ATI RN MED SURG PROCTORED 2024,2019 AND
2020 EXAMS TEST BANK 320+ QUESTIONS AND
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Terms in this set (50)
A community health nurse is An irregular border
teaching a group of clients
about melanoma. Which of
the following characteristics
of lesions associated with
melanoma should the nurse
include in the teaching?
One solid color
Symmetrical in shape
Less than 6 mm in diameter
An irregular border
,A home health nurse enters Place the syringe in a puncture-proof disposal container.
a client's home and finds a
used insulin syringe, without
a cap, on the table. Which
of the following actions
should the nurse take?
Recap the needle on the
syringe.
Schedule a nurse to
administer future injections
for this client.
Explain to the client that the
syringe should be disposed
of in the bathroom trash
can.
Place the syringe in a
puncture-proof disposal
container.
A nurse in an emergency Characteristics of the cough and sputum
department is assessing a
client who has extensive The nurse should apply the ABC priority-setting
burns, including on her framework. The nurse's priority assessment is the client's
face. Which of the following cough characteristics. A client who has burns to the face
assessments should the is at risk for pulmonary injury and the development of a
nurse perform first? brassy cough can indicate impending loss of airway
Estimation of burn injury
Characteristics of the cough
and sputum
Extent of peripheral edema
Amount of urine output
,A nurse in an emergency Clear fluid coming from the nares
department is assessing a
client who sustained a fall The nurse should identify cerebrospinal fluid, which
off of a roof. Which of the appears as a clear fluid, coming from the nares or ears
following findings should as an indication of a basilar skull fracture.
the nurse identify as an
indication of a basilar skull
fracture?
A depressed fracture of the
forehead
Clear fluid coming from the
nares
Motor loss on one side of
the body
Bleeding from the top of
the scalp
A nurse in an emergency Ask the client about first aid performed at the scene.
department is caring for a
client who reports the first action the nurse should take is to assess the first
developing severe right eye aid that was performed at the scene to determine if eye
pain with a gritty sensation irrigation was administered.
while sawing wood. Which
of the following actions
should the nurse take first?
A. Instill proparacaine
hydrochloride eyedrops.
B. Perform ocular irrigation
of the right eye.
C. Place the client in a
supine position with the
head turned toward the
affected side.
D. Ask the client about first
aid performed at the scene.
, A nurse in the emergency Blood glucose level
department is caring for a
client who has fruity breath
odor, dry mouth, and
extreme thirst. Which of the
following assessments
should the nurse make?
Blood glucose level
Pupillary reaction to light
Deep tendon reflexes
Liver function tests
A nurse is assessing a client Chest petechiae
who has a fractured left
femur and is in skeletal The nurse should identify chest petechiae as an
traction. Which of the indication of fat embolism syndrome. Clients who have
following findings should fractures of the long bones, such as the femur, are at
the nurse report to the increased risk for fat emboli. Fat emboli typically occur
provider? 12 to 48 hr after the injury when fat droplets from the
marrow enter into the systemic circulation and are
Ecchymosis of the thigh deposited in the lungs. The nurse should immediately
Serous drainage at the pin notify the provider because the client could progress
site into acute respiratory failure.
Chest petechiae
Muscle spasms in the left
leg
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