2024 ATI RN CONCEPT BASED
ASSESSMENT LEVEL 1 PROCTORED
EXAM ACTUAL EXAM TEST BANK
QUESTIONS AND ANSWERS
Awfnursewfiswfcaringwfforwfawfclientwfwhowfiswf2wfdayswfpostoperativewffollowingwfanwfabove-
the-
kneewfamputation.wfThewfclientwfstateswfhewfiswfexperiencingwfawfdull,wfburningwfpainwfinwfth
ewflegwfthatwfwaswfamputated.wfWhichwfofwfthewffollowingwfactionswfshouldwfthewfnursewftak
ewftowftreatwfthewfclient'swfneuropathicwfpain?wf-wfanswer--Administerwfawfbeta-
blockingwfmedicationwftowfthewfclient.
(Thewfnursewfshouldwfadministerwfawfbeta-
blockingwfmedicationwftowfthewfclient.wfThiswfclassificationwfofwfmedicationwfhaswfbeenwfsho
wnwftowfrelievewfthewfphantomwflimbwfpainwfmanifestationswfofwfconstantwfdullwfandwfburnin
gwftypewfpain.)
Awfnewlywflicensedwfnursewfaskswfawfchargewfnursewfwherewftowffindwfinformationwfaboutwfs
copewfofwfpracticewfforwfregisteredwfnurses.wfWhichwfofwfthewffollowingwfresponseswfshould
wfthewfchargewfnursewfmake?wf-
wfanswer--"Thewfstatewfboardwfofwfnursingwfcanwfprovidewfthiswfinformation"
(eachwfstatewfdevelopswfawfnursewfpracticewfact,wfwhichwfdefineswfscopewfofwfpracticewfforwf
nurseswfinwfthatwfstate.wfThiswfpracticewfactwfiswfavailablewfonwfthewfboardwfofwfnursingwfweb
sitewfforwfeachwfstate.)
Awfnursewfiswfplanningwfcarewftowfpreventwfawfcatheter-
relatedwfbloodstreamwfinfectionwfforwfawfclientwfwhowfiswfreceivingwfIVwffluidwftherapy.wfWhic
hwfofwfthewffollowingwfinterventionswfshouldwfthewfnursewfincludewfinwfthewfplan?wf-
wfanswer--PerformwfhandwfhygienewfbeforewftouchingwfthewfIVwftubing.
(Thewfnursewfshouldwfperformwfthoroughwfhandwfhygienewfbeforewftouchingwfanywfpartwfofwf
thewfinfusionwfsystemwforwfthewfclientwftowfreducewfthewfriskwfofwfcatheter-
relatedwfbloodwfstreamwfinfections.)
Awfnursewfiswfcreatingwfawfplanwfofwfcarewfforwfawfclientwfwhowfiswfnon-
ambulatorywfandwfhaswfbladderwfandwfbowelwfincontinence.wfWhichwfofwfthewffollowingwfint
erventionswfshouldwfthewfnursewfincludewftowfpreventwfskinwfbreakdown?wf-wfanswer--
Offerwfthewfclientwfawfglasswfofwfwaterwfeverywftwowfhourwfwhenwfrepositioning.
(Thewfnursewfshouldwfofferwfthewfclientwfawfglasswfofwfwaterwfeverywftwowfhourswfonwfthewfclie
ntswfrepositioningwfschedule.wfThiswfhelpswfpreventwfdehydration,wfwhichwfincreaseswfthew
friskwfofwfskinwfbreakdown.)
Awfnursewfiswfteachingwfawfyoungwfadultwffemalewfclientwfaboutwfhealthwfscreeningwfforwfbre
astwfcancer.wfWhichwfofwfthewffollowingwfstatementswfbywfthewfclientwfindicateswfanwfunderst
andingwfofwfbreastwfself-examinationwf(BSE)?wf-
,wfanswer--"Iwfshouldwfexpectwftowffeelwfawffirmwfridgewfalongwfthewfbottomwfcurvewfofwfeachwf
breast."
