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RN COMPREHENSIVE BUNDLE
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RN comprehensive online practice 2019a
RN comprehensive online practice 2019a A nurse is planning care for a client who is receiving heparin to treat a deep-vein thrombosis of the left lo... [Show More] wer leg. Which interventions should the nurse include in the plan of care? maintain the client on bed rest restrict the client to 1 L of fluid per day place cool compresses on the edematous area elevate the affected leg - ANSWER ==elevate the affected leg the nurse should elevate the client's affected extremity to reduce edema and decrease the risk of chronic venous insufficiency A nurse is teaching a group of guardians about child safety measures. Which of the following statements by a guardian indicates an understanding of the teaching? I will make sure my 4 year old child wears a helmet when using a skateboard I should have my child avoid sun exposure between 10 am and 2 pm I can give my 2 year old child a whole hotdog on a bun When my infant is in the carrier, I will place it on a raised, flat surface whenever possible - ANSWER ==I should have my child avoid sun exposure between 10 am and 2 pm To prevent sunburns, guardians should apply sunscreen, dress their child in protective clothing, and avoid sun exposure between 1000 and 1400 A home health nurse is providing teaching about infection prevention to a client who has cancer and receiving chemotherapy. Which of the following statements by the client indicates an understanding of the teaching? I will leave my drinking water out of my refrigerator for at least 1 hour so it will be room temperature I will clean my toothbrush in my dishwasher once each month I will take my temperature once each week and let my doctor know if it is high I will walk short distances throughout the day - ANSWER ==I will walk for short distances throughout the day The client should ambulate for short distances as tolerated throughout the day. This will help reduce pulmonary stasis and prevent the development of respiratory infections A nurse is providing dietary teaching to the parents of a 6-month old infant. Which of the following instructions should the nurse include? Provide the infant with 1 cup of cereal Give the infant 240 mL (8 oz) of juice per day Introduce new foods one at a time over 5 to 7 days Give whole milk first, then small amounts of solid food - ANSWER ==Introduce new foods one at a time over 5 to 7 days The parents should introduce new foods one at a time over 5 to 7 days to identify potential food allergies A charge nurse is planning care for a client who has mechanical restraints in place. Which of the following interventions should the nurse include in the plan? Remove the client's restraints while sleeping Document the client's status every 60 min Check for a new prescription every 6 hours Provide a staff member to stay with the client continuously - ANSWER ==Provide a staff member to stay with the client continuously A staff member must remain continuously with a client who is in restraints or view the client via audiovisual equipment if necessary due to the risk of injury A community health nurse is assisting with the development of a disaster management plan. The nurse should include which of the following nursing responsibilities in the disaster response stage of the plan? Performing a rapid needs assessment Organizing an immunization campaign Identifying the specific roles of disaster workers Conducting home visits to identify health hazards - ANSWER ==Performing a rapid needs assessment Disaster management includes prevention, preparedness, response, and recovery stages. The nurse should perform a rapid needs assessment during the response phase of the disaster cycle. A rapid needs assessment allows the nurse to identify the severity of the incident, the health needs of the community, and the priority actions needed during the response stage A nurse manager is assisting with the orientation of a newly licensed nurse. Which of the following actions by the nurse requires the nurse manager to intervene? Informs the provider about a client's suicide plan Notifies the health department of a client's diagnosis of chlamydia Reports suspected child maltreatment to social services Tells the hospital chaplain a client's diagnosis - ANSWER ==Tells the hospital chaplain a client's diagnosis Discussing a client's diagnosis with the hospital chaplain is a breach of client confidentiality and a violation of HIPPA A nurse is caring for a client who is in labor at 39 weeks of gestation. During the second stage of labor, the nurse observes early decelerations on the monitor tracing. Which of the following actions should the nurse take? Continue observing the fetal heart rate Assist the client to a knee-chest position Prepare the client for continuous internal monitoring Prepare for an emergency cesarean birth - ANSWER ==Continue observing the fetal heart rate Early decelerations indicate the progression of labor and are an expected finding. The nurse should continue to monitor the fetus by observing the fetal heart rate and tracing A nurse manager is planning to make changes to the current scheduling system on the unit. To facilitate the staff's acceptance of this change, which of the following actions should the nurse manager take? Provide information about scheduling issues to the staff Ask staff members to participate in a trial of the new scheduling system Encourage staff to offer alternate scheduling solutions Develop goals to implement the new scheduling system - ANSWER ==Provide information about scheduling issues to the staff The first stage of the change process is the unfreezing stage, when the nurse should inform the staff about the current staffing issues. This can increase their understanding of why changes are necessary A nurse is planning teaching about allowable foods for a client who has a history of uric-acid based urinary calculi formation. Which of the following foods should the nurse include in the teaching? Liver Oranges Chicken Red wine - ANSWER ==Oranges A client who is prone to uric acid calculi formation can eat citrus fruits A charge nurse is teaching a newly licensed nurse how to identify true labor. Which of the following should the nurse include in the teaching? Contractions will be felt primarily in the upper abdomen The cervix transitions to an anterior position Contraction intensity decreases with ambulation The cervix progressively thickens - ANSWER ==The cervix transitions to an anterior position In true labor, the cervix transitions to an anterior position and begins to dilate in preparation for birth A nurse on a medical-surgical unit is caring for a client prior to a surgical procedure. Which of the following findings should indicate to the nurse that the client has the ability to sign the informed consent? The client's partner tells the nurse that the client understands the procedure The nur [Show Less]
