ATI PN Fundamentals B Advanced test 2023/2024

A nurse working in a hospital overhears the following conversation between two other nurses on the elevator. Which of the following actions should the nurse take? -ANSWERS Tell the nurses that this conversation is not appropriate A nurse is caring for a client who has a prescription for a high-protein diet to promote wound healing following surgery. The client's religion prohibits eating meat on particular days. Which of the following actions should the nurse take? -ANSWERS Ask the dietitian to recommend alternative food choices for the client A nurse is collecting data from a client who is 1 day postoperative following abdominal surgery. Which of the following findings is the priority for the nurse to report to the provider? -ANSWERS The client has redness and warmth in his calf A nurse is contributing to the plan of care for four clients. Four which of the following clients should the nurse initiate airborne precautions? -ANSWERS A client who has measles A nurse is caring for four clients. For which of the following clients should the nurse use the therapeutic communication technique of silence? -ANSWERS A client who has just experienced the death of his child A nurse is collecting data from a client who is 2 days postoperative following a colostomy. Which of the following findings should the nurse report to the provider? -ANSWERS A purple-colored stoma A nurse is caring for a client who has been vomiting excessively and has diarrhea. Which of the following findings should the nurse identify as an indication of fluid volume deficit? -ANSWERS Urine specific gravity 1.045 A nurse is caring for a client who has a new diagnosis of cancer. Which of the following actions should the nurse take to maintain the client's confidentiality while providing care? -ANSWERS Provide information to another nurse at change of shift A nurse is caring for a client who is receiving intermittent enteral feedings. Which of the following is the priority action for the nurse to take? -ANSWERS Measure the client's gastric residual before each feeding A Nurse is preparing a client for a Romberg test. Which of the following statements should the nurse make? -ANSWERS Stand with your feet together and your arms at your sides A nurse is caring for a client who has chronic kidney disease. The nurse should identify that which of the following findings is the priority? -ANSWERS The client's output was 60 mL for the past 3 hours A nurse is caring for a client who has breast cancer and expresses fear about the future. Which of the following responses should the nurse make? -ANSWERS You seem really afraid. let's talk more about your feelings A nurse is reinforcing teaching about carbohydrate counting with a client who has a new diagnosis of diabetes mellitus. Which of the following actions should the nurse take first? -ANSWERS Ask the client what he already knows about meal planning A nurse is checking a client's muscle strength. Which of the following techniques should the nurse use? -ANSWERS The client shrugs he shoulders while the nurse applies firm pressure over the midline of the shoulders A nurse is reinforcing teaching with a client about self-administration of ophthalmic drops. Which of the following instructions should the nurse include? -ANSWERS You should cleanse your eye from the inner to the outer edge prior to putting in the drops A nurse is documenting client care in a client's electronic health record. Which of the following statements should the nurse include in the documentation? -ANSWERS The client became short of breath when ambulating A nurse is planning to administer medication to a client who has a clostridium difficile infection. to prevent the transmission of this infection to others, which of the following actions should the nurse plant to take? -ANSWERS Remove the cover gown in the client's room after providing care A nurse is administering an intramuscular (IM) injection to an adult client. Which of the following actions should the nurse take? -ANSWERS Identify the landmarks for the ventrogluteal site before cleaning the skin The nurse is reinforcing teaching with a client who has hypertension and is prescription to measure her blood pressure daily. Which of the following client statements indicates an understanding of the teaching? -ANSWERS I should remove constrictive clothing prior to measuring my blood pressure A nurse is a provider's office is providing care for a middle adult client who has minimal exposure to sunlight. Which of the following interventions should the nurse recommend? -ANSWERS Take vitamin D supplements A nurse is in an acute care setting is documenting postmortem care for a client. Which of the following information should the nurse include in the documentation? -ANSWERS Release of personal belongings form A nurse is caring for a client who has a new prescription for oxygen at 7 L/min via simple face mask. Which of the following actions should the nurse take to ensure client safety? -ANSWERS Attach a humidifier to the base of the flow meter A nurse is reinforcing teaching with a new parent of an infant who is concerned about sudden infant death syndrome (SIDS). Which of the following statements by the client indicates an understanding of the teaching? -ANSWERS I will remove all stuffed animals from my baby's crib A nurse is caring for a client who is scheduled for surgery the following day. During the night, the client is unable to sleep and is restless. Which of the following statements should the nurse maker -ANSWERS It must be difficult facing this type of surgery A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take? -ANSWERS Clean the perineal area at least once a day A nurse is caring for a client who has limited mobility. Which of the following actions should the nurse take to maintain the client's skin integrity? -ANSWERS Use warm water when bathing the client A nurse is caring for an older adult client who has advanced rheumatoid arthritis but seldom requests pain medication. Which of the following actions should the nurse take? -ANSWERS Observe the client for nonverbal indications of pain A nurse is caring for a client who is postoperative following a mastectomy. The client states "I can barely look at myself in the mirror." The nurse should identify that the client is experiencing which of the following? -ANSWERS Actual loss A nurse is checking a client for a pulse deficit after detecting an irregular heart rate. Which of the following actions should the nurse take? -ANSWERS Count the client's radial and apical pulses simultaneously with another nurse A nurse is preparing to administer a medication to preschooler and must convert the child's weight from pounds to kilograms. The child weighs 30 lb. How many kilograms does the child weight? -ANSWERS 13.6