test will determine if your heart is performing properly” c. “This test will provide information about the function of your liver” ◗ Rationale: ALT test measures amount of enzyme in blood. ALT mainly found in liver ◗ Rationale: Leadership 7.0. ALT and AST measure you liver function. Creatinine and BUN measure your kidney function d. “This test is used to check how your kidneys are working” . 2. A nurse is caring for a client who has a prescription for morphine 5mg IM accidentally administers the whole 10 mg from the single-dose vial. Which of the following actions should the nurse take first? a. Notify the client’s provider. b. Report the incident to the pharmacy. c. Complete an incident report. d. Measure the client’s respiratory rate. ◗ Rationale: morphine OD = pulmonary edema fills lungs w/ fluid leading cause of death for OD ◗ Rationale: Morphine can cause respiratory depression if given too much. Also you should ALWAYS ASSESS the patient first when a med error is performed to make sure med error doesn’t put the client’s health in risk. [Show Less]
Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink plenty of dairy products, such as milk, to help coat and ... [Show More] protect his ulcer. What is the best follow-up action by the nurse? Review with the client the need to avoid foods that are rich in milk and cream 2. A male client with hypertension, who received new antihypertensive prescriptions at his last visit returns to the clinic two weeks later to evaluate his blood pressure (BP). His BP is 158/106 and he admits that he has not been taking the prescribed medication because the drugs make him “feel bad”. In explaining the need for hypertension control, the nurse should stress that an elevated BP places the client at risk for which pathophysiological condition? Stroke secondary to hemorrhage 3. The nurse observes an unlicensed assistive personnel (UAP) positioning a newly admitted client who has a seizure disorder. The client is supine and the UAP is placing soft pillows along the side rails. What action should the nurse implement? Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows. 4. An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for the past 12 days. Which assessment finding requires immediate follow-up? Describes life without purpose 5. A 60-year-old female client with a positive family history of ovarian cancer has developed an abdominal mass and is being evaluated for possible ovarian cancer. Her Papanicolau (Pap) smear results are negative. What information should the nurse include in the client’s teaching plan? Further evaluation involving surgery may be needed 6. A client who recently underwear a tracheostomy is being prepared for discharge to home. Which instructions is most important for the nurse to include in [Show Less]
Rn ATI capstone Fundamentals Focused Review Management Care (1) -Integumentary and Peripheral Vascular Systems: Identifying Skin Lesions (Active Learning T... [Show More] emplate - Basic Concept, RM FUND 9.0 Ch 30) -Equipment used to assess -adequate lighting, gloves, flexible ruler/tape measure, gown or drape to cover pt -Vascular Lesions -Spider Angioma- red center with radiating red legs, up to 2 cm, possibly raised -cherry Angioma- red 1 to 3cm, round and possibly raised -spider vein- bluish, spider shaped or linear up to several inches in size -petechiae/purpura- deep reddish/purple flat petechiae 1-3mm, purpura > 3mm -ecchymosis- purple fading to green or yellow over time, variable in size, flat -hematoma- raised ecchymosis Safety & Infection control (4) -Client Safety: Priority Action in a Fire Emergency (Active Learning Template - Basic Concept, RM FUND 9.0 Ch 12) -Know the location of exits, alarms, fire extinguishers, and oxygen shut-off valves. -Make sure equipment does not block fire doors. -Know the evacuation plan for the unit and the facility. R: Rescue and protect clients in close proximity to the fire by moving them to a safer location. Clients who are ambulatory may walk independently to a safe location. A: Alarm: Activate the facility’s alarm system and then report the fire’s details and location. C: Contain/Confine the fire by closing doors and windows and turning off any sources of oxygen and any electrical devices. Ventilate clients who are on life support with a bag-valve mask. E: Extinguish the fire if possible using the appropriate fire extinguisher -Home Safety: Teaching About Wound Care (Active Learning Template - Basic Concept, RM FUND 9.0 Ch 13) Burns -Test the temperature of formula and bath water. -Place pots on back burner and turn handle away from front of stove. -Supervise the use of faucets. -Keep matches and lighters out of reach. -Cover electrical outlets Play Injury -Teach to not run with candy or objects in mouth. -Remove doors from refrigerators or other potentially confining structures.-Ensure that bikes are the appropriate size for child. -Teach playground safety. -Teach to play in safe areas, and avoid heavy machinery, railroad tracks, excavation areas, quarries, trunks, and vacant buildings. -Teach to never swim alone and to wear a life jacket in boats. -Wear protective helmets and knee and elbow pads, when needed. -Teach to avoid strangers and keep parents informed of strangers. -Medical and Surgical Asepsis: Maintaining Surgical Asepsis While Performing a Sterile Dressing Change (Active Learning T-template - Nursing Skill, RM FUND 9.0 Ch 10) -The outer wrappings and 1-inch edges of packaging that contains sterile items are not sterile. ---The inner surface of the sterile drape or kit, except for that 1-inch border around the edges, is the sterile field to which other sterile items may be added. -To position the field on the table surface, grasp the 1-inch border before donning sterile gloves. Discard any object that comes into contact with the 1-inch border. -Touch sterile materials only with sterile gloves. -Consider any object held below the waist or above the chest contaminated. -Sterile materials may touch other sterile surfaces or materials; however, contact with nonsterile [Show Less]
