ATI RN - NUR 202 - COMP ATI 2020 | RATED A+

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A nurse is planning care for a client who is receiving heparin to treat a L leg DVT. Nursing intervention? A nurse is teaching about child safety measures. What statement indicates understanding? A ho... me health nurse is teaching about infection prevention to a cancer pt on chemo. Which statement indicates understanding? A nurse is providing dietary teaching to the parents of a 6 month old. What instructions should the nurse give? A charge nurse is planning care for a client in mechanical restraints. What interventions? A community health nurse is assisting with the development of a disaster management plan. What nursing responsibility should be included in the disaster response stage? A nurse manager is assisting with the orientation of a newly licensed nurse. Which of the following requires manager intervention? stage of labor, the nurse observes early decelerations on the monitor. What action should the nurse take? A nurse is caring for a client that is in labor at 39 weeks gestation. During the second A nurse manager is planning to make changes to the current scheduling system on the unit. To facilitate staff acceptance, what should the nurse manager do first? A nurse is planning teaching about allowable foods for a client with uric acid-based urinary calculi formation. What foods should the nurse recommend? A charge nurse is teaching a newly licensed nurse how to identify true labor. What should the nurse include in the teaching? A nurse on a med-surg unit is caring for a client prior to a surgical procedure. Which of the following findings should indicate to the nurse that the client can sign the informed consent? A charge nurse assigns a new nurse to a client with a chest tube. The new nurse expresses concern d/t limited experience with monitoring drainage. What should the charge do to teach about chest tubes? A nurse is teaching a client about a new prescription for estradiol. For which of the following adverse effects should the nurse tell the client to monitor and contact the provider? A nurse is preparing to administer diazepam 0.3mg/kg IV bolus to a 22lb toddler who is experiencing a grand mal seizure. Available is 5mg/mL. How many mls should the nurse administer? A nurse is caring for a 12 hour post op on a PCA for pain control and requires a blood pressure check in 10 min. Which of the following staff members should the nurse assign to collect this information. A nurse is creating a plan of care for a child who has acute lymphoid leukemia and an absolute neutrophil count of 400/mm3. What intervention should the nurse include in the plan? A nurse is providing teaching about improving nutrition for a client who has MS. Which instructions should the nurse include? A nurse is assessing a client who has schizophrenia and is taking chlorpromazine. Which finding is the priority for the nurse to provide to the provider? A client is receiving lorazepam IV for panic attacks and develops a RR of 6/min and a BP of 90/44mm Hg. What med should the nurse anticipate administering? A nurse is caring for an older adult client in the PACU following general anesthesia. What finding should the nurse report to the provider A nurse is preparing a sterile field in order to insert an indwelling urinary catheter on a male client. Which technique should the nurse use to maintain aseptic technique? A nurse is planning care for a client who has a deficit with cranial nerve II. Which of the following actions should the nurse plan to take? A nurse is providing discharge instructions to a client following a total hip arthroplasty. Which instruction should the nurse include? A nurse is assessing a client who is receiving a blood transfusion. Which of the following findings should indicate to the nurse that the client is having a hemolytic transfusion reaction? A nurse is caring for a child who is experiencing a tonic-clonic seizure. What action should the nurse take? A nurse is administering meds to a client who has a percutaneous gastrostomy tube for enteral feedings. Which of the following actions should the nurse take to prevent the tube from clogging? A nurse is assessing a client who has macular degeneration. Which of the following findings should the nurse expect? A nurse is assessing a client who has schizophrenia. The nurse should identify the following alteration in speech as which of the following? A nurse in a clinic receives a call from a guardian whose child has varicella. The guardian asks when the child returns to school. Which of the following responses should the nurse make? A nurse is providing discharge instructions to a client who has a new prescription for warfarin. Which client statement indicates the client understands the teaching? A nurse is assessing a child with CF. Which finding is priority to report to the provider? When caring for a child a nurse plans to use nonpharm interventions to enhance pain med effectiveness. Which of the following