RN Fundamentals Proctored ATI Final Exam With verified answers graded A+
A nurse is caring for a client who is at risk for falls. Which of the
... [Show More] following actions should the nurse take?
- Put the client's bed in the lowest position
A nurse is caring for a client who is receiving chemotherapy and has stomatitis. Which of the following actions should the nurse take to reduce the clients discomfort? - Use 0.9% sodium chloride solution to rinse the clients mouth
A nurse is preparing a client for a Romberg test. Which of the following statements should the nurse
make? - Stand with your feet together and your arms at your sides
A nurse is contributing to the plan of care for a client who practices Islam. Which of the following questions should the nurse ask the client to clarify her religious preferences? - Do you consume pork products?
A nurse is contributing to the plan of care for four clients. For which of the following clients should the
nurse initiate airborne precautions? - A client who has measles
A nurse is reinforcing teaching with the partner of a client who is immobile. Which of the following instructions should the nurse give the partner about turning the client in bed? - Tighten your stomach muscles
A nurse is reinforcing teaching about carbohydrate counting with a client who has a new diagnosis of diabetes mellitus. Which of the following actions should the nurse take first? - Ask the client what he already knows about meal planning
A nurse is caring for a client who has chronic kidney disease. The nurse should identify that which of the
following findings is the priority? - The client's output was 60 mL for the past 3 hours
A nurse is caring for a client who has a new prescription for oxygen at 7L/min via simple face mask. Which of the following actions should the nurse take to ensure client safety? - Attach a humidifier to the base of the flow meter
A nurse is collecting data from a client who is 2 days postoperative following a colostomy. Which of the
following findings should the nurse report to the provider? - A purple-colored stoma
A nurse is reinforcing teaching with a client who has insomnia. Which of the following statements by the client indicates an understanding of the teaching? - I should turn on the ceiling fan to block out unwanted noise
A client who is scheduled to undergo surgery tells the nurse that she does not understand the procedure
and is reconsidering her decision to have it. Which of the following actions should the nurse take? - Notify
the charge nurse of the client's concerns
A nurse is assisting with the admission of an adult client to a medical-surgical unit. Which of the following
findings should the nurse identify as an indication that the client is malnourished? - Pale, scaly skin
A nurse is reinforcing teaching with a new parent of an infant who is concerned about sudden infant death syndrome. Which of the following statements by the client indicates an understanding of the teaching? - I will remove all stuffed animals from my baby's crib
A nurse is planning to administer medication to a client who has a clostridium difficile infection. To prevent transmission of this infection to others, which of the following actions should the nurse plan to take? - Remove the cover gown in the clients room after providing care
A nurse is working in a community clinic is talking with an older adult Client who states that his life has no
purpose. The nurse should identify that the client is in which stages of Eriksons Theory of Psychological
Development? - Ego Integrity vs. despair
A nurse is administering an intramuscular injection to an adult client. Which of the following actions should
the nurse take? - Identify the landmarks for ventrogluteal site before cleaning the skin
A nurse is preparing to remove staples from a clients incision. Which of the following actions should the
nurse take? - Remove the staple from the skin after both sides are visible
A nurse is caring for a client who has been vomiting excessively and has diarrhea. Which of the following
findings should the nurse identify as an indication of fluid volume deficit? - Urine specific gravity 1.045
A nurse is caring for a client who has breast cancer and expresses fear about the future. Which of the
following responses should the nurse make? - You seem really afraid. let's talk more about your feelings
A nurse is preparing to administer a medication to a preschooler and must covert the child's weigh from
pounds to kilograms. The child weighs 30 lb. how many kilograms does the child weigh? - 13.6 kg
A nurse working in the hospital overhears the following conversation between two other nurses on the elevator. Which of the following actions should the nurse take? - Tell the nurses that this conversation is not appropriate
A nurse is providing oral hygiene for a client who is unconscious. Identify the sequence of the steps the
nurse should take. - 1. Assess the client's gag reflex
2. Position the client on his side with his head turn to the side
3.Place a towel under the client's head with an emesis basin under his chin
4. Separate the client's upper and lower teeth with an oral airway device
5. cleanse the client's mouth using a toothbrush
A nurse is contributing to the plan of care for a client who is at risk for developing foot drop due to immobility. Which of the following actions should the nurse recommend to include in the plan? - Support the client's feet with foot boots
A nurse is caring for a client who is postoperative following a mastectomy. The client states, "I can barely
look at myself in the mirror." The nurse should identify that the client is experiencing which of the
following? - Actual loss [Show Less]