ATI RN Fundamentals Online Practice A
A client who's postoperative is verbalizing ache as 2 on a scale of 0 to ten. Which of the
subsequent statements must the nurse identify as a demonstration that the client is aware
the postoperative coaching she acquired about pain control?
- I think I need to take my ache medications more often, since it is not controlling my ache.
- Breathing quicker will help me preserve my thoughts off of the pain.
- It may help me to pay attention to song whilst I'm mendacity in mattress.
- I do not need to walk nowadays because I have a few pain. - ANSIt would possibly help me
to concentrate to song even as I'm mendacity in mattress.
- Listening to tune is an effective nonpharmacological intervention for the control of mild
ache.
A domestic fitness nurse is performing a follow-up go to for a client who has a gastronomy
tube via which they get hold of intermittent feedings and medications. The patron has
currently advanced diarrhea. Which of the subsequent findings ought to the nurse discover
as a likely motive of diarrhea?
-The patron is receiving method at room temperature.
-The feedings infuse at a sluggish, continuous drip over 8 hr every night.
-The customers caregiver washes out the feeding bag with heat water as soon as each 24
hr.
-The clients caregiver flushes the tubing with water earlier than and after administering
medicines. - ANSThe clients caregiver washes out the feeding bag with heat water once
every 24 hr.
-Feeding baggage should be washed out after each feeding and replaced with a brand new
feeding bag every 24 hr to prevent bacterial infection. The nurse have to toughen this
records with the clients caregiver to avoid destiny contamination.
A nurse in a protracted-term care facility is worrying for a patron who dies during the nurse's
shift. Identify the series in which the nurse have to carry out the following steps:
- Obtain the pronouncement of dying from the provider.
- Remove tubes and indwelling strains.
- Wash the customers body.
- Place a name tag on the frame.
- Ask the client's family individuals in the event that they would like to view the body. -
ANSThe first step is to reap the death pronouncement from the company.
Next, the nurse need to cast off tubes and indwelling lines prior to cleansing the purchaser's
frame.
After cleansing, the nurse ought to ask the circle of relatives individuals in the event that they
want to view the frame.
Finally, the nurse have to vicinity a call tag at the frame before transfer.
, A nurse in a company's office is assessing the deep tendon reflexes of a consumer. Which of
the following pix need to the nurse pick out as indicating the best strategies for eliciting the
patron's patellar reflex?
- Image of hammer over heel of foot
- Image of hammer over knee
- Image of hammer over internal elbow - ANSImage of hammer over knee
A nurse is administering 1 L of 0.Nine% sodium chloride to a consumer who's postoperative
and has fluid volume deficit. Which of the following modifications have to the nurse perceive
as an indication that the remedy turned into a hit?
- Increase in hematocrit
- Increase in respiration price
- Decrease in coronary heart price
- Decrease in capillary fill up time - ANSDecrease in coronary heart price.
- Fluid quantity deficit causes tachycardia. With correction of the imbalance, the heart rate
have to return to the anticipated variety.
A nurse is administering an otic medication to an older person patron. Which of the following
movements ought to the nurse take to ensure that the drugs reaches the internal ear.
- Press lightly at the tragus of the client's ear.
- Pack a small piece of cotton deep into the consumer's ear canal.
- Move the consumer's auricle down and lower back in the direction of her head.
- Tilt the purchaser's head backward for five min. - ANSPress lightly on the tragus of the
client's ear.
- Pressing gently on the tragus of the ear will help the medication get into the inner ear.
A nurse is admitting a consumer who has an abdominal wound with a huge quantity of
purulent drainage. Which of the following forms of transmission precautions should the nurse
provoke?
- Protective environment
- Airborne precautions
- Droplet precautions
- Contact precautions - ANSContact precautions
- Major wound infections require touch precautions, which means that the nurse should
admit the patron to a personal room. All caregivers need to put on a gown and gloves
throughout direct touch with this patron.
A nurse is admitting a purchaser who's having an exacerbation of coronary heart failure. In
making plans this client's care, whilst have to the nurse initiate discharge planning?
- During the admission technique
- As quickly because the patron's situation is solid
- During the preliminary team convention
- After consulting with the patron's own family - ANSDuring the admission method
- Discharge making plans need to begin as quickly as the client is undergoing the admission
process. The nurse need to start to investigate the consumer's desires and plan for care
each at some stage in and after the purchaser's time within the facility.
