ATI RN COMPREHENSIVE PREDICTOR 2024/ RN ATI COMPREHEN
M! M! M! M! M ! M! M!
SIVE FINAL EXAM RECENT UPDATE
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QUESTIONS AND VERIFIED SOLUTIONS WITH RATIONALLES / A M! M! M! M! M! M! M!
LREADY GRADED A+ M! M!
1. A nurse in a pediatric unit is preparing to insert an IV catheter for 7-
M! M! M! M! M! M! M! M! M! M! M! M! M! M!
year-old. Which of the following actions should the nurse take?
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A. (Unable to read) M! M!
B. Tell the child they will feel discomfort during the catheter insertion.
M! M! M! M! M! M! M! M! M! M!
C. Use a mummy restraint to hold the child during the catheter insertion.
M! M! M! M! M! M! M! M! M! M! M!
D. Require the parents to leave the room during the procedure.
M! M! M! M! M! M! M! M! M!
2. A nurse is caring for a client who has arteriovenous fistula Which of
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the following findings should the nurse report?
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A. Thrill upon palpation.
M! M!
B. Absence of a bruit. M! M! M!
C. Distended blood vessels M! M!
D. Swishing sound upon auscultation.M! M! M!
3. A nurse is providing discharge teaching for a client who has an
M! M! M! M! M! M! M! M! M! M! M! M !
implantable cardioverter defibrillator which of the following statem
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ents demonstrates understanding of the teaching?
M! M ! M! M! M!
A. “I M! will soak in the tub rather and showering”
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B. “I M! will wear loose clothing around my ICD”
M! M! M! M! M! M!
C. “I M! will stop using my microwave oven at home because of my ICD”
M! M! M! M! M! M! M! M! M! M! M!
D. “I M! can hold my cellphone on the same side of my body as the ICD”
M! M! M! M! M! M! M! M! M! M! M! M! M!
4. A nurse is caring for a client who is at 14 weeks gestation and re
M ! M ! M ! M ! M! M! M ! M ! M ! M! M ! M ! M ! M !
ports feelings of ambivalence about being pregnant. Which of the followin
M! M ! M! M ! M ! M ! M ! M ! M! M !
g responses should the nurse make?
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A. “Describe your feelings to me about being pregnant”
M! M! M! M! M! M! M!
B. “You should discuss your feelings about being pregnant with yo
M! M! M! M! M! M! M! M! M!
ur provider” M!
C. “Have you discussed these feelings with your partner?”
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D. “When did you start having these feelings?”
M! M! M! M! M! M!
5. A nurse is planning care for a client who has a prescription for a bowel-
M! M! M! M ! M! M! M! M! M! M! M! M! M! M!
M!training program following a spinal cord injury. Which of the following act
M! M ! M ! M ! M ! M ! M ! M ! M ! M ! M !
ionsshould the nurse include in the plan of care?
M ! M! M! M! M! M! M! M!
A. Encourage a maximum fluid intake of 1,500 ml per day.
M! M! M! M! M! M! M! M! M!
B. Increase the amount of refined grains in the client’s diet.
M! M! M! M! M! M! M! M! M!
C. Provide the client with a cold drink prior to defecation.
M! M! M! M! M! M! M! M! M!
, D. Administer a rectal suppository 30 minutes prior to schedule
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d defecation times.
M ! M!
6. A nurse is caring for a client who is in active labor and requests
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pain management. Which of the following actions should the nurse
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take?
M!
A. Administer ondansetron. M!
B. Place the client in a warm shower.
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C. Apply fundal pressure during contractions.
M! M! M! M!
D. Assist the client to a supine position.
M! M! M! M! M! M!
7. a nurse in an emergency department is performing triage for multiple client
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s following a disaster in the community. To which of the following types of inj
M! M! M! M! M! M! M! M! M! M! M! M! M! M!
uries should the nurse assign the highest priority?
M! M! M! M! M! M! M!
A. Below-the knee amputation M! M!
B. Fractured tibia M!
C. 95% full-thickness body burn
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D. 10cm (4in) laceration to the forearm
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8. a nurse manager is updating protocols for the use of belt restraints. Whi
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chof the following guidelines should the nurse include?
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A. Remove the client’s restraint every 4hr
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B. Document the client’s condition every 15 min
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C. Attach the restrain to the bed’s side rails
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D. Request a PRN restrain prescription for clients who are aggressive
M! M! M! M! M! M! M! M! M!
9. A nurse is teaching an in-
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service about nursing leadership. Which of the following information sho
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uld the nurse include about an effective leader?
