Terry75

Question 1 A school-age client with diabetes is placed on an intermediate- acting insulin and regular insulin before breakfast and before dinner. She will receive a snack of milk and cereal at bedtime. What does the nurse tell the client the snack is intended to do? You Selected: • Prevent late night hypoglycemia. Correct response: • Prevent late night hypoglycemia. Question 2 A well-known public official of a small community is admitted to the emergency department following an episod...

1. Which information is a priority for the RN to reinforce to an older client after intravenous pylegraphy? A) Eat a light diet for the rest of the day B) Rest for the next 24 hours since the preparation and the test is tiring. C) During waking hours drink at least 1 8-ounce glass of fluid every hour for the next 2 days D) Measure the urine output for the next day and immediately notify the health care provider if it should decrease. The correct answer is D: Measure the urine output f...

1. Which information is a priority for the RN to reinforce to an older client after intravenous pylegraphy? A) Eat a light diet for the rest of the day B) Rest for the next 24 hours since the preparation and the test is tiring. C) During waking hours drink at least 1 8-ounce glass of fluid every hour for the next 2 days D) Measure the urine output for the next day and immediately notify the health care provider if it should decrease. The correct answer is D: Measure the urine output fo...

1. The nurse knows that which statement by the mother indicates that the mother understands safety precautions with her four month-old infant and her 4 year-old child? A) "I strap the infant car seat on the front seat to face backwards." B) "I place my infant in the middle of the living room floor on a blanket to play with my 4 year old while I make supper in the kitchen." C) "My sleeping baby lies so cute in the crib with the little buttocks stuck up in the air while th...

1. When caring for an older client, the nurse observes multiple bruises in over the client’s legs, arms, back, and gluteal areas. When the client contacts, the nurse suspects elder abuse. What action should the nurse? □ Measure and document size, shape and color of the bruised areas. 2. A client who is homeless is diagnosed with schizophrenia and admitted on an involuntary basis to e mental health hospital 4 days ago. The client stopped taking prescribed antipsychotic drugs approximately...

1. The nurse is has just admitted a client with severe depression. From which focus should the nurse identify a priority nursing diagnosis? A) Nutrition B) Elimination C) Activity D) Safety The correct answer is D: Safety 2. While explaining an illness to a 10 year-old, what should the nurse keep in mind about the cognitive development at this age? A) They are able to make simple association of ideas B) They are able to think logically in organizing facts C) Interpretation of events o...

1. A 64 year-old client scheduled for surgery with a general anesthetic refuses to remove a set of dentures prior to leaving the unit for the operating room. What would be the most appropriate intervention by the nurse? A) Explain to the client that the dentures must come out as they may get lost or broken in the operating room B) Ask the client if there are second thoughts about having the procedure C) Notify the anesthesia department and the surgeon of the client's refusal D) Ask the...

1) A client is admitted to the labor and delivery unit with contractions that are 3-5 minutes apart, lasting 60-70 seconds. She reports that she is leaking fluid. A vaginal exam reveals that her cervix is 80 percent effaced and 4 cm dilated and a -1 station. The LPN/LVN knows that the client is in which phase and stage of labor? A) Latent phase, First Stage B) Active Phase of First Stage C) Latent phase of Second Stage D) Transition Ans: B) Active Phase of First Stage Second stage = f...

1) During the initial physical assessment of a newly admitted client with a pressure ulcer, a LPN observes that the client's skin is dry and scaly. The nurse applies emollients and reinforces the dressing on the pressure ulcer. Legally, were the nurse's actions adequate? A The nurse also should have instituted a plan to increase activity. B The nurse provided supportive nursing care for the well-being of the client. C Debridement of the pressure ulcer should have been done before th...

NURS 403/2020 PRIMERA PARTE

1. The primary indication for transferring a patient to a higher level trauma center is: unavailability of a surgeon or operating room staff. multiple system injuries, including severe head injury. resource limitations as determined by the transferring doctor. resource limitations as determined by the hospital administration. widened mediastinum on chest x-ray following blunt thoracic trauma. 2. teen-aged bicycle rider is hit by a truck traveling at a high rate of speed. In the emergenc...

1. The primary indication for transferring a patient to a higher level trauma center is: 4. Which one of the following statements regarding patients with thoracic spine injuries is TRUE? unavailability of a surgeon or operating room • staff. multiple system injuries, including severe • head injury. resource limitations as determined by the • transferring doctor. resource limitations as determined by the • hospital administration. widened mediastinum on chest x-ray • following...

ATI Mental Health Final EXAM 2025 A+ GRADED

1. A nurse is reinforcing teaching with a client who has gout and urolithiasis. The client asks how to prevent future uric acid stones. Which of the following suggestions should the nurse make? (select all that apply) - - Exercise several times a week - Take allopurinol as prescribed - Limit intake of foods high in purine 2. A nurse is reviewing a client's laboratory report. The client's ABG levels are pH 7.5, PaCO2 32 mmHg, and HCO3- 24 mEq/L. The nurse should determine that the client...

1. A nurse is reinforcing teaching with a client who has gout and urolithiasis. The client asks how to prevent future uric acid stones. Which of the following suggestions should the nurse make? (select all that apply) - - Exercise several times a week - Take allopurinol as prescribed - Limit intake of foods high in purine 2. A nurse is reviewing a client's laboratory report. The client's ABG levels are pH 7.5, PaCO2 32 mmHg, and HCO3- 24 mEq/L. The nurse should determine that the c...

1. A community health nurse is reinforcing teach with a group of parents about home safety for children of various age groups. Which of the following information should the nurse plan to include? - The supine position is the safety for sleeping infants. 2. A nurse is monitoring a client who is receiving IV fluids via an infusion pump and notes the pump is malfunctioning. Which of the following actions should the nurse take? - Place a tag on the IV pump. 3. A nurse is caring for an adolesc...

A nurse answers a call light and finds a client anxious, short of breath, reporting chest pain, and having a blood pressure of 88/52 mm Hg on the cardiac monitor. What action by the nurse takes priority? a. Assess the client's lung sounds. b. Notify the Rapid Response Team. c. Provide reassurance to the client. d. Take a full set of vital signs. b This client has manifestations of a pulmonary embolism, and the most critical action is to notify the Rapid Response Team for speedy diagno...

A nurse is reinforcing teaching with a client about diabetes mellitus and insulin lispro and insulin glargine? - Put them in separate syringes When mixing insulin, what should the nurse do after injecting air into the regular insulin vial? - Put 15 units of air into the regular The procedure steps for an amniocentesis: - -Obtain and document baseline vital signs and FHR prior to the procedure. -Assist client into a supine position, and place a wedge under their right hip to displace the u...

Do not delegate - What you can EAT E-evaluate A-assess T-teach Addison's & Cushings - Addison's = down down down up down Cushings= up up up down up hypo/hypernatremia, hypo/hypertension, blood volume, hypo/hyperkalemia, hypo/hyperglycemia Better peripheral perfusion? - EleVate Veins, DAngle Arteries APGAR - Appearance (all pink, pink and blue, blue (pale) Pulse (>100, <100, absent) Grimace (cough, grimace, no response) Activity (flexed, flaccid, limp) Respirations (strong c...

While caring for a child with bacterial pneumonia, the nurse examines the child’s respiratory system. What is an expected assessment finding for bacterial pneumonia? a. Respiratory rate of 20 heard on auscultation b. Diminished breath sounds and crackles (rales) noted with auscultation On exam worded differently just know crackles c. Longer inspiratory than expiratory rate noticed by inspection d. Absent lung sounds in the right lower lobe 2. The nurse is participating in a preschool h...