A nurse in a long term care facility notices a client who has Alzheimer’s disease standing at the
exit doors at the end of the hallway. The clients
... [Show More] appear to be anxious and agitated. Which of the
following actions should the nurse take? - Answer - escort the client to a quiet area on the
nursing unit
rationale: a client who has Alzheimer disease experiences chronic confusion. Guiding the client
to a quiet, familiar area will help decrease agitation.
A nurse is assisting with the plan of care for a client who has a continent urinary division. Which
of the following interventions should the nurse plan to implement to facilitate urinary
elimination? - Answer - Use intermittent urinary catheterization for a client at regular intervals
A nurse is assisting with a educational program about car restraint safety for a group of parents.
Which of the following statements by a parent indicates an understanding of the instructions? -
Answer - My 12-year-old child should place the shoulder lap belt low across his hips
A nurse is reinforcing teaching about strategies to promote eating with a client who has COPD.
Which of the following instructions should the nurse include in the teaching? - Answer - Drink
high protein and high calorie nutritional supplements
A nurse is supervising an assistive personnel who is preparing to remove her personal protective
equipment after providing direct care to a client who requires airborne and contact precautions.
the nurse should recognize that the AP understands the procedure when she removes which of
the following PPE first? - Answer - Gloves
A nurse is caring for a client who is crying and states that his provider informed him that he has a
tumor and will need a biopsy. Which of the following responses should the nurse make? -
Answer - What have you done in the past to help yourself get through stressful situations
before?
A nurse is inspecting the skin of a newborn. Which of the following findings should the nurse
report to the provider - Answer - Generalized petechiae
*petechiae all over the newborn's body can indicate infection or a decreased platelet count
Norm Findings:
ATI PN COMPREHENSIVE PREDICTOR RETAKE
GUIDE WITH VERIFIED SOLUTIONS/A+ GRADE
ASSURED
-Milia - on the face-tiny, white, raised papules are sebaceous glands which secrete oil to lubricate
hair. resolve 2 to 4 weeks.
-Lanugo - fine, downy hair commonly covers the torso, upper extremities, ears, and forehead
gone in 2 wks.
-Mongolian spots-skin pigmentation on the back and buttocks, frequently found on newborns
with ethnic origins in Africa, Asia, or Latin America.
A nurse is contributing to a teaching plan for a group of male adolescents about the adverse
effects of anabolic steroid use. Which of the following manifestations should the nurse include -
Answer - Reduced height potential
A nurse is reinforcing teaching with an older adult client who has a severe left sided heart failure.
Which of the following statements should the nurse make - Answer - Rest 15 minutes between
activities
A nurse in a long term care facility is documenting the care of an older client. Which of the
following information should the nurse include in the weekly nursing care summary - Answer -
Hydration status
A nurse is caring for a client who has a head injury. using the gasgow coma scale collection data,
the nurse should obtain which of the following information - Answer - motor response
A home health nurse is reinforcing teaching with a client about the use of elastic stockings to
decrease peripheral edema. which of the following instructions should the nurse include? -
Answer - apply stockings in the morning
A nurse in a providers office is obtaining a health history from a client who is scheduled to
undergo a cardiac catheterization in 2 days. which of the following questions is the - Answer -
Do you know if your allergic to iodine
A nurse is planning to administer nystatin oral suspension to a client who has oral candiasis.
which of the following instructions should the nurse give to the client - Answer - Hold the
medication in your mouth for several minutes prior to swallowing
A nurse is preparing to care for the assigned clients on her upcoming shift. which of the
following time management strategies should the nurse plan to use? - Answer - prepare a
priority list of client needs for the shift
A nurse is preparing to witness a client who is scheduled for surgery sign a informed consent.
which of the following actions should the nurse take? - Answer - Ask the client if he
understands the procedure
a nurse in an inpatient mental health clinic is caring for a newly admitted client who has alcohol
use disorder. during a therapy session, the client asks about alcoholics anonymous. which of the
following responses should the nurse make? - Answer - What is your current understanding
about the purpose of AA [Show Less]