PN-ATI EXIT Exam Questions and answers, 100% proven pass rate. Graded A+

Document Content and Description Below

PN-ATI EXIT Exam Questions and answers, 100% proven pass rate. Graded A+ nurse is caring requesting assistance with smoking cassation. The nurse should anticipoce presoription for which of the fo... llowing - ✔✔Bupropion Naltrexone Methadone Disulfiram Anurse is collecting data from a client who has diabetic ketoacdosis. Which of the following findings should expect - ✔✔Frutiy breath A nurse is collecting data from a client who has sickle cell anemia and is experiencing a vaso-occlusive which of the following actions should the nurse take? (Click on the "Exhibit" button for additional information There are three tabs that contain separate categories data.) Exhibit - ✔✔Recommend a transfusion of packed Rbcs A nurse is contributing to the development of an in-service training about the differences in mental health bellefs across various cultural groups. Which of the following culture-bound syndromes should the nurse include when discussing Navajo Indian cultural beliefs? - ✔✔Ghost sickness A nurse is assisting with the care of a client who has schizophrenia and auditory hallueinations. Which of the following responses should the nurse make - ✔✔"Let's talk about what the voices are saying to you." A nurse is assisting with the care of a client who has schizophrenia and auditory hallucinations. Which of the following reaponsea should the nurse make - ✔✔Let's talk about what the voices are saying to you. A nurse is discussing informed consent with a newly licensed nurse. Which of the following statements by the newly liscensed nurse indicates an understanding of the information - ✔✔"A client can. withdraw consent at any time after signing the informed consent form." A nurse is reinforcing teaching with a client who has hypertension about decreasing sodium intake. Which of the following foods should the nurse recommend? - ✔✔1 baked potato A nurse is caring for a client who is postoperative following a transurethral resection of the prostate. The nurse notes bright red urinary drainage after notifying the surgeon which of the following actions should the nurse take? - ✔✔Request a prescription to obtain the clients bun level. A nurse is reinforcing teaching with another nurse about how to change an ostomy appliance for a client who has a sigmoid colostomy which of the following instruction should the nurse include in the teaching - ✔✔Empty clients asked me pouch before removing skin barrier A charge nurse is observing a newly licensed nurse performing dressing change on a peripheral IV site. For which of the following actions by the new nurse should the charge nurse intervene - ✔✔Use a sterile gloves to remove the old dressing A nurse is caring for a client who has a peanut allergy the client states I feel like my throat is closing which of the following actions should the nurse take - ✔✔Give epinephrine intramuscularly A nurse is transcribing a clients prescription for erythromycin 500 mg four times per day which of the following information shared the news clarify with the provider - ✔✔Time A nurse is reinforcing teaching with a client who has primary open angle glaucoma and a new prescription for timilol Eyedrops which of the following statements by the client indicates an understanding of the teaching - ✔✔I should check my heart rate while taking this medicine A nurse in a long-term care facility is caring for a client who has methicillin resistant Staphylococcus aureus (Mrsa)which of the following actions should the nurse take - ✔✔Wear a gown when assisting the client with personal hygiene A nurse is reinforcing teaching about hand hygiene with a newly licensed news which of the following information should the nurse include in the teaching - ✔✔Interlace the fingers while rubbing hands together A nurse is reinforcing teaching with a client who has diabetes mellitus and is taking insulin lispro and insulin glargine which of the following instruction should the nurse include in the teaching - ✔✔Drawl up the insulin list Bro and insulin glargine in separate syringes A nurse is contributing to the plan of care for a client who has ascites Due to cirrhosis which of the following interventions should the nurse recommend to include in the plan - ✔✔Measure the clients abdominal girth daily A nurse is caring for a newborn who has hyperbilirubinemia and is receiving photo therapy which of the following findings should the nurse report to the provider - ✔✔Loose stools A nurse is caring for a client who is today's postoperative the client has a prescription for acetaminophen 300 mg with codeine 30 mg one tablet every 3 to 4 hours PRN for pain the nurse in advertently administers two tablets to the client in which of the following location should the nurse