Assessment: RN Fundamentals Online Practice A and B 1. a nurse in a clinical is caring for a middle age adult who states, "the doctor says that since I ... [Show More] am at an average risk for colon cancer, I should have a routine screening. what does that involve?" which of the following responses should the nurse make? A. "I'll get a blood sample from you and send it for a screening test." B. "beginning at age 60, you should have a colonoscopy." C. "you should have a decal occult blood test every year." D. "the recommendation is to have a sigmoidoscopy every 10 years." "You should have a fecal occult blood test every year." Colorectal cancer screening for clients at average risk begins at age 50. One option for screening is a fecal occult blood test annually. 2. a nurse is caring for a client who is having difficulty breathing. the client is laying in bed with a nasal cannula delivering oxygen. which of the following intervention should the nurse take first? A. suction the client's airway B. administer a bronchodilator C. increase the humidity in the client's room D. assist the client to an upright position assist the client to an upright position When providing client care, the nurse should first use the least invasive intervention. Therefore, the nurse should elevate the head of the client's bed to the semi-Fowler's or high Fowler's position to facilitate maximal chest expansion. Sitting upright improves gas exchange and prevents pressure on the diaphragm from abdominal organs. 3. a nurse is preparing to administer 0.5 mL of oral single-dose liquid medication to a client. which of the following actions should the nurse take? A. gently shake the container of medication prior to administration B. transfer the medication to a medicine cup C. place the client in a semi-fowlers position to medication administration D. verify the dosage by measuring the liquid before administering it Gently shake the container of medication prior to administration. The nurse should gently shake the liquid medication to ensure the medication is mixed.4. a nurse is planning care to improve self-feeding for a client who has vision loss. which of the following interventions should the nurse include in the plan of care? A. tell the client which food she should eat first B. provide small-handle utensils for the client C. thicken liquids on the client's tray D. use a clock pattern to describe food on the client's plate Use a clock pattern to describe food on the client's plate. Use a clock pattern to describe food on the client's plate.MY ANSWERDescribing the location of the food on the plate by using a clock pattern allows the client to have greater independence during meals. 5. a nurse is teaching an older adult client who is at risk for osteoporosis about beginning a program of regular physical activity. which of the following types of activity should the nurse recommend? A. walking briskly B. riding a bicycle C. performing isometric exercises D. engaging in high-impact aerobics walking briskly Weight-bearing exercises are essential for maintaining bone mass, which helps to prevent osteoporosis. Walking engages older adult clients in this preventive and therapeutic strategy. 6. a nurse is assessing a client's readiness to learn about insulin administration. which of the following statements should the nurse identify as an indication that the client is ready to learn? A. "I can concentrate best in the morning." B. "it is difficult to read the instructions because my glasses are at home." C. "I'm wondering why I need to learn this." D. "you will have to talk to my wife about this." "I can concentrate best in the morning." The client's statement indicates a readiness to learn because he is verbalizing the best time for him to learn. [Show Less]
ATI PN Comprehensive Predictor Form A LATEST 2020/ 2021 1. A nurse is reviewing the techniques for transferring a client from a bed to a chair with... [Show More] a group of assistive personnel (AP). Which of the following instructions should the nurseinclude? ANS: Use lower-body strength RATIONALE: The nurse should instruct the AP to use lower-body strength when liftinga client to reduce stress on the back 2. A nurse is participating in a quality improvement study about the effectiveness of client pain management on the unit. Which of the following strategies should the nurse use tocollect data? ANS: Review clients' charts for their rating of pain before pain medication wasadministered and 1 hr after administration [Show Less]
ATI PN Comprehensive Predictor Form B LATEST 2020/2021 1. A nurse in a long-term care facility is assisting with an in- service for newly hired assist... [Show More] ive personnel about legal issues within the facility. WhichofIthe following should the nurse include as an example ofIassault? ANS: Informing a client the nurse is going to administer an injection even though the client refuses . 2. A nurse is collecting data from who is severe pain. Which ofIthe following questions should the nurse ask first? ANS: "Where is your pain located?" [Show Less]
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