ATI RN
COMPREHENSIVE
C.180 QUESTIONS
WITH ANSWERS
A nurse is caring for a client who has bipolar disorder and is experiencing
acute mania. The nurse
... [Show More] obtained a verbal prescription for restraints.
Which of the following should the actions the nurse take?
Request a renewal of the prescription every 8 hr.
Check the client’s peripheral pulse rate every 30 min
Obtain a prescription for restraint within 4 hr.
Document the client’s condition every 15 minutes
A nursing planning care for a school-age child who is 4 hr postoperative
followingperforated appendicitis. Which of the following actions
should the nurse include in the plan of care?
Offer small amounts of clear liquids 6 hr following surgery (assess for gag
reflex first)
Give cromolyn nebulizer solution every 6 hr (for asthma)
Apply a warm compress to the operative site every 4 hr
Administer analgesics on a scheduled basis for the first 24 hr
A nurse is receiving change-of-shift report for a group of clients. Which of
thefollowing clients should the nurse plan to assess first?
A client who has sinus arrhythmia and is receiving cardiac monitoring
A client who has diabetes mellitus and a hemoglobin A1C of 6.8%
A client who has epidural analgesia and weakness in the lower extremities
A client who has a hip fracture and a new onset of tachypnea
A nurse is preparing to apply a transdermal nicotine patch for a client.
Which of the following actions should the nurse take?
Shave hairy areas of skin prior to application (apply to hairless, clean & dry
areas topromote absorption; avoid oily or broken skin)
Wear gloves to apply the patch to the client’s skin
Apply the patch within 1 hr of removing it from the protective pouch (apply
immediately)
Remove the previous patch and place it in a tissue (fold patch in half with
stickysides pressed together)
A nurse has just received change-of-shift report for four clients. Which of
thefollowing clients should the nurse assess first?
A client who was just given a glass of orange juice for a low blood glucose
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