1. A charge nurse on a medical surgical unit is assisting with the emergency
responsesplan following an external disaster in the community. In
... [Show More] anticipation of
multiple client admissions, which of the following current client should the nurse
recommend for early discharge ?
a. A client who has COPD and a respiratory rate of 44/ min - RR is too high out ofrange
b. A client who has cancer with a sealed implant for radiation therapy
- an implant isinside them, and its active
c. A client who is 1 day postoperative following a vertebroplasty - 1 day seems to soon
- p. 1528 of lewis , verteborlplasty patients can be discharge as soon as they lear tge
home care . this procdure is not major.
d. A client who is receiving heparin for deep vein thrombosis - as said in class Heparinfor
Hospital and that other Coumadin for home
2. A nurse is caring for four client who are scheduled for surgery the same day. Which
ofthe following laboratory values indicates the need for intervention before surgery ?
a. Fasting blood glucose 108 mg/ dl
b. WBC 9,800 mm3 > 4,800 is normal
c. Creatnine 0.9 mg/dl , < 1.0 is normal
d.
DYSRHYTHMIASRationale: Med Surg ATI page 382: Avoid NA, K, Mg,
Phosphorus. Imbalances before surgery
3. A nurse is providing teaching to family members of a client who has dementia. Whichof
the following instructions should the nurse include in the teaching ?
a. Engage the client in activities that increase sensory stimulation.
b. Discourage physical activity during the day
c.
Potaissium 5.2 meq / L 3.5 - 5.0 = imbalance = CARDIAC
Establish a toileting schedule for the client
d. Use clothing with buttons and zippers
4. A charge nurse is preparing to lead negotiations among nursing staff due to
conflictabout overtime requirements. Which of the following strategies should the
charge nurse use to promote effective negotiation?
a. Identify Solutions prior to negotiation
b. personalize the conflict
c. Attempt to understand both sides of the issue
d. Focus on how the conflict occurred
Assess the situation first prior to trying to solve it.
5. A nurse is preparing to remove an IV catheter from the arm of a client who has
phlebitis at the peripheral IV site. Which of the following actions should the nurse plan
totake?
a. Insert a new IV catheter distal to the discontinued IV site
b. apply pressure dressing at the IV site
c. Please a warm moist compress on the site
d. Express drainage from the IV site and send it to be cultured Phlebitis is
characterized by pain, increased skin temperature, and redness along the vein. It
iscommonly treated by discontinuing the IV line and applying a moist, warm compress
over the area.
6. A nurse is preparing to administer three medications to a client who is receiving
continuous enteral tube feeding through an NG tube.
Which of the following actions isappropriate for the nurse to take?
a. ADD medication directly to enteral feeding - not without crushing them first
b. Dissolve the medications together- some medications can mix others can’t
c. Use a syringe to allow the medications to Flow by gravity
d. Flush the NG tube with 5 ml water- 10ml
ATI Fundamentals - “use syringe & allow med to flow in by gravity or push it in w/ the plunger
of the syringe” p. 264
7. The nurse is caring for a client who has histrionic personality disorder. Which of
thefollowing findings should the nurse expect?
a. Repeated acts of unlawful Behavior
b. Suspicious demeanor
c. Seductive Behavior
d. Lack of remorse
They want attention
ATI Mental Health - Histrionic: emotional, attention seeking; center of attention; seductive &
flirtatious
8. A nurse in a prenatal Clinic is teaching a client about non pharmacological pain
management during labor.Which of the following statements by the client indicates
anunderstanding of the teaching?
a. My nurse can teach me biofeedback at the beginning of labor- biofeedback would
betaught earlier to control other pain, not pain of labor
b. A transcutaneous electrical nerve stimulator will help with pelvic pressure- Thiswould
mess with the readings of the pt and baby
c. The nurse will initiate acupuncture when I arrive at the unit - Needles during laborno.
d. I can use my ultrasound picture as a focal point during contractions- Distraction
9. A nurse is assessing a client Telemetry strip. Which of the following findings shouldthe
nurse report to the provider?
a. Heart rate 98 per minute - wnr
b.
c. 2 PVCs per minute
d. Widened P wave ST elevation = infarction
or injury
10. A nurse is observing a newly licensed nurse who is administering
Total parenteralNutrition tpn to a client. Which of the following actions by the newly [Show Less]