document the eror - ✔✔Controlled substance inventory record A nurse is caring for a adolescent client who is bulimia nevosa which of the following actions should the nurse take first - ✔✔Observe the client during and after meals A nurse is assigned an assistive personnel to perform a Gastroatomy Feeling for a client who has been receiving feedings at homeWhich of the following actions should the nurse take to monitor the APs performance of the task - ✔✔Request the AP to provide a return demonstration of the task A community health nurse is a system in the development of a brochure about hypertension which of the following actions should the nurse take - ✔✔Explain the medical terminology using basic one syllable words And charge nurse assigned a nurse to care for a group of clients which of the following client should the nurse ask the charge nurse to reassign to an RN - ✔✔A client who has a new diagnosis of diabetes mellitus and needs to learn self administration of insulin A nurse is caring for a client who has depressive disorder the client states everyone will be better off if I were not around which of the following responses should the nurse make - ✔✔Are you thinking of hurting yourself? A nurse is providing a client with IV fluids and finds that the IV pump screen is malfunctioning which of the following actions should the nurse take - ✔✔Discontinue use and take the IV pump A nurse is Reinforcing teaching with the Client family about home oxygen use via nasal cannula which of the following statements by a family member indicates an understanding of the teaching - ✔✔We will frequently check the top of his ears for sores A nurse is caring for a client who has been giving methylergonovine intramuscularly for postpartum hemorrhage which of the following should the nurse monitor for adverse reactions - ✔✔Elevated blood pressure A nurse is collecting data from a child who is one hour postoperative following a tonsillectomy which of the following findings is the nurses priority - ✔✔Frequent swallowing A nurse is caring for a client who is in stage kidney disease the client has decided to stop dialysis treatment which of the following actions should the nurse take - ✔✔Support the clients Decision and stop the treatment A nurse is receiving change of shift report on a group of clients which of the following client should the nurse see first - ✔✔A client who is postoperative following hip arthroplasty and reports calf pain A charge nurse working in a long-term care facility overhears to assistive personnel in the nurses station discussing a client who was just admitted which of the following actions should the charge nurse take - ✔✔Tell the APs to stop the conversation A nurse is caring for a client who has a prescription for worsen which of the following laboratory test should the nurse monitor - ✔✔International normalized ratio A nurse is preparing to perform a wet to dry dressing change for a client who has an infected abdominal wound which of the following techniques should the nurse use when performing the dressing change - ✔✔Clean the wound from center to outer edges A nurse is reinforcing teaching with a parent who is preschooler has night terrors which of the following instructions should the nurse include - ✔✔Use a night light near the child's bed A nurse is assisting with the community health education course for a family members who have an Alzheimer's disease which of the following information should the nurse include ? - ✔✔Limit number of choices for the client Following a kosher diet which of the following on the menu is OK - ✔✔Roasted salmon Which of the following breaks Patient confidentiality - ✔✔A nurse tells the chaplain that her assigned client has a new diagnosis of cancer A nurse is collecting data on a client who has alcohol use disorder and is experiencing withdrawal which of the following manifestations should the nurse expect ? - ✔✔Hypertension A nurse is reviewing the medical record of a client who has COPD which of the following laboratory findings indicates a need to request a dietary referral for the client ? - ✔✔Pre-albumin 13 mg /dL A nurse is collecting data from a client who has anorexia nervosa which of the following findings should the nurse identify as a positive outcome to treatment ? - ✔✔The client resumes menstruation A nurse is caring for a client who has an abdominal surgical incision and notices an evisceration which of the following actions should the nurse take ? - ✔✔Cover the one with a transparent dressing A nurse is reinforcing teaching about breastfeeding with the mother of a full term newborn who is 5 days old which of the following statements by the mother indicates an understanding of the teaching - ✔✔My baby should breast-feed 5 to 10 minutes on each breast. A nurse is reinforcing teaching with a client