A client who's postoperative is verbalizing ache as 2 on a scale of 0 to ten. Which of the
subsequent statements must the nurse identify as a demonstration that the client is aware
the postoperative coaching she acquired about pain control?
- I think I need to take my ache medications more often, since it is not controlling my ache.
- Breathing quicker will help me preserve my thoughts off of the pain.
- It may help me to pay attention to song whilst I'm mendacity in mattress.
- I do not need to walk nowadays because I have a few pain. - ANSIt would possibly help me
to concentrate to song even as I'm mendacity in mattress.
- Listening to tune is an effective nonpharmacological intervention for the control of mild
ache.
A domestic fitness nurse is performing a follow-up go to for a client who has a gastronomy
tube via which they get hold of intermittent feedings and medications. The patron has
currently advanced diarrhea. Which of the subsequent findings ought to the nurse discover
as a likely motive of diarrhea?
-The patron is receiving method at room temperature.
-The feedings infuse at a sluggish, continuous drip over 8 hr every night.
-The customers caregiver washes out the feeding bag with heat water as soon as each 24
hr.
-The clients caregiver flushes the tubing with water earlier than and after administering
medicines. - ANSThe clients caregiver washes out the feeding bag with heat water once
every 24 hr.
-Feeding baggage should be washed out after each feeding and replaced with a brand new
feeding bag every 24 hr to prevent bacterial infection. The nurse have to toughen this
records with the clients caregiver to avoid destiny contamination.
A nurse in a protracted-term care facility is worrying for a patron who dies during the nurse's
shift. Identify the series in which the nurse have to carry out the following steps:
- Obtain the pronouncement of dying from the provider.
- Remove tubes and indwelling strains.
- Wash the customers body.
- Place a name tag on the frame.
- Ask the client's family individuals in the event that they would like to view the body. -
ANSThe first step is to reap the death pronouncement from the company.
Next, the nurse need to cast off tubes and indwelling lines prior to cleansing the purchaser's
frame.
After cleansing, the nurse ought to ask the circle of relatives individuals in the event that they
want to view the frame.
Finally, the nurse have to vicinity a call tag at the frame before transfer.
, A nurse in a company's office is assessing the deep tendon reflexes of a consumer. Which of
the following pix need to the nurse pick out as indicating the best strategies for eliciting the
patron's patellar reflex?
- Image of hammer over heel of foot
- Image of hammer over knee
- Image of hammer over internal elbow - ANSImage of hammer over knee
A nurse is administering 1 L of 0.Nine% sodium chloride to a consumer who's postoperative
and has fluid volume deficit. Which of the following modifications have to the nurse perceive
as an indication that the remedy turned into a hit?
- Increase in hematocrit
- Increase in respiration price
- Decrease in coronary heart price
- Decrease in capillary fill up time - ANSDecrease in coronary heart price.
- Fluid quantity deficit causes tachycardia. With correction of the imbalance, the heart rate
have to return to the anticipated variety.
A nurse is administering an otic medication to an older person patron. Which of the following
movements ought to the nurse take to ensure that the drugs reaches the internal ear.
- Press lightly at the tragus of the client's ear.
- Pack a small piece of cotton deep into the consumer's ear canal.
- Move the consumer's auricle down and lower back in the direction of her head.
- Tilt the purchaser's head backward for five min. - ANSPress lightly on the tragus of the
client's ear.
- Pressing gently on the tragus of the ear will help the medication get into the inner ear.
A nurse is admitting a consumer who has an abdominal wound with a huge quantity of
purulent drainage. Which of the following forms of transmission precautions should the nurse
provoke?
- Protective environment
- Airborne precautions
- Droplet precautions
- Contact precautions - ANSContact precautions
- Major wound infections require touch precautions, which means that the nurse should
admit the patron to a personal room. All caregivers need to put on a gown and gloves
throughout direct touch with this patron.
A nurse is admitting a purchaser who's having an exacerbation of coronary heart failure. In
making plans this client's care, whilst have to the nurse initiate discharge planning?
- During the admission technique
- As quickly because the patron's situation is solid
- During the preliminary team convention
- After consulting with the patron's own family - ANSDuring the admission method
- Discharge making plans need to begin as quickly as the client is undergoing the admission
process. The nurse need to start to investigate the consumer's desires and plan for care
each at some stage in and after the purchaser's time within the facility.
