ATI RN CONCEPT BASED ASSESSMENT LEVEL 1 ONLINE PRACTICE A 2022/2023.

ATI RN CONCEPT BASED ASSESSMENT LEVEL 1 ONLINE PRACTICE A 2022/2023. Clinical manifestations of heart failure - cool extremities 6 month infant has bacterial pneumonia. clinical manifestations of b. pneumonia - nasal flaring Acute asthma exacerbation what actions should the nurse take first - apply humidified oxygen with a simple mask Diabetes foot care - ill wash my feet everyday with soap and lukewarm water Decreased urinary output. what findings should be identified as a risk factor for the development of pyelonephritis? - diabetes mellitus Acute cholecystitis (select all) - fever, dyspepsia, and eructation Client has appendicitis. what actions should the nurse take - place the client in semifowler's position Caring for a client following collection of admission data. what should the nurse identify as a priority? - client reports coughing and a change of voice whenever he eats Client has respiratory acidosis due to opioid oversedation - ensure the patient airway using a chin-lift maneuver Which client is at risk for developing respiratory acidosis? - client who has abdominal ascites? Teaching about newborns and crib use - dressing your baby in a one-piece sleeper for bedtime will replace the need to use a blanket or sheet Findings that indicate a therapeutic response to anti hyperlipidemia medication - HDL 50 mg/dL Teaching to parents about epinephrine auto-injector - "give a second injection if the first fails to reverse your child's symptoms" Client is experiencing a panic attack - stay with the client until manifestations subside Mix NPH insulin and insulin steps - cloudy, clear, clear, cloudy Gastroenteritis with dehydration. which med should the nurse administer? - ondansetron Adverse effect of acetaminophen - elevated aspartate aminotransferase levels Potassium level of 6 mEq/L would cause ECG to look like what? - Tall T waves 6 month old infant with mild dehydration - capillary refill greater than 2 seconds Acute pyelonephritis findings - urinary burning A client has COPD and a resp. rate of 22 and reports SOB. what would the nurse do - place the client in high-fowlers position A client has metabolic acidosis due to salicylate overdose. what findings should the nurse expect? - flushed, dry skin Hypermagnesemia clinical manifestation - bradycardia Client has external fixator to the right lower arm, what would indicate that the client has compartment syndrome? - numbness of the fingers on the right arm A client has AIDS, what lab data would determine if the client is at risk for malnutrition - albumin level Client is 1 hour post op from open carpal tunnel release to treat injury - elevate the client's arm above the heart Discharge teaching for the parent of a newborn - "do not bathe your new born immediately after she eats" A client is at 13 weeks gestation with hyperemesis gravidarum - "drink fluids between, rather than with, meals" Client has calcium oxalate renal calculi. what would u teach them - "limit the amount of spinach in your diet" A school age child has asthma and SOB. what findings would be priority? - inaudible lung sounds An adolescent client has a skin infection caused by MRSA - "I will soak in a bathtub filled one-fourth full of water and one-half cup of bleach" An adolescent has infectious mononucleosis. what would be a manifestation of this - onset of abdominal pain A client is experiencing an asthma attack. what would the nurse use to assess the client's respiratory status - peak expiratory flow meter testing A nurse is teaching a client about foot care with peripheral neuropathy - "file your toenails straight across to prevent ingrown toenails" Clinical manifestations of heat stroke - oliguria A client has a sodium level of 124 mEq/L, what manifestations should the nurse expect? - orthostatic hypotension A client's parent recently died. what would place the client at risk for maladaptive grieving? - the client lost his house in a fire one month ago The parent has a child with pediculosis capitis. what would the nurse tell the parent? - to comb the child's hair daily with an extra fine tooth comb A parent has a child with scabies. what would the parent say to indicate understanding of teaching? - "i should wash my child's bed linens and clothing in hot water and detergent" A client has peripheral arterial disease. what would be a finding of this? - dependent rubor A nurse is providing teaching to a client with MRSA. what would be an understanding of this disease for the client to say? - "I will wash all uninfected skin areas with a fresh washcloth" What would be a manifestation that the nurse should expect for an infant who might have otitis media? - enlarged postauricular lymph nodes A client has hyperthyroidism and has been taking methimazole for 6 months. what indicates a therapeutic response? - the client reports sleeping longer during the night Metabolic alkalosis would give u what lab value? - potassium 3 mEq/L A client is going in for a laproscopic appendectomy. which of the findings would the nurse report? - report of urinating small amounts twice daily a client has severe hypothermia. which actions should the nurse take - contact a specialized team to place the client on cardiopulmonary bypass a client has cellulitis in a lower extremity. what action should the nurse take? - elevate the extremity above heart level a client has frostbite to the fingers and toes, what would the nurse include in the teaching about frostbite? - place the affected areas of frostbite in a warm water bath a young female client has GAD and is taking clonazepam. what would the nurse include in the teaching? - "this medication could cause you to have thoughts of self-harm" what is a manifestation of respiratory acidosis? - confusion a client has a subdermal implant placed for contraception. what are the adverse effects of this? - irregular bleeding which of the following is a risk factor for peptic ulcers? - long term use of NSAIDs a client has been practicing adaptive use of coping mechanisms. which one indicates the client's use of suppression? - "I avoid thinking about my problems that worry me until I have time to focus on a solution" a client has osteoporosis. what should be included in the teaching? - perform exercises to strengthen the abdominal core a client has hyperventilation. the client's ABG results are "7.5 pH, 29 mm Hg PaCO2, and 25 mEq/L HCO3-" what can be interpreted? - Respiratory alkalosis a client has hyperglycemic-hyperosmolar state related to complications of diabetes - hypotension a client has recently lost his partner to a terminal illness. the client asks how his 4 year old son should react to this death. - A preschooler often believes that death is reversible which of the communicable diseases diseases require reporting? - gonorrhea a client has osteoarthritis. what would the nurse include in teaching about exercise? - perform exercise even on d ays when joints are painful which area should the nurse assess on a patient with cholelithiasis? - A -- RUQ Which would suggest that a client's nutritional status is improving? - 1 kg weight gain over the past 2 days a client has AIDS and is experiencing anorexia. which would the provider prescribe to the client? - megestrol (increases appetite) a client has renal calculi. what would cause the nurse to notify the provider immediately? - oliguria with bladder distention a client is taking atorvastatin. which would suggest the medication is having an adverse effect? - aspartate aminotransferase (AST) 45 units/L.