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A. Acts as an advocate for the nursing unit.
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B. (Unable to read) for the unitM! M! M! M! M!
C. Priorities staff request over client needs.
M! M! M! M! M!
D. Provides routine client care and documentation.
M! M! M! M! M!
10. A nurse is reviewing the laboratory findings of a client who has diabet
M ! M ! M! M ! M ! M ! M ! M! M! M ! M ! M!
es mellitus and reports that she has been following her (unable to read) care.
M! M! M! M! M! M! M! M! M! M! M! M! M! M
The nurse should identify which of the following findings indicates a need t
! M! M! M! M! M ! M! M ! M! M! M ! M! M!
orevise the client’s plan of care.
M! M ! M! M! M!
A. Serum sodium 144 mEq/ M! M! M!
B. (Unable to read) M! M!
C. Hba1c 10 % M! M!
, D. Random serum glucose 190 mg/dl. M! M! M! M!
11. A nurse in a provider’s office is reviewing the laboratory results of a
M! M! M! M! M! M! M! M! M! M! M! M!
group of clients. The nurse should identify that which of the following se
M ! M! M! M! M ! M ! M! M! M ! M ! M! M ! M !
xually transmitted infections is a nationally notifiable infectious disease tha
M! M ! M ! M ! M ! M ! M ! M ! M !
t should be reported to the state health department?
M ! M ! M! M! M! M! M! M!
A. Chlamydia
B. Human papillomavirus M!
C. Candidiasis
D. Herps simplex virus M! M!
12. A nurse is teaching a newly licensed nurse about therapeutic techniquesto use
M! M! M! M! M! M! M! M! M! M! M! M
!when leading a group on a mental health unit. Which of the following gro
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up facilitation techniques should the nurse include in the teaching?
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A. Share personal opinions to help influence the group’s values
M! M! M! M! M! M! M! M!
B. Measure the accomplishments of the group against a previous group
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C. Yield in situations of conflicts to maintain group harmony
M! M! M! M! M! M! M! M!
D. Use modeling to help the clients improve their interpersonal skills
M! M! M! M! M! M! M! M! M!
13. A nurse is planning for a client who practices Orthodox Judaism. The cl
M! M! M! M! M! M! M! M! M! M! M! M!
ient tells the nurse that (Unable to read) Passover holiday. Which of the follo
M! M! M! M! M! M! M! M! M! M! M! M! M!
wing action should the nurse include in the plan of care?
M! M ! M ! M ! M ! M! M ! M ! M! M!
A. Provide chicken with cream sauce.
M! M! M! M!
B. Avoid serving fish with fins and scales.
M! M! M! M! M! M!
C. Provide unleavened bread. M! M!
D. Avoid serving foods containing lamb.
M! M! M! M!
14. A nurse is caring for a client who has a pulmonary embolism. The nurse sh
M! M! M! M! M! M! M! M! M! M! M! M! M! M!
ould identify the effectiveness of the treatment
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A. A chest x-ray reveals increased density in all fields.
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B. The client reports feeling less anxious.
M! M! M! M! M!
C. Diminished breath sounds are auscultated bilaterally
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D. ABG results include Ph 7.48 PaO2 77 mm Hg and PaCO2 47 mm Hg.
M! M! M! M! M! M! M! M! M! M! M! M! M!
15. A nurse in an emergency department is assessing a client who reports
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ingesting thirty diazepam tablets (Unable to read) a respiratory rate of
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10/min. After securing the client’s airway and initiating an IV, which o
M! M ! M ! M ! M! M ! M ! M ! M! M ! M !
f the following actions should the nurse do next.
M! M ! M! M! M! M! M! M!
A. Monitor the client’s IV site for thrombophlebitis.
M! M! M! M! M! M!
, B. Administer flumazenil to the client. M! M ! M! M !
C. Evaluate the client for further suicidal behavior.
M! M! M! M! M! M!
D. Initiate seizure precautions for the client.
M! M! M! M! M!
16. A nurse in an emergency department is caring for a client who report
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s cocaine use 1hr ago. Which of the following findings should the nurs
M! M! M! M! M! M! M! M ! M! M! M! M!
e expect?
M!
A. Hypotension
B. Memory loss M!
C. Slurred speech M!
D. Elevated temperature M !
17. A nurse is assessing a newborn who has a blood glucose level of 30 m
M! M! M! M! M! M! M! M! M! M! M! M! M! M!
g/dl. Which of the following manifestations should the nurse expect?
