ATI Fundamentals Practice A: Questions & Answers: Updated : Guaranteed A+

Document Content and Description Below

A nurse is evaluating a client's use of a cane. Which of the following actions should the nurse identify as an indication of correct use? (Ans- The client holds the cane on the stronger side of her ... body. A nurse receives report about a client who has 0.9% sodium chloride infusing IV at 125 mL/hr. When the nurse performs the initial assessment, he notes that the client has received only 80 mL over the last 2 hr. Which of the following actions should the nurse take first? (Ans- Check the IV tubing for obstruction. A nurse is caring for a client who requires an NG tube for stomach decompression. Which of the following actions should the nurse take when inserting the NG tube? (Ans- Have the client take sips of water to promote insertion of the NG tube into the esophagus. A nurse is reviewing a client's fluid and electrolyte status. Which of the following findings should the nurse report to the provider? (Ans- Potassium 5.4 mEq/L A nurse is providing discharge instructions to a client who will be using a walker. Which of the following statements indicates an understanding of the teaching? (Ans- "I will hire someone to trim the tree that hangs low over the stairs of my front porch." A nurse is planning care for a client who has had a stroke, resulting in aphasia and dysphagia. Which of the following tasks should the nurse assign to an assistive personnel (AP)? (Select all that apply.) (Ans- assist the client with a partial bed bath, measure the client's BP after the nurse administers an antihypertensive medication, use a communication board to ask what the client wants for lunch A nurse is caring for a client who is expressing anger about the diagnosis of colorectal cancer. Which of the following actions should the nurse take? (Ans- Reassure the client that this is an expected response to grief. A nurse is preparing to apply a dressing for a client who has a stage 2 pressure injury. Which of the following types of dressing should the nurse use? (Ans- Hydrocolloid A nurse is administering an otic medication to an older adult client. Which of the following actions should the nurse take to ensure that the medication reaches the inner ear. (Ans- Press gently on the tragus of the client's ear. A nurse is using an open irrigation technique to irrigate a client's indwelling urinary catheter. Which of the following actions should the nurse take? (Ans- Subtract the amount of irrigant used from the client's urine output. A nurse is initiating a protective environment for a client who has had an allogeneic stem cell transplant. Which of the following precautions should the nurse plan for this client? (Ans- Make sure the client wears a mask when outside her room if there is construction in the area. A nurse is auscultating the anterior chest of a client who was newly admitted to a medical-surgical unit. Listen to the audio clip of what the nurse auscultates through the stethoscope and identify the type of breath sounds. (Click on the audio button to listen to the clip.) (Ans- Normal breath sounds [Show More]

Last updated: 1 year ago

Preview 1 out of 13 pages