ATI RN CONCEPT-BASED ASSESSMENT A LEVEL 21. A hospice nurse is caring for a preschooler who has a terminal illness. One of the child's parents tells the
... [Show More] nurse that it is too difficult to cope any longer and has decided to move out of the house. Which of the following responses should the nurse make?
A: "Let's talk about a few ways you have dealt with stress in the past."
2. A nurse is teaching a client ways to prevent osteoporotic fractures due to osteoporosis. Which of the following information should the nurse include in the teaching?
A: "Maintain bone health by eating fruits, vegetables, and protein."
3. A nurse is teaching a client who has hypothyroidism about taking levothyroxine. Which of the following statements should the nurse make?
B: "This medication causes adverse effects if the dosage is too high or too low."
4. A nurse in an emergency department is assessing a preschooler who has severe dehydration as a result of gastroenteritis and is receiving isotonic IV fluids. Which of the following findings should the nurse identify as an indication that the treatment is effective?
D: Brisk skin turgor
5. A nurse is caring for a client who has left hemiparesis following a stroke. Which of the following actions should the nurse take?
B: Encourage the client to use wide-grip utensils when eating with the right hand.
6. A nurse is teaching about herbal supplements with a group of newly licensed nurses. Which of the following herbal supplements should the nurse include in the teaching for treating hyperlipidemia?
D: Garlic
7. A nurse is admitting a client who has an acute bacterial wound infection and a temperature of 39.8° C (103.6° F). Which of the following actions should the nurse take?
D: Set the temperature of the client's room to 22.2° C (72°
8. A nurse is planning care for a client who had surgery for osteomyelitis from a past musculoskeletal trauma to the lower leg. Which of the following interventions should the nurse include in the plan of care?
C: Check for paresthesia of the affected leg.
9. A nurse is assessing the eyes and ears of a 2-year-old toddler at a well-child visit. Which of the following findings should the nurse report to the provider?
B: Presence of strabismus
10. A nurse is teaching a client who has atherosclerosis about self-care. Which of the following instructions should the nurse include in the teaching?
C: Increase fiber intake to at least 30 g per day.
11. A nurse is assessing a client who has as an ulcer due to peripheral vascular disease. Which of the following findings should the nurse identify as an indication that the client has a venous ulcer rather than an arterial ulcer?
B: Discoloration and edema of the right ankle
12. A nurse is providing discharge teaching to a client who is postoperative following a transurethral resection of the prostate (TURP) for treatment of benign prostatic hyperplasia. Which of the following instructions should the nurse include in the teaching?
D: "Perform Kegel exercises several times throughout the day."
13. A nurse is assessing a client who has left-sided heart failure. Which of the following findings should the nurse expect? (Select all the apply.)
A: Nocturia
C: Dyspnea
D: Hacking cough
14. A nurse is assessing a client who is 1 hour postoperative following a transurethral resection of the prostate (TURP) for treatment of benign prostatic hyperplasia. For which of the following assessment findings should the nurse notify the provider?
C: The catheter tubing has multiple red clots.
15. A nurse is teaching a client who has gastroesophageal reflux disease about ways to prevent reflux. Which of the following information should the nurse include in the teaching?
D: Plan to finish eating at least 3 hr before bedtime.
16. A nurse is providing teaching for a client who has a new diagnosis of benign prostatic hyperplasia (BPH). Which of the following instructions should the nurse include to promote elimination?
B: "Void as soon as you feel the urge."
17. A nurse is assessing for manifestations of hyponatremia in a client who has been taking twice the prescribed dose of a diuretic. Which of the following findings should the nurse expect?
C: Decreased level of consciousness
18. A nurse is teaching a client who has asthma how to use a peak flow meter. Which of the following statements should the nurse identify as an indication the client understands the teaching?
C: "I will base my peak flow meter score on the best of three attempts."
19. A nurse is assessing a school-age child who has diabetes mellitus and a blood glucose level of 250 mg/dL. Which of the following findings should the nurse expect?
B: Fruity breath odor
20. A nurse is assessing a 1-hour-old newborn who has hypothermia, with a temperature of 36.1° C (97° F). Which of the following manif [Show Less]