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RN Fundamentals Online Practice 2019A 1. A nurse is performing a skin assessment for a client who expresses concern about skin cancer. Which of the foll... [Show More] owing findings should the nurse identify as a potential indication of a skin malignancy? a. A lesion with uniform pigmentation Variations in pigmentation are a possible indication of a skin malignancy. A lesion with uniform pigmentation is not an expected indication of a skin malignancy. b. New appearance of petechiae Petechiae are capillaries that have burst under the skin and appear as small spots on the skin. Although they can be indications of other conditions, petechiae are not an expected indication of a skin malignancy. c. A mole with asymmetrical appearance An uneven or asymmetrical shape is a potential indication of a skin malignancy. This is manifested when part of a lesion or mole looks different from the other part d. The presence of a papule Papules are solid elevations that are palpable in the skin and are less than 1 cm (0.39 in) in size. They are not an expected indication of a skin malignancy. 2. A nurse is assessing a client who reports pain following physical therapy. Which of the following questions should the nurse as when assessing the quality of the client’s pain? a. “Is your pain constant or intermittent?” Asking the client whether the pain is constant or intermittent determines the onset, duration, and pattern of the pain. b. “What would you rate your pain on a scale of 0 to 10?” Asking the client to rate the pain using the pain scale determines the intensity of the pain. c. “Does the pain radiate?” Asking the client whether the pain radiates determines the pain’s location. d. “Is your pain sharp or dull?” [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 COMPREHENSIVE FUNDAMENTALS GUIDE 2019 Verified Questions & Answers 1. A nurse is caring for a client who is at 33 weeks gestation following an amnio... [Show More] centesis. The nurse should monitor the client for which of the following complications? a. contractions b. Hypertention c. Epigastric pain d. vomiting Answer: a. Contraction Rational: Amniocentesis -Can't be done before 16 weeks, not enough amniotic fluid. -maternal risks: hemorrhage, feto maternal hemorrhage, infection, contractions/labor, abruptio placentae, damage to intestines or bladder, amniotic fluid embolism -fetal risks: death, hemorrhage, infection, direct injury from the needle, miscarriage, and preterm, leakage of amniotic fluid 2. A nurse is providing teaching to an older adult client about methods to promote nighttime sleep. Which of the following instructions should the nurse include? a. Stay in bed at least 1 hr if unable to fall asleep. b. Take a 1 hr nap during the day c. Perform exercises prior to bedtime d. Eat a light snack before bedtime Answer:D. Eat a light snack before bedtime Rational:Consume a light snack of carbohydrates at bedtime 3. A nurse on a telemetry unit is caring for a client who becomes unconscious and whose monitor displays ventricular tachycardia. Which of the following actions should the nurse first take determining the client does not have a palpable pulse? a. Assess heart sounds b. Defibrillate c. Establish IV access d. Administer Epinephrine Answer:B. Defibrillate Rational: The nurse needs to assess the client to determine stability before proceeding with further interventions. If the client has a pulse and is relatively stable, elective cardioversion or antidysrhythmic medications may be prescribed. The drug of choice for stable ventricular tachycardia with a pulse is amiodarone. If the client is pulseless or nonresponsive, the client is unstable and defibrillation is use [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]
Fundamentals Retake 2019 Semiconscious client with small-bore NG tube. Verify correct placement: o X-ray examination, measure the length of the exposed... [Show More] tube, determine the pH of aspirated fluid. How to irrigate wound: o Warm about 200 mL irrigating solution to 37 degree C (98.6 F) to avoid discomfort and vascular constriction o Use 30 mL syringe o 18- or 19-gauge catheter (smaller exert too much pressure on wound) o Give pain meds 20 to 30 minutes prior Unemancipated minor (who don’t live on their own, not married, not in military) can legally sign CONSENT FORM Ambulating using CANE who has right-sided weakness o Keep 2 points of support on the ground (either both feet or foot and the cane) o Hold the cane on the UNAFFECTED or stronger side of the body o Advance cane followed with UNAFFECTED or stronger leg o Support weight on both legs when moving the cane forward Endotracheal Tube purpose of inflating the cuff o Stabilize position o Prevent aspiration and air leaks Test for STRABISMUS (crossed-eyed): Corneal light reflex Postop knee arthroplasty needs ANTAGONISTIC muscle to strengthen (muscles of knee joint contracts while others relax) MRSA: don gloves when entering and use sanitizer when delivering food tray. Gown and goggles for additional protection. Disease prevention and maintenance for middle-aged female: eye exam Q2years o 30 to 65 (pap test every 3 yrs.) o 45+ (annual mammogram) o Co [Show Less]