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RN Comprehensive Predictor 2019 Form B
RN Comprehensive Predictor 2019 Form B A nurse is assessing a newborn who has a blood glucose level of 30 mg/dl. Which of the following manifestati... [Show More] ons should the nurse expect? A. Loose stools B. Jitteriness C. Hypertonia D. Abdominal distention - B. Jitteriness A nurse is assessing a client who is immediately post-operative following total hip arthroplasty, which of the following considerations should the nurse take when positioning the client? A. Place the client's heels directly against the bed mattress B. Ensure that the client's hips remain in an abducted position. C. Maintain the client in a supine position for the first 24 hr. after surgery. D. Flex the client's hip up to 120° when sitting in a chair. - B. Ensure that the client's hips remain in an abducted position. A nurse is assessing a client who is immediately postoperative following a subtotal thyroidectomy. Which of the following should the nurse expect to administer? A. Calcium gluconate. B. Sodium bicarbonate. C. Potassium chloride. D. Sodium phosphate - A. Calcium gluconate. A nurse is caring for an adult client who has prescriptions for multiple medications. Which of the following (Unable to read) as an age-related change that increases the risk for adverse effects from this medication? A. Rapid gastric emptying. B. Prolonged medication half-life. C. Increased medication elimination. D. Decreased medication sensitivity. - B. Prolonged medication half-life. A nurse manager is planning to promote client advocacy among staff in a medical unit. Which of the following actions should the nurse take? A. Encourage staff to implement the principle of paternalism when a client is having difficulty making a choice. B. Tell staff explain procedures to clients before obtaining informed consent. C. Instruct unit staff to share personal experiences to help clients make decisions. D. Develop a system for staff members to report safety concerns in the client care environment - D. Develop a system for staff members to report safety concerns in the client care environment A nurse is preparing an in-service for a group of nurses about malpractice issues in nursing. Which of the following examples should the nurse include in the teaching? A.Leaving a nasogastric tube clamped after administering oral medication B.Documenting communication with a provider in the progress notes of the client's medical record C.Administering potassium via IV bolus D.Placing a yellow bracelet on a client who is at risk for falls - C.Administering potassium via IV bolus A nurse is providing teaching about the gastrostomy tube feedings to the parents of a school age child. Which of the following instructions should the nurse take? A. Administer the feeding over 30 min. B. Place the child in as supine position after the feeding. C. Charge the feeding bag and tubing every 3 days. D. Warm the formula in the microwave prior to administration - A. Administer the feeding over 30 min. A nurse is administering digoxin 0.125 mg Po to an adult client. For which of the following findings should the nurse report to the provider? A. Potassium level 4.2 mEq/L. B. Apical pulse 58/min. C. Digoxin level 1 ng/ml. D. Constipation for 2 days. - C. Digoxin level 1 ng/ml. A nurse is providing discharge teaching to a client who has a new prescription for phenelzine. The nurse should instruct the client that it is safe to eat which of the following foods while taking this medication? A. Whole grain bread B. Avocados C. Smoked salmon D. Pepperoni pizza - A. Whole grain bread A nurse is caring for an adolescent who has sickle-cell anemia. Which of the following manifestations indicates acute chest syndrome and should be immediately reported to the provider? A. Substernal retractions. B. Hematuria. C. Temperature 37.9 C (100.2 F). D. Sneezing. - A. Substernal retractions A nurse manager is updating protocols for the use of belt restraints. Which of the following guidelines should the nurse include? A. Attach the restraint to the bed's side rails. B. Attach a PRN restraint prescription for clients who are aggressive C. Document the client's condition every 15 min D. Remove the client's restraints every 4 hr - C. Document the client's condition every 15 min A nurse is preforming a gastric lavage for a client who has upper gastrointestinal bleeding. Which of the following action should the nurse take? A. Instill 500 ml of solution through the NG tube. B. Insert a large-bore NG tube. C. Use a cold irrigation solution. D. Instruct the client to lie on his right side. - B. Insert a large-bore NG tube. A nurse is providing care for a client who is in the advance stage of amyotrophic lateral sclerosis. (ALS). Which of the following referrals is the nurse's priority? B. Psychologist. C. Social worker. D. Occupational therapist. E. Speech-language pathologist. - E. Speech-language pathologist. 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/mm3. B. Platelets 150,000/mm3. C. Aspartate aminotransferase 10 units/L. D. Erythrocyte sedimentation rate 75 mm/hr - D. Erythrocyte sedimentation rate 75 mm/hr A nurse is caring for a client who has generalized petechiae and ecchymoses. The nurse should expect a prescription for which of the following laboratory tests? A. Platelet count. B. Potassium level. C. Creatine clearance. D. Prealbumin - A. Platelet count. A charge nurse on a medical-surgical unit is assisting with the emergency response plan following an external dis [Show Less]
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RN Comprehensive Online Practice 2019 B
