A client who has a prescription for fluid restriction asks the nurse for a mid- afternoon snack. What is the
best snack to bring to the
... [Show More] client
Custard
The nurse is developing a teaching plan for a client who was recently diagnosed with pernicious anemia
and requires vitamin B12 replacement therapy. Which precaution is most important for the nurse to
include in the clients plan of care.
Schedule daily rest periods to minimize fatigue
In preparing to administer an intravenous medication, the nurse notes that the drug is listed in drug
reference guide as being incompatible with the currently infusing intravenous solution of Ringer’s
Lactate. What action should the nurse take?
Flush the line with a compatible solution before and after administering the medication
A client with an overactive bladder receives a prescription Oxybutynin (Ditropan) an anticholinergic
agent. Which information should the nurse include in this client teaching plan.
Sugar free hard candies may relieve dry mouth
A female client who is receiving chemotherapy asks the nurse if she can have a fresh green salad
because
she is nauseated. Which response should the nurse provide.
Canned vegetables are recommended while taking chemotherapy
The health care provider telephones the nurse and provides a verbal prescription for a client’s persistent
cough and pulmonary wheezing. The prescription includes a chest x-ray and antibiotic and a nebulizer
treatment now and PRN, in what order should these interventions be implemented? (Arrange the first
action on top, and the last action on the bottom)
Read prescriptions back to the healthcare provider
Enter the verbal prescription in the electronic medical record Administer the PRN
nebulizer breathing treatment
Prepare the client for transport to radiology for a chest x-ray
Based on the Braden Risk Assessment Scales, Which client is at highest risk?
A male who is aphasic and experiencing bladder incontinence
Prior to removing surgical wound staples, what assessment is most important for the nurse to complete?
Determine the level of incisional pain
ATI RN PHARMACOLOGY QUESTIONS WITT CORRECT
ANSWERS LATEST 2023-2024 A+ GRADE.
Which technique should the school nurse use to assess a group of children with pediculosis capitis (head
lice).
Inspect the hair shaft for white……
A nurse assesses a client’s care after receiving a report from the practical nurse, who is leaving the unit.
The PN report that the clients’ dressing was changes, and the dressing change and wound appearance
were documented in the nurses’ note. The nurse later observes that the date on the clients dressing is
from
the previous day and was initialed by the nurse who cared for the client the previous day, What action
should the nurse take?
Confirm the finding with the charge nurse before completing and documenting the
dressing change
HESI V3 FrmRN2u
Because a client with Bells’ palsy is at risk for impaired nutrition, which action should nurse include
in
the clients plan of care?
Teach the client to chew food on the unaffected side of the face
A new employee in a long term care facility for clients with Alzheimer’s tells the nurse that an elderly
male client constantly asks for his mother who died many years ago. The UAP asks the nurse for advice
on how to respond to the client. Which response should the nurse provide? Remind the client
that his mother died many years ago and change the subject.
A client with metastatic cancer and a very limited prognosis is being discharged from the hospital,
when
developing a plan for this client, which goal has the highest priority?
Intake of adequate nutrients will be maintained.
A nurse is observing the appearance of an older clients eyes. Which finding warrants immediate
intervention?
conjunctival sacs are pale
15 A client with type 2 diabetes mellitus (DM) receives a new prescription for sitagliptin (januvia) In
providing client teaching, the nurse should emphasize the importance of reporting which problem to the
healthcare provider immediately?
Upper respiratory infection
When analyzing objective data obtained during a physical assessment, what action should the nurse
perform first?
Compare the data against established norms
The nurse is assessing the reflexes of a 35 year old male client who came to the clinic for his annual
physical exam. When the nurse strikes the patellar tendon, there is no response.
What action should the nurse take next?
Record the patellar reflex as a zero
A charge nurse overhears a practical nurse (PN) tell unlicensed Assistive personnel (UAP) to apply
sequential Compression devices to the legs of a postoperative client. What action should the charge
nurse take?
Advise that the PN should apply the devices rather than assign the work to the UAP
The healthcare provider explains through an interpreter the risks and benefits of a scheduled surgical
procedure to a non English speaking client. The client gives verbal consent and the healthcare provider
?????? ?????? the nurse to witness the signature on the consent form. The client and interpreter then
speak together in the foreign language for an additional (3?) minutes, until the interpreter (?????) “she
says it is OK”, What action should the nurse take now?
Have the interpreter cosign the consent form to verify client understanding
The healthcare provider prescribes several medications for a client diagnosed with myasthenia gravis
(MG) Which medication would the nurse expect to use to differentiate a myasthenic crisis from a
cholinergic crisis? Edrophonium (Tensilon) HESI V3
FrmRN2u
A client’s right to give informed consent is based on which ethical principle?
Respect for autonomy
When establishing isolation supplies……for a shunt
Client’s most recent white blood cell
A male client is scheduled for a cardiac Catheterization? In the morning, which interventions should the
nurse plan for implementing prior to this procedure?
Explain that a flushed feeling may be experience throughout his body when the dye
is injected
An adult male client tells the nurse that he believes someone is trying to obtain his computer records,
which his wife reports are recreational in nature. The client insists that an elaborate alarm system needs
to be installed in his home. The nurse knows that the client is exhibiting which sign or symptom?
Ideas of reference
While preparing a sterilized field prior to doing sterile dressing change, the nurse drops a sterile gauze
pan on the edge of the sterile field. What is the best nursing action?
Use a sterile glove to remove the contaminated gauze
A client who is receiving peritoneal dialysis is assigned to a nurse who has not performed this procedure
previously. Which actions should the nurse implement before beginning the procedure?
Seek assistance from a nurse experienced with the procedure. [Show Less]