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Exam (elaborations)

RN Comprehensive Online Practice B/ Comprehensive ATI Practice B (version 1)

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RN Comprehensive Online Practice B/ Comprehensive ATI Practice B (version 1)

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Uploaded on
March 22, 2022
Number of pages
18
Written in
2021/2022
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RN Comprehensive Online Practice B/ Comprehensive
ATI Practice B (version 1)
1. Patient refused a newly open fentanyl patch. Which of the following actions should the

nurse take?

Ask another nurse to witness the disposal of the new patch.

2. Client receiving heparin continuous IV infusion and warfarin 5 mg PO daily. Lab values

are aPTT 98 seconds and INR 1.8

Withhold the heparin infusion

3. 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

Floating dark spots

4. infant with hydrocephalus 6 hr post op following ventriculoperitoneal shunt placement

. finding to report to provider

Irritability when being held. signifies increased ICP

5. Assessing a newborn heart rate follow actions the nurse should take

Auscultate the apical pulse and count beats for at least 1 min.

6. Caring for a client who has a fecal impaction actions to be taken when digitally

evacuating the stool

Insert a lubricated gloved finger and advance along the rectal wall.

7. Dietary teaching for a new prescription of phenelzine

Broccoli, Yogurt, Cream Cheese

8. Nurse administers incorrect dose of medication. Which facts related to incident report

, should the nurse document in the client's medical record?

Time the medication was given

9. Nurse on pediatric unit received shift report on 4 children. Which should the nurse

assess first?

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.

10.Community health nurse providing teaching on home safety for older adults

Have grab bars installed around your bathtub and toilet.

11.School age child with scald burns on both hands and wrists suspected abuse

Contact child protective services.

12.Client who has acute blood loss following trauma refuses potentially life saving blood

transfusion

Explore the client's reasons fro refusing the treatment

13.Discussing common prenatal discomfort 20 weeks gestational

I will wear a supportive bra overnight

14.Discharge instructions to client to received home oxygen therapy

Wear clothing made with cotton fabrics while oxygen is in use.

15.Preparing an educational session about advocacy to a group of nurses

Advocacy is a leadership role that helps others to self actualize

16.Continuous bladder irrigation following transurethral resection of prostate. Bladder spasms and

decreased urinary output

Irrigate the catheter with 0.9% sodium chloride irrigation

, 17.Child with sickle cell anemia and is having a vaso-occlusive crisis

Infuse IV fluids

18.Client teaching about the basal body temp method for birth control

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