ATI Comprehensive Practice 2019 A, RN Comprehensive
Online Practice 2019 B with NGN/300 Questions with
Correct Answers.
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? - -elevate the affected leg
ambulation should be encouraged
-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? - -I
should have my child avoid sun exposure between 10 am and 2 pm
-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? - -I will walk for short distances
throughout the day
-a nurse is providing dietary teaching to the parents of a 6 month old infant. which of
the following instructions should the nurse include? - -Introduce new foods one at a
time over 5 to 7 days
-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? - -Provide a
staff member to stay with the client continuously
can be physically or using an audiovisual device
need to document every 15-30 minutes, a new prescription should be in every 4 hrs for
adults, every 3 hrs for 9-17 years and every hour for those younger
,-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? - -performing a rapid needs assessment
-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? - -tells the
hospital chaplain a clients diagnosis
-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? - -continue observing the fetal heart rate
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? - -provide information about scheduling issues to
the staff
unfreezing stage - increase understanding of why change is needed
-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? - -oranges
can eat citrus fruits
no chicken, no organ meats like liver, no red wine (avoiding purine)
-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? - -the cervix transitions to an
anterior position
,contractions will be felt in the lower abdomen and back, intensity increases with
ambulation, cervix shortens and thins
-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? - -the client is able to accurately describe the upcoming
procedure
-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? - -ask the nurse about their knowledge of the
procedure
-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? - -headaches - can be indicative of a
thromboembolic stroke
-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 - -0.6 mL
-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? - -An assistive personnel
(AP) who is assisting a client to return to bed
-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? - -withhold administering the varicella vaccine to the
child - it is a live vaccine and should not be given
-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
speech pathologist will be performing a swallowing study for you
you should rest before eating meal
thicken your beverage before drinking
-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? - -
temperature 39.4 (102.9)
-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? - -flumazenil
-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? - -audible
stridor
-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? - -set the catheter tray on the overbed table at waist height
-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? - -clear objects from the clients walking
area
-a nurse is providing discharge instructions to a client following a total hip arthroplasty.
which of the following instructions should the nurse include? - -install a raised toilet
seat at home
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