strategies incorporates visualization techniques to help decrease the child's discomfort? An AP and a nurse are turning a patient on their R side. Which AP action requires the nurse to intervene? A nurse on a mental health unit has a patient refusing IM lorazepam. What is the nursing action? A mental health nurse is conducting the first of many meetings with a client whose partner recently died. The nurse should perform which action to establish trust in the orientation phase of the nurse-client relationship? A nurse has 4 patients. What should the nurse delegate to the AP for meals? A nurse is caring for a client at 28 weeks gestation. The client asks what's causing her constipation. Which response should the nurse make? A nurse manager reviews falls occur most often between 0530 and 0730. Which action should the nurse take in root cause analysis? A nurse is caring for an immediately post op total vaginal hysterectomy. Which action should the nurse take first? A charge nurse is planning an educational session for staff nurses about working with parents whose terminally ill children are candidates for organ donation. Which information should the nurse plan to include? A nurse is teaching about TPN and IV lipid emulsions with a client who has an extensive burn injury. Which of the following information should the nurse include? A nurse is caring for a client with a closed femur fracture and has had a fiberglass leg cylinder cast for 24 hours. Which of the following assessment findings should the nurse identify as the priority? A home health nurse is providing teaching to a client that has hep A.Which of the following instructions should the nurse include? A community health nurse is preparing a health education program for a local rural community. Which of the following actions should the nurse take first? A nurse is caring for a client who has generalized anxiety disorder and is going to start alprazolam. Which action should the nurse take? A nurse in the delivery room is caring for a newborn immediately after birth. Which of the following actions should the nurse take first? A nurse in a mental health facility is planning care for a client who has anorexia nervosa. Which intervention should the nurse include in the plan of care? A nurse is talking with the partner of a client who attempted suicide. Which of the following statements by the client's partner is priority? A nurse is assessing a client who has MS. Which manifestation should the nurse expect? A nurse is interviewing a client who is now without a home d/t natural disaster. After ensuring the clients safety, what's the nurses first action? A nurse is administering enoxaparin. Where? A nurse is assessing a client who has skeletal traction for a femur fracture. Which should the nurse identify as the priority? A nurse is assessing a client w/ sickle cell anemia. Manifestation of vaso-occlusive crisis? A nurse is assessing a client who has been taking lithium carbonate for the past month to treat bipolar disorder. Assessment finding priority? A nurse is providing teaching to the parent of a child who has a permanent trach. Steps of trach care: A nurse in an ER is assessing a client that took MDMA. What should the nurse expect? A nurse is teaching a client who is to start taking misoprostol and is currently on long-term NSAIDs for arthritis. The nurse should provide what information? A nurse is caring for a client with a potassium level of 3. What manifestation should the nurse monitor for? A nurse in an ER is planning discharge for a client who has experienced intimate partner violence. Which action should the nurse take first? A nurse is caring for a client at 37 weeks gestation and is experiencing abruptio placentae. Which finding should the nurse expect? A nurse is caring for a client in the manic phase of bipolar. Expected manifestations? grandiose delusions A nurse is teaching the parent of a school-age child about administering ear drops. Parent response indicating understanding? A nurse is caring for a client that requires PT after discharge. First nursing action? A nurse is planning care for a client receiving HD from an AV fistula in the R arm. Which intervention should the nurse include in the plan of care? A nurse is providing teaching for a client about newborn safety. Which statement should the nurse include in the teaching? A nurse is caring for a newborn with herpes simplex virus (HSV). Which isolation precautions? A home health nurse is planning care for an older adult client who has impaired vision. Which intervention in the plan of care to prevent injury at home? A nurse is initiating discharge planning for a client who has a stroke and is experiencing R side weakness. Nurses first action? A nurse is reviewing lab findings of a client experiencing chest pain. The nurse should identify that an elevation in which lab indicates myocardial cell tissue injury? Troponin T A nurse in an outpatient clinic is working with a client that has PTSD and asks for recommended nonpharm therapy. What