who has a new prescription for a cervical cap as a form of contraception which of the following statements by the client indicates an understanding of the teaching? - ✔✔I need to keep the cap in place for at least six hours after intercourse A nurse is reinforcing teaching with a client who has a prescription for ferrous sulfate elixir which of the following statements by the client indicates an understanding of the teaching? - ✔✔I will mix the medication with water A nurse is assisting a client who requests to take a tub bath which of the following actions should the nurse take ? - ✔✔Add bath oil after the client gets into the tub A nurse is reviewing guidelines for documenting client care. Which of the following should the nurse plan to take - ✔✔Document info telephoned in my a nurse who left the United for the day A nurse is reviewing the guideines for dOcumenting client care, Which of the following actions should the nurse plan to take - ✔✔Avoid quoting client comments when documenting. A nurse is reinforcing teaching with a client who has a new prescription for transdermal nitroglycerin patches which of the following statements by the client indicates an understanding - ✔✔I will place the pitch on a hairless area of skin A nurse is reinfording discharge teachingIwith a cliant who has tuberculosis. Which of the following statements by the client indicates an understanding of the teaching? - ✔✔"I should throw away my used tissues in a closed plastic bag. A nurse is receiving change-of-shift report for a group of clients. Which of the following clients should the nurse check first? - ✔✔A dient admitted to the facility who has ascending Guillain-Barré syndrome A nurse is collecting data from a client who is at 20 of the following findings should the nurse monitor as a common adverse effect of iron weeks of gestation and has been taking ferrous sulfate. For which the following findings should the nurse report to the provider? - ✔✔Constipation A nurse is reinforcing teaching with a client who is to habe their plaster cast applied to his right arm Which of the Following information should the nurse include in the teaching - ✔✔The client's extremity Should be elevated after the cast is applied A nurse is caring for a client who is why her newborn is receiving phytonadione injection which of the following statements shiuld the nurse make - ✔✔This medication prevents your baby from developing bleeding problems - ✔✔Encourage the client to be assertive A nurse is caring for a client who has antisocial personality disorder who request to smoke outside of a scheduled smoke break which of the following is an appropriate response by the nurse ? - ✔✔The smoking times on the unit or after each meal A nurse in a mental health facility is reinforcing teaching with a client about panic attacks which of the following statements by the client indicates an understanding of the instructions? - ✔✔I will use abdominal breathing at the first sign of a panic attack A nurse is caring for a female client who has an indwelling catheter with a urinary drainage system which of the following actions should the nurse take? - ✔✔Instruct the client to hold the drainage bag a waist height when ambulating A nurse is collecting data from a newborn who was born 18 hours ago which of the following findings should the nurse report to the provider - ✔✔Yellow sclerae A nurse is reinforcing teaching with a parent of a preschooler who has varicella about expected Clinical manifestations. Which of the following manifestations should the nurse include (select all that apply) - ✔✔Vessels that form crust, pruritis A nurse is reinforcing teaching with a female client who has tuberculosis and a new prescription for rifampin which of the following statements by the client indicates an understanding of the teaching? - ✔✔I should use supplemental birth control while I am taking this medication A nurse is caring for an adolescent client who has been hospitalized for several weeks which of the following actions should the nurse take relative to the clients developmental stage? - ✔✔Arrange for uninterrupted visits with the clients friends I'll charge nurse is observing a newly licensed nurse who is having difficulty finishing all client care activities by the end of his shift which of the following statements should the nurse make to help the newly licensed nurse improve his time management skills? - ✔✔Complete the task for one client before moving onto the next client A nurse is reinforcing teaching with a client who has diabetes Molite us about a 24 hour creatinine clearance test which of the following statements should the nurse include in the teaching? - ✔✔You can begin collection of urine after discarding your first morning void A nurse is caring for a client who has Graves' disease which of the