ATI RN Comprehensive Online Practice 2023 B
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ATI RN Comprehensive Online Practice 2023 B
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1. A nurse is caring for a 5-year-old child
Physical Examination:
1510:
Upon visual inspection, throat is inflamed, tonsils appear pink, reddened and
epiglottis is edematous and cherry red in appearance. Skin appears pale.
Stridor noted upon inspiration with diminished bilateral lung sounds.
Nurse's Notes:
1500
Child accompanied to emergency department by caregiver . Caregiver states
child has a sore throat and reports the child has "pain on swallowing" and
denies cough. Child is agitated and lean: Condition: Epiglottis
Actions: Initiate droplet precautions and request a prescription for IV antibiotics
Monitors: Breath sounds and temperature
The nurse should anticipate initiating droplet precautions and requesting a prescription for IV antibiotics. The child
is
most likely experiencing epiglottis because of the clinical manifestations of a high fever, inflammation and redness
of
the throat, pale skin, stridor with inspiration, painful swallowing, no cough, is sitting in tripod position, and drooling.
The nurse should monitor the child's temperature and breath sounds.
Davieacademia • ATI RN Comprehensive Review Page 1 of 26
, 2. A nurse is caring for a client who is on the spinal cord injury (SCI) unit
Nurses' Notes
Day 3, 1700
Client admitted to SCI unit 3 days ago following C7 injury. Skin is cool, pale,
and dry to touch. Respirations easy and unlabored. Lung sounds diminished
in lower lobes. Abdomen soft and nondistended with active bowel sounds.
Client passed a small amount of hard formed stool this AM. Indwelling urinary
catheter draining clear yellow urine. Deep tendon reflexes (DTR) are biceps 1+,
triceps 1+, pa: The client is most likely experiencing manifestations of pneumonia and autonomic dysreflexia.
The nurse should analyze cues from the client's manifestations and determine that the client is most likely
experiencing
manifestations of pneumonia and autonomic dysreflexia. A client who has a cervical SCI is at risk for respiratory
ATI RN Comprehensive Online Practice 2023 B
Study online at https://quizlet.com/_fz1zgv
complications because spinal innervation to the respiratory muscles is disrupted. Adventitious breath sounds in the
lower lobes bilaterally and a decrease in oxygen saturation to less than 92% can indicate pneumonia. The client's
sudden increase in blood pressure, bradycardia, flushing of the skin above the area of the injury, headache, and
blurred vision are manifestations of autonomic dysreflexia, which can be a life-threatening condition.
Davieacademia • ATI RN Comprehensive Review Page 2 of 26
, 3. A nurse is caring for a client who has abdominal pain
Nurses' Notes
0900
Client reports loss of appetite, weight loss, and fatigue for 1 week. Reports
abdominal pain, 6 on a scale from 0 to 10, for 2 days. Client is a perioperative
nurse, returned 1 week ago from a 2-week mission trip to an underdeveloped
country
1200
Results of antibody studies obtained. Provider prescription for antiviral med-
ication pending.
Physical Examination
0930
Lung sounds clear bilaterally. Skin warm to touch and jau: Hepatitis A: Client's risk from
fecal-oral transmission, laboratory results, and physical examination findings
Hepatitis B: Antiviral treatment, laboratory results, client's risk from bloodborne transmission, physical examination
findings
Hepatitis C: Antiviral treatment, laboratory results, client's risk from bloodborne transmission, and physical
examina-
tion findings
When analyzing cues, the nurse should recognize that manifestations of hepatitis A, hepatitis B, and hepatitis C
include
jaundice, yellow sclerae, right upper quandrant pain upon palpation, dark yellow urine, and elevated AST and ALT
levels. When analyzing cues, the nurse should also recognize the client's risk for contracting hepatitis A through the
fecal-oral route during recent travel to an underdeveloped country and the client's occupational risk as a
perioperative
ATI RN Comprehensive Online Practice 2023 B
Study online at https://quizlet.com/_fz1zgv
nurse for contracting hepatitis B and hepatitis C through bloodborne transmission. The nurse should recognize that
the current standard of practice for
Davieacademia • ATI RN Comprehensive Review Page 3 of 26
Premium Study Companion • High-Yield Active Recall Format
ATI RN Comprehensive Online Practice 2023 B
Study online at https://quizlet.com/_fz1zgv
1. A nurse is caring for a 5-year-old child
Physical Examination:
1510:
Upon visual inspection, throat is inflamed, tonsils appear pink, reddened and
epiglottis is edematous and cherry red in appearance. Skin appears pale.
