Comprehensive ATI Practice A 2024 Questions And Answers

A nurse is caring for a client who states, "My boss accused me of stealing yesterday. I was so angry I went to the gym and worked out." The nurse should recognize the client is demonstrating which of the following defense mechanisms? - ANS Sublimation - The client is exhibiting behaviors consistent with sublimation, which is displayed when a client substitutes socially unacceptable behavior for acceptable behavior A nurse is caring for a client who has generalized anxiety disorder and is to begin taking alprazolam. Which of the following actions should the nurse take? - ANS Initiate fall precautions for the client - The nurse should initiate fall precautions for a client who has a new prescription for alprazolam because common adverse effects associated with this medication are orthostatic hypotension, dizziness, confusion, and lethargy A nurse on a med-surg 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 informed consent? - ANS The client is able to accurately describe the upcoming procedure - The ability of the client to accurately describe the upcoming procedure indicates that the provider adequately informed the client and that the client is able to sign the informed consent form An assistive personnel (AP) and a nurse are turning a client onto the right side. Which of the following actions by the AP requires the nurse to intervene? - ANS Places a pillow under the client's right arm - The AP should place a pillow under the client's left arm to prevent internal rotation of the left shoulder A nurse is providing dietary teaching to the parents of a 6-month-old infant. Which of the following instructions should the nurse include? - ANS Introduce new foods one at a time over 5 to 7 days - The parents should introduce new foods one at a time over 5 to 7 days to identify potential food allergies A nurse is caring for a client who has MRSA in an abdominal wound. Which of the following precautions should the nurse implement? -Airborne -Droplet -Contact -Protective environment - ANS Contact - The nurse should implement contact precautions for a client who has an infection spread by direct contact, such as MRSA A nurse is caring for a client who is 4 hr postpartum and has a boggy uterus with heavy lochia. Which of the following actions should the nurse take first?