RN Comprehensive Online Practice 2019 B A nurse is assessing a client who received 2 units of packed RBCs 48 hr ago. Which of the following findings... [Show More] should indicate to the nurse that the therapy has been effective? - ANSWER ==Hemoglobin 14.9 g/dL A nurse working in an emergency department is triaging four clients. Which of the following clients should the nurse recommend for treatment first? - ANSWER ==A middle adult client who has unstable vital signs A nurse is caring for a client who has fluid volume overload. Which of the following tasks should the nurse delegate to an assistive personnel (AP)? - ANSWER ==Measure the client's daily weight. A nurse is preparing to administer mannitol 0.2g/kg IV bolus over 5 min as a test dose to a client who has severe oliguria. The client weighs 198 lb. What is the amount in grams the nurse should administer? - ANSWER ==18 g 198/2.2=90kg 0.2*90=18g A nurse is conducting a physical examination for an adolescent and is assessing the range of motion of the legs. Which of the following images indicates the adolescent is abducting the hip joint? - ANSWER ==D A nurse is caring for a client who has hyperthyroidism. Which of the following findings should the nurse expect? - ANSWER ==Tremors -Tremors are a manifestation of hyperthyroidism, along with tachycardia, diaphoresis, weight loss, insomnia, and exophthalmia. A nurse is assessing a school-age child who has bacterial meningitis. Which of the following findings should the nurse expect? - ANSWER ==Nuchal rigidity A nurse is assessing a newborn's heart rate. Which of the following actions should the nurse take? - ANSWER ==Auscultate the apical pulse at least 1 min. A nurse is preparing to assist with a thoracentesis for a client who has pleurisy. The nurse should plan to perform which of the following actions? - ANSWER ==Instruct the client to avoid coughing during the procedure. -avoid coughing and to lie still during a thoracentesis to avoid puncturing the pleura. A nurse in the emergency department is assessing a preschooler who has a facial laceration. The nurse should identify which of the following findings as a potential indication of child sexual abuse? - ANSWER ==The child exhibits discomfort while walking. A nurse is preparing to teach about dietary management to a client who has Crohn's disease and an enteroenteric fistula. Which of the following nutrients should the nurse instruct the client to decrease in their diet? - ANSWER ==Fiber -consume a low-fiber diet to reduce diarrhea and inflammation. A nurse is caring for a client who has a prescription for a continuous passive motion (CPM) machine following a total knee arthroplasty. Which of the following actions should the nurse take? - ANSWER ==Turn off the CPM machine during mealtime. A nurse is preparing to initiate IV access for an older adult client. Which of the following sites should the nurse select when initiating the IV for this client? - ANSWER ==Radial vein of the inner arm A nurse is developing an education program about osteoporosis for older adult clients. The nurse should include which of the following variables as a risk factor for osteoporosis? - ANSWER ==Sedentary lifestyle A nurse in the emergency department is caring for a child who has a fever and fluid-filled vesicles on the trunk and extremities. Which of the following interventions should the nurse identify as the priority? - ANSWER ==Initiate transmission-based precautions. A nurse is caring for a client who has a clogged percutaneous gastrostomy feeding tube. Which of the following actions should the nurse take first? - ANSWER ==Change the position of the client. -use the least restrictive intervention first. A home health care nurse is developing a teaching plan for a client who has a new ileostomy. Which of the following instructions should the nurse include? - ANSWER ==Empty the appliance when it is one-third to one-half full. A nurse is reviewing the laboratory report of a client who has end-stage kidney disease and received hemodialysis 24 hr ago. Which of the following laboratory values should the nurse report to the provider? - ANSWER ==Sodium 148 mEq/L -136 to 145 mEq/L, indicating hypernatremia A nurse is caring for four clients. Which of the following tasks should the nurse delegate to an assistive personnel (AP)? - ANSWER ==Arrange the lunch tray for a client who has a hip fracture. A nurse is preparing a client for a paracentesis. Which of the following actions should the nurse take? - ANSWER ==Instruct the client to void -void prior to the procedure, because an empty bladder decreases the risk of a bladder puncture and minimizes the client's discomfort during the procedure. A nurse has received change-of-shift report on four assigned clients. For which of the following clients should the nurse intervene to prevent a potential food and medication interaction? - ANSWER ==A client who is receiving an MAOI and is requesting a cheeseburger for dinner. A nurse is planning care for a client who has rheumatoid arthritis and has moderate to severe pain in multiple joints. Which of the following actions should the nurse plan to take? - ANSWER ==Allow for frequent rest periods throughout the day. A nurse is caring for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate. The client reports bladder spasms, and the nurse observes a decreased urinary output. Which of the following actions should the nurse take? - ANSWER ==Irrigate the catheter with 0.9% sodium chloride irrigation. -Decreased urine output and bladder spasms indicate internal obstructions of the catheter. A nurse is assessing a client who has COPD. Which of the following findings should the nurse expect? - ANSWER ==pH 7.31 -Respiratory acidosis is an expected finding for a client who has COPD. The expected reference range of pH is 7.35 to 7.45. A pH level less than 7.35 indicates acidosis. For a client who has COPD, a decrease in pH will be accompanied by an increase in the level of carbon dioxide over the expected reference range of 35 to 45 mm Hg, indicating respiratory acidosis. A nurse in a community center is providing an educational session to a group of clients about ovarian cancer. Which of the following manifestations of ovarian cancer should the nurse include in the teaching? - ANSWER ==Abdominal bloating -Other manifestations include an increase in abdominal girth, pelvic or abdominal pain, early satiety, and urinary frequency or urgency. 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? - ANSWER ==Have the client wear a surgical mask while being transported outside the room. A nurse is caring for a group of clients. Which of the following clients should the nurse attend to first? - ANSWER ==An older adult client who is anxious and attempting to pull out an IV line An RN is observing a licensed practical nurse (LPN) and an assistive personnel (AP) move a client up in bed. For which of the following situations should the nurse intervene? - ANSWER ==The LPN and the AP grasp the client under his arms to lift him up in bed. A nurse is preparing to administer insulin to a client via a pen device. Which of the following actions should the nurse take? - ANSWER ==Hold the insulin pen device perpendicular to the client's skin to inject the medication. -hold pen in place 6-10 seconds after injecting insulin A nurse is caring for a client who has immunosuppression and a continuous IV infusion. Which of the following actions should the nurse take? - ANSWER ==Monitor the client's mouth every 8 hr. - IV tubing q24h -WBC every 24 hours - Assess infection q4h A nurse is providing teaching about advanced directives to a middle adult