following findings should indicate to the nurse that the client is developing a thyroid storm? - ✔✔Tachycardia A nurse is preparing for the admission of a client who has a seizure disorder which of the following supplies should the nurse place at the bedside for this client? - ✔✔A tongue blade A nurse is caring for a client who has paranoid schizophrenia and believes that she is being followed by FBI agents who are pretending to be psychiatric staff which of the following responses should the nurse make? - ✔✔This must be frightening to you let's talk more about it A nurses assistant a client who has cancer to select high protein foods which of the following foods should the nurse recommend as the highest source of protein - ✔✔8 ounce chopped hard boil egg A nurse is preparing a sterile field to perform a dressing change for a clients leg wound which of the following actions should the nurse take? - ✔✔Play sterile objects at least 2.5 cm from the edge of the sterile field A nurse is reviewing the plan of care for a client who is receiving treatment for anorexia nervosa which of the following laboratory findings indicates that the clients nutrition plan is effective? - ✔✔Cholesterol 190 mg/daL A nurse is collecting data from a client who has taken MEDROXYPROGESTERONE acetate for the past six months which of the following statements by the client should the nurse report to the provider immediately? - ✔✔I have breast tenderness A nurse is planning care for a client who is six hours postoperative following a right knee arthroplasty which of the following interventions should the nurse include in the clients plan of care? - ✔✔Use the continuous passive motion machine intermittently A nurse is preparing to administer eyedrops to a child which of the following actions should the nurse take ? - ✔✔Apply pressure to the lacrimal punctum after administering drops A nurse is reinforcing teaching with a 36-year-old client who is 16 weeks of gestation and is scheduled for aminocentesis the nurse should include in the teaching the aminocentesis is performed to identify which of the following findings - ✔✔Chromosomal abnormalities A nurse in an acute care setting is preparing to administer medications to a client which of the following information should the nurse obtain to identify the client - ✔✔Client's telephone number A nurse is collecting data from a client who has a history of angina and reports having adult chest pressure they radiates to the left side of his neck which of the following is the priority medication the nurse should anticipate the provider prescribes - ✔✔Nitroglycerin A nurse on a hospice unit is caring for a client who has cancer and is in the active phase of dying which of the following findings requires intervention by the nurse - ✔✔And assistive personnel is encouraging intake of oral fluids A nurse is discussing home care concerns with the son of a client who has Alzheimer's disease the son states I am so tired all the time but mom needs me which of the following responses should the nurse make - ✔✔Let me give you some imformation about respite care for your mother A nurse is assisting with the care of a client who is receiving mechanical ventilation for respiratory failure which of the following actions should the nurse take - ✔✔Performed passive range of motion every two hours A nurse is discussing risk factors for child abuse with members of the parenting group the nurse should identify which of the following findings as a characteristic of perpetrators of child abuse - ✔✔Rigid expectations of behavior A nurse begins to be the newly admitted client who reports that she has my hair anything to eat today the The nurse interrupts the bath and obtains a healthy meal for the client this action by the nurse is an example of which of the following - ✔✔Veracity A nurse is caring for a client who is so hours. For the following surgical creation of a tracheostomy which of the following is she should the nurse take to help promote the clients recovery - ✔✔Keep suction equipment at the bedside A nurse is assisting with the admission of a client who has vera Cella zoster which of the following intervention should the nurse plan to implement - ✔✔Initiate contact precautions for the client A nurse is caring for a client who has major depressive disorder and is taking antidepressants the nurse should identify which of the following findings is the priority to report to the provider - ✔✔The client has a sudden increase in energy America's hair for a client who is postoperative following joint replacement and he has a new prescription for enoxaparin. for which of the following actions should the nurse monitor - ✔✔Epistaxis A nurse in a providers office is caring for a client who states my doctor is always in a big hurry it makes me nervous and I forget what I