(Thewfnursewfshouldwfinstructwfthewfclientwfatwfawffirmwfridgewfiswfexpectedwfalongwfthewfbotto
mwfcurvewfofwfeachwfbreast.wfThewfclientwfshouldwfbewfablewftowffeelwfthiswfareawfduringwfthewf
BSE.wfPerformingwfawfBSEwfpromoteswfbreastwfselfwfawarenesswfsowfthatwfthewfclientwfkno
wswfhowwfherwfbreastwfnormallywffeel.wfThewfawarenesswfincreaseswfthewfclientswfabilitywfto
wfidentifywfchangeswfthatwfrequirewffurtherwfevaluation.)
Awfnursewfiswfcaringwfforwfanwfadolescentwfwhowfiswfinwfcriticalwfconditionwffollowingwfawfmoto
rwfvehiclewfcrashwfwhichwfhewfwaswfthewfpassenger.wfThewfclientswfparentwfshoutwfatwfthewfn
urse,wfaskingwfwhywfherwfsonwfiswfdyingwfinsteadwfofwfthewfdriver.wfWhichwfofwfthewffollowingw
factionswfshouldwfthewfnursewftakewftowfprovidewfemotionalwfsupportwftowfthewfparent?wf-
wfanswer--
Informwfthewfparentwfthatwfangerwfiswfawfnaturalwfresponsewfwhenwfdealingwfwithwfloss.
(Thewfnursewfshouldwfidentifywfthatwfthewfparentwfiswfinwfthewfangerwfstagewfofwfgrief.wfThewfn
ursewfshouldwfassistwfthewfparentwftowfunderstandwfthatwfangerwfiswfawfnaturalwfresponsewfto
wflosswfandwfencouragewfherwftowftalkwfaboutwfherwffeelings.)
Awfnursewfiswfteachingwfanwfolderwfadultwfclientwfaboutwfaccessingwfelectronicwfresourceswff
orwfhealthcarewfinformationwfonwfthewfinternet.wfWhichwfofwfthewffollowingwfstatementswfsho
uldwfthewfnursewfincludewfinwfthewfteaching?wf-
wfanswer--"Websiteswfendingwfinwf'.gov'wfarewfreliablewfsiteswfforwfobtainingwfhealthwfinform
ationwffromwfgovernmentwfagencies."
(Thewfnursewfshouldwfteachwfthewfclientwfhowwftowfselectwfreliablewfinternetwfwebsiteswfwhe
nwfresearchingwfhealthwfcarewfinformation.wfThewfnursewfshouldwfidentifywfthatwfwebsiteswf
endingwfinwf'.gov'wfandwf'.edu'wfarewfconsideredwfreliablewfandwfcrediblewfsourceswfforwfheal
thwfinformation.wfWebsiteswfendingwfinwf'.com'wfshouldwfnotwfbewfusedwfforwfresearchingwfcr
ediblewfhealthcarewfinformation.)
Awfnursewfenterswfawfclientswfroomwfandwffindswfthewfclientwflyingwfonwfthewffloor.wfThewfclient
wfstateswfthatwfonwfthewfwaywftowfthewfbathroomwfherwf"kneewflocked,"wfcausingwfherwftowffall.
wfWhichwfofwfthewffollowingwfactionswfshouldwfthewfnursewftakewffirst?wf-wfanswer--
Checkwfthewfclientwfforwfinjuries.
(Thewffirstwfactionwfthewfnursewfshouldwftakewfwhenwfusingwfthewfnursingwfprocesswfiswftowfa
ssesswfthewfclient.wfThewfnursewfshouldwffirstwfcheckwfthewfclientwfforwfinjurieswfandwfmeasur
ewfvitalwfsignswftowfhelpwfdeterminewfphysiologicwfstability.wfThewfnursewfshouldwfalsowfinfor
mwfthewfproviderwfofwfthewfclientswffallwfandwfofwfthewfassessmentwffindings.)