client. Which of the following client responses indicates an understanding of the teaching? - ANSWER =="I can designate my partner as my health care surrogate." A nurse is assessing a client following a vaginal delivery and notes heavy lochia and a boggy fundus. Which of the following medications should the nurse expect to administer? - ANSWER ==Oxytocin -a hormone that stimulates uterine contractions, to decrease vaginal bleeding. A nurse manager is planning to use a democratic leadership style with the nurses on the unit. Which of the following actions by the nurse manager demonstrates a democratic leadership style? - ANSWER ==Seeks input from the other nurses A nurse is assigning task roles for a group of clients in a community mental health clinic. Which of the following tasks should the nurse assign to the member of the group functioning as the orienteer? - ANSWER ==Noting the progress of the group toward assigned goals A nurse is creating a plan of care for a newly admitted child. Which of the following actions should the nurse include in the plan? - ANSWER ==Administer high-dose antibiotic therapy. A nurse is caring for a newborn immediately after delivery. Which of the following interventions should the nurse implement to prevent heat loss by conduction. - ANSWER ==Use a protective cover on the scale when weighing the infant. A nurse is caring for a client who had abdominal surgery 24 hr ago. Which of the following actions is the nurse's priority? - ANSWER ==Assist with deep breathing and coughing. [Show Less]
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RN Comprehensive Predictor 2019 A
RN Comprehensive Predictor 2019 A A nurse in a pediatric unit is preparing to insert an IV catheter for 7-year-old. Which of the following actions s... [Show More] hould the nurse take? A. (Unable to read) B. Tell the child they will feel discomfort during the catheter insertion. C. Use a mummy restraint to hold the child during the catheter insertion. D. Require the parents to leave the room during the procedure. - ANSWER ==B. Tell the child they will feel discomfort during the catheter insertion. A nurse is caring for a client who has arteriovenous fistula Which of the following findings should the nurse report? A. Thrill upon palpation. B. Absence of a bruit. C. Distended blood vessels D. Swishing sound upon auscultation. - ANSWER ==B. Absence of a bruit. A nurse is providing discharge teaching for a client who has an implantable cardioverter defibrillator which of the following statements demonstrates understanding of the teaching? A. "I will soak in the tub rather and showering" B. "I will wear loose clothing around my ICD" C. "I will stop using my microwave oven at home because of my ICD" D. "I can hold my cellphone on the same side of my body as the ICD" - ANSWER ==B. "I will wear loose clothing around my ICD" A nurse is caring for a client who is at 14 weeks gestation and reports feelings of ambivalence about being pregnant. Which of the following responses should the nurse make? A. "Describe your feelings to me about being pregnant" B. "You should discuss your feelings about being pregnant with your provider" C. "Have you discussed these feelings with your partner?" D. "When did you start having these feelings?" - ANSWER ==A. "Describe your feelings to me about being pregnant" A nurse is planning care for a client who has a prescription for a bowel- training program following a spinal cord injury. Which of the following actions should the nurse include in the plan of care? A. Encourage a maximum fluid intake of 1,500 ml per day. B. Increase the amount of refined grains in the client's diet. C. Provide the client with a cold drink prior to defecation. D. Administer a rectal suppository 30 minutes prior to scheduled defecation times. - ANSWER ==D. Administer a rectal suppository 30 minutes prior to scheduled defecation times. A nurse is caring for a client who is in active labor and requests pain management. Which of the following actions should the nurse take? A. Administer ondansetron. B. Place the client in a warm shower. C. Apply fundal pressure during contractions. D. Assist the client to a supine position. - ANSWER ==B. Place the client in a warm shower. A nurse in an emergency department is performing triage for multiple clients following a disaster in the community. To which of the following types of injuries should the nurse assign the highest priority? A. Below-the knee amputation B. Fractured tibia C. 95% full-thickness body burn D. 10cm (4in) laceration to the forearm - ANSWER ==A. Below-the knee amputation a nurse manager is updating protocols for the use of belt restraints. Which of the following guidelines should the nurse include? A. Remove the client's restraint every 4hr B. Document the client's condition every 15 min C. Attach the restrain to the bed's side rails D. Request a PRN restrain prescription for clients who are aggressive - ANSWER ==B. Document the client's condition every 15 min A nurse is teaching an in-service about nursing leadership. Which of the following information should the nurse include about an effective leader? A. Acts as an advocate for the nursing unit. B. (Unable to read) for the unit C. Priorities staff request over client needs. D. Provides routine client care and documentation. - ANSWER ==A. Acts as an advocate for the nursing unit. A nurse is reviewing the laboratory findings of a client who has and reports that she has been following her care. The nurse should identify which of the following findings indicates a need to revise the client's plan of care. A. Serum sodium 144 mEq/ B. (Unable to read) C. Hba1c 10 % D. Random serum glucose 190 mg/dl. - ANSWER ==C. Hba1c 10 % A nurse in a provider's office is reviewing the laboratory results of a group of clients. The nurse should identify that which of the following sexually transmitted infections is a nationally notifiable infectious disease that should be reported to the state health department? A. Chlamydia B. Human papillomavirus C. Candidiasis D. Herps simplex virus - ANSWER ==A. Chlamydia A nurse is teaching a newly licensed nurse about therapeutic techniques to use when leading a group on a mental health unit. Which of the following group facilitation techniques should the nurse include in the teaching? A. Share personal opinions to help influence the group's values B. Measure the accomplishments of the group against a previous group C. Yield in situations of conflicts to maintain group harmony D. Use modeling to help the clients improve their interpersonal skills - ANSWER ==D. Use modeling to help the clients improve their interpersonal skills A nurse is planning for a client who practices Orthodox Judaism. The client tells the nurse that its Passover