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NURS 251 ATI PROCTORED EXAM 100 ACTUAL EXAM QUESTIONS AND DETAILED CORRECT ANSWERS | A+ GRADE
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NURS 251 ATI PROCTORED EXAM 100 ACTUAL EXAM QUESTIONS AND DETAILED CORRECT ANSWERS | A+ GRADE
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NURS 251 ATI PROCTORED EXAM 100ACTUAL EXAM QUESTIONS AND
DETAILED CORRECT ANSWERS | A+
GRADE
A nurse is caring for a client who is about to receive a unit
of packed RBCs and states, "This is my third unit of blood
today. I don't want to get some disease from all this
blood." Which of the following responses should the nurse
make?
1) "It is impossible for you to get an infection from donor
blood"
2) "Donated blood is carefully screened for infectious
diseases"
3) "The U.S. blood supply is among the safest in the
world"
4) "Why not ask your doctor about other treatment
options?" Correct Answer "Donated blood is carefully
screened for infectious diseases"
A client who is anticipating total hip replacement is
considering autologous transfusion. When teaching this
client about autologous transfusion, it is important to
emphasize that:
1) it reduces the risk of mismatched blood
2) a hemoglobin level above 9.5 mg/dL is required to
receive this transfusion
,3) There is no need to test the blood for infectious
diseases
4) donations can be made every other day Correct Answer
it reduces the risk of mismatched blood
A nurse is caring for a client who requires long-term
central venous access and is an avid swimmer. Which of
the following central venous access devices is the best
choice for this client?
1) a tunneled central catheter
2) an implanted port
3) a nontunneled percutaneous central catheter
4) A peripherally inserted central catheter Correct Answer
an implanted plant (lies beneath the skin)
A nurse in the emergency department is caring for a client
who was in a motor-vehicle crash. The provider
determines that the client needs immediate central venous
access for fluid and blood replacement. Which of the
following central venous access devices should the nurse
anticipate being inserted?
1) A tunneled central catheter
2) an implanted plant
3) a nontunneled percutaneous central catheter
4) A peripherally inserted central catheter Correct Answer
a nontunneled percutaneous central catheter (short term,
used for emergencies)
A nurse is caring for a client who has a central venous
catheter. When flushing the catheter, the nurse should use
a 10 mL syringe to prevent which of the following
,complications associated with central vascular access
devices?
1) Catheter rupture
2) catheter migration
3) Pneumothorax
4) Phlebitis Correct Answer Catheter rupture (larger
syringes limit the risk of generating more pressure when
flushing)
A nurse is caring for a client who has a central venous
access device in place. Which of the following routine
interventions should the nurse use to prevent lumen
occlusion?
1) apply a skin securement device to the catheter
2) remove the dressing from the insertion site slowly and
carefully
3) clamp the tubing before removing a syringe from the
positive pressure end cap
4) have the client lie flat when changing administration
sets or injection caps Correct Answer Clamp the tubing
before removing a syringe from the positive pressure end
cap
A nurse is caring for a client who has a central venous
catheter and suddenly develops dyspnea, tachycardia,
and dizziness. The nurse suspects an air embolism and
clamps the catheter immediately. The nurse should
reposition the client into which of the following positions?
1) Supine with a pillow beneath the knees
2) on their left side in Trendelenburg
3) Upright and leaning over the overbed table
, 4) One their right side with the head of the bed elevated
15 degrees Correct Answer On their left side in
Tredelenburg (traps air in apex of the right atrium rather
than allowing it to enter the right ventricle)
A nurse is caring for a client who has an implanted port
that needs to be accessed for an infusion. Which of the
following actions should the nurse take?
1) use a standard medium-gauge needle to access the
port
2) insert the primed needle into the port at a 45 degree
angle
3) withdraw the needle after insertion, leaving the needle's
sheath in place for infusion
4) Cover the device and the needle with a sterile
transparent dressing Correct Answer Cover device and
the needle with a sterile transparent dressing (needle
needs to be supported and anchored)
A nurse is preparing to obtain a blood sample from a client
who has a triple lumen central catheter in place. Which of
the following actions should the nurse take?
1) Discard the first 35 mL of aspirated blood before
collecting the sample
2) place the client in Trendelenburg while withdrawing the
blood sample
3) withdraw the blood sample from the lumen that has the
smallest diameter
4) Turn off the distal infusions for 1-5 min before obtaining
the blood sample Correct Answer Turn off the distal
infusions for 1-5 min before obtaining the blood sample
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