RN ATI capstone proctored comprehensive assessment 2019 A
1. A nurse is teaching a client who has a new prescrip- tion for metformin extended release
... [Show More] tablets. Which of the following statements by the client indicates an understanding of the teaching?
I will avoid crushing this medication I'll switch to a lactose-free formula
2. A nurse is assessing a client who is receiving enteral feeding via an NG tube. The client has developed hyperosmolar dehydration. Which of the following ac- tions should the nurse take when administering the client's findings?
Empty your ostomy pouch when it is half full Switch to a lactose-free formula.
3. A nurse is teaching the parents of a school-age child who has sickle cell anemia about managing the dis- ease at home which of the following instructions should the nurse include?
Apply cold compresses too painful areas
I should boil tap water for 2 minutes and call it before I mix it with powdered formula
4. A nurse is teaching about Safe Handling of formula to a client who is postpartum and chooses to bottle feed her newborn. Which of the following statements by the client indicates an understanding of the teach- ing?
I should boil tap water for 2 minutes before I mix it with powdered formula
I should use sterile water when I mix it with powdered formula
5. A nurse is assessing a child who is post-operative following a tonsillectomy. Which of the following find-
I will avoid crush- ing this medication
Switch to a lac- tose-free formula.
Apply cold com- presses too painful areas
I should boil tap water for 2 min- utes before I mix it with powdered for- mula
Frequent swallow- ing
ings should the nurse identify as the priority?
During this test, I will punch a button if the baby moves
Frequent swallowing
6. A nurse is teaching a client who is pregnant about non-stress testing. Which of the following statements by the client indicates an understanding of the teach- ing?
During this test, I will punch a button if the baby moves
During this test, I will punch a button if I feel stressed
7. A nurse is monitoring a client who is receiving a transfusion of packed RBC's. The client reports chills, headaches, low back pain, and a feeling of tightness in his chest. The nurse should identify that the client has developed which of the following types of trans- fusion reactions?
Pudendal nerve block Acute hemolytic
8. A nurse is caring for a client who is in the latent phase of Labor and reports severe back pain. The vaginal examination reveals that the cervix is dilated two centimeters, 25% effaced and -2 station. Which of the following interventions should the nurse implement?
You should wear a snug fitting bra continuously for 72 hours
Request the provider prescribe a pudendal nerve block
9. A nurse is teaching about how to suppress lactation with a client who is postpartum and bottle feeding her newborn. Which of the following instructions should the nurse include in the teaching?
During this test, I will punch a button if the baby moves
Acute hemolytic
Request the provider prescribe a pudendal nerve block
You should wear a snug fitting bra continuously for 72 hours
You should wear a snug fitting bra continuously for 72 hours
Room number
10. A nurse is preparing to administer medication to a client. What are the following identifiers should the nurse use to identify the client?
Room number MRN
11. A nurse is caring for a client who is taking antihy- pertensive medication and is moving from a supine to a seated position. Which of the following findings should indicate to the nurse that the client is experi- encing orthostatic hypotension?
The clients systolic blood pressure decreases by 25 mmHg
The clients systolic blood pressure increases by 35 mmHg
12. While a nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube, the high-pressure alarm of the ventilator sounds. Which of the following actions should the nurse take?
Look for a block in the tubes cuff Look for a leak in the tubes cuff
13. A nurse is preparing to insert an indwelling urinary catheter for a client. Which of the following actions should the nurse take first?
Monitor Vital Signs every hour throughout the trans- fusion
Position the sterile drape leaving the perineum ex- posed
Room number
The clients sys- tolic blood pres- sure decreases by 25 mmHg
Look for a leak in the tubes cuff [Show Less]