Awfnursewfiswfteachingwfawfclientwfwhowfhaswfrheumatoidwfarthritiswfaboutwfchronicwfpainwfm
anagement.wfWhichwfofwfthewffollowingwfstatementswfbywfthewfclientwfindicateswfanwfunders
tandingwfofwfthewfteaching?wf-
wfanswer--"Iwfshouldwfusewfawfwarmwfparaffinwfdipwfforwfmywfhandswfandwffeet."
(Thewfnursewfshouldwfinstructwfthewfclientwftowfdipwfherwfhandswfandwffeetwfinwfwarmwfparaffi
nwftowfalleviatewfpainwfandwfstiffness.wfThewfclientwfcanwfmorewfeasilywfperformwfhandwfandwf
fingerwfexerciseswffollowingwfthewftreatment.)
Awfcommunitywfhealthwfnursewfiswfplanningwfpreventionwfstrategieswfforwfhypertensionwfam
ongwfmemberswfofwfherwfcommunity.wfThewfnursewfshouldwfidentifywfthatwfwhichwfofwfthewffol
lowingwfethnicwfgroupswfinwfthewfcommunitywfiswfatwfgreatestwfriskwfofwfdevelopingwfhyperte
nsion?wf-wfanswer--AfricanwfAmerican
, (Evidence-
basedwfpracticewfindicateswfthatwfindividualswfofwfAAwfethnicitywfhavewfthewfhighestwfpreval
encewfofwfhypertension.wfTherefore,wfthewfnursewfshouldwfidentifywfcommunitywfmembersw
fofwfthiswfethnicitywfarewfatwfgreatestwfriskwfofwfdevelopingwfhypertension.)
Awfnursewfiswfpreparingwftowfextinguishwfawfsmallwffirewfinwfawfclientswfroom.wfWhichwfofwfthewf
followingwfactionswfshouldwfthewfnursewftakewfwhenwfusingwfthewffirewfextinguisher?wf-
wfanswer--Slidewfthewfpinwfonwftopwfofwfthewffirewfextinguisherwfstraightwfout.
(Thewfnursewfshouldwfpullwfthewfpinwfonwftopwfofwfthewffirewfextinguisherwftowfallowwfforwfusewft
owfextinguishwfthewffire.)
AwfnursewfiswfpreparingwftowfadministerwfintermittentwfexternalwfnutritionwfviawfawfclientswfN
Gwftube.wfInwfwhichwforderwfshouldwfthewfnursewftakewfthewffollowingwfactions?wf-wfanswer--
1.wfAssistwfthewfclientwftowfanwfuprightwfposition.
2.wfAspiratewf5wfmLwfofwfgastricwfcontents.
3.wfTestwfthewfpHwfofwfgastricwfaspirate.
4.wfMeasurewfgastricwfresidualwfvolume.
5.wfFlushwfthewfNGwftubewfwithwf30wfmLwfofwfwater.
(First,wfthewfnursewfshouldwfassistwfthewfclientwfintowfhighwfFowler'swfpositionwforwfraisewfthe
wfHOBwfatwfleastwf30wfdegreeswftowfhelpwfpreventwfaspiration.wfThen,wfthewfnursewfshouldwfv
erifywfthewftubeswfplacementwfbywfaspiratingwf5wfmLwfofwfgastricwfcontentswfandwfthenwftesti
ngwfthewfpH.wfThen,wfthewfnursewfshouldwfcheckwfforwfgastricwfresidualwfvolume.wfExcessiv
ewfGRVwfiswfanwfindicationwfofwfdelayedwfgastricwfemptying,wfwhichwfplaceswfthewfclientwfatwf
riskwfofwfaspirationwfifwfadditionalwfformulawfiswfgiven.wfFinally,wfthewfnursewfshouldwfflushwft
hewftubingwfwithwf30wfmLwfofwfwaterwftowfensurewfthewftubewfiswfclearwfandwfpatent.)
Awfnursewfiswfcaringwfforwfawf47-year-
oldwffemalewfclientwfwhowfhadwfurinarywfincontinence.wfWhichwfofwfthewffollowingwfactionswf
shouldwfthewfnursewftakewffirst?wf-wfanswer--
Obtainwfawfspecimenwffromwfthewfclientwfforwfculture.
