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ATI Practice Q's Exam 1 (NR 224) Exam
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ATI Practice Q's Exam 1 (NR 224) ExamBy the second postoperative day, a
client has not achieved satisfactory pain
relief. Based on this evaluation, which of
the following actions should the nurse
take, according to the nursing process?
A. Reassess the client to
determine the reasons for
inadequate pain relief.
B. Wait to see whether the pain
lessens during the next 24 hr.
C. Change the plan of care
to provide different pain
relief interventions.
D. Teach the client about the plan
of care for managing his pain. - -A. Reassess the client to determine the
reasons for
inadequate pain relief.
-A charge nurse is observing a newly licensed nurse care fro a client who
reports pain. The nurse checked the client's MAR and noted that the last
dose of pain medication was 6 hr ago. The prescription reads every 4 hr PRN
for pain. The nurse administered the medication and checked with the client
40 mins later, when the client reported improvement. The newly licensed
nurse left out which of the following steps of the nursing process?
a. Assessment
b. Planning
c. Intervention
d. Evaluation - -A. Assessment
-A charge nurse is reviewing steps of the nursing process with a group of
nurses. Which of the following data should the charge nurse identify as
objective data (select all that apply)?
A. respiratory rate is 22/min with even, unlabored respirations
B. the client's partner states, "they said they hurt after walking about 10
minutes"
C. the client's pain rating is 3 on a scale of 0 to 10
D. client's skin is pink, warm, and dry
E. the assistive personnel reports that the client walked with a limp - -A.
respiratory rate is 22/min with even, unlabored respirations
D. client's skin is pink, warm, and dry
E. the assistive personnel reports that the client walked with a limp
, -A charge nurse is talking with a newly licensed nurse and is reviewing
nursing interventions that do not require a providers prescription. Which of
the following interventions should the charge nurse include?(select all that
apply)
A. writing a prescription for morphine sulfate as needed for pain
B. inserting a nasogastric (NG) tube to relieve gastric distension
C. showing a client how to use progressive muscle relaxation
D. performing a daily bath after the evening meal
E. repositioning a client every 2 hours to reduce pressure injury risk - -C.
showing a client how to use progressive muscle relaxation
D. performing a daily bath after the evening meal
E. repositioning a client every 2 hours to reduce pressure injury risk
-A nurse is discussing the nursing process with a newly licensed nurse.
Which of the following statements by the newly licensed nurse should the
nurse identify as appropriate for the planning step of the nursing process?
A. "I will determine the most important client problems that we should
address"
B. "I will review past medical history on the client's record to get more
information"
C. "I will carry out the new prescription from the provider."
D. I will ask the client if their nausea has resolved" - -A. "I will determine the
most important client problems that we should address"
-A nurse is caring for a client who is 24 hr postoperative following an
inguinal hernia repair. The client is tolerating clear liquids well, has active
bowel sounds, and is expressing a desire for "real food." The nurse tells the
client, "I will call the surgeon and ask for a change in diet." The surgeon
hears the nurse's report and prescribes a full liquid diet. The nurse used
which of the following levels of critical thinking?
A. Basic
B. Commitment
C. Complex
D. Intergrity - -A. Basic
-A nurse receives a prescription for an antibiotic for a client who has
cellulitis. The nurse checks the client's medical record, discovers that the
client is allergic to the antibiotic, and calls the provider to request a
prescription for a different antibiotic. Which of the following critical thinking
attitudes did the nurse demonstrate?
A. Fairness
B. Responsibility
C. Risk-taking
D. Creativity - -B. Responsibility
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