ATI RN COMPREHENSIVE PREDICTOR ONLINE PRACTICE
QUESTIONS WITH ANSWERS CORRECT/VERIFIED LATEST UPDATE 2023
EXAMS FOR NURSING GRADED A+
AmnursemismcaringmformamnewbornmwhosemparentmasksmwhymhermbabymismreceivingmvitaminmK.mThemnursems
houldmexplainmtomthemparentsmthatmthemnewbornmshouldmreceivemvitaminmKmtompreventmwhichmofmthemfoll
owing?
A.mBleeding
B.mPotassiummdeficiency
C.mInfection
D.mHyperbilirubinemiam-mCORRECTmRESPONSEmm✔✔A.mBleeding
NewbornsmshouldmreceivemvitaminmKmatmbirthmbecausemtheymhavemlowmlevelsmofmvitaminmK,mwhichmcanmle
admtombleeding.mVitaminmKmdoesmnotmpreventmpotassiummdeficiency,minfection,mormhyperbilirubinemiaminm
amnewborn.
AmchargemnursemismobservingmamnewlymlicensedmnursemadministermenteralmfeedingsmviamNGmtube.mWhichm
ofmthemfollowingmactionsmbymthemnewlymlicensedmnursemindicatesmanmunderstandingmofmthemprocedure?
A.mInstillsm100mmLmofmairmintomthemNGmtubemaftermcheckingmformresidual.
B.mFlushesmthemNGmtubemwithm0.9%msodiummchloridemirrigationmeverym2mhr.
C.mAddsm20mmLmofmbluemdyemtomeachmfeedingmtomhelpmdetectmaspiration.m
D.mKeepsmthemheadmofmthembedmelevatedmtom45°mform1mhrmaftermfeedings.m-
mCORRECTmRESPONSEmm✔✔D.mKeepsmthemheadmofmthembedmelevatedmtom45°mform1mhrmaftermfeedings.
Themnursemshouldmkeepmthemclient'smheadmelevatedmtom45°mform1mhrmaftermfeedingsmtomdecreasemthemriskm
formaspiration.mThemnursemshouldminjectm10mtom30mmLmofmairmintomthemNGmtubembeforemcheckingmresidual
mtomclearmthemtubemofmanymfeeding.mInstillingmexcessivemairmintomthemtubemcanmcausemabdominalmdistentio
nmandmdiscomfort.mThemnursemshouldmusem20mmLmofmtapmwatermtomflushmthemNGmtubembeforemandmafterm
eachmfeeding.mUsingm0.9%msodiummchloridemirrigationmcanmleadmtomhypernatremia.mThemnursemshouldmav
oidmaddingmdyemtomthemfeedingmtomdetectmaspirationmbecausemusingmdyemcanmincreasemthemriskmofmdeath.
AmnursemismteachingmamclientmaboutmfoodsmhighminmvitaminmA.mWhichmofmthemfollowingmfoodsmshouldmthem
nursemrecommendmasmhavingmthemhighestmamountmofmvitaminmA?
A.m1mmediummrawmcarrot
B.m1/2mcupmcookedmspinach
C.m1/2mcupmcookedmbutternutmsquash
D.m1mcupmslicedmcantaloupem-mCORRECTmRESPONSEmm✔✔A.m1mmediummrawmcarrot
Themnursemdeterminesmthatmcarrotsmaremthembestmsourcemtomrecommendmbecausem1mmediummrawmcarrot
mcontainsm2,025mmcg/dLmofmvitaminmA.mThemnursemshouldmrecommendmamdifferentmfood,mbecausem1/2mcu
,ATI RN COMPREHENSIVE PREDICTOR ONLINE PRACTICE
QUESTIONS WITH ANSWERS CORRECT/VERIFIED LATEST UPDATE 2023
EXAMS FOR NURSING GRADED A+
pmcookedmspinachmcontainsm737mmcg/dL,m1/2mcupmcookedmbutternutmsquashmcontainsm714mmcg/dL,mandm
1mcupmslicedmcantaloupemcontainsm516mmcg/dLmofmvitaminmA.