(Thewffirstwfactionwfthewfnursewfshouldwftakewfwhenwfusingwfthewfnursingwfprocesswfiswfasse
ssment.wfThewfnursewfshouldwfobtainwfawfurinewfspecimenwffromwfthewfclientwftowfrulewfoutwf
awfUTI.wfIfwfitwfiswfawfdeterminedwfthewfclientwfhaswfRBC'swfandwfWBC'swfinwfthewfurine,wfthewf
specimenwfwillwfrequirewfawfculture.wfIfwfitwfiswfdeterminedwfthatwfthewfclientwfhaswfawfUTI,wfthi
swfwillwfrequirewftreatmentwfbeforewfanywffurtherwfassessmentwfofwfincontinencewfwouldwfbe
wfindicated.)
Awfnursewfiswftalkingwfwithwfawfclientwfwhowfhaswfawfmajorwfdepressivewfdisorder.wfThewfclien
twfstates,wf"NobodywfcareswfifwfI'mwfaroundwforwfnot."wfWhichwfofwfthewffollowingwfresponses
wfshouldwfthewfnursewfmake?wf-
wfanswer--"Itwfsoundswfaswfthoughwfyou'rewffeelingwfhopeless."
(Thiswfstatementwfbywfthewfnursewfiswfanwfexamplewfofwfrestraining,wfwhichwfiswfawftherapeut
icwfresponse.wfThiswftechniquewfrestateswfthewfmainwfideawfthewfclientwfhaswfexpressedwfan
dwfallowswfthewfclientwftowfclarifywfanywfmisunderstanding.)
Awfchargewfnursewfiswfteachingwfawfgroupwfofwfnewlywflicensedwfnurseswfhowwftowfpreventwfe
rrorswfduringwfadministrationwfofwfbloodwftransfusions.wfWhichwfofwfthewffollowingwfactionswf
shouldwfthewfnursewfinclude?wf-wfanswer--
Usewfawfnewwfbloodwfadministrationwftubingwfsetwfforwfeachwfbloodwfbagwfinfused.
ASSESSMENT LEVEL 1 PROCTORED
EXAM ACTUAL EXAM TEST BANK
QUESTIONS AND ANSWERS
Awfnursewfiswfcaringwfforwfawfclientwfwhowfiswf2wfdayswfpostoperativewffollowingwfanwfabove-
the-
kneewfamputation.wfThewfclientwfstateswfhewfiswfexperiencingwfawfdull,wfburningwfpainwfinwfth
ewflegwfthatwfwaswfamputated.wfWhichwfofwfthewffollowingwfactionswfshouldwfthewfnursewftak
ewftowftreatwfthewfclient'swfneuropathicwfpain?wf-wfanswer--Administerwfawfbeta-
blockingwfmedicationwftowfthewfclient.
(Thewfnursewfshouldwfadministerwfawfbeta-
blockingwfmedicationwftowfthewfclient.wfThiswfclassificationwfofwfmedicationwfhaswfbeenwfsho
wnwftowfrelievewfthewfphantomwflimbwfpainwfmanifestationswfofwfconstantwfdullwfandwfburnin
gwftypewfpain.)
Awfnewlywflicensedwfnursewfaskswfawfchargewfnursewfwherewftowffindwfinformationwfaboutwfs
copewfofwfpracticewfforwfregisteredwfnurses.wfWhichwfofwfthewffollowingwfresponseswfshould
wfthewfchargewfnursewfmake?wf-
wfanswer--"Thewfstatewfboardwfofwfnursingwfcanwfprovidewfthiswfinformation"
(eachwfstatewfdevelopswfawfnursewfpracticewfact,wfwhichwfdefineswfscopewfofwfpracticewfforwf
nurseswfinwfthatwfstate.wfThiswfpracticewfactwfiswfavailablewfonwfthewfboardwfofwfnursingwfweb
sitewfforwfeachwfstate.)