holiday. Which of the following action should the nurse include in the plan of care? A. Provide chicken with cream sauce. B. Avoid serving fish with fins and scales. C. Provide unleavened bread. D. Avoid serving foods containing lamb. - ANSWER ==C. Provide unleavened bread. A nurse is caring for a client who has a pulmonary embolism. The nurse should identify the effectiveness of the treatment: A. A chest x-ray reveals increased density in all fields. B. The client reports feeling less anxious. C. Diminished breath sounds are auscultated bilaterally D. ABG results include Ph 7.48 PaO2 77 mm Hg and PaCO2 47 mm Hg. - ANSWER ==B. The client reports feeling less anxious. A nurse in an emergency department is assessing a client who reports ingesting thirty diazepam tablets and has respiratory rate of 10/min. After securing the client's airway and initiating an IV, which of the following actions should the nurse do next. A. Monitor the client's IV site for thrombophlebitis. B. Administer flumazenil to the client. C. Evaluate the client for further suicidal behavior. D. Initiate seizure precautions for the client. - ANSWER ==B. Administer flumazenil to the client. A nurse in an emergency department is caring for a client who reports cocaine use 1hr ago. Which of the following findings should the nurse expect? A. Hypotension B. Memory loss C. Slurred speech D. Elevated temperature - ANSWER ==D. Elevated temperature A nurse is assessing a newborn who has a blood glucose level of 30 mg/dl. Which of the following manifestations should the nurse expect? A. Loose stools B. Jitteriness C. Hypertonia D. Abdominal distention - ANSWER ==B. Jitteriness A nurse in a pediatric clinic is reviewing the laboratory test results of a school age child. Which of the following findings should the nurse report to the provider? A. Hgb 12.5 g/dl B. Platelets 250,000/mm3 C. Hct 40% D. WBC 14,000/mm3 - ANSWER ==D. WBC 14,000/mm3 A charge nurse is teaching a newly licensed nurse about clients designating a health care proxy in situations that require a durable power of attorney for heal care (DPSHC). Which of the following information should the charge nurse include? A. "The proxy should make health care decisions for the client regardless of the client's ability to do so." B. "The proxy can make financial decisions if the need arises." C. "The proxy can make treatment decisions if the client is under anesthesia." D. "The proxy should manage legal issues for the client." - ANSWER ==C. "The proxy can make treatment decisions if the client is under anesthesia." A nurse in the PACU is caring for a client who reports nausea. Which of the following actions should the nurse take first? A. Turn the client on their side. B. Administer an analgesic C. Administer antiemetic D. Monitor the client's vital signs. - ANSWER ==A. Turn the client on their side. [Show Less]
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ATI comprehensive practice B, ATI Comprehensive Final Quiz, RN Comprehensive Predictor 2019 A,
ATI comprehensive practice B, ATI Comprehensive Final Quiz, RN Comprehensive Predictor 2019 A, RN Comprehensive Predictor 2019 Form B and C
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ATI Comprehensive Final Quiz, RN Comprehensive Predictor 2019 A, RN Comprehensive Predictor 2019
ATI Comprehensive Final Quiz, RN Comprehensive Predictor 2019 A, RN Comprehensive Predictor 2019 Form B and C What is a nurses priority action when ... [Show More] a patient is experiencing anaphylactic shock while receiving IV medications? - ANSWER ==Priority action: stop the medication infusion The nurse can also: Administer epinephrine; infuse .9% sodium chloride, and elevate the lower extremities to help maintain adequate blood pressure A nurse is caring for a group of clients in a long-term facility. One of the clients is walking in the hallway and bumping into walls and does not respond to his name. which of the following actions should the nurse take first? - ANSWER ==Accompany the client back to his room. What medication is contra indicated while taking St. John's wort? And why? - ANSWER ==Sertraline Taking concurrently puts the patient at risk for serotonin syndrome Both of these are used for Tx of depression Persistent otitis media - ANSWER ==An infection of the middle ear Passive smoking promote adherence of respiratory pathogen's to the lining of the middle ear space which prolongs inflammation and impedes drainage from the ear Exposure to cold weather does not cause otitis media Acarbose (Precose) adverse effects - ANSWER ==Sleepiness, headaches, anemia; the most common adverse effects are gastrointestinal - diarrhea, abdominal distention, cramping, flatulence presbyopia - ANSWER ==impaired vision as a result of aging Can affect one's ability to read the newspaper, the lens is unable to change shape to focus on close up objects Myelomeningocele - ANSWER ==Most severe form of spina bifida in which the spinal cord and meninges are in a cerebrospinal fluid-filled sac and protrude through the spine Neural tube defect pts are at Rx for latex allergy Most common complication of this disorder is UTI Prevention of the development of amblyopia - ANSWER ==A disorder of the eye and which unilateral central blindness occurs as a result of another problem, such as strabismus Parents should patch the unaffected I Strabismus - ANSWER ==Cross eyed Without treatment by 6 years of age this can lead to central blindness (amblyopia) Ethambutol (Myambutol) - ANSWER ==Med for TB, report vision changes immediately Adverse effects: loss of red/green color discrimination due to optic neuritis; d/c if this occurs Isoniazid (INH) - ANSWER ==Antitubercular Adverse effects: hepatotoxicity, peripheral neuropathy, yellowing of the sclera is an indication of jaundice that accompanies liver failure Rifampin (Rifadin) - ANSWER ==Anti TB and Antibiotic Adverse effects: changes in color of bodily secretions to red-orange What is a patient at risk for when they're platelet count is below the reference range? - ANSWER ==Indicates thrombocytopenia, which puts the patient at increased risk for bleeding What should a nurse anticipate with bladder distention in the fourth stage of labor? - ANSWER ==Bladder will fluctuate with palpation Bladder is dull to percussion Uterus will be displaced to the right, is boggy, well above the umbilicus cystitis - ANSWER ==inflammation of the bladder lining, Commonly occurs with UTI Prevention methods: Stay well hydrated, urinate before and after sex, wipe front to back, avoid tub baths Intrauterine device (IUD) - ANSWER ==Small, T-shaped device inserted by a physician inside the uterus to prevent pregnancy Increased risk for a topic pregnancy Does not protect from STI's or HIV Manifestations of retinal detachment - ANSWER ==sudden onset of decreased peripheral or central vision, dark floaters, flashes of light. curtain vision over part of visual field Manifestations of cataract - ANSWER ==Decreased color perception, blurry vision,clouding of the lens of the eye Without treatment leads to blindness Manifestations of Angle-closure glaucoma - ANSWER ==Rapid onset of e severe pain around the eyes and face, reduced vision, colored halos, headaches, sudden onset of elevated IOP Manifestations of macular degeneration - ANSWER ==Gradual, mild to moderate reduction of central vision Nursing actions for a patient in Balanced skeletal traction - ANSWER ==Patient who is in mobile is at risk for constipation, nurse should encourage a high fiber diet and increased fluid intake Active range of motion of the affected limb is not feasible due to limited mobility with the traction apparatus The nurse should not remove the weights after they're in place Nurse should inspect the pin site at least every 8 to 12 hours due to risk of infection Priority assessment for infant experiencing dehydration - ANSWER ==Measure the patient's weight daily; critical for infants and children because fluid accounts for a greate [Show Less]
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ATI RN VATI Comprehensive Predictor 2019 Form B
ATI RN VATI Comprehensive Predictor 2019 Form B A nurse is assessing a client who received 2 units of packed RBCs 48 hrs ago. Which of the followi... [Show More] ng findings should indicate to the nurse that the therapy has been effective? - ANSWER ==hemoglobin 14.9 g/dL a nurse working in an emergency department is triaging four clients. which of the following clients should the nurse recommend for treatment first? - ANSWER ==a middle adult client who has unstable vital signs a nurse is caring for a client who has fluid volume overload. which of the following tasks should the nurse delegate to an assistive personnel? - ANSWER ==measure the client's daily weight a nurse is preparing to administer mannitol 0.2 g/kg IV bolus over 5 min as a test dose to a client who has severe oliguria. The client weighs 198 lb. what is the amount in grams the nurse should administer? - ANSWER ==18 g a nurse is conducting a physical examination for an adolescent and is assessing the rang of motion of the legs, which of the following images indicates the adolescent is abducting the hip joint? - ANSWER ==Moving the leg away from the midline of the body (off to the side, not to the front) a nurse is caring for a client who has hyperthyroidism. which of the following findings should the nurse expect? - ANSWER ==tremors tachycardia, diaphoresis, weight loss, insomnia, exopthalmia hypothyroidism has dry corase hair, bradycardia, and periorbital edema a nurse is assessing a school age child who has bacterial meningitis. which of the following findings should the nurse expect? - ANSWER ==nuchal rigidity also weight loss a nurse is assessing a newborn's heart rate. which of the following actions should the nurse take? - ANSWER ==auscultate the apical pulse at least 1 min a nurse is preparing to assist with a thoracentesis for a client who has pleurisy. the nurse should plan to perform which of the following actions? - ANSWER ==instruct the client to avoid coughing during the procedure a nurse is the emergency department is assessing a preschooler who has a facial laceration. the nurse should identify which of the following findings as a potential indication of child sexual abuse? - ANSWER ==the child exhibits discomfort while walking a nurse is preparing to teach about dietary management to a client who has crohn's disease and an enteroenteric fistula. which of the following nutrients should the nurse instruct the client to decrease in their diet? - ANSWER ==fiber - reduce diarrhea and inflammation a nurse is caring for a client who has a prescription for a continuous passive motion CPM machine following a total knee arthroplasty. which of the following actions should the nurse take? - ANSWER ==Turn off the CPM machine during mealtime promote client comfort and dietary intake a nurse is preparing to initiate IV access for an older adult client. Which of the following sites should the nurse select when initiating the IV for this client? - ANSWER ==radial vein of the inner arm a nurse is developing a client education program about osteoporosis for older adult clients. the nurse should include which of the following variables as a risk factor for osteoporosis? - ANSWER ==sedentary lifestyle also, small framed body with a thin build, estrogen deficiency a nurse in an emergency department is caring for a child who has a fever and fluid filled vesicles on the trunk and extremities. which of the following interventions should the nurse identify as the priority? - ANSWER ==initiate transmission based precautions a nurse is caring for a client who has a clogged percutaneous gastrostomy feeding tube. which of the following actions should the nurse take first? - ANSWER ==change the position of the client a home health care nurse is developing a teaching plan for a client who has a new ileostomy. which of the following instructions should the nurse include? - ANSWER ==empty the appliance when it is one third to one half full a nurse is reviewing the laboratory report of a client who has end stage kidney disease and received hemodialysis 24 hr ago. Which of the following laboratory values should the nurse report to the provider? - ANSWER ==sodium 148 mEq/L a nurse is caring for four clients. which [Show Less]
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ATI RN VATI Comprehensive Predictor 2019 Form B
ATI RN VATI Comprehensive Predictor 2019 Form B A nurse is caring for a client who had abdominal surgery 24 hr ago. Which of the following actions i... [Show More] s the nurse's priority? - ANSWER ==Assist with deep breathing and coughing A nurse is talking with a client who has stage IV breast cancer. The nurse should recognize which of the following statements by the client as a constructive use of a defense mechanism? - ANSWER =="I told my doctor that I would like to start a support group for other women who are sick in my community" A nurse is caring for a client who has immunosuppression and a continuous IV infusion. Which of the following actions should the nurse take? - ANSWER ==Monitor the client's mouth every 8 hr A nurse is caring for a 2 month old infant who has Hirschsprung disease (HD). Which of the following areas should the nurse assess for manifestations of HD? - ANSWER ==C The nurse should assess the infant's abdomen for distention and visible peristalsis, which are manifestations of HD A nurse at a mental health clinic is caring for four clients. The nurse should recognize the following clients is using