AnmRNmismplanningmcaremformamgroupmofmclientsmandmismworkingmwithmamlicensedmpracticalmnursem(LPN)man
dmanmassistivempersonnelm(AP).mWhichmofmthemfollowingmtasksmshouldmthemRNmdelegatemtomthemLPN?
A.mCollectionmofmamstoolmspecimen
B.mPreparationmofmamclient'smpostoperativembed
C.mAdministrationmofmamunitmofmpackedmRBCs
D.mInsertionmofmamnasogastricmtubem-mCORRECTmRESPONSEmm✔✔D.mInsertionmofmamnasogastricmtube
ThemnursemshouldmdelegatemtheminsertionmofmamnasogastricmtubemtomthemLPNmbecausemthismtaskmismwithin
mthemLPN'smscopemofmpractice.mThemnursemshouldmdelegatemcollectionmofmamstoolmspecimenmandmpreparati
onmofmamclient'smpostoperativembedmtomanmAPmbecausemthesemtasksmaremwithinmthemAP'smscopemofmpractic
e.mThemRNmshouldmadministermpackedmRBCsmbecausemthismtaskmismnotmwithinmthemscopemofmpracticemforma
nmLPNmormAP.
Amnursemonmammedical-
surgicalmunitmismcaringmformamclientmpriormtomamsurgicalmprocedure.mWhichmofmthemfollowingmfindingsmshou
ldmindicatemtomthemnursemthatmthemclientmhasmthemabilitymtomsignmtheminformedmconsent?
A.mThemclient'smpartnermtellsmthemnursemthatmthemclientmunderstandsmthemprocedure.
B.mThemnursemlocatesmthemprovider'smprescriptionmformthemsurgicalmprocedure.
C.mThemnursemwitnessesmthemprovider'smexplanationmofmthemprocedure.m
D.mThemclientmismablemtomaccuratelymdescribemthemupcomingmprocedure.m-
mCORRECTmRESPONSEmm✔✔D.mThemclientmismablemtomaccuratelymdescribemthemupcomingmprocedure.
Themabilitymofmthemclientmtomaccuratelymdescribemthemupcomingmproceduremindicatesmthatmthemproviderma
dequatelyminformedmthemclient,mandmthatmthemclientmhasmthemabilitymtomsignmtheminformedmconsent.mThem
clientmcanmtellmhismpartnermthatmhemunderstandsmthemprocedure,mbutmthemnursemmustmspeakmdirectlymtomt
hemclientmtomensuremthatmthemclientmunderstandsmwhatmthemprovidermhasmtoldmhimmbeforembeingmcertainm
thatmthemclientmhasmthemabilitymtomsignmthemform.mAmwrittenmprescriptionmformamsurgicalmproceduremdoesm
notmensuremthatmthemprovidermhasmexplainedmthemproceduremtomthemclientmormthatmthemclientmhasmthemkn
owledgemtomgiveminformedmconsent.mEvenmthoughmthemprovidermhasmexplainedmthemproceduremtomthemcli
ent,mthemnursemcannotmassumemthatmthemclientmunderstandsmtheminformationmthemprovidermgave.
,ATI RN COMPREHENSIVE PREDICTOR ONLINE PRACTICE
QUESTIONS WITH ANSWERS CORRECT/VERIFIED LATEST UPDATE 2023
EXAMS FOR NURSING GRADED A+
Amnursemismcaringmformamclientmwhomismreceivingmtotalmparenteralmnutritonm(TPN)msolutionmbymcontinuousm
IVminfusionmatm60mmL/hr.mThemnursemdiscoversmtheminfusionmpumpmhasmstoppedmworking.mWhichmofmthemf
ollowingmactionsmshouldmthemnursemtakemwhilemwaitingmformamnewminfusionmpump?
A.mAdministermthemTPNmsolutionmatmthemsamemratemusingmmanualmdripmtubing.
