ATI RN Comprehensive Online Practice 2023 B|150 Questions and Answers, 100% Correct| Updated 2024

ATI RN Comprehensive Online Practice 2023 B |150 Questions and Answers, 100% Corre ct| Updated 2024 A nurse in an emergency department is preparing to discharge a client who has experienced intimate partner violence. Which of the following actions should the nurse take first? A. Offer a referral to the client for soc ial services. B. Develop a safety plan with the client. C. Encourage the client to reach out to family and friends. D. Provide the client with a list of support groups. - ✔✔ ANSW✔✔ Develop a safety plan with the client. The greatest risk to this client is injury from violence. Therefore, the first action the nurse should take is to develop a safety plan with the client. Incorrect A client who has experienced intimate partner violence can benefit from a referral to social services, but offering a referral is not the first action the nurse should take. The client can benefit from the support of family and friends when the client is ready, but encouraging this behavior is not the first action the nurse should take. The client can benefit from attending a support group, but providing this information is not the first action the nurse should take. A nurse is assessing a clien t who has major depressive disorder and is taking amitriptylline. Which of the following findings should the nurse identify as an adverse effect of the medication? A. Diarrhea B. Frequent urination C. Excessive salivation D. Blurred vision - ✔✔ ANSW✔✔ Blurr ed vision The nurse should identify blurred vision as an adverse effect of amitriptyline and notify the provider. Incorrect Constipation is an adverse effect of amitriptyline. Urinary retention is an adverse effect of amitriptyline. Dry mouth is an adver se effect of amitriptyline. A nurse in an emergency department is caring for a client who is at 9 weeks of gestation and reports nausea and vomiting for the past 2 days. Which of the following findings should the nurse expect? A. Hgb 15 g/dL (12 to 18 g/ dL) B. Urine specific gravity 1.052 (1.005 to 1.03) C. Urine osmolality 300 mOsm/kg (50 to 1200 mOsm/kg) D. Hct 44% (37% to 52%) - ✔✔ ANSW✔✔ Urine specific gravity 1.052 (1.005 to 1.03) The nurse should recognize the client's urine specific gravity is significantly elevated above the expected reference range of 1.005 to 1.03. An increased urine specific gravit y indicates dehydration from vomiting. A nurse is conducting group therapy with clients who have breast cancer. The nurse should recognize which of the following statements by a client as an example of altruism? A. "I have experienced physical discomfort when intimate with my partner since my diagnosis." B. "I wish other people would stop socializing with my partner." C. "I told my doctor that I would like to start a support group for other people who are sick in my community." D. "I used to mistrust m y doctor, but now I know the - ✔✔ ANSW✔✔ "I told my doctor that I would like to start a support group for other people who are sick in my community." This statement indicates that the client is demonstrating altruism by reaching out and helping others. A nurse is providing teaching for a client who has a fracture of the right fibula with a short -leg cast in place and a new prescription for crutches. The client is non -weight -bearing for 6 weeks. Which of the following instructions should the nurse include in the teaching? A. Adjust the crutches for comfort as needed. B. Use a three -point gait. C. Wear leather -soled shoes. D. Advance the affected leg first when walking upstairs. - ✔✔ ANSW✔✔ Use a three -point gait. A three -point crutch gait allows the client to be mobile without bearing weight on the affected extremity. Incorrect A health care provider should initially measure crutches for the client. Clients should not perform their own adjustments to the crutches. Use of improperly fitting crutches increases the risk of injury from falls. The client should wear rubber -soled shoes when using crutches. The client who wears leather -soled shoes has an increased risk of slipping and falling. When walking up stairs, the client should advance the unaffected leg first. When walking down stairs, the client should advance the crutches and t he affected leg first and then follow with the unaffected leg. A nurse is caring for a client who is taking valproic acid for seizure control. For which of the following adverse effects should the nurse monitor and report? A. Weight loss B. Jaundice C. Bradycardia D. Polyuria - ✔✔ ANSW✔✔ Jaundice The nurse should monitor the client for jaundice and report any indication to the provider. Clients who take valproic acid are at risk for liver damage, which can lead to jaundice. A client is receiving IV fluids at 150 mL/hr. Which of the following findings indicates that the client is experiencing fluid overload? A. Oliguria B. Bradycardia C. Dyspnea D. Poor skin turgor - ✔✔ ANSW✔✔ Dyspnea A nurse is caring for a 5 -year -old child Physical Examination: