ATI RN Comprehensive Online Practice 2019 A (150 Q&A)

RN Comprehensive Online Practice 2019 A Answer in bold EXAM A 1. A nurse is planning care for a client who is receiving heparin to treat a deep vein thrombosis of the left lower leg. Which of the following interventions should the nurse include in the plan of care? a. Maintain the client on bed rest b. Restrict the client to 1 L of fluid per day c. Place cool compresses on the edematous area d. Elevate the affected leg 2. A nurse is teaching a group of guardians about child safety measures. Which of t he following statements by a guardian indicates an understanding of the teaching? a. "I will make sure my 4 -year -old child wears a helmet when using a skateboard." b. "I should have my child avoid sun exposure betw een 10 am and 2 pm." c. "I can give my 2 -year -old child a whole hotdog on a bun." d. "When my infant in in the carrier, I will place it on a raised, flat surface whenever possible." 3. A home health nurse is providing teaching about infection prevention to a client who has cancer and is receiv ing chemotherapy. Which of the following statements by the client indicates an understanding of the teaching? a. "I will leave my drinking water out of my refrigerator for at least 1 hour so it will be room temperature." b. "I will clean my toothbrush in my dishwasher once each month." c. "I will take my temp once each week and let my Dr know if its high. " d. "I will walk for short distances throughout the day." 4. A nurse is providing dietary teaching to the parents of a 6-month -old infant. Which of the following instructions should the nurse include? a. Provide the infant with 1 cup of cereal b. Give the infant 240 mL (8 oz) of juice per day c. Introduce new foods one at a time over 5 to 7 days d. Give whole milk first, then small amounts of solid food 5. A charge nurse is planning care for a client who has mechanical restraints in place. Which of the following interventions should the nurse include in the plan? a. Remove the client's restraints while sleeping b. Document the client's status every 60 min c. Check for a new prescription every 6 hr d. Provide a staff member to stay with the client continuously RN Comprehensive Online Practice 2019 A Answer in bold 6. A community health nurse is assisting with the development of a disaster management plan. The nurse sh ould include which of the following nursing responsibilities in the disaster response stage of the plan? a. Performing a rapid needs assessment b. Organiz ing an immunization campaign c. Identifying the specific roles of disaster workers d. Conducting home visits to identify health hazards 7. A nurse manager is assisting with the orientation of a newly licensed nurse. Which of the following actions by the nurse requires the nurse manager to intervene? a. Informs the provider about a client's suicide plan b. Notifies the health department of a client's di agnosis of chlamydia c. Reports suspected child maltreatment to social services d. Tells the hospital chaplain a client's diagnosis 8. A nurse is caring for a client who is in labor at 39 weeks of gestation. During the second stage of labor, the nurse observes early deceleration s on the monitor t racing. Which of the following actions should the nurse take? a. Continue observing the fetal heart rate b. Assist the client to a knee -chest position c. Prepare the client for continuous internal monitoring d. Prepare for an emergency cesarean birth 9. A nurse manager is planning to make changes to the current scheduling system on the unit. to facilitate the staff's accept ance of this change, which of the following actions should the nurse manager take first? a. Provide information about scheduling issues to the staff b. Ask staff members to participate in a trial of the new sch eduling system c. Encourage staff to offer alternate scheduling solutions d. Develop goals to implement the new scheduling system 10. A nurse is planning teaching about allowab le foods for a client who has a history of uric acid based urinary calculi formation. Which of the following foods should the nurse include in the teaching? a. Liver b. Oranges c. Chicken d. Red win e RN Comprehensive Online Practice 2019 A Answer in bold 11. A charge nurse is teaching a newly licensed nurse how to identify true labor. Which of the following should the nurse include in the teaching? a. Contractions will be felt primarily in the upper abdomen b. The cervix transitions to an anterior position c. Contraction intensity decreases with ambulation d. The cervix progressively thickens 12. A nurse on a medical surgical unit is caring for a client prior to a surgical procedure. Which of the following findings should indicate to the nurse that the client has the ability to sign the inf ormed consent? a. The client's partner tells the nurse that the client understands the procedure b. The nurse locates the provider's prescription for the surgical procedure c. The nurse witnesses the provider's explanation of the procedure d. The client is able to accurately describe the upcoming procedure 13. A charge nurse assigns a newly licensed nurse to care for a client who has a chest tube. The nurse expresses concern about having limited experience with monitoring chest tube drainage. Which of the following actions should the charge nurse take first to provide teaching about chest tubes? a. Refer the nurse to the procedure manual b. Use a diagram to explain the procedure to the nurse c. Demonstrate the procedure to the nurse d. Ask the nurse about their knowledge of the procedure 14. A nurse is teaching a client who has a new prescription for estradiol. For which of the following adverse effects of this medication should the nurse instruct the client to monitor and report to the provider? a. Hypotension b. Headaches c. Bruising d. Oliguria 15. A nurse is preparing to administer diazepam 0.3mg/kg IV bolus to a toddler who weighs 22 lb and is experiencing a grand ma l seizure. Available is diazepam solution for injection 5mg/mL. How many mL should the nurse administer? a. 0.6 mL