B.mOffermthemclientmoralmfluidsminmplacemofmthemTPNmsolution.
C.mInfusem0.9%msodiummchloridemsolutionmusingmmanualmdripmtubingmatm30mmL/hr.
D.mProvidemdextrosem10%minmwatermsolutionmusingmmanualmdripmtubingmatm60mmL/hr.m-
mCORRECTmRESPONSEmm✔✔D.mProvidemdextrosem10%minmwatermsolutionmusingmmanualmdripmtubingmatm60
mmL/hr.
ThemnursemshouldmusemanminfusionmpumpmwhenmadministeringmTPNmsolutionmtomensuremaccuratemdosage
mandmshouldmtapermtheminfusionmratembeforemdiscontinuingmthemsolutionmtompreventmhypoglycemia.mIfmth
emnursemismunablemtomcontinuemthemTPNminfusionmbyminfusionmpump,mthemnursemshouldmusemmanualmdrip
mtubingmtominfusemdextrosem10%minmwatermatmthemsamemratemasmthemTPNmsolution.mThemnursemshouldmonl
ymadministermthemTPNmsolutionmusingmanminfusionmpumpmtomdelivermitmatmamcontrolledmrate.mThemnursemm
ustmcontinuemtomprovidemfluidsmbymIVminfusionmtomamclientmwhomhasmbeenmreceivingmamcontinuousmTPNmin
fusionmtompreventmreboundmhypoglycemia.mThemnursemshouldminfusemanmIVmsolutionmthatmwillmmaintainma
dequatembloodmglucosemlevels,m0.9%msodiummchloridemdoesmnotmhavemadequatemglucose.
Amnursemismassessingmamclientmwhomhasmschizophreniamandmismtakingmchlorpromazine.mWhichmofmthemfollo
wingmfindingsmismthemprioritymformthemnursemtomreportmthemprovider?
A.mTemperaturem39.4°mCm(103°mF)
B.mHeadachem
C.mConstipation
D.mVomitingm-mCORRECTmRESPONSEmm✔✔A.mTemperaturem39.4°mCm(103°mF)
Themgreatestmriskmtomthemclientmisminjurymfrommneurolepticmmalignantmsyndrome,mampotentiallymlife-
threateningmadversemeffectmofmchlorpromazineminmwhichmthemclientmcanmhavemamhighmtemperature,mdysrh
ythmia,mdecreasedmlevelmofmconsciousness,mandmlabilembloodmpressure.mTherefore,mthemprioritymfindingmf
ormthemnursemreportmtomthemprovidermismhyperpyrexia.mHeadache,mconstipation,mandmvomitingmaremcomm
onmadversemeffectsmofmchlorpromazine.mThemnursemshouldmreportmthemheadachemandmvomitingmtomthempr
ovidermandmrequestmanalgesiamandmanmantiemetic,mrespectively.mThemnursemshouldmencouragemthemclient
mtomincreasemfibermandmfluidmintakemasmwellmasmactivitymformconstipation.
, ATI RN COMPREHENSIVE PREDICTOR ONLINE PRACTICE
QUESTIONS WITH ANSWERS CORRECT/VERIFIED LATEST UPDATE 2023
EXAMS FOR NURSING GRADED A+
Amnursemismteachingmthemparentmofmamschool-
agemchildmaboutmadministeringmearmdrops.mWhichmofmthemfollowingmresponsesmbymthemparentmindicatesma
nmunderstandingmofmthemteaching?
A.m"ImshouldmadministermthemearmdropsmasmsoonmasmImremovemthemmfrommthemrefrigerator."
B.m"Imshouldmpullmthemtopmofmhermearmupwardmandmbackmwhileminstillingmthemmedication."
C.m"ImshouldmmassagembehindmhermearmaftermIminstillmthemdrops."
D.m"ImshouldmhavemhermliemonmthemaffectedmsidemformamfewmminutesmaftermImputmthemdropsminmthemear."m-
mCORRECTmRESPONSEmm✔✔B.m"Imshouldmpullmthemtopmofmhermearmupwardmandmbackmwhileminstillingmthem
medication."
