ATI comprehensive practice B, ATI Comprehensive Final Quiz, RN Comprehensive Predictor 2019 A, RN Comprehensive Predictor 2019 Form B and C, Comprehensive
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A nurse is assessing a client who received 2 units of packed RBCs 48 hrs ago. Which of the following 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 of the following tasks should the nurse delegate to an assistive personnel? - 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
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
a nurse is assessing a client who has COPD. which of the following findings should the nurse expect? - ANSWER ==pH 7.31
a nurse in a community center is providing an educational session to a group of client about ovarian cancer. which of the following manifestations of ovarian cancer should the nurse include in the teaching? - ANSWER ==abdominal bloating
increase in abdominal girth, pelvic or abdominal pain, early satiety, urinary frequency of urgency [Show Less]