dissociation as a defense mechanism? - ANSWER ==A client who was abused as a child describes the abuse as if it happened to someone else A nurse is providing teaching to a client who has a new diagnosis of type 1 diabetes mellitus. The nurse should instruct the client to monitor for which of the following findings as a manifestation of hypoglycemia? - ANSWER ==irritability A nurse in an outpatient mental health clinic is caring for four clients. The nurse should recognize that which of the following clients is effectively using sublimation as a defense mechanism? - ANSWER ==A client who channels their energy into a new hobby following the loss of their job A hospice nurse is consulting with a client and her family about receiving home services. Which of the following statements should the nurse identify as an indication that the family understands home hospice care? - ANSWER =="We can expect the hospice nurse to provide support for us after our mother's death" A nurse is caring for a client who has active tuberculosis. Which of the following actions should the nurse take? - ANSWER ==Assign the client to a private room with negative air pressure A nurse is providing teaching to a client who is at 24 weeks of gestation and is schedule for a 3 hour oral glucose tolerance test. Which of the following instructions should the nurse include in the teaching? - ANSWER =="You will need to fast the night before the test" A nurse on a pediatric unit has received change of shift report for four children. Which of the following children should the nurse assess first? - ANSWER ==A 10 year old child who is awaiting surgery for an appendectomy and experienced sudden relief from pain A nurse in a community center is providing an education session to a group of clients about ovarian cancer. Which of the following manifestations of ovarian cancer should the nurse include in the teaching? - ANSWER ==Abdominal bloating A nurse is caring for a client who is postoperative after receiving moderate (conscious) sedation. The client suddenly becomes restless and reports feeling lightheaded. Which of the following actions should the nurse take? - ANSWER ==Check the client's oxygen saturation level A nurse is working in an emergency department is triaging four clients. Which of the following clients should the nurse recommend for treatment first? - ANSWER ==A middle adult client who has unstable vital signs A nurse is providing teaching for a client who has a fracture of the right fibula with a short leg cast in place and a new prescription for crutches. The client is non-weight bearing for 6 weeks. Which of the following instructions should the nurse include in the teaching? - ANSWER ==Use a three-point gait A nurse is preparing to initiate IV access for an older adult client. Which of the following sites should the nurse select when initiating the IV for this client? - ANSWER ==Radial vein of the inner arm A nurse is planning to delegate client care tasks to an AP. Which of the following tasks should the nurse plan to delegate to the AP? - ANSWER ==Perform gastrostomy feedings through a client's established gastrostomy tube A nurse is caring for a newborn immediately after delivery. Which of the following interventions should the nurse implement to prevent heat loss by conduction? - ANSWER ==Use a protective cover on the scale when weighing the infant A nurse is caring for a client who is receiving a continuous heparin infusion. Which of the following laboratory tests should the nurse review prior to adjusting the client's heparin? - ANSWER ==aPTT A nurse administers an incorrect dose of medication to a client. The nurse recognized the error immediately and completes and incident report. Which of the following facts related to the incident should the nurse document in the client's medical record? - ANSWER ==Time the medication was given A nurse is providing education to the parent of a school age child who has asthma. Which of the following statements by the parent indicates an understanding of the teaching? - ANSWER =="I will make sure my child receives a yearly influenza immunization" A nurse is caring for a client who has type 1 diabetes mellitus and reports severe ankle pain after falling off a step stool at home. Which of the following prescriptions should the nurse clarify with the provider? - ANSWER ==Apply a cold pack to the client's ankle for 30 min every hour A nurse is assessing a client who has a major depressive disorder and is taking amitriptyline. Which of the following findings should the nurse identify as an adverse effect of the medication? - ANSWER ==Blurred vision A nurse is caring for a client who has signed an informed consent form to receive electroconvulsive therapy (ECT). The client states to the nurse "I'm not sure about this now. I'm afraid it's too risky." Which of the following responses should the nurse make? - ANSWER =="You have the right to change your mind about the procedure at any time" A nurse is preparing to administer mannitol 0.2 g/kg IV bolus over 5 min as a test dose to a client who has severe oliguria. The client weighs 198 lb. What is the amount in grams the nurse should administer? - ANSWER ==18 g A nurse is preparing to administer an IM injection to a client who is obese. Which of the following actions should the nurse plan to take? - ANSWER ==Use the ventrogluteal site A nurse is providing discharge teaching to a client who is to receive home oxygen therapy. Which of the following instructions should the nurse include in the teaching? - ANSWER ==Wear clothing made with cotton fabrics while oxygen is in use A nurse is providing teaching to the guardians of a newborn about measures to prevent sudden infa [Show Less]
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ati, RN VATI Comprehensive Predictor 2019 Form B