Stridor noted upon inspiration with diminished bilateral lung sounds.
Nurse's Notes:
1500
Child accompanied to emergency department by caregiver . Caregiver states
child has a sore throat and reports the child has "pain on swallowing" and
denies cough. Child is agitated and lean: Condition: Epiglottis
Actions: Initiate droplet precautions and request a prescription for IV antibiotics
Monitors: Breath sounds and temperature
The nurse should anticipate initiating droplet precautions and requesting a prescription for IV antibiotics. The child
is
most likely experiencing epiglottis because of the clinical manifestations of a high fever, inflammation and redness
of
the throat, pale skin, stridor with inspiration, painful swallowing, no cough, is sitting in tripod position, and drooling.
The nurse should monitor the child's temperature and breath sounds.
Davieacademia • ATI RN Comprehensive Review Page 1 of 26
, 2. A nurse is caring for a client who is on the spinal cord injury (SCI) unit
Nurses' Notes
Day 3, 1700
Client admitted to SCI unit 3 days ago following C7 injury. Skin is cool, pale,
and dry to touch. Respirations easy and unlabored. Lung sounds diminished
in lower lobes. Abdomen soft and nondistended with active bowel sounds.
Client passed a small amount of hard formed stool this AM. Indwelling urinary
catheter draining clear yellow urine. Deep tendon reflexes (DTR) are biceps 1+,
triceps 1+, pa: The client is most likely experiencing manifestations of pneumonia and autonomic dysreflexia.
The nurse should analyze cues from the client's manifestations and determine that the client is most likely
experiencing
manifestations of pneumonia and autonomic dysreflexia. A client who has a cervical SCI is at risk for respiratory
ATI RN Comprehensive Online Practice 2023 B
Study online at https://quizlet.com/_fz1zgv
complications because spinal innervation to the respiratory muscles is disrupted. Adventitious breath sounds in the
lower lobes bilaterally and a decrease in oxygen saturation to less than 92% can indicate pneumonia. The client's
sudden increase in blood pressure, bradycardia, flushing of the skin above the area of the injury, headache, and
blurred vision are manifestations of autonomic dysreflexia, which can be a life-threatening condition.
Davieacademia • ATI RN Comprehensive Review Page 2 of 26
, 3. A nurse is caring for a client who has abdominal pain
Nurses' Notes
0900
Client reports loss of appetite, weight loss, and fatigue for 1 week. Reports
abdominal pain, 6 on a scale from 0 to 10, for 2 days. Client is a perioperative
nurse, returned 1 week ago from a 2-week mission trip to an underdeveloped
country
1200
Results of antibody studies obtained. Provider prescription for antiviral med-
ication pending.
Physical Examination
0930
Lung sounds clear bilaterally. Skin warm to touch and jau: Hepatitis A: Client's risk from
fecal-oral transmission, laboratory results, and physical examination findings
Hepatitis B: Antiviral treatment, laboratory results, client's risk from bloodborne transmission, physical examination
findings
Hepatitis C: Antiviral treatment, laboratory results, client's risk from bloodborne transmission, and physical
examina-
tion findings
When analyzing cues, the nurse should recognize that manifestations of hepatitis A, hepatitis B, and hepatitis C
include
jaundice, yellow sclerae, right upper quandrant pain upon palpation, dark yellow urine, and elevated AST and ALT
levels. When analyzing cues, the nurse should also recognize the client's risk for contracting hepatitis A through the
fecal-oral route during recent travel to an underdeveloped country and the client's occupational risk as a
perioperative
ATI RN Comprehensive Online Practice 2023 B
Study online at https://quizlet.com/_fz1zgv
nurse for contracting hepatitis B and hepatitis C through bloodborne transmission. The nurse should recognize that
the current standard of practice for
Davieacademia • ATI RN Comprehensive Review Page 3 of 26