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A. Loose stools M!
B. Jitteriness
C. Hypertonia
D. Abdominal distention M !
18. A nurse in a pediatric clinic is reviewing the laboratory test results of a
M! M! M! M! M! M! M! M! M! M! M! M! M!
M!school age child. Which of the following findings should the nurse report
M! M ! M ! M ! M ! M ! M ! M ! M ! M ! M ! M
!tothe provider?M !
A. Hgb 12.5 g/dl M! M!
B. Platelets 250,000/mm3 M!
C. Hct 40% M!
D. WBC 14,000/mm3 M !
19. A charge nurse is teaching a newly licensed nurse about clients designating
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a health care proxy in situations that require a durable power of attorney for heal
! M! M! M! M! M! M! M! M! M! M! M! M! M! M!
care (DPSHC). Which of the following information should the charge nurse in
M! M! M ! M ! M! M ! M! M ! M! M! M! M!
clude?
A. “The proxy should make health care decisions for the client regardless of
M! M! M! M! M! M! M! M! M! M! M! M!
the client’s ability to do so.”
M! M! M! M! M!
B. “The proxy can make financial decisions if the need arises.”
M! M! M! M! M! M! M! M! M!
C. “The proxy can make treatment decisions if the client is und
M! M! M! M! M! M! M! M! M! M!
er anesthesia.”
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D. “The proxy should manage legal issues for the client.”
M! M! M! M! M! M! M! M!
20. A nurse in the PACU is caring for a client who reports nausea. Which of th
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e following actions should the nurse take first?
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SIVE FINAL EXAM RECENT UPDATE
M! M! M! M!
QUESTIONS AND VERIFIED SOLUTIONS WITH RATIONALLES / A M! M! M! M! M! M! M!
LREADY GRADED A+ M! M!
1. A nurse in a pediatric unit is preparing to insert an IV catheter for 7-
M! M! M! M! M! M! M! M! M! M! M! M! M! M!
year-old. Which of the following actions should the nurse take?
M! M ! M ! M ! M ! M ! M ! M ! M !
A. (Unable to read) M! M!
B. Tell the child they will feel discomfort during the catheter insertion.
M! M! M! M! M! M! M! M! M! M!
C. Use a mummy restraint to hold the child during the catheter insertion.
M! M! M! M! M! M! M! M! M! M! M!
D. Require the parents to leave the room during the procedure.
M! M! M! M! M! M! M! M! M!
2. A nurse is caring for a client who has arteriovenous fistula Which of
M! M! M! M! M! M! M! M! M! M! M! M! M!
the following findings should the nurse report?
M! M! M! M! M! M!
A. Thrill upon palpation.
M! M!
B. Absence of a bruit. M! M! M!
C. Distended blood vessels M! M!
D. Swishing sound upon auscultation.M! M! M!
3. A nurse is providing discharge teaching for a client who has an
M! M! M! M! M! M! M! M! M! M! M! M !
implantable cardioverter defibrillator which of the following statem
M ! M ! M ! M ! M! M! M !
ents demonstrates understanding of the teaching?
M! M ! M! M! M!
A. “I M! will soak in the tub rather and showering”
M! M! M! M! M! M! M!
B. “I M! will wear loose clothing around my ICD”
M! M! M! M! M! M!
C. “I M! will stop using my microwave oven at home because of my ICD”
M! M! M! M! M! M! M! M! M! M! M!
D. “I M! can hold my cellphone on the same side of my body as the ICD”
M! M! M! M! M! M! M! M! M! M! M! M! M!
4. A nurse is caring for a client who is at 14 weeks gestation and re
M ! M ! M ! M ! M! M! M ! M ! M ! M! M ! M ! M ! M !
ports feelings of ambivalence about being pregnant. Which of the followin
M! M ! M! M ! M ! M ! M ! M ! M! M !
g responses should the nurse make?
M ! M! M! M! M!
A. “Describe your feelings to me about being pregnant”
M! M! M! M! M! M! M!
B. “You should discuss your feelings about being pregnant with yo
M! M! M! M! M! M! M! M! M!
ur provider” M!
C. “Have you discussed these feelings with your partner?”
M! M! M! M! M! M! M!
D. “When did you start having these feelings?”
M! M! M! M! M! M!
5. A nurse is planning care for a client who has a prescription for a bowel-
M! M! M! M ! M! M! M! M! M! M! M! M! M! M!
M!training program following a spinal cord injury. Which of the following act
M! M ! M ! M ! M ! M ! M ! M ! M ! M ! M !
ionsshould the nurse include in the plan of care?