wanted to ask her which of the following responses should the nurse make - ✔✔Let's make a list of what you'd like to ask the doctor before she comes in to see you A nurse is preparing to administer enoxaparin 1.5 mg per kilogram subcutaneously to a client who has a pulmonary embolism the client weighs 132 pounds the amount available is 100 mg/mL how many milliliters should the nurse administer - ✔✔0.9 ml A nurse is assisting with the green needle examination of a client who is in eight weeks of gestation the nurse notes the clients vagina and vulva are a purpleish color the nurse should document to find them as which of the following - ✔✔Chadwick sign A nurse is contributing to the plan of care for a client who has urinary incontinence which of the following intervention should the nurse suggest to help prevent skin breakdown - ✔✔Dry the skin thoroughly after cleansing the perennial area The nurse is reinforcing teaching with a client who is receiving chemotherapy and develop stomatitis which of the following instruction should the nurse include in the teaching - ✔✔Use a soft bristle toothbrush A nurse is collecting data from a client who is receiving magnesium sulfate via continuous IV infusion to treat preeclampsia which of the following findings indicate that the medication is here in a therapeutic affect - ✔✔Deep tendon reflexes 2+ A nurse is reinforcing teaching with a client about advance directives and a healthcare proxy which of the following client statements and the kids and understanding of the teaching - ✔✔I do not need to name a relative as my designee in my health care proxy A nurse is caring for a client who is today's postoperative which of the following findings should the nurse identify as an indication of postoperative infection - ✔✔Serous drainage in the clothes section collection device A nurse is caring for a client who was admitted for observation following that he injury which of the following findings by the nurse indicates the client is experiencing increased intracranial pressure - ✔✔Decreased BP A nurse is caring for a client who has a prescription for nph insulin 10 units and regular insulin 15 units subcutaneously after injecting 10 units of air into the nph vial which of the following actions should the nurse take next - ✔✔Withdraw 10 units of NPH insulin A nurse is reviewing the medical record of a client who has hepatic cirrhosis which of the following lab values should the nurse report to the provider - ✔✔Potassium 3.1 mEq per liter A nurse is observing an assistive personnel take a clients and tympanic temperature which of the following actions should the nurse identify as an indication that the AP understands how to perform the procedure - ✔✔The AP pulls the pinna up and back A nurse is collecting data from a female client who reports she wants to begin taking oral contraceptives which of the following findings is a contra indication for this client - ✔✔Hypertension A nurse is re-enforcing discharge teaching with a client who is stable angina pectoris which of the following statements by the client indicates an understanding of what to do when chest pain occurs - ✔✔Stop what I am doing and lie down A nurse is receiving a telephone prescription from a clients provider which of the following actions should the nurse take (select all that apply) - ✔✔Ask the provider to spell out the name of the medication, request that the provider confirm the read back of the prescription, record the date and time of the telephone prescription A nurse is reinforcing teaching about passive range of motion exercises with the family of a client who has had a stroke which of the following instructions should the nurse include in the teaching - ✔✔Support the extremity above and below each joint during the exercises A nurse is caring for a client who receives cyclosporine instead of cycloserine the nurse to monitor the client for which of the following Adverse effects - ✔✔Respiratory depression A nurse is reinforcing teaching with a client who has a prescription for an antibiotic therapy the client tells the nurse that he always experiences diarrhea when he takes antibiotics which of the following food choices should the nurse recommend to lessen the occurrence of diarrhea - ✔✔Yogurt A nurse is reviewing the medical record for a child who is scheduled to receive a varicella immunization which of the following findings in the clients record should the nurse recognize as a contra indication - ✔✔Chemotherapy treatments A nurse in a long-term care facility is delegating care for a group of clients for the upcoming shift which of the following tasks the nurse delegate to an assistive personnel (select all that apply) - ✔✔Measure vital signs for a client who requires contact precaution, record urine output for a client who has a super pubic