Hesi Fundamentals Practice Questions Fundamentals Hesi 1. The home health nurse visits an elderly female client who had a brain attack three months ago and... [Show More] is now able to ambulate with the assistance of a quad cane. Which assessment finding has the greatest implications for this client's care? • The husband, who is the caregiver, begins to weep when the nurse asks how he is doing. • The client tells the nurse that she does not have much of an appetite today. • The nurse notes that there are numerous scatter rugs throughout the house. Correct • The client's pulse rate is 10 beats higher than it was at the last visit one week ago. Scatter rugs (C) pose a safety hazard because the client can trip on them when ambulating, so this finding has the greatest significance in planning this client's care. Psychological support of the caregiver (A) is a less acute need than that of client safety. The nurse needs to obtain more information about (B), but this is not a safety issue. (D) is not a significant increase, and additional assessment might provide information about the reason for the increase (anxiety, exercise, etc.). 2. The nurse is digitally removing a fecal impaction for a client. The nurse should stop the procedure and take corrective action if which client reaction is noted? • Temperature increases from 98.8° to 99.0° F. • Pulse rate decreases from 78 to 52 beats/min. Correct • Respiratory rate increases from 16 to 24 breaths/min. • Blood pressure increases from 110/84 to 118/88 mm/Hg. Parasympathetic reaction can occur as a result of digital stimulation of the anal sphincter, which should be stopped if the client experiences a vagal response, such as bradycardia (B). (A, C, and D) do not warrant stopping the procedure. 3. The nurse is providing passive range of motion (ROM) exercises to the hip and knee for a client who is unconscious. After supporting the client's knee with one hand, what action should the nurse take next? • Raise the bed to a comfortable working level. • Bend the client's knee. • Move the knee toward the chest as far as it will go. • Cradle the client's heel. Correct Passive ROM exercise for the hip and knee is provided by supporting the joints of the knee and ankle (D) and gently moving the limb in a slow, smooth, firm but gentle manner. (A) should be done before the exercises are begun to prevent injury to the nurse and client. (B) is carried out after both joints are supported. After the knee is bent, then the knee is moved toward the chest to the point of resistance (C) two or three times. 4. A client who has [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]
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 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]
ATI Fundamentals Quiz 1 1. A nurse is teaching a group of older adults about expected changes of aging. Which of the following statements by a group member... [Show More] indicates that the teaching has been effective? "I should expect my heart rate to take longer to return to normal after excessive as I get older." 2. A nurse is caring for a client who is postoperative and has paralytic ileum. Which of the following abdominal assessments should the nurse expect? Absent bowel sounds with distention 3. A nurse is planning care for a client who reports abdominal pain. An assessment by the nurse reveals the client has a temperature of 39.2 degrees C (102 degrees F), heart rate of 105/min, a soft contender abdomen, and census overdue by 2 days. Which of the following findings should be the nurse's priority? Temperature 4. A nurse is caring for a child who is postoperative following a tonsillectomy. Which of the following actions should the nurse take? Administer analgesics to the child on a routine schedule throughout the day and night. 5. A nurse is assessing the heart sounds of a client who has developed chest pain that becomes worse wth inspiration. the nurse auscultates a high-pitched scratching sound during both systole and diastole with diaphragm of the stethoscope positioned at the left sternal border. Which of the following heart sounds should the nurse document? Pericardial friction rub 6. A nurse is teaching an assistive personnel (AP) about proper hand hygiene. Which of the following statements by the AP indicates an understanding of the teaching? "There are times I should use soap and water rather than alcohol based hand rub to clean my hands." 7. A nurse is caring for a client who is unstable and has vital signs measured every 15 minutes by an electronic blood pressure machine. The nurse notices the machine begins to measure the blood pressure at varied intervals and the readings are inconsistent. Which of the following actions should the nurse take? Discontinue the machine, and measure the blood pressure manually every 15 min. 8. A nurse is providing teaching to a client who has heart failure about how to reduce his daily intake of sodium. Which of the following factors is the most important in determining the client's ability to learn new dietary habits? The involvement of the client in planning the change 9. A nurse is planning to obtain the vital signs of a 2-year-old child who is experiencing diarrhea and who might have a right ear infection. Which of the following routes should the nurse use to obtain the temperature? Temporal 10.A nurse is witnessing a client sign an informed consent form for surgery. Which of the following describes what the nurse is affirming by this action? The signature on the preoperative consent form is the client’s 11. A nurse on a medical-surgical unit is admitting a client. Which of the following information should the [Show Less]
