ATI Fundamental Retake #2 Level 2, Corrected 2023 Exam {NGN}
) A nurse is teaching a group of newly licensed nurses about the Braden scale. Which of the
... [Show More] following responses by a newly licensed nurse indicates understanding in the teaching?
A) Each element has a range 1 to 5 points
B) The higher the score the higher the pressure ulcer risk
C) The client’s age is part of the measurement
D) The scale measures six elements
*6) A nurse is providing care for a client who is to undergo a total laryngectomy. Which of the following interventions is the nurse’s priority?
A) Determine the client’s reading ability
B) Review the use of an artificial larynx
C) With the client schedule a support session
D) For the client explain the techniques of esophageal speech
7) A nurse is caring for a client who reports that she has insomnia. Which of the following interventions is appropriate for the nurse to recommend?
A) Eat a light carbohydrate snack before bedtime
B) Exercise 1 hour before bedtime
C) Drink a cup of hot cocoa before bedtime
D) Take a 30 min nap daily
8) A nurse in an emergency department is assessing a client who reports a right lower quadrant pain, nausea and vomiting for the past 48 hours? Which of the following actions should the nurse take first?
A) Offer pain medication
B) Palpate the abdomen
C) Auscultate bowel sounds
D) Administer an antiemetic
9) A nurse is teaching a client how to self-administer daily low dose heparin injections. Which of the following factors is most likely to increase the client’s motivation to learn?
A) The client’s belief that his needs will be met through education
B) The nurse explaining the need for education to the client
C) The client seeking family approval by agreeing to a teaching plan
D) The nurse’s empathy about the client having to self-inject
10) A nurse is caring for a client who has restraints to each extremity. Which of the following assessment should the nurse perform first?
A) Elimination needs
B) Comfort level
C) Peripheral pulses
D) Skin integrity [Show Less]