catheter, trees for a client who is receiving radiation therapy to radiology A nurse in an inpatient medical health facility is reinforcing teaching with a client who signed a consent form for electro convulsive therapy which of the following statements about a client indicates an understanding of the procedure - ✔✔I might have short term memory loss after the procedure A nurse is assisting with discharge planning for a group of clients during a mass casualty incident which of the following client should the nurse recommend for discharge - ✔✔A client who had diabetic ketoacidosis and has a blood glucose level of 120 mg/dL A nurse is caring for a client who is postoperative following a sub total thyroidectomy the nurse should place the client in which of the following positions - ✔✔Semi Fowler's A nurse is discussing the plan of care of a client who is four hours postoperative and has a urostomy with an assistive personnel which of the following statements should the nurse include in the discussion - ✔✔We need to check the clients urine output every hour A nurse is collecting data from a client who has heart failure the nurse notices the client has crackles in the bases of the lungs shortness of breath and a respiratory rate of 24 bpm which of the following actions should the nurse take - ✔✔Maintain the client and high Fowlers position A nurse is preparing to administer 0.9% sodium chloride 250 mL IV to infuse over 30 minutes to a client the nurse just set the IV pump to deliver how many milliliters per hour - ✔✔500 A nurse is collecting data from a client who has a urinary tract infection and is taking Ciprofloacin The client reports pain in her calf muscle which of the following statements should the nurse make - ✔✔Discontinue the medication I will ask your provider for another antibiotic A home health nurse is conducting a home inspection for a client who is it was for falls which of the following instruction should the nurse provide for the client - ✔✔Move the clients bed to the main floor on the house A nurse in an acute mental health facility is caring for an adolescent who is exhibiting destructive behavior which of the following actions should the nurse take after applying physical restraints to the client - ✔✔Plan to remove the restraints as soon as the client is calm A nurse is caring in the clients respirations and notes they are of average death rate is 24 bpm and the rhythm is regular which of the following alterations in the clients breathing pattern should the nurse continue to monitor - ✔✔Tachypnea A nurse manager is a system with the negotiation between to charge nurses were having a conflict overstaffed not completing assignments which of the following actions should the nurse manager take - ✔✔Establish ground rules before beginning discussion between the charge nurses A charge nurse in a long-term care facility notices the smell of alcohol on a nurses breath which of the following actions should the nurse take first - ✔✔Call the supervisor to ask for another nurse A nurse is caring for a client who is receiving instrument internal to feeding and he has diarrhea which of the following actions should the nurse take - ✔✔Deliver a smaller amount of formula more frequently A nurse is feeding a client who had a stroke resulting in left side of weakness which of the following actions should the nurse take - ✔✔Encourage the client to drink a small amount of liquids to clear his mouth of food A nurse is caring for a client who is taking furosemide which of the following affects should the nurse monitor - ✔✔Hypokalemia A nurse is reinforcing teaching with a client who has a UTI which of the following instruction should the nurse include in the teaching - ✔✔Wear cotton underwear A nurse is reinforcing dietary teaching with a client who's pre-pregnancy BMI was 30.5 the nurse should recognize that the client understands the teaching when she states she should expect to gain how many pounds during her pregnancy - ✔✔16 pounds A nurse is caring for a client who is taking acetaminophen overdose which of the following findings should the nurse expect - ✔✔Diarrhea A nurse is reinforcing teaching with a newly licensed nurse about performing a 12 lead ECG which of the following statements about a newly licensed nurse indicates an understanding of the teaching - ✔✔The test will show conduction patterns and different paths of cardiac electrical activity A nurse is reinforcing teaching with a parent of a newborn about home safety percolation which of the following statements by the parent indicates an understanding of the teaching - ✔✔I will make sure that I can fit one finger between the mattress and the side of my newborns crib A nurse is collecting data from a client who is receiving IV therapy the nurse suspects fluid infilteration which of the following