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ATI - Comprehensive Practice 2020 A

ATI - Comprehensive Practice 2020 A

a nurse is planning care for a client who is receiving heparin to treat a deep vein thrombosis of the left lower leg. which of the following interventions should the nurse include in the plan of care?

a nurse is teaching a group of guardians about child safety measures. which of the following statements by a guardian indicates an understanding of the teaching?

a home health nurse is providing teaching about infection prevention to a client who has cancer and is receiving chemotherapy. Which of the following statements by the client indicates an understanding of the teaching?

a nurse is providing dietary teaching to the parents of a 6 month old infant. which of the following instructions should the nurse include?

a charge nurse is planning care for a client who has mechanical restraints in place. which of the following interventions should the nurse include in the plan? -

a community health nurse is assisting with the development of a disaster management plan. the nurse should include which of the following nursing responsibilities in the disaster response stage of the plan?

a nurse manager is assisting with the orientation of a newly licensed nurse. which of the following actions by the nurse requires the nurse manager to intervene?

a nurse is caring for a client who is in labor at 39 weeks of gestation. during the second stage of labor, the nurse observes early deceleration on the monitor tracing. which of the following actions should the nurse take?
these are an expected finding

a nurse manager is planning to make changes to the current scheduling system on the unit. to facilitate the staff's acceptance of this change, which of the following actions should the nurse manager take first?

a nurse is planning teaching about allowable foods for a client who has a history of uric acid based urinary calculi formation. which of the following foods should the nurse include in the teaching?

a charge nurse is teaching a newly licensed nurse how to identify true labor. which of the following should the nurse include in the teaching?

a nurse on a medical surgical unit is caring for a client prior to a surgical procedure. which of the following findings should indicate to the nurse that the client has the ability to sign the informed consent?

a charge nurse assigns a newly licensed nurse to care for a client who has a chest tube. The nurse expresses concern about having limited experience with monitoring chest tube drainage. which of the following actions should the charge nurse take first to provide teaching about chest tubes?

a nurse is teaching a client who has a new prescription for estradiol. for which of the following adverse effects of this medication should the nurse instruct the client to monitor and report to the provider?

a nurse is preparing to administer diazepam 0.3mg/kg IV bolus to a toddler who weighs 22 lb and is experiencing a grand maul seizure. availabale is diazepam solution for injection 5mg/mL. how many mL should the nurse administer? 0

a nurse is caring for a client who is 12 hours postoperative, is receiving 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 the information?

a nurse is creating a plan of care for a child who has acute lymphoid leukemia and an absolute neutrophil count of 400/mm^3. which of the following interventions should the nurse include in the plan?
a nurse is providing teaching about improving nutrition for a client who has multiple sclerosis. which of the following instructions should the nurse include? select all

a nurse is assessing a client who has schizophrenia and is taking chlorpromazine. which of the following findings is the priority for the nurse to report to the provider?

a client is receiving lorazepam IV for panic attacks and develops a respiratory rate of 6/min and a blood pressure of 90/44 mm Hg. Which of the following medications should the nurse anticipate administering?

a nurse is caring for an older adult client in the PACU following general anesthesia. which of the following findings should the nurse report to the provider?
a nurse is preparing a sterile field in order to insert an indwelling urinary catheter for a male client. which of the following techniques should the nurse use to maintain surgical 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 of the following instructions 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 clinic seizure. which of the following actions should the nurse take?

a nurse is administering medications to a client who has a percutaneous gastrostomy tube for enteral feedings. which of the following actions should the nurse take to prevent clogging of the tube?

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 form a guardian whose child has varicella. the guardian asks when the child can return 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 of the following client statements should the nurse identify as an indication that the client understands the teaching? - I should report a change in the color of my stools
a nurse is assessing a school age child who has cystic fibrosis. which of the following findings is the priority for the nurse to report to the provider? -
when caring for a child, a nurse plans to use nonpharmacological interventions to enhance the effectiveness of pain medication. which of the following strategies incorporates visualization techniques to help decrease the child's discomfort? -

an assistive personnel and a nurse are turning a client onto the right side. which of the following actions by the AP requires the nurse to intervene?

a nurse on a mental health unit is caring for a client who tells the nurse that she does not want to receive a scheduled dose of lorazepam IM. which of the following actions should the nurse take?

a nurse is caring for four clients., which of the following clients should the nurse assign to an assistive personnel to assist with meals
a mental health nurse is conducting the first of several meetings with a client whose partner recently died. the nurse should perform which of the following actions to establish trust during the orientation phase of the nurse client relationship

a nurse is caring for a client who is at 28 weeks of gestation. the client asks the nurse to explain what causes her to have constipation. which of the following responses should the nurse make?

a nurse manager is reviewing unit records and discovers that client falls occur most frequently during the hours of 0540 and 0730. Which of the following actions should the nurse take when conducting a root cause analysis

a nurse is caring for a client who is immediately postoperative following a total vaginal hysterectomy. which of the following actions 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 donating their organs. which of the following information should the nurse plan to include? - the family can have the child in an open casket without fearing that the organ donation might disfigure the child's body

a nurse is teaching about total parenteral nutrition 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 who has a fractured femur 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 who has hepatitis A. which of the following instructions should the nurse include?

a nurse is preparing to perform an intermittent urinary catheterization for a client who has unrainy retention. which of the following images indicates the catheter the nurse should use?

a community health nurse is preparing a health education program for a local rural community. which of the following actions should the nurse plan to take first? -
a nurse is caring for a client who has generalized anxiety disorder and is to begin taking alprazolam. which of the following actions 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 an acute mental health facility is planning care for a client who has anorexia nervosa. which of the following interventions should the nurse include in the clients plan of care? - supervise the client during and after eating

everything to do with food should be structured, the client has minimal choices

a nurse is talking with the partner of a client who attempted suicide. which of the following statements by the client's partner should the nurse identify as the priority?

a nurse is assessing a client who has multiple sclerosis. which of the following manifestations should the nurse expect?

a nurse is interviewing a client who is now without a home due to a natural disaster. after ensuring the client's safety, which of the following actions should the nurse take first

a nurse is preparing to administer enoxaparin to a client. Identify the area the nurse should use to administer the injection.

a nurse is assessing a client who has skeletal traction for a femur fracture. which of the following findings should the nurse identify as the priority?

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Specifications

  • Subject: ATI - Comprehensive
  • Subject code: ATI
  • Date of exam: 2022
  • Year of study: 2022
  • Document
  • Section: Examinations
  • Updated on: 15-02-2022
  • Made on: 14-02-2022
  • Type: .pdf
  • Pages: 19
  • Language: English
  • Tags
  • ATI - Comprehensive Practice 2020 A

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