Awfnursewfiswfplanningwfcarewftowfpreventwfawfcatheter-
relatedwfbloodstreamwfinfectionwfforwfawfclientwfwhowfiswfreceivingwfIVwffluidwftherapy.wfWhic
hwfofwfthewffollowingwfinterventionswfshouldwfthewfnursewfincludewfinwfthewfplan?wf-
wfanswer--PerformwfhandwfhygienewfbeforewftouchingwfthewfIVwftubing.
(Thewfnursewfshouldwfperformwfthoroughwfhandwfhygienewfbeforewftouchingwfanywfpartwfofwf
thewfinfusionwfsystemwforwfthewfclientwftowfreducewfthewfriskwfofwfcatheter-
relatedwfbloodwfstreamwfinfections.)
Awfnursewfiswfcreatingwfawfplanwfofwfcarewfforwfawfclientwfwhowfiswfnon-
ambulatorywfandwfhaswfbladderwfandwfbowelwfincontinence.wfWhichwfofwfthewffollowingwfint
erventionswfshouldwfthewfnursewfincludewftowfpreventwfskinwfbreakdown?wf-wfanswer--
Offerwfthewfclientwfawfglasswfofwfwaterwfeverywftwowfhourwfwhenwfrepositioning.
(Thewfnursewfshouldwfofferwfthewfclientwfawfglasswfofwfwaterwfeverywftwowfhourswfonwfthewfclie
ntswfrepositioningwfschedule.wfThiswfhelpswfpreventwfdehydration,wfwhichwfincreaseswfthew
friskwfofwfskinwfbreakdown.)
Awfnursewfiswfteachingwfawfyoungwfadultwffemalewfclientwfaboutwfhealthwfscreeningwfforwfbre
astwfcancer.wfWhichwfofwfthewffollowingwfstatementswfbywfthewfclientwfindicateswfanwfunderst
andingwfofwfbreastwfself-examinationwf(BSE)?wf-
,wfanswer--"Iwfshouldwfexpectwftowffeelwfawffirmwfridgewfalongwfthewfbottomwfcurvewfofwfeachwf
breast."
(Thewfnursewfshouldwfinstructwfthewfclientwfatwfawffirmwfridgewfiswfexpectedwfalongwfthewfbotto
mwfcurvewfofwfeachwfbreast.wfThewfclientwfshouldwfbewfablewftowffeelwfthiswfareawfduringwfthewf
BSE.wfPerformingwfawfBSEwfpromoteswfbreastwfselfwfawarenesswfsowfthatwfthewfclientwfkno
wswfhowwfherwfbreastwfnormallywffeel.wfThewfawarenesswfincreaseswfthewfclientswfabilitywfto
wfidentifywfchangeswfthatwfrequirewffurtherwfevaluation.)
Awfnursewfiswfcaringwfforwfanwfadolescentwfwhowfiswfinwfcriticalwfconditionwffollowingwfawfmoto
rwfvehiclewfcrashwfwhichwfhewfwaswfthewfpassenger.wfThewfclientswfparentwfshoutwfatwfthewfn
urse,wfaskingwfwhywfherwfsonwfiswfdyingwfinsteadwfofwfthewfdriver.wfWhichwfofwfthewffollowingw
factionswfshouldwfthewfnursewftakewftowfprovidewfemotionalwfsupportwftowfthewfparent?wf-
wfanswer--
Informwfthewfparentwfthatwfangerwfiswfawfnaturalwfresponsewfwhenwfdealingwfwithwfloss.
(Thewfnursewfshouldwfidentifywfthatwfthewfparentwfiswfinwfthewfangerwfstagewfofwfgrief.wfThewfn
ursewfshouldwfassistwfthewfparentwftowfunderstandwfthatwfangerwfiswfawfnaturalwfresponsewfto
wflosswfandwfencouragewfherwftowftalkwfaboutwfherwffeelings.)
Awfnursewfiswfteachingwfanwfolderwfadultwfclientwfaboutwfaccessingwfelectronicwfresourceswff
orwfhealthcarewfinformationwfonwfthewfinternet.wfWhichwfofwfthewffollowingwfstatementswfsho
uldwfthewfnursewfincludewfinwfthewfteaching?wf-
wfanswer--"Websiteswfendingwfinwf'.gov'wfarewfreliablewfsiteswfforwfobtainingwfhealthwfinform
ationwffromwfgovernmentwfagencies."