ati, RN VATI Comprehensive Predictor 2019 Form B A nurse is assessing an infant who has water intoxication. Which of the following findings should... [Show More] the nurse expect? - ANSWER ==bounding pulse A nurse is discussing the z-track administration of hydroxyzine with a newly licensed nurse. Which of the following statements indicates the newly licensed nurse understands the purpose of the technique - ANSWER ==a. This technique decreases the risk of subcutaneous infiltration 1. A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan? - ANSWER ==a. Monitor the client for 1 hr after meals A nurse notices smoke coming from a client's room and discovers a fire in the wastebasket. After moving the client to safety, which of the followings is the priority action? - ANSWER ==a. Close the fire door on the unit A nurse is assessing a client who has delirium due to a febrile illness. Which of the following findings should the nurse expect? - ANSWER ==a. Hallucinations 1. A nurse is caring for a client following an open colectomy. Which of the following findings places the client at risk for delayed wound healing? - ANSWER ==hyperemesis 1. A home health nurse is reviewing treatment goals with a client who has diabetes mellitus. The nurse should evaluate which of the following laboratory tests to determine effective long-term management of blood glucose levels? - ANSWER ==A1C 1. A nurse is caring for a client who has neutropenia due to HIV. Which of the following precautions should the nurse take while caring for this client? - ANSWER ==a. Use a dedicated stethoscope 1. A nurse is caring for a client who reports difficulty falling asleep at night. Which of the following actions should the nurse take? - ANSWER ==Tell the client to avoid drinking fluids 1 hr before bedtime 1. A nurse is planning care for a newborn who has hyperbilirubinemia and is to receive phototherapy. Which of the following interventions should the nurse include? - ANSWER ==a. Place the newborn 45 cm from the light source 1. A nurse is planning care for a client who has schizophrenia and is having difficulty expressing their feelings. Which of the following referrals should the nurse make? - ANSWER ==social worker 1. A nurse is caring for a client who has heart failure and has started taking a loop diuretic. Which of the following findings indicates the client is experiencing an adverse effect of the medication - ANSWER ==decreased reflexes 1. At the start of an evening shift on a cardiac unit, a licensed practical nurse brings the nurse a list of client reports. Which of the following client reports should the nurse assess first? - ANSWER ==indigestion 1. A nurse is caring for a client who has just returned to the unit following a bronchoscopy. Which of the following actions by the assistive personnel requires the nurse to intervene? - ANSWER ==offer oral fluids to the client 1. A nurse on a medical unit has just received change-of-shift report. Which of the following clients should the nurse assess first? - ANSWER ==a. A 68 year old client who had a myocardial infarction 2 days ago and reports chest pain as a 4 on a scale of 0 to 10 1. A nurse is assessing a client prior to performing a blood draw. The nurse should identify that an allergy to which of the following food can indicate that the client has an allergy to latex? - ANSWER ==avocados 1. A nurse is preparing to witness a client's signature on an informed consent for a total knee arthroplasty. Which of the following client statements indicates the nurse should contact the surgeon? - ANSWER ==a. I am thankful there are no serious complications from this type of surgery 1. A nurse is admitting a client who has antisocial personality disorder. Which of the following client behaviors should the nurse identify as consistent with this disorder? - ANSWER ==a. Uses others for personal gain 1. A nurse is teaching the parent of a school-age child who has scabies about the application of permethrin 5% cream. The nurse should include which of the following as a potential adverse effect of the medication? - ANSWER ==burning 1. A nurse is teaching a client who has a new prescription for digoxin. Which of the following statements should the nurse include in the teaching? - ANSWER ==muscle weakness 1. A nurse is planning teaching for a client who is at 10 weeks of gestation and has a history of urinary tract infections. Which of the following information should the nurse plan to include in the teaching about UTI prevention? - ANSWER ==a. Empty the bladder before and after intercourse 1. A nurse is providing discharge teaching to a client who is postpartum and plans to breastfeed. Which of the following should the nurse recommend the client increase in their diet during lactation? - ANSWER ==a. Calcium 1. A nurse is providing teaching about preventing mastitis to a client who is postpartum and breastfeeding her newborn. Which of the following instructions should the nurse include? - ANSWER ==a. Try to have your baby empty your breasts with each feeding." 1. A nurse is caring for a client who reports chest pain. Which of the following findings indicates myocardial damage? - ANSWER ==a. Troponin I 1.8 ng/mL 1. A nurse is providing teaching about car seat safety to the parent of a term newborn. Which of the following statements by the parent indicates an understanding of the teaching? - ANSWER ==a. "I should place my baby's car seat rear-facing until 6 months of age." 1. A nurse is performing high-frequency chest compressions using a mechanical chest compression device for a child who has cystic fibrosis. Which of the following findings indicates the treatment has been effective? - ANSWER ==a. The child has increased sputum production 1. A nurse is caring for a client following a possible exposure to anthrax. Which of the following actions should the nurse take? - ANSWER ==antitoxin 1. A nurse is caring for a client who has a newly implanted sealed internal radiation device to treat cervical cancer. Which of the following is an appropriate action for the nurse to take? - ANSWER ==a. Keep a 3 foot distance from the radiation implant A nurse is admitting a client to the medical-surgical unit. Which of the following actions should the nurse take first? - ANSWER ==a. Observe the client's level of mobility 1. A nurse at a public health clinic is caring for a group of clients. Which of the following should the nurse identify as a reportable diagnosis to the CDC? - ANSWER ==hep A 1. A charge nurse is evaluating the time management skills of a newly licensed nurse. Which of the following actions should the charge nurse identify as an effective time management skill? - ANSWER ==a. Completes activities for one client before moving to the next client 1. A nurse is caring for a client who has opioid use disorder and is experiencing withdrawal. Which of the following findings should the nurse expect? - ANSWER ==a. Hyperreflexia [Show Less]
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ATI comprehensive predictor RN-exit exam
ATI comprehensive predictor RN-exit exam Priority in sickle cell management - ANSWER ==fluids before pain DNR - ANSWER ==Must be verbally req... [Show More] uested from HCP What to be concerned in thyroid storm - ANSWER ==Cardiac arrythmias Medication interaction with saw palmetto - ANSWER ==clopiderol? Trazdone adverse effect - ANSWER ==Polyuria, dyspnea, sedation, hyponatremia? TPN considerations - ANSWER ==check blood glucose every 4 not 6 hours skin cancer prevention - ANSWER ==apply sunscreen before and after swimming steps for ear irrigation-child - ANSWER ==posistion prone during procedure breast feeding instructions [Show Less]
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