Themnursemshouldminstructmthemparentmtompullmthempinnamupwardmandmbackminmchildrenmoldermthanm3mye
arsmofmagemtomstraightenmthemearmcanalmandmallowmthemmedicationmtomreachmthementiremcanal.mFormchildr
enmyoungermthanm3myearsmofmagemthemparentmshouldmgentlympullmthempinnamdownwardmandmback.mThemn
ursemshouldminstructmthemparentmtomallowmoticmmedicationmshemstoresminmthemrefrigeratormtomwarmmtomro
ommtemperaturempriormtomadministrationmtompreventmdizzinessmandmpain.mThemnursemshouldminstructmthe
mparentmtomgentlymmassagemthemtragusmonmthemareamanteriormtomthemearmtomallowmthemmedicationmtomrea
chmthementiremcanal.mThemnursemshouldminstructmthemparentmtomhavemthemchildmremainmlyingmonmthemunaf
fectedmsidemformamfewmminutesmafterminstillingmthemmedicationmtomallowmthemmedicationmtomremainminmth
emearmcanal.
Amnursemismassessingmamclientmwhomismexperiencingmautonomicmdysreflexia.mWhichmofmthemfollowingmfindi
ngsmshouldmthemnursemexpect?m(Selectmallmthatmapply.)
A.mNystagmus
B.mFacialmflushing
C.mDiplopia
D.mNasalmcongestion
E.mHeadachem-mCORRECTmRESPONSEmm✔✔B.mFacialmflushing
D.mNasalmcongestion
E.mHeadache
Themnursemshouldmexpectmamclientmwhomhasmautonomicmdysreflexiamtomhavemfacialmflushing,mnasalmconges
tion,mandmamseveremheadache.mThemnursemshouldmexpectmamclientmwhomhasmautonomicmdysreflexiamtomha
vemblurredmvisionm(notmnystagmus)mandmblurredmvisionm(notmdiplopia).
QUESTIONS WITH ANSWERS CORRECT/VERIFIED LATEST UPDATE 2023
EXAMS FOR NURSING GRADED A+
AmnursemismcaringmformamnewbornmwhosemparentmasksmwhymhermbabymismreceivingmvitaminmK.mThemnursems
houldmexplainmtomthemparentsmthatmthemnewbornmshouldmreceivemvitaminmKmtompreventmwhichmofmthemfoll
owing?
A.mBleeding
B.mPotassiummdeficiency
C.mInfection
D.mHyperbilirubinemiam-mCORRECTmRESPONSEmm✔✔A.mBleeding
NewbornsmshouldmreceivemvitaminmKmatmbirthmbecausemtheymhavemlowmlevelsmofmvitaminmK,mwhichmcanmle
admtombleeding.mVitaminmKmdoesmnotmpreventmpotassiummdeficiency,minfection,mormhyperbilirubinemiaminm
amnewborn.
AmchargemnursemismobservingmamnewlymlicensedmnursemadministermenteralmfeedingsmviamNGmtube.mWhichm
ofmthemfollowingmactionsmbymthemnewlymlicensedmnursemindicatesmanmunderstandingmofmthemprocedure?
A.mInstillsm100mmLmofmairmintomthemNGmtubemaftermcheckingmformresidual.
B.mFlushesmthemNGmtubemwithm0.9%msodiummchloridemirrigationmeverym2mhr.
C.mAddsm20mmLmofmbluemdyemtomeachmfeedingmtomhelpmdetectmaspiration.m
D.mKeepsmthemheadmofmthembedmelevatedmtom45°mform1mhrmaftermfeedings.m-
mCORRECTmRESPONSEmm✔✔D.mKeepsmthemheadmofmthembedmelevatedmtom45°mform1mhrmaftermfeedings.
