ATI PN Comprehensive Online Practice 2020 B 2

A nurse at a long-term care facility is caring for a client who requires oral suctioning. Which of the following supplies should the nurse plan to use for this task? Yankauer catheter A nurse in a long-term care facility is serving on the ethics committee, which is addressing a client care dilemma. Which of the following strategies will facilitate resolving the dilemma? (Select all that apply) Determine the facts related to the dilemma Identify possible solutions Consider the client's wishes A nurse is talking with a client whose son died in a motor-vehicle crash 2 weeks ago. The client states, "I really thought I'd be back to my usual routines by now, but I can't think of anything else except that my son is gone." Which of the following responses should the nurse make? "Grieving for your son is hard work. It will take as much time as you need to come to terms with your loss." A nurse is reinforcing teaching with a client about cancer prevention. The nurse should include that frequent consumption of which of the following foods increases the risk for developing cancer? Lamb A nurse notices an assistive personnel (AP) taking a nap in the break room during meal time. The nurse also notes that the AP is drowsy while performing routine tasks. Which of the following actions should the nurse take? Report the observations about the AP to the unit's nurse manager A nurse on a pediatric unit is collecting data from four newly admitted clients. Which of the following clients should the nurse identify as being at risk for urinary retention? A school-age child who has allergic rhinitis and is taking diphenhydramine A nurse is caring for a client following a bronchoscopy. Which of the following actions should the nurse take first? Check for a gag reflex A nurse is assisting with the admission of a client who has a latex allergy. The nurse should identify that which of the following supplies has the potential to contain latex? Indwelling urinary catheter A nurse is performing postmortem care for a client prior to the arrival of the client's family for viewing of the body. Which of the following actions should the nurse take? Gently close the client's eyelids A nurse is reinforcing teaching with a client who has dumping syndrome about measures to reduce manifestations. Which of the following instructions should the nurse include in the teaching? Avoid foods with a high sugar content A nurse is collecting data from a client who is experiencing a situational crisis following the loss of a job. The client states, "I don't think I can go through this again." Which of the following actions is the nurse's priority? Determine if the client is experiencing psychotic thinking A nurse is contributing to the plan of care for a client following a transurethral resection of the prostate (TURP). Which of the following interventions should the nurse include? Irrigate the bladder using sterile technique A nurse is caring for an infant who is receiving IV fluids for dehydration. Which of the following should the nurse recognize as a positive response to therapy? Moist mucous membranes A nurse is assisting with the admission of a client who is experiencing alcohol withdrawal. Which of the following medications should the nurse expect the provider to prescribe for the client? Chlordiazepoxide A nurse is caring for a client who is scheduled for surgery in the morning. The nurse learns that the client has decided not to have surgery even though they have already signed the informed consent form. Which of the following actions should the nurse take? Report the situation to the provider who obtained the informed consent A nurse is collecting data from a client who is in severe pain. Which of the following questions should the nurse ask first? "Where is your pain located?" A nurse in a provider's office is reinforcing teaching with a client who has a new prescription for ferrous sulfate elixir. Which of the following statements by the client should indicate to the nurse an understanding of the teaching? "I will rinse my mouth after taking this medication" A nurse is contributing to the plan of care for a client who is postoperative following a rhinoplasty. Which of the following interventions should the nurse recommend? Instruct the client to avoid the Valsalva maneuver A nurse is collecting data from a postpartum client who had a vaginal birth 2 days ago. Which of the following findings is the nurse's priority to report to the provider? Client reports burning with urination A nurse is preparing to administer digoxin to a client who has heart failure. Which of the following findings should indicate to the nurse that the medication has been effective? Cardiac workload decreases A nurse is reinforcing teaching about stress management techniques with a client who has moderate anxiety disorder. Which of the following responses by the client indicates an understanding of the teaching? "I will imagine myself in a calm place when I can't concentrate" A nurse is reinforcing teaching with a client about taking warfarin to treat atrial fibrillation. Which of the following statements by the client indicates an understanding of the teaching? "If I forget to take a dose, I can take it later on the same day" A charge nurse in a long-term care facility notices an assistive personnel's (AP) repeated failure to provide oral care for clients. Which of the following actions should the charge nurse take? Discuss this behavior with the AP while reinforcing expectations A nurse in a long-term care facility is observing a newly licensed nurse who is providing tracheostomy care for a client. The nurse identifies proper performance when the newly licensed nurse selects which of the following solutions to clean the inner cannula? Hydrogen peroxide A nurse caring for a client who took an overdose of acetaminophen. Which of the following medications should the nurse plan to administer to the client? Acetylcysteine A nurse is caring for a client who is in Buck's traction. Which of the following actions should the nurse take? Allow the weights to hang freely A nurse is preparing to administer metoclopramide 10mg IM. Available is metoclopramide 5mg/mL. How many mL should the nurse administer? 