(Thewfnursewfshouldwfteachwfthewfclientwfhowwftowfselectwfreliablewfinternetwfwebsiteswfwhe
nwfresearchingwfhealthwfcarewfinformation.wfThewfnursewfshouldwfidentifywfthatwfwebsiteswf
endingwfinwf'.gov'wfandwf'.edu'wfarewfconsideredwfreliablewfandwfcrediblewfsourceswfforwfheal
thwfinformation.wfWebsiteswfendingwfinwf'.com'wfshouldwfnotwfbewfusedwfforwfresearchingwfcr
ediblewfhealthcarewfinformation.)
Awfnursewfenterswfawfclientswfroomwfandwffindswfthewfclientwflyingwfonwfthewffloor.wfThewfclient
wfstateswfthatwfonwfthewfwaywftowfthewfbathroomwfherwf"kneewflocked,"wfcausingwfherwftowffall.
wfWhichwfofwfthewffollowingwfactionswfshouldwfthewfnursewftakewffirst?wf-wfanswer--
Checkwfthewfclientwfforwfinjuries.
(Thewffirstwfactionwfthewfnursewfshouldwftakewfwhenwfusingwfthewfnursingwfprocesswfiswftowfa
ssesswfthewfclient.wfThewfnursewfshouldwffirstwfcheckwfthewfclientwfforwfinjurieswfandwfmeasur
ewfvitalwfsignswftowfhelpwfdeterminewfphysiologicwfstability.wfThewfnursewfshouldwfalsowfinfor
mwfthewfproviderwfofwfthewfclientswffallwfandwfofwfthewfassessmentwffindings.)
Awfnursewfiswfteachingwfawfclientwfwhowfhaswfrheumatoidwfarthritiswfaboutwfchronicwfpainwfm
anagement.wfWhichwfofwfthewffollowingwfstatementswfbywfthewfclientwfindicateswfanwfunders
tandingwfofwfthewfteaching?wf-
wfanswer--"Iwfshouldwfusewfawfwarmwfparaffinwfdipwfforwfmywfhandswfandwffeet."
(Thewfnursewfshouldwfinstructwfthewfclientwftowfdipwfherwfhandswfandwffeetwfinwfwarmwfparaffi
nwftowfalleviatewfpainwfandwfstiffness.wfThewfclientwfcanwfmorewfeasilywfperformwfhandwfandwf
fingerwfexerciseswffollowingwfthewftreatment.)
Awfcommunitywfhealthwfnursewfiswfplanningwfpreventionwfstrategieswfforwfhypertensionwfam
ongwfmemberswfofwfherwfcommunity.wfThewfnursewfshouldwfidentifywfthatwfwhichwfofwfthewffol
lowingwfethnicwfgroupswfinwfthewfcommunitywfiswfatwfgreatestwfriskwfofwfdevelopingwfhyperte
nsion?wf-wfanswer--AfricanwfAmerican
, (Evidence-
basedwfpracticewfindicateswfthatwfindividualswfofwfAAwfethnicitywfhavewfthewfhighestwfpreval
encewfofwfhypertension.wfTherefore,wfthewfnursewfshouldwfidentifywfcommunitywfmembersw
fofwfthiswfethnicitywfarewfatwfgreatestwfriskwfofwfdevelopingwfhypertension.)
Awfnursewfiswfpreparingwftowfextinguishwfawfsmallwffirewfinwfawfclientswfroom.wfWhichwfofwfthewf
followingwfactionswfshouldwfthewfnursewftakewfwhenwfusingwfthewffirewfextinguisher?wf-
wfanswer--Slidewfthewfpinwfonwftopwfofwfthewffirewfextinguisherwfstraightwfout.
(Thewfnursewfshouldwfpullwfthewfpinwfonwftopwfofwfthewffirewfextinguisherwftowfallowwfforwfusewft
owfextinguishwfthewffire.)
