ATI RN FUNDAMENTALS

A nurse is reviewing adult cardiopulmonary resuscitation (CPR) with a newly licensed nurse. Which of the following steps should the nurse identify as the first response when performing CPR? Call for assistance. Begin chest compressions. Confirm unresponsiveness. Give rescue breaths. Confirm unresponsiveness. A nurse is caring for a client who requires a chest x-ray. Prior to the client being transported for the procedure, which of the following actions should the nurse take first? E...

A nurse is caring for a toddler at a well-child visit when the mother calls to the nurse, "Help! My baby is choking on his food." Which of the following findings indicates the toddler has an airway obstruction? Inability of the toddle to cry or speak. bc no sounds passing through vocal cords use heimliech maneuver A nurse is planning care for a client who has a prescription for collection of a sputum specimen for culture and sensitivity. Which of the following actions should the nu...

A patient is to receive 1,000 mL of 5% dextrose in lactated Ringers over 8 hours. Using tubing with a drop factor of 15 gtt/mL, the nurse should regulate the fluid to infuse at how many drops per minute? 31gtt/min 31.25=31 A nurse who has just initiated an IV infusion explains to the patient that complications are possible and that she will monitor the infusion regularly. The nurse should teach the patient that which of the following findings is an indication of early infiltration? Coo...

What do nurses use when preparing change-of-shift report? Standard handoff communication tools, such as Introduction, Situation, Background, Assessment, Recommendation (ISBAR) to facilitate transfers and discharges. When should discharge planning begin? On admission with every patient. Discharge documentation should include Type of discharge, date & time of discharge, who went with the client & transportation, where the client went, summary of clients current condition at discha...

a nurse is completing a nutritional assessment on a client and measures BMI, which of the following readings correlates with a BMI of an overweight client? 25 (25-29.9) a nurse is verifying ng tube placement by the pH of aspirated gastric fluid. which of the following pH values provides a good indication of correct tube placement? 2 (pH between 0-4) a nurse is caring for a client with a closed head injury. when pressure is applied to the client's nail beds, the clients eyes op...

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 are the facility A nurse is reviewing a client's medication prescription that reads, "digoxin 0.25 by mouth every day." which of the following components of the prescription should the nurse verify with the provider? medication dose: In the prescript...

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 are the facility A nurse is reviewing a client's medication prescription that reads, "digoxin 0.25 by mouth every day." which of the following components of the prescription should the nurse verify with the provider? medication dose: In the prescript...

A nurse is performing eye irrigation for a client who was exposed to smoke and ash. Which of the following actions should the nurse take? A. Hold the irrigator 1.25 cm (0.5 in) above the eye B. Direct the irrigation solution upward toward the upper eyelid C. Exert pressure on the bony prominences when holding the eyelid open. D. Direct the irrigation from the outer canthus to the inner canthus of the eye C. Exert pressure on the bony prominences. The nurse should hold the upper lid again...

Medicare for clients over age 65 and/or with permanent disabilities. premiums applied as insurance program reimburses providers based on DRGs. Premiums applied as Managed Care Organizations (MCOs) provide enrolled clients with comprehensive care overseen by a primary care provider. Is federally funded. Medicaid for clients with low income. is federally funded and individual states determine eligibility requirements. Traditional Insurance reimburses for services on fee-for-servic...

A nurse is teaching a group of older adults about expected changes of aging. Which of the following statements by a group member indicates that the teaching has been effective? "I should expect my heart rate to take longer to return to normal after excessive as I get older." A nurse is caring for a client who is postoperative and has paralytic ileum. Which of the following abdominal assessments should the nurse expect? Absent bowel sounds with distention A nurse is planning car...