Themnursemshouldmkeepmthemclient'smheadmelevatedmtom45°mform1mhrmaftermfeedingsmtomdecreasemthemriskm
formaspiration.mThemnursemshouldminjectm10mtom30mmLmofmairmintomthemNGmtubembeforemcheckingmresidual
mtomclearmthemtubemofmanymfeeding.mInstillingmexcessivemairmintomthemtubemcanmcausemabdominalmdistentio
nmandmdiscomfort.mThemnursemshouldmusem20mmLmofmtapmwatermtomflushmthemNGmtubembeforemandmafterm
eachmfeeding.mUsingm0.9%msodiummchloridemirrigationmcanmleadmtomhypernatremia.mThemnursemshouldmav
oidmaddingmdyemtomthemfeedingmtomdetectmaspirationmbecausemusingmdyemcanmincreasemthemriskmofmdeath.
AmnursemismteachingmamclientmaboutmfoodsmhighminmvitaminmA.mWhichmofmthemfollowingmfoodsmshouldmthem
nursemrecommendmasmhavingmthemhighestmamountmofmvitaminmA?
A.m1mmediummrawmcarrot
B.m1/2mcupmcookedmspinach
C.m1/2mcupmcookedmbutternutmsquash
D.m1mcupmslicedmcantaloupem-mCORRECTmRESPONSEmm✔✔A.m1mmediummrawmcarrot
Themnursemdeterminesmthatmcarrotsmaremthembestmsourcemtomrecommendmbecausem1mmediummrawmcarrot
mcontainsm2,025mmcg/dLmofmvitaminmA.mThemnursemshouldmrecommendmamdifferentmfood,mbecausem1/2mcu
,ATI RN COMPREHENSIVE PREDICTOR ONLINE PRACTICE
QUESTIONS WITH ANSWERS CORRECT/VERIFIED LATEST UPDATE 2023
EXAMS FOR NURSING GRADED A+
pmcookedmspinachmcontainsm737mmcg/dL,m1/2mcupmcookedmbutternutmsquashmcontainsm714mmcg/dL,mandm
1mcupmslicedmcantaloupemcontainsm516mmcg/dLmofmvitaminmA.
AnmRNmismplanningmcaremformamgroupmofmclientsmandmismworkingmwithmamlicensedmpracticalmnursem(LPN)man
dmanmassistivempersonnelm(AP).mWhichmofmthemfollowingmtasksmshouldmthemRNmdelegatemtomthemLPN?
A.mCollectionmofmamstoolmspecimen
B.mPreparationmofmamclient'smpostoperativembed
C.mAdministrationmofmamunitmofmpackedmRBCs
D.mInsertionmofmamnasogastricmtubem-mCORRECTmRESPONSEmm✔✔D.mInsertionmofmamnasogastricmtube
ThemnursemshouldmdelegatemtheminsertionmofmamnasogastricmtubemtomthemLPNmbecausemthismtaskmismwithin
mthemLPN'smscopemofmpractice.mThemnursemshouldmdelegatemcollectionmofmamstoolmspecimenmandmpreparati
onmofmamclient'smpostoperativembedmtomanmAPmbecausemthesemtasksmaremwithinmthemAP'smscopemofmpractic
e.mThemRNmshouldmadministermpackedmRBCsmbecausemthismtaskmismnotmwithinmthemscopemofmpracticemforma
nmLPNmormAP.
Amnursemonmammedical-
surgicalmunitmismcaringmformamclientmpriormtomamsurgicalmprocedure.mWhichmofmthemfollowingmfindingsmshou
ldmindicatemtomthemnursemthatmthemclientmhasmthemabilitymtomsignmtheminformedmconsent?
A.mThemclient'smpartnermtellsmthemnursemthatmthemclientmunderstandsmthemprocedure.
B.mThemnursemlocatesmthemprovider'smprescriptionmformthemsurgicalmprocedure.
C.mThemnursemwitnessesmthemprovider'smexplanationmofmthemprocedure.m
D.mThemclientmismablemtomaccuratelymdescribemthemupcomingmprocedure.m-
mCORRECTmRESPONSEmm✔✔D.mThemclientmismablemtomaccuratelymdescribemthemupcomingmprocedure.