findings should the nurse expect at the insertion site - ✔✔Edema A nurse is reinforcing teaching about foot care with a client who has diabetes mellitus which of the following instruction should the nurse include in the teaching - ✔✔Cut your toenails straight across A nurse is caring for four clients which of the following situations require a signed consent form - ✔✔Giving a Haemophilus influenza B vaccine to a infant A nurse is administering a client's morning oral medications which of the following actions should the nurse take - ✔✔Verify the medication three times with the medication administration record A nurse is collecting data from a middle adult client who reports experiencing sexual dysfunction the nurse should identify that which of the following medications the client states can cause sexual dysfunction - ✔✔FLUOXETINE A community health nurse is assisting with the development of a pamphlet regarding choking hazards for toddlers which of the following foods should the nurse include - ✔✔Grapes A nurse is reinforcing teaching with a client who has Gerd and a prescription for ranitidine which of the following statements by the client indicates an understanding of the teaching - ✔✔I should take this medication in the morning and at bedtime A nurse is reinforcing teaching with the parents of a newborn about me then which of the following instructions should the nurse include in the teaching - ✔✔Cleanse the eyes from the inner canthus outward A nurse manager in a long-term care facility is discussing evidence-based practice with a group of staff nurses which of the following activities should the nurse manager identify as an example of evidence-based practice - ✔✔Staffing the unit based on client acuity and needs A nurse is caring for a client who states I feel we have a good relationship and you will keep my information confidential I want you to know I am planning to commit suicide today which of the following responses should the nurse make - ✔✔I can't keep a conversation like this to myself A nurse is preparing to give change of shift report on a client who is today's postoperative following total knee arthroscopy which of the following information about the client should the nurse include in the report - ✔✔Time of last pain medication A nurse is assisting with the plan of care for an order of the client who has dementia and is experiencing nocturnal confusion which of the following actions should the nurse take to decrease the clients risk for injury - ✔✔Activate bed alarm A nurse is reinforcing teaching with a client who has a new diagnosis of COPD which of the following statements by the client indicates an understanding of the teaching - ✔✔I should practice pursed lip breathing exercises A nurse is reinforcing teaching with a group of adolescent male clients about testicular examination which of the following statements by a client indicates an understanding of the teaching - ✔✔I should expect one testicle to be larger than the other A nurse is reinforcing teaching with a client who is in 16 weeks of gestation and has a prescription for fear is Sophie to treat I am deficiency anemia which of the following recommendations should the nurse week to improve the absorption of the medication - ✔✔Avoid drinking milk with the iron supplement A nurse answers the room of a school age child and find some on the floor experiencing a tonic clonic seizures which of the following actions should the nurse take - ✔✔Place a pillow under the child's head A nurse is implementing a bladder training program for a client who had a stroke which of the following intervention should the nurse take - ✔✔Check for residual urine after voiding A nurse is collecting data from a client who is it risk for a pulmonary embolism following surgery which of the following findings should the nurse monitor - ✔✔Dyspnea A nurse is contributing to the plan of care for a client who has believe we are never say which of the following intervention should the nurse recommend - ✔✔Schedule the client for a dental examination A nurse on a mental health unit observes a client yelling at another client which of the following actions should tge nurse take first - ✔✔State expectations for the clients behavior A nurse delegates a task to an AP and the AP refuses tk comolete the assigned task which of the following actions should the nurse take - ✔✔Report the AP TO THE RISK MANAGER A nurse is reinforcing teaching with the partner of a client who is receiving hospice care about music therapy for management which of the following statements by the partner indicates an understanding of the teaching - ✔✔Music will distract my husbands awareness of the pain A nurse is assisting with the plan of care for a group of clients which of the following client should the most recommend for an interprofessional