ATI Comprehensive B all 148 correct
solutions A+ Guaranteed pass!!!
ATI Comprehensive B all 148 correct
solutions A+ Guaranteed pass!!!
Patient refused a newly open fentanyl patch. Which of the following actions should the
nurse take? - ANSWER-Ask another nurse to witness the disposal of the new patch.
Client receiving heparin continuous IV infusion and warfarin 5 mg PO daily. Lab values
are aPTT 98 seconds and INR 1.8 - ANSWER-Withhold the heparin infusion
A nurse at an urgent care clinic is assessing a client who reports impaired vision in one
eye . Which indicates the client has a detached retina - ANSWER-Floating dark spots
infant with hydrocephalus 6 hr post op following ventriculoperitoneal shunt placement .
finding to report to provider - ANSWER-Irritability when being held. signifies increased
ICP
Assessing a newborn heart rate follow actions the nurse should take - ANSWER-
Auscultate the apical pulse and count beats for at least 1 min.
Caring for a client who has a fecal impaction actions to be taken when digitally
evacuating the stool - ANSWER-Insert a lubricated gloved finger and advance along the
rectal wall.
Dietary teaching for a new prescription of phenelzine - ANSWER-Broccoli, Yogurt,
Cream Cheese
Nurse administers incorrect dose of medication. Which facts related to incident report
should the nurse document in the client's medical record? - ANSWER-Time the
medication was given
Nurse on pediatric unit received shift report on 4 children. Which should the nurse
assess first? - ANSWER-A 10-year old child who is awaiting surgery for an
appendectomy and experienced sudden relief of pain. Can indicate peritonitis from a
ruptured appendix.
Community health nurse providing teaching on home safety for older adults - ANSWER-
Have grab bars installed around your bathtub and toilet.
School age child with scald burns on both hands and wrists suspected abuse -
ANSWER-Contact child protective services.
, ATI Comprehensive B all 148 correct
solutions A+ Guaranteed pass!!!
Client who has acute blood loss following trauma refuses potentially life saving blood
transfusion - ANSWER-Explore the client's reasons fro refusing the treatment
Discussing common prenatal discomfort 20 weeks gestational - ANSWER-I will wear a
supportive bra overnight
Discharge instructions to client to received home oxygen therapy - ANSWER-Wear
clothing made with cotton fabrics while oxygen is in use.
Preparing an educational session about advocacy to a group of nurses - ANSWER-
Advocacy is a leadership role that helps others to self actualize
Continuous bladder irrigation following transurethral resection of prostate. Bladder
spasms and decreased urinary output - ANSWER-Irrigate the catheter with 0.9%
sodium chloride irrigation
Child with sickle cell anemia and is having a vaso-occlusive crisis - ANSWER-Infuse IV
fluids
Client teaching about the basal body temp method for birth control - ANSWER-Your
body temperature might decrease slightly just prior to ovulation
Caring for a client who is unconscious and requires emergency medical procedures.
Unable to locate family to obtain consent - ANSWER-Proceed with provision of medical
care
Client who has fluid volume overload. Which tasks can nurse delegate to UAP -
ANSWER-Measure the client's daily weight
Checking for Chvostek's sign - ANSWER-The nurse should assess for a Chvostek's
sign by tapping the client's facial nerve about an inch in front of the tragus of the ear.
Facial twitching is a positive finding that indicates hypocalcemia.
Reviewing urinalysis report of client with acute glomerulonephritis expected findings -
ANSWER-Protein
Newly admitted child. Which of the following actions should the nurse include in the plan
- ANSWER-Administer high dose antibiotic therapy
Client with cancer deciding between two treatment plans - ANSWER-tell me more about
your understanding of the options.
Caring for a client receiving hemodalysis with AV fistula - ANSWER-Auscultate the
affected extremity for a bruit
solutions A+ Guaranteed pass!!!
ATI Comprehensive B all 148 correct
solutions A+ Guaranteed pass!!!
Patient refused a newly open fentanyl patch. Which of the following actions should the
nurse take? - ANSWER-Ask another nurse to witness the disposal of the new patch.
Client receiving heparin continuous IV infusion and warfarin 5 mg PO daily. Lab values
are aPTT 98 seconds and INR 1.8 - ANSWER-Withhold the heparin infusion
A nurse at an urgent care clinic is assessing a client who reports impaired vision in one
eye . Which indicates the client has a detached retina - ANSWER-Floating dark spots
infant with hydrocephalus 6 hr post op following ventriculoperitoneal shunt placement .
finding to report to provider - ANSWER-Irritability when being held. signifies increased
ICP
Assessing a newborn heart rate follow actions the nurse should take - ANSWER-
Auscultate the apical pulse and count beats for at least 1 min.
Caring for a client who has a fecal impaction actions to be taken when digitally
evacuating the stool - ANSWER-Insert a lubricated gloved finger and advance along the
rectal wall.
Dietary teaching for a new prescription of phenelzine - ANSWER-Broccoli, Yogurt,
Cream Cheese
Nurse administers incorrect dose of medication. Which facts related to incident report
should the nurse document in the client's medical record? - ANSWER-Time the
medication was given
Nurse on pediatric unit received shift report on 4 children. Which should the nurse
assess first? - ANSWER-A 10-year old child who is awaiting surgery for an
appendectomy and experienced sudden relief of pain. Can indicate peritonitis from a
ruptured appendix.
Community health nurse providing teaching on home safety for older adults - ANSWER-
Have grab bars installed around your bathtub and toilet.
School age child with scald burns on both hands and wrists suspected abuse -
ANSWER-Contact child protective services.
, ATI Comprehensive B all 148 correct
solutions A+ Guaranteed pass!!!
Client who has acute blood loss following trauma refuses potentially life saving blood
transfusion - ANSWER-Explore the client's reasons fro refusing the treatment
Discussing common prenatal discomfort 20 weeks gestational - ANSWER-I will wear a
supportive bra overnight
Discharge instructions to client to received home oxygen therapy - ANSWER-Wear
clothing made with cotton fabrics while oxygen is in use.
Preparing an educational session about advocacy to a group of nurses - ANSWER-
Advocacy is a leadership role that helps others to self actualize
Continuous bladder irrigation following transurethral resection of prostate. Bladder
spasms and decreased urinary output - ANSWER-Irrigate the catheter with 0.9%
sodium chloride irrigation
Child with sickle cell anemia and is having a vaso-occlusive crisis - ANSWER-Infuse IV
fluids
Client teaching about the basal body temp method for birth control - ANSWER-Your
body temperature might decrease slightly just prior to ovulation
Caring for a client who is unconscious and requires emergency medical procedures.
Unable to locate family to obtain consent - ANSWER-Proceed with provision of medical
care
Client who has fluid volume overload. Which tasks can nurse delegate to UAP -
ANSWER-Measure the client's daily weight
Checking for Chvostek's sign - ANSWER-The nurse should assess for a Chvostek's
sign by tapping the client's facial nerve about an inch in front of the tragus of the ear.
Facial twitching is a positive finding that indicates hypocalcemia.
Reviewing urinalysis report of client with acute glomerulonephritis expected findings -
ANSWER-Protein
Newly admitted child. Which of the following actions should the nurse include in the plan
- ANSWER-Administer high dose antibiotic therapy
Client with cancer deciding between two treatment plans - ANSWER-tell me more about
your understanding of the options.
Caring for a client receiving hemodalysis with AV fistula - ANSWER-Auscultate the
affected extremity for a bruit