M ! M! M! M! M! M! M! M!
A. Encourage a maximum fluid intake of 1,500 ml per day.
M! M! M! M! M! M! M! M! M!
B. Increase the amount of refined grains in the client’s diet.
M! M! M! M! M! M! M! M! M!
C. Provide the client with a cold drink prior to defecation.
M! M! M! M! M! M! M! M! M!
, D. Administer a rectal suppository 30 minutes prior to schedule
M! M! M! M! M! M! M! M!
d defecation times.
M ! M!
6. A nurse is caring for a client who is in active labor and requests
M! M! M! M! M! M! M! M! M! M! M! M! M! M!
pain management. Which of the following actions should the nurse
M! M ! M ! M! M ! M ! M ! M! M !
take?
M!
A. Administer ondansetron. M!
B. Place the client in a warm shower.
M! M! M! M! M! M!
C. Apply fundal pressure during contractions.
M! M! M! M!
D. Assist the client to a supine position.
M! M! M! M! M! M!
7. a nurse in an emergency department is performing triage for multiple client
M! M! M! M! M! M! M! M! M! M! M!
s following a disaster in the community. To which of the following types of inj
M! M! M! M! M! M! M! M! M! M! M! M! M! M!
uries should the nurse assign the highest priority?
M! M! M! M! M! M! M!
A. Below-the knee amputation M! M!
B. Fractured tibia M!
C. 95% full-thickness body burn
M! M! M!
D. 10cm (4in) laceration to the forearm
M! M! M! M! M!
8. a nurse manager is updating protocols for the use of belt restraints. Whi
M! M! M! M! M! M! M! M! M! M! M! M!
chof the following guidelines should the nurse include?
M! M! M ! M ! M! M ! M!
A. Remove the client’s restraint every 4hr
M! M! M! M! M!
B. Document the client’s condition every 15 min
M! M! M! M ! M! M!
C. Attach the restrain to the bed’s side rails
M! M! M! M! M! M! M!
D. Request a PRN restrain prescription for clients who are aggressive
M! M! M! M! M! M! M! M! M!
9. A nurse is teaching an in-
M! M! M! M! M!
service about nursing leadership. Which of the following information sho
M! M! M! M! M! M! M! M ! M !
uld the nurse include about an effective leader?
M ! M ! M ! M ! M ! M ! M !
A. Acts as an advocate for the nursing unit.
M! M! M! M! M! M! M!
B. (Unable to read) for the unitM! M! M! M! M!
C. Priorities staff request over client needs.
M! M! M! M! M!
D. Provides routine client care and documentation.
M! M! M! M! M!
10. A nurse is reviewing the laboratory findings of a client who has diabet
M ! M ! M! M ! M ! M ! M ! M! M! M ! M ! M!
es mellitus and reports that she has been following her (unable to read) care.
M! M! M! M! M! M! M! M! M! M! M! M! M! M
The nurse should identify which of the following findings indicates a need t
! M! M! M! M! M ! M! M ! M! M! M ! M! M!
orevise the client’s plan of care.
M! M ! M! M! M!
A. Serum sodium 144 mEq/ M! M! M!
B. (Unable to read) M! M!
C. Hba1c 10 % M! M!
, D. Random serum glucose 190 mg/dl. M! M! M! M!
11. A nurse in a provider’s office is reviewing the laboratory results of a
M! M! M! M! M! M! M! M! M! M! M! M!
group of clients. The nurse should identify that which of the following se
M ! M! M! M! M ! M ! M! M! M ! M ! M! M ! M !
xually transmitted infections is a nationally notifiable infectious disease tha
M! M ! M ! M ! M ! M ! M ! M ! M !
t should be reported to the state health department?
M ! M ! M! M! M! M! M! M!
A. Chlamydia
B. Human papillomavirus M!
C. Candidiasis
D. Herps simplex virus M! M!
12. A nurse is teaching a newly licensed nurse about therapeutic techniquesto use
M! M! M! M! M! M! M! M! M! M! M! M
!when leading a group on a mental health unit. Which of the following gro
M ! M ! M ! M ! M ! M ! M ! M ! M ! M ! M ! M ! M !
up facilitation techniques should the nurse include in the teaching?
M! M ! M ! M ! M ! M ! M ! M ! M !
A. Share personal opinions to help influence the group’s values
M! M! M! M! M! M! M! M!
B. Measure the accomplishments of the group against a previous group
M! M! M! M! M! M! M! M! M!
