ATI - RN Comprehensive Online Practice Exam Questions With Verified Answers.

ATI - RN Comprehensive Online Practice Exam Questions With Verified Answers. An assistive personnel (AP) and a nurse are turning a client onto the right side. Which of the following actions by the AP requires the nurse to intervene? Uses a draw sheet to move the client to the left side of the bed Raises the total height of the bed to waist level Places a pillow under the client's right arm Lowers the side rails on the left side of the bed - answerPlaces a pillow under the client's right arm. The AP should place a pillow under the client's left arm to prevent internal rotation of the left shoulder. --- Using a draw sheet to move the client reduces friction, which protects the client's skin, reduces workload, and prevents injury to the nurse and the AP. Raising the height of the bed to waist level prevents injury by positioning the bed at the nurse's and the AP's center of gravity. Lowering the side rails on one side of the bed prevents the nurse and the AP from straining their bodies. The opposite side rail should remain up to promote client safety. A nurse is assessing a client who has Raynaud's disease. Which of the following findings should the nurse expect? Butterfly rash over the cheeks and nose Report of pain in the joints of the lower extremities Blanching of the fingers and toes Scaly patches over the knees and elbows - answerBlanching of the fingers and toes A client who has Raynaud's disease can have blanching of the fingers and toes in response to exposure to cold or emotional stress. Pallor develops first, then cyanosis, followed by redness or heat as the vessels reperfuse, before the skin returns to the client's baseline tone. --- A client who has lupus erythematosus is likely to have a butterfly rash over the cheeks and nose. A client who has osteoarthritis is likely to have pain in the joints of the lower extremities. A client who has psoriasis is likely to have scaly patches over the knees and elbows. A nurse is providing teaching about improving nutrition for a client who has multiple sclerosis. Which of the following instructions should the nurse include? (Select all that apply.) "A speech pathologist will be performing a swallowing study for you." "You should rest before eating a meal." "You should restrict foods that are high in vitamin D." "Reduce your intake of dietary fiber." "Thicken your beverages before drinking." - answer"A speech pathologist will be performing a swallowing study for you." "You should rest before eating a meal." "Thicken your beverages before drinking." The nurse should instruct the client that a swallowing study will be performed to determine the client's risk for aspiration due to difficulty swallowing, which is a manifestation of multiple sclerosis. The nurse should encourage the client to rest before each meal. Clients who have multiple sclerosis often report weakness and are easily fatigued. The nurse should instruct the client that liquids should be thickened to reduce the risk of aspiration due to difficulty swallowing, which is a manifestation of multiple sclerosis. --- The nurse should instruct the client to maintain adequate vitamin D levels, because vitamin D deficiency is a risk factor for multiple sclerosis. The nurse should instruct the client to increase dietary fiber and fluids to decrease the risk of constipation, which is a manifestation of multiple sclerosis. A nurse is caring for an older adult client. Which of the following findings should the nurse recognize as a physiological change associated with aging? Decreased blood pressure Increased cardiac output Increased oral temperature Decreased lung expansion - answerDecreased lung expansion Older adult clients are more likely to have decreased lung expansion due to decreased mobility of the ribs. --- Older adult clients are more likely to have an increased systolic blood pressure with a diastolic pressure that does not change. Older adult clients also have increased incidence of orthostatic hypotension. Older adult clients are more likely to have decreased cardiac output. Older adult clients are more likely to have decreased oral temperature. A nurse is caring for a client who is immediately postoperative following a total vaginal hysterectomy. Which of the following actions should the nurse take first? Measure the client's vital signs. Reposition the client. Encourage the client to use an incentive spirometer. Administer pain medication. - answerMeasure the client's vital signs. The first action the nurse should take when using the nursing process is to assess the client. The nurse should monitor the client's vital signs every 15 min until stable and then every 4 hr for the next 48 hr. --- The nurse should reposition the client every 2 hr to prevent postoperative complications such as atelectasis. However, there is another action the nurse should take first.