ATI RN Fundamentals Practice B Proctored

ATI RN Fundamentals Practice B A nurse is caring for a client who reports pain. When documenting the quality of the client's pain on an initial pain assessment, the nurse should record what? A. "I am having mild pain." B. "The pain is like a dull ache in my stomach." C. "I notice it get worse after i eat." D. "The pain makes me nauseous" - ANSWER B. "The pain is like a dull ache in my stomach." A client who is nonambulatory notifies the nurse that his trash can is on fire. After the nurse confirms the presence of the fire, which of the following actions should the nurse take next? A. Activate the emergency fire alarm. B. Extinguish the fire. C. Evacuate the client. D. Confine the fire. - ANSWER C. Evacuate the client. A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. What assessment finding should the nurse expect?A. Neck vein distentionB. Urine specific gravity 1.010C. Rapid heart rateD. Blood pressure 144/82 mmHg - ANSWER C. Rapid heart rate A nurse has accepted a verbal prescription for "three tenths of a milligram of levothyroxine IV stat" for a client who has myxedema coma. How should the nurse transcribe the dosage of this medication in the client's medical record? - ANSWER 0.3 mg A nurse is preparing a heparin infusion for a client who was hospitalized with DVT. The order reads 25,000 unit of heparin in 250 mL of 0.9% sodium chloride to infuse at 800 units/hr. At what rate should the nurse set the infusion pump? (Round to nearest whole number) - ANSWER 8 ml/hr A nurse is caring for a client who has a prescription for wound irrigation. Which of the following actions should the nurse take?A. Wear sterile gloves when removing the old dressing.B. Warm the irrigation solution to 40.5 CC. Cleanse the wound from the center outward.D. Use a 20 mL syringe to irrigate the wound. - ANSWER C. Cleanse the wound from the center outward.