ATI RN Fundamentals RN119 Fund Practice B

A nurse is planning an educational program for a group of older adults at a senior living center. Which of the following recommendations should the nurse include? - You should receive a pneumococcal immunization every 10 years. A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Which of the following findings should the nurse expect? - Rapid Heart Rate A nurse is caring for a client who is receiving pain medication through a patientcontrolled analgesia (PCA) pump. Which of the following actions should the nurse take? - Instruct the family to refrain from pushing the button for the client while she is asleep. A community health nurse is checking blood pressures for a group of clients at a community health screening. Which of the following clients is at an increased risk for hypertension? - A client who smokes one pack of cigarettes each day. A nurse in a clinic is caring for a middle adult client who states, "The doctor says that, since I am at average risk for colon cancer, I should have a routine screening. What does that involve?" Which of the following responses should the nurse make? - You should have a fecal occult blood test every year. A nurse is performing a peripheral vascular assessment for a client. When placing the bell of the stethoscope on the client's neck, the nurse hears the following sound. This sound indicates which of the following? - Narrowed arterial lumen A nurse is reviewing practice guidelines with a group of newly licensed nurses. Which of the following interventions should the nurse include that is within the RN scope of practice? - Initiate an enteral feeding through a gastrostomy tube. A nurse is caring for a client who requires a 24-hour urine collection. Which of the following statements by the client indicates an understanding of the teaching? - "I flushed what I urinated at 7:00 AM and have saved all urine since." A nurse on a medical unit is preparing to discharge a client to home. Which of the following actions should the nurse take as part of the medication reconciliation process? - Compare prescriptions with medications the client received while at the facility. A nurse is caring for a client who has a NG tube and is receiving intermittent feedings through an open system. Which of the following actions should the nurse take first? - Tell the client to keep the head of the bed elevated at least 30 degrees. A nurse is assessing an adult client who has been immobile for the past 3 weeks. For which of the following findings should the nurse intervene? - Erythema on pressure points A nurse is caring for a client who has an indwelling urinary catheter. Which of the following findings indicates that the catheter requires irrigation? - Bladder scan shows 525 mL of urine A nurse has accepted a verbal prescription "for three tenths of a milligram of levothyroxine IV stat" for a client who has myxedema coma. How should the nurse transcribe the dosage of this medication in the client's medical record? - 0.3 mg A nurse is teaching a client who left leg is in a cast about using crutches. Which of the following statements should the nurse identify as an indiction that the client understands the teaching? - "When descending the stairs, I will first shift my weight to my right leg" A nurse is caring for a client who is refusing a blood transfusion for religious reasons. The client's partner wants the client to have the blood transfusion. Which of the following actions should the nurse take? - Withhold the blood transfusion A nurse is caring for a client who has tuberculosis. Which of the following actions should the nurse take? Select all that apply. - - Place the client in a room with negative-pressure airflow - Wear gloves when assisting the client with oral care - Use antimicrobial sanitizer for hand hygiene A nurse is calculating a client's fluid intake over the past 8 hr. Which of the following should the nurse plan to document on the client's intake and output record as 120 mL of fluid? - 8 oz of ice chips The nurse is providing discharge teaching for a client who has a new prescription for a home oxygen concentrator. Which of the following instructions should the nurse provide to the client and his family? Select all that apply. - - Check the cord routinely for frays or tearing - Consider purchasing a generator for power backup is correct - Observe for signs of hypoxia A nurse is admitting a client who has rubella. Which of the following types of transmission-based precautions should the nurse initiate? - Droplet A nurse is caring for a client who has a prescription for wound irrigation. Which of the following actions should the nurse take? - Cleanse the would from the center outward A nurse enters a client's room and finds her on the floor. The client's roommate reports that the client was trying to get out of bed and fell over the side rail onto the floor. Which of the following statements should the nurse document about this incident? - "Client found lying on floor" A nurse is preparing to delegate client care tasks to an assistive personnel (AP). Which of the following tests should the nurse delegate? - Ambulating a client who is postoperative A nurse is giving change-of-shift report about a client they admitted earlier that day who has pneumonia. Which of the following pieces of information is the priority for the nurse to provide? - Breath Sounds A charge nurse is discussing the responsibility of nurses carig for clients who have C. difficile. Which of the following information should the nurse include in the teaching? - Have family members wear a gown and gloves when visiting A nurse is caring for a client who has recently started using a behind-the-ear hearing aid. Which of the following statements should the nurse identify as an indiction that the client understands the use of this assistive device? - I will be sure to remove my hearing aid before taking a shower A nurse is caring for a client who has decreased mobility. which of the following actions should the nurse take to decrease the client's risk of developing plantar flexion contractures? - Apply an ankle foot orthotic device to the clients feet A nurse in s surgical suite notes documentation on a client's medical record that he has a latex allergy. In preparation for the client's procedure, which of the following precautions should the nurse take? - Wrap monitoring cords with stockinette and tape them in place