ATI NGN QUESTIONS AND ANSWERS 2024

A nurse at a provider's office is caring for a client who is 28 years of age: Select 3 findings that require immediate follow-up 1. Heart rate 2. Abdomen assessment 3. respiratory assessment 4. Vaginal spotting 5. Bowel sounds 6. Menstrual period 7. Oxygen saturation 8. Temperature Abdomen assessment vaginal spotting Menstrual period The nurse is reviewing the client's electronic medical record. which of the following actions should the nurse take: Select the 5 actions that the nurse should perform 1. Place the client on seizure precautions 2. Administer magnesium sulfate IV bolus as prescribed 3. Monitor the client's blood pressure every hour 4. obtain creatinine, platelet, BUN, and liver enzymes as prescribed 5. Assess for worsening headache and epigastric pain hourly and PRN 6. Monitor level of consciousness, DTRs and visual disturbances hourly 1. Place on seizure precautions 2. Administer magnesium sulfate IV Bolus as prescribed 4. Obtain the creatinine, plateler, BUN, and liver enzymes values as prescribed 5. Assess for worsening headache and epigastric pain hourly an PRN 6. Monitor level of consciousness, DTRs, and visual disturbances hourly A nurse at a provider's office is caring for a client who is 28 years of age. After reviewing the client's current assessment findings, the nurse should identify that the client i experiencing ______________(condition) as evidence by ____________(findings) Condition: -abruptio placentae - acute asthma attack -pyelonephritis -ectopic pregnancy -placenta previa Findings: -a history of regular menstrual period - right lower quadrant abdominal tenderness -hyperactive bowel sounds -temperature -respiratory rate Ectopic pregnancy right lower quadrant abdominal tenderness The nurse has reviewed the recent Nurse's Notes and the Diagnostic results. click to highlight the findings that indicate the client's condition is not improving. - Clonus positive. DTR 4+ -Reports headache as 4 on a 0 to 10 pain scale - Hgb 11g/dl (>11g/dl) -Platelets 95,000mm3 () -BUN 20mg/dL (10 to 20mg/dL) -Creatinine 0.9mg/dL (0.5 to 1mg/dL) -aspartate aminotransferase (AST) 60units/L (0 to 35 units/L) - Alanine amino transferase (ALT) 50 units/L (0 to 36 units/l) - Clonus positive. DTR 4+ -Reports headache as 4 on a 0 to 10 pain scale -Platelets 95,000mm3 () -aspartate aminotransferase (AST) 60units/L (0 to 35 units/L) - Alanine amino transferase (ALT) 50 units/L (0 to 36 units/l) A nurse is caring for a postpartum client. A nurse is performing an assessment on the client. Which of the following findings should the nurse report to the provider. Select all that apply. -Fundus 2 cm below the umbilicus -Blood Pressure 152/105 mm Hg -+2 pitting edema - Headache -Heartburn -Light amount of lochia rubra - Blood pressure 152/105 mm Hg -+2 pitting edema -Headache -Heartburn A nurse is caring for a postpartum client. Complete the following sentence by using the list of options. The priority intervention the nurse should perform is________________ followed by __________________ Drop down 1: - assess the client deep tendon reflexes -monitor for manifestations of deep vein thrombosis and assess the client's incisional pain Drop down 2: -assess the client for visual disturbances -administer a pain medication and encourage the client to use relaxation techniques - assess the client deep tendon reflexes -assess the client for visual disturbances A nurse is caring for a postpartum client. Based on the nurse's assessment findings, which of the following condition is the client t greatest risk for developing. The client is at greatest risk for developing ______________ as evidenced by_________________ Condition: -endometritis -preeclampsia -hemorrhage -venous thrombosis -Urinary tract infection Findings: -Amount of lochia -Temperature -increase blood pressure -bilateral lower extremity edema - urine analysis Preeclampsia Increased blood pressure The nurse is reviewing the postpartum client's medical record. The nurse is planning care for the postpartum client. For each potential provider prescription, click to specify if the potential prescription is anticipated or contraindicated for the client. 1. Obtain specimen for urinalysis 2. Monitor intake and output 3. administer magnesium sulfate 4. place the client on seizure precautions 5. administer labetalol 6. draw creatinine and BUN 1. anticipated 2. anticipated ipated 4. anticipated aindicated 6. anticipated