ATI comprehensive nclex-pn questions with correct & verified answers 2023 Graded A+
a nurse reinforces teaching to a client about end-of-life decisions... [Show More] . which information about advance directives is correct?
a. informed consent should be verified
b. a health care proxy can be designated
c. specific dietary restrictions are identified
d. legal counsel is needed to make decisions - b. a health care proxy can be designated
a client who has a terminal illness decides to discontinue treatment. what is the appropriate response from the nurse?
a. why are you giving up?
b. tell me about your decision
c. what does your family want?
d. you have other available options - b. tell me about your decision
a nurse recognizes an increase in client falls in a long-term care facility. which step should the nurse use to begin to quality improvement process?
a. collect data
b. identify causes
c. initiate corrective action
d. analyze possible solutions - a. collect data
a student nurse provides care to an 18yo client. which action maintains confidentiality?
a. takes a picture of clients wound to use for classroom discussion
b. prints a copy of the clients medical record for educational purposes
c. encourages a parent to be present during physical exam of client
d. discloses client status over the phone when caller provides correct code - d. discloses client status over the phone when caller provides correct code
a LPN provides care to a group of clients. which client should be reassigned to the RN? client who has:
a. a ng tube and pH of the gastric aspirate is 3
b. asthma and prescribed oxygen via nonrebreather mask
c. diabetes mellitus and a blood glucose level of 160mg/dL
d. a stage 3 pressure ulcer and requires a sterile dressing change - b. asthma and prescribed oxygen via nonrebreather mask
a nurse provides care for a client who has depression and anorexia. which actions should the nurse take? (select all that apply)
a. weigh client daily
b. monitor eating patterns
c. encourage client to sit with family while eating
d. offer small portions of high-calorie foods frequently
e.include client preferences when developing eating plan - b. monitor eating patterns
c. encourage client to sit with family while eating
d. offer small portions of high-calorie foods frequently
e.include client preferences when developing eating plan
a client who practices Jusdaism reports a disruption in sleep patterns following the death of a loved one. the nurse should recommend which intervention to promote spiritual health?
a. delay discussion of recent loss
b. limit family visitation to brief times
c. encourage the client to spend time alone
d. offer to contact the client's personal rabbi - d. offer to contact the client's personal rabbi
a nurse reinforces teaching regarding the benefits of a bereavement support group for a client who has experienced the death of a spouse. which benefits should the nurse include? (select all that apply)
a. provides mutual support
b. offers networking resources
c. decreases feelings of isolation
d. integrates role-playing to act out emotions
e. allows an opportunity to meet a new companion - a. provides mutual support
b. offers networking resources
c. decreases feelings of isolation
T/F the nurse should plug an NG tube and keep it above the level of the stomach when ambulating a client - True.
This prevents stomach contents from leaking into the pigtail
T/F the nurse can NOT instil air into an NG pigtail but she can instil air IF there is leakage. - True.
If the nurse notes edema above the catheter insertion site, what is the best action of the nurse? - This indicates infiltration. The nurse stop the IV infusion. THe presence of skin balancing indications infiltration as well.
S/Sx of hypoglycemia: - pale, sweaty skin, irritability, tachycardia, tremors and hungry
S/Sx of hyperglycemia - fruity breath, lethargy, weakness, thirst, polyuria,
How can a pt decrease pain when replacing an ostomy pouch system - Gently and gradually peeling the skin barrier away while *holding the skin taut* will minimize discomfort AND trauma to the peristomal skin
If a pt does not meet goals or outcomes in the critical pathway due to an unexpected finding, or the nurse finds a need for additional interventions, what is the nurse's best action? - document the findings as a variance as either a negative or positive variance.
T/F Rifampin, for the tx of TB, can interact w/ and reduce the effectiveness of oral contraceptives, therefore the nurse should instruct the pt to use a secondary method to prevent pregnancy. - True
If a client taking Rifampin for the tx of TB complains of HA, fever, or muscle aches, what should the nurse's response be? - Report the symptoms to HCP immediately as these indicate flu like symptoms and infection, which can lead to meningococcal meningitis
A nurse in a providers office is reviewing pediculosis capitis management and prevention strategies w/ the parent of a school age child. What education should the nurse provide the parents with? - Transmission of lice occurs via contact w/ personal items so store the childs clothing in a separate cubicle when at school.
Do NOT use insecticides because they are a danger to young children and pets
Boil brushes and combs in water for 10 minutes to kill lice and nits
Dry bed linens and clothing in a HOT dryer for at least 20 minutes
Contaminated non washable items should be sealed in a plastic bag for 14 days to kill the lice.
Enoxaparin for the prevention of thrombosis should be administered how? - SubQ Rotating injection sites [Show Less]