C. Yield in situations of conflicts to maintain group harmony
M! M! M! M! M! M! M! M!
D. Use modeling to help the clients improve their interpersonal skills
M! M! M! M! M! M! M! M! M!
13. A nurse is planning for a client who practices Orthodox Judaism. The cl
M! M! M! M! M! M! M! M! M! M! M! M!
ient tells the nurse that (Unable to read) Passover holiday. Which of the follo
M! M! M! M! M! M! M! M! M! M! M! M! M!
wing action should the nurse include in the plan of care?
M! M ! M ! M ! M ! M! M ! M ! M! M!
A. Provide chicken with cream sauce.
M! M! M! M!
B. Avoid serving fish with fins and scales.
M! M! M! M! M! M!
C. Provide unleavened bread. M! M!
D. Avoid serving foods containing lamb.
M! M! M! M!
14. A nurse is caring for a client who has a pulmonary embolism. The nurse sh
M! M! M! M! M! M! M! M! M! M! M! M! M! M!
ould identify the effectiveness of the treatment
M! M! M! M ! M! M!
A. A chest x-ray reveals increased density in all fields.
M! M! M! M! M! M! M! M!
B. The client reports feeling less anxious.
M! M! M! M! M!
C. Diminished breath sounds are auscultated bilaterally
M! M! M! M! M !
D. ABG results include Ph 7.48 PaO2 77 mm Hg and PaCO2 47 mm Hg.
M! M! M! M! M! M! M! M! M! M! M! M! M!
15. A nurse in an emergency department is assessing a client who reports
M! M! M! M! M! M! M! M! M! M! M! M!
ingesting thirty diazepam tablets (Unable to read) a respiratory rate of
M! M ! M ! M! M ! M! M! M! M! M! M!
10/min. After securing the client’s airway and initiating an IV, which o
M! M ! M ! M ! M! M ! M ! M ! M! M ! M !
f the following actions should the nurse do next.
M! M ! M! M! M! M! M! M!
A. Monitor the client’s IV site for thrombophlebitis.
M! M! M! M! M! M!
, B. Administer flumazenil to the client. M! M ! M! M !
C. Evaluate the client for further suicidal behavior.
M! M! M! M! M! M!
D. Initiate seizure precautions for the client.
M! M! M! M! M!
16. A nurse in an emergency department is caring for a client who report
M! M! M! M! M ! M! M! M ! M! M! M! M!
s cocaine use 1hr ago. Which of the following findings should the nurs
M! M! M! M! M! M! M! M ! M! M! M! M!
e expect?
M!
A. Hypotension
B. Memory loss M!
C. Slurred speech M!
D. Elevated temperature M !
17. A nurse is assessing a newborn who has a blood glucose level of 30 m
M! M! M! M! M! M! M! M! M! M! M! M! M! M!
g/dl. Which of the following manifestations should the nurse expect?
M! M ! M! M ! M ! M ! M! M ! M !
A. Loose stools M!
B. Jitteriness
C. Hypertonia
D. Abdominal distention M !
18. A nurse in a pediatric clinic is reviewing the laboratory test results of a
M! M! M! M! M! M! M! M! M! M! M! M! M!
M!school age child. Which of the following findings should the nurse report
M! M ! M ! M ! M ! M ! M ! M ! M ! M ! M ! M
!tothe provider?M !
A. Hgb 12.5 g/dl M! M!
B. Platelets 250,000/mm3 M!
C. Hct 40% M!
D. WBC 14,000/mm3 M !
19. A charge nurse is teaching a newly licensed nurse about clients designating
M! M! M! M! M! M! M! M! M! M! M! M
a health care proxy in situations that require a durable power of attorney for heal
! M! M! M! M! M! M! M! M! M! M! M! M! M! M!
care (DPSHC). Which of the following information should the charge nurse in
M! M! M ! M ! M! M ! M! M ! M! M! M! M!
clude?
A. “The proxy should make health care decisions for the client regardless of
M! M! M! M! M! M! M! M! M! M! M! M!
the client’s ability to do so.”
M! M! M! M! M!
B. “The proxy can make financial decisions if the need arises.”
M! M! M! M! M! M! M! M! M!
C. “The proxy can make treatment decisions if the client is und
M! M! M! M! M! M! M! M! M! M!
er anesthesia.”
M !
D. “The proxy should manage legal issues for the client.”
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20. A nurse in the PACU is caring for a client who reports nausea. Which of th
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e following actions should the nurse take first?
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