NURSING 240 (NURSING 240)

1. A nurse is caring for a client who had abdominal surgery 24 hours ago. Which of the following actions is the priority? A. Assess fluid intake every 24 hours B. Ambulate three times a day C. Assist with deep breathing and coughing D. Monitor the incision site for findings of infection 2. A nurse is talking with a client who has stage IV breast cancer. The nurse should recognize which of the following statements by the client as a constructive use of a defense mechanism? A. I have ex...

1. A nurse is caring for a client who had abdominal surgery 24 hours ago. Which of the following actions is the priority? A. Assess fluid intake every 24 hours B. Ambulate three times a day C. Assist with deep breathing and coughing D. Monitor the incision site for findings of infection: C The priority action the nurse should take when using the airway, breathing, circulation approach to client care is to assist the client with deep breathing and coughing, which reduces the risk for post...

ATI RN MATERNAL NEWBORN PROCTORED EXAM 1. A nurse is caring for a client undergoing an oxytocin-stimulated contraction test. The nurse notes three contractions in 10 min with late decelerations occurring with two of the contractions. Which of the following findings should the nurse report to the provider a. Reactive b. Nonreactive c. Positive- Indicates an adverse reaction by the fetus and should be reported to the provider d. Negative 2. A nurse is providing family planning education t...

MATERNAL NEWBORN ATI PRACTICE QUESTIONS 1. A nurse is assisting with an amniotomy for a client who is in active labor. Which of the following actions should the nurse take? a. Assess the fetal heart rate before and after the procedure b. Monitor the client’s temperature every 4 hours after procedure c. Medicate the client for pain 30 min prior to the procedure d. Perform cervical assessments every 2 hr after the procedure Rationale: A. The nurse should assess the fetal heart rate for th...

1. A nurse is caring for a client who is at 15 weeks gestation, is Rh- negative, and has just had an amniocentesis. Which of the following interventions is the nurse priority following the procedure? a. Check the clients temp b. Observe for uterine contractions c. Administer Rh immunoglobulin d. Monitor fetal HR All are important, but FHR is most important after an amniocentesis/c greatest risk is fetal death 2. A nurse is teaching a newly licensed nurse about collecting a specimen for t...

Questions and Answers

A client is receiving furosemide, Hesi.VERIFIED A client is receiving furosemide (Lasix) to relieve edema. The nurse should monitor the client for which response to the medication? 1 Retention of sodium ions 2 Negative nitrogen balance Correct3 Excessive loss of potassium ions 4 Increase in the urine specific gravity Furosemide is a potent diuretic used to provide rapid diuresis; it acts in the loop of Henle and causes depletion of electrolytes, such as potassium and sodium. Furosemi...

A client is receiving furosemide, Hesi.VERIFIED A client is receiving furosemide (Lasix) to relieve edema. The nurse should monitor the client for which response to the medication? 1 Retention of sodium ions 2 Negative nitrogen balance Correct3 Excessive loss of potassium ions 4 Increase in the urine specific gravity Furosemide is a potent diuretic used to provide rapid diuresis; it acts in the loop of Henle and causes depletion of electrolytes, such as potassium and sodium. Furosemi...

HESI EXAM QUESTIONS AND ANSWERS WITH RATIONALE 1. A home care nurse is instructing a client with hyperemesis gravidarum about measures to ease the nausea and vomiting. The nurse tells the client to: A. Eat foods high in calories and fat B. Lie down for at least 20 minutes after meals C. Eat carbohydrates such as cereals, rice, and pasta Correct D. Consume primarily soups and liquids at mealtimes A nurse is caring for a client with preeclampsia who is receiving a magnesium...