ATI Fundamentals Study Guide 1. A nurse is teaching an assistive personnel about using proper body mechanics to prevent injury. Which of the following a... [Show More] ctions by the AP indicates an understanding of the teaching? A. The AP extends his pelvis outward when reaching for an object. B. The AP keeps the object he is lifting close to his body C. The AP bends at the waist when lifting an object. D. The AP relaxes his abdominal muscles when reaching for an object. 2. A nurse on a medical unit is caring for a group of clients. For which of the following tasks should the nurse wear a face shield? A. Changing the brief of an older adult client who has clostridium difficile infection B. Suctioning a client’s tracheostomy tube C. Emptying an indwelling urinary catheter bag D. Inserting an IV catheter for a client who has peritonitis 3. A nurse is providing teaching to a client who is to self-administer an ophthalmic solution. Which of the following statements by the client indicates an understanding of the teaching? A. I will insert the drops in the center of each eye B. I will raise my eyelid up while looking down to insert the drops C. I will keep my eyes closed for 5 minutes after inserting the drops. D. I will press the inner corner of my eyes after I insert the drops 4. A nurse is caring for a client who has brain cancer and is transferring to hospice care. The client’s son tells the nurse “I don’t know what to tell my dad about if he asks how he is going to die.” Which of the follow is an appropriate response by the nurse? A. “Lets talk more about your dad’s condition” B. “I think you should talk about this with the hospice nurse C. “Try to help your dad enjoy this time as much as he can” D. “The social worker will help you answer those questions” 5. A nurse is caring for a client who is receiving continuous enteral feedings through a gastrostomy tube. Which of the following actions should the nurse take? A. Flush the tubing with 10 mL of water every 2 hr. B. Aspirate residual volume every 4 hr. C. Change tubing set every 72 hr.D. Heat the formula to 40.5 C (105 F) 6. A nurse is caring for a client who recently received a diagnosis of terminal cancer. Which of the following statements by the client’s partner indicates a maladaptive coping? A. “I don’t understand why he can’t get better and return to work” B. “I don’t know if I will be able to meet his physical needs” C. “I am going to ask my daughter to come and stay for a week” D. “I cook for him at home and work hard to prepare nutritious meals” 7. A nurse is providing discharge teaching to a client who does not speak the language as the nurse. Which of the following actions should the nurse take? A. Offer written instructions in the client’s language. B. Direct verbal discharge instructions to the interpreter C. Use proper medical terms when giving instructions to the client D. Request that assistive personnel interpret the instructions for the client 8. A nurse is caring for a client who has restraints to each extremity. Which of the following [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]
ATI RN Fundamentals Proctored Focus Study Guide Terms in this set (106) Always correct You've answered all of these correctly! +1 Home safety: Teaching an ... [Show More] older adult client about home safety -remove items that could cause the client to trip (rugs, cords, carpets) -place electrical/extension cords7/9/2019 ATI fundamentals, ATI RN Fundamentals Proctored Focus Flashcards | Quizlet https://quizlet.com/345777986/ati-fundamentals-ati-rn-fundamentals-proctored-focus-flash-cards/?x=1jqU&i=1inzjx 2/29 No Answers Yet You still haven't studied these! against a wall behind furniture -monitor gait/balance, provide aids PRN -make sure steps/sidewalks are in good condition -grab bars near toilet, tub, shower -stool riser, toilet cushion -nonskid bath mats/shower mats -shower chair or bedside commode PRN -ensure adequate lighting -water heater 120 -no smoking if on oxygen, cotton stuff only, no heating oil or nail polish remover -cook meat and fish fully, handle properly +1 Safe Medication Administration & Error Reduction: Appropriate Actions Following a Medication Error -assess client -inform charge nurse -complete incident report Normal level for WBC's 4,500 - 11,000 Normal lab values for Hbg male 13.5-17.5 g/dL7/9/2019 ATI fundamentals, ATI RN Fundamentals Proctored Focus Flashcards | Quizlet https://quizlet.com/345777986/ati-fundamentals-ati-rn-fundamentals-proctored-focus-flash-cards/?x=1jqU&i=1inzjx 3/29 Normal lab values for Hbg female 12-16 g/dL Normal lab values for Na 135-145 mEq/L Normal lab values for K 3.5-5 mEq/L Normal lab values for Cl 95-105 mEq/L Normal lab values for HCO3 22-29 mEq/L Normal BUN lab values 7-18 mg/dL Normal Creatine lab values 0.6- 1.2 mg/dL Normal Glucose lab values 70-110 mg/dL Normal Calcium lab values 8.5-10.5 mg/dL Normal total protein lab values 6-8 g/dL7/9/2019 ATI fundamentals, ATI RN Fundamentals Proctored Focus Flashcards | Quizlet https://quizlet.com/345777986/ati-fundamentals-ati-rn-fundamentals-proctored-focus-flash-cards/?x=1jqU&i=1inzjx 4/29 Normal Alb lab values 3.5-6 g/dL Normal total Bili 0-1 mg/dL [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]
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