2Ml A nurse is reinforcing discharge instructions with the parent of an infant who has rotavirus. Which of the following statements by the parent indicates an understanding of the teaching? "I will apply diaper cream to my baby's skin during each diaper change" A charge nurse is observing a newly licensed nurse apply sterile gloves. Which of the following actions by the newly licensed nurse demonstrates sterile technique? Putting a glove on their dominant hand first A nurse is reviewing laboratory reports for a client who has an Escherichia coli infection and is receiving gentamicin. Which of the following results should the nurse report to the provider before administering the next dose? Creatinine 2.5mg/dL A nurse is reinforcing teaching with a client regarding prescribed asthma medications. The nurse should instruct the client to use which of the following medications for treatment of an acute asthma attack? Albuterol A nurse is reinforcing teaching about home care for conjunctivitis with the parent of a school-age child. Which of the following information should the nurse include? Separate the child's used washcloth from those of others A nurse is preparing to administer an influenza virus immunization to a client by the intradermal route. Which of the following actions should the nurse take? Avoid massaging the site after injecting the vaccine A nurse is preparing to insert an indwelling urinary catheter for a female client. Which of the following actions should the nurse take? Open the outer package flap of the catheterization kit away from their body A nurse is reinforcing teaching about food selection with a client who has a moderate burn injury. Which of the following foods should the nurse recommend as being high in vitamin C? Tomatoes A nurse is collecting data from a client who has multiple fractures following a motorvehicle crash. For which of the following client statements should the nurse recommend a referral to an occupational therapist? "I am so frustrated. I cannot even open my milk carton for breakfast" A nurse is assisting with the admission of an adolescent who has bulimia nervosa. Which of the following manifestations should the nurse expect? Hematemesis A nurse is collecting data from a client who is in the diagnostic center and is scheduled to undergo a colonoscopy. Based on the information provided in the client's chart, which of the following pieces of data places this client at risk for colorectal cancer? BMI A nurse is caring for a client who has an altered mental status and has become aggressive. Which of the following prescriptions should the nurse clarify with the provider prior to administration? Zolpidem A nurse is reinforcing teaching with a client who has hypothyroidism and a prescription for levothyroxine. Which of the following instructions should the nurse include in the teaching? "You will need to take this medication for the rest of your life" A nurse is collecting data from a client who has myasthenia gravis (MG). Which of the following images should the nurse identify as an indication that the client is experiencing ptosis? Abnormal drooping of the upper eyelid A nurse is assisting with the admission of a client who has major depressive disorder. Which of the following communication techniques should the nurse use to establish a trusting relationship with the client? Offering general leads A nurse is preparing to administer a client's morning medications. Which of the following actions should the nurse take to verify the client's identity? Scan the client's facility identification band A nurse is collecting data from a client who has iron deficiency anemia. Which of the following findings should the nurse expect? Difficulty concentrating A nurse is caring for a client who has expressive aphasia following a stroke. Which of the following methods should the nurse use when communicating with the client? Provide a picture board A nurse is caring for a client who is 1 day postoperative and is unable to ambulate. Which of the following actions should the nurse take to promote the client's venous return? maintain a sequential compression device A nurse is observing an assistive personnel (AP) caring for a client. For which of the following actions by the AP should the nurse intervene? The AP reports client information to the oncoming AP in the hallway A nurse is reinforcing teaching with a newborn's parents about umbilical cord care. Which of the following statements by a parent indicates an understanding of the instructions? "I will give our baby sponge baths until the cord falls off" A nurse is reinforcing discharge teaching with a client who has undergone vein ligation and stripping to treat varicose veins. Which of the following instructions should the nurse include in the teaching? Walk for 1 to 2 hr each day A nurse is delegating the collection of a sputum specimen to an assistive personnel (AP). At which of the following times should the nurse instruct the AP to collect the specimen? As soon as the client awakens in the morning A nurse at a long-term care facility is part of a team preparing a report on the quality of care at the facility. Which of the following information should the nurse recommend including in the report to demonstrate improvement in care quality? The facility had 12% fewer urinary tract infections over the past 6 months A nurse is maintaining droplet precautions for a client who has meningitis. Which of the following actions should the nurse take? Wear a surgical mask within 3 feet of the client A nurse is reinforcing teaching with a client who has a new diagnosis of type 2 diabetes mellitus and inquires about information concerning oral antidiabetic agents. In addition to the provider, where should the nurse refer the client for information? A pharmacist ,Package inserts,American Diabetes Association A nurse is collecting data from a client who has bipolar disorder and is experiencing acute mania. Which of the following findings is the nurse's priority? Lack of sleep A nurse is preparing a client for surgery. The client states, "I'm sure this surgery will not help me get better." Which of the following responses should the nurse make? "You're saying that you are doubtful that this procedure will benefit you." A nurse is reinforcing discharge teaching about car seat safety with the guardian of a newborn. Which of the following statements by the guardian indicates an understanding of the teaching? "I will secure the car seat in the car by using the seatbelt" A nurse is reinforcing teaching with a client about the client's recent diagnosis of multiple sclerosis. The client states, "I am very upset and I want to be alone for a little while." Which of the following responses should the nurse make? "I see that you are feeling overwhelmed. I will come back when you are ready." A nurse is reinforcing teaching with a client who has a new prescription for prednisone for the treatment of Addison's disease. Which of the following instructions should the nurse include in the teaching? "You will need to schedule a bone density test." A nurse in a long-term care facility is contributing to the plan of care for a client who has a new ostomy. Which of the following interventions should the nurse include? Change the appliance two times each week A nurse is contributing to the plan of care for a client who is receiving mechanical ventilation. Which of the following interventions should the nurse recommend? Position the head of the bed at a 30 degree angle A nurse is receiving report on four clients. Which of the following clients should the nurse plan to see first? A client who has pneumonia and a new onset of confusion A nurse in a provider's office is collecting data from a preschooler. Which of the following findings should the nurse report to the provider? Heart rate 146/min A nurse is contributing to the plan of care for an older adult client who has difficulty sleeping. Which of the following interventions should the nurse include? Establish a regular exercise routine 2 hr or more before bedtime A nurse is reinforcing teaching with a client who has a prescription for nitroglycerin sublingual tablets. Which of the following instructions should the nurse include in the teaching? Take up to three tablets during a single angina episode