Themabilitymofmthemclientmtomaccuratelymdescribemthemupcomingmproceduremindicatesmthatmthemproviderma
dequatelyminformedmthemclient,mandmthatmthemclientmhasmthemabilitymtomsignmtheminformedmconsent.mThem
clientmcanmtellmhismpartnermthatmhemunderstandsmthemprocedure,mbutmthemnursemmustmspeakmdirectlymtomt
hemclientmtomensuremthatmthemclientmunderstandsmwhatmthemprovidermhasmtoldmhimmbeforembeingmcertainm
thatmthemclientmhasmthemabilitymtomsignmthemform.mAmwrittenmprescriptionmformamsurgicalmproceduremdoesm
notmensuremthatmthemprovidermhasmexplainedmthemproceduremtomthemclientmormthatmthemclientmhasmthemkn
owledgemtomgiveminformedmconsent.mEvenmthoughmthemprovidermhasmexplainedmthemproceduremtomthemcli
ent,mthemnursemcannotmassumemthatmthemclientmunderstandsmtheminformationmthemprovidermgave.
,ATI RN COMPREHENSIVE PREDICTOR ONLINE PRACTICE
QUESTIONS WITH ANSWERS CORRECT/VERIFIED LATEST UPDATE 2023
EXAMS FOR NURSING GRADED A+
Amnursemismcaringmformamclientmwhomismreceivingmtotalmparenteralmnutritonm(TPN)msolutionmbymcontinuousm
IVminfusionmatm60mmL/hr.mThemnursemdiscoversmtheminfusionmpumpmhasmstoppedmworking.mWhichmofmthemf
ollowingmactionsmshouldmthemnursemtakemwhilemwaitingmformamnewminfusionmpump?
A.mAdministermthemTPNmsolutionmatmthemsamemratemusingmmanualmdripmtubing.
B.mOffermthemclientmoralmfluidsminmplacemofmthemTPNmsolution.
C.mInfusem0.9%msodiummchloridemsolutionmusingmmanualmdripmtubingmatm30mmL/hr.
D.mProvidemdextrosem10%minmwatermsolutionmusingmmanualmdripmtubingmatm60mmL/hr.m-
mCORRECTmRESPONSEmm✔✔D.mProvidemdextrosem10%minmwatermsolutionmusingmmanualmdripmtubingmatm60
mmL/hr.
ThemnursemshouldmusemanminfusionmpumpmwhenmadministeringmTPNmsolutionmtomensuremaccuratemdosage
mandmshouldmtapermtheminfusionmratembeforemdiscontinuingmthemsolutionmtompreventmhypoglycemia.mIfmth
emnursemismunablemtomcontinuemthemTPNminfusionmbyminfusionmpump,mthemnursemshouldmusemmanualmdrip
mtubingmtominfusemdextrosem10%minmwatermatmthemsamemratemasmthemTPNmsolution.mThemnursemshouldmonl
ymadministermthemTPNmsolutionmusingmanminfusionmpumpmtomdelivermitmatmamcontrolledmrate.mThemnursemm
ustmcontinuemtomprovidemfluidsmbymIVminfusionmtomamclientmwhomhasmbeenmreceivingmamcontinuousmTPNmin
fusionmtompreventmreboundmhypoglycemia.mThemnursemshouldminfusemanmIVmsolutionmthatmwillmmaintainma
dequatembloodmglucosemlevels,m0.9%msodiummchloridemdoesmnotmhavemadequatemglucose.
Amnursemismassessingmamclientmwhomhasmschizophreniamandmismtakingmchlorpromazine.mWhichmofmthemfollo
wingmfindingsmismthemprioritymformthemnursemtomreportmthemprovider?