conference - ✔✔A client who has a spinal cord injury A nurse is reinforcing teaching with a parent of a 4 month old infant during a home visit which of the following statements by the parent indicates an understanding of the teaching - ✔✔I will use a cool mist vaporizer in my babys room A nurse is receiving change of shift report on 4 clients which of the following clients should the nurse plan to see first - ✔✔A client who has a femur fracture and reports numbness of the toes A nurse is reinforcing teaching with the parents of a school aged child who has oppositional defiant disorder which of the following reccomendations should the nurse include in the teaching - ✔✔Establish consequences for disruptive behavior A nurse is contributing to the plan of care for a client who is experiencing a herpes simplex outbreak which of the following intervention should the nurse recommend - ✔✔Place disposable thermometers in the clients room A nurse is reinforcing teaching about albuterol with a client who has asthma which of the following affects of medication shut the nurse include in the teaching - ✔✔Decreased bronchospasms A nurse is caring for a client who has schizophrenia which of the following behaviors of the client should the nurse identify as a negative symptom - ✔✔Initiates speech rarely A nurse is caring for a client who reports diarrhea for the past 48 hours which of the following finding's indicates the client is experiencing dehydration - ✔✔Temperature 37.2 (99.1) A nurse in an adult daycare facility is contributing to the plan of care for a client whose family reports recent confusion and memory loss which of the following strategies should the nurse include in the plan - ✔✔Use symbols in the communal room signage - ✔✔Hep C A nurse is reviewing the medical record for a client who is at 30 weeks of gestation and has anemia which of the following laboratory values should the nurse expect - ✔✔Hgb 9.9 g/dL A nurse is reinforcing teaching with a female client about contraception which of the following statements by the client indicates an understanding of the teaching - ✔✔My partner will use condoms with spermicides A nurse in a providers office is reinforcing teaching about skin care with a client who has a new diagnosis of lupus which of the following statements about a client indicates an understanding of the teaching - ✔✔I will dry my skin by patting it with a towel A nurse is contribution to the plan of care for a client who had prolonged exposure to the cold weather And has a core body temperature of 32.5 c (90.5 f)which of the following data is the priority for the nurse to monitor - ✔✔Heart rhythm A nurse is assisting with the plan of care for a client who is 72 hr postoperative following a above the knee amputation which of the following interventions should the nurse include - ✔✔Assist the client to perform range of motion of the hips A nurse is reinforcing teaching with the parent of a preschooler who has atopic dermatitis which of the following instruction should the nurse include in the teaching - ✔✔Dress the child in soft Cotton clothing A home health nurse is preparing to set up a continuous passive motion machine for a client who is postoperative following total knee replacement which of the following actions should the nurse plan to take first - ✔✔Inspect the cpm machine electrical cord for damage A nurse is caring for a client who is 2 days postoperative following an above the knee amputation which of the following actions should the nurse tske to promote progression toward independence and mobility for the client - ✔✔Encourage the clieny to use overbed trapeze A nurse is collecting data from a client who has macular degenration which of the following findings should the nurse expect - ✔✔Loss of central vision A nurse is collecting data from a client who is jn bucks traction which of the following findings indicates the functioning correctly - ✔✔The weights apply a pulling force continiously A nurse is caring for a 3 yr old at a well child visit the parent reports they are concerned that their son has begun playing with an imaginary friend. Which of the following responses should the nurse make - ✔✔This is a common behavior for children this age A nurse is participating in a performance improvement program which of the following actions should the nurse take to evaluate the effectiveness of the program - ✔✔Review the facilitys policy and procedure manual BUN levels - ✔✔10-20 WBC levels - ✔✔5,000-10,000 Serum creatinine levels - ✔✔males 0.6-1.2; females 0.5-1.1 Therapeutic digoxin levels - ✔✔0.8-2.0 HbA1c levels - ✔✔4%-6% Fasting glucose levels - ✔✔70-105 HDL levels - ✔✔males 35-65; females 35-85 Total serum cholesterol levels - ✔✔less than 200 LDL levels - ✔✔less than 130 [Show More]

Last updated: 1 year ago

Preview 1 out of 72 pages