ATI PN Exam Bundle Graded A+

Nursing Documentation - ANSWER-■Objective data: What you see, hear, feel, smell. Do not include opinions or interpretations of data. (ex:" client pacing back and forth in his room, yelling loudly") ■Subjective data: Document as directed quotes, or clearly identifying information as a statemen...

A nurse is performing an admission assessment for an older adult client. After gathering the assessment data and performing the review of systems, which of the following actions is a priority for the nurse? A. Orient the client to his room. B. Conduct a client care conference. C. Review the clie...

A nurse is caring for a client diagnosed with severe acute respiratory syndrome (SARS). The nurse is aware that health care professionals are required to report communicable and infectious diseases. Which of the following illustrate the rationale for reporting? (Select all that apply.) A. Plannin...

A nurse is giving a presentation about accident prevention to a group of parents of toddlers. Which of the following accident-prevention strategies should the nurse include? (Select all that apply.) A. Keep toxic agents in locked cabinets. B. Keep toilet seats up. C. Turn pot handles toward the b...

A nurse is teaching a young adult client about health promotion and illness prevention. Which of the following statements by the client indicates an understanding of the teaching? A. "I already had my immunizations as a child, so I'm protected in that area." B. "It is important to schedule rou...

Hypoxia s/s (4) - ANSWER-1. Fatigue (decreased energy production) 2. Tachypnea (increased respiratory rate) 3. Tachycardia (increased heart rate to circulate red blood cells more freely) 4. Pallor (pale skin and mucous membranes caused by decreased red blood cells in blood vessels) Note: Assess ...

A nurse is contributing to the plan of care for a client who is postoperative. In which of the following positions should the nurse place the client to prevent atelectasis? - ANSWER-Fowler's A nurse is assisting with preparing a poster presentation about the musculoskeletal system. The nurse sho...

A nurse is assisting with the care of a patient who is receiving a unit of packed RBCs The patient has manifestations of ____ as evidenced by the patient's _____- - ANSWER-allergic reaction, itching A nurse in an emergency department (ED) is assisting with the care of a patient. What fin...

A nurse is assisting in the care of a client who is hypovolemic shock. While waiting for a unit of blood, the nurse should plan to administer which of the following IV solutions? - ANSWER-0.9% sodium chloride A nurse is caring for a client who has advanced heart failure Which of the following act...

A nurse is assigned care of a client who has HIV. Which of the following infection control precautions should the nurse plan to use while caring for this client? - ANSWER-Standard precautions. HIV is not spread through cough or casual contact. A nurse is contributing to the plan of care for a cli...

What o2 equipment has the highest level of O2? - ANSWER-Non-rebreather Signs of depression - ANSWER-powerlessness and hopelessness What types of questions should be asked with someone who has asphagia - ANSWER-Closed ended question What should you inspect on a patient who is at risk for pre...

Mood - ANSWER-provides information about the emotion that a client is feeling. Affect - ANSWER-an objective expression of mood, such as flat affect or lack of facial expression. Alert - ANSWER-client is responsive and able to fully respond by opening her eyes and attending to a normal tone of ...

The nurse is using a forced air warmer for a surgical patient preoperatively. Which goals are the nurse trying to achieve? (Select all that apply.) a. Induce shivering. b. Reduce blood loss. c. Induce pressure ulcers. d. Reduce cardiac arrests. e. Reduce surgical site infection. - ANSWER-b...

A nurse is discussing restorative health care with a newly licensed nurse, Which of the following examples should the nurse include in the teaching? - ANSWER-a) Home health care b) Rehabilitation facilities c) Skilled nursing facilities A nurse is explaining the various types of health care cov...

Larry receives a report on mr. white and recognizes that the report is incomplete. which of the following information should the nurse expect to receive when admitting this new client? (select all that apply.) - ANSWER-Medical history Current medications Current allergies Vital signs Mental sta...

A nurse is caring for a client who has a potassium level of 5.4 mEqL. The nurse should assess the client for? A) Hypotension B) Polyuria C)Constipation D)ECG changes - ECG changes A nurse is implementing a bladder training program. Which of the following actions by the assistive personnel...

A nurse is reinforcing information with a client who wishes to complete their advance directives. Which of the following statements should the nurse make? - ANSWER-You can decline to have certain medical procedures performed in your living will. A nurse is reinforcing teaching with a client who ...

hindu post mortem - ANSWER-do not touch the patient's body Vancomycin Resistant Enterococcus (VRE) Methicillin Resistant Enterococcus (MRE); Precaution? PPE? - ANSWER-Contact Precaution Gloves and Gown What is the signs of digoxin toxicity? - ANSWER-blurred vision Patient taking warfari...

Hold medications for tubes if residual is more than - ANSWER-100ml Isotonic IV fluids - ANSWER-*fluid overload *during a surgical procedure *0.9% NS *D5W *lactated ringers Hypotonic IV fluids - ANSWER-*used for cellular dehydration *moves fluid into the cell *0.45% NS Hypertonic I...

Adverse effect of furosemide - ANSWER-Tinnitus, muscle weakness At what age should people start getting occult testing - ANSWER-50, done once yearly Went to receive pneumococcal vaccine? - ANSWER-Around 65 Ear drop administration - ANSWER-lay in a lateral position for at least five minutes ...

A nurse is instilling timilol eyedrops for a client who has glaucoma. What action should the nurse take? - ANSWER-The nurse should press the client nasolacrimal after instilling eyedrops Ratiionale: To prevent the medicine from absorbing into systemic circulation Why should the nurse avoid app...

Patient identifiers - ANSWER--Medical record number -home telephone number What lab values should a nurse monitor for a patient with chronic renal failure? - ANSWER-■ Urinalysis Hematuria, proteinuria, and alterations in specific gravity Serum creatinine - Gradual increase of 1 to 2 mg/dL...

A nurse is caring for a client who has multiple sclerosis and has a new prescription for baclofen. Which of the following findings indicated to the nurse that the medication is having a therapeutic effect? -decreased muscle spasticity -increased urinary output -increased mental alertness -decrea...

A nurse is collecting data for a client who has brittle hair. Which of the following should the nurse determine about the client's nutritional intake? - ANSWER-The client has insufficient protein in their diet (Protein helps promote healthy hair and prevents brittle hair and hair loss) A nur...

Better peripheral perfusion? - ANSWER-Elevate veins, D-Angle Arteries Airborne precautions protective equip - ANSWER-private room, neg pressure with 6-12 air exchanges/hr mask & respirator N95 for TB;measles, chickenpox (varicella) Herpes zoster/shingles TB Droplet precautions - ANSWER-spiderm...

A nurse is caring for an older adult client who has pneumonia. The client's daughter, who cares for her father at home, says to the nurse, "I'm so glad he is here. You can take much better care of him than I can." Which of the following responses should the nurse make? - ANSWER-It is not easy to...

A nurse is counseling an older adult who describes having difficulty dealing with several issues. Which of the following problems verbalized by the client should the nurse identify as the priority for further assessment and intervention? A. "I spent my whole life dreaming about retirement, and now...

A nurse is caring for an 82-year-old client in the emergency department who has an oral body temperature of 38.3° C (101° F), a pulse rate of 114/min, and a respiratory rate of 22/min. He is restless and his skin is warm. Which of the following are appropriate nursing interventions for this clien...

nurse is explaining the differences among the various agencies that address health care. the nurse should not that which of the following are health care regulatory agencies - ANSWER-joint commission, FDA nurse is explaining the various types of health care coverage clients might have to a group ...