A.mTemperaturem39.4°mCm(103°mF)
B.mHeadachem
C.mConstipation
D.mVomitingm-mCORRECTmRESPONSEmm✔✔A.mTemperaturem39.4°mCm(103°mF)
Themgreatestmriskmtomthemclientmisminjurymfrommneurolepticmmalignantmsyndrome,mampotentiallymlife-
threateningmadversemeffectmofmchlorpromazineminmwhichmthemclientmcanmhavemamhighmtemperature,mdysrh
ythmia,mdecreasedmlevelmofmconsciousness,mandmlabilembloodmpressure.mTherefore,mthemprioritymfindingmf
ormthemnursemreportmtomthemprovidermismhyperpyrexia.mHeadache,mconstipation,mandmvomitingmaremcomm
onmadversemeffectsmofmchlorpromazine.mThemnursemshouldmreportmthemheadachemandmvomitingmtomthempr
ovidermandmrequestmanalgesiamandmanmantiemetic,mrespectively.mThemnursemshouldmencouragemthemclient
mtomincreasemfibermandmfluidmintakemasmwellmasmactivitymformconstipation.
, ATI RN COMPREHENSIVE PREDICTOR ONLINE PRACTICE
QUESTIONS WITH ANSWERS CORRECT/VERIFIED LATEST UPDATE 2023
EXAMS FOR NURSING GRADED A+
Amnursemismteachingmthemparentmofmamschool-
agemchildmaboutmadministeringmearmdrops.mWhichmofmthemfollowingmresponsesmbymthemparentmindicatesma
nmunderstandingmofmthemteaching?
A.m"ImshouldmadministermthemearmdropsmasmsoonmasmImremovemthemmfrommthemrefrigerator."
B.m"Imshouldmpullmthemtopmofmhermearmupwardmandmbackmwhileminstillingmthemmedication."
C.m"ImshouldmmassagembehindmhermearmaftermIminstillmthemdrops."
D.m"ImshouldmhavemhermliemonmthemaffectedmsidemformamfewmminutesmaftermImputmthemdropsminmthemear."m-
mCORRECTmRESPONSEmm✔✔B.m"Imshouldmpullmthemtopmofmhermearmupwardmandmbackmwhileminstillingmthem
medication."
Themnursemshouldminstructmthemparentmtompullmthempinnamupwardmandmbackminmchildrenmoldermthanm3mye
arsmofmagemtomstraightenmthemearmcanalmandmallowmthemmedicationmtomreachmthementiremcanal.mFormchildr
enmyoungermthanm3myearsmofmagemthemparentmshouldmgentlympullmthempinnamdownwardmandmback.mThemn
ursemshouldminstructmthemparentmtomallowmoticmmedicationmshemstoresminmthemrefrigeratormtomwarmmtomro
ommtemperaturempriormtomadministrationmtompreventmdizzinessmandmpain.mThemnursemshouldminstructmthe
mparentmtomgentlymmassagemthemtragusmonmthemareamanteriormtomthemearmtomallowmthemmedicationmtomrea
chmthementiremcanal.mThemnursemshouldminstructmthemparentmtomhavemthemchildmremainmlyingmonmthemunaf
fectedmsidemformamfewmminutesmafterminstillingmthemmedicationmtomallowmthemmedicationmtomremainminmth
emearmcanal.
Amnursemismassessingmamclientmwhomismexperiencingmautonomicmdysreflexia.mWhichmofmthemfollowingmfindi
ngsmshouldmthemnursemexpect?m(Selectmallmthatmapply.)
A.mNystagmus
B.mFacialmflushing
C.mDiplopia
D.mNasalmcongestion
E.mHeadachem-mCORRECTmRESPONSEmm✔✔B.mFacialmflushing
D.mNasalmcongestion
E.mHeadache
Themnursemshouldmexpectmamclientmwhomhasmautonomicmdysreflexiamtomhavemfacialmflushing,mnasalmconges
tion,mandmamseveremheadache.mThemnursemshouldmexpectmamclientmwhomhasmautonomicmdysreflexiamtomha
vemblurredmvisionm(notmnystagmus)mandmblurredmvisionm(notmdiplopia).
