NGN ATI PN FUNDAMENTALS VERIFIED EXAM

A nurse is assisting with the plan of care for a client who has aspiration pneumonia and hypoxia. Which of the following actions should the nurse plan to take? Initiate fall precautions • A nurse is caring for an older adult client immediately following a bronchoscopy with biopsy.Which of the following is the priority action the nurse should take? Check for gag reflex (NPO) • A nurse is reinforcing health promotion education at a community health fair. Which of the following statements by attendees indicates understanding of the teaching? ―I will examine my breasts a week after each menstrual period‖ • A nurse is collecting data from a client who had a long arm cast applied 2 hr ago. Which of the following findings of the affected extremity should the nurse report to the provider immediately? The clients fingers are cool to the touch (Circulation) • A nurse in a long term care facility is collecting data from an older adult client. Which of the following findings indicates that the client might be dehydrated? Recent onset of confusion • A nurse in a long term care unit is assisting in the care of a client who has Alzhiemers disease. Which of the following actions should the nurse take? Participate in reminiscence therapy with the client A nurse is caring for a client who is postoperative following a right radical mastectomy. Which of the following actions should the nurse take to prevent the development of lymphedema? Use the clients left arm to obtain blood samples • A nurse is assisting the provider with removing a client's lower leg cast. Which of the following statements by the nurse is appropriate? ―You should hold still to prevent injury to your skin‖