RN ATI concept-based assessment, proctored exam for level 1Test Bank WITH LATEST UPDATED

{{Correct Ans - Enoxaparin 40 mg sq qd A nurse is talking with a client who has major depressive disorder the client states nobody cares if I'm around or not which of the following responses should the nurse night {{Correct Ans - It sounds as though you're feeling hopeless A nurse is prepari ng to administer a unit of packed red blood cells to a client in adherence with the joint commission national patient safety goals regarding blood administration which of the following actions should the nurse plan to take {{Correct Ans - Verify the client and blood component using a two person process The nurse on a medical surgical unit is caring for a group of clients which of the following clients should the nurse monitor for the development of reflex urinary incontinence {{Correct Ans - A client who has a T 12 spinal cord injury A nurse is documenting and assessment in a clients electronica health record when an assistive personnel asked to enter the morning blood glucose by the client which of the following actions should the nurse take {{Correc t Ans - Request that AP to use another computer to enter the data A nurse is preparing to administer acetaminophen 120 mg PO to a toddler Available is acetaminophen drops 80 mg/0.8 ML. How many ML Should the nurse administer? Round to nearest tenth {{Co rrect Ans - 1.2m l A nurse is preparing to administer 0.9% sodium chloride 1000 ML over eight hours IV to a client the nurse should say the infusion infusion pump to deliver how many ML per hour round the answer to the nearest whole number {{Correct Ans - 125ml/hr A nurse is providing teaching about nutrition management to the parent of an 18 month old toddler who has phenylketonuria which of the following foods should the nurse recommend {{Correct Ans - Baked potato A nurse is preparing to extinguish a small fire in a clients room which of the following actions should the nurse take when using a fire extinguisher {{Correct Ans - Slide the pin on top of the fire extinguisher to allow for use to extinguish the fire A nurse is planning meals for a client who practices Judaism and reports that she strictly adhere's to Orthodox dietary laws the nurse should recognize that which of the following dietary practices applies to the clients beliefs {{Correct Ans - The client is permitted to eat fish That have scales A nurse is caring for a client who has CDF infection and is incontinent of stool following long -term antibiotic therapy. Which of the following actions should the nurse take? {{Correct Ans - Wear a gown when providing care for the client A nurse is planning the menu for a client who practices seventh day Adventism which of the following food selections should the nurse make {{Correct Ans - Scrambled eggs A nurse in a long -term facility discovers a small fire in a clients trashcan after moving the client to safety which of the following actions should the nurse take next {{Correct Ans - Pull the alarm to notify emergency services A community health nurse is developing brochure about the use of smokeless tobacco which of the following information should the nurse plan to include {{Correct Ans - Smokeless tobacco provide a higher dose of nicotine than cigarettes A nurse is preparing to administer three medications to a client who has an NG tube a levoth yroxine tablet and ibuprofen gel cap and a delayed release omeprazole capsule which of the following actions should the nurse take {{Correct Ans - Chrush the levo thyroxine tablet into a powder and dissolve it in 30 ML's of of warm sterile water A nurse is caring for a child who has contact dermatitis due to poison ivy the parent asked the nurse how to prevent further reactions which of the following responses should the nurse make {{Correct Ans - Wash your child's exposed clothing with hot water and det ergent A nurse is planning care for a client who has an indwelling urinary catheter which of the following interventions should the nurse include in the plan to prevent the development of a catheter associated urinary tract infection {{Correct Ans - Secure the catheter tubing to the clients leg A nurse in a long -term care facility is admitting a new client following a brief stay in acute care in adherence with the joint commission national patient safety goals regarding medication administration which of the following actions should the nurse take {{Correct Ans - Compare a list of the clients current medications with the ones he will take in long -term care A nurse is creating a plan of care for a client who is non -ambulatory and has bladder and b owel incontinence which of the following interventions should the nurse include to prevent skin breakdown {{Correct Ans - Offered the client a glass of water every two hours when repositioning A home health nurse is providing teaching to the parent of a child who is receiving chemotherapy and experiencing nausea which of the following statements shit the nurse make {{Correct Ans - Have your child rest with his head elevated after meals A nurs e is caring for a client who has cancer and is planning discharge to home with hospice care which of the following statements by the client indicates that he is experiencing spiritual distress {{Correct Ans - I wish God had not allowed this cancer to invad e my body A nurse is beginning nutrition counseling with a client who has a BMI of 34.2 which of the following questions should the nurse asked first to address the clients excessive nutrition and obesity {{Correct Ans - Are you ready to make a lifelong commitment to a healthier lifestyle A nurse is administering Enoxaparin subcutaneously to a client who is post operative and is at risk of thromboembolic event which of the following actions should the nurse take {{Correct Ans - Pull up a small amount of skin using the thumb and forefinger of the non -dominant hand A nurse is searching electronic data bases for clinical research about behavioral indicators of pain in an infant which of the following online sources should the nurse late to research this infant care issue {{Correct Ans - Cumulative index to nursing and allied health literature A nurse is planning to use an interpreter to assist her when interviewing a client who does not speak the same language as the nurse which of the following actions should the nurse plan to take {{Correct Ans - Ensure the client and the interpreter are compatible A nurse is planning a community health program about substance use disorders which of the following information should the nurse include when discussing the guidelines for safety limits of alcohol consumption {{Corre ct Ans - A healthy woman of any age should consume no more than seven drinks in a week A nurse is caring for a client who is two day's post operative following an above the knee amputation the client states he is experiencing a dull burning pain in the l eg that was amputated which of the following actions should the nurse take to treat the clients neuropathic pain {{Correct Ans - And minister of Beto blocking medication to the client A nurse is developing a plan of care for an older adult client who is experiencing functional incontinence following hip arthroplasty which of the following intervention should the nurse include {{Correct Ans - Please grab bars by the toilet Which of the following statements shows understanding of the breast self -exam {{Correct Ans - I should expect to feel a firm ridge along the bottom curve of each breast Which of the following actions should the nurse take to provide emotional support to the parent {{Correct Ans - inform the parent that anger is a natural response when dealing with loss Accessing electronic resources - which should the nurse include {{Correct Ans - websites endin gin .gov are reliable pt had knee "lock" and is lying on the floor. Which action {{Correct Ans - check the pt. for injuries