AwfnursewfiswfpreparingwftowfadministerwfintermittentwfexternalwfnutritionwfviawfawfclientswfN
Gwftube.wfInwfwhichwforderwfshouldwfthewfnursewftakewfthewffollowingwfactions?wf-wfanswer--
1.wfAssistwfthewfclientwftowfanwfuprightwfposition.
2.wfAspiratewf5wfmLwfofwfgastricwfcontents.
3.wfTestwfthewfpHwfofwfgastricwfaspirate.
4.wfMeasurewfgastricwfresidualwfvolume.
5.wfFlushwfthewfNGwftubewfwithwf30wfmLwfofwfwater.
(First,wfthewfnursewfshouldwfassistwfthewfclientwfintowfhighwfFowler'swfpositionwforwfraisewfthe
wfHOBwfatwfleastwf30wfdegreeswftowfhelpwfpreventwfaspiration.wfThen,wfthewfnursewfshouldwfv
erifywfthewftubeswfplacementwfbywfaspiratingwf5wfmLwfofwfgastricwfcontentswfandwfthenwftesti
ngwfthewfpH.wfThen,wfthewfnursewfshouldwfcheckwfforwfgastricwfresidualwfvolume.wfExcessiv
ewfGRVwfiswfanwfindicationwfofwfdelayedwfgastricwfemptying,wfwhichwfplaceswfthewfclientwfatwf
riskwfofwfaspirationwfifwfadditionalwfformulawfiswfgiven.wfFinally,wfthewfnursewfshouldwfflushwft
hewftubingwfwithwf30wfmLwfofwfwaterwftowfensurewfthewftubewfiswfclearwfandwfpatent.)
Awfnursewfiswfcaringwfforwfawf47-year-
oldwffemalewfclientwfwhowfhadwfurinarywfincontinence.wfWhichwfofwfthewffollowingwfactionswf
shouldwfthewfnursewftakewffirst?wf-wfanswer--
Obtainwfawfspecimenwffromwfthewfclientwfforwfculture.
(Thewffirstwfactionwfthewfnursewfshouldwftakewfwhenwfusingwfthewfnursingwfprocesswfiswfasse
ssment.wfThewfnursewfshouldwfobtainwfawfurinewfspecimenwffromwfthewfclientwftowfrulewfoutwf
awfUTI.wfIfwfitwfiswfawfdeterminedwfthewfclientwfhaswfRBC'swfandwfWBC'swfinwfthewfurine,wfthewf
specimenwfwillwfrequirewfawfculture.wfIfwfitwfiswfdeterminedwfthatwfthewfclientwfhaswfawfUTI,wfthi
swfwillwfrequirewftreatmentwfbeforewfanywffurtherwfassessmentwfofwfincontinencewfwouldwfbe
wfindicated.)
Awfnursewfiswftalkingwfwithwfawfclientwfwhowfhaswfawfmajorwfdepressivewfdisorder.wfThewfclien
twfstates,wf"NobodywfcareswfifwfI'mwfaroundwforwfnot."wfWhichwfofwfthewffollowingwfresponses
wfshouldwfthewfnursewfmake?wf-
wfanswer--"Itwfsoundswfaswfthoughwfyou'rewffeelingwfhopeless."
(Thiswfstatementwfbywfthewfnursewfiswfanwfexamplewfofwfrestraining,wfwhichwfiswfawftherapeut
icwfresponse.wfThiswftechniquewfrestateswfthewfmainwfideawfthewfclientwfhaswfexpressedwfan
dwfallowswfthewfclientwftowfclarifywfanywfmisunderstanding.)
Awfchargewfnursewfiswfteachingwfawfgroupwfofwfnewlywflicensedwfnurseswfhowwftowfpreventwfe
rrorswfduringwfadministrationwfofwfbloodwftransfusions.wfWhichwfofwfthewffollowingwfactionswf
shouldwfthewfnursewfinclude?wf-wfanswer--
Usewfawfnewwfbloodwfadministrationwftubingwfsetwfforwfeachwfbloodwfbagwfinfused.