should the nurse recommend to help alleviate distress? A nurse manager is preparing a newly licensed nurse's performance appraisal. Which method should the manager use to evaluate time management skills? A nurse is caring for four clients at the beginning of a shift. After report, which client should the nurse attend to first? A night shift nurse is giving change-of-shift-report to the day shift nurse on a client ready for discharge. Priority information to oncoming nurse? A nurse is assessing a client who has a stage II pressure injury. Expected would characteristics? A nurse is providing discharge instructions to a client who has a new prescription for amitriptyline to treat depression. Which client statements shows understanding of teaching? A charge nurse is preparing to administer 0900 meds and is told by pharmacy the meds are not available. First charge nurse action? A nurse is caring for a client that vomits on a reusable BP cuff. Nurses action? A nurse is assessing a 2hr old newborn. Report to MD? A nurse manager is on a planning committee to develop an emergency preparedness plan. Which action takes place first when implementing an emergency preparedness plan? A nurse is preparing to administer 15U regular insulin along with 20U NPH. Which action plan should the nurse take? A charge nurse overhears 2 staff nurses in the hallway discussing the nutritional status of a client who has anorexia nervosa. Which action should the charge nurse take? A nurse is assessing a client who is 2hrs post op following a cardiac cath. Report to MD? A nurse is providing client education to a postpartum client who has decided to bottle feed their newborn. Instructions to prevent the discomfort of engorgement? A case manager is reviewing the medical records of several clients. For which of the following clients should the nurse request an interprofessional care conference? A charge nurse is observing a newly licensed nurse administer enteral feedings via NG tube. Which of the following actions by the newly licensed nurse indicates -understanding of the procedure? A nurse is assessing a client during the immediate postpartum period. Which finding requires immediate intervention? A nurse is caring for a newborn whose parents ask why their baby is receiving vitamin K. The nurse explains vitamin K prevents: A nurse is planning care for a client who has thrombocytopenia. Which of the following instructions should the nurse include in the client's plan of care? A nurse is assessing a 2 month old infant during a well-baby exam. Which of the following actions should the nurse take to assess the infant's rooting reflex? A nurse is teaching a client that has a new prescription for digoxin about manifestations of toxicity. Which finding should the nurse include in the teaching? A nurse is reviewing the urinalysis report of a client who has acute glomerulonephritis. Expected finding? A nurse working on a med-surg unit receives a telephone call requesting the status of a client from an individual who identifies themselves as the client's parents. Nursing action? A nurse is caring for a client who has end stage Alzheimer's Disease. The adult child of the client says 'I don't know why I bother to visit my mother anymore". Nurse response? A nurse is assessing a client who has antisocial personality disorder. Expected manifestations? A community health nurse is performing triage tagging following a mass casualty incident. Black tag? A nurse is caring for a client who has dehydration secondary to nausea and vomiting. The nurse should identify which of the following findings as fluid volume deficit? A nurse is providing discharge teaching to a new parent about car seat safety. Which statement should the nurse include in the teaching? A nurse is caring for a toddler who has infectious gastroenteritis. Which of the following actions should the nurse take? A nurse is preparing to insert an indwelling urinary catheter for a client. The nurse should assess the client for which condition prior to starting the procedure? A nurse is caring for an older adult client. Physiological change associated with aging? A charge nurse observes a staff nurse document a dressing change in a client's chart that wasn't performed. First charge nurse action? -gather more information about the staff nurse's actions A nurse is providing discharge teaching to a client following a cataract extraction. Client statement understands teaching? A nurse is caring for a client with MRSA. Implement which precautions? contact A home health nurse is assessing a 2 week old newborn who had a birth weight of 3.64kg (8lbs) and is being breastfed. Effective breastfeeding? A nurse is caring for a client who has a closed-head injury and is receiving mechanical ventilation. The nurse should expect to administer which med to reduce intracranial pressure? A nurse is teaching a newly admitted client who has heart failure about advance directives. Nurse statement? [Show More]

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