Question:-a nurse at a crisis center is meeting with a client who reports that his adolescent daughter
has been increasingly defiant since his divorce 2 years ago. the client states, "i'm so stressed that i can't
take this anymore." which of the following actions should the nurse take first?
a. ...
RN ATI concept-based assessment, proctored exam for level 3|Test Bank RN Concept-Based Assessment Level 3 Online Practice A ATI RN concept Based assessment level 3 practice b RN Concept Level 3 Practice A RN Concept Level 3 Practice B Question:-A nurse is planning medication teaching for a client who has erectile dysfunction. Which of the following medications should the nurse plan to include in the teaching? {{Correct Ans- sildenafil - 1st line Question:-A nurse is caring for a client who has gestational hypertension and is experiencing postpartum hemorrhage. Which of the following medications should the nurse anticipate administering? {{Correct Ans- misoprostol - or oxytocin Question:-A nurse is assessing a 7-month-old infant who is experiencing development delays. Which of the following findings should the nurse expect? {{Correct Ans- restricts attention to lage objects - sensory development delay - regular: focus on very small objects Question:-A nurse is caring for a client who is being seen for infertility and has a new prescription for clomiphene citrate. Which of the following manifestations should the nurse include in the teaching as a common adverse effect of the medication? {{Correct Ans- you might have breast tenderness while taking the medication - common adverse effect - dry mouth - hot flashes Question:-A nurse is discussing palliative care with the family of a client who is terminally ill. Which of the following information should the nurse include? {{Correct Ans- palliative care includes a variety of therapies - holistic - level of comfort - enhance QOL Question:-A nurse is caring for a client who is experiencing hypovolemic shock due to postpartum hemorrhage. After notifying the provider, which of the following actions should the nurse take next? {{Correct Ans- massage the client's fundus - expel clots and promote contractions Question:-A nurse in a provider's office is performing a skin assessment on a client who reports concerns about a lesion on her back. Which of the following images should the nurse identify as having the characteristic of melanoma? {{Correct Ans- irregularly shaped lesions that contains a combination of colors, red, black, blue, brown Question:-A nurse is assessing a client who is at 24 weeks of gestation. Which of the following findings should the nurse identify as an indication of gestational hypertension? {{Correct Ans- diastolic blood pressure 98 mmHg - > 140 - > 90 Question:-A nurse in a mental health facility is caring for a client who has anorexia nervosa. Which of the following actions should the nurse take to help the client manage this eating disorder? (Select all that apply) {{Correct Ans- limit the client's intake of caffeine suggest high-fiber food choices use increments of 100 calories when advancing the client's dietary intake Question:-A school nurse is observing a preschooler who has autism spectrum disorder (ASD). Which of the following behavioral characteristics should the nurse expect the child to exhibit? {{Correct Ans- ritualistic - repeated - self-mutilation Question:-A nurse is caring for a newborn who has a congenital heart defect and is postoperative following a cardiac catheterization. Which of the following actions should the nurse take? {{Correct Ans- monitor the color of the affected extremity Question:-A nurse is discussing family planning with a client who wants to use a diaphragm for contraception. Which of the following statements should the nurse include in the teaching? {{Correct Ans- you should be refitted for your diaphragm after a 20% weight fluctuation Question:-A nurse is assessing a client who is at 34 weeks of gestation and is experiencing severe uterine pain. Which of the following findings should the nurse report to the provider? {{Correct Ans- increased fundal height since admission - placental abruption Question:-A nurse is providing teaching to a client who has epilepsy and is starting to take carbamazepine. The nurse should instruct the client to monitor for which of the following manifestations as an adverse effect of this medication? {{Correct Ans- blurred vision - adverse effect - urinary hesitancy - drowsiness - weight gain Question:-A nurse in an acute care mental health unit is caring for a newly admitted client who has OCD. The client is repeatedly washing her hands. Which of the following action should the nurse take? {{Correct Ans- teach the client to use thought-stopping techniques - interrupt - structured activities Question:-A nurse is assessing a client who has acute pyelonephritis. The nurse should identify which of the following findings as an indication of inflammation? {{Correct Ans- redness on the right flank - not BUN Question:-A nurse is assessing a 12-month-old infant who has Down syndrome. Which of the following manifestations should the nurse expect? {{Correct Ans- decreased muscle tone - short, broad neck - small ears Question:-A nurse is caring for a newly-admitted client who is at 37 weeks of gestation and is experiencing moderate placental abruption. Which of the following actions should the nurse take? {{Correct Ans- insert a large bore IV Question:-A nurse is caring for a client who has schizophrenia. Which of the following statements made by the client indicates delusions of reference? {{Correct Ans- someone is trying to get a message to me through this newspaper - directed at the client Question:-A nurse is assessing a client who has inflammatory bowel disease and is 1 day post-op following a permanent ileostomy placement. Which of the following findings should the nurse report to the provider? {{Correct Ans- the stoma is retracted into the abdominal wall Question:-A staff nurse tells the nurse manger that he consistently receives work assignments with a heavier work load than the other nurses on the shift. Which of the following actions should the nurse manager take to address the staff nurses's report of bullying? {{Correct Ans- check work assignments to validate the staff nurse's claim - then address Question:-A nurse is assessing a group of clients who have personality disorders. Which of the following clients should the nurse identify as having characteristics of schizoid personality disorder? {{Correct Ans- a client who dislikes having close relationships with other people Question:-A nurse is providing teaching to the family member of a client who has delirium. Which of the following information should the nurse include? {{Correct Ans- delirium can be brought on by the stress of an illness Question:-A nurse is caring for a client who is receiving chemotherapy for Non-Hodkin's lymphoma. Which of the following actions should the nurse take? {{Correct Ans- instruct the client to wash drinking glasses after each use - remove bacteria Question:-A nurse is assessing a client who has rheumatoid arthritis (RA) and has been taking methotrexate for 4 months. Which statement by the client indicates to the nurse that the medication is effective? {{Correct Ans- i have been able to go outside for walks lately Question:-A nurse is providing discharge teaching about home management strategies to a client who has MS. Which of the following client statements indicates an understanding of the teaching? {{Correct Ans- i should schedule rest breaks between activities - increased temp: exacerbate Question:-A nurse is assessing a client who has acute glomerulonephritis. Which of the following findings should the nurse expect? {{